Evidence map›Paper›PMID 38671434›Full record

Trial reportBMC medical education2024

Flipped Classroom: Improved team performance during resuscitation training through interactive pre-course content - a cluster-randomised controlled study.

Hendrik Ohlenburg, Philip-Helge Arnemann, Michael Hessler, Dennis Görlich, Alexander Zarbock, Hendrik Friederichs

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC medical education, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Hendrik OhlenburgInstitute of Education and Student Affairs, Studienhospital Münster, University of Münster, 48149, Münster, Germany. ohlenburg@uni-muenster.de.
Philip-Helge ArnemannDepartment of Anaesthesiology, Intensive Care and Pain Medicine, Münster University Hospital, Münster, Germany.
Michael HesslerDepartment of Anaesthesiology, Intensive Care and Pain Medicine, Münster University Hospital, Münster, Germany.
Dennis GörlichInstitute of Biostatistics and Clinical Research, University of Münster, Münster, Germany.
Alexander ZarbockDepartment of Anaesthesiology, Intensive Care and Pain Medicine, Münster University Hospital, Münster, Germany.
Hendrik FriederichsMedical Education Research Group, Medical School OWL, Bielefeld University, Bielefeld, Germany.
University Hospital Münster · DEUniversity of Münster · DEBielefeld University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundResuscitation is a team effort, and it is increasingly acknowledged that team cooperation requires training. Staff shortages in many healthcare systems worldwide, as well as recent pandemic restrictions, limit opportunities for collaborative team training. To address this challenge, a learner-centred approach known as flipped learning has been successfully implemented. This model comprises self-directed, asynchronous pre-course learning, followed by knowledge application and skill training during in-class sessions. The existing evidence supports the effectiveness of this approach for the acquisition of cognitive skills, but it is uncertain whether the flipped classroom model is suitable for the acquisition of team skills. The objective of this study was to determine if a flipped classroom approach, with an online workshop prior to an instructor-led course could improve team performance and key resuscitation variables during classroom training.

methodsA single-centre, cluster-randomised, rater-blinded study was conducted on 114 final year medical students at a University Hospital in Germany. The study randomly assigned students to either the intervention or control group using a computer script. Each team, regardless of group, performed two advanced life support (ALS) scenarios on a simulator. The two groups differed in the order in which they completed the flipped e-learning curriculum. The intervention group started with the e-learning component, and the control group started with an ALS scenario. Simulators were used for recording and analysing resuscitation performance indicators, while professionals assessed team performance as a primary outcome.

resultsThe analysis was conducted on the data of 96 participants in 21 teams, comprising of 11 intervention groups and 10 control groups. The intervention teams achieved higher team performance ratings during the first scenario compared to the control teams (Estimated marginal mean of global rating: 7.5 vs 5.6, p < 0.01; performance score: 4.4 vs 3.8, p < 0.05; global score: 4.4 vs 3.7, p < 0.001). However, these differences were not observed in the second scenario, where both study groups had used the e-learning tool.

conclusionFlipped classroom approaches using learner-paced e-learning prior to hands-on training can improve team performance.

trial registrationGerman Clinical Trials Register ( https://drks.de/search/de/trial/DRKS00013096 ).

Indexed as

CurriculumPatient Care TeamResuscitationAdultClinical CompetenceEducational MeasurementEducation, Medical, UndergraduateFemaleGermanyHumansMaleProblem-Based LearningSimulation TrainingStudents, MedicalFlipped classroomNon-technical skillsResuscitationTeam training

Identifiers

PMID38671434
PMCPMC11046966
OpenAlexW4395668591

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.