Effectiveness of flipped classrooms in Chinese students of clinical medicine major undergoing clinical practice: a meta-analysis

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Bibliografiset tiedot
Julkaisussa:BMC Medical Education vol. 25 (2025), p. 1
Päätekijä: Sun, Xinrui
Muut tekijät: Yuan, Xin, Zhang, Linyu, Zhang, Yi, Xue Xiao, Liu, Hanmin, Ma, Fang
Julkaistu:
Springer Nature B.V.
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022 |a 1472-6920 
024 7 |a 10.1186/s12909-025-06737-3  |2 doi 
035 |a 3165514866 
045 2 |b d20250101  |b d20251231 
084 |a 58506  |2 nlm 
100 1 |a Sun, Xinrui 
245 1 |a Effectiveness of flipped classrooms in Chinese students of clinical medicine major undergoing clinical practice: a meta-analysis 
260 |b Springer Nature B.V.  |c 2025 
513 |a Evidence Based Healthcare Journal Article 
520 3 |a IntroductionClinical practice is a cornerstone of undergraduate training in Chinese medical education, ensuring the development of essential skills for future professionals. While flipped classrooms have gained popularity for their potential to enhance learning outcomes, the effectiveness of this approach in clinical settings remains underexplored. This study aims to address this research gap by consolidating evidence on the impact of flipped classrooms through a comprehensive meta-analysis.MethodsTwo researchers independently screened all the retrieved articles and did data extraction. The Cochrane Risk of Bias tool for randomized trials was used for methodological quality assessment. Weighted mean differences (WMD) and 95% confidence interval (CI) were used to compare the differences in theoretical and skill scores between the flipped classrooms and traditional lecture groups. The Cochran Q test and the I2 statistic were used for heterogeneity analysis. The funnel plots were used to assess the publication bias. All analyses will be performed via RevMan version 5.3.ResultsA total of 19 studies were included in the final analysis, 18 of which were eligible for quantitative analysis. As a high level of heterogeneity of included studies, random effect models were used. Both the theoretical and skill scores in flipped classroom students were higher than those in traditional lecture students (SMD = 8.33, 95% CI: 5.91–10.75, P < 0.001; SMD = 7.91, 95% CI: 5.86–9.91, P < 0.001, respectively). However, all included studies were of poor quality, and funnel plots indicated the presence of publication bias.ConclusionFlipped classrooms demonstrate potential in improving both theoretical knowledge and practical skills among medical students in clinical practice. Despite these promising results, the interpretation is limited by methodological shortcomings and potential publication bias in the included studies. Future research should focus on conducting high-quality, large-scale trials to validate these findings and explore their broader applicability. 
653 |a Problem solving 
653 |a Medical education 
653 |a Clinical medicine 
653 |a Intervention 
653 |a Medical students 
653 |a Bias 
653 |a Skills 
653 |a Medicine 
653 |a Flipped classroom 
653 |a Knowledge 
653 |a Medical research 
653 |a Learning 
653 |a Meta-analysis 
653 |a Learning Activities 
653 |a Student Satisfaction 
653 |a Control Groups 
653 |a Learning Motivation 
653 |a Lecture Method 
653 |a Sample Size 
653 |a Researchers 
653 |a Statistical Significance 
653 |a Ophthalmology 
653 |a Meta Analysis 
653 |a Student Teaching 
653 |a Blended Learning 
653 |a Search Strategies 
653 |a Information Seeking 
653 |a Effect Size 
653 |a Student Motivation 
653 |a Data Analysis 
653 |a Interpersonal Communication 
653 |a Database Management Systems 
653 |a Learner Engagement 
653 |a Classroom Environment 
700 1 |a Yuan, Xin 
700 1 |a Zhang, Linyu 
700 1 |a Zhang, Yi 
700 1 |a Xue Xiao 
700 1 |a Liu, Hanmin 
700 1 |a Ma, Fang 
773 0 |t BMC Medical Education  |g vol. 25 (2025), p. 1 
786 0 |d ProQuest  |t Healthcare Administration Database 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3165514866/abstract/embedded/6A8EOT78XXH2IG52?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3165514866/fulltext/embedded/6A8EOT78XXH2IG52?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3165514866/fulltextPDF/embedded/6A8EOT78XXH2IG52?source=fedsrch