RT Journal Article SR Electronic T1 A student-centred, problem-based curriculum: 5 years' experience JF Canadian Medical Association Journal JO CMAJ FD Canadian Medical Association SP 1567 OP 1572 VO 148 IS 9 A1 J. E. Des Marchais YR 1993 UL http://www.cmaj.ca/content/148/9/1567.abstract 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.