Abstract
Purpose of Review
The purpose of this review is to describe the flipped classroom, its advantages and disadvantages, its use specifically in medical education, and directions for future research. The flipped classroom is an instructional model in which the traditional lecture is delivered in a video format before class. The in-class time is spent on active, inquiry-based learning facilitated by an instructor.
Recent Findings
The flipped classroom is rapidly gaining in interest and popularity, and being increasingly implemented in medical education at all levels. Despite its many theoretical advantages, there are a variety of pros and cons that educators should consider when adopting this methodology. Overall, research findings to date support use of the flipped classroom in regard to learner preference and satisfaction; however, further studies are needed to determine its true effect on learning outcomes.
Summary
The flipped classroom is a relatively new educational modality that can potentially promote learner-centered, self-directed, active learning. There is significant potential for educational researchers who wish to develop assessment tools capable of evaluating deeper learning, particularly within the flipped classroom framework.
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References
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Akçayır G, Akçayır M. The flipped classroom: a review of its advantages and challenges. Comput Educ. 2018;126:334.
Bergmann J, Sams A. Flip your classroom: reach every student in every class every day. Portland: International Society for Technology in Education; 2012.
Davies RS, Dean DL, Ball N. Flipping the classroom and instructional technology integration in a college-level information systems spreadsheet course. Educ Technol Res Dev. 2013;61(4):563–80.
Koohang A, Riley L, Smith T, Schreurs J. E-learning and constructivism: from theory to application. Interdiscip J E-Learn Learn Objects. 2009;5(1):91–109.
•• Moffett J. Twelve tips for “flipping” the classroom. Med Teach. 2015;37(4):331-6. This manuscript provides an excellent review of how to successfully implement a flipped classroom as well as pitfalls to avoid.
McLaughlin JE, Roth MT, Glatt DM, Gharkholonarehe N, Davidson CA, Griffin LM, et al. The flipped classroom: a course redesign to foster learning and engagement in a health professions school. Acad Med: J Assoc Am Med Coll. 2014;89(2):236–43.
Baeten M, Struyven K, Dochy F. Student-centred teaching methods: can they optimise students’ approaches to learning in professional higher education? Stud Educ Eval. 2013;39(1):14–22.
Sternberg R. Applying psychological theories to educational practice. Am Educ Res J. 2008;45(1):150–65.
Prince M. Does active learning work? A review of the research. J Eng Educ. 2004;93(3):223–31.
Bishop JL, Verleger MA. The flipped classroom: a survey of the research. ASEE National Conference Proceedings, Atlanta; 2013.
White PJ, Naidu S, Yuriev E, Short JL, McLaughlin JE, Larson IC. Student engagement with a flipped classroom teaching design affects pharmacology examination performance in a manner dependent on question type. Am J Pharm Educ. 2017;81(9):5931.
Tainter CR, Wong NL, Cudemus-Deseda GA, Bittner EA. The “flipped classroom” model for teaching in the intensive care unit: rationale, practical considerations, and an example of successful implementation. J Intens Care Med. 2017;32(3):187–96.
Lewis CE, Chen DC, Relan A. Implementation of a flipped classroom approach to promote active learning in the third-year surgery clerkship. Am J Surg. 2018;215(2):298–303.
Freeman S, O’Connor E, Parks JW, Cunningham M, Hurley D, Haak D, et al. Prescribed active learning increases performance in introductory biology. CBE-Life Sci Educ. 2007;6(2):132–9.
McKeachie WJ. Teaching and learning in the college classroom: a review of the research literature. Ann Arbor: University of Michigan Press; 1986.
Gordon M. Between constructivism and connectedness. J Teach Educ. 2008;59(4):322–31.
Heitz C, Prusakowski M, Willis G, Franck C. Does the concept of the “flipped classroom” extend to the emergency medicine clinical clerkship? West J Emerg Med. 2015;16(6):851–5.
Hu R, Gao H, Ye Y, Ni Z, Jiang N, Jiang X. Effectiveness of flipped classrooms in Chinese baccalaureate nursing education: a meta-analysis of randomized controlled trials. Int J Nurs Stud. 2018;79:94–103.
Gillette C, Rudolph M, Kimble C, Rockich-Winston N, Smith L, Broedel-Zaugg K. A systematic review and meta analysis of student pharmacist outcomes comparing flipped classroom and lecture. Am J Pharm Educ. 2018;82(5):6898.
•• Chen F, Lui AM, Martinelli SM. A systematic review of the effectiveness of flipped classrooms in medical education. Medical education. 2017;51(6):585-97. This paper provides a comprehensive systematic review of the flipped classroom in medial education.
Chokshi BD, Schumacher HK, Reese K, Bhansali P, Kern JR, Simmens SJ, et al. A “resident-as-teacher” curriculum using a flipped classroom approach: can a model designed for efficiency also be effective? Acad Med: J Assoc Am Med Coll. 2017;92(4):511–4.
•• Martinelli SM, Chen F, DiLorenzo AN, Mayer DC, Fairbanks S, Moran K, et al. Results of a flipped classroom teaching approach in anesthesiology residents. J Grad Med Educ. 2017;9(4):485-90. This was a prospective, controlled, multi-institutional study of the flipped classroom for anesthesia residents. The paper provides a nice methodology that could be used as a model for those wanting to study the flipped classroom particularly in a residency setting.
Riddell J, Jhun P, Fung CC, Comes J, Sawtelle S, Tabatabai R, et al. Does the flipped classroom improve learning in graduate medical education? J Grad Med Educ. 2017;9(4):491–6.
Morton DA, Colbert-Getz JM. Measuring the impact of the flipped anatomy classroom: the importance of categorizing an assessment by Bloom’s taxonomy. Anat Sci Educ. 2017;10(2):170–5.
Chen KS, Monrouxe L, Lu YH, Jenq CC, Chang YJ, Chang YC, et al. Academic outcomes of flipped classroom learning: a meta-analysis. Med Educ. 2018;52:910.
Prober CG, Heath C. Lecture halls without lectures—a proposal for medical education. N Engl J Med. 2012;366(18):1657–9.
Prober CG, Khan S. Medical education reimagined: a call to action. Acad Med: J Assoc Am Med Coll. 2013;88(10):1407–10.
Stuart J, Rutherford R. Medical student concentration during lectures. Lancet. 1978;312(8088):514–6.
Krathwohl DR. A revision of Bloom’s taxonomy: an overview. Theory into Pract. 2002;41(4):212–8.
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Lewis, C.E. Is the Flipped Classroom a Panacea for Medical Education?. Curr Surg Rep 7, 9 (2019). https://doi.org/10.1007/s40137-019-0230-4
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DOI: https://doi.org/10.1007/s40137-019-0230-4