The Effectiveness of Flipped Classroom during the COVID-19 Pandemic in Higher Pharmaceutical Education

Authors

  • Tatyana Mikhailovna Litvinova Sechenov First Moscow State Medical University, Moscow, Russian Federation
  • Evgeniia Alekseevna Budenkova Sechenov First Moscow State Medical University, Moscow, Russian Federation
  • Liudmila Ivanovna Babaskina Sechenov First Moscow State Medical University, Moscow, Russian Federation
  • Irina Yurievna Glazkova Sechenov First Moscow State Medical University, Moscow, Russian Federation
  • Dmitriy Vladimirovich Babaskin Sechenov First Moscow State Medical University, Moscow, Russian Federation

DOI:

https://doi.org/10.3889/oamjms.2022.8495

Keywords:

Flipped classroom, COVID-19, Pharmaceutical education, Blended learning, Team-based learning

Abstract

BACKGROUND: Despite the apparent advantages of the flipped classroom model especially during a pandemic or natural or technogenic disasters, its overall effectiveness in higher medical and pharmaceutical education continues to be debated.

AIM: The goal of the study was to test the effectiveness and acceptability of using the flipped classroom model during the COVID-19 pandemic in higher pharmaceutical education based on the example of the “Pharmaceutical Marketing” discipline at Sechenov First Moscow State Medical University, Russia.

METHODS: The study involved 156 fourth-year pharmacy students. They were divided into three clusters: FC – studying in accordance with the flipped classroom model, FC+TBL – using the flipped classroom technology combined with the team-based method, and CC – studying by the traditional scheme (control). The study used the Unified educational portal of the Sechenov University. Additional elements were developed for the electronic educational and methodical complex for the studied section “Analysis of the marketing environment of a pharmaceutical organization.” The effectiveness of the flipped classroom model was evaluated through test control (entrance, formative, thematic, and final) and control of the development of skills and abilities in solving situational problems (thematic and final). The study participants’ attitude toward the use of the flipped classroom model was assessed through a survey.

RESULTS: The study demonstrated that students from the FC and FC+TBL clusters were significantly better prepared for practical lessons and worked more effectively and productively during these classes compared to the CC cluster students. The results of the final control also substantiate the advantages of the flipped classroom technology both in assessing practical skills and abilities and in testing. The opportunities for rational implementation of the complex technology (FC+TBL cluster) are identified.

CONCLUSIONS: The analysis of students’ general opinion on the flipped classroom model shows that 90.4% of the FC cluster members and 84.6% of the FC+TBL cluster members are satisfied with the results of using this model and consider it suitable for studying both the “Analysis of the marketing environment of a pharmaceutical organization” section and the entire pharmaceutical marketing course. Students’ positive feedback on the use of the flipped classroom model provides grounds for further implementation of this technology in the “Pharmaceutical Marketing” discipline in its entirety and demonstrates that further research on the use of other blended learning models is quite promising.

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References

Abbas JR, Kenth JJ, Bruce IA. The role of virtual reality in the changing landscape of surgical training. J Laryngol Otol. 134(10): 863-866. https://doi.org/10.1017/s0022215120002078 PMid:33032666 DOI: https://doi.org/10.1017/S0022215120002078

Abdulkareem SA, Augustijn EW, Filatova T, Musial K, Mustafa YT. Risk perception and behavioral change during epidemics: Comparing models of individual and collective learning. PLoS One. 2020;15(1):e0226483. https://doi.org/10.1371/journal.pone.0226483 PMid:31905206 DOI: https://doi.org/10.1371/journal.pone.0226483

Jones TA, Vidal G, Taylor C. Interprofessional education during the COVID-19 pandemic: Finding the good in a bad situation. J Interprof Care. 2020;34(5):633-46. https://doi.org/10.1080/13561820.2020.1801614 PMid:32811228 DOI: https://doi.org/10.1080/13561820.2020.1801614

