Acta Medica Iranica 2017. 55(4):259-264.

A Case Based-Shared Teaching Approach in Undergraduate Medical Curriculum: A Way for Integration in Basic and Clinical Sciences
Soheil Peiman, Azim Mirzazadeh, Maryam Alizadeh, Sara Mortaz Hejri, Mohammad-Taghi Najafi, Abbas Tafakhori, Farnoosh Larti, Besharat Rahimi, Babak Geraiely, Parichehr Pasbakhsh, Gholamreza Hassanzadeh, Fatemeh Nabavizadeh Rafsanjani, Mohammad Ansari, Seyed Farshad Allameh


To present a multiple-instructor, active-learning strategy in the undergraduate medical curriculum. This educational research is a descriptive one. Shared teaching sessions, were designed for undergraduate medical students in six organ-system based courses. Sessions that involved in-class discussions of integrated clinical cases were designed implemented and moderated by at least 3 faculties (clinicians and basic scientists). The participants in this study include the basic sciences medical students of The Tehran University of Medical Sciences. Students’ reactions were assessed using an immediate post-session evaluation form on a 5-point Likert scale. Six two-hour sessions for 2 cohorts of students, 2013 and 2014 medical students during their two first years of study were implemented from April 2014 to March 2015. 17 faculty members participated in the program, 21 cases were designed, and participation average was 60 % at 6 sessions. Students were highly appreciative of this strategy. The majority of students in each course strongly agreed that this learning practice positively contributed to their learning (78%) and provided better understanding and application of the material learned in an integrated classroom course (74%). They believed that the sessions affected their view about medicine (73%), and should be continued in future courses (80%). The percentage demonstrates the average of all courses. The program helped the students learn how to apply basic sciences concepts to clinical medicine. Evaluation of the program indicated that students found the sessions beneficial to their learning.


Active learning; Problem based learning; Medical students

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Parmelee, D., et al., Team-based learning: A practical guide: AMEE Guide No. 65. Medical teacher, 2012. 34(5): p. e275-e287.

Khabaz Mafinejad, M., et al., Medical students' attitudes towards early clinical exposure in Iran. Int J Med Educ, 2016. 7: p. 195-9.

Kulasegaram, K.M., et al., Cognition before curriculum: Rethinking the integration of basic science and clinical learning. Academic Medicine, 2013. 88(10): p. 1578-1585.

Kolluru, S., D.M. Roesch, and A.A. de la Fuente, A multi-instructor, team-based, active-learning exercise to integrate basic and clinical sciences content. American journal of pharmaceutical education, 2012. 76(2).

Baeten, M. and M. Simons, Student teachers' team teaching: Models, effects, and conditions for implementation. Teaching and Teacher Education, 2014. 41: p. 92-110.

Rudich, A. and N. Bashan, An interdisciplinary course in the basic sciences for senior medical and PhD students. Academic Medicine, 2001. 76(10): p. 1072-1075.

Rodriguez-Sedano, A., Creating Scenarios and Guiding Learning in a Medical Simulation Center. Creative Education, 2011. 2(03): p. 316.

Takahashi, Y. and S.A. Oku, Attractive Scenario Writing. The Kaohsiung journal of medical sciences, 2009. 25(5): p. 250-253.

Thistlethwaite, J.E., et al., The effectiveness of case-based learning in health professional education. A BEME systematic review: BEME Guide No. 23. Medical teacher, 2012. 34(6): p. e421-e444.

Ives, T.J., K.H. Deloatch, and K.S. Ishaq, Integration of medicinal chemistry and pharmacotherapeutics courses: a case-based, learner-centered approach. American Journal of Pharmaceutical Education, 1999. 62(4): p. 406.

Mylopoulos, M. and N. Woods, Preparing medical students for future learning using basic science instruction. Medical education, 2014. 48(7): p. 667-673.

Eison, J., Using active learning instructional strategies to create excitement and enhance learning. Jurnal Pendidikantentang Strategi Pembelajaran Aktif (Active Learning) Books, 2010. 2.

Kumar, V. and C.C. Gadbury-Amyot, A case-based and team-based learning model in oral and maxillofacial radiology. Journal of dental education, 2012. 76(3): p. 330-337.

Letterman, M.R. and K.B. Dugan, Team teaching a cross-disciplinary honors course: Preparation and development. College Teaching, 2004: p. 76-79.

Robb, M. and M. Gerwick, Team teaching: a resource guide for nurse educators. Teaching and Learning in Nursing, 2013. 8(3): p. 78-82.

Hadimani, C.P., Effectiveness of Small Group Discussion Sessions in Teaching Biochemistry for Undergraduate Medical Students. South East Asian Journal of Medical Education, 2014. 8(1): p. 77.

Mirzazadeh, A., et al., Defining a competency framework: the first step toward competency-based medical education. Acta Medica Iranica, 2014. 52(9): p. 710.

Swing, S.R., The ACGME outcome project: retrospective and prospective. Medical teacher, 2007. 29(7): p. 648-654.

Bati, A.H., et al., Why do students miss lectures? A study of lecture attendance amongst students of health science. Nurse education today, 2013. 33(6): p. 596-601.

Mattick, K., G. Crocker, and J. Bligh, Medical student attendance at non-compulsory lectures. Advances in health sciences education, 2007. 12(2): p. 201-210.

Zazulia, A.R. and P. Goldhoff, Faculty and Medical Student Attitudes About Preclinical Classroom Attendance. Teaching and Learning in Medicine, 2014. 26(4): p. 327-334.


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