Why Problem-Based Learning Works
Why Problem-Based Learning Works
Rose M. Marra
David H. Jonassen
University of Missouri
Betsy Palmer
Steve Luft
Montana State University
Introduction
Problem-based learning (PBL) is an instructional method that drives
all learning via solving an authentic problem. The idea of “basics first”
goes out the window in PBL; rather, one learns the basics in the context
of a meaningful, but ill-structured problem solving activity. A cohesive
body of research is beginning to show the effectiveness of PBL (see Hung,
Jonassen, and Liu, 2008). Authors in this special issue, respectively, provide
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PBL Overview
History of PBL
Problem-based learning has its implementation roots in the field of
medical education starting in the 1950s (Savery & Duffy 1995). It grew
from dissatisfaction with the traditional medical education practice at
McMaster University in Canada (Barrows, 1996; Barrows & Tamblyn,
1980). These PBL pioneers criticized traditional health science education
for its lecture format and heavy emphasis on memorization of fragment-
ed biomedical knowledge at the expense of helping students develop
the clinical problem-solving skills required for a lifetime of practice and
learning (Albanese & Mitchell, 1993; Barrows, 1996).
This first PBL curriculum implemented many of the characteristics
that typify PBL today. Students worked in small groups where they
interacted with simulated patients who had complex and meaningful
medical problems. They used patient interviews, records, and selected
laboratory results to identify learning issues and develop a diagnosis and
treatment plan (Barrows & Tamblyn, 1976; Torp & Sage, 1998). This may
seem like the students were metaphorically “thrown into boiling water,”
but in a PBL environment, student learning is supported and coached by
a faculty member whose role is to facilitate discussion-based learning by
asking questions and monitoring the problem-solving process (Barrows,
1985, 1986, 1996; Hmelo, 1998). If students are “stuck,” they can go to the
facilitator for guidance and resources. Rather than learning basic science
knowledge via memorization, textbooks, and lectures (methods that have
a high “forgetting curve”), students learn these basics during the mean-
ingful, hands-on task of solving clinical problems (Barrows, 1985, 1986;
Why PBL Works 223
Reality (the sense that we make of the world) is in the mind of the
knower.
The ideas that we know and the skills that we have acquired consist,
in part, of the situation or context in which they were acquired or have
been applied (Brown, Collins, & Duguid, 1989; Lave & Wenger, 1991;
Schank, Fano, Bell, & Jona, 1993/1994). That is, the context of knowledge
acquisition is part of the knowledge that is used by the knower to explain
or make sense of the idea. This means that abstract rules and laws, di-
vorced from any context, have no meaning. What we really understand
about skills is the application of those skills. We store these applications as
stories (Schank, 1986), which become a primary medium of conversation
and meaning making among humans. Constructivism argues that skills
will have more meaning if they are acquired initially and consistently in
meaningful contexts. Unless ideas can be applied, they have no meaning.
Merely teaching facts and explaining concepts without contextualization
prevents indexing those ideas to the features of the situation in which they
are relevant (Schank et al., 1993/1994).
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Situated Learning
A related perspective posits that PBL has its roots in theories of situ-
ated learning (Hung, 2002). Situated learning or situated cognition was
proposed by Brown et al. (1989) and argued that meaningful and lasting
learning takes place best when it is embedded in a social and physical con-
text as similar as possible to that in which the learning would be applied.
This idea was in contrast to the way most formal learning took place at that
time (and still, unfortunately, does)—that is, devoid of authentic context
and far removed from any aspect of actually using what is to be learned.
Situated cognition proposes that the contextual setting of knowledge is
essential and that meaning making is rooted in the relationships that we
construct between ourselves as learners and our surrounding situations
and interactions (Hung, 2002). Stated another way, knowledge is, at its
root, produced via interactions between the mind and the world in which
it is situated.
