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The Effectiveness of Team-based Case-based Learning Approach on the Learning Outcome: A Single Course Level in a University Setting

  • Hye Yeon, Sin (College of Pharmacy, Duksung Women's University)
  • Received : 2022.09.12
  • Accepted : 2022.12.17
  • Published : 2022.12.31

Abstract

Background: Case-based learning (CBL) is becoming an important approach for improving interprofessional collaboration education. Previous studies have examined learners' satisfaction with interprofessional education (IPE) in medical institutions. However, there are few studies on the implementation of university-led CBL interventions and their direct effects on learning outcomes. The aim of this study was to evaluate the effectiveness of CBL interventions on changes in the participants' perception and knowledge acquisition ability. Methods: The CBL approach consisted of team-based case-based learning, self-directed learning, and post-feedback. It was conducted as a single course for pharmacy students in their 5th year in a university setting. Changes in the participants' perceptions and self-assessments of competence levels were evaluated using survey responses. The effect of the CBL intervention on knowledge acquisition ability was directly evaluated using the exam score. Results: The majority agreed or strongly agreed that team-based case-based learning, and self-directed learning helped them to improve their knowledge and skills to a higher level and to increase the self-assessment of competency level. The average score of knowledge acquisition ability (average score of 75.0, p=0.0098) was significantly higher in the CBL intervention group than the lecture-based learning intervention group (average score of 52.0). Conclusion: The participants positively perceived that CBL intervention helped them to effectively improve their knowledge and the self-assessment of competency level. It also enhanced knowledge acquisition ability. These data, based on the survey responses, suggest that it is necessary to implement CBL interventions in a university-led single professional education.

Keywords

Acknowledgement

I would like to thank the students of Duksung Women's University who participated in the educational course for improvement of Duksung Women's University Specialized Innovation Support Center in 2021. This research was supported by the Duksung Women's University Research Grant 2020, Seoul, Republic of Korea (grant number: 3000005984).

