Hey DriedCaribou,
There were never any hard feelings. I've always respected your opinion. I think that as future physicians, our intentions should rarely gear towards posting ad hominem attacks just so we can achieve some sense of security about our future careers. That's childish. Again, my apologies.
Now, in regards to what people should expect of the Sydney medical program, I agree, your experience is priceless in this regard, but I really don't think you're giving the full picture here. You're no doubt a bit pissed off about some things, but optimistic that things will change for the better, though your cohort may miss out on these amendments. But comments about me being overly optimistic or defensive, not having done my research or downright misleading...haha, that I cannot accept.
I'm really not the kind of person who gets easily swayed. As a grad student in a rigorous program, I've learned that if I'm going to take 1 step, I must be reasonably sure of the next 5. To that end, I've researched and read every web-available AMC accredition report, faculty meeting minutes and curriculum amendments, the recent ADF report, AMSA October issue recommendations, various abstracts in medical education journals, and EVERY issue of the Innominate - USydMP's student magazine. It's actually become quite an obsession. I've also contacted 1 student in Sydney Dent and 3 in the USydMP - all internationals of varying years - and I've concluded the following:
You're right - the curriculum does suffers some setbacks, most notably in the area of anatomy teaching and lack of direction.
Now, what I'm referring to when I note that you're not giving the full picture here, is that VIRTUALLY EVERY PBL-BASED PROGRAM IN THE WORLD HAS NEARLY THE SAME CONCERNS AS THAT OF SYDNEY'S STUDENTS. This includes Harvard's New Pathways medical program (USA), University of Liverpool (UK), University of Newcastle (Australia) and of course, McMaster University (Canada). The reason you - and the thousands of students taking PBL-based medical programs - feel lost at times is that this is a NATURAL reaction to PBL. For instance, an abstract on the pedagogical methods employed in the McMaster program indicates that the majority of students suffer augmented levels of anxiety about their studies, because they don't know how much to delve into the material. This is referred to as the 'discovery' component, which I'm sure many people are aware of. Virtually every document on Sydney's program concurrs with this feature. Futhermore, another characterstic of these programs is that there's ample free time which can worsen the situation, since it adds to the 'what am I doing?' and 'where am I going?' ethos. Ergo, you begin to feel a lack of direction. But to paraphrase a previous poster, 'The [USydMP] faculty rarely remind you what you're supposed to be doing during that free time...STUDYING!' Hit your head on the wall until you can repeat this mantra: 'I'M IN A SELF-DIRECTED LEARNING MEDICAL SCHOOL.'
Another element of these programs is that they're low on anatomical pedagogy, which is a natural by-product of some common PBL-based programs. McMaster's students have the same concerns. Personally, this can and hopefully will change. However, it's a mistake to think that ALL basic sciences are also diluted. Physiology, pathology, and other disciplines are constantly addressed in every PBL theme, which you may (or may not) agree with. Several USydMP students have noted this difference to me. On the other hand, as one international student I spoke with mentioned, if you take out 'options' to supplement your knowledge and do readings on your own time on anatomy and other disciplines (e.g., immunology), then you can easily make for any deficiencies, perceived or real, you may have. Again, it's up to you.
You mentioned AMC's criticisms. To show you that I'm not just a naive optimist and actually, a very involved realist, AMC gave the USydMP an unprecedented accredition tenure IN SPITE of the fact that their recommendations to improve the course are nearly identical to what we've been saying should be addressed. Check it out here:
http://www.amc.org.au/forms/press/USyd Exec Summary & recs only.pdf
In response to these recommendations, check out what the faculty is doing about them:
http://www.usyd.edu.au/learning/planning/facultyplans/2006/progress_report_2005_medicine.pdf
What people also don't understand or are unaware of, is that the large majority of students in the graduate program not only enjoyed the teaching and were overall very satisfied with the course (thus, perhaps putting your experiences in the minority of students), but that both the undergraduate AND the graduate system suffer from a general lack of direction. Check it out on page 31 of
http://www.usyd.edu.au/quality/about/abr_phase_one/medicine_phase_one_rpt.pdf
In response to this, changes have already taken effect. Starting in 2007, there will be required formal assessments after EVERY preclinical block, to help sediment knowledge and to establish guidelines for what students must know. They've also eliminated the long case and are supplementing students with practical checkpoints on information that must be assimilated. No doubt you're very aware of this.
To sum, I know this is a program for me because I've spent the last 2 years essentially doing 'unofficial PBL' and directing every aspect of my learning, whether it's doing independent reading or consulting scientists about research problems. It's been tough not to have someone spoon feed you the information you need to know, but I've learned SO MUCH more because I put in so much effort and experienced the ups and downs myself. In undergrad, I always detested didacted teaching and never learned much from them. I like to go home and read and call up friends to talk about the test/lectures. As a last disclaimer, virtually EVERY student I've spoken to (except for you, perhaps) and the majority of student approval from surveys (posted above) seem to indicate that students thoroughly enjoy the program. I think you need to qualify your statements as being factually true, but your overall opinion to be very much in the minority. And yes, ditto on the note to international students - DO YOUR OWN RESEARCH AND SEE IF THIS PROGRAM IS FOR YOU!
Take this with a grain of salt, again, I'm only an outsider.
Best.