Cara A Liebert1, Dana T Lin2, Laura M Mazer3, Sylvia Bereknyei4, James N Lau2. 1. Department of Surgery, Goodman Surgical Education Center, Stanford School of Medicine, 300 Pasteur Drive, H3552, Stanford, CA, 94305, USA. Electronic address: cara.liebert@stanford.edu. 2. Department of Surgery, Goodman Surgical Education Center, Stanford School of Medicine, 300 Pasteur Drive, H3552, Stanford, CA, 94305, USA. 3. Department of Surgery, Goodman Surgical Education Center, Stanford School of Medicine, 300 Pasteur Drive, H3552, Stanford, CA, 94305, USA; Department of Surgery, Beth Israel Deaconess Medical Center, Boston, MA, USA. 4. Department of Surgery, Goodman Surgical Education Center, Stanford School of Medicine, 300 Pasteur Drive, H3552, Stanford, CA, 94305, USA; Stanford Center for Medical Education Research and Innovation, Palo Alto, CA, USA.
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.
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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