Lischer S, Safi N, Dickson C. Remote learning and students’ mental health during the Covid-19 pandemic: A mixed-method enquiry. Prospects (Paris). 2021:1-11. https://doi.org/10.1007/s11125-020-09530-w PMid:33424041 DOI: https://doi.org/10.1007/s11125-020-09530-w

Ramlo S. The coronavirus and higher education: Faculty viewpoints about universities moving online during a worldwide pandemic. Innov High Educ. 2021;46:241-259. https://doi.org/10.1007/s10755-020-09532-8 PMid:33437113 DOI: https://doi.org/10.1007/s10755-020-09532-8

Adams Becker S, Cummins M, Davis A, Freeman A, Hall Giesinger C, Ananthanarayanan V. NMC Horizon Report. Higher Education Edition. Austin, Texas: The New Media Consortium; 2021. Available from: http://www.cdn.nmc.org/media/2017-nmchorizon-report-he-EN [Last accessed on 2021 Mar 25]. https://doi.org/10.5209/tekn.58102 DOI: https://doi.org/10.5209/TEKN.58102

Margolis AA. What kind of blending makes blended learning? Psychol Sci Educ. 2018;3(23):5-19. https://doi.org/10.17759/pse.2018230301 DOI: https://doi.org/10.17759/pse.2018230301

Moro C, Smith J, Stromberga Z. Multimodal learning in health sciences and medicine: Merging technologies to enhance student learning and communication. Adv Exp Med Biol. 2019;1205:71-8. https://doi.org/10.1007/978-3-030-31904-5_5 PMid:31894570 DOI: https://doi.org/10.1007/978-3-030-31904-5_5

Pletyago TY, Ostapenko AS, Antonova SN. Pedagogical models of blended learning: On the experience of Russian and foreign practice of design and implementation. Educ Sci J. 2019;5(21):113-30. https://doi.org/10.17853/1994-5639-2019-5-113-130 DOI: https://doi.org/10.17853/1994-5639-2019-5-113-130

Tudor Car L, Kyaw BM, Dunleavy G, Smart NA, Semwal M, Rotgans JI, et al. Digital problem-based learning in health professions: Systematic review and meta-analysis by the digital health education collaboration. J Med Internet Res. 2019;21(2):e12945. https://doi.org/10.2196/12945 PMid:30816846 DOI: https://doi.org/10.2196/12945

Vasilieva JS, Rodionova EV, Chicherina NV. Blended learning: Models and real cases. Open Distance Educ. 2019;1(73):22-31.

Sánchez J, Andreu-Vázquez C, Lesmes M, García-Lecea M, Rodríguez-Martín I, Tutor AS, et al. Quantitative and qualitative evaluation of a learning model based on workstation activities. PLoS One. 2020;15(8):e0236940. https://doi.org/10.1371/journal.pone.0236940 PMid:32756582 DOI: https://doi.org/10.1371/journal.pone.0236940

Staker H, Horn MB. Classifying K-12 Blended Learning. 2012. Mountain View, CA: Innosight Institute; 2012. Available from: http://www.christenseninstitute.org/wp-content/uploads/2013/04/Classifying-K-12-blended-learning [Last accessed on 2021 Mar 25].

Twigg CA. Improving learning and reducing costs: New models for online learning. Educause Review. 2003;38(5):28-38.

Angadi NB, Kavi A, Shetty K, Hashilkar NK. Effectiveness of flipped classroom as a teaching-learning method among undergraduate medical students-an interventional study. J Educ Health Promot. 2019;8:211. PMid:31807601

Decloedt A, Franco D, Martlé V, Baert A, Verwulgen A, Valcke M. Development of surgical competence in veterinary students using a flipped classroom approach. J Vet Med Educ. 2020;48(3):281-8. https://doi.org/10.3138/jvme.2019-0060 PMid:32108546 DOI: https://doi.org/10.3138/jvme.2019-0060

French H, Arias-Shah A, Gisondo C, Gray MM. Perspectives: The flipped classroom in graduate medical education. Neoreviews. 2020;21(3):e150-6. https://doi.org/10.1542/neo.21-3-e150 PMid:32123119 DOI: https://doi.org/10.1542/neo.21-3-e150

