medigraphic.com
SPANISH

Revista Cubana de Educación Médica Superior

ISSN 1561-2902 (Electronic)
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2021, Number 3

<< Back Next >>

Revista Cubana de Educación Médica Superior 2021; 35 (3)

How to teach neurology using the team-based learning method

Gomes AFC, Fernandes BLN
Full text How to cite this article

Language: Spanish
References: 37
Page: 1-14
PDF size: 242.80 Kb.


Key words:

learning, problem solving, neurology, students.

ABSTRACT

Introduction: Neurology teaching has faced difficulties nowadays, the reason why the term “neurophobia” has emerged, used to characterize any difficulty and fear that medical students worldwide report when it comes to Neurology-related content. Studies have shown that traditionally chosen teaching strategies are the main causes for this phenomenon. Methodological choices, such as team-based learning, represents a solution in this context.
Objective: To argue how team-based learning is implemented, its characteristics and how Neurology teaching can be developed using this method.
Methods: An integrative review was carried out, between 2002 and 2019, in the ERIC, MEDLINE, PUBMED and EBSCO databases, using the words aprendizaje [learning], estrategias de enseñanza [teaching strategies], aprendizaje en equipo [team learning], neurología [neurology] and examen neurológico [neurological examination]. The studies were included if they dealt with the benefit of the neurology team-based learning method, its characteristics and principles.
Results: Fourteen articles and systematic reviews were found, in which the method was defined in terms of its principles and benefits for neurology learning, which reinforced its role as a solution for settings in which it was difficult to learn these contents.
Conclusions: The application of this method requires, according to the literature review, adequate planning and development of evaluation instruments. The benefits of the method are evident, even as an option in the fight against neurophobia.


REFERENCES

  1. Vigotski LS. A formação social da mente: O desenvolvimento dos processos psicológicos superiores. São Paulo: Martins Fontes; 2007.

  2. Mesulam M. Large-scale neurocognitive networks and distributed processing for attention, language, and memory. Ann Neurol. 1990;28(5):597-613. DOI: https://doi.org/10.1002/ana.410280502

  3. Vlooswijk MCG, Jansen JFA, Jeukens CRLPN, Majoie HJM, Hofman PAM, Krom MCTFM, et al. Memory processes and prefrontal network dysfunction in cryptogenic epilepsy. Epilepsia. 2011;52(8):1467-75. DOI: https://doi.org/10.1111/j.1528-1167.2011.03108.x

  4. Moreira MA. Teorias de Aprendizagem. São Paulo: EPU; 2011.

  5. Panitz T. A definition of collaborative vs cooperative learning. London Metropolitan University, 1996, ISSN 1363-6715 [acceso 14/05/2021]. Disponible en: http://colccti.colfinder.org/sites/default/files/a_definition_of_collaborative_vs_cooperative_learning.pdf

  6. Ausubel DP. The acquisition and retention of knowledge: A cognitive view. Dordrecht: Kluwer Academic Publishers; 2000.

  7. Santos-Lobato BL, Magalhães AB, Moreira DG, Farias FP, Porto LK, Pereira RB, et al. Neurophobia in Brazil: Detecting and Preventing a Global Issue. Rev Bras Educ Med. 2018 [acceso 12/05/2021];42(1):119-26. Disponible en: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-55022018000100121

  8. Giles J. Clinical neuroscience attachments: a student's view of 'neurophobia'. Clin Teach. 2010 Mar;7(1):9-13. DOI: https://doi.org/10.1111/j.1743-498X.2009.00330.x

  9. Anwar K, Shaikh AA, Sajid MR, Cahusac P, Alarif NA, Shedoukhy AA. Tackling student neurophobia in neurosciences block with team-based learning. Med Educ Online. 2015;20:28461. DOI: http://dx.doi.org/10.3402/meo.v20.28461

  10. Shiels L, Majmundar P, Zywot A, Sobotka J, Lau CSM, Jalonen TO. Medical student attitudes and educational interventions to prevent neurophobia: a longitudinal study. BMC Med Educ. 2017;17(1):225. DOI: https://doi.org/10.1186/s12909-017-1055-4

  11. Shelley BP, Chacko TV, Nair BR. Preventing "neurophobia": remodeling neurology education for 21st-century medical students through effective pedagogical strategies for "neurophilia". Ann Indian Acad Neurol. 2018;21(1):9-18. DOI: https://doi.org/10.4103/aian.AIAN_371_17

  12. Schon P, Hart P, Fernandez C. Is clinical neurology really so difficult? J Neurol Neurosurg Psychiatry. 2002;72(5):557-9. DOI: https://doi.org/10.1136/jnnp.72.5.557

  13. Davidson N, Major C, Michaelesen L. Small-group learning in higher education: Cooperative, collaborative, problem-based, and team-based learning: an introduction by the guest editors. Journal on Excellence in College Teaching. 2014 [acceso 12/05/2021];25(3-4):1-6. Disponible en: https://ctl.oregonstate.edu/sites/ctl.oregonstate.edu/files/small_group_learning_in_higher_education.pdf

  14. Burgess AW, McGregor DM, Mellis CM. Applying Established Guidelines to Team-Based Learning Programs in Medical Schools: A Systematic Review. Acad Med. 2014;89(4):678-88. DOI: https://doi.org/10.1097/ACM.0000000000000162

  15. Haidet P, Levine RE, Parmelee DX, Crow S, Kennedy F, Kelly A, et al. Team-Based Learning Perspective: Guidelines for Reporting Team-Based Learning Activities in the Medical and Health Sciences Education Literature. Acad Med. 2012 [acceso 12/05/2021];87(3):292-9. Disponible en: http://site.ufvjm.edu.br/fammuc/files/2016/05/TBL-4.pdf

  16. Gayef A. Team based learning in medical education. ERPA; 2019. DOI: http://doi.org/10.1051/shsconf/20196601017

  17. Michaelesen LK, Knight AB, Fink LD. Team-based learning: A transformative use of small groups in higher education. Sterling VA: Stylus; 2004.

