Constructing a Conceptual Model for Team-Based Learning Program in Medical School through a Qualitative Lens

10.6145/jme201603

Meng-Fang Tsai；Chau-Chyun Sheu；Jer-Chia Tsai；Yin-Chun Tien；Keh-Min Liu

team-based learning ； conceptual model ； program implementation ； integrated basic and clinical science course ； medical education

Journal of Medical Education

20卷1期（2016 / 03 / 01）

22 - 32

英文

Purpose: Since 2012, medical teachers at a university in Taiwan, where the study was conducted, have increasingly implemented team-based learning (TBL) to the integrated basic and clinical science course, block-based curriculum. The TBL conceptual model has not been studied well in different contexts nor discussed through students’ perspectives in existing research. Constructing a conceptual model suitable for the TBL implementation is imperative. Method: Medical students’ narrative comments regarding TBL teaching were recorded in 2015. Seventy-five student volunteers (15 post-baccalaureate medical and 60 medical students) gave their thoughts on the TBL program. Based on themes coded through directed content analysis and a literature review, a TBL conceptual model was proposed. Results: Six themes were coded: 1) materials of subject content, 2) pre-class preparation time, 3) teaching strategy, 4) use of evaluation, 5) design of test items, and 6) TBL class time. After conducting a literature review, we identified the following four specific areas of learners’ anticipated development resulting from participating in the TBL class: interactive collaboration, selfdirected learning, learning enhancement by instructional design, and integrative learning experience. The proposed conceptual model contains the themes and factors identified for the TBL program. Conclusions: We conclude that, although TBL has structured procedures, the conceptual model demonstrates a sophisticated bidirectional relationship between the essential aspects in TBL instruction related to both teachers’ teaching and students’ learning. To verify the validity of the model, further application and research are needed as the program develops.

