Team Learning Collaborative  
     



Why

   
 
 
 
 
 
 
 

 

Team-Based Learning in Health Education

The use of team-based learning as an educational strategy in health professional education started in 2001, many years after the strategy had been used in schools of business, science courses, and several other disciplines.

Health professional education in the United States is still largely "lecture driven." For example, medical students spend most of their first two years of school in the lecture hall, followed by two more years that thrust them into patient care activities combined with continued lectures. Small group teaching occurs at all schools, but it is highly variable in quality.

     
 
Comparison

Why Team-Based Learning in Health Education?

Team-based learning in health professional education offers students:

  • Truly "active" learning because students come prepared, on time, and are rewarded for their contributions
  • The opportunity to learn to work within teams, and be rewarded for being collaborative
  • The benefit of learning from the books outside of class then applying that information to problems
  • The excitement of learning from one's peers as much, if not more, than from faculty

Team-based learning in health professional education offers faculty:

  • Frequent engagement with students in Socratic dialogue

  • Assurance that students are engaged in the material

  • A new and more fun way to help students master complex material

  • A method that generates a "grade" other than from the traditional exams & quizzes

 

Comparison

Who and Where?

Team-based learning
is taking place at health education facilities across the United States and Canada.

 

Comparison

Featured Faculty in team-based learning

Scott Zimmerman, PhD

is an Assistant Professor in the Biomedical Sciences Department at Southwest Missouri State University in Springfield, Missouri. He was introduced to team-based learning at a science teaching workshop in 2001, and now successfully uses team-based learning in a variety of basic science courses including Anatomy, Physiology, Neurobiology, and Biology of Aging. He shares his expertise in team-based learning with other faculty as a consultant for the team-based learning Collaborative.

 


The following is from our October 2005 interview with Dr. Zimmerman:

What took you to that workshop where you were introduced to team-based learning?

By all traditional measures, I was a pretty good traditional lecturer. It appeared students were happy and learning a lot. But I knew they weren’t learning what I hoped they had. I was looking for something else that would help students reach a deeper understanding of the material. I explored a number of teaching techniques including cooperative learning strategies and case study teaching, and then learned about team-based learning. The first semester I used team-based learning I saw a dramatic turn around. Since then I have continued to explore using team-based learning in a variety of classes and settings.

You are doing some interesting research involving team-based learning. Could you tell me about that?

The team-based learning methods seems to require skills students have not developed in their previous educational experiences.

At the undergraduate level in particular Interpersonal skills are an issue. While teaching as a post graduate student, I was shocked at the inability of medical students to form sentences that related complex thoughts and discuss complex physiology with each other without a lot of frustration. They are not practiced in listening actively and effectively, thinking through information and presenting it clearly, or respectfully presenting disagreement without offense.

Our research involves looking at the skills students need to take advantage of team-based learning and to measuring if team-based learning has an impact on critical thinking. My experience tells me team-based learning increases students’ critical thinking skills. We will try to measure it in a controlled trial comparing team-based learning to case-based learning in a variety of learners.

The interpersonal piece is important at all levels. Attacking it at the undergraduate level allows focus on development of other skills in later education. In graduate education hopefully more focus can be placed on critical thinking skills. Students need different skills once they leave college than they did 40 years ago. Before, it was okay to enter the job market or advanced education as a “solid memorizer” – now that is not as acceptable. We do our students a disservice if we do not push them to develop beyond that level.

You teach a wide variety of students and you teach interdisciplinary classes. What benefits and challenges does that present?

I teach PA, CRNA, and PT professional students in addition to undergraduates. I’ve observed that the interdisciplinary setting further increases student gains in critical thinking. This spring we are putting together PA, PT, clinical psychology, and graduate nursing students as a cohort group to test this observation.

The main challenge with an interdisciplinary group is the vast array of student diversity – different program admission requirements, certainly. But also big differences in student self confidence, family support for education, and desire to reach and exceed expectations. My colleagues and I have struggled for ways to balance these factors when setting groups. I usually wind up with at least one student in each group who is convinced they “can’t do this,” and I struggle how to guide the students to see they do have abilities. The setting is so novel to them; often, they have never been asked for their opinion, and don’t know how to handle it. Most will rise to the challenge on their own, but many will fall by the wayside and need guidance.

Has student “angst” about team-based learning been an issue for university administration?

I am lucky to have a very supportive dean who wants to promote best practices based on good pedagogy. Other administrators may be under a different set of pressures and respond differently to student “complaint.” Personally, I have thick skin. My attitude is it’s okay to complain, I will listen to you ( the student ), but then we will get on with what we need to do. I feel teachers need to understand and embrace that they know best what students need to learn. For many of my students being pushed to achieve beyond their comfort zone is a new experience. Every student must eventually find their limits. Unfortunately, that is now often happening in grad school rather than earlier in the process.

Students also want to see numbers – proof that team-based learning works. I have data now demonstrating dramatic increases in content learning. The manuscript is in preparation and I hope the results will be disseminated soon.

You’ve used team-based learning for about 4 years now. Do you get feedback from former students?

I have received volumes of email from former students, mostly those who have gone on to professional and other graduate education. They express how well team-based learning, the higher expectations and critical skills, prepared them for more advance schooling.

Any other final thoughts you would like to share?

Yes. I regularly run into the notion that knowledge has to come out of the professors mouth for the student to learn it. That attitude does such a disservice to the students. Sometimes we are reluctant to create different learning situations because it creates more work, it puts us in an unfamiliar teaching situation, or we fear complaints. But as faculty, we must have high expectations and trust students will rise to them. As time goes on, I find I become less concerned with teaching specific content and more with teaching students how to discover information and reason through it.

You may contact Dr. Zimmerman at sdz575f@smsu.edu

 
Comparison

What and How?

Basic Sciences team-based learning has been used extensively to teach basic science concepts in medical and PA education and many successful adaptations piloted. Some faculty choose to use team-based learning sessions periodically to reinforce and integrate concepts taught in lecture. team-based learning has replaced lecture partially or completely in some courses. Another use has been creation of a separate course taught with team-based learning whose purpose is to integrate material from multiple concurrent courses.

For more information about using team-based learning in the Basic Sciences, contact Virginia Schneider.

Clerkship Education team-based learning has been used successfully with medical students during clerkships. A recent article in the medical literature reported at one institution after switching to team-based learning, student NBME clerkship board scores improved compared to prior iterations with a lecture-based curriculum (Levine et al. Transforming a Clinical Clerkship Through team-based learning, Teaching and Learning in Medicine 2004; 16(3);270-275)

For more information about using team-based learning in Clerkships, contact Virginia Schneider.

Post-Graduate Medical Education team-based learning has been used for sessions with residents and fellows.

For more information about using team-based learning in GME, contact Virginia Schneider.

Continuing Medical Education team-based learning has piloted as a method of delivering CME sessions. team-based learning has replaced lecture for part of CME and interdisciplinary CME/CNE conferences. This can add a nice change of pace to a conference.

For more information about using team-based learning in CME/CNE, contact Virginia Schneider.

 

Next: The Team-Based Learning Collaborative >>

 

       

1604 Marshall Street  |  Houston, Texas 77006  | 713-553-4413

 

© Copyright 2005  Team-Based learning Collaborative. All rights reserved.
webmaster@tblcollaborative.org