In a PBL, the “situation” or the meaningful context is to a large degree
provided by the ill-structured problem the learners are solving. This learn-
ing situation is similar to what we do in our everyday and professional
lives, where we are continuously solving ill-structured problems. Because
meaning is derived by learners from the contexts in which they are work-
ing or learning—ideas abstracted from contexts and presented as theories
have little, if any, meaning to learners—knowledge that is anchored, or
“situated” in specific contexts is more meaningful, more integrated, bet-
ter retained, and more transferable. One reason for this phenomenon is
the means by which students represent their understanding (Jonassen,
Why PBL Works 227
is implemented in PBL. Authentic cases are the way that the learning is
“situated” in a real-world setting and, additionally, the means by which
students situate the basic knowledge (for example, basic sciences for
medical school, engineering fundamentals for the engineering students)
they are learning as part of the case. There are, however, different kinds
of cases and different ways of using them in a PBL (Jonassen, 2010).
Figure 1 illustrates the functions that cases may have in a PBL. It shows
that example cases and cases to analyze serve primarily as instructional
supports, whereas the case as a PBL problem to solve is the basis for stu-
dents’ learning of content and skills (Jonassen, 2010).
Cases other than the primary instructional case can function as instruc-
tional supports for students in PBL. Cases as examples can be used as one
way to support students in a PBL. This instructional tactic is consistent
with all models of instructional design (Branch, 2009; Gagne & Briggs,
1974) that insist on the inclusion of examples in instruction. The role of
examples is to serve as concrete models of ideas being represented ab-
stractly. A PBL case example that is worked out to a complete solution and
perhaps annotated to illustrate the problem-solving process can support
PBL students in their current problem-solving activities (Jonassen, 2003).
A similar use of cases to support PBL learning is to practice analyzing
cases in preparation for their ultimate PBL case problem solving. This case
study method is usually done as an activity for its own purposes. That
is, students are to analyze the completed case and respond in a certain
fashion. The case study method might be used as part of students’ PBL
processes if they were prompted by an instructor/facilitator to look at a
particular already-solved case in order to apply lessons from this case to
their current problem solving activity. In essence, the case study method
provides analogues for students to apply to their own problem solving,
thus serving as a particular type of case “exemplar.”
Cases as problems to solve are the essence of a PBL. This article and
other articles in this issue have already described the usage of cases in PBL.
PBL normally replaces traditional content-based curriculum with a set of
problems that integrate the content into practice. In PBL classes, students
work in groups supported by a process tutor to solve authentic (clinical)
problems or simulations of practice that drive student learning. Students
230 Journal on Excellence in College Teaching
Figure 1
Relationships Between Case Functions in PBL
know that these instructional means are based on the theoretical under-
pinnings of PBL. But where does all this leave us as faculty members in
the midst of trying to implement and improve PBL for our students? Entire
books have been written on this topic (see Amador, Miles, & Peters, 2007;
Woods, 1994); however, in this section we will briefly address strategies
based on the theoretical and implementation foundations discussed that
can help to continually improve PBL environments. These strategies are
based on the principles of formative evaluation—evaluation designed
to monitor and improve a product or process that is still available to be
modified.
Problems are a critical aspect of a PBL. They embody the in situ nature
of PBL and are the basis for the construction of knowledge. They exist to
trigger the learning process and are the basis for student learning activ-
ities. Creating an effective problem is, thus, essential for successful PBL.
Dolmans, Snellen-Balendong, Wolfhagen, and Van der Vleuten (1997)
outlined seven principles of problem design. They described that prob-
lems should (1) simulate real life, (2) lead to elaboration, (3) encourage
integration of knowledge, (4) encourage self-directed learning, (5) fit
in with students’ prior knowledge, (6) interest students, and (7) reflect
the faculty member’s learning objectives. Jonassen and Hung (2008) fo-
cused on one of the problem characteristics originally indicated by Shaw
(1976)—problem difficulty—and defined it to be characterized by problem
complexity and problem structuredness. According to Jonassen and Hung
(2008), problem complexity refers to the breadth, difficulty level, intricacy,
and interrelatedness of problem space, while problem structuredness rep-
resents the intransparency, variety of interpretations, interdisciplinary,
and interdisciplinary nature of problems.
Working to instantiate these ideas about problem characteristics into
practice, Jacobs, Dolmans, Wolfhagen, and Scherpbier (2003) developed
and validated a questionnaire to assess the degree of complexity and
structuredness of PBL problems and how students differentiated between
these characteristics. Their results indicate that although students could
clearly differentiate between simple and well-structured problems, these
students were not able to discern ill-structured from complex problems.
