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This article explores the role of team learning in health professions education, specifically in large classes, diverse classrooms, and courses that emphasize thinking skills. It discusses the role of faculty, the decision of whether groups should work in-class or out-of-class, the duration of group composition, assigning roles to learners, grading group work, and the differences between Team-Based Learning (TBL) and Problem-Based Learning (PBL).
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When to use? • Large classes of 100 or more students • Classes with a high level of student diversity • Courses with extended meeting times • Courses that emphasize “Thinking” skills
Where in health professions education? • Medical education • Large group pre-clinical classes • Clinical classes • Residents • Physician assistant education • Preclinical classes • Nursing education • Clinical classes Thompson et al., 2007
What is the role of faculty? • Content experts • Introduce new material • Design challenging problems for learners • Provide feedback on learners’ progress
Should groups work “in class” or “out-of-class”? • In-class • If “out-of-class” some members may be absent • Decreased tendency to divide up work and do it separately
How long should learners stay together? • For the duration of the course • Periodically changing group composition is “the wrong thing to do” • Takes time for group of students to know each other for effective team functioning • Learners will never discover what a “real” team can do.
Should learners be assigned roles? • Unnecessary and counterproductive to assign roles • Groups learn how to function effectively as teams
Should group work be graded? • 30-50% of course grade • Graded group work fulfills 2 functions: • Incentive to be an effective team • Feedback on performance as a team
TBL Similar In-class small groups Challenging decision-based assignments Different Apply information and ideas PBL Similar In-class small groups Challenging decision-based assignments Different Learn how to learn How is TBL different from PBL?