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

Publication ID Published Version
9715 February 13, 2014 1
University of North Carolina at Chapel Hill School of Medicine


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.


Chuang A, Wang N, Beckham A. Team Based Learning: Fibroids, Normal and Abnormal Uterine Bleeding, Amenorrhea and Infertility. MedEdPORTAL Publications; 2014. Available from:

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


  • Medical
    • Obstetrics & Gynecology
      • Reproductive Endocrinology/Infertility


  • Interpersonal & Communication Skills
  • Knowledge for Practice
  • Patient Care
  • Professionalism

Professional Interest

  • Assessment
  • Communication Skills
  • Curriculum Development/Evaluation
  • Evidence Based Practice
  • Women's Health

Instructional Methods

  • Assessment
    • Clinical Reasoning
    • Communication Skills
    • Critical Thinking
    • Self-directed Learning
  • Case-based Instruction/Learning
  • Team-based Learning (TBL)

Organ Systems

  • Reproductive system

Academic Focus

  • Clinical Sciences
    • Clinical Skills/Doctoring

Intended Audience

  • Professional School
    • Medical Student

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ISSN 2374-8265