Drawing on the science of teamwork and the science of learning, we designed an instrument-guided team reflection and debriefing activity to foster teamwork knowledge, skills, and attitudes (KSAs) in medical students. We then embedded this activity within and between a biweekly series of pre-clerkship Team-Based Learning sessions with the goal of encouraging medical students to cultivate a practical and metacognitive appreciation of eight foundational teamwork KSAs that are applicable to both healthcare teams and classroom learning teams. On evaluations, 144 learners from a class of 156 reported increased appreciation for and team improvement with these teamwork KSAs.
Teamwork training Pre-clerkship learning teams Team-based learning Teamwork knowledge, skill, and attitude competencies
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The authors gratefully acknowledge the assistance of Michelle Yoon, PhD, and Samuel Green, PhD, with the early phases of this project. We also thank the members of the UVA Medical Education Instructional Support staff for assisting with the logistics of administering the TDT and distributing the reports. Donna Chen MD, MPH and Mary Kate Worden PhD share senior authorship on this paper.
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interest.
Ethical Approval and Informed Consent
For this retrospective study, we used de-identified curriculum evaluation data for which formal consent from individual students is not required. Students are informed of such use of evaluation data for medical education research generally and are given the option to opt-out. Our use of de-identified evaluation data for medical education research was approved by University of Virginia’s Group on Research in Medical Education and Institutional Review Board.
Chen W, Worden M, Bradley E. Flipping, Engaging, and teaming, oh my! Lessons learned from a large scale curriculum reform at a US medical school. Proceedings of the 15th IEEE international conference on advanced learning technologies; 2015 Jul 6-9; Hualian, Taiwan. Washington, D.C. IEEE Comput Soc. 2015. p.488–492. Available from: https://doi.org/10.1109/ICALT.2015.68
Eddy ER, Tannenbaum SI, Mathieu JE. Helping teams to help themselves: comparing two team-led debriefing methods. Pers Psychol. 2013;66:975–1008.CrossRefGoogle Scholar
Smith-Jentsch KA, Cannon-Bowers JA, Tannenbaum SI, Salas E. Guided team self-correction: impacts on team mental models, processes, and effectiveness. Small Group Res. 2008;39:303–27.CrossRefGoogle Scholar
Boet S, Bould MD, Sharma B, Revees S, Naik VN, Triby E, et al. Within-team debriefing versus instructor-led debriefing for simulation-based education: a randomized controlled trial. Ann Surg. 2013;258:53–8.CrossRefGoogle Scholar
Michaelsen LK, Knight AB, Fink LD. (Eds.), Team-Based Learning: a transformative use of small groups in college teaching. Sterling: Stylus, 2004.Google Scholar
Parmalee D, Michaelsen LK. Twelve tips for doing effective Team-Based Learning (TBL). Med Teach. 2010;32(2):118–22.CrossRefGoogle Scholar
Varpio L, Bell R, Hollingworth G, Jalali A, Haidet P, Levine R, Regehr G. Is transferring an educational innovation actually a process of transformation? Adv Health Sci Educ Theory Pract 2012;17:357–367.Google Scholar
Haidet P, Levine RE, Parmelee DX, Crow S, Kennedy F, Kelly PA, et al. Perspective: guidelines for reporting team-based learning activities in the medical and health sciences education literature. Acad Med. 2012 Mar;87(3):292–9.CrossRefGoogle Scholar
DeChurch LA, Mesmer-Magnus JR. The cognitive underpinnings of effective teamwork: a meta-analysis. J Appl Psychol. 2010;95:32–53.CrossRefGoogle Scholar
Salas E, Sims DE, Burke CS. Is there a “Big Five” in teamwork? Small Group Res. 2005;36:555–99.CrossRefGoogle Scholar
Baker DP, Salas E, King H, Battles J, Barach P. The role of teamwork in the professional education of physicians: current status and assessment recommendations. J Comm J Qual Patient Saf. 2005;31:185–202.CrossRefGoogle Scholar
Wright MC, Phillips-Bute BG, Petrusa ER, Griffin KL, Hobbs GW, Taekman JM. Assessing teamwork in medical education and practice: relating behavioural teamwork ratings and clinical performance. Med Teach. 2009;31:30–8.CrossRefGoogle Scholar
Morrison G, Goldfarb S, Lanken PN. Team training of medical students in the 21st century: would Flexner approve? Acad Med. 2010;85:254–9.CrossRefGoogle Scholar
Bedwell WL, Ramsay PS, Salas E. Helping fluid teams work: a research agenda for effective team adaptation in healthcare. Transl Behav Med. 2012;2(4):504–9.CrossRefGoogle Scholar
Tannenbaum SI, Mathieu JE, Salas E, Cohen D. Teams are changing: are research and practice evolving fast enough? Ind Organ Psychol. 2012;5(1):2–24.CrossRefGoogle Scholar
Thompson BM, Levine RE, Kennedy F, Naik AD, Foldes CA, Coverdale JH, et al. Evaluating the quality of learning-team processes in medical education: development and validation of a new measure. Acad Med. 2009;84:S124–7.CrossRefGoogle Scholar
Tannenbaum SI, Cerasoli DP. Do team and individual debriefs enhance performance? A meta-analysis. Hum Factors. 2013;55:231–45.CrossRefGoogle Scholar
Chen W, McCollum M, Bradley E, Chen DT. Shared team leadership training through pre-clerkship team-based learning. Med Educ. 2016;50:1148–9.CrossRefGoogle Scholar
Gooding HC, Mann K, Armstrong E. Twelve tips for applying the science of learning to health professions education. Med Teach. 2017;39:26–31.CrossRefGoogle Scholar
Schumacher DJ, Englander R, Carraccio C. Developing the master learner: applying learning theory to the learner, the teacher, and the learning environment. Acad Med. 2013;88:1635–45.CrossRefGoogle Scholar