Team-based learning in the context of medical education

Authors

DOI:

https://doi.org/10.33448/rsd-v13i9.46846

Keywords:

Learning; Active learning; Medical education; Motivation.

Abstract

Introduction: Among the active learning methods, TBL (Team-based Learning) is an educational strategy consisting of a set of sequenced teaching and learning practices that aims to promote the development of high-performance learning teams and the involvement in meaningful learning tasks. Objective: To analyze issues related to the use of TBL in medical education. Methodology: This is an integrative review, carried out in indexed databases, searching for articles using descriptors. Studies with publications at national and international level were used as inclusion criteria, mainly those that addressed the theme and answered the guiding question, aiming for research focusing on the period from 2012 to 2022. After analysis, 34 articles were selected, these were filtered and analyzed according to authorship, title, year of publication and content, with 29 chosen for final analysis, construction of the theoretical framework and conclusion of the study. Results: The articles generally explain how the method works, as well as the experience reports bring numerous positive points. There is unanimity regarding the effectiveness of the method from different perspectives and situations, some authors reinforce the importance of using mixed methodologies, which combine TBL with several other teaching methodologies and several studies report satisfaction in the teaching-learning process, especially when compared to traditional teaching methods. Conclusion: It is concluded that the challenges to be faced in the transformation of medical education can be facilitated by in-depth studies on the application of the TBL method, including digital tools as process facilitators.

References

Alamoudi, A. A.; AL Shawwa, L. A.; GAD, H.; & Tekian, A. (2021). Team-based learning versus traditional didactic lectures in teaching clinical biochemistry at King Abdulaziz University; learning outcomes and student satisfaction. Biochem Mol Biol Educ; 49(4): 546-559; (2021). https://pubmed.ncbi.nlm.nih.gov/33729707/#:~:text=TBL%20proved%20to%20be%20a,traditional%20didactic%20methods%20of%20teaching.

Albuquerque, M. R. T. C. de; Botelho, N. M.; & Caldato, M. C. F. (2021). Modelo de oficinas de qualificação em Aprendizagem Baseada em Equipes com docentes de Medicina. Rev. bras. educ. méd; 45(2): e090. https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1279837.

Alizadeh, M., Mirzazadeh A., Parmelee D. X., Peyton E., Mehrdad N., Janani L.,& Shahsavari H. (2018). Leadership Identity Development Through Reflection and Feedback in Team-Based Learning Medical Student Teams, Teaching and Learning in Medicine, 30:1, 76-83. https://pesquisa.bvsalud.org/portal/resource/pt/mdl-28753047.

Bollena, V.R., Senger, M.H., Tourinho, F. S. V., Amaral, E. (2014). Aprendizagem baseada em equipes: da teoria à prática. Medicina (Ribeirão Preto). 47(3), 293-300. https://pesquisa.bvsalud.org/portal/resource/pt/lil-752837.

Burgess, A.; Roberts, C.; Ayton, T.; Mellis, C. (2018). Implementation of modified team-based learning within a problem based learning medical curriculum: a focus group study. BMC Med Educ. 18(1):74. https://pesquisa.bvsalud.org/portal/resource/pt/mdl-29631579.

*Camargo, F; Pitaguari, A; Dalberto, D. M. (2017). O Uso do Team-Based Learning como estratégia de avaliação formativa no curso de administração da Uniamérica. Pleiade. (2017); 11(21):77-89.

Carrasco, G. A.; Behing, K. C.; Gentile, M.; Fisher, B. D.; Ferraro, T. N. (2021). Effectiveness of a Team-Based Learning exercise in the learning outcomes of a medical pharmacology course: insight from struggling students. Naunyn Schmiedebergs Arch Pharmacol; 394(9): 1941-1948. https://pubmed.ncbi.nlm.nih.gov/34097095.

Champin D., Huamán-Mesías L., & Gavino-Guitierrez A. (2014). Team based learning use for biology learning in medical students]. / Uso del team based learning para el aprendizaje de biología en estudiantes de medicina. Rev Peru Med Exp Salud Publica; 31(3): 601-2.: https://pesquisa.bvsalud.org/portal/resource/pt/mdl-25418664.

Chen, M., NI, C., HU, Y., Wang, M., Liu, L., JI, X., CHU, H., WU, W., LU, C., Wang, S., Wang, S., Zhao, L., LI, Z., Zhu, H., Wang, J., XIA, Y., & Wang, X. (2018). Meta-analysis on the effectiveness of team-based learning on medical education in China. BMC Med Educ. 10;18(1):77; (2018). https://pesquisa.bvsalud.org/portal/resource/pt/mdl-29636039.

