Document Type : Original Article

Authors

Department of Pre‑Clinical Sciences, Faculty of Medical Sciences, The University of the West Indies, St. Augustine, Trinidad and Tobago

Abstract

OBJECTIVES: The objective of this study was designed to investigate medical students’ perceptions
of small group teaching effectiveness in a hybrid curriculum.
MATERIALS AND METHODS: A cross‑sectional, descriptive survey was conducted at the School
of Medicine, The University of the West Indies, St. Augustine where we collected the data from
195 undergraduate students. A self‑administered questionnaire consisting of 25 items was used to
measure students’ perception on the effectiveness of problem‑based learning (PBL) with regard to
learning experience, teamwork, confidence, communication skills, and role of the tutor. Statistical
analyses included mean and standard deviation for the description of each item; t‑test to compare
the mean scores for gender and class year, and one‑way analysis of variance between groups for
age group comparisons.
RESULTS: The students overall perceptions of small group teaching effectiveness showed that the
PBL sessions were beneficial to their learning process (mean: 3.63 ± 0.46). Students have positive
perceptions toward small group effectiveness, particularly in learning experience (mean: 3.98 ± 0.63)
and teamwork (mean: 3.67 ± 0.58). The mean scores, measuring teamwork, for 2nd year students was
significantly higher than that for 1st year students (3.76 ± 0.55 and 3.55 ± 0.60 respectively, P = 013).
A similar significant trend was observed between 2nd year and 1st year students on communication
skills (3.48 ± 0.67 and 3.29 ± 0.55, respectively, P = 0.046).
CONCLUSIONS: PBL is an effective small group teaching method for medical students. Faculty
development and students’ training programs are required before implementing PBL.

Keywords

1. Jaques D. Teaching small groups. BMJ, 2003. 326 (7387): p. 492‑ 4.
2. Hung W. The 9‑step problem design process for problem‑based
learning: Application of the 3C3R model. Educational Research
Review, 2009. 4 (2): p. 118‑41.
3. Dochy F, Segers M, Bossche PVD, Struyven K. Students’
Perceptions of a Problem‑Based Learning Environment. Learning
Environments Research, 2005. 8 (1): p. 41‑66.
4. Robillard DT, Spring LM, Pasquale J, Savageau JA. Identifying
characteristics of effective small group learning valued by
medical students and facilitators. 2011; Paper 120:[Senior Scholars
Program]. Available from: http://escholarship.umassmed.edu/
ssp/120.
5. Euliano TY. Small group teaching: clinical correlation with a
human patient simulator. Adv Physiol Educ, 2001. 25 (1‑4):
p. 36‑43.
6. Guraya SY, Almaramhy HH. Small group teaching improves
students` acquisition of knowledge and skills. Saudi Med J, 2012.
33 (12): p. 1304‑9.
7. Saleh AM, Shabila NP, Dabbagh AA, Al-Tawil NG, Al-Hadithi TS.
A qualitative assessment of faculty perspectives of small group
teaching experience in Iraq. BMC Med Educ, 2015. 15: p. 19.
8. Al-Drees AA, Khalil MS, Irshad M, Abdulghani HM. Students’
perception towards the problem based learning tutorial session
in a system‑based hybrid curriculum. Saudi Med J, 2015. 36 (3):
p. 341‑8.
9. Hartling L, Spooner C, Tjosvold L, Oswald A. Problem‑based
learning in pre‑clinical medical education: 22 years of outcome
research. Med Teach, 2010;32:28‑35.
10. Steinert Y. Twelve tips for effective small‑group teaching in the
health professions. Medical Teacher, 1996;18:203‑7.
11. Edmunds S, Brown G. Effective small group learning: AMEE
Guide No. 48. Med Teach, 2010;32:715‑26.
12. Singaram VS, Dolmans DH, Lachman N, van der Vleuten CP.
Perceptions of problem‑based learning (PBL) group effectiveness
in a socially‑culturally diverse medical student population. Educ
Health (Abingdon), 2008. 21 (2): p. 116.
13. Addae JI, Wilson JI, Carrington C. Carrington, Students’
perception of a modified form of PBL using concept mapping.
Med Teach, 2012. 34 (11): p. e756‑62.
14. Addae JI, Sahu P, Sa B. The relationship between the monitored
performance of tutors and students at PBL tutorials and the
marked hypotheses generated by students in a hybrid curriculum.
Med Educ Online, 2017. 22 (1): p. 1270626.
15. De Grave WS, Dolmans DH, Van Der Vleuten CP. Student
Perspectives on Critical Incidents in the Tutorial Group. Advances
in Health Sciences Education, 2002;7:201-9.
16. Das M, Mpofu DJ, Hasan MY, Stewart TS. Student perceptions of
tutor skills in problem‑based learning tutorials. Med Educ, 2002.
36 (3): p. 272‑8.
17. Steinert Y. Student perceptions of effective small group teaching.
Med Educ, 2004. 38 (3): p. 286‑93.
18. Walton H. Small group methods in medical teaching. Med Educ,
1997. 31 (6): p. 459‑64.
19. Dolmans DH, De Grave W, Wolfhagen IH, van der Vleuten CP.
Problem‑based learning: future challenges for educational practice
and research. Med Educ, 2005. 39 (7): p. 732‑41.20. Rahman SM, Sarkar MA, Gomes JJ, Mojumder FA.
Student’perceptions of learning science in small groups: A case
study in higher education. Brunei Int J Sci Math Educ, 2010. 2 (1):
p. 32‑47.
21. Chung E, Hitchcock MA, Oh S, Han E, Woo Y. The relationship
between student perceptions of tutor performance and tutors’
background in problem‑based learning in South Korea. Int J Med
Educ, 2011. 2: p. 7‑11.
22. Azer SA. Challenges facing PBL tutors: 12 tips for successful group
facilitation. Med Teach, 2005. 27 (8): p. 676‑81.
23. Salminen H, Öhman E, Stenfors-Hayes T. Medical students’
feedback regarding their clinical learning environment in primary
healthcare: a qualitative study. BMC Medical Education, 2016.
16 (1): p. 313.