title: Use of Team-Based Learning Pedagogy for Internal Medicine Ambulatory Resident Teaching.
abstract: BACKGROUND
  Team-based learning (TBL) is used in undergraduate medical education to facilitate higher-order content learning, promote learner engagement and collaboration, and foster positive learner attitudes. There is a paucity of data on the use of TBL in graduate medical education. Our aim was to assess resident engagement, learning, and faculty/resident satisfaction with TBL in internal medicine residency ambulatory education.
  
  
  METHODS
  Survey and nominal group technique methodologies were used to assess learner engagement and faculty/resident satisfaction. We assessed medical learning using individual (IRAT) and group (GRAT) readiness assurance tests.
  
  
  RESULTS
  Residents (N = 111) involved in TBL sessions reported contributing to group discussions and actively discussing the subject material with other residents. Faculty echoed similar responses, and residents and faculty reported a preference for future teaching sessions to be offered using the TBL pedagogy. The average GRAT score was significantly higher than the average IRAT score by 22%. Feedback from our nominal group technique rank ordered the following TBL strengths by both residents and faculty: (1) interactive format, (2) content of sessions, and (3) competitive nature of sessions.
  
  
  CONCLUSIONS
  We successfully implemented TBL pedagogy in the internal medicine ambulatory residency curriculum, with learning focused on the care of patients in the ambulatory setting. TBL resulted in active resident engagement, facilitated group learning, and increased satisfaction by residents and faculty. To our knowledge this is the first study that implemented a TBL program in an internal medicine residency curriculum.
authors.forename: Sandy
authors.initials: S
authors.lastname: Balwan
authors.forename: Alice
authors.initials: A
authors.lastname: Fornari
authors.forename: Paola
authors.initials: P
authors.lastname: DiMarzio
authors.forename: Jennifer
authors.initials: J
authors.lastname: Verbsky
authors.forename: Renee
authors.initials: R
authors.lastname: Pekmezaris
authors.forename: Joanna
authors.initials: J
authors.lastname: Stein
authors.forename: Saima
authors.initials: S
authors.lastname: Chaudhry
mesh_terms: D003479:Curriculum; D004503:Education, Medical, Graduate; D005180:Faculty, Medical / Q000706:statistics & numerical data; D005246:Feedback; D005260:Female; D006801:Humans; D007388:Internal Medicine / Q000193:education*; D007396:Internship and Residency / Q000379:methods / Q000706:statistics & numerical data*; D008297:Male; D009936:Organizational Innovation; D018794:Problem-Based Learning / Q000379:methods*; D015397:Program Evaluation; D011795:Surveys and Questionnaires