Delfosse A. L. W., (2012). Team-based learning: From educational theory to emotional intelligence, Medical Teacher, 34, 10, 781-782. https://pesquisa.bvsalud.org/portal/resource/pt/mdl-22992022.

Dolmans, D., Michaelsen, L., Merrienboer J. V., & Vleuten, C. V. (2015). Should we choose between problem-based learning and team-based learning? No, combine the best of both worlds!, Medical Teacher, 37:4, 354-359. https://pesquisa.bvsalud.org/portal/resource/pt/mdl-25154342.

Eladl, M. A., & Jarrahi, A., (2020). Using practical-based team-based learning (PTBL) as a tool for providing an immediate feedback to the students during Anatomy Education. Eur. J. Anat. 24 (1): 57-62. https://pesquisa.bvsalud.org/portal/resource/pt/ibc-186065.

Freire, P. (2013). Pedagogia do oprimido. (54. ed. rev. e atual.). Paz e Terra.

Goolsarran, N.; Hamo, C. E.; Lane, S.; Frawley, S.; & LU, W. H. (2018). Effectiveness of an interprofessional patient safety team-based learning simulation experience on healthcare professional trainees. BMC Med Educ. 18(1):192. https://pesquisa.bvsalud.org/portal/resource/pt/mdl-30089502.

*Gouvêa, E. P.; Odagima, A. M.; Shitsuka, D. M.; & Shitsuka, R. (2016). Metodologia ativa: estudo de caso sobre o estágio profissional em um curso de tecnologia em redes. Revista Educação Gestão e Sociedade, 6(23), 1-12.

Hrynchak P., BATTY H. (2012). The educational theory basis of team-based learning, Medical Teacher, 34:10, 796-80. https://pesquisa.bvsalud.org/portal/resource/pt/mdl-22646301.

Hua, L.; Xu, F. M.; Zi, Z. H.; Boon, C. H.; & Wei, L. S. (2020). Challenges and strategies in developing team-based learning in Chinese medical education. Medical Teacher; 42(11): 1243-1249. https://pesquisa.bvsalud.org/portal/resource/pt/mdl-32772756.

Huang Z., Li M., Zhou Y., Ao Y., Xin W., Jia Y., Yang Y., Cai Y., Xu C., Yang Y., & Lin H. (2016). Modified Team-Based Learning in an Ophthalmology Clerkship in China. PLoS One. 21;11(4). https://pesquisa.bvsalud.org/portal/resource/pt/mdl-27100286

Ibrahim M. E., (2020). Team-based learning student assessment instrument (TBL-SAI) for assessing students acceptance of TBL in a Saudi medical school. Psychometric analysis and differences by academic year. Saudi Med J. 41(5):542-547. https://pesquisa.bvsalud.org/portal/resource/pt/mdl-32373923.

Kathryn, C. B., Rosa K., 2 Mateus, G., & Osvaldo, L. (2017). Does team-based learning improve performance in an infectious diseases course in a preclinical curriculum? Int J Med Educ. ; 8: 39–44. https://pesquisa.bvsalud.org/portal/resource/pt/mdl-28178641.

*Khogali, S. E. (2013). Team-based learning: A practical guide: guide Supplement 65.1 - Viewpoint. Med Teach. (2013); 35(2):163-5.

Knollmann-Ritschel B. E. C., & Durning S. J., (2015). Using Concept Maps in a Modified Team-Based Learning Exercise, Military Medicine, Vol. 180, P. 64-70; (2015). Disponível em: https://pesquisa.bvsalud.org/portal/resource/pt/mdl-25850129. Acesso em: 25 Setembro 2023.

*Krug R .R.; Vieira M. S.; Maciel M. V.; Erdmann T. R.; Vieira F. C.; Koch M. C., et al. (2016). O “Bê-Á-Bá” da aprendizagem baseada em equipe. Rev Bras Educ Méd. (2016); 40 (4):602-20.

Lunstroth R., & Boisaubin E., (2014). Teaching big in Texas: team-based learning for professionalism education in medical schools. American Medical Association Journal of Ethics. Vol. 16, N. 9: 718-721; (2014). Disponível em: https://pesquisa.bvsalud.org/portal/resource/pt/mdl-25216310. Acesso em: 25 Setembro 2023.

