Related Experiment Video
Updated: Aug 28, 2025

Assessing the Multiple Dimensions of Engagement to Characterize Learning: A Neurophysiological Perspective
Published on: July 1, 2015
The two envelopes method for active learning
Moshe Y Flugelman1,2, Robert M Glueck2, Doron Aronson2,3
1Lady Davis Carmel Medical Center, Department of Cardiovascular Medicine, Haifa, Israel.
The two-envelope teaching method, an active learning strategy, showed a trend toward improved medical student knowledge acquisition and reduced grade dispersion compared to traditional lectures. This active learning approach fosters self-learning and peer collaboration.
Area of Science:
- Medical Education
- Active Learning Strategies
Background:
- Active learning enhances knowledge acquisition and cultivates essential learning habits in medical students.
- Institutions are transitioning from traditional lecture-based teaching to more interactive learning environments.
Purpose of the Study:
- To evaluate the impact of the "two envelopes" teaching method on fourth-year medical students' knowledge acquisition.
- To compare the effectiveness of the "two envelopes" method against traditional lecture-based instruction.
Main Methods:
- A class of 120 students was divided into 12 groups, each taught by a senior cardiologist.
- Students completed a test, then engaged in group discussions with patient data before a tutor-led session.
- The "two envelopes" method involved an initial test, followed by group work with case studies and a final discussion.
Main Results:
- A comparison between the lecture hall format (2018) and the "two envelopes" method (2019) was conducted.
- The "two envelopes" group exhibited a non-statistically significant trend towards higher grades.
- A similar non-statistically significant trend of reduced grade dispersion was observed in the "two envelopes" group.
Conclusions:
- The "two envelopes" method represents a novel active learning approach.
- This method appears to enhance self-learning and peer learning capabilities.
- Observed improvements in knowledge acquisition and reduced knowledge dispersion were not statistically significant but suggest potential benefits.
More Related Videos
Related Concept Videos
Purposive Learning
Associative Learning
Classical conditioning, also known...
Introduction to Learning
In contrast to learned behaviors, unlearned behaviors such as crying, sexual...
Observational Learning
Cognitive Learning
E. C. Tolman's theory of purposive behavior emphasizes that much behavior is goal-directed. He argued that to understand behavior, we must look at the entire sequence of actions leading to a goal. For instance, high school students study hard, not just due to past reinforcement but also to achieve the goal of getting into a good college.
Tolman introduced the idea that behavior is influenced by...
Method of Sections: Problem Solving II

