ACTA FAC MED NAISS 2019;36(1):60-68

Original article

UDC: 371.311.4:616-051

DOI: 10.2478/afmnai-2019-0006

Using Team-Based Learning to Teach Evidence-Based Medicine to First-Year Residents

Mandana Akbarinejad Mousavi¹, Mitra Amini², Somayeh Delavari³, Ali Seifi⁴

¹Education Development Center, Shiraz University of Medical Sciences, Shiraz, Iran
²Clinical Education Research Center, Shiraz university of Medical Sciences, Shiraz, Iran
³Department of Medical Education, School of Medical and Center for Educational Research in Medical Sciences(CERMS), Iran University of Medical Sciences, Tehran, Iran
⁴Department of Neurosurgery, University of Texas Health Science Center at San Antonio, USA

summary


Team-based learning (TBL) is a well-established instructional strategy that provides students with the chance to apply conceptual knowledge through a series of actions, including pre-class, individual, team class activity, and immediate feedback. The purpose of the present study was to introduce a course of teaching the evidence-based medicine (EBM) to all first-year medical residents in different disciplines at Shiraz Medical School in Iran country using the TBL instructional strategy. The sample included 86 medical residents at Shiraz Medical School. This study had a quasi-experimental design and was conducted in 12 sessions of evidence-based medicine (EBM) based on team-based learning (TBL) strategy. The obtained data were analyzed using SPSS software. In all sections, the results of Individual Readiness Assurance Tests (IRATs) and Group Readiness Assurance Tests (GRATs) were added and calculated. Cronbach’s alpha test was implemented to evaluate the reliability of the questionnaires. For the descriptive analysis of data, descriptive statistics were used. ANOVA and T-test were used for analytic analysis. There was a significant difference in answering the questions between individual (3.73 ± 2.33) and group (4.71 ± 2.29) stages. Residents gained higher average grades on working in the team (P-value < .002). Results of residents’ response about satisfaction questionnaire are shown that the best scores belong to group activities in TBL. The results of this study showed that TBL could be used as an effective method for residents’ education in different disciplines.

Key words: team-based learning, medical residents, medical education, evidence-based medicine