Masocatto, N. O.; Couto, W. J.; Matta, T. S. da; & Porfirio, G. J. M. (2019). Percepção de Alunos de Curso de Graduação em Medicina sobre o Team-Based Learning (TBL). Revista Brasileira de Educação Médica; 43(3): 110-114. https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1003426.

*Moreira, L.M.; & Pereira, D.M.P. (2012). Proposta de um modelo de avaliação da docência no ensino superior. Revista Iberoamericana de Evaluación Educativa, v. 5, n. 1, p. 34-47 (2012).

*Nichele, A.; & Schlemmer, E. (2014). Aplicativos para o ensino e aprendizagem de Química. Revista Novas Tecnologias na Educação, 12(2), 1-9 (2014).

Odongo C. O., & Talbert-Slagle K. (2019). Training the next generation of Africa's doctors: why medical schools should embrace the team-based learning pedagogy. BMC Med Educ. 4;19(1):403. https://pesquisa.bvsalud.org/portal/resource/pt/mdl-31699081.

Oliveira, B. L. C. A. de; Lima, S. F.; Rodrigues, L. dos S.; & Júnior, G. A. P. (2018). Team-Based Learning como Forma de Aprendizagem Colaborativa e Sala de Aula Invertida com Centralidade nos Estudantes no Processo Ensino-Aprendizagem. Revista Brasileira de Educação Médica; 42(4): 86-95; https://pesquisa.bvsalud.org/portal/resource/pt/biblio-977561.

Pinho, G. C., Miranda, E. P., Tavares, M. DE A. B., Alves, D. V. A., Morais, R. X. B. DE., Sobreira, T. M., & Almeida, S. M. V. de. (2018). Peer-Assisted and Team-Based Learning: A new hybrid strategy for Medical Education. Revista Brasileira De Educação Médica, 42(3), 162–170.: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-958612.

Santana, V. C.; Oliveira, C. R.; & Ramos, R. B. (2019). First-year students’ perceptions of team-based learning in a new medical genetics course. Revista Brasileira De Educação Médica, 43(3), 170–177. https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1003433.

*Santos, W. M., Secoli, S. R. E & Puschel, V. A. A. (2018). The Joanna Briggs Institute approach for systematic reviews. Revista Latino-Americana de Enfermagem [online]. 26, 3074. https://doi.org/10.1590/1518-8345.2885.3074.

Shen, J.; QI, H.; Chen, Y.; Mei, R.; Sun, C.; & Wang, Z. (2022). Incorporating modified team-based learning into a flipped basic medical laboratory course: impact on student performance and perceptions. BMC Med Educ; 22(1): 608. https://pesquisa.bvsalud.org/portal/resource/pt/mdl-35933354.

*Silva, A. R. L.; Bieging, P.; & Busarello, R. I. (2017). Metodologia ativa na educação. São Paulo: Pimenta Cultural.

Singh, N., Gupta, R., & Mahalakshmi, V. N. (2018). Multistation exercises: a combination of problem-based learning and team-based learning instructional design for large-enrollment classes. Advance Physiology Education. 42, 405 – 528; (2018). https://pesquisa.bvsalud.org/portal/resource/pt/mdl-29972065.

Spencer, S. P.; Lauden, S.; Philip, A.; Kasick, R.; Mahan, J. D.; & Fernandes, A. K. (2022). Meeting the challenge of teaching bioethics: a successful residency curricula utilizing Team-Based Learning. Ann Med; 54(1): 359-368; https://pubmed.ncbi.nlm.nih.gov/35114873.

Thrall, G. C, Coverdale, J. H, Benjamin, S.; et al. (2016). Randomized Controlled Trial of Team-Based Learning Versus Lectures with Break-Out Groups on Knowledge Retention. Academic Psychiatry; 755–760. https://pesquisa.bvsalud.org/portal/resource/pt/mdl-26883529.

Published

28/09/2024

How to Cite

AQUINO, R. G. de .; COSTA, M. M. da .; LIMA, A. F. de .; MARTINS, C. C. .; PERES, A. M. .; SILVA, F. S. da .; SOUZA, T. F. Q. de . Team-based learning in the context of medical education. Research, Society and Development, [S. l.], v. 13, n. 9, p. e11613946846, 2024. DOI: 10.33448/rsd-v13i9.46846. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/46846. Acesso em: 2 jan. 2025.

Issue

Section

Review Article