Future of Medical Education Journal

Future of Medical Education Journal

Assessment of Factors Affecting Successful Implementation of Flipped Classroom in Medical Education

Document Type : Original Article

Authors
1 Department of Community Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
2 Mashhad Ferdowsi University, Faculty of Educational Sciences and Psychology, Mashhad, Iran
3 Faculty of Medicine, Zabol University of Medical Sciences, Zabol, Iran
4 Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Abstract
Background: The flipped classroom model (FCM) emphasizes a learner-centered approach that promotes active learning, enhances student engagement, and fosters meaningful educational experiences. This study aimed to evaluate the implementation of the FCM and identify essential conditions for its adoption in medical education.
Method: The prerequisites for implementing the flipped classroom were identified through a literature review and expert consultation, and an assessment tool was developed and validated. Two questionnaires and one checklist were used to assess student preparedness, teacher readiness, and technological infrastructure, respectively. The assessment items covered access and skills, motivation and participation, flexibility of instruction and content design, and software and hardware resources, and were scored using a five-point Likert scale. The survey included 250 medical students, 60 medical teachers, and 7 educational technology specialists from Mashhad Medical School.
Results: Three main domains of readiness for implementing the flipped classroom were identified: student preparedness, faculty preparation, and technological infrastructure. The mean scores for student preparedness, faculty preparation, and technology provision were 2.82±0.49 (70.5%), 3.56±0.16 (91%), and 3.00±0.58 (75%), respectively, all indicating a desirable level. Motivation (86%) and access to technology (82%) received the highest scores, whereas online skills (54%) and participation in online discussions (58%) received the lowest. Attention to individual learning and professional coaching had the highest faculty scores (90%). Software facilities (89%) were desirable, while hardware facilities (60.7%) were relatively desirable.
Conclusion: Successful implementation of the FCM in medical education depends on comprehensive readiness among both educators and students, along with reliable technological support. Addressing these prerequisites is essential to fully realize the benefits of this innovative teaching approach.
Keywords
Subjects

1.         Noori M, Dehghani N, Bolourian M, Marvi N. The effectiveness of the flipped classroom from the perspective of medical students: A systematic review of the literature. Medical Education Bulletin. 2022;3(2):651-8.
2.         Kazeminia M, Salehi L, Khosravipour M, Rajati F. Investigation flipped classroom effectiveness in teaching anatomy: A systematic review. Journal of Professional Nursing. 2022;42:15-25.
3.         Nakanishi T, Goto T, Kobuchi T, Kimura T, Hayashi H, Tokuda Y. The effects of flipped learning for bystander cardiopulmonary resuscitation on undergraduate medical students. International journal of medical education. 2017;8:430.
4.         Tsao Y-P, Yeh W-Y, Hsu T-F, Chow L-H, Chen W-C, Yang Y-Y, et al. Implementing a flipped classroom model in an evidence-based medicine curriculum for pre-clinical medical students: evaluating learning effectiveness through prospective propensity score-matched cohorts. BMC Med Educ. 2022;22(1):1-11.
5.         Hew KF, Lo CK. Flipped classroom improves student learning in health professions education: a meta-analysis. BMC Med Educ. 2018;18:1-12.
6.         Pierce R, Fox J. Vodcasts and active-learning exercises in a “flipped classroom” model of a renal pharmacotherapy module. American journal of pharmaceutical education (AJPE). 2012;76(10).
7.         Alabiad CR, Moore KJ, Green DP, Kofoed M, Mechaber AJ, Karp CL. The flipped classroom: an innovative approach to medical education in ophthalmology. J Acad Ophthalmol. 2020;12(02):e96-e103.
8.         Mehta NB, Hull AL, Young JB, Stoller JK. Just imagine: new paradigms for medical education. Acad Med. 2013;88(10):1418-23.
9.         Pirmukhammadovich RA. Flipped Learning in The Educational Process: Essence, Advantages, Limitations. Indonesian Journal of Innovation Studies. 2022 May 11;18.
10.       Crothers A, Bagg J, McKerlie R. The Flipped Classroom for pre-clinical dental skills teaching–a reflective commentary. Br. Dent. J. 2017;222(9):709-13.
11.       Akçayır G, Akçayır M. The flipped classroom: A review of its advantages and challenges. Comput. Educ. 2018;126:334-45.
12.       Cotta KI, Shah S, Almgren MM, Macías-Moriarity LZ, Mody V. Effectiveness of flipped classroom instructional model in teaching pharmaceutical calculations. Curr Pharm Teach Learn. 2016;8(5):646-53.
13.       Zhang F, Wang H, Zhang H, Sun Q. The landscape of flipped classroom research: a bibliometrics analysis. In Frontiers in Education 2024 Mar 28 (Vol. 9, p. 1165547). Frontiers Media SA.
14.       Galway LP, Corbett KK, Takaro TK, Tairyan K, Frank E. A novel integration of online and flipped classroom instructional models in public health higher education. BMC med educ. 2014;14(1):1-9.
15.       Goedhart NS, Blignaut-van Westrhenen N, Moser C, Zweekhorst MB. The flipped classroom: supporting a diverse group of students in their learning. Learn. Environ. Res. 2019 Jul 15;22:297-310.
16.       Bouwmeester RA, de Kleijn RA, van den Berg IE, ten Cate OT, van Rijen HV, Westerveld HE. Flipping the medical classroom: Effect on workload, interactivity, motivation and retention of knowledge. Comput. Educ. 2019 Oct 1;139:118-28.
17.       Hege I, Tolks D, Adler M, Härtl A. Blended learning: ten tips on how to implement it into a curriculum in healthcare education. GMS J Med Educ. 2020;37(5).
18.       Baytiyeh H. The flipped classroom model: when technology enhances professional skills. The International Journal of Information and Learning Technology. 2017. 34. 51-62.
19.  Moraros J, Islam A, Yu S, Banow R, Schindelka B. Flipping for success: evaluating the effectiveness of a novel teaching approach in a graduate level setting. BMC med educ. 2015;15(1):1-10.
20.       Chen L, Chen T-L, Chen N-S. Students’ perspectives of using cooperative learning in a flipped statistics classroom. Australasian Journal of Educational Technology. 2015;31(6).
21.       Leo J, Puzio K. Flipped instruction in a high school science classroom. J Sci Educ Technol. 2016;25:775-81.
22.       Porcaro PA, Jackson DE, McLaughlin PM, O’Malley CJ. Curriculum design of a flipped classroom to enhance haematology learning. J Sci Educ Technol. 2016;25:345-57.
23.       Sun JCY, Wu YT, Lee WI. The effect of the flipped classroom approach to OpenCourseWare instruction on students’ self‐regulation. Br. J. Educ. Technol. 2017;48(3):713-29.
24.       Gaida J, Seville C, Cope L, Dalwood N, Morgan P, Maloney S. Acceptability of a blended learning model that improves student readiness for practical skill learning: A mixed-methods study. Focus on Health Professional Education: A Multi-Professional Journal. 2016;17(1):3-17.