References

  1. Lundberg CC, Shay JP, Young CA. Case writing reconsidered. J Manag Educ 2001; 25(4):450-63. https://doi.org/10.1177/105256290102500409
  2. Cameron AF, Trudel MC, Titah R, Leger PM. The live teaching case: A new IS method and its application. Journal of Information Technology Education: Research 2012;11(1):27-42. https://doi.org/10.28945/1566
  3. Jones KM, Blumenthal DK, Burke JM, et al. Interprofessional education in introductory pharmacy practice experiences at US colleges and schools of pharmacy. Am J Pharm Educ 2012;76(5):1-9. https://doi.org/10.5688/ajpe7611
  4. The Interprofessional Education Collaborative. Core competencies for interprofessional collaborative practice: 2016 update. Available from https://ipec.memberclicks.net/assets/2016-Update.pdf. Accessed March 5, 2022.
  5. Shulman LS. Those who understand: Knowledge growth in teaching. Educ Res 1986;15(2):4-14. https://doi.org/10.3102/0013189X015002004
  6. Shulman LS. The practical and the eclectic: A deliberation on teaching and educational research. Curriculum Inquiry 1984;14(2): 183-200. https://doi.org/10.2307/3202180
  7. Barr H, Koppel I, Reeves S, Hammick M, Freeth DS. Effective Interprofessional Education: Argument, Assumption, and Evidence (Promoting Partnership for Health). Wiley-Blackwell, 2005: 29-39, 40-57, 95-104.
  8. Sin HY. Current status of interprofessional education learning activities in wards provided by tertiary hospitals and secondary general hospitals and barriers Korean J Clin Pharm 2022;32(2):106-15. https://doi.org/10.24304/kjcp.2022.32.2.106
  9. World Health Organization, Department of Human Resources for Health. Framework for Action on Interprofessional Education & Collaborative Practice. Available from https://www.who.int/publications/i/item/framework-for-action-on-interprofessional-education-collaborative-practice. Accessed June 22, 2022.
  10. Almas SH, Barr H. Common curricula in Norway: differential implementation and differential outcomes in undergraduate health and social care education. J Interprof Care 2008;22(6):650-7. https://doi.org/10.1080/13561820802380050
  11. Howkins E and Allison A. Shared learning for primary health care teams: a success story. Nurse Educ Today 1997;17(3):225-31. https://doi.org/10.1016/S0260-6917(97)80138-4
  12. Herreid, CF. What is a case? J Coll Sci Teach 1997;27(2):92-4.
  13. Herreid, CF. Case studies in science-A novel method of education. J Coll Sci Teach 1994; 23(4):221-9.
  14. Herreid, CF. Case study teaching. New Dir Teach Learn 2011;128:31-40. https://doi.org/10.1002/tl.466
  15. Herreid, CF. The case study method in the STEM classroom. Metrop Univ 2006;17(4);30-40.
  16. Richards PS, and Inglehart MR. An interdisciplinary approach to case-based teaching: does it create patient-centered and culturally sensitive providers? J Dent Educ 2006;70(3):284-91. https://doi.org/10.1002/j.0022-0337.2006.70.3.tb04084.x
  17. Knowles, M. Self-Directed Learning: A Guide for Learners and Teachers. New York: Association Press, 1975: 60-130.
  18. Reid R, Bruce DA, Allstaff K, McLernon D. Validating the readiness for interprofessional learning scale (RIPLS) in the postgraduate context: are health care professionals ready for IPL? Med Educ 2006;40(5):415-22. https://doi.org/10.1111/j.1365-2929.2006.02442.x
  19. McFadyen AK, Webster V, Strachan K, Figgins E, Brown H, McKechnie J. The Readiness for Interprofessional Learning Scale: a possible more stable sub-scale model for the original version of RIPLS. J Interprof Care 2005;19(6):595-603. https://doi.org/10.1080/13561820500430157
  20. Luecht RM, Madsen MK, Taugher MP, Petterson BJ. Assessing professional perceptions: design and validation of an interdisciplinary education perception scale. J Allied Health 1990;19(2):181-91.
  21. Drynan D and Murphy S. Understanding and facilitating interprofessional education, second edition. Available from https://physicaltherapy.med.ubc.ca/files/2012/09/IPE-Guide-2nd-ed.-May2012.pdf. Accessed June 22, 2022.
  22. Reeves S, Zwarenstein M, Goldman J, et al. The effectiveness of interprofessional education: Key findings from a new systematic review. J Interprof Care 2010;24(3):230-41. https://doi.org/10.3109/13561820903163405
  23. Reeves S, Perrier L, Goldman J, Freeth D, Zwarenstein M. Interprofessional education: effects on professional practice and healthcare outcomes (update). Cochrane Database Syst Rev 2013;2013(3):CD002213.
  24. Bonney KM. Case study teaching method improves student performance and perceptions of learning gains. J Microbiol Biol Educ 2015;16(1):21-8. https://doi.org/10.1128/jmbe.v16i1.846
  25. Bergland M, Lundeberg M, Klyczek K, Sweet J, et al. Exploring biotechnology using case-based multimedia. Am Biol Teach 2006;68(2):81-6. https://doi.org/10.1662/0002-7685(2006)068[0081:EBUCM]2.0.CO;2
  26. Liu Q, Peng W, Zhang F, Hu R, Li Y, Yan W. The effectiveness of blended learning in health professions: Systematic review and metaanalysis. J Med Internet Res 2016;8(1):e2.
  27. Ribeiro LRC. The pros and cons of problem-based learning from the teacher's standpoint. Journal of University Teaching & Learning Practice 2011;8(1):1-19.
  28. Gaupp R, Korner M, Fabry G. Effects of a case-based interactive elearning course on knowledge and attitudes about patient safety: a quasi-experimental study with third-year medical students. BMC Med Educ 2016;16:172. https://doi.org/10.1186/s12909-016-0691-4
  29. Bassir SH, adr-Eshkevari P, Amirikhorheh S, Karimbux NY. Problem-based learning in dental education: a systematic review of the literature. J Dent Educ 2014;78(1):98-109. https://doi.org/10.1002/j.0022-0337.2014.78.1.tb05661.x
  30. Thistlethwaite JE, Davies D, Ekeocha S. The effectiveness of casebased learning in health professional education. A BEME systematic review: BEME Guide No. 23. Med Teach 2012;34(6):e421-44. https://doi.org/10.3109/0142159X.2012.680939
  31. Dochy F, Segers M, Van den Bossche P, Gijbels D. Effects of problem-based learning: a meta-analysis. Learning and Instruction 2003;13(5):533-68. https://doi.org/10.1016/S0959-4752(02)00025-7
  32. Barrett G, Greenwood R, Ross K. Integrating interprofessional education in ten health and social care programmes. J Interprof Care 2003;17(3):293-301. https://doi.org/10.1080/1356182031000122915
  33. Barr H, Helme M, D'Avray L. Developing Interprofessional Education in health and social care courses in the United Kingdom. London: Health Sciences and Practice Subject Centre Higher Education Academy, 2011: 58.
  34. Aston SJ, Rheault W, Arenson C, Tappert SK, Stoecker J, Orzoff J, Galitski H, Mackintosh S. Interprofessional education: a review and analysis of programs from three academic health centers. Acad Med 2012;87(7):949-55. https://doi.org/10.1097/ACM.0b013e3182583374
  35. Cooper H, Carlisle C, Gibbs T, Watkins C. Developing an evidence base for interdisciplinary learning: a systematic review. J Adv Nurs 2001;35(2):228-37. https://doi.org/10.1046/j.1365-2648.2001.01840.x
  36. Aston SJ, Mackintosh S, Orzof J. Interprofessional education program, Western University of Health Sciences. J Allied Health 2010;39(Suppl 1):e137-8.