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Flipped Classroom Approach Used in the Training of Mass Casualty Triage for Medical Undergraduate Students

Published online by Cambridge University Press:  07 August 2020

Ziyu Zheng ,
Shiwen Yuan ,
Mingcheng Huang ,
Jinli Liao ,
Ruibin Cai ,
Hong Zhan ,
Zhen Yang  and
Yan Xiong
Ziyu Zheng
Affiliation:
Department of Emergency Medicine, the First Affiliated Hospital, Sun Yat-sen University, No. 58, Zhongshan 2nd Road, Guangzhou, China, 510080
Shiwen Yuan
Affiliation:
Department of Rheumatology, Guangzhou First People’s Hospital, School of Medicine, South China University of Technology, Guangzhou, Guangdong, China, No. 1, Panfu Road, Guangzhou, China, 510180
Mingcheng Huang
Affiliation:
Department of Nephrology, Kidney and Urology Center, the Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, Guangdong, China, 518034
Jinli Liao
Affiliation:
Department of Emergency Medicine, the First Affiliated Hospital, Sun Yat-sen University, No. 58, Zhongshan 2nd Road, Guangzhou, China, 510080
Ruibin Cai
Affiliation:
Department of Emergency Medicine, the First Affiliated Hospital, Sun Yat-sen University, No. 58, Zhongshan 2nd Road, Guangzhou, China, 510080
Hong Zhan
Affiliation:
Department of Emergency Medicine, the First Affiliated Hospital, Sun Yat-sen University, No. 58, Zhongshan 2nd Road, Guangzhou, China, 510080
Zhen Yang*
Affiliation:
Department of Emergency Medicine, the First Affiliated Hospital, Sun Yat-sen University, No. 58, Zhongshan 2nd Road, Guangzhou, China, 510080
Yan Xiong*
Affiliation:
Department of Emergency Medicine, the First Affiliated Hospital, Sun Yat-sen University, No. 58, Zhongshan 2nd Road, Guangzhou, China, 510080
*
Correspondence and reprint requests to Zhen Yang (e-mail: [email protected]) and Yan Xiong (e-mail: [email protected]).
Correspondence and reprint requests to Zhen Yang (e-mail: [email protected]) and Yan Xiong (e-mail: [email protected]).
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Abstract

Objective:

The aim of this study was to explore the application of the flipped classroom approach in the training of Mass Casualty Triage (MCT) to medical undergraduate students.

Methods:

In this study, 103 fourth-year medical students were randomly divided into a Flipped Classroom (FC) group (n = 51) and a Traditional Lecture-based Classroom (TLC) group (n = 52). A post-class quiz, simulated field triage (SFT) and feedback questionnaires were performed to assess both groups of students for their learning of the course.

Results:

In the post-quiz, the median (IQR) scores achieved by students from the FC and TLC groups were 42(5) and 39(5.5), respectively. Significant differences were found between the two groups. In the SFT, overall triage accuracy was 67.06% for FC, and 64.23% for TLC students. Over-triage and under-triage errors occurred in 18.43% and 14.50% of the FC group, respectively. The TLC group had a similar pattern of 20.77% over-triage and 15.0% under-triage errors. No significant differences were found regarding overall triage accuracy or triage errors between the two groups.

Conclusions:

The FC approach could enhance course grades reflected in the post-quiz and improve students’ satisfaction with the class. However, there was no significant difference of competency between the two groups demonstrated in the SFT exercise.

Keywords

flipped classroomtraditional lecture-based classroomtrainingmass casualty triagemedical undergraduate student
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 16 , Issue 1 , February 2022 , pp. 94 - 101
Copyright
Copyright © 2020 Society for Disaster Medicine and Public Health, Inc.

