Objective: To 1. implement flipped classroom rheumatology teaching for undergraduate
education. 2. Evaluate outcomes of teaching using OSCE assessment and student perceived effectiveness
and satisfaction survey.
Methods: The flipped classroom education, 55-students, was conducted in 3 phases. Phase 1: Carried
out in the students’ own time. Web links were emailed to assist exposure of the instructional
part of the lesson online. Phase 2: Interactive in-class activity to share personal reflection and reinforce
the key aspects. Phase 3: A simulated OSCE assessment. A cohort of 56-students, who were
taught in the last educational year on the same topics according to standard teaching protocols,
were included as control group. The clinical Outcomes were assessed using the scores of the OSCE
examination model. Academic outcomes included the engagement measure as well as the students’
answers to perceived effectiveness and satisfaction survey.
Results: There was no significant difference regarding demographics between the 2 students’
groups. There was a significant improvement (p< 0.05) in the flipped learning, in contrast to the
control group, in terms of clinical (OSCE score) as well as communication skills. Student perceived
effectiveness and satisfaction was significantly higher among the flipped learning (p< 0.05). Scores
from the flipped learning cohort showed a state of engagement significantly higher than the control
group (p< 0.01).
Conclusion: Flipped learning implementation musculoskeletal learning successfully demonstrated
a promising platform for using technology to make better use of the students' time, and for increasing
their satisfaction. Active learning increases student engagement and can lead to improved retention