• A growing number of healthcare faculties are adopting TBL, since it allows a large number of students to experience small group learning with experts as facilitators. • Student accountability in TBL is encouraged through pre-class preparation, the IRAT, TRAT, immediate feedback, team problem-solving activities and peer review. • Provision of immediate feedback by experts is essential to student learning throughout the TBL classes. • The challenges of designing and implementing TBL should be considered when allocating resources.