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LARRABEE J, LEONARD K, FOERTSCH A U N I V E R S I T Y O F V E R M O N T
GARG P, FEY J, WILLS K T U F T S U N I V E R S I T Y
Team-Based Learning Workshop
Objectives
Describe the rationale for team based learning (TBL)
Compare TBL with lecture
Describe the key components of TBL
Model TBL
Develop ideas for implementation within your own training program
Why Team-Based Learning?
How do you know it is any better?
Retention
Retention
Lessons from our Educational Theorists
TEAM-BASED
LEARNING
Is there a Teaching Strategy that Encompasses these Educational
Philosophies???
Team-Based Learning
A structured form of small-group learning that emphasizes student preparation out of class and application of knowledge in class
TBL Construct
Pre-Class Study
Individual study
Accountability
Readiness Assurance Process
Individual readiness
i-RAT
Group readiness
g-RAT
Team appeals
Instructor feedback
Application
Team application exercises
Point 1 = Clear Rationale
Constructivism - Dewey & Piaget
Formative Feedback - Cronbach
Social Learning -Vygotsky
Experiential Learning - Dewey
Relevance - Bandura
Adult Learning - Knowles
Contextual - Bruner
Team-Based Learning
Educational Psychology
Lecture Team-based Learning
Faculty: “Sage on stage”
Pre- class: Student “might” study concepts
In class: Passive learning
Responsibility: Teacher-driven learning
Course Goals: Knowing material
Faculty: “Guide at side”
Pre- class: Student “must” study for sake of test/team
In class: Active learning
Responsibility: Student-driven learning
Course Goals: Applying material
Point 2 = Paradigm Shifts
Point 3 = Aligns with CBME
L E T ’ S T R A N S F O R M T H I S W O R K S H O P I N T O A
“ T E A M - B A S E D L E A R N I N G ”
E X P E R I E N C E !
Now for some fun…
Topic: Team-Based Learning
Phase 1 – Pre-Class Study Individually review the TBL information from the reading
Phase 2 – Readiness Assurance Process Individually and in teams you will work through the readiness process
Phase 3 – Application In teams, you will apply the TBL concept to a curricular element
P R E - W O R K S H O P R E A D I N G
I N D I V I D U A L P R E P A R A T I O N
Pre-Class Study
Pre-Class Study
ENVELOPE “A”
Pre-workshop readings
Individual Preparation
5 minutes
I N D I V I D U A L R E A D I N E S S A S S U R A N C E T E S T
( i - R A T )
G R O U P R E A D I N E S S A S S U R A N C E T E S T
( g - R A T )
T E A M A P P E A L S
I N S T R U C T O R F E E D B A C K
Readiness Assurance Process
Individual Readiness Assurance Test
ENVELOPE “B”
Distribute i-RAT
i-RAT collected and scored
5 minutes
(Picture of MCQ test)
Group Readiness Assurance Test
ENVELOPE “C”
Distribute g-RAT
Self-scored; immediate feedback
Preparation for appeals process
5 minutes
Team Appeals
Groups appeals
Questions from the teams
5 minutes
Instructor Feedback
Review test
Larger forum discussion
Address major areas of confusion
Affords clarification of information
5 minutes
E X A M P L E S
A S S I G N M E N T
R E P O R T O U T
P E E R E V A L U A T I O N
Application
UVM – Quality Improvement
Phase 1: Pre-Study
IHI Modules done independently
Phase 2: Readiness Assurance
Intern Retreat
iRAT
gRAT
Appeals
Review
Phase 3: Application
Longitudinal QI Team Project w/ Faculty Advisor and QI Mentor
~EXAMPLE~
Tufts – Board Review
Phase 1: Pre-Study
Two ‘Pediatrics in Review’ articles
Phase 2: Readiness Assurance
Monthly board review conference facilitated by 3rd year teaching resident (one-hour session)
iRAT
gRAT
Appeals
Review
Phase 3: Application
PREP questions in which learners performed <50% nationally
~EXAMPLE~
Assignment
Using your handout and flip-chart for notes, work as a team to develop an outline for a TBL session in one of the following domains: A. Hospitalist Medicine
B. Intensive Care (NICU/PICU)
C. Primary Care/Continuity Clinic
D. Subspecialty Pediatrics
20 minutes
Report Out
Reveal TBL Innovation
Group discussion
10 minutes
Peer Evaluation
Optional for TBL
Each person receives a sheet marked PEER EVALUATION
Evaluate your peers
You have a total of 100 points to award
This would be added to i-RAT and g-RAT for each individual’s total score
Final Remarks
New Way of Thinking… “TBL”
Retention
“Shining Eyes…”