Comparison of Team-Based Learning versus Traditional Lectures in Neuroanatomy: Medical Student Knowledge and Satisfaction.

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Abstrakt

Tytuł:: Comparison of Team-Based Learning versus Traditional Lectures in Neuroanatomy: Medical Student Knowledge and Satisfaction.
Autorzy:: Rezende AB; Department of Anatomy, Federal University of Juiz de Fora, Juiz de Fora, Brazil.; Department of Medical Education, Federal University of Juiz de Fora, Juiz de Fora, Brazil.
de Oliveira AGF; Department of Anatomy, Federal University of Juiz de Fora, Juiz de Fora, Brazil.
Vale TC; Department of Internal Medicine, Federal University of Juiz de Fora, Juiz de Fora, Brazil.
Teixeira LAS; Department of Internal Medicine, Federal University of the Triângulo Mineiro, Uberaba, Brazil.
Lima ARA; Department of Molecular Biology, Faculty of Medicine of São José do Rio Preto, São José do Rio Preto, Brazil.
Lucchetti ALG; Department of Medical Education, Federal University of Juiz de Fora, Juiz de Fora, Brazil.; Department of Internal Medicine, Federal University of Juiz de Fora, Juiz de Fora, Brazil.
Lucchetti G; Department of Medical Education, Federal University of Juiz de Fora, Juiz de Fora, Brazil.; Department of Internal Medicine, Federal University of Juiz de Fora, Juiz de Fora, Brazil.
Tibiriçá SHC; Department of Medical Education, Federal University of Juiz de Fora, Juiz de Fora, Brazil.; Department of Internal Medicine, Federal University of Juiz de Fora, Juiz de Fora, Brazil.
Ezequiel OS; Department of Medical Education, Federal University of Juiz de Fora, Juiz de Fora, Brazil.
Źródło:: Anatomical sciences education [Anat Sci Educ] 2020 Sep; Vol. 13 (5), pp. 591-601. Date of Electronic Publication: 2019 Nov 07.
Typ publikacji:: Comparative Study; Evaluation Study; Journal Article
Język:: English
Imprint Name(s):: Original Publication: Hoboken, N.J. : John Wiley & Sons, Inc.
MeSH Terms:: Education, Medical, Undergraduate/*methods
Neuroanatomy/*education
Students, Medical/*psychology
Female ; Humans ; Interdisciplinary Placement ; Learning ; Male ; Young Adult
References:: Abushouk AI, Duc NM. 2016. Curing neurophobia in medical schools: Evidence-based strategies. Med Educ Online 21:32476.
Ahmed K, Rowland S, Patel V, Khan RS, Ashrafian H, Davies DC, Darzi A, Athanasiou T, Paraskeva PA. 2010. Is the structure of anatomy curriculum adequate for safe medical practice? Surgeon 8:318-324.
Appaji AC, Kulkarni R, Poojar A, Vinayagam K. 2010. Teaching anatomy with digital self-learning modules. Med Educ 44:525-526.
Bajor G, Likus W, Kuszewski P, Kostro K, Łoś A, Kłakus P. 2015. “Mortui vivos docent” or who gives his body to science? The analysis of the personal questionnaires of Polish donors in the conscious body donation program. PLoS One 10:e0121061.
Barratt D, Stevens C, Smirnoff L. 2015. Neuro-anatomy team-based learning module. MedEdPortal 11:10144.
Bate E, Hommes J, Duvivier R, Taylor DC. 2014. Problem-based learning (PBL): Getting the most out of your students-Their roles and responsibilities: AMEE Guide No. 84. Med Teach 36:1-12.
Bergman E, Van Der Vleuten CP, Scherpbier AJ. 2011. Why don’t they know enough about anatomy? A narrative review. Med Teach 33:403-409.
Bergman EM, De Bruin AB, Herrler A, Verheijen IW, Scherpbier AJ, Van der Vleuten CP. 2013. Students’ perceptions of anatomy across the undergraduate problem-based learning medical curriculum: A phenomenographical study. BMC Med Educ 13:152.
Bollela VR, Senger MH, Tourinho FS, Amaral E. 2014. Team-based learning: From theory to practice. Medicina (Ribeirao Preto Online) 47:293-300.
Brich J. 2013. Feasibility, acceptance and impact of team-based learning in neurology: A pilot study. GMS Z Med Ausbild 30:Doc20.
Bucarey S, Álvarez L. 2006. Methodology to construct learning object for teaching human anatomy in integrated courses. Int J Morphol 24:357-362.
Burgess AW, McGregor DM, Mellis CM. 2014. Applying established guidelines to team-based learning programs in medical schools: A systematic review. Acad Med 89:678-688.
