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Flipping the classroom: a national pilot curriculum for physiology in neonatal–perinatal medicine

Abstract

Objective

To explore interest, feasibility, perceived effectiveness, and acceptability of a standardized, national physiology curriculum for neonatal–perinatal medicine (NPM) fellows using online videos for knowledge acquisition paired with flipped classrooms (FCs) for knowledge application.

Study design

Two educational programs pairing online videos with FCs were developed and peer-reviewed. These programs were piloted at five institutions. Fellows completed surveys, and fellows and educators participated in focus groups after their FC experiences.

Results

Thirty-five fellows responded to the survey. Forty-one fellows and six educators participated in focus groups. Fellows and educators preferred online videos paired with FCs over didactic teaching and perceived them to be effective for knowledge acquisition and application.

Conclusion

Fellows and educators preferred FC learning over traditional didactics and reported that FCs facilitated creation of a learning community, fostering active learning. The favorable response toward this pilot project and the feasibility of its use supports further development of a standardized NPM physiology curriculum for fellowship training.

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References

  1. American Board of Pediatrics. Content outline for neonatal-perinatal medicine. 2016. Available at: https://www.abp.org/sites/abp/files/pdf/neonatal_perinatal_content_outline.pdf

  2. Rui Z, Lian-Rui X, Rong-Zheng Y, Jing Z, Xue-Hong W, Chuan Z. Friend or foe? Flipped classroom for undergraduate electrocardiogram learning: a randomized controlled study. BMC Med Educ. 2017;17:53.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Tan E, Brainard A, Larkin GL. Acceptability of the flipped classroom approach for in-house teaching in emergency medicine. Emerg Med Australas. 2015;27:453–9.

    Article  PubMed  Google Scholar 

  4. Tune JD, Sturek M, Basile DP. Flipped classroom model improves graduate student performance in cardiovascular, respiratory, and renal physiology. Adv Physiol Educ. 2013;37:316–20.

    Article  PubMed  Google Scholar 

  5. Young TP, Bailey CJ, Guptill M, Thorp AW, Thomas TL. The flipped classroom: a modality for mixed asynchronous and synchronous learning in a residency program. West J Emerg Med. 2014;15:938–44.

    Article  PubMed  PubMed Central  Google Scholar 

  6. O’Connor EE, Fried J, McNulty N, Shah P, Hogg JP, Lewis P, et al. Flipping radiology education right side up. Acad Radiol. 2016;23:810–22.

    Article  PubMed  Google Scholar 

  7. Boysen-Osborn M, Anderson CL, Navarro R, Yanuck J, Strom S, McCoy CE, et al. Flipping the advanced cardiac life support classroom with team-based learning: comparison of cognitive testing performance for medical students at the University of California, Irvine, United States. J Educ Eval Health Prof. 2016;13:11.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Fox J, Faber D, Pikarsky S, Zhang C, Riley R, Mechaber A, et al. Development of a flipped medical school dermatology module. South Med J. 2017;110:319–24.

    PubMed  Google Scholar 

  9. Shatto B, L’Ecuyer K, Quinn J. Retention of content utilizing a flipped classroom approach. Nurs Educ Perspect. 2017;38:206–8.

    Article  PubMed  Google Scholar 

  10. Moraros J, Ashrafi A, Yu S, Banow R, Schindelka B. Correction to: flipping for success: evaluating the effectiveness of a novel teaching approach in a graduate level setting. BMC Med Educ. 2017;17:203.

    Article  PubMed  PubMed Central  Google Scholar 

  11. 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;15:27.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Tolks D, Schafer C, Raupach T, Kruse L, Sarikas A, Gerhardt-Szep S, et al. An introduction to the inverted/flipped classroom model in education and advanced training in medicine and in the healthcare professions. GMS J Med Educ. 2016;33:Doc46.

    PubMed Central  PubMed  Google Scholar 

  13. Williams DE. The future of medical education: flipping the classroom and education technology. Ochsner J. 2016;16:14–15.

    PubMed Central  PubMed  Google Scholar 

  14. Prober CG, Khan S. Medical education reimagined: a call to action. Acad Med. 2013;88:1407–10.

    Article  PubMed  Google Scholar 

  15. Bloom BS, Engelhart MD, Furst EJ, Hill WH, Kratwohl DR. Taxonomy of educational objectives: the classification of educational goals. Handbook I, Cognitive domain. Longmans Green and Co., London, England. 1956.

