Abstract
BackgroundActive learning has been shown to improve knowledge retention, facilitate feedback, and motivate learners. Despite this evidence, lecture, a passive mode of instruction, is the most widely utilized instructional method for residency educational conferences. Team-based learning fosters active learning but is infrequently used during residency training.MethodsThree team-based learning sessions (one introductory and two content-based) were held during noon conferences in a pediatrics residency program. A pre-post static-group design was used to evaluate learner satisfaction and knowledge gains. Additional data was collected about facilitator preparation, session attendance, and readiness assurance test scores. Descriptive statistics and qualitative content analyses were conducted.ResultsForty-seven residents and students participated (81%, 47 of 58). Prior to the introductory session, the majority of participants (55%) were not familiar with team-based learning. After the three sessions, 65% of residents and students reported high levels of satisfaction with team-based learning. When compared to traditional, lecture-based noon conferences, 76% of participants reported more engagement and 48% perceived more learning in team-based learning sessions. Challenges included low completion rates of the assigned reading prior to the session and abridged discussions due to time limitations during sessions. Each session required 10 hours of preparation for curriculum development.ConclusionsTeam-based learning resulted in greater satisfaction and engagement among learners when compared to lecture-based formats. However, it did not prove to be a feasible instructional method during one-hour residency conferences. Adaptations that promote learner preparation for sessions and overcome time limitations during sessions may improve the feasibility and impact of team-based learning during one-hour conferences.Trial registrationNot applicable.
Highlights
Facilitators introduce session2 min Readiness assurance test (RAT) individual readiness assurance test (IRAT)6–7 multiple choice style questions5 min completed individually group readiness assurance test (GRAT)Same questions completed by team 7 min
Learners work through the same test in groups, termed the group readiness assurance test (GRAT), to deepen understanding and make connections through dialogue and debate
Discussion is critical to Team-based learning (TBL), as a large group following the GRAT and the application exercise, to support peer learning
Summary
Facilitators introduce session2 min Readiness assurance test (RAT) IRAT6–7 multiple choice style questions5 min completed individually GRATSame questions completed by team 7 min. Active learning has been shown to improve knowledge retention, facilitate feedback, and motivate learners. Despite this evidence, lecture, a passive mode of instruction, is the most widely utilized instructional method for residency educational conferences. Active learning methods improve knowledge retention, facilitate feedback, and motivate learners [1, 2]. They are well-suited to foster non-technical skills, such as communication and teamwork. Each TBL session follows a structured approach: preparation, readiness assurance tests (RATs), and application exercises [4]. Learners’ grasp of the foundational knowledge and preparation is first assessed with an individual readiness assurance test (IRAT). For each TBL session, teams are kept intact to foster collaboration
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