We need ”well-trained” medical doctors as well as Traditional Chinese Practitioners to serve in society to safeguard the quality of our health. It is argued that despite international medical education centres adopting innovative approaches to learning through the use of problem-based learning (PBL) in western medical training, such medical programs do not automatically ensure that students will graduate with high quality learning outcomes and understanding at a level to prepare them to readily uptake the responsibility and challenges related to the medical profession, in other words, that they are well trained. We are now at a crossroad to consider whether we need to have a similar extensive reform of ”PBL in TCM education” to enhance better student learning. PBL is one way of designing the learning experience for medical students in higher education. The exercise of designing a curriculum to be experienced in one particular way, does not necessarily mean that all students engaging in that curriculum will experience in the way intended by the designer. Seminal research of educational research conducted in the last 40 years provides an alternative answer to understand and explain student learning experiences. It is argued that the university students engaged in learning and teaching activity all experience that same learning and teaching context in different ways. It is important for Western and TCM medical educators firstly to discover such variation in the ways students perceive the learning context, their approaches to study and the quality of their learning outcomes before they decide and implement changes in the practice of teaching and learning that may lead to better student learning outcomes.
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