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In case-based learning (CBL), research suggests that discussion promotes knowledge construction; however, the way that instructors facilitate case discussions impacts learners’ participation. We used social network analysis (SNA) to explore how instructor facilitation influences student participation and interaction in case discussions. Preliminary results show that students' interactions increased after the instructor took a less central role in discussions. Suggestions for facilitating case discussions are provided, including how to best support peripheral students and peer facilitation.