Abstract
Background
The acting (Sub)internship (AI) provides fourth-year medical students the opportunity to gain essential clinical experience, making it challenging to develop an effective curriculum without detracting from clinical time.
Activity
This flipped classroom, asynchronous learning curriculum utilized a short online video, called a micro-lecture, to teach one to two key concepts, associated with online case-based questions.
Results and Discussion
Over one academic year, 96% (64/67) of internal medicine AI students at our institution completed the online questions. The majority of students selected the single best response for both questions and preferred this online micro-lecture format over traditional methods.
References
Aiyer MK, Vu TR, Ledford C, Fischer M, Durning SJ. The subinternship curriculum in internal medicine: a national survey of clerkship directors. TeachLearnMed. 2008;20:151–6.
Lyss-Lerman P, Teherani A, Aagaard E, Loeser H, Cooke M, Harper GM. What training is needed in the fourth year of medical school? Views of residency program directors. AcadMed. 2009;84:823–9.
Angus S, Vu TR, Halvorsen AJ, Aiyer M, McKown K, Chmielewski AF, et al. What skills should new internal medicine interns have in July? A national survey of internal medicine residency program directors. AcadMed. 2014;89:432–5.
Sidlow R, Mechaber AJ, Reddy S, Fagan M, Marantz PR. The internal medicine subinternship: a curriculum needs assessment. JGenInternMed. 2002;17:561–4.
Vu R, Angus S, Appelbaum JS. AAIM : Sub Internship Curriculum [Internet]. [cited 2018 Jun 8]. Available from: http://www.im.org/page/subi
Vu TR, Angus SV, Aronowitz PB, Harrell HE, Levine MA, Carbo A, et al. The internal medicine subinternship--now more important than ever: a joint CDIM-APDIM position paper. JGenInternMed. 2015;30:1369–75.
Heitz C, Prusakowski M, Willis G, Franck C. Does the concept of the “flipped classroom” extend to the emergency medicine clinical clerkship? West J Emerg Med. 2015;16:851–5.
Belfi LM, Bartolotta RJ, Giambrone AE, Davi C, Min RJ. “Flipping” the introductory clerkship in radiology: impact on medical student performance and perceptions. Acad Radiol. 2015;22:794–801.
Pronko K, Thompson R, Tjoeng YL, March G. Pediatric fluids and electrolytes: a flipped classroom. MedEdPORTAL [Internet]. 2015 [cited 2018 Dec 10]; Available from: https://www.mededportal.org/publication/10153/
Hoffmann J, Thompson R. Flipped classroom module on shock for medical students. MedEdPORTAL [Internet]. 2017 [cited 2018 Dec 10]; Available from: https://www.mededportal.org/publication/10542/
King C, Sweigart J, Restauri N, Zehnder N. Chest radiograph interpretation: a flipped classroom approach. MedEdPORTAL [Internet]. 2016 [cited 2018 Dec 10]; Available from: https://www.mededportal.org/publication/10339/
Levin M, Cennimo D, Chen S, Lamba S. Teaching clinical reasoning to medical students: a case-based illness script worksheet approach. MedEdPORTAL [Internet]. 2016 [cited 2018 Dec 10]; Available from: https://www.mededportal.org/publication/10445/
Sharma N, Lau CS, Doherty I, Harbutt D. How we flipped the medical classroom. Med Teach. 2015;37:327–30.
Mehta NB, Hull AL, Young JB, Stoller JK. Just imagine: new paradigms for medical education. Acad Med. 2013;88:1418–23.
Chen F, Lui AM, Martinelli SM. A systematic review of the effectiveness of flipped classrooms in medical education. Med Educ. 2017;51:585–97.
Hew KF, Lo CK. Flipped classroom improves student learning in health professions education: a meta-analysis. BMC Med Educ. 2018;18:38.
Scagnoli N. 7 things you should know about microlectures [Internet]. [cited 2018 Dec 10]. Available from: https://library.educause.edu/resources/2012/11/7-things-you-should-know-about-microlectures
Sweet D. Microlectures in a flipped classroom: application, creation and resources. Mid-Western Educational Researcher. 26:8.
Guo PJ, Kim J, Rubin R. How video production affects student engagement: an empirical study of MOOC videos. Proceedings of the First ACM Conference on Learning @ Scale Conference [Internet]. New York, NY, USA: ACM; 2014 [cited 2019 Apr 20]. p. 41–50. Available from: https://doi.org/10.1145/2556325.2566239
Roberts J, Berkoben M. Body fluids and the regulation of sodium and water. MedEdPORTAL [Internet]. 2015 [cited 2018 Dec 10]; Available from: https://www.mededportal.org/publication/10203/
Rana J, Mostaghimi A. Introduction to skin cancer: a video module. MedEdPORTAL [Internet]. 2016 [cited 2018 Dec 10]; Available from: https://www.mededportal.org/publication/10431/
Moeller J, Farooque P, Leydon G, Dominguez M, Schwartz M, Sadler R. A video-based introductory EEG curriculum for neurology residents and other EEG learners. MedEdPORTAL [Internet]. 2017 [cited 2018 Dec 10]; Available from: https://www.mededportal.org/publication/10570/
Metz C, Metz M. An online module to understand body fluid status in clinical cases. MedEdPORTAL [Internet]. 2018 [cited 2018 Dec 10]; Available from: https://www.mededportal.org/publication/10719/
Bloom BS Benjamin S, Krathwohl DR, Masia BB. Taxonomy of educational objectives: the classification of educational goals. First edition. New York: David McKay Company; 1956.
Cain LF, Willey RDV. The effect of spaced learning on the curve of retention. J Exp Psychol. 1939;25:209–14.
Dempster FN. Spacing effects and their implications for theory and practice. Educ Psychol Rev. 1989;1:309–30.
Cepeda NJ, Pashler H, Vul E, Wixted JT, Rohrer D. Distributed practice in verbal recall tasks: a review and quantitative synthesis. Psychol Bull. 2006;132:354–80.
Hser Y-I, Wickens TD. The effects of the spacing of test trials and study trials in paired-association learning. Educ Psychol. 1989;9:99–120.
Mayer RE, Moreno R. Nine ways to reduce cognitive load in multimedia learning. Educ Psychol. 2003;38:43–52.
Brame CJ. Effective educational videos: principles and guidelines for maximizing student learning from video content. CBE Life Sci Educ [Internet]. 2016 [cited 2019 Apr 20];15. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5132380/
Herbert C, Velan GM, Pryor WM, Kumar RK. A model for the use of blended learning in large group teaching sessions. BMC Med Educ. 2017;17:197.
Acknowledgements
The authors acknowledge Claire Kimberly for providing data analysis and interpretation.
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VCU IRB approved exempt study #HM20007726.
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Garber, A.M. Flipping Out! Utilizing an Online Micro-lecture for Asynchronous Learning Within the Acting Internship. Med.Sci.Educ. 30, 91–96 (2020). https://doi.org/10.1007/s40670-019-00887-y
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DOI: https://doi.org/10.1007/s40670-019-00887-y