Ge L, Chen Y, Yan C, Chen Z, Liu J. Effectiveness of flipped classroom vs traditional lectures in radiology education: A metaanalysis. Medicine (Baltimore). 2020;99(40):e22430. https://doi.org/10.1097/md.0000000000022430 PMid:33019421 DOI: https://doi.org/10.1097/MD.0000000000022430

Gillette C, Rudolph M, Kimble C, Rockich-Winston N, Smith L, Broedel-Zaugg K. A meta-analysis of outcomes comparing flipped classroom and lecture. Am J Pharm Educ. 2018;82(5):6898. https://doi.org/10.5688/ajpe6898 PMid:30013248 DOI: https://doi.org/10.5688/ajpe6898

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(6):621-9. https://doi.org/10.1016/j.cptl.2019.02.025 DOI: https://doi.org/10.1016/j.cptl.2019.02.025

Jensen JL, Kummer TA, Godoyd PD. Improvements from a flipped classroom may simply be the fruits of active learning. CBE Life Sci Educ. 2015;14(1):ar5. https://doi.org/10.1187/cbe.14-08-0129 PMid:25699543 DOI: https://doi.org/10.1187/cbe.14-08-0129

Bishop J, Verleger MA. The Flipped Classroom: A Survey of the Research Paper. Atlanta, Georgia: ASEE Annual Conference and Exposition; 2013. https://doi.org/10.18260/1-2--22585 DOI: https://doi.org/10.18260/1-2--22585

El Miedany Y. Flipped learning. In: Rheumatology Teaching. Cham: Springer; 2019. p. 285-303. https://doi.org/10.1007/978-3-319-98213-7_15 DOI: https://doi.org/10.1007/978-3-319-98213-7_15

Moffett J. Twelve tips for flipping the classroom. Med Teach. 2015;37(4):331-6. PMid:25154646 DOI: https://doi.org/10.3109/0142159X.2014.943710

Tomas L, Evans N, Doyle T, Skamp K. Are first year students ready for a flipped classroom? A case for a flipped learning continuum. Int J Educ Technol Higher Educ. 2019;16(5):1-22. https://doi.org/10.1186/s41239-019-0135-4 DOI: https://doi.org/10.1186/s41239-019-0135-4

Vali I. The flipped classroom. Educ Quart Rev. 2019;2(2):395-407.

Bossaer JB, Panus P, Stewart DW, Hagemeier NE, George J. Student performance in a pharmacotherapy oncology module before and after flipping the classroom. Am J Pharm Educ. 2016;80(2):31. https://doi.org/10.5688/ajpe80231 PMid:27073284 DOI: https://doi.org/10.5688/ajpe80231

Hwang GJ, Lai CL, Wang SY. Seamless flipped learning: A mobile technology-enhanced flipped classroom with effective learning strategies. J Comput Educ. 2015;2:449-73. https://doi.org/10.1007/s40692-015-0043-0 DOI: https://doi.org/10.1007/s40692-015-0043-0

De Jaegher L. What is the impact of the flipping the classroom instructional e-learning model on teachers. Educ Stud Moscow. 2020;2:175-203. https://doi.org/10.17323/1814-9545-2020-2-175-203 DOI: https://doi.org/10.17323/1814-9545-2020-2-175-203

iFLIP Project. Adult Learners Needs Analysis Report. Survey Results and Conclusions; 2017. Available from: http://www.projectiflip.eu/wp-content/uploads/2018/05/ifLIP_IO2_Adult-Learners-needs-analysis-report [Last accessed on 2021 Mar 25].

