Flipping the classroom in neurological bedside teaching: a prospective controlled study

Autor: Henrik Heitmann, Elisabeth Fischer, Philipp Wagner, Dennis Pötter, Martin Gartmeier, Friederike Schmidt-Graf
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: BMC Medical Education, Vol 23, Iss 1, Pp 1-8 (2023)
Druh dokumentu: article
ISSN: 1472-6920
DOI: 10.1186/s12909-023-04150-2
Popis: Abstract Background Bedside teaching is essential to foster core clinical competences in medical education, especially in Neurology. However, bedside skills are declining and new concepts to enhance the effectiveness of bedside teaching are needed, also in view of limited in-person teaching possibilities in the ongoing pandemic situation. If theoretical knowledge is taught prior to in-person sessions this might allow to better focus on practical application aspects during bedside teaching. We thus aimed to answer the question to what extent such an approach can enhance the effectiveness of neurological bedside teaching. Methods In this prospective controlled study, neurological bedside courses following a traditional and a flipped classroom (FC) approach were compared with regards to their effects on theoretical knowledge and practical skills of medical students. Evaluations were obtained from 161 students and their lecturers participating in a neurological bedside teaching course at a German university hospital between October 2020 and July 2021. Students were randomly assigned to course dates. However, the 74 students assigned to course dates from May to July 2021 completed a mandatory online preparation course prior to the bedside teaching. These students served as the interventional group (IG) and the remaining 87 students formed the control group (CG). Ratings of knowledge and skills provided by the students and their lecturers on numerical rating scales served as primary outcome measures. Moreover, the time needed to recapitulate theoretical contents during the in-person teaching session was assessed as a secondary outcome measure. Group comparisons were performed using t-statistics. Results Theoretical knowledge upon entering the course was rated significantly higher in the IG by the students (p
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