Application of flipped classroom in surgical education: a systematic review and meta-analysis - Report - MDSpire

Application of flipped classroom in surgical education: a systematic review and meta-analysis

  • By

  • Rui Cheng

  • Sike He

  • Yuan Wang

  • Huan Ren

  • Xingming Zhang

  • Yunjin Bai

  • May 28, 2026

  • 0 min

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Clinical Report: Utilization of the Flipped Classroom Model in Surgical Training

Overview

This systematic review and meta-analysis evaluate the effectiveness of the flipped classroom (FC) model in surgical education compared to traditional lectures (TL). The findings indicate that FC significantly improves learning outcomes, including total, theoretical, and operational scores.

Background

Surgical education is essential for training competent surgeons and enhancing patient care. Traditional lecture methods often lead to student disengagement and reduced learning efficacy. The flipped classroom model offers a student-centered approach that may enhance learning outcomes in surgical training.

Data Highlights

OutcomeStandard Mean Difference (SMD)95% Confidence Interval (CI)p-value
Total Scores0.370.11–0.630.005
Theoretical Scores0.320.09–0.540.005
Operational Scores0.560.33–0.78<0.00001

Key Findings

  • FC significantly improves total scores (SMD = 0.37, p = 0.005).
  • FC enhances theoretical scores compared to TL (SMD = 0.32, p = 0.005).
  • Operational scores show the greatest improvement with FC (SMD = 0.56, p < 0.00001).
  • High certainty of evidence for total and operational scores in randomized studies.
  • Moderate certainty of evidence for theoretical scores in randomized studies.
  • Non-randomized studies showed very low certainty of evidence for three outcomes.

Clinical Implications

The flipped classroom model may serve as an effective alternative to traditional lectures in surgical education, potentially leading to better academic performance among students. Implementing FC could enhance engagement and learning outcomes in surgical training programs.

Conclusion

The evidence suggests that the flipped classroom model is a promising approach for improving surgical education outcomes. Further high-quality studies are needed to confirm these findings.

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