THE FLIPPED CLASSROOM MODEL: EXPLORING THE EFFECT ON THE KNOWLEDGE RETENTION OF MEDICAL STUDENTS
Keywords:Flipped classroom, knowledge retention, mixed-methods study, undergraduate education, medical students.
AbstractBackground: In the Middle East, where most of the higher learning institutions still focus on the teacher-centred approach, implementation of this pedagogical model is an enormous task for educators. This study was designed to assess the role that the flipped classroom modality plays in the knowledge retention of medical students with a background in traditional methods of teaching and learning. Methods: This study employed a mixed study design among a sample of 3rd year medical students (n=193) in the neurosciences course block. The students were divided into two groups: experimental and control. A post-test, a questionnaire, and semi-structured interviews as research instruments were used to collect data in this study. Results: The results revealed a significant mean difference between the post-test scores in traditional (4.1±0.98) and flipped classroom (3.6±1.03) with a p-value=0.01, while no mean difference was found between male and female students (3.9±1.04, 3.9±1.02, p-value=0.77). The students appreciated the flipped classroom modality that helped with information sharing, interaction with peers and learning from others’ experiences. Correspondingly, the four main characteristics of flipped classroom emerged from the thematic analysis: (1) positive perceptions of the flipped classroom, (2) challenges of the flipped classroom, (3) the effects of personal characteristics, and (4) lack of administration support. Conclusion: The performance of students was better in the traditional class than in the flipped classroom, particularly in the cognitive areas that deal with the interpretation and application of knowledge. The students taking responsibility for their own learning in this new modality and the short duration of the study might have had some influence on the study results. Future in-depth studies are recommended
Bergmann J, Sams A, Bruss K. Flipped learning: Gateway to student engagement. Washington DC. International Society for Technology in Education: Eugene, Oregon and Washington, DC. 2014.
Yousefzadeh M, Salimi A. The effect of flipped learning (revised learning) on Iranian students’ learning outcomes. Adv Lang Lit Stud 2015;6(5):209–13.
Bull G, Ferster B, Kjellstrom W. Connected classroom inventing the flipped classroom. Learn Lead Technol 2012;40(1):10–11.
Lage MJ, Platt GJ, Treglia M. Inverting the classroom: A gateway to creating an inclusive learning environment. J Econ Educ 2000;31(1):30–43.
Akçayır G, Akçayır M. The flipped classroom: A review of its advantages and challenges. Comput Educ 2018;126:334–45.
Hurtubise L, Hall E, Sheridan L, Han H. The flipped classroom in medical education: engaging students to build competency. J Med Educ Curric Dev 2015;2:JMECD-S23895.
Sajid MR, Laheji AF, Abothenain F, Salam Y, AlJayar D, Obeidat A. Can blended learning and the flipped classroom improve student learning and satisfaction in Saudi Arabia? Int J Med Educ 2016;4(7):281–5.
Pierce R, Fox J. Vodcasts and active-learning exercises in a "flipped classroom" model of a renal pharmacotherapy module. Am J Pharm Educ 2012;76(10):196.
Chen F, Lui AM, Martinelli SM. A systematic review of the effectiveness of flipped classrooms in medical education. Med Educ 2017;51(6):585–97.
Buckwalter JA, Schumacher R, Albright JP, Cooper RR. Use of an educational taxonomy for evaluation of cognitive performance. J Med Educ 1981;56(2):115–21.
Furst EJ. Bloom’s taxonomy of educational objectives for the cognitive domain: Philosophical and educational issues. Rev Educ Res 1981;51(4):441–53.
Gianoni-Capenakas S, Lagravere M, Pacheco-Pereira C, Yacyshyn J. Effectiveness and perceptions of flipped learning model in dental education: A Systematic Review. J Dent Educ 2019;83(8):935–45.
Shiau S, Kahn LG, Platt J, Li C, Guzman JT, Kornhauser ZG, et al. Evaluation of a flipped classroom approach to learning introductory epidemiology. BMC Med Educ 2018;18(1):63.
Fischer M, Spannagel C. Lernen mit Vorlesungsvideos in der umgedrehten Mathematikvorlesung. In: Desel J, Haake JM, Spannagel C. DeLFI 2012: Die 10. e-Learning Fachtagung Informatik der Gesellschaft für Informatik eV. Gesellschaft für Informatik eV 2012;2012:225–36.
Jensen JL, Kummer TA, d M Godoy PD. Improvements from a flipped classroom may simply be the fruits of active learning. CBE Life Sci Educ 2015;14(1):ar5.
Tune JD, Sturek M, Basile DP. Flipped classroom model improves graduate student performance in cardiovascular, respiratory, and renal physiology. Adv Physiol Educ 2013;37(4):316–20.
Howard SW, Scharff DP, Loux TM. Flipping classrooms in a school of Public Health. Front Public Health 2017;5:73.
Veeramani R, Madhugiri VS, Chand P. Perception of MBBS students to "flipped class room" approach in neuroanatomy module. Anat Cell Biol 2015;48(2):138–43.
Tainter CR, Wong NL, Cudemus-Deseda GA, Bittner EA. The "Flipped Classroom" Model for Teaching in the Intensive Care Unit. J Intensive Care Med 2017;32(3):187–96.
Chen Y, Wang Y, Chen KN. Is FLIP enough? Or should we use the FLIPPED model instead? Comput Educ 2014;79:16–27.
Strayer JF. How learning in an inverted classroom influences cooperation, innovation and task orientation. Learn Env Res 2012;5(2):171–93.
Enfield J. Looking at the impact of the flipped classroom model of instruction on undergraduate multimedia students at CSUN. Tech Trends 2013;57(6):14–27.
Sawarynski KE, Eastwood JL, Iyer N. An integrated flipped classroom model for medical education. FASEB J 2013;27(Suppl 1):517.
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