Readiness Assessment Tests &

Team Based Learning

Regina Dehen ND LAc

Oregon College of Oriental Medicine Presented at the 2011

SPARC Pre-Conference

Active Learning Strategies

• Readiness Assessment Tests (RATs)• Group Readiness Assessment Tests

(GRATs)• Require students to prepare for class

vs.

Koles, P., Nelson, S., Stolfi, A., Parmalee, D. & McKenzie, M. (2009). Active learning in a year-2 pathologyCurriculum. Medical Education, 39, 1045-1055.

3 Phases of Team Learning

• Phase 1: Independent study to master identified objectives

• Phase 2: RATs• Phase 3: GRATs

and collaborative work

AB C

Hunt, D., Haidet, P., Coverdale, J.H. and Boyd, R. (2002) The effect of using team learning in an evidence-based medicine course for medical students. Teaching and Learning in Medicine, 15(2), 131-139.

Teacher Preparation

• Create study guides or reading assignment before RAT

• Write multiple choice quiz (RAT) from study material

• Create group application activities

• Facilitate intergroup discussion

• Clarify misconceptions

Example

• Reading assignment: Menopause: The Journal of The North American Menopause Society (2008). Vol. 15, No. 4, pp. 584-603.

• RAT: 10 multiple choice questions based on the reading

• GRAT: same questions, scrambled answers

• Group application

POSITION STATEMENT

Estrogen and progestogen use in postmenopausal women: July 2008

position statement of The North American Menopause Society

53 yo female civil attorney presents to the office for a routine physical examination. Her menstrual periods ended six months go and since that time, she has had occasional hot flashes and night sweats. She has no other symptoms at this time. Specifically, she has no chest pain or shortness of breath. PMH is remarkable only for a C-section with the birth of her son 17 years ago and an appendectomy in her early 20’s. She takes occasional aspirin, daily Tums for calcium, and a multivitamin. Family history includes heart disease (father had a myocardial infarction at age 55, brother a CABG at age 57, mother reportedly has angina at age 76), but no cancer, no history of deep venous thrombosis, no history of hip fractures or osteoporosis.Physical exam is remarkable for a BP 148/86, but is otherwise entirely normal.Laboratory data is remarkable for the following: Fasting glucose 118, Cholesterol 224, LDL 141. EKG is normal. Chemistries CBC, U/A are normal. Mammograms are class 1 (normal). Pap smear is normal.She seeks your advice regarding hormone replacement therapy, particularly in light of her strong family history of coronary artery disease. Which of the following do you advise?A. Conjugated equine estrogen (Premarin) 0.625 mg q day.B. Conjugated equine estrogen (Premarin) 0.3 mg q day.C. Conjugated equine estrogen (Premarin) 0.625 mg daily with medroxyprogesterone 2.5 mg q day.D. Conjugated equine estrogen (Premarin) 0.3 mg daily with medroxyprogesterone 2.5 mg q day.E. No hormone replacement therapy.

Evaluation

• Scores on individual and group RATs

• Homework assignments graded by rubric receive individual and group grade (avg)

• Evaluation of team members by each other