A Novel Flipped-Classroom Curriculum for Intern Education

摘要

Background: Traditional conference educationemphasizes lecture-based instruction. However, evidencesupports non-traditional classroom teaching for this generationof millennial learners. Also, the conference setting is used toachieve a common foundation of knowledge, but schedulingdemands can limit conference attendance. We have addressedboth of these challenges by developing a flipped-classroomcurriculum with stand-alone asynchronous content.Educational Objectives: We aim to achieve a commonfoundation of knowledge, skills and attitudes in interns usinga flipped-classroom model. We focus on 25 topics commonto all emergency medicine interns. We strive to produceinterns uniformly comfortable with the management of eachcovered condition.Curricular Design: A group of educators identified aneed to provide core content for interns, the breadth of whichrequired a longitudinal year-long design. A needs assessmentacross two separate EM programs confirmed the need for anintern curriculum (87% stated this would improve education)and learner interest in this format (84% favored dedicatedconference time, 73% favored asynchronous resources).The 25 highest-rated topics by learners were chosen to becovered. We created a website to host asynchronous resources(EMFundamentals.blogspot.com). Each content page includesgoals and objectives as well as references (e.g. journal articles,podcasts, institutional guidelines). For interns attendingconference, faculty-led small-group sessions reinforced keyconcepts. For interns unable to attend, this web-based contentdelivery ensured a baseline knowledge. Current assessmentmethods include a post-curriculum attitudinal survey and pre/post knowledge quiz.Impact/Effectiveness: This is our first year with fulldeployment of the curriculum; feedback from our pilot year ispromising. 75% preferred the flipped-classroom model (versustraditional lecture) and 100% of users reported a positive impactfrom the asynchronous resources. The knowledge test forKirkpatrick level 2 data has begun this year and plans to collectKirkpatrick level 3 data via simulation are in development.