Team Based Learning: Fibroids, Normal and Abnormal Uterine Bleeding, Amenorrhea and Infertility

Publication ID Published Volume
9715 February 13, 2014 10


This Team-based Learning (TBL) module will instruct obstetrics and gynecology clerkship students on diagnosis and initial management of amenorrhea, fibroids, abnormal uterine bleeding and infertility. This module is ideally suited for an active learning curriculum in which students are accustomed to preparing ahead of time and working through questions and cases in the classroom. The module includes a Readiness Assessment Test to be taken individually and as a team, an Application Test to be taken as a team and the various forms we use logistically to deploy the module. The advantages of this module are: 1) less faculty preparation time is required 2) students are actively engaged in application of the material 3) no traditional lecturing is required. Students are assessed using multiple choice questions and their group interactions are assessed by their peers. This module can be scaled to any size group greater than a minimum of 10 since students form teams of 5-7 for the exercise.

We feel Team-based Learning (TBL) enables students to be more active learners compared to our previous didactic structure, powerpoint-driven lectures. We have worked hard during our 6 week clerkship to create a series of active learning sessions to “flip the classroom.” We hope this method will deliver material effectively and utilize the precious time we spend with students to work on clinical reasoning skills and the nuances of clinical care. Our are modeled after the process described by Parmalee et al (2001).

The implementation from a faculty and resources standpoint works well. Only one facilitator is needed for the whole session, usually myself or a generalist, and a content expert, who does not need to prepare any materials. This overall has been a rewarding experience for students, the facilitator and the content expert.


Chuang A, Wang N, Beckham A. Team based learning: fibroids, normal and abnormal uterine bleeding, amenorrhea and infertility. MedEdPORTAL Publications. 2014;10:9715.

Educational Objectives

  1. To formulate a diagnostic approach to patients with infertility, abnormal uterine bleeding, fibroids and amenorrhea.

    • To characterize the hormone changes and fluctuations of a normal menstrual cycle.
    • To characterize the hypothalamic-pituitary-gonadal hormone axis and describe causes of different pathological disruptions of the axis.
    • To distinguish normal and abnormal uterine bleeding.
    • To describe uterine leiomyomata subtypes and associated risk factors, symptoms and treatment approaches.
    • To define pathophysiology and clinical presentation of different types of infertility.
    • To describe indications, normal findings and expected pathologic findings for different diagnostic procedures including: pelvic ultrasound, endometrial biopsy, saline infusion sonohysterogram and hysterosalpingogram.
  2. To outline an initial treatment plan for patients with infertility, abnormal uterine bleeding, fibroids and amenorrhea.

    • To list consequences of untreated amenorrhea.
    • To list medications used and their mechanisms of action.


  • Fibroids, Leiomyomata, Leiomyoma, Team-Based Learning, TBL, Normal Menstrual Cycle, Abnormal Uterine Bleeding, Amenorrhea, Infertility

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ISSN 2374-8265