the effectiveness of a new “student-centered” and “problem- oriented” method of textbooks review in large educational groups: a case report

background and purpose: two important clinical education methods are problem-based and student-centered. however, education of “clinical decision-making skills” and “application of clinical knowledge” is important. usually training these cases is done in small groups . in this study, new method of scientific textbooks with four factors mentioned above has been implemented in large education groups and its effectiveness has been evaluated. methods: in scientific literature teaching sessions to 50 gynecology specialist residents of a type 1 university in iran, problem-based and student-centered education is applied from textbooks by asking questions to “increase decision-making skills” and “application of clinical knowledge”. designing of the questions was done in five-step process including design-thinking, response based on previous information, design multiple choice questions, thinking again, referring to textbooks proper answer and discussion-final conclusion by the coordinator in large educational groups (up to 50) runs in a 2-year period and then evaluated by learners, managers and graduates' investigation . results: the evaluation of learners (gynecology residents) satisfaction was 89%, decision-making skill increase was 82%, clinical application skill increase of scientific matters was 74%, textbooks understanding increase was 83% and answering skill increase to exam questions was 79%. managers' opinion (3 people) was excellent about the process. in examining graduates in the two-year period, 2 people achieved first and fifth rank in national gynecology board that both of them considered the attending classes important in their success . conclusions: new method of scientific textbooks with the use of “problem-based” and “student-centered” education in large educational groups was effective and satisfactory for the learners .