Dziuban C, Graham C, Moskal P, Norberg A. Sicilia N. Blended learning. The new normal and emerging technologies. Int J Educ Technol Higher Educ. 2018;15(3):1-16. https://doi.org/10.1186/s41239-017-0087-5 DOI: https://doi.org/10.1186/s41239-017-0087-5

Banerjee Y, Tuffnell C, Alkhadragy R. Mento’s change model in teaching competency-based medical education. BMC Med Educ. 2019;19(1):472. https://doi.org/10.1186/s12909-019-1896-0 PMid:31882006 DOI: https://doi.org/10.1186/s12909-019-1896-0

Lewis CE. Is the flipped classroom a panacea for medical education? Curr Surg Rep. 2019;7(9):348. https://doi.org/10.1007/s40137-019-0230-4 DOI: https://doi.org/10.1007/s40137-019-0230-4

He Y, Lu J, Huang H, He S, Ma N, Sha Z, et al. The effects of flipped classrooms on undergraduate pharmaceutical marketing learning: A clustered randomized controlled study. PLoS One. 2019;14(4):e0214624. https://doi.org/10.1371/journal.pone.0214624 PMid:30969976 DOI: https://doi.org/10.1371/journal.pone.0214624

Sajid M, Shaikh AA, Ikram MF, Cahusac P, Yaqinuddin A, AlKattan W, et al. Comparative analysis of effectiveness between flipped classroom and lecture-based classroom in undergraduate medical education at Alfaisal University. Cureus. 2020;12(11):e11408. https://doi.org/10.7759/cureus.11408 PMid:33312806 DOI: https://doi.org/10.7759/cureus.11408

ICC, ESOMAR. International Code on Market, Opinion and Social Research and Data Analytics. ESOMAR; 2016. Available from: https://www.esomar.org/uploads/pdf/professionalstandards/ICCESOMAR_Code_English [Last accessed on 2021 Mar 25]. https://doi.org/10.1002/rwm3.20379 DOI: https://doi.org/10.1002/rwm3.20379

Mishra P. Considering contextual knowledge: The TPACK diagram gets an upgrade. J Digit Learn Teach Educ. 2019;35(2):76-8. https://doi.org/10.1080/21532974.2019.1588611 DOI: https://doi.org/10.1080/21532974.2019.1588611

Bloom BS, Engelhart MD, Furst EJ, Hill WH, Krathwohl DR. Taxonomy of educational objectives: The classification of educational goals. In: Handbook I: Cognitive Domain. New York: David McKay Company; 1956. https://doi.org/10.1177/001316446502500324 DOI: https://doi.org/10.1177/001316446502500324

Kurt S. Using Bloom’s Taxonomy to Write Effective Learning Objectives: The ABCD Approach. Educational Technology; 2019. Available from: https://www.educationaltechnology.net/using-blooms-taxonomy-to-write-effective-learning-objectivesthe-abcd-approach [Last accessed on 2021 Mar 25]. https://doi.org/10.1016/b978-0-12-814702-3.00025-1 DOI: https://doi.org/10.1016/B978-0-12-814702-3.00025-1

GOST R 55751-2013. Information and Communication Technologies in Education. Electronic Educational-methodical Complexes. Requirements and Characteristics. Available from: http://www.docs.cntd.ru/document/1200108264 [Last accessed on 2021 Mar 25].

GOST R 53625-2009 (ISO/IEC 19796-1: 2005). Information Technology (IT). Learning, Education, and Training. Quality Management, Ensuring Quality and Metrics. Part 1. General Approach. Available from: http://www.docs.cntd.ru/document/1200082197 [Last accessed on 2021 Mar 25].

Burgess A, Roberts C, Ayton T, Mellis C. Implementation of modified team-based learning within a problem based learning medical curriculum: A focus group study. BMC Med Educ. 2018;18(1):74. https://doi.org/10.1186/s12909-018-1172-8 DOI: https://doi.org/10.1186/s12909-018-1172-8

Koh YY, Schmidt HG, Low-Beer N, Rotgans JI. Team-based learning analytics: An empirical case study. Acad Med. 2020;95(6):872-8. https://doi.org/10.1097/acm.0000000000003157 PMid:31972678 DOI: https://doi.org/10.1097/ACM.0000000000003157