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References

REFERENCES

Roe, Y, Rowe, M, Odegaard, NB, et al. Learning with technology in physiotherapy education: design, implementation and evaluation of a flipped classroom teaching approach. BMC Med Educ. 2019;19:291.CrossRefGoogle ScholarPubMed
McLaughlin, JE, Roth, MT, Glatt, DM, et al. The flipped classroom: a course redesign to foster learning and engagement in a health professions school. Acad Med. 2014;89:236‐243.CrossRefGoogle Scholar
Burkhart, SJ, Taylor, JA, Kynn, M, et al. Undergraduate students experience of nutrition education using the flipped classroom approach: a descriptive cohort study. J Nutr Educ Behav. 2020;52:394‐400.CrossRefGoogle ScholarPubMed
Mehta, NB, Hull, AL, Young, JB, et al. Just imagine: new paradigms for medical education. Acad Med. 2013;88:1418‐1423.CrossRefGoogle ScholarPubMed
Zhang, XM, Yu, JY, Yang, Y, et al. A flipped classroom method based on a small private online course in physiology. Adv Physiol Educ. 2019;43:345‐349.CrossRefGoogle ScholarPubMed
Beom, JH, Kim, JH, Chung, HS, et al. Flipped-classroom training in advanced cardiopulmonary life support. PloS One. 2018. doi: 10.1371/journal.pone.0203114.CrossRefGoogle ScholarPubMed
Chen, F, Lui, AM, Martinelli, SM. A systematic review of the effectiveness of flipped classrooms in medical education. Med Educ. 2017;51:585‐597.CrossRefGoogle ScholarPubMed
Riddell, J, Jhun, P, Fung, CC, et al. Does the flipped classroom improve learning in graduate medical education? J Grad Med Educ. 2017;9:491‐496.CrossRefGoogle ScholarPubMed
Betihavas, V, Bridgman, H, Kornhaber, R, et al. The evidence for ‘flipping out’: a systematic review of the flipped classroom in nursing education. Nurse Educ Today. 2016;38:15‐21.CrossRefGoogle ScholarPubMed
Heitz, C, Prusakowski, M, Willis, G, et al. Does the Concept of the “Flipped Classroom” Extend to the Emergency Medicine Clinical Clerkship? West J Emerg Med. 2015;16:851‐855.CrossRefGoogle Scholar
Tang, F, Chen, C, Zhu, Y, et al. Comparison between flipped classroom and lecture-based classroom in ophthalmology clerkship. Med Educ Online. 2017. doi: 10.1080/10872981.2017.1395679.CrossRefGoogle ScholarPubMed
Tan, Y, Liao, X, Su, H, et al. Disaster preparedness among university students in Guangzhou, China: assessment of status and demand for disaster education. Disaster Med Public Health Prep. 2017;11:310‐317.CrossRefGoogle ScholarPubMed
Pesik, N, Keim, ME, Iserson, KV. Terrorism and the ethics of emergency medical care. Ann Emerg Med. 2001;37:642‐646.CrossRefGoogle ScholarPubMed
McKee, CH, Heffernan, RW, Willenbring, BD, et al. Comparing the accuracy of mass casualty triage systems when used in an adult population. Prehosp Emerg Care. 2019:1‐8.Google Scholar
Silvestri, S, Field, A, Mangalat, N, et al. Comparison of START and SALT triage methodologies to reference standard definitions and to a field mass casualty simulation. Am J Disaster Med. 2017;12:27‐33.CrossRefGoogle ScholarPubMed
Lerner, EB, Schwartz, RB, Coule, PL, et al. Mass casualty triage: an evaluation of the data and development of a proposed national guideline. Disaster Med Public Health Prep. 2008;2 Suppl 1:S25‐34.CrossRefGoogle Scholar
Lerner, EB, Cone, DC, Weinstein, ES, et al. Mass casualty triage: an evaluation of the science and refinement of a national guideline. Disaster Med Public Health Prep. 2011;5:129‐137.CrossRefGoogle ScholarPubMed
Stuart, J, Rutherford, RJ. Medical student concentration during lectures. The Lancet. 1978;2:514‐516.CrossRefGoogle ScholarPubMed
Goh, CF, Ong, ET. Flipped classroom as an effective approach in enhancing student learning of a pharmacy course with a historically low student pass rate. Curr Pharm Teach Learn. 2019;11:621‐629.CrossRefGoogle ScholarPubMed
Persky, AM, McLaughlin, JE. The flipped classroom - from theory to practice in health professional education. Am J Pharm Educ. 2017;81:118.CrossRefGoogle ScholarPubMed
Cone, DC, Serra, J, Kurland, L. Comparison of the SALT and Smart triage systems using a virtual reality simulator with paramedic students. Eur J Emerg Med. 2011;18:314‐321.CrossRefGoogle ScholarPubMed
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