title: Self-directed, integrated clinical learning through a sign-up system.
abstract: OBJECTIVE
  To help students in a self-directed, problem-based learning (PBL) curriculum learn from a breadth of hospital experience.
  
  
  METHODS
  Clinical units were asked to identify what clinical activities they could make available to interested students on a 'first-come, first-served' basis. A centralised, electronic system was developed that allowed students to book a fair, but not excessive, share of those learning opportunities. This web-based programme evolved into a comprehensive timetabling system that managed activities for whole classes of students as well as 'sign-ups' booked by individuals.
  
  
  RESULTS
  The sign-up system offered 1792 hours/week, or 6 hours/student/week, to the hospital's 291 students of learning opportunities additional to firm-based teaching and learning. There were sign-ups in all major specialties and they included rounds, clinics, theatre/investigation sessions and conferences. Students accessed the system as commonly from outside the hospital as within it, and used it to view their timetables as well as to book learning opportunities. The system was used particularly heavily when examinations were imminent, indicating that students found it supportive to their learning.
  
  
  CONCLUSIONS
  We have developed an innovative way of providing experience that is relevant to problem-based, integrative clinical education. Students, as judged by their heavy use of it, value the system.
authors.affiliation: Hope Hospital, Manchester, UK.
authors.forename: Mark
authors.initials: M
authors.lastname: Foster
authors.forename: Tim
authors.initials: T
authors.lastname: Dornan
mesh_terms: D002983:Clinical Competence / Q000592:standards; D003479:Curriculum; D004504:Education, Medical, Undergraduate / Q000379:methods*; D001330:Electronic Data Processing / Q000379:methods; D006801:Humans; D018794:Problem-Based Learning / Q000379:methods*; D013337:Students, Medical