Evidence map›Paper›PMID 38760834›Full record

ArticleBMC medical education2024

From Slow Shifts to Fast Flips: Unraveling problem-based learning group function dynamics.

Matthew Mellon, Nicholas Dunn, Arden Azim, Teresa M Chan, Matthew Sibbald

Abstract read
In one paragraph

Article in BMC medical education, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Matthew MellonDepartment of Medicine, Michael G. DeGroote School of Medicine, McMaster University, 1280 Main St. W, Hamilton, ON, Canada. matthew.mellon@medportal.ca.
Nicholas DunnDepartment of Medicine, Michael G. DeGroote School of Medicine, McMaster University, 1280 Main St. W, Hamilton, ON, Canada.
Arden AzimDepartment of Medicine, Michael G. DeGroote School of Medicine, McMaster University, 1280 Main St. W, Hamilton, ON, Canada.
Teresa M ChanDepartment of Medicine, Michael G. DeGroote School of Medicine, McMaster University, 1280 Main St. W, Hamilton, ON, Canada.
Matthew SibbaldDepartment of Medicine, Michael G. DeGroote School of Medicine, McMaster University, 1280 Main St. W, Hamilton, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeProblem-Based Learning (PBL) relies on self-directed learning in small groups in the presence of a tutor. While the effectiveness of PBL is often attributed to the dynamics of group function, change in group function over time and factors influencing group function development are less understood. This study aims to explore the development of PBL group function over time to better understand the factors that give rise to high-functioning groups.

methodWe examined time-function graphs of group function and conducted semi-structured focus group discussions in 2023 with medical students enrolled in a PBL curriculum. Students reflected on their experiences in four different PBL groups, creating time-function graphs to characterize development of group function over 8-12-week periods. We analyzed graphs and transcripts in a staged approach using qualitative description and direct content analysis, sensitized by two frameworks: Tuckman's Stages of Group Development and the Dimensions of PBL Group Function.

resultsThree archetypes of PBL group function development were identified: Slow Shifters, Fast Flippers, and Coasters. (1) Slow Shifters were characterized by a complex and extended pattern of growth consistent with Tuckman's model, typically occurring amongst inexperienced groups, or groups faced with a novel task. (2) Fast Flippers were characterized by abrupt state changes in group function arising from internal or external disruptions. (3) Coasters were characterized by plateaus, where maintenance of group function was a frequently cited challenge. Abrupt changes and plateaus occurred more among mature groups and groups with significant PBL experience.

conclusionsPBL group function varies over time in 3 different patterns. Classic Tuckman's stages are apparent among inexperienced groups, or groups facing novel tasks, whereas experienced groups often face abrupt change or plateaus. PBL educators and students should consider the need for novelty and disruption in more experienced groups to incite growth.

Indexed as

Focus GroupsProblem-Based LearningStudents, MedicalCurriculumEducation, Medical, UndergraduateFemaleGroup ProcessesHumansMaleGroup functionHealth professions educationProblem-based learning

Identifiers

PMID38760834
PMCPMC11102218

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.