Chen M, Ni C, Hu Y, Wang M, Liu L, Ji X, Chu H, Wu W, Lu C, Wang S. 2018. Meta-analysis on the effectiveness of team-based learning on medical education in China. BMC Med Educ 18:77.
Chi MT. 2009. Active-constructive-interactive: A conceptual framework for differentiating learning activities. Topics Cognit Sci 1:73-105.
Day LJ. 2018. A gross anatomy flipped classroom effects performance, retention, and higher-level thinking in lower performing students. Anat Sci Educ 11:565-574.
Edmunds S, Brown G. 2010. Effective small learning: AMEE Guide No. 48. Med Teach 32:715-726.
Eleazer CD, Scopa Kelso R. 2018. Influence of study approaches and course design on academic success in the undergraduate anatomy laboratory. Anat Sci Educ 11:496-509.
Fantaneanu TA, Moreau K, Eady K, Clarkin C, DeMeulemeester C, Maclean H, Doja A. 2014. Neurophobia inception: A study of trainees' perceptions of neurology education. Can J Neurol Sci 41:421-429.
Farias PA, Martin AL, Cristo CS. 2015. Active learning in health education: Historic background and applications. Rev Bras Educ Med 39:143-150.
Fatmi M, Hartling L, Hillier T, Campbell S, Oswald AE. 2013. The effectiveness of team-based learning on learning outcomes in health professions education: BEME Guide No. 30. Med Teach 35:e1608-e1624.
Fleagle TR, Borcherding NC, Harris J, Hoffmann DS. 2018. Application of flipped classroom pedagogy to the human gross anatomy laboratory: Student preferences and learning outcomes. Anat Sci Educ 11:385-396.
Fraenkel J, Wallen N, Hyun H. 2011. How to Design and Evaluate Research in Education. 8th Ed. New York, NY: McGraw-Hill Education. 704 p.
Freeman S, Eddy SL, McDonough M, Smith MK, Okoroafor N, Jordt H, Wenderoth MP. 2014. Active learning increases student performance in science, engineering, and mathematics. Proc Natl Acad Sci U S A 111:8410-8415.
Ghorbani N, Karbalay-Doust S, Noorafshan A. 2014. Is a team-based learning approach to anatomy teaching superior to didactic lecturing? Sultan Qaboos Univ Med J 14:e120-e125.
Haak DC, HilleRisLambers J, Pitre E, Freeman S. 2011. Increased structure and active learning reduce the achievement gap in introductory biology. Science 332:1213-1216.
Habicht JL, Kiessling C, Winkelmann A. 2018. Bodies for anatomy education in medical schools: An overview of the sources of cadavers worldwide. Acad Med 93:1293-1300.
Haidet P, Levine RE, Parmelee DX, Crow S, Kennedy F, Kelly PA, Perkowski L, Michaelsen L, Richards BF. 2012. Perspective: Guidelines for reporting team-based learning activities in the medical and health sciences education literature. Acad Med 87:292-299.
Hazelton L. 2011. Changing concepts of neuroanatomy teaching in medical education. Teach Learn Med 23:359-364.
Hrynchak P, Batty H. 2012. The educational theory basis of team-based learning. Med Teach 34:796-801.
Huitt TW, Killins A, Brooks WS. 2015. Team-based learning in the gross anatomy laboratory improves academic performance and students' attitudes toward teamwork. Anat Sci Educ 8:95-103.
Inuwa IM. 2012. Perceptions and attitudes of first-year medical students on a modified team-based learning (TBL) strategy in anatomy. Sultan Qaboos Univ Med J 12:336-343.
Inuwa IM, Al-Rawahy M, Roychoudhry S, Taranikanti V. 2012. Implementing a modified team-based learning strategy in the first phase of an outcome-based curriculum-Challenges and prospects. Med Teach 34:e492-e499.
Issa N, Schuller M, Santacaterina S, Shapiro M, Wang E, Mayer RE, DaRosa DA. 2011. Applying multimedia design principles enhances learning in medical education. Med Educ 45:818-826.
Javaid MA, Chakraborty S, Cryan JF, Schellekens H, Toulouse A. 2018. Understanding neurophobia: Reasons behind impaired understanding and learning of neuroanatomy in cross-disciplinary healthcare students. Anat Sci Educ 11:81-93.
Jozefowicz RF. 1994. Neurophobia: The fear of neurology among medical students. Arch Neurol 51:328-329.
Korf HW, Wicht H, Snipes RL, Timmermans JP, Paulsen F, Rune G, Baumgart-Vogt E. 2008. The dissection course-Necessary and indispensable for teaching anatomy to medical students. Ann Anat 190:16-22.