1. Cestone, CM,Levine, RE,Lane, DR(2008).Peer assessment and evaluation in team-based learning.New Dir Teach Learn,2008(116),69-78.
2. Charlton, BG(2006).Lectures are an effective teaching method because they exploit human evolved 'human nature' to improve learning.Med Hypotheses,67,1261-5.
3. Cheng, CY,Liou, SR,Hsu, TH(2014).Preparing nursing students to be competent for future professional practice applying the team-based learning teaching strategy.J Prof Nurs,30,347-56.
4. Cheng, CY,Liou, SR,Tsai, HM(2014).The effects of team-based learning on learning behaviors in the maternal-child nursing course.Nurse Educ Today,34(1),25-30.
5. Clark, MC,Nguyen, HT,Bray, C(2008).Team-Based Learning in an undergraduate nursing course.J Nurs Educ,47(3),111-7.
6. Cooper, MM,Cox, CT,Nammouz, M(2008).Case E: an assessment of the effect of collaborative groups on students' problem-solving strategies and abilities.J Chem Educ,85(6),866-72.
7. Corbridge, SJ,Corbridge, T,Tiffen, J(2013).Implementing team-based learning in a nurse practitioner curriculum.Nurse Educ,38(5),202-5.
8. Crowe, A,Dirks, C,Wenderoth, MP(2008).Biology in Bloom: implementing Bloom's Taxonomy to enhance student learning in biology.CBE Life Sci Educ,7(4),368-81.
9. Deardorff, AS,Moore, JA,Borges, NJ(2012).Assessing first year medical student attitudes of effectiveness of team-based learning.Med Sci Educ,20(2),67-72.
10. Fatmi, M,Hartling, L,Hillier, T(2013).The effectiveness of team-based learning on learning outcomes in health professions education: BEME Guide No. 30.Med Teach,35(12),e1608-e1624.
11. Garside, C(1996).Look who's talking: a comparison of lecture and group discussion teaching strategies in developing critical thinking skills.Commun Educ,45(3),212-27.
12. Gomez, EA,Wu, D,Passerini, K(2010).Computersupported team-based learning: the impact of motivation, enjoyment and team contributions on learning outcomes.Comput Educ,55(1),378-90.
13. Haidet, P,Fecile, ML(2006).Team-Based Learning: a promising strategy to foster active learning in cancer education.J Cancer Educ,21(3),125-8.
14. Haidet, P,Levine, RE,Parmelee, DX(2012).Perspective: guidelines for reporting teambased learning activities in the medical and health sciences education literature.Academic Medicine,87(3),292-9.
15. Hsieh, HF,Shannon, SE(2005).Three approaches to qualitative content analysis.Qual Health Res,15(9),1277-88.
16. Kam, HJ,Katerattanakul, P(2014).Structural model of team-based learning using Web 2.0 collaborative software.Comput Educ,76,1-12.
17. Kern, DE,Thomas, PA,Hughes, MT(2009).Curriculum Development for Medical Education: A Six-Step Approach.Baltimore:The Johns Hopkins University Press.
18. Knud, I(ed.)(2009).Contemporary Theories of Learning: Learning Theorists ... in Their Own Words.New York:Routledge.
19. Koles, PG,Stolfi, A,Borges, NJ(2010).The impact of team-based learning on medical students' academic performance.Academic Medicine,85(11),1739-45.
20. Mcinerney, MJ,Fink, LD(2003).Team-Based Learning enhanced long-term retention and critical thinking in an undergraduate microbial physiology course.Microbiol Educ,4,3-12.
21. Mennenga, HA,Smyer, T(2010).A model for easily incorporating team-based learning into nursing education.Int J Nurs Educ Scholarsh,7(1)
22. Michaelsen, LK,Knight, AB,Fink, LD(2002).Team-Based Learning: A Transformative Use of Small Groups.Westport:Greenwood Publishing Group.
23. Michaelsen, LK,Parmelee, D,McMahon, KK(2008).Team-Based Health Professions Education: A Guide to Using Small Groups for Improving Learning.Sterling:Stylus Publishing.
24. Michaelsen, LK,Sweet, M(2008).The essential elements of team-based learning.New Dir Teach Learn,2008(116),7-27.
25. Murad, MH,Coto-Yglesias, F,Varkey, P(2010).The effectiveness of self-directed learning in health professions education: A systematic review.Med Educ,44(11),1057-68.
26. Nandi, PL,Chan, JNF,Chan, CPK(2000).Undergraduate medical education: comparison of problem-based learning and conventional teaching.Hong Kong Med J,6(3),301-6.
27. Parmelee, DX,DeStephen, D,Borges, NJ(2009).Medical students' attitudes about team-based learning in a pre-clinical curriculum.Med Educ Online,14(1)
28. Parmelee, DX,Michaelsen, LK(2010).Twelve tips for doing effective Team-Based Learning (TBL).Med Teach,32(2),118-22.
29. Redwanski, J(2012).Incorporating team-based learning in a drug information course covering tertiary literature.Curr Pharm Teach Learn,4(3),202-6.
30. Simonson, SR(2014).Making students do the thinking: team-based learning in a laboratory course.Adv Physiol Ed,38(1),49-55.
31. Skinner, EA,Belmont, MJ(1993).Motivation in the classroom: reciprocal effects of teacher behavior and student engagement across the school year.J Educ Psychol,85(4),571-81.
32. Thompson, BM,Schneider, VF,Haidet, P(2007).Factors influencing implementation of teambased learning in health sciences education.Acad Med,82(10),S53-S56.
33. Topping, KJ,Smith, EF,Swanson, I(2000).Formative peer assessment of academic writing between postgraduate students.Assess Eval High Educ,25(2),149-70.
34. Trigwell, K,Shale, S(2004).Student learning and the scholarship of university teaching.Stud High Educ,29(4),523-36.
35. Vasan, NS,DeFouw, DO,Compton, S(2009).A survey of student perceptions of team-based learning in anatomy curriculum: favorable views unrelated to grades.Anat Sci Educ,2(4),150-5.
36. Vasan, NS,DeFouw, DO,Compton, S(2011).Team-Based Learning in anatomy: an efficient, effective, and economical strategy.Anat Sci Educ,4(6),333-9.
37. Wiener, H,Plass, H,Marz, R(2009).Team-Based Learning in intensive course format for fi rst-year medical students.Med Educ,50(1),69-76.
38. Zgheib, NK,Simaan, JA,Sabra, R(2010).Using teambased learning to teach pharmacology to second year medical students improves student performance.Med Teach,32(2),130-5.

1. Meng-Fang Tsai,Ke-Li Tsai,Keh-Min Liu,Jer-Chia Tsai,Chau-Chyun Sheu,Bao-Sen Shieh(2020)。Exploring Medical Students' Learning Experience in Team-Based Learning (TBL): A Longitudinal Evaluation。醫學教育，24(2)，73-85。