BMJ  2005;331 (29 October), doi:10.1136/bmj.331.7523.0-d

Community based learning produces better doctors

Young doctors who graduated from a medical school with community oriented, problem based learning performed better than graduates of traditional medical schools. A historical cohort comparison study by Tamblyn and colleagues (p 1002) compared performance in the first few years of practice of graduates of Sherbrooke University in Quebec, Canada, before and after its curriculum reforms, and with three traditional medical schools in the region as additional controls. Those who graduated after the introduction of problem based learning prescribed more mammography screening and disease specific drugs (as opposed to symptomatic prescribing) and provided better continuity of care. There was no difference in prescribing rates for contraindicated drugs.

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Effect of a community oriented problem based learning curriculum on quality of primary care delivered by graduates: historical cohort comparison study

Robyn Tamblyn, Michal Abrahamowicz, Dale Dauphinee, Nadyne Girard, Gillian Bartlett, Paul Grand'Maison, and Carlos Brailovsky
BMJ 2005 331: 1002. [Abstract] [Full Text] [PDF]

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