Dear Collaborative,
I had an interesting debate with the
faculty recently for the Normal Body course (Anatomy, Physiology, MicroAnatomy)
at the medical school. I thought I would share and hear if you have encountered
these issues and how you (have or) might have responded.
- First
there was a concern expressed that including TBL scores in the final grade
was just grade inflation. They believe that the scores of those who
didn’t know the material were artificially inflated because the
group scores were so good. Therefore not only did everyone pass
(because of group scores), but that those who were struggling were given a
mistaken belief that they were doing well – when in fact they had
much to learn.
- They
also believed that by adding in the team score to the individual score we artificially
narrowed the distribution of scores. For example, over a course of 4
weeks worth of group and individual work the individual scores (pre-GRA
and application efforts) had a range from about 50-90%, but with the team scores
added in – it became about 75-96%. This created skepticism
about the claims that TBL brings up the lower end of the curve – of course
it does – because of the grade inflation not because they,
individually did better. And they were concerned that this created a
situation where no one could fail. They are very concerned that we
are masking incompetency.
- Next
comment was: Why not use TBL only for learning and not include any
of the scores in the final marking at all? The suggestion was that the
“real” grades should be based only on the traditional
individual exams. This course has 3 exams that include MCQ and practical
(or OSCE short answer stations where they identify components from x-rays,
ct scans, body parts, slides, etc.). The questions I posed to
them were: If the TBL scores did not count – would the students
prepare as well (I know they wouldn’t – students already told
me so)? Would the group scores be as good, since people didn’t
prepare (my hypothesis – probably not)? Would the discussions be at
as high a level, again, because people didn’t come prepared (and
again, my hypothesis would be no)?
- As
an aside, I believe that most faculty readily accept that TBL is a good
and fun learning strategy. But not as many believe that the team
scores should be counted in the grades.
- Another
aside, the course is honors/pass/fail – so the difference between a
75 and an 89 is nothing – a pass is a pass.
- Another
part of the discussion was on how to calculate Honors – should it be
only on individual work or include teamwork? Faculty believe it
should be on individual work only. The school administration
believes it should be on a combination of individual and team work,
because teamwork is a core value. Since honors is meant to be
criterion not proportional, if everyone got 90 (individually or group)
then all could get honors – perhaps there is less competition and as
teams they could work to help each individual try to get honors?
Most of these comments came from faculty
who have not yet completed their TBL sessions – just planning for
it. The faculty who have run their session, they find the sessions
engaging, but a bit stressful. They feel the students are obsessed with
the grades – are arguing to get points. From the outside, it looks
like they are trying to get clarity and understanding from either difficult
concepts, ambiguity of questions, or inconsistencies between preparation
material and questions (& discussions). So, they feel they are so
fixated on grades – that if we eliminated the grade pressure – then
it would not be so intense – maybe, maybe not, but I still think that the
level of discussion would suffer. How would I prove that?
Sandy
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Sandy COOK, PhD | Associate Dean, Curriculum Development | Duke-NUS Graduate Medical School Singapore | W: (65) 6516 8722| F: (65) 6227 2698 |