Imperial College School of Medicine, Imperial College London, London, UK.
Lee Kong Chian School of Medicine, Singapore, Singapore.
Clin Teach. 2021 Aug;18(4):404-408. doi: 10.1111/tct.13347. Epub 2021 Mar 24.
Team-based learning (TBL) currently relies on single best answer questions (SBAQs) to provide immediate feedback. Very short answer questions (VSAQs) are a reliable and discriminatory alternative that encourage learners to use more authentic clinical reasoning strategies compared to SBAQs. However, the challenge of marking VSAQs has limited their integration into TBL; we therefore explored the feasibility of VSAQs within a TBL session.
An online platform was developed to allow immediate marking of VSAQs during the TBL sessions. As part of the readiness assurance process, students completed VSAQs and SBAQs, which were marked in real time.
Instructors were able to mark all VSAQs during the individual readiness assurance test (iRAT), which facilitated the provision of immediate feedback during the team readiness assurance test (tRAT). The mean time to mark five VSAQs was 422 seconds (SD 73 seconds). For VSAQs, the number of attempts to reach the correct answer ranged from 1 to 38, compared to 1 to 4 for SBAQs. In total, 71.6% of students agreed that using VSAQs in TBL helped to emphasise group discussions.
The wide range of attempts at, and students' perspectives of VSAQs are suggestive of their positive impact on student discussion during TBL. We demonstrate how new technology allows VSAQs to be feasibly integrated into TBL with the potential to enrich group discussions.
团队学习（TBL）目前依赖单项最佳答案问题（SBAQs）来提供即时反馈。简短答案问题（VSAQs）是一种可靠且有区别的替代方法，它鼓励学习者使用更真实的临床推理策略，而不是 SBAQs。然而，VSAQs 的评分挑战限制了它们在 TBL 中的整合；因此，我们探索了在 TBL 课程中使用 VSAQs 的可行性。
开发了一个在线平台，以便在 TBL 课程中即时标记 VSAQs。作为准备情况保证过程的一部分，学生完成了 VSAQs 和 SBAQs，并实时进行了评分。
在个人准备情况保证测试（iRAT）期间，教师能够标记所有 VSAQs，这有助于在团队准备情况保证测试（tRAT）中提供即时反馈。标记五个 VSAQs 的平均时间为 422 秒（SD 73 秒）。对于 VSAQs，达到正确答案的尝试次数范围从 1 到 38，而 SBAQs 的尝试次数范围从 1 到 4。总的来说，71.6%的学生同意在 TBL 中使用 VSAQs 有助于强调小组讨论。
VSAQs 的尝试次数范围广泛，以及学生对 VSAQs 的看法表明它们对 TBL 期间学生讨论产生了积极影响。我们展示了新技术如何能够将 VSAQs 切实地整合到 TBL 中，从而丰富小组讨论。
