关键词:
Clinical medicine
Education
Flipped classroom case learning (FCCL)
Lecture-based learning (LBL)
摘要:
Background: An increasing body of evidence suggests that both flipped classroom and case-based teaching models outperform traditional teaching methods in clinical medical education. Both teaching methods share several advantages, including a student-centered approach, enhanced understanding and mastery of knowledge, the development of comprehensive skills, and an emphasis on interactive communication. Therefore, a teaching model that integrates both methods may achieve similar or even better educational outcomes. Although previous studies have demonstrated this, they are generally limited by small sample sizes and inconsistent evaluation criteria for teaching effectiveness. This study aims to provide a high-quality assessment of this teaching method through meta-analysis and systematic review, further confirming its value in the field of clinical medical education. Methods: This study employed a meta-analysis to systematically and quantitatively compare the educational impact of a teaching model combining flipped classroom and case-based learning (Flipped Classroom Case Learning, FCCL) with traditional lecture-based learning (LBL) for clinical medical students. An extensive literature search was conducted to identify studies on the application of FCCL and LBL in clinical medical education, covering the period from inception to November 21, 2024. Databases searched included the Cochrane Library, Web of Science, Embase, and PubMed. A total of 12 studies were included, comprising 1,857 clinical medical students or residents. The quality of each included study was assessed using RevMan (Version 5.4). The primary outcome measures were students' theoretical scores and clinical analytical skills. The extracted data were subjected to meta-analysis using Stata 18.0 software. Results: A total of 1,857 participants from 12 studies were included in the analysis. The meta-analysis revealed that the FCCL group demonstrated significantly superior theoretical scores (Cohen’s d = 0.