Teaching with Cases-Case-based learning (excerpt from the ACCME CE Educator's Toolkit)

Pdf Summary

The ACCME’s Continuing Education (CE) Educator's Toolkit details evidence-based strategies for effective continuing education, with a focus on case-based learning (CBL) as a key instructional method. CBL engages learners through active problem-solving of authentic, real-world clinical cases, promoting deep learning beyond rote knowledge by fostering critical thinking, decision-making, and application skills relevant to healthcare practice.<br /><br />CBL differs from traditional lecture methods by involving learners in analyzing clinical scenarios, synthesizing complex information, and collaboratively generating solutions, often in small groups. The approach supports interprofessional collaboration and inquiry-based learning, encouraging learners to question, reflect, and apply evidence-based guidelines. CBL is particularly suited to challenges such as virtual care delivery, addressed through tailored cases like chronic pain management in telemedicine.<br /><br />Effective CBL implementation involves several steps: authentic case development through interdisciplinary collaboration incorporating succinct, evidence-based clinical scenarios; selecting delivery methods including written cases, video cases, or didactic lectures; and thoughtful facilitation during sessions. Facilitators play a crucial role in creating safe, inclusive environments, guiding discussion with open-ended questions, managing group dynamics, and encouraging learner autonomy. Key questions prompt learners to describe the case ("What"), analyze its significance ("So what"), and propose actions ("Now what").<br /><br />Learners can engage with cases before, during, or after sessions, individually or collaboratively, with varied dissemination strategies including formal reports, presentations, or online discussion boards. Small group formats (4-8 participants) foster active learning, while larger groups benefit from complementary didactic content. Virtual sessions require attention to digital literacy, technology access, and engagement strategies like breakout rooms and interactive tools.<br /><br />Challenges include distractions, varying motivation levels, and balancing facilitator involvement to preserve learner-driven analysis. Mitigation strategies include selecting relevant cases, building trust, interactive activities, and continuous feedback. Evaluation of CBL outcomes is essential, using knowledge tests, surveys, and frameworks like RE-AIM or Kirkpatrick models to assess learner progress and session effectiveness.<br /><br />By integrating authentic cases, learner-centered facilitation, and collaborative problem-solving, CBL presents a robust, adaptable model for continuing education in healthcare, enhancing clinicians’ preparedness for evolving practice environments.

Asset Subtitle

A resource for designing and implementing case-based learning in healthcare continuing-education (e.g., CME) activities with wider application.

Keywords

Continuing Education

Case-Based Learning

Healthcare Education

Interprofessional Collaboration

Virtual Care Delivery

Facilitation Techniques

Active Learning

Clinical Scenarios

Learner Engagement

Evaluation Frameworks