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March 2023; 2 (1) Research ArticleOpen Access

Curriculum Innovations: Enhancing Medical Student Neuroscience Training With a Team-Based Learning Curriculum

Christopher G. Tarolli, Ralph F. Józefowicz
First published January 5, 2023, DOI: https://doi.org/10.1212/NE9.0000000000200037
Christopher G. Tarolli
From the Department of Neurology (C.G.T., R.F.J.), and Center for Health + Technology (C.G.T.), University of Rochester, NY.
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Ralph F. Józefowicz
From the Department of Neurology (C.G.T., R.F.J.), and Center for Health + Technology (C.G.T.), University of Rochester, NY.
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Curriculum Innovations: Enhancing Medical Student Neuroscience Training With a Team-Based Learning Curriculum
Christopher G. Tarolli, Ralph F. Józefowicz
Neurol Edu Mar 2023, 2 (1) e200037; DOI: 10.1212/NE9.0000000000200037

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  • Figure 1
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    Figure 1 Framework for the Implementation of a Continuum of Neurologic Education in Undergraduate Medical Education That Focuses on Neuroscience Knowledge Generation Within a Clinical Frame in the Preclinical Years and the Development of Clinical Expertise With a Grounding in Neuroscientific Principles in Clinical Training
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    Figure 2 Student Opinions of the Team-Based Learning Sessions

    GRAT = group readiness assessment test; IRAT = individual readiness assessment test.

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    Table 1

    Structure of Neuropathology Learning Days Preimplementation (1A) and Postimplementation (1B) of the Curricular Changes

    1A: Preimplementation structure1B: Postimplementation structure
    TimeDescription/scheduleTimeDescription
    8:00–9:00LectureNeuropathology topic 1
    Lecturer: Neuropathologist
    8:00–9:00LectureNeuropathology topic 1
    Lecturer: Neurologist/Neurosurgeon
    9:00–10:00Neuropathology topic 2
    Lecturer: Neuropathologist
    9:00–10:00Neuropathology topic 2
    Lecturer: Neurologist/neurosurgeon
    10:00–11:00LabNeuropathology laboratory topic 1
    Format: Slide presentation
    10:00–10:10TBL (2 topics)IRAT (8 questions)
    10:10–10:25GRAT (8 questions)
    11:00–12:00Neuropathology laboratory topic 2
    Format: Slide presentation
    10:25–10:45IRAT/GRAT review
    10:45–11:30Application exercises
    11:30–11:50Application exercise review
    • Abbreviations: GRAT = group readiness assessment test; IRAT = individual readiness assessment test; TBL = team-based learning.

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    Table 2

    Illustrative Quotes on the Most Prominent Positive and Negative Opinions of the TBL Sessions From the End-of-Course Survey and Semistructured Interviews

    ThemeIllustrative quote(s)
    Positive comments
     High-quality, concise syllabiThe TBL syllabi created by [course director] were incredibly helpful
    The prereadings for TBLs that were written by faculty were awesome, and I referred back to these many times
     Reinforced learningTBL was a highlight of planned redundancy with reading followed by lecture
    I loved the laboratory activities and TBL exercises to supplement the lecture material
    The TBLs were directly relevant and dealt with material we've learned before
     Low-stake quiz performanceI really liked that the TBLs were extra credit points. Otherwise, I believe this would increase stress and competitive atmosphere
    The stakes of quiz performance felt just right. It was enough to push me to complete the prereading, but not so high to make me worry about it every Tuesday and Thursday
    Constructive comments
     Excessive length of textbook readingThe textbook readings were frankly too long, and it was hard to weed through to figure out what was actually important to know
    I think many people did not read the super long textbook readings that were assigned…
     Redundancy of quiz completion and reviewGoing over all the answers as a large group after we just went through each one as a small TBL group seemed overly redundant
    Sometimes it just felt like the instructor was reading the answers back to us a third time
     Inconsistency of facilitatorsI wonder if there may have been discrepancies in opinions in students who learned from [facilitator 1] vs [facilitator 2]
    I think there were some inconsistencies between information taught… in one room but not the other
    • Abbreviation: TBL = team-based learning.

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    Table 3

    Course Performance Comparison Between the 2020 (Preimplementation) Cohort and the 2021 (Postimplementation) Cohort

    2020 (n = 104)2021 (n = 104)p Value
    Final course grade, mean (SD) %82.92 (6.24)82.47 (6.22)0.61
    NBME subject test, mean (SD) %81.20 (8.22)80.25 (7.93)0.37
    NBME pathology subsection, mean (SD) %82.60 (11.2)83.94 (9.5)0.36
    • Abbreviation: NBME = National Board of Medical Examiners.

  • NameLocationContribution
    Christopher G. Tarolli, MD, MSEdDepartment of Neurology, and Center for Health + Technology, University of Rochester, NYDrafting/revision of the article for content, including medical writing for content; major role in the acquisition of data; and study concept or design; analysis or interpretation of data
    Ralph F. Józefowicz, MDDepartment of Neurology, University of Rochester, NYDrafting/revision of the article for content, including medical writing for content; major role in the acquisition of data; and study concept or design

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