Paul, Our integrative pharmacotherapeutics course uses a modified version of TBL with clinically relevant cases to review for exams. The students do really well on the exams, the subject exam at the end of the year, and the Step 1 exam. We presented this information at the SGEA meeting this March in Miami http://bridges2tech.wordpress.com/2014/03/06/pharmacology-for-the-21st-century-the-successful-implementation-of-an-innovative-integrative-longitudinal-pharmacotherapeutics-curriculum-for-medical-students/ The reason it works is all in the timing of the IRAT and the type of assessment given for the GRAT (we don't use the scratch sheets). I think you guys are on the right track and it worked for us. Julie Bridges, M.S. Ed. | Instructional Designer (QEP) Eastern Virginia Medical School |220 BML - Office of Education PO Box 1980, Norfolk, VA 23501-1980 | * www.evms.edu<http://www.evms.edu/> * 757.446.5247| 7 757.446.8419 | * [log in to unmask]<mailto:[log in to unmask]> http://bridges2tech.wordpress.com/ Teaching. Discovering. Caring. From: Team-Based Learning [mailto:[log in to unmask]] On Behalf Of Paul Koles Sent: Wednesday, April 30, 2014 6:32 PM To: [log in to unmask] Subject: Re: Distribution of TBLs in the curriculum Colleagues: One advantage of TBLs scattered throughout the organ system modules is that students have opportunity and motivation to master specific domains of knowledge BEFORE the end of the course. They receive evidence from peers and faculty on how well they have learned during the readiness assurance tests, then learn how well they can apply the knowledge to solve problems during the application phase. This process reduces the amount of knowledge to be mastered at the end of the course, allowing them to more wisely allocate time to those domains that are not yet mastered. Paul On Apr 30, 2014, at 12:34 PM, Geiss, Roger wrote: It sounds like the students want the TBLs to be review sessions, which is not what they should be used for (forgive my ending the sentence with a preposition, but we do that in the Midwest). Roger Roger W. Geiss, M.D. Professor and Chair Department of Pathology University of Illinois College of Medicine at Peoria 1 Illini Drive Box 1649 Peoria, Illinois 61656-1649 Phone: 309-671-8440 Fax: 309-671-8434 E-mail: [log in to unmask]<mailto:[log in to unmask]> From: Team-Based Learning [mailto:[log in to unmask]] On Behalf Of Brescia, Bill Sent: Monday, April 28, 2014 4:21 PM To: [log in to unmask]<mailto:[log in to unmask]> Subject: Distribution of TBLs in the curriculum Greetings, We recently started our organ system modules. Each module is 4-5 weeks in length. Some of the students suggested the TBLs might be more useful to them if all the TBLs were at the end of the course rather than interspersed in the curriculum. Is anyone doing this? What are the positives/negatives? What are your lessons learned? Thanks, Bill---- _______________________ William Brescia, Ph.D. Director of Instructional Technology Associate Professor of Preventive Medicine Office of Medical Education University of Tennessee Health Science Center (UTHSC) 910 Madison Avenue, Room 1002 Memphis, TN 38163 901-448-6170 [log in to unmask]<mailto:[log in to unmask]> This correspondence may be considered a public record and subject to public inspection pursuant to the Tennessee Public Records Act Paul G. Koles, MD Assoc. Professor of Pathology and Surgery Chair Pathology Boonshoft School of Medicine Wright State University 140 White Hall 3640 Colonel Glenn Highway Dayton, OH 45435-0001 937-775-2625 phone 937-775-2633 fax [log in to unmask]<mailto:[log in to unmask]>