Flipped classroom integrated with team-based learning enhances surgical skills in ophthalmology residency training: a randomized controlled trial - Report - MDSpire

Flipped classroom integrated with team-based learning enhances surgical skills in ophthalmology residency training: a randomized controlled trial

  • By

  • Zhuoqiong Wang

  • Ji Xu

  • Xinxin Hu

  • Weina Ren

  • Shuanghua Xin

  • Na Zhao

  • Luyao Ye

  • Qinkang Lu

  • Juntao Zhang

  • June 4, 2026

  • 0 min

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Clinical Report: Integrating Team-Based Learning with a Flipped Classroom Approach

Overview

This study demonstrates that a flipped classroom combined with team-based learning significantly enhances surgical proficiency in ophthalmology residency training compared to traditional lecture-based methods. The experimental group showed marked improvements in both theoretical and practical skill assessments.

Background

Ophthalmology residency training emphasizes the development of surgical skills, which are critical for effective patient care. Traditional lecture-based teaching methods have been found to limit active participation and practice time, leading to prolonged learning curves. Innovative teaching approaches, such as flipped classrooms combined with team-based learning, may address these challenges and improve training outcomes.

Data Highlights

GroupTheoretical Score (Post-Training)Operation Process ScoreTotal Score
ExperimentalHigher (p < 0.05)Better (p < 0.001)Better (p < 0.001)
ControlLowerWorseWorse

Key Findings

  • The experimental group had significantly higher theoretical scores post-training compared to the control group (p < 0.05).
  • In practical skill assessments, the experimental group outperformed the control group in operation process scores (p < 0.001).
  • The total skill assessment score was significantly better in the experimental group (p < 0.001).
  • Other modules, including pre-operation preparation and operation proficiency, also showed significant improvement in the experimental group (p < 0.05).
  • Satisfaction levels in the experimental group regarding operational ability and teacher enthusiasm were higher than in the control group (p < 0.05).

Clinical Implications

The findings suggest that integrating flipped classroom and team-based learning approaches can enhance the effectiveness of surgical skills training in ophthalmology residency programs. This innovative teaching method may lead to better-prepared residents and improved patient care outcomes.

Conclusion

The study supports the use of flipped classrooms combined with team-based learning as a superior method for surgical skills training in ophthalmology residency, demonstrating significant improvements over traditional teaching methods.

Related Resources & Content

  1. Frontiers | Flipped Classroom Integrated with Team-Based Learning Enhances Surgical Skills in Ophthalmology Residency Training: A Randomized Controlled Trial
  2. Frontiers in Medicine — Application of flipped classroom in surgical education: a systematic review and meta-analysis
  3. 240_Ophthalmology_2026 — ACGME Program Requirements
  4. Comparative Analysis of 3D and 2D-4K Visualization: Impact on Laparoscopic Novices' Performance and Self-Assessment in a Randomized Teaching Study Utilizing Standardized Tasks and Box Trainers
  5. Frontiers in Surgery — Improving Laparoscopic Simulator Skills Through Eye-Tracking Video Feedback: A Pilot Study Using Mixed Methods
  6. Frontiers in Medicine — Analysis of the Application Effect of an Automated Eye Position Fixation Training Device in Patients Undergoing Pterygium Surgery: A Two-Year Follow-Up Randomized Controlled Trial
  7. 240_Ophthalmology_2026
  8. 240_Ophthalmology_2026_TCC
  9. Frontiers | Application of flipped classroom in surgical education: a systematic review and meta-analysis
  10. Frontiers | Flipped Classroom Integrated with Team-Based Learning Enhances Surgical Skills in Ophthalmology Residency Training: A Randomized Controlled Trial
  11. Frontiers | Value of virtual reality integrated with multilevel team-based pedagogy in standardized residency training: a randomized controlled study with longitudinal follow-up in anesthesiology
  12. The Flipped Classroom Effect: Improving Faculty and Resident Engagement and Satisfaction in Ophthalmology Residency - ScienceDirect
  13. Team-based learning (TBL) in health professions education: A systematic review on its conceptual elements and outcomes - PubMed

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