In her review of medical, education, and business TBL articles published from 2003 to 2011, Sisk (2011) found evidence of higher student satisfaction, engagement, and exam scores for those in classes using the TBL method. Additionally, researchers have reported that TBL enhances students’ course engagement, critical thinking, and content knowledge (Koles et al. 2010; Thomas and Bowen 2011; Sweet and Michaelsen 2012; Vaughn et al. 2013).