PT - JOURNAL ARTICLE AU - J. E. Des Marchais TI - A student-centred, problem-based curriculum: 5 years' experience DP - 1993 May 01 TA - Canadian Medical Association Journal PG - 1567--1572 VI - 148 IP - 9 4099 - http://www.cmaj.ca/content/148/9/1567.short 4100 - http://www.cmaj.ca/content/148/9/1567.full SO - CMAJ1993 May 01; 148 AB - In 1987, the University of Sherbrooke's school of medicine implemented a student-centred, problem-based learning (PBL) curriculum. The experience of the first 5 years is reviewed; program goals, the schedule of learning activities, the instructional format and assessment of student learning are described. The new program is more demanding of teachers and requires better faculty training in pedagogy. No new financial resources have been available. The preclinical reform has led to revision of the clerkship, where sessions on clinical reasoning are now based on the PBL philosophy. Student reactions to the program are reported. The Sherbrooke experience has demonstrated that it is both possible and feasible to shift from a traditional to a problem-based curriculum.