“…Computers with Internet access are replacing pen and paper, whereas problem solving scenarios are supplanting the traditional didactic lecture. [1][2][3] In a problem-based spiral curriculum, the learning continuum moves from theoretical learning, economically conveyed as factual information in standard lectures or texts, to a variety of problem-and task-based scenarios in which knowledge and skills are applied in a clinical context. Courses designed to encourage independent learning include formats that range along a continuum from problem-oriented, through problem-assisted, problem-solving, problem-focused, problem-initiated, problem-centered, and problem-centered discovery to, finally, problem-based learning.…”