Diabetes Curriculum for Pediatric Endocrine Fellowship Utilizing Modified Team-Based Learning

Area of Science:

• Medical Education
• Endocrinology
• Diabetes Mellitus

Background:

• Pediatric endocrinology fellowship training often emphasizes type 1 diabetes, with limited exposure to other forms.
• Adult learners benefit from educational strategies that promote knowledge application.
• Existing curricula lack comprehensive application-based strategies for all diabetes types.

Purpose of the Study:

• To develop and evaluate a Team-based Learning (TBL) curriculum for pediatric endocrinology fellows covering diverse diabetes types.
• To enhance the application of knowledge regarding type 1 diabetes, type 2 diabetes, neonatal diabetes, and maturity-onset diabetes of the young.
• To assess the feasibility and fellow satisfaction with the TBL approach.

Main Methods:

• A Team-based Learning (TBL) approach was used to create four 90-minute modules on different diabetes types.
• Fellows (n=11) were divided into two teams, engaging in combined Readiness Assurance Test (RAT) and Application Problem (APP) questions.
• Individual and team scores were analyzed, alongside subjective fellow feedback.

Main Results:

• Teams achieved higher scores (94%) compared to individuals (76%) on the tests.
• All fellows agreed the sessions should be permanent and effectively improved knowledge application.
• Fellows reported high engagement, liveliness, and perceived feasibility of the implemented TBL sessions.

Conclusions:

• Team-based Learning (TBL) is a valuable educational strategy for improving diabetes knowledge application in pediatric endocrinology fellows.
• The TBL approach demonstrated feasibility and positive fellow engagement.
• Further research is recommended to explore TBL's impact on critical thinking and long-term knowledge retention.