Effectiveness of the Surgery Core Clerkship Flipped Classroom: a prospective cohort trial

Abstract Background The flipped classroom has been proposed as an alternative curricular approach to traditional didactic lectures but has not been previously applied to a surgery clerkship. Methods A 1-year prospective cohort of students ( n = 89) enrolled in the surgery clerkship was taught using...

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Published inThe American journal of surgery Vol. 211; no. 2; pp. 451 - 457.e1
Main Authors Liebert, Cara A., M.D, Lin, Dana T., M.D, Mazer, Laura M., M.D., M.S, Bereknyei, Sylvia, Dr.P.H, Lau, James N., M.D., F.A.C.S
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.02.2016
Elsevier Limited
Subjects
Active learning
Adult
Blended learning
Career Choice
Classrooms
Clerkship
Clinical Clerkship - organization & administration
Clinical Competence
Cohort Studies
Curriculum
Education
Female
Flipped classroom
General Surgery - education
Historically Controlled Study
Humans
Laparoscopy
Male
Medical examiners
Medical student
Public speaking
Simulation
Skills
Small intestine
Standard deviation
Students
Surgery
Ultrasonic imaging
Flipped classroom
Surgery
Medical student
Clerkship
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Summary:Abstract Background The flipped classroom has been proposed as an alternative curricular approach to traditional didactic lectures but has not been previously applied to a surgery clerkship. Methods A 1-year prospective cohort of students ( n = 89) enrolled in the surgery clerkship was taught using a flipped classroom approach. A historical cohort of students ( n = 92) taught with a traditional lecture curriculum was used for comparison. Pretest and post-test performance, end-of-clerkship surveys, and National Board of Medical Examiners (NBME) scores were analyzed to assess effectiveness. Results Mean pretest and post-test scores increased across all modules ( P < .001). There was no difference between mean NBME examination score in the prospective and historical cohorts (74.75 vs 75.74, P = .28). Mean ratings of career interest in surgery increased after curriculum completion (4.75 to 6.50, P < .001), with 90% reporting that the flipped classroom contributed to this increase. Conclusions Implementation of a flipped classroom in the surgery clerkship is feasible and results in high learner satisfaction, effective knowledge acquisition, and increased career interest in surgery with noninferior NBME performance.
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ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2015.10.004