Lemons ML. 2017. Locate the lesion: A project-based learning case that stimulates comprehension and application of neuroanatomy. J Undergrad Neurosci Educ 15:C7-C10.
Levinson AJ, Weaver B, Garside S, McGinn H, Norman GR. 2007. Virtual reality and brain anatomy: A randomised trial of e-learning instructional designs. Med Educ 41:495-501.
Livingston B, Lundy M, Harrington S. 2014. Physical therapy students’ perceptions of team-based learning in gross anatomy using the team-based learning student assessment instrument. J Educ Eval Health Prof 11:1.
Lochner L, Wieser H, Waldboth S, Mischo-Kelling M. 2016. Combining traditional anatomy lectures with e-learning activities: How do students perceive their learning experience? Int J Med Educ 7:69-74.
Louw G, Eizenberg N, Carmichael SW. 2009. The place of anatomy in medical education: AMEE Guide no 41. Med Teach 31:373-386.
Macnamara Á, Collins D. 2011. Development and initial validation of the psychological characteristics of developing excellence questionnaire. J Sports Sci 29:1273-1286.
Martínez EG, Tuesca R. 2014. Modified team-based learning strategy to improve human anatomy learning: A pilot study at the Universidad del Norte in Barranquilla, Colombia. Anat Sci Educ 7:399-405.
Matheson C. 2008. The educational value and effectiveness of lectures. Clin Teach 5:218-221.
Mayner L, Gillham D, Sansoni J. 2013. Anatomy and physiology for nursing students: Is problem-based learning effective? Prof Inferm 66:182-186.
McCarron MO, Stevenson M, Loftus AM, McKeown P. 2014. Neurophobia among general practice trainees: The evidence, perceived causes and solutions. Clin Neurol Neurosurg 122:124-128.
McGee J, Maghzi AH, Minagar A. 2014. Neurophobia: A global and under-recognized phenomenon. Clin Neurol Neurosurg 122:3-4.
McLachlan JC, Bligh J, Bradley P, Searle J. 2004. Teaching anatomy without cadavers. Med Educ 38:418-424.
Melovitz-Vasan C, Pinhal-Enfield G, DeFouw DO, Vasan NS. 2015. Team-based learning: An effective pedagogical strategy to teach anatomy. In: Chan LK, Pawlina W (Editors). Teaching Anatomy: A Practical Guide. 1st Ed. New York, NY: Springer International Publishing. p 133-141.
Mi M, Gould D. 2014. Wiki technology enhanced group project to promote active learning in a neuroscience course for first-year medical students: An exploratory study. Med Ref Serv Q 33:125-135.
Michaelsen LK, Fink LD, Knight A. 1997. Designing effective group activities: Lessons for classroom teaching and faculty development. Improve Acad 16:373-397.
Michaelsen LK, Parmelee DX, McMahon KK, Levine RE (Editors). 2008. Team-Based Learning for Health Professions Education: A Guide to Using Small Groups for Improving Learning. 1st Ed. Sterling, VA: Stylus Publishing, LLC. 256 p.
Moffett J. 2015. Twelve tips for “flipping” the classroom. Med Teach 37:331-336.
Nieder GL, Parmelee DX, Stolfi A, Hudes PD. 2005. Team-based learning in a medical gross anatomy and embryology course. Clin Anat 18:56-63.
Pakpoor J, Handel AE, Disanto G, Davenport RJ, Giovannoni G, Ramagopalan SV. 2014. National survey of UK medical students on the perception of neurology. BMC Med Educ 14:225.
Papa V, Vaccarezza M. 2013. Teaching anatomy in the XXI century: New aspects and pitfalls. ScientificWorld Journal 2013:310348.
Parmelee DX, Michaelsen LK. 2010. Twelve tips for doing effective team-based learning (TBL). Med Teach 32:118-122.
Parmelee DX, DeStephen D, Borges NJ. 2009. Medical students’ attitudes about team-based learning in a pre-clinical curriculum. Med Educ Online 14:1.
Parmelee D, Michaelsen LK, Cook S, Hudes PD. 2012. Team-based learning: A practical guide: AMEE guide no. 65. Med Teach 34:e275-e287.
Pereira JA, Pleguezuelos E, Merí A, Molina-Ros A, Molina-Tomás MC, Masdeu C. 2007. Effectiveness of using blended learning strategies for teaching and learning human anatomy. Med Educ 41:189-195.
Pickering JD, Roberts DJ. 2018. Flipped classroom or an active lecture? Clin Anat 31:118-121.
Reimschisel T, Herring AL, Huang J, Minor TJ. 2017. A systematic review of the published literature on team-based learning in health professions education. Med Teach 39:1227-1237.
