Abstract

Change is hard. The flipped classroom, while a powerful and growing force in medical education, is a major change for many health professions' students. Instructors may avoid “flipping” due to anticipated student resistance and poor course evaluations. The business community has developed specific guidelines on how to manage change using the Kubler-Ross death and dying change curve. This article suggests the change curve and related management strategies can and should be applied to flipped classroom scenarios. Action steps are provided for each stage that can help students move from stress and frustration (“I can't learn this way”) to integrated learning as fast as possible, while simultaneously allowing the full advantages of the flipped classroom to be realized.

Highlights

  • Active participation in the classroom improves student learning and retention.[1,2] Students who discuss and practice material learn more than their counterparts, with more activity correlated with more learning.[3,4] The natural end point is the flipped classroom approach.[5]

  • Action steps are provided for each stage that can help students move from stress and frustration (“I can’t learn this way”) to integrated learning as fast as possible, while simultaneously allowing the full advantages of the flipped classroom to be realized

  • The flipped classroom is a drastic change for many students, in professional education

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Summary

Introduction

Active participation in the classroom improves student learning and retention.[1,2] Students who discuss and practice material learn more than their counterparts, with more activity correlated with more learning.[3,4] The natural end point is the flipped classroom approach.[5] With a flipped classroom, students learn basic information outside of class and use class and instructor time to work with the more challenging material. Studies in medical education have found the flipped classroom improves engagement and motivation while being as effective as standard classroom formats.[6,7] the transition from lecture to a flipped classroom can be daunting for all involved and can lead to concerns about student resistance.[8,9,10,11,12]. The flipped classroom is a drastic change for many students, in professional education.

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Other Considerations
Use Backward Design
Minimize Risks
Ensure Individual Accountability and Prelearning Work
Use Tests Wisely
Commit to the Change
Minimize Other Changes
Plan Small Changes
Conclusion
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