Skip to main content
Log in

Using Instrument-Guided Team Reflection and Debriefing to Cultivate Teamwork Knowledge, Skills, and Attitudes in Pre-Clerkship Learning Teams

  • Short Communication
  • Published:
Medical Science Educator Aims and scope Submit manuscript

Abstract

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

References

  1. 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

  2. Eddy ER, Tannenbaum SI, Mathieu JE. Helping teams to help themselves: comparing two team-led debriefing methods. Pers Psychol. 2013;66:975–1008.

    Article  Google Scholar 

  3. 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.

    Article  Google Scholar 

  4. 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.

    Article  Google Scholar 

  5. Michaelsen LK, Knight AB, Fink LD. (Eds.), Team-Based Learning: a transformative use of small groups in college teaching. Sterling: Stylus, 2004.

  6. Parmalee D, Michaelsen LK. Twelve tips for doing effective Team-Based Learning (TBL). Med Teach. 2010;32(2):118–22.

    Article  Google Scholar 

  7. 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.

  8. 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.

    Article  Google Scholar 

  9. DeChurch LA, Mesmer-Magnus JR. The cognitive underpinnings of effective teamwork: a meta-analysis. J Appl Psychol. 2010;95:32–53.

    Article  Google Scholar 

  10. Salas E, Sims DE, Burke CS. Is there a “Big Five” in teamwork? Small Group Res. 2005;36:555–99.

    Article  Google Scholar 

  11. 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.

    Article  Google Scholar 

  12. 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.

    Article  Google Scholar 

  13. Morrison G, Goldfarb S, Lanken PN. Team training of medical students in the 21st century: would Flexner approve? Acad Med. 2010;85:254–9.

    Article  Google Scholar 

  14. 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.

    Article  Google Scholar 

  15. 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.

    Article  Google Scholar 

  16. 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.

    Article  Google Scholar 

  17. Tannenbaum SI, Cerasoli DP. Do team and individual debriefs enhance performance? A meta-analysis. Hum Factors. 2013;55:231–45.

    Article  Google Scholar 

  18. Chen W, McCollum M, Bradley E, Chen DT. Shared team leadership training through pre-clerkship team-based learning. Med Educ. 2016;50:1148–9.

    Article  Google Scholar 

  19. Gooding HC, Mann K, Armstrong E. Twelve tips for applying the science of learning to health professions education. Med Teach. 2017;39:26–31.

    Article  Google Scholar 

  20. 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.

    Article  Google Scholar 

Download references

Acknowledgements

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.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Donna T. Chen.

Ethics declarations

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.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Chen, W., McCollum, M.A., Bradley, E.B. et al. Using Instrument-Guided Team Reflection and Debriefing to Cultivate Teamwork Knowledge, Skills, and Attitudes in Pre-Clerkship Learning Teams. Med.Sci.Educ. 29, 45–50 (2019). https://doi.org/10.1007/s40670-018-00669-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40670-018-00669-y

Keywords

Navigation