Reis C, Martins MM, Mendes RA, Gonçalves LB, Sampaio Filho HC, Morais MR, Oliveira SE, Guimarães AL. 2013. Evaluation of how medical students perceive anatomical study. Rev Bras Educ Med 37:350-358.
da Rocha AO, Tormes DA, Lehmann N, Schwab RS, Canto RT. 2013. The body donation program at the Federal University of Health Sciences of Porto Alegre: A successful experience in Brazil. Anat Sci Educ 6:199-204.
Schanandore J, Liu S, Schwartz C, Stapley R. 2017. Team-based learning in the neuroanatomy lab of an undergraduate human anatomy and physiology course-A lesson study. FASEB J 31:S576.1.
Sutherland S, Bahramifarid N, Jalali A. 2013. Team-based learning from theory to practice: Faculty reactions to the innovation. Teach Learn Med 25:231-236.
Svirko E, Mellanby J. 2008. Attitudes to e-learning, learning style and achievement in learning neuroanatomy by medical students. Med Teach 30:e219-e227.
Svirko E, Mellanby J. 2017. Teaching neuroanatomy using computer-aided learning: What makes for successful outcomes? Anat Sci Educ 10:560-569.
Tan NC, Kandiah N, Chan YH, Umapathi T, Lee SH, Tan K. 2011. A controlled study of team-based learning for undergraduate clinical neurology education. BMC Med Educ 11:91.
Taylor DC, Hamdy H. 2013. Adult learning theories: Implications for learning and teaching in medical education: AMEE Guide No. 83. Med Teach 35:e1561-e1572.
Thistlethwaite JE, Davies D, Ekeocha S, Kidd JM, MacDougall C, Matthews P, Purkis J, Clay D. 2012. The effectiveness of case-based learning in health professional education. A BEME systematic review: BEME Guide No. 23. Med Teach 34:e421-e444.
Turney BW. 2007. Anatomy in a modern medical curriculum. Ann R Coll Surg Engl 89:104-107.
Vasan N, DeFouw D. 2005. Team learning in a medical gross anatomy course. Med Educ 39:524.
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 2:150-155.
Vasan NS, DeFouw DO, Compton S. 2011. Team-based learning in anatomy: An efficient, effective, and economical strategy. Anat Sci Educ 4:333-339.
Veeramani R, Madhugiri V, Chand P. 2015. Perception of MBBS students to flipped classroom approach to neuroanatomy module. Anat Cell Biol 48:138-143.
Yan J, Ding X, Xiong L, Liu E, Zhang Y, Luan Y, Qin L, Zhou C, Zhang W. 2018. Team-based learning: Assessing the impact on anatomy teaching in People's Republic of China. Adv Med Educ Pract 9:589-594.
Zinchuk AV, Flanagan EP, Tubridy NJ, Miller WA, McCullough LD. 2010. Attitudes of US medical trainees towards neurology education: “Neurophobia”-A global issue. BMC Med Educ 10:49.
Contributed Indexing:: Keywords: active learning methodologies; knowledge acquisition; medical education; neuroanatomy education; student perception; team-based learning; traditional curriculum
Entry Date(s):: Date Created: 20191019 Date Completed: 20210503 Latest Revision: 20210503
Update Code:: 20240105
DOI:: 10.1002/ase.1926
PMID:: 31626726
: Czasopismo naukowe

Neuroanatomy is often considered a difficult subject to teach, due to its broad scope, multitude of terms, and high degree of complexity. Thus, newer educational strategies that facilitate learning while also stimulating students by allowing increased student autonomy and group discussions should be carefully considered. This study aimed to evaluate the impact of introducing team-based learning (TBL) in the traditional discipline of neuroanatomy and to measure student knowledge acquisition and perception relative to traditional lectures (TL). A quasi-experimental, nonrandomized study was performed using two consecutive TBL classes (intervention group, n = 157 students, 25% content using TBL) with a TL class (control group, n = 76). Team-based learning sessions included all stages according to the classic description of the method. Student knowledge acquisition was assessed in regularly scheduled tests during the discipline, and their perception regarding TBL was evaluated using a questionnaire (developed by the authors). The groups presented a similar sociodemographic profile (sex and age) and the same performance in another anatomy discipline before the study. Team-based learning was significantly associated with greater acceptance, higher motivation, better student perception, and feelings that the methodology was able to integrate clinical and basic sciences. Nevertheless, according to tests, knowledge acquisition was similar between the TBL and lectures. In conclusion, since TBL is comparable to TL for knowledge acquisition, TBL seems to be a promising strategy to improve the teaching of neuroanatomy in medical schools. It fosters group discussions and increases satisfaction and the perception of integration between clinical and basic sciences.
(© 2019 American Association of Anatomists.)

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