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Team-Based Learning in Bioethics Education: Creating a Successful Curriculum for Residents in an Era of “Curricular Squeeze”

  • Ashley K. FernandesEmail author
  • Sheria Wilson
  • Rena Kasick
  • Lisa Humphrey
  • John Mahan
  • Sandra Spencer
Monograph
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Abstract

Background

Team-based learning has been utilized inside and outside of medical education with success. Its use in bioethics education—particularly in graduate medical education—has been limited, despite its proven pedagogical strength and the critical importance of ethics and professionalism.

Activity

From 2015–2018, we created and administered 10 TBL bioethics modular exercises using L. Dee Fink’s “Principles of Significant Learning” and the evidence-based methodology of TBL (with some modifications, given the nature of graduate medical education) to pediatric residents. We evaluated the TBL curriculum and report satisfaction scores and qualitative thematic analysis of strengths and weaknesses.

Results and Discussion

Pediatric residents, despite a perception of “curricular squeeze” and lack of interest in ethics, were highly engaged and satisfied with a TBL-only-based bioethics curriculum. We were able to successfully adapt the TBL structure to the situational factors surrounding the rigors and unpredictable nature of clinical graduate education. We offer four “Lessons Learned” for creating and implementing TBL exercises in graduate medical education. TBL can be used in bioethics education successfully, not just for individual exercises, but also to create a comprehensive ethics curriculum.

Keywords

Bioethics Ethics education Medical education Graduate medical education Team-based learning Curricular development 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethical Approval

This study was approved by the IRB.

Informed Consent

N/A

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Copyright information

© International Association of Medical Science Educators 2019

Authors and Affiliations

  1. 1.Division of Ambulatory MedicineNationwide Children’s HospitalColumbusUSA
  2. 2.Division of NeonatologyNationwide Children’s HospitalColumbusUSA
  3. 3.Division of Hospital MedicineNationwide Children’s HospitalColumbusUSA
  4. 4.Division of Palliative MedicineNationwide Children’s HospitalColumbusUSA
  5. 5.Division of NephrologyNationwide Children’s HospitalColumbusUSA
  6. 6.Division of Emergency MedicineNationwide Children’s HospitalColumbusUSA

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