Problem Based Learning is a well known approach in medical education and it has been a practice for over 40 years in a various disciplines (Strobel & Barneveld, 2009). However the approach might be different according to the model, discipline and context. In medical PBL approach, problem is introduced before hand and students will brainstorm for possible solution and justification based on content knowledge. In contrast, problem is formulated by the student in POPBL.