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Team-Based Learning as a Feasible, Acceptable, and Effective Educational Method for Internal Medicine Trainees - A
Hannah Zane1, Amanda Brunton2, Patricia A Carney3
1Department of Medicine, Oregon Health & Science University, Portland, OR, USA.
Team-based learning (TBL) in graduate medical education is feasible and acceptable. Infectious disease TBL sessions improved resident performance on In-Training Exams, demonstrating enhanced learning efficacy.
Area of Science:
- Medical Education
- Infectious Diseases
- Graduate Medical Education
Background:
- Team-based learning (TBL) is an active learning strategy gaining traction in medical education.
- Studies demonstrating successful incorporation into Graduate Medical Education (GME) curricula are limited.
Purpose of the Study:
- To assess the feasibility, acceptability, and efficacy of Infectious Disease (ID) TBL sessions within an Internal Medicine (IM) residency curriculum.
- To evaluate TBL integration into a traditional 60-minute conference format.
Main Methods:
- A prospective cohort study was conducted in two phases: Phase 1 assessed acceptability and feasibility, and Phase 2 evaluated efficacy.
- Participants included 101 IM residents and eight faculty. Efficacy was measured by comparing In-Training Exam (ITE) data before and after TBL implementation.
- TBL sessions were delivered weekly during 60-minute noon conferences, with feasibility measured by iRAT completion rates and acceptability by attendance and perceived effectiveness.
Main Results:
- 80% of residents attended at least one TBL session, and 86% rated the sessions as highly effective.
- All TBL elements were successfully incorporated into the sessions.
- Post-TBL implementation, significant improvements were observed in ITE scores for overall ID content and TBL-associated learning objectives for PGY-2 and PGY-3 residents.
Conclusions:
- Implementing TBL within the traditional GME noontime conference hour is feasible and acceptable to residents and faculty.
- TBL pedagogy in this setting is associated with improved learning efficacy.
- Improved In-Training Exam scores demonstrate the positive impact of TBL on resident learning in Infectious Diseases.
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