Integrating Foundational and Clinical Science Remotely by Combining Team-Based Learning and Simulation

Med Sci Educ. 2023 Jun 15;33(4):925-934. doi: 10.1007/s40670-023-01817-9. eCollection 2023 Aug.

Abstract

Integrating foundational and clinical science in medical and other professional healthcare degree programs has been well established as a means to enhance learning. However, implementation remains challenging, and a significant gap exists in guidance for non-professional degree programs to effectively accomplish both types of integration. Additionally, many modalities described in the literature are resource-intensive, scale poorly to larger groups, and are widely inaccessible. We present an online modality combining team-based learning and a simulation-based learning experience that fosters vertical and horizontal integration of physiology, pharmacology, and clinical science. The tools utilized include a vital sign simulator, video conferencing software, and a document-sharing platform. The activity demonstrated improved knowledge comparing pre- and posttests and evidence that the activity helped students integrate physiology, pharmacology, and clinical medicine. The novel structure is effective and accessible, uses open-source software and standard equipment available to most undergraduate and graduate faculty, and is adaptable to in-person, hybrid-remote, and fully remote delivery.

Supplementary information: The online version contains supplementary material available at 10.1007/s40670-023-01817-9.

Keywords: Health professions education; Integration; Inter-disciplinary; Remote; Simulation; Team-based learning; Virtual.