The participatory case based blended learning ecosystem CBBLE framework that is a model for a patient centered, scholarship of integration in Medical education, has been actively evolving since a few decades in different medical colleges in India and has been described in detailed timeline in the link below :
Also published as a book chapter here:
And in another book chapter with the book reviewed here: https://pmc.ncbi.nlm.
In the above history of evolution of medicine department one can find it's beginnings from 2002 where the idea quoted again here below was becoming an important driving force for medicine department:
"Contrary to what generalizeable randomized controlled trial data projected, every individual was unique and had unique life trajectories and it was found that medical students were best suited to unearthing these trajectories as documented here: https://www.eubios.info/
The above was in an outcrop of Manipal and we invited one of the students from there now a faculty in US as well as medical students from other locations where medicine department traveled
to revisit this in the last CBBLE paper here in the current location at Narketpally sometime in 2017: https://www.ncbi.nlm.
From 2002-2022 the patient centred learning drivers appear to have reached a peak performance in medicine department somewhere till mid 2022 after which other forces catering to the secondary beneficiaries of medical education appear to have started taking over.
Some of the online learning portfolios that appear to have become inoculated by medicine department's patient centered training framework and continue to take this forward into other locations are linked below:
Still going strong in terms of practice implementation as a consultant medicine as of date Feb 2025: https://
The link below portrays an attempt to showcase it's positive achievements in alignment with the global policy making powers that be although as the notices imaged and archived here below can attest to it was slowly getting deconstructed back into the traditional status quo where the patient loses it's focus as the primary beneficiary of medical education.
The department administration in terms of education and practice was confiscated and status quo restored.
Medicine department continued it's development of a patient centred learning ecosystem with a few foot soldiers that remained, particularly the following online learning portfolios:
Informal patient centered independent researchers online learning portfolios:
Formal trainees:
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