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Online and In-class Team-Based Learning in Undergraduate Immunology: a Comparative Analysis

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Abstract

The goal of this study was to compare student learning outcomes and preferences using a modified team-based learning (TBL) approach in classroom-based versus online formats in an upper level undergraduate immunology course. Fifty-five students were randomly assigned to small groups and participated in four immunology case study modules either face-to-face in a classroom or synchronously online. In both comparative groups, students completed pre-test Individual Readiness Assurance Test (IRAT) at the beginning of each module in-class or online, discussed cases in-class or online with group members, and completed in-class or online post-test Group Readiness Assurance Test (GRAT) after case study group discussions. Assessment of individual student learning was performed using multiple choice exam questions that addressed concepts from each module. At the end of the course, students completed an optional survey to evaluate course satisfaction and preferences. In all four modules, students performed equally well on the IRATs, regardless of whether they performed TBL in class or online; and students performed better on the GRATs than the IRATs after using the TBL methodology, regardless of whether they performed TBL in class or online. In the application of course concepts, except for modules 2 and 3, there was no difference between a student’s performance on the IRAT and the exams, regardless of whether they performed TBL in class or online. There was a significant difference in student perception but not performance when comparing in-class versus online TBL. For almost all measured outcomes, students preferred in-class TBL to online TBL.

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References

  1. Michaelsen LK, Knight AB, Fink LD. Team-based learning: a transformative use of small groups. 1st ed. Westport, CT: Praeger Publishers; 2002.

    Google Scholar 

  2. Michaelsen LK, Knight AB, Fink LD. Team-based learning: a transformative use of small groups in college teaching. 1st ed. Sterling, VA: Stylus Publishing; 2004.

    Google Scholar 

  3. Sibley J, Parmelee DX. Knowledge is no longer enough: enhancing professional education with team-based learning. In: Michaelsen LK, Sweet M, Parmelee DX, editors. Team-based learning: small-group learning’s next big step, new directions for teaching and learning, No.116. San Francisco: Jossey-Bass; 2008. p. 41–53.

    Google Scholar 

  4. Parmelee DX. Team-based learning in health professions education: why is it a good fit? In: Michaelsen LK, Parmelee DX, McMahon KK, Levine RE, editors. Team-based learning for health professions education: a guide to using small groups for improving learning. Sterling: Stylus Publishing; 2008. p. 3–8.

    Google Scholar 

  5. Janssen HF, Skeen NP, Bell J, Bradshaw W. Improving critical thinking skills in the medical professional with team-based learning. In: Michaelsen LK, Parmelee DX, McMahon KK, Levine RE, editors. Team-based learning for health professions education: a guide to using small groups for improving learning. Sterling: Stylus Publishing; 2008. p. 61–74.

    Google Scholar 

  6. Haidet P, Schneider V, Onady GM. Research and scholarship: team-based learning in health professions education. In: Michaelsen LK, Parmelee DX, McMahon KK, Levine RE, editors. Team-based learning for health professions education: a guide to using small groups for improving learning. Sterling: Stylus Publishing; 2008. p. 117–32.

    Google Scholar 

  7. Engle DB. Team-based learning in the premedical curriculum: genetics. In: Michaelsen LK, Parmelee DX, McMahon KK, Levine RE, editors. Team-based learning for health professions education: a guide to using small groups for improving learning. Sterling, VA: Stylus Publishing; 2008. p. 133–40.

    Google Scholar 

  8. Behling KC, Murphy MM, Mitchell-Williams J, Rodgers-McQuade H, Lopez OJ. Team-based learning in a pipeline course in medical microbiology for under-represented student populations in medicine improves learning of microbiology concepts. J Microbiol Biol Education. 2016;17(3):370–9.

    Article  Google Scholar 

  9. AAMC Admissions Initiative: a pathway to competency-based admissions. In: Association of American Medical Colleges. 2012. https://www.aamc.org/download/308462/data/admissionsinitiativesummary.pdf. Accessed 24 Feb 2019.

  10. The core competencies for entering medical students. In: Association of American Medical Colleges. 2019 https://students-residents.aamc.org/applying-medical-school/article/core-competencies/. Accessed 24 Feb 2019.

  11. Core competencies for entering medical students. In: Association of American Medical Colleges. 2012 https://www.aamc.org/admissions/admissionslifecycle/409090/competencies.html. Accessed 24 Feb 2019.

  12. Burgess AW, McGregor DM, Mellis CM. Applying established guidelines to team-based learning programs in medical schools: a systematic review. Acad Med. 2014;89(4):678–88.

    Article  Google Scholar 

  13. Searle NS, Haidet P, Kelly PA, Schneider VF, Seidel CL, Richards BF. Team learning in medical education: initial experiences at ten institutions. Acad Med. 2003;78(10):S55–8.

    Article  Google Scholar 

  14. Thompson BM, Schneider VF, Haidet P, Levine RE, McMahon KK, Perkowski LC, et al. Team-based learning at ten medical schools: two years later. Med Educ. 2007;41(3):250–7.

    Article  Google Scholar 

  15. Palsolé S, Awalt C. Team-based learning in asynchronous online settings. New Dir Teach Learn. 2008;2008(116):87–95.

    Article  Google Scholar 

  16. Morrison F, Zimmerman J, Hall M, Chase H, Kaushal R, Ancker JS. Developing an online and in-person HIT workforce training program using a team-based learning approach. AMIA Ann Symp Proc. 2011:63–71.

  17. River J, Currie J, Crawford T, Betihavas V, Randall S. A systematic review examining effectiveness of blended technology with team-based learning. Nurse Educ Today. 2016;45:185–92.

    Article  Google Scholar 

  18. Whittaker AA. Effects of team-based learning on self-regulated online learning. Int J Nurs Educ Scholarsh. 2015;12(1):1–10.

    Article  Google Scholar 

  19. Elliott S. Using a modified team-based learning approach to teach nursing students about communicable disease control and community health nursing. J Nurs Educ. 2014;53(11):651–3.

    Article  Google Scholar 

  20. National Academies of Sciences, Engineering, and Medicine. Improving diagnosis in health care. Washington, DC: The National Academies Press; 2015.

    Google Scholar 

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Acknowledgments

This study was conducted in fulfillment of the required capstone project resulting in educational scholarship for the International Association of Medical Educators (IAMSE) Medical Educator Fellowship Program. The authors wish to thank the following colleagues who reviewed and provided valuable feedback and advice on this manuscript: Lana Dvorkin Camiel, Jennifer Goldman, Stacie Spencer, and Catherine Taglieri.

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Correspondence to Joseph DeMasi.

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Research Involving Human Participants

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee (Institution Review Board of Massachusetts College of Pharmacy and Health Sciences—reference number IRB111816D) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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DeMasi, J., Harvan, R.A. & Luca, M. Online and In-class Team-Based Learning in Undergraduate Immunology: a Comparative Analysis. Med.Sci.Educ. 29, 1193–1199 (2019). https://doi.org/10.1007/s40670-019-00814-1

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