Interdisciplinary problem-based learning (PBL) aims to provide students with opportunities to develop the necessary skills to work with different health professionals in a collaborative manner. This discourse study examined the processes of collective knowledge construction in Japanese students in the tutorials. Analyses of video-recorded data elicited from three multidisciplinary cohorts and their learning portfolios provided insights into their participation and introspection during the discussions. The results indicate there were two patterns of knowledge construction: (a) co-constructions between students from different disciplines and (b) elaborations between students from the same discipline. Their learning processes were mediated by their cultural assumptions, professional identities, understanding of other professionals, and perceptions of collaborative learning. The finding suggests that interdisciplinary PBL has the potential to enhance students' collaborative learning skills, and students' participation is situated within a cultural context.
Keywords:Interprofessional education, health professional education, social interaction in PBL, reflective learning, classroom discourse analysis
IntroductionThe focus of this study is on examining undergraduate students' participation and reflection on learning experiences in an interdisciplinary problem-based learning (PBL) tutorial in the context of Japanese health professional education. PBL is a learner-centered approach "that empowers learners to conduct research, integrate theory and practice, and apply knowledge and skills to develop a viable solution to a defined problem" (Savery, 2006, 12). Interdisciplinary PBL is part of interprofessional learning to develop mutual professional respect and trust, which is essential in patient-centered practice. In this PBL, each student needs to take an interactive approach to learning in order to construct knowledge among the different professionals. In this sense, social interaction and collaborative learning play an important role in multidisciplinary group student-centered learning environment.Although the interdisciplinary PBL was designed to foster students' collaborative and active learning skills, we know little about the process of working together amongst students from different disciplines during the tutorial. In this regard, Leung (2002) emphasized the importance of obtaining a better understanding of the complex processes of students' participation in the context of student-centered learning. Hak and Maguire (2000) also pointed out that evidence from ethnographic and discourse research approaches are efficient and rational to exploring inside the PBL process.A small body of qualitative and discourse research on student learning in PBL identified the emergence of students' co-constructed knowledge and their highly interactive dynamics in tutorial groups (for example, Hmelo-Silver and Barrows, 2008;Koschmann et al., 1997;Visschers-Pleijers et al., 2006;Woodward-Kron and Remedios, 2007). For instance, Vissche...