Table 2 Core design elements of team-based learning for pediatrics noon conferences

Team Formation

• Teams formed based on clinical rotation

• Tables assigned to guide team assembly

Readiness Assurance Tests (RAT)

• RAT designed based on published boards PREP questions (American Academy of Pediatrics’ Pediatrics Review and Education Program)

Immediate feedback

• Participants report answers to RAT and application exercise simultaneously

• Immediately followed by large group discussion of correct answers and key principles, guided by facilitators

Sequencing of in-class problem solving

• Answers to the GRAT and Application Exercise were first discussed within teams, then discussed as a large group between all teams

Four Ss:

Significant problem

Same problem

Specific choice

Simultaneous reporting

• Significant problem: application exercise cases were drafted to be realistic, common diagnostic/management issues in pediatrics, RAT was composed of PREP questions

• Same problem: all groups worked on the same problems

• Specific choice: RAT- multiple choice questions, Application exercise- specific diagnostic/management questions about patient cases

• Simultaneous reporting: RAT- groups “report out” by holding up large cut out letters simultaneously, Application exercise- groups write out their answer on white board

Incentive structure

• Competition between groups for points at each session

• Cupcake prize for winning team after final session

Peer review

• Peer feedback was facilitated among and between groups during GRAT, application exercise and large group discussion