Perhaps more helpful to designing PBL problems with characteristics
that will support successful PBL implementations, Des Marchais (1999)
used a Delphi technique with six PBL experts who were asked to identify
three criteria considered most essential for the design of problems. The
study identified that the two most important criteria were that the problem
should stimulate thinking or reasoning and lead to self-directed learning
in students. Sockalingam and Schmidt (2011) turned to PBL students and
232 Journal on Excellence in College Teaching
Conclusions
PBL is one of several instructional methodologies being implemented in
higher education settings that are student centered. In PBL environments,
learning is entirely focused around solving an authentic problem, which
is often presented in a case. And in contrast to traditional pedagogies,
learners do not learn the “basic” first and in a separate, often inauthentic
mode (for example, read “about” a theory or a model rather than use
it); rather, they learn basic content in the context of solving the complex,
authentic problem.
The challenging news is that this pedagogy requires significant changes
for both learners and teachers. The hopeful news is that understanding
the basic theoretical premises on which PBL is founded—specifically,
constructivism and situated cognition—can help practitioners be more
effective in designing, implementing, and improving PBL environments.
This article has explored those theoretical foundations and then applied
them to help educators understand and use cases effectively to support
PBL, design problems appropriate for PBL environments, and develop
and use the metacognitive supports students need during PBL activities.
Why PBL Works 235
References
Albanese, M. A., & Mitchell, S. (1993). Problem-based learning: A review
of literature on its outcomes and implementation issues. Academic
Medicine, 68(1), 52-81.
Amador, J., Miles, L., & Peters, C. (2007). The practice of problem-based
learning: A guide to implementing PBL in the college classroom. Hoboken,
NJ: Anker.
Barrows, H. S. (1985). How to design a problem-based curriculum for the pre-
clinical years. New York, NY: Springer.
Barrows, H. S. (1986). A taxonomy of problem‐based learning methods.
Medical Education, 20(6), 481-486.
Barrows, H. S. (1996). Problem‐based learning in medicine and beyond:
A brief overview. New Directions for Teaching and Learning, 68, 3-12.
Barrows, H. S., & Tamblyn, R. M. (1976). An evaluation of problem-based
learning in a small groups utilizing a simulated patient. Journal of Med-
ical Education, 51(1), S2-S4.
Barrows, H. S., & Tamblyn, R. M. (1980). Problem-based learning: An approach
to medical education. New York, NY: Springer.
Branch, R. (2009). Instructional design: The ADDIE approach. Berlin, Ger-
many: Springer-Verlag.
Bransford, J., Brown, A., & Cocking, R. (2000). How people learn: Brain,
mind, experience, and school. Washington, DC: National Academy Press.
Brown, A., Collin, P., & Duguid, P. (1989). Situated cognition and the
culture of learning. Educational Researcher, 18(1), 32-42.
Dale, E. (1969). Audiovisual methods in teaching (3rd ed.). New York, NY:
The Dryden Press; Holt, Rinehart and Winston.
Des Marchais, J. E. (1999). A Delphi technique to identify and evaluate criteria
for construction of PBL problems. Medical Education, 33(7), 504-508.
Dolmans, D. H. J. M., Snellen-Balendong, H., Wolfhagen, I. H. A. P., & van
der Vleuten, C. P. M. (1997). Seven principles of effective case design
for a problem-based curriculum. Medical Teacher, 19(3), 185-189.
Duffy, T., & Cunningham, D. (1996). Constructivism: Implications for the
design and delivery of instruction. In D. Jonassen (Ed.), Handbook of
research for educational communications and technology (pp. 179-198). New
York, NY: Simon and Schuster.
Flavell, J. (1976). Metacognitive aspects of problem-solving. In L. B. Resnick
(Ed.), The nature of intelligence (pp. 231-236). Hillsdale, NJ: Erlbaum.
Flavell, J. (1979). Metacognition and cognitive monitoring: A new area of
cognitive-developmental inquiry. American Psychologist, 34, 906-911.
Flavell, J. H. (1987). Speculations about the nature and development of
236 Journal on Excellence in College Teaching