Hey! How do you like the school being lecture free?
Good question, I definitely would take it over traditional lectures; we still have large group lectures sparingly for select topics (histology comes to mind), but the vast majority of our class time is spent in 8-person small groups with our 2 facilitators. Having a faculty:student ratio of 1:4 for most of our classes really helps in terms of engagement. Here's a quick pros and con list:
Pros:
- Short of having a 1:1 private teacher, our small group setup is the most engaging format I can imagine. You'll be asked to really delve into topics in an active way through discussion, presentations, and problems, challenging and ultimately fostering a deeper understanding of the material than if you were passively watching a lecture
- On a similar note, it definitely helps that you feel like you're "doing something" for the 4 hour sessions in the morning. I remember in undergrad feeling so bored in traditional lectures, but here you can engage as much as you want
- Having the small groups builds a sense of collegiality that I didn't see anywhere else with traditional lectures; the sessions are built on collaboration with your classmates, and its very rewarding when you're able to help a peer understand a topic as well as overcome a difficult topic with the help of your classmates
- As much as I've discussed "engagement" and "participation," there is really no pressure to be constantly speaking or being on; there are days where I'm tired and maybe don't engage as much as usual, but I never feel that it negatively affects my facilitator's perception of me
- I think it's ultimately a better use of time; a traditional lecture passively covers material that you could honestly learn on your own, and theres really no way of replicating the sessions outside of class (unless you have a really solid study group, but that depends on a number of variables that may be outside your control)
- Having 2 facilitators is great, because each group has one basic science professor and one Kaiser physician who is on faculty with the SOM. This helps in not only nailing topics that are best approached from a basic science perspective (physiology, pharmacology, molecular bio, etc.), but also keeps the clinical relevance of material at the forefront (i.e no low-yield PhD lecture horror stories)
Cons:
- By virtue of the way in which we approach the material during class, it is expected that you do work ahead of time. For example, we recently covered myocardial infarction pathophysiology and clinical presentations; our session started with a clinical vignette that included questions on interpreting cardiac enzyme studies and ECG findings, but if you are still asking yourself "What is an MI?" you could find yourself falling behind.
- To be honest, this curriculum is best served for semi-independent learners: People who are entirely independent may feel frustrated with having to go to class, while people who need to have a structured introduction through lectures may find the sessions jarring in the amount of material covered. I wouldn't worry about this, as our facilitators have done a good job of tailoring the material to how the class has been doing, but it is something to keep in mind
- I guess some people may find that mandatory attendance from 8:30 to 12:20 is a bummer, but honestly you'll have to go to clinic almost every day at some point in the near future, and the consistency helps in keeping you on top of the material
- Sometimes the workload for each sessions ("prework") is quite a lot. It's difficult to say if it is just adjusting to medical school in general or a true reflection of the amount of work we had, but it seemed like a lot the first semester with our Gastro and Genitourinary units. It's improved, as the amount of prework for sessions has decreased on average, but there will still occasionally be times (often in the beginning of the unit) where it can be around 3-4 hours per day. However, once you get the hang of it, you can adjust the amount you do to your own comfort level (understanding the material)
TLDR: I really like our approach to small-group discussions, as I find them more engaging and a better use of time than traditional lectures