Problem-based Learning with a Simulated Patient for Clinical Ophthalmology Education

There are currently few methodologies of problem-based learning (PBL) that can be applied to subspecialty fields. We developed a simple and unique method for ophthalmology training characterized by scenarios created by the students, role-play, and a simulated patient. This study aims to introduce our PBL method and to evaluate it by a questionnaire. The tutor prepared clinical data for common eye diseases. One medical student from each small group was assigned to act as a simulated patient. The other students performed the medical interview and diagnostic process. All students could refer to text materials during the PBL tutorial. The tutor provided data and suggestions to facilitate the students' clinical reasoning. Each case took 30 minutes. A total of 92 questionnaire sheets were retrieved in the 2004-2005 academic year. Most students (82%) enjoyed the PBL tutorial. All students said PBL tutorials should be continued. The major advantages included gaining experience in diagnostic reasoning (79%) and role-play (38%) . PBL was effective for ophthalmology training.