- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03758391
Comparison of Learning in Traditional Versus "Flipped" Classrooms
Comparison of a "Flipped" Classroom Methodology to Traditional Instructional Techniques for Neonatal-perinatal Medicine Fellows: A National Prospective Study
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Sixty-three ACGME-accredited NPM fellowship training programs in the United States have enrolled to participate in this study. Programs have been randomized to teach a subsection of neonatal physiology using the traditional didactic approach or using the "flipped" classroom methodology.
The ACGME requires that NPM fellowship programs provide formal instruction to teach trainees about key concepts in the care of neonates and infants, and most programs have traditionally utilized didactic presentations to relay this information. These sessions are typically instructor-centered, with little requirement for involvement or engagement on the part of the learner, and are not felt to optimize long-term knowledge acquisition and retention. A newer educational model, the "flipped" classroom, increases the opportunities for learner engagement and requires investment and preparation. Using this educational structure, fellows receive learning materials that need to be reviewed prior to the in-person educational session. The participants will then spend the in-person session actively engaged in applying the knowledge to answer questions, participate in discussions, and solve problems. Adult learning theory supports this active involvement as a way to increase learner engagement, improve recognition of meaning of the material, and improve knowledge acquisition and long-term retention.
Fellowship Program Directors involved in the Organization of Neonatal Training Program Directors (ONTPD) have been contacted about the opportunity to participate in this prospective multi-center study. After enrollment, program directors will complete a brief survey of their program's baseline educational methods and demographics. Fellows will be contacted directly by local site PIs for individual consent to data collection. Fellows will be asked to provide demographic information, assessment of learning style/ practices, time devoted to educational pursuits, and perceptions of current physiology education. The fellows will be asked to complete 4 knowledge assessments (baseline, at the end of the educational block, 3 months, 6 months) in REDCap over the course of 6 months. All data will be de-identified, and individual and programmatic data will be anonymous. The assigned ABP content will be taught within the same 3-month period any time between September 2018 and March 2019 via the assigned method (traditional didactic or flipped classroom). All educational materials will be provided to both arms of the study. Learning objectives will be based on the ABP NPM Content Outline and materials with be authored by experts in neonatal physiology. Materials will undergo rigorous peer-review by an editorial board. Traditional/control fellows will be instructed using the provided educational materials in an instructor-led didactic slide presentation. Intervention group fellows will be required to view the same educational materials in online videos prior to their assigned classroom session. During the "flipped" classroom session, the fellows will work through a series of questions based on the assigned educational materials with a local facilitator using a facilitation guide who has been trained in flipped classroom facilitation. This facilitator guide will present discussion points based upon the pre-learning materials and requires learners to apply acquired knowledge. The facilitator guides are also peer-reviewed for content and quality.
In the present study, only the ABP Content Objectives for NPM on gastroenterology and bilirubin will be included. Educational materials will be reviewed and revised by a 4-member editorial board to ensure accuracy, completeness, and quality. For online viewing, these materials are uploaded on MedEdOnTheGo.com, an online learning management platform. Fellows will be provided with additional reading materials, such as seminal articles or textbook chapters, that will allow them to develop a deep understanding of the topic.
Fellows will be surveyed regarding their learning experiences at 3 different time points; before the educational intervention begins, at the completion of the educational intervention, and 3 months after completion of the intervention. Fellows will complete anonymous surveys in REDCap regarding their learning experiences, class preparation, the quality of teaching, perceived effectiveness of teaching efforts, and preferences for learning. Fellows will also participate in short 15-item multiple choice quizzes to measure knowledge retention. There will be 4 quizzes in total; prior to the intervention (baseline), at the completion of the intervention, 3 months post, and 6 months post-intervention. These quizzes will be proctored and closed book. Fellows in either randomization arm will answer the same questions. The quiz questions will cover the specific content addressed in the educational sessions, be created by the study team, and piloted by attending neonatologists for clarity, accuracy, and relevance.
Data will be tabulated on baseline information for both program level and fellow level with testing to determine if pre-intervention testing data is different between groups (equivalence variance 2-tailed T-tests for continuous data and likert scores, and chi square for categorical data). Knowledge retention curves will be developed by performing T-tests of mean scores for each time point. Post-education surveys for program directors and fellows will be evaluated to assess effect of interventions using equal variance 2-tailed T-tests for continuous data and likert scores.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Pennsylvania
-
Philadelphia, Pennsylvania, United States, 19104
- The Children's Hospital of Philadelphia
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Fellow or educator in an ACGME-accredited Neonatal-Perinatal Medicine Fellowship program in the US.
Exclusion Criteria:
- Not a fellow or educator in an ACGME-accredited Neonatal-Perinatal Medicine Fellowship program in the US.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
No Intervention: Traditional Didactic Education
Education will be provided to fellows using the traditional didactic approach (lecture-based).
|
|
Experimental: Flipped Classroom Education
Education will be provided to fellows using the flipped classroom approach.
|
Fellows will receive GI/Bilirubin education in a flipped classroom format.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Knowledge retention
Time Frame: 9 months
|
Knowledge retention will be tested using multiple choice examinations.
|
9 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Learner Preferences
Time Frame: 6 months
|
Learner preferences for how to receive education will be assessed through qualitative survey
|
6 months
|
Educator Preferences
Time Frame: 6 months
|
Educator preferences for how to provide education will be assessed through qualitative survey
|
6 months
|
Collaborators and Investigators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- 18-015235
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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