Wheeler S, Valentino AS, Liston BW, Li J, McAuley JW. A teambased learning approach to interprofessional education of medical and pharmacy students. Curr Pharm Teach Learn. 2019;11(11):1190-5. https://doi.org/10.1016/j.cptl.2019.07.010 PMid:31783968 DOI: https://doi.org/10.1016/j.cptl.2019.07.010

Dohaney J, de Róiste M, Salmon RA, Sutherland K. Benefits, barriers, and incentives for improved resilience to disruption in university teaching. Int J Disaster Risk Reduct. 2020;50:101691. https://doi.org/10.1016/j.ijdrr.2020.101691 DOI: https://doi.org/10.1016/j.ijdrr.2020.101691

Masha’al D, Rababa M, Shahrour G. Distance learning-related stress among undergraduate nursing students during the COVID-19 pandemic. J Nurs Educ. 2020;59(12):666-74. https://doi.org/10.3928/01484834-20201118-03 PMid:33253395 DOI: https://doi.org/10.3928/01484834-20201118-03

Babaskina LI, Litvinova TM, Babaskin DV. Key points in the development of medicinal products for electro-and phonophoresis based on a phytocomplex in the rehabilitation of patients with osteoarthritis. J Pharm Sci Res. 2018;10(8):1991-4.

Lawson R, Géniaux H, Bailly S, Pouget C, Fagnère C, Laroche ML, et al. Contributions of a blended learning based on peer evaluation for teaching drug-drug interactions to undergraduate pharmacy students. BMC Med Educ. 2019;19(1):426. https://doi.org/10.1186/s12909-019-1867-5 DOI: https://doi.org/10.1186/s12909-019-1867-5

Soy-Muner D. Continuous learning through platforms. Farm Hosp. 2020;44(7):71-3. PMid:32533676

Radygin VY, Lukyanova NV, Kupriyanov DY. LMS in university for in-class education: Synergy of free software, competitive approach and social networks technology. AIP Conf Proc. 2017;1797:020015. https://doi.org/10.1063/1.4972435 DOI: https://doi.org/10.1063/1.4972435

Oudbier J, Spaai G, Timmermans K, Boerboom T. Enhancing the effectiveness of flipped classroom in health science education: A state-of-the-art review. BMC Med Educ. 2022;22(1):34. https://doi.org/10.1186/s12909-021-03052-5 PMid:35022002 DOI: https://doi.org/10.1186/s12909-021-03052-5

Divjak B, Rienties B, Iniesto F, Vondra P, Zizak M. Flipped classrooms in higher education during the COVID-19 pandemic: Findings and future research recommendations. Int J Educ Technol High Educ. 2022;19(1):9. https://doi.org/10.1186/s41239-021-00316-4 PMid:35252548 DOI: https://doi.org/10.1186/s41239-021-00316-4

Ito A, Watanabe K, Fukuzawa Y, Mitani K, Fujimoto S, Matsuda T, et al. Development of Kampo (traditional Japanese medicine) e-learning program: Evaluation of the flipped classroom for medical students. Med Educ Online. 2021;26(1):1938504. https://doi.org/10.1080/10872981.2021.1938504 PMid:34134610 DOI: https://doi.org/10.1080/10872981.2021.1938504

Lee RF, Wong WJ, Lee SW, White PJ, Takeuchi T, Efendie B. Cultural adaptation and validation of instruments for measuring the flipped classroom experience. Curr Pharm Teach Learn. 2022;14(1):23-32. https://doi.org/10.1016/j.cptl.2021.11.028 PMid:35125191 DOI: https://doi.org/10.1016/j.cptl.2021.11.028

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2022-05-02

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1.
Litvinova TM, Budenkova EA, Babaskina LI, Glazkova IY, Babaskin DV. The Effectiveness of Flipped Classroom during the COVID-19 Pandemic in Higher Pharmaceutical Education. Open Access Maced J Med Sci [Internet]. 2022 May 2 [cited 2024 Nov. 21];10(E):1199-208. Available from: https://oamjms.eu/index.php/mjms/article/view/8495

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