Background: The real advantage of problem-based learning (PBL) may not
be its status as an alternative to traditional learning, but rather i
ts usefulness as an integrative adjunct. Description: To meet the chal
lenge of integrating PBL into traditional medical education, we have d
eveloped 6 videotaped case presentations. Each video utilizes problem-
solving skills and demonstrates role playing within the context of a p
hysician-patient relationship. Presuming a basic and clinical science
foundation, these presentations are designed for small-group discussio
ns. Each videotape comprises a history and physical, differential diag
noses, routine laboratory analyses, selection of diagnostic specimen(s
), microbial tests and results, final diagnosis, and clinical highligh
ts. Predetermined pauses allow for the student-directed faculty-guided
problem-solving approach to diagnosis. The videotape format provides
opportunities for adapting to diverse physical settings and flexibilit
y of incorporation into the curriculum. Evaluation: Student evaluation
s overwhelmingly affirm the positive peer interactions, the small-grou
p learning experiences, and clinical relevance and realistic case port
rayals. Conclusion: The sessions empowered the students to become acti
ve participants in their learning by applying previous knowledge cowar
d a clinical approach to diagnosis.