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Methods:

The study was conducted in a quasi-experimental design. The study population were all of the third-year medical students (n= 84) participating in a course of rheumatology in Shariati Hospital, which is a teaching hospital affiliated to Tehran University of Medical Sciences. We compared TBL with the conventional lecture-based method. The assessments were performed after implementation of TBL by the Classroom Engagement Survey (CES) and Team-Based Learning Student Assessment Instrument (TBL-SAI). The assessment for application of knowledge was conducted in 3 time-points through short answer questions on rheumatic diseases. The comparison of results was made by Student’s t-test and repeated-measures analysis of variance (RM-ANOVA) using SPSS software, version 16.

Results:

The CES scores indicated a high level of engagement in TBL (Mean±SD= 26.7±3.70, p= 0.0001) but not in …