(30) Comparative Evaluation of Choose Your Own Adventure (CYOA) Versus Team-Based Learning (TBL) Patient Cases

Objective : To compare CYOA and TBL patient case teaching techniques in pharmacy students' perceived knowledge, engagement, confidence in clinical decision-making, and preference.

Methods: Two third-year required pharmacy courses, Patient-Centered Care (PCC) and Infectious Diseases Integrated Pharmaceutical Care and Science (ID-ICARE) implemented CYOA and TBL, respectively, with the same instructors. Two sessions in PCC utilized CYOA via Google Forms and ID-ICARE implemented 6 TBL sessions. The semester concluded with a survey assessing student outcomes using 7 Likert scale questions to evaluate clinical decision-making skills before and after CYOA and TBL, 6 comparative questions about CYOA versus TBL, and 1 open feedback question. Analysis was conducted using descriptive statistics and the Wilcoxon signed-rank test.

Results: Fifty-three students completed the survey (98% response rate). Students’ confidence in clinical decision-making significantly improved (p <.001) across all 7 Likert scale questions after CYOA and TBL. The comparative questions analysis showed the majority of students favored CYOA for increased engagement (54.72%), self-directed learning (58.49%), and perceived knowledge (43.40 %). Over half (54.75%) of students preferred CYOA, with 47.17% feeling more confident with CYOA, versus 18.87 % with TBL and 33.96% neutral. CYOA was described as a fun, game-like experience with valuable immediate feedback, while TBL facilitated more discussion and teamwork.

Conclusions: Further research is needed to evaluate the effects of CYOA and TBL on clinical decision-making skills and how integrating CYOA’s boost to engagement and perceived knowledge with TBL’s collaboration and teamwork can advance pharmacy education.