Abstract

Purpose:The readiness assurance process (RAP) of team-based learning (TBL) is an important element that ensures that students come prepared to learn. However, the RAP can use a significant amount of class time which could otherwise be used for application exercises. The authors administered the TBL-associated RAP in class or individual readiness assurance tests (iRATs) at home to compare medical student performance and learning preference for physiology content.Methods:Using cross-over study design, the first year medical student TBL teams were divided into two groups. One group was administered iRATs and group readiness assurance tests (gRATs) consisting of physiology questions during scheduled class time. The other group was administered the same iRAT questions at home, and did not complete a gRAT. To compare effectiveness of the two administration methods, both groups completed the same 12-question physiology assessment during dedicated class time. Four weeks later, the entire process was repeated, with each group administered the RAP using the opposite method.Results:The performance on the physiology assessment after at-home administration of the iRAT was equivalent to performance after traditional in-class administration of the RAP. In addition, a majority of students preferred the at-home method of administration and reported that the at-home method was more effective in helping them learn course content.Conclusion:The at-home administration of the iRAT proved effective. The at-home administration method is a promising alternative to conventional iRATs and gRATs with the goal of preserving valuable in-class time for TBL application exercises.

Highlights

  • Team-based learning (TBL) has been shown to be effective in undergraduate medical education as a part of basic science curricula [1]

  • TBL sessions begin with the students answering multiple choice questions as individuals and answering the same questions as teams

  • This readiness assurance process (RAP) is followed by a group application exercise which requires the students to apply the knowledge they have just gained to a problem that they solve as a team

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Summary

Introduction

Team-based learning (TBL) has been shown to be effective in undergraduate medical education as a part of basic science curricula [1]. The use of TBL in an anatomy course increased scores on a National Board of Medical Examiners Subject Examination and increased the rating of the course by recent graduates [2]. TBL sessions begin with the students answering multiple choice questions as individuals (individual readiness assurance tests, iRATs) and answering the same questions as teams (group readiness assurance tests, gRATs). The iRAT and gRAT are followed by a discussion of the answers This readiness assurance process (RAP) is followed by a group application exercise which requires the students to apply the knowledge they have just gained to a problem that they solve as a team. Since the RAP takes a significant amount of class time, we designed a strategy for having the students complete that portion of TBL

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