Doug: we have kept teams intact for the first year of medical school (10 months), then formed new teams for the second year. We felt this was a middle ground between supporting the development of powerful learning teams (requiring longer time together) and training our students to adjust to the diversity of persons involved in teams that deliver health care (supporting the formation of new teams). We believe that reforming teams every 5 months would compromise the development of powerful teams and would make the peer evaluation process less meaningful. Please understand our context: each 10-month academic year includes 20-24 team based learning modules of 2-3 hours duration. best, Paul
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