  18. Hassan S, Ibrahim MS, Hassan NG. The structural framework, implementation strategies and student's perception of team-based learning in undergraduate medical education of a medical school in Malaysia. Educ Med J. 2018;10(1):55-68. DOI: https://doi.org/10.21315/eimj2018.10.1.7

  19. Zgheib NK, Dimassi Z, Bou Akl I, Badr KF, Sabra R. The long-term impact of team-based learning on medical students' team performance scores and on their peer evaluation scores. Med Teach. 2016 Oct;38(10):1017-24. DOI: https://doi.org/10.3109/0142159X.2016.1147537

  20. Dolmans D, Michaelsen L, Merrienboer J, Vleuten C. Should we choose between problem-based learning and team-based learning? No, combine the best of both worlds! Med Teach. 2015 Abr;37(4):354-9. DOI: https://doi.org/10.3109/0142159X.2014.948828

  21. Burgess A, Haq I, Bleasel J, Roberts C, Garsia R, Randal N, et al. Team based learning: a community of practice. BMC Med Educ. 2019;19:369-76. DOI: https://doi.org/10.1186/s12909-019-1795-4

  22. Masocatto NO, Couto WJ, da Matta TS, Porfirio GJM. Undergraduate Medical Student's Views on Team-Based Learning (TBL). Rev Bras Educ Med. 2019;43(3):110-4. DOI: https://doi.org/10.1590/1981-52712015v43n3rb20180231.

  23. Parthasarathy P, Apampa B, Manfrin A. Perception of team-based learning using the team-based learning student assessment instrument: an exploratory analysis within pharmacy and biomedical students in the United Kingdom. J Educ Eval Heath Prof. 2019;16:23-35. DOI: https://doi.org/10.3352/jeehp.2019.16.23

  24. Chen M, Ni C, Hu Y, Wang M, Liu L, Ji X, et al. Meta-analysis on the effectiveness of team-based learning on medical education in China. BMC Med Educ. 2018;18(1):77. DOI: https://doi.org/10.1186/s12909-018-1179-1

  25. Levine RE, Hsieh P, Kelly PA, Carchedi L, Gibson J, Haidet P et al. Facilitator Instrument for Team-Based Learning (FIT). Teach Learn Med. 2019. DOI: https://doi.org/10.1080/10401334.2019.1646653

  26. Cevik AA, ElZubeir M, Abu-Zidan FM, Shaban S. Team-based learning improves knowledge and retention in an emergency medicine clerkship. Int J Emerg Med. 2019;12:6. DOI: https://doi.org/10.1186/s12245-019-0222-2

  27. Kirkpatrick DL, Kirkpatrick JD. Evaluating Training Programs. 3 Ed. San Francisco: Berret-Koehler Publishers Inc.; 2006.

  28. McColgan P, McKeown PP, Selai C, Doherty-Allan R, McCarron MO. Educational interventions in neurology: a comprehensive systematic review. Eur J Neurol. 2013;20:1006-16. DOI: https://doi.org/10.1111/ene.12144

  29. Ridsdale L, Massey R, Clark L. Preventing neurophobia in medical students, and so future doctors. Pract Neurol. 2007 [acceso 12/05/2021];7:116-23. Disponible en: https://pn.bmj.com/content/7/2/116

  30. Hudson JN. Linking neuroscience theory to practice to help overcome student fear of neurology. Med Teach. 2006 Dez;28(7):651-3. DOI: https://doi.org/10.1080/01421590600726409

  31. Lian HY, Long YJ, Bing X, Shu-Qiong L, Yan-Ran L, Jin-Hao Y, et al. Evaluating team-based, lecture-based, and hybrid learning methods for neurology clerkship in China: a method-comparison study. BMC Med Educ. 2014;14:98-110. DOI: https://doi.org/10.1186/1472-6920-14-98

  32. Okubo Y, Ishiguro N, Suganuma T, Nishikawa T, Takubo T, Kojimahara N, et al. Team-Based Learning, a Learning Strategy for Clinical Reasoning, in Students with Problem-Based Learning Tutorial Experiences. Tohoku J Exp Med. 2012;227(1):23-9. DOI: https://doi.org/10.1620/tjem.227.23

  33. Abushouk AI, Duc NM. Curing neurophobia in medical schools: evidence-based strategies. Med Educ Online. 2016;21:32476. DOI: https://doi.org/10.3402/meo.v21.32476

  34. Tan NCK, Kandiah N, Chan YH, Umapathi T, Lee SH, Tan K. A controlled study of team-based learning for undergraduate clinical neurology education. BMC Med Educ. 2011;11:1. DOI: https://doi.org/10.1186/1472-6920-11-91

  35. Nicholl DJ, Appleton JP. Clinical neurology: why this still matters in the 21st century. J Neurol Neurosurg Psychiatry. 2015;86(2):229-33. DOI: https://doi.org/10.1136/jnnp-2013-306881

  36. Tarolli C, Józefowicz R. Managing Neurophobia: How can we meet the current and future needs of our students? Semin Neurol. 2018;38(4):407-12. DOI: https://doi.org/10.1055/s-0038-1666987

  37. Pollack AE. The neuroscience remodeled with team-based learning. J Undergrad Neurosci Educ. 2018 [acceso 12/05/2021];17(1):A34-A39. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6312146/




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Revista Cubana de Educación Médica Superior. 2021;35