  16. Anderson LW, Kratwohl DR, Airasian PW, Cruikshank KA, Mayer RE, Pintrich PE, et al. A taxonomy for learning, teaching, and assessing: a revision of Bloom’s taxonomy of educational objectives. Pearson Education, Limited: Boston, MA; 2001.

  17. Wittich CM, Agrawal A, Wang AT, Halvorsen AJ, Mandrekar JN, Chaudhry S, et al. Flipped classrooms in graduate medical education: a national survey of residency program directors. Acad Med. 2018;93:471–7.

    Article  PubMed  Google Scholar 

  18. Schneider J, O'Hara K, Munro I. Using continuing professional development with portfolio in a pharmaceutics course. Pharmacy (Basel, Switzerland). 2016;4:E36

    Google Scholar 

  19. 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:ar5.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42:377–81.

    Article  PubMed  Google Scholar 

  21. Accreditation Council for Graduate Medical Education. ACGME common program requirements. 2017. Available at http://www.acgme.org/Portals/0/PFAssets/ProgramRequirements/CPRs_2017-07-01.pdf.

  22. Moffett J. Twelve tips for “flipping” the classroom. Med Teach. 2015;37:331–6.

    Article  PubMed  Google Scholar 

  23. Charmaz K. Teaching theory construction with initial grounded theory tools: a reflection on lessons and learning. Qual Health Res. 2015;25:1610–22.

    Article  PubMed  Google Scholar 

  24. Mahan JD, Clinchot D. Why medical education is being (inexorably) re-imagined and re-designed. Curr Probl Pediatr Adolesc Health Care. 2014;44:137–40.

    Article  PubMed  Google Scholar 

  25. Nasca TJ, Philibert I, Brigham T, Flynn TC. The next GME accreditation system - rationale and benefits. N Engl J Med. 2012;366:1051–6.

    Article  CAS  PubMed  Google Scholar 

  26. Lai CJ, Aagaard E, Brandenburg S, Nadkarni M, Wei HG, Baron R. Brief report: Multiprogram evaluation of reading habits of primary care internal medicine residents on ambulatory rotations. J Gen Intern Med. 2006;21:486–9.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Nothnagle M, Anandarajah G, Goldman RE, Reis S. Struggling to be self-directed: residents’ paradoxical beliefs about learning. Acad Med. 2011;86:1539–44.

    Article  PubMed  Google Scholar 

  28. Bolster L, Rourke L. The effect of restricting residents’ duty hours on patient safety, resident well-being, and resident education: an updated systematic review. J Grad Med Educ. 2015;7:349–63.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Sawatsky AP, Ratelle JT, Bonnes SL, Egginton JS, Beckman TJ. A model of self-directed learning in internal medicine residency: a qualitative study using grounded theory. BMC Med Educ. 2017;17:31.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Chahla M, Eberlein M, Wright S. The effect of providing a USB syllabus on resident reading of landmark articles. Med Educ Online. 2010;15. https://doi.org/10.3402/meo.v15i0.4639.

    Article  Google Scholar 

  31. Kerfoot BP, Fu Y, Baker H, Connelly D, Ritchey ML, Genega EM. Online spaced education generates transfer and improves long-term retention of diagnostic skills: a randomized controlled trial. J Am Coll Surg. 2010;211:331–7 e331.

    Article  PubMed  Google Scholar 

  32. Pierce R, Fox J. Vodcasts and active-learning exercises in a “flipped classroom” model of a renal pharmacotherapy module. Am J Pharm Educ. 2012;76:196.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Persky AM, McLaughlin JE. The flipped classroom - from theory to practice in health professional education. Am J Pharm Educ. 2017;81:118.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Kirkpatrick DL, Kirkpatrick JD. Evaluating training programs: the four levels, 3rd ed. Berrett-Koehler: San Francisco, CA; 2006.

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Acknowledgements

The authors would like to acknowledge ONTPD and MedEd On The Go for their support of this project. We are thankful that the AAP journal NeoReviews has given us permission to use questions from their CME articles and case stems from their Index of Suspicion cases. In addition, we extend our thanks to Dara Brodsky, MD, and Camilia Martin, MD, the editors of the book Neonatology Review: Q&A 3rd edition who have provided permission to use questions from their book.

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Correspondence to Heather French.

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French, H., Gray, M., Gillam-Krakauer, M. et al. Flipping the classroom: a national pilot curriculum for physiology in neonatal–perinatal medicine. J Perinatol 38, 1420–1427 (2018). https://doi.org/10.1038/s41372-018-0185-9

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