Flipped classroom significantly improves practical exam scores over lecture-based learning (pooled SMD 0.50)¶
Claim · All claims
Evidence · 1 study · quant-synthesisr2·q3·i2medium
Currency · newest study 2026 · not yet checked against its sources · not reviewed by a person
Subclaims¶
Reading the evidence codes
q is the design tier, i the impact, n the sample, and the kind with its r
the rigour judged within that kind: what each code means.
This claim: no standardized effect is recorded in observations/ for it yet, so no benchmark reading is possible.
q3 i2 FC students scored significantly higher on practical skills assessments than LBL students, with a printed effect size of pooled SMD = 0.50 (95% CI 0.30–0.70) and moderate heterogeneity. → Zheng Hui 2026
Evidence¶
Zheng Hui 2026¶
Zheng Hui, Ouyang Yun, Zeng Yifei, He Xinyu, Song Liping, Yu Xiangyuan. (2026). Systematic evaluation of the teaching effectiveness of flipped classroom mode in undergraduate preventive medicine courses in China. Frontiers in Public Health. https://doi.org/10.3389/fpubh.2026.1896815
q3 · i2 · quant-synthesis · r2
Meta-analysis of 7 studies of practical skills assessment in preventive medicine courses; moderate heterogeneity (I2 = 71.1%) led to a random-effects model with a printed effect size of SMD = 0.50, i.e. "The pooled SMD was 0.50 (95% CI: 0.30–0.70)", statistically significant. Sample-size subgroup analysis reduced heterogeneity to I2 = 0% for groups >100.
"For practical skills assessment, a total of 7 studies (7–9, 20, 21, 27) were included. Heterogeneity across these studies was moderate (I2 = 71.1%, p = 0.002), and a random-effects model was used. The pooled SMD was 0.50 (95% CI: 0.30–0.70)"
Discussion¶
Related Claims¶
- Flipped classroom increases learning interest (pooled RR 1.42) but this pooled estimate shows significant publication bias — related
- Flipped classroom has a moderately positive effect on college students' academic performance (SMD = 0.66) — a broader claim this one bears on
- Flipped classroom significantly improves theoretical exam scores over lecture-based learning in Chinese undergraduate preventive medicine courses (pooled SMD 0.99) — related
- A blended/hybrid flipped calculus course with an FC Orientation module improved student learning performance and perceptions significantly over the traditional lecture format — related
- Flipped classrooms are associated with improved case analysis/problem-solving ability in medical education (pooled SMD = 1.50), though statistical significance was not retained in all leave-one-out analyses — related
- Flipped classrooms are associated with higher learner satisfaction in medical education (pooled SMD = 0.69), with residents showing larger improvement than undergraduates (SMD 1.69 vs 0.37) — related
- Flipped classrooms are associated with improved procedural/technical skills in medical education (pooled SMD = 1.80), with larger effects among residents and in theoretical-course settings — related
- Exploratory subgroup analysis suggests larger effects in practice courses than theory courses, driven by only 2 practice-oriented studies — related
- Flipped classrooms are associated with higher theoretical knowledge scores than lecture-based teaching in medical education (pooled SMD = 1.26), with very high heterogeneity — related
- Flipped classroom improves teacher-student interaction (pooled RR 1.35), based on few studies — related
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