A Controlled Trial of Active Versus Passive Learning Strategies in a Large Group Setting
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Objective: To compare the effects of active and didactic teaching strategies on learning- and process-oriented outcomes.
Design: Controlled trial.
Setting: After-hours residents' teaching session.
Interventions: We randomly assigned residents to two groups. One group received a didactic lecture on effective use of diagnostic tests; during this session, the teacher spent a full hour delivering content. The other group received the same content in a session structured to foster resident-to-resident interactions. In the latter session, the teacher spent only 30 minutes directly delivering content to residents.
Measures and Main Results: We measured residents' knowledge about and attitudes toward the session content before, immediately after, and one month after each session. We measured residents' perceptions of engagement and session value immediately after each session. We employed blinded observers who used a structured instrument to observe residents' activities during each session. Both teaching methods led to improvements in residents' scores on both knowledge and attitude assessments. The amount of improvement was not statistically different between groups. Residents in the active learning session perceived themselves, and were observed to be, more engaged with the session content and each other than residents in the didactic session. Residents in the didactic session perceived greater educational value from the session compared to residents in the active session. Conclusions: We reduced the amount of time spent in teacher-driven content delivery by 50 percent and covered the same amount of content with no detrimental effects on knowledge acquisition or attitude enhancement. Teaching strategies that foster learner-to-learner interactions will lead to more active engagement among learners, however, these learners may value the session less. Further research is needed to explore learner perceptions of the teaching process and other outcomes of active learning in medical education.
- Becker, H.S., Geer, B., Hughes, E.C. & Strauss, A.L. (1961). Boys in White. Student Culture in Medical School (pp. 80-187). New Brunswick: Transaction.
- Bligh, D.A. (2000). What's The Use of Lectures? San Francisco: Jossey-Bass.
- Bordage, G., Burack, J.H., Irby, D.M. & Stritter, F.T. (1998). Education in ambulatory settings: developing valid measures of educational outcomes and other research priorities. Academic Medicine 73: 743-750. CrossRef
- Brookfield, S.D. (1990). Lecturing creatively. In The Skillful Teacher (pp. 71-87). San Francisco: Jossey-Bass.
- Cate, O.T. (2001). What happens to the student? The neglected variable in education outcomes research. Advances in Health Sciences Education 6: 81-88. CrossRef
- Davies, P. (2000). Approaches to evidence-based teaching. Medical Teacher 22: 14-21. CrossRef
- Elnicki, D.M., Halperin, A.K., Shockcor, W.T. & Aronoff, S.C. (1999). Multidisciplinary evidence-based journal clubs: curriculum design and participants' reactions. American Journal of Medical Sciences 317: 243-246. CrossRef
- Green, M.L. & Ellis, P.J. (1997). Impact of an evidence-based medicine curriculum based on adult learning theory. Journal of General Internal Medicine 12: 742-750. CrossRef
- Green, M.L. (2000). Evidence-based medicine training in internal medicine residency programs: a national survey. Journal of General Internal Medicine 15: 129-133. CrossRef
- Griffith, C.H. (2000). Evidence-based educational practice: the case for faculty development in teaching. American Journal of Medicine 109: 749-751. CrossRef
- Haidet, P., O'Malley, K. & Richards, B. (2002). An initial experience with 'Team Learning' in medical education. Academic Medicine 77: 40-44. CrossRef
- Harden, R.M. & Lilley, P.M. (2000). Best evidence medical education: the simple truth. Medical Teacher 22: 117-119. CrossRef
- Johnson, D.W., Johnson, R.T. & Smith, K.A. (2000). Constructive controversy. Change 32: 29-37.
- Lynch, D.C., Whitley, T.W. & Willis, S.E. (2000). A rationale for using synthetic designs in medical education research. Advances in Health Sciences Education 5: 93-103. CrossRef
- Michaelsen, L.K., Black, R.H. & Fink, L.D. (1997a). What every faculty developer needs to know about learning groups. In DeZure, D. (ed.), To Improve the Academy: Resources for Faculty, Instructional, and Organizational Development. Stillwater, Ok: New Forums Press.
- Michaelsen, L.K., Fink, L.D. & Knight, A. (1997b). Designing effective group activities: lessons for classroom teaching and faculty development. In DeZure, D. (ed.), To Improve the Academy: Resources for Faculty, Instructional, and Organizational Development. Stillwater, Ok: New Forums Press.
- Palmer, P. (1998). The Courage to Teach. Exploring the Inner Landscape of a Teacher's Life (p. 100). San Francisco: Jossey-Bass.
- Reilly, B. & Lemon, M. (1997). Evidence-based morning report: a popular new format in a large teaching hospital. American Journal of Medicine 103: 419-426. CrossRef
- Sackett, D.L., Haynes, R.B., Guyatt, G.H. & Tugwell, P. (1985). Clinical Epidemiology: A Basic Science for Clinical Medicine, second edition (pp. 77-94). Boston: Little, Brown, and Company.
- Seidel, C.L. & Richards, B.F. (2001). Application of team learning in a medical physiology course. Academic Medicine 76: 533-534. CrossRef
- Stallings, J. & Needles, M. (1985). Stallings Observation Instrument (rev. ed.). Stanford: SRI International.
- Sutherland T.E. & Bonwell C.C. (eds.), (1996). Using Active Learning in College Classes: A Range of Options for Faculty. San Francisco: Jossey Bass.
- Swank, P.R., Taylor, R.D., Brady, M.P. & Freiberg, H.J. (1989). Sensitivity of classroom observation systems: measuring teacher effectiveness. Journal of Experimental Education 57: 171-86.
- The Best Evidence Medical Education Group (BEME) (2000). Report of meeting ? 3-5 December 1999, London, UK. Medical Teacher 22: 242-245. CrossRef
- Van Der Vleuten, C.P.M., Dolmans, D. & Scherpbier, A. (2000). The need for evidence in education. Medical Teacher 22: 246-250. CrossRef
- Wolf, F.M. (2000). Lessons to be learned from evidence-based medicine: practice and promise of evidence-based medicine and evidence-based education. Medical Teacher 22: 251-259. CrossRef
- A Controlled Trial of Active Versus Passive Learning Strategies in a Large Group Setting
Advances in Health Sciences Education
Volume 9, Issue 1 , pp 15-27
- Cover Date
- Print ISSN
- Online ISSN
- Kluwer Academic Publishers
- Additional Links
- diagnostic tests – routine
- education – medical
- evidence-based medicine
- internship and residency
- Industry Sectors
- Author Affiliations
- 1. Houston Center for Quality of Care and Utilization Studies and the Department of Medicine, USA
- 3. Office of Curriculum, Baylor College of Medicine, Houston, Texas, USA