J Vet Med Educ. 2021 Jun;48(3):281-288. doi: 10.3138/jvme.2019-0060. Epub 2020 Feb 28.
Clinical skills laboratory (CSL) training was recently introduced in the renewed veterinary curriculum at Ghent University, using models and simulators for teaching practical skills. However, time in the CSL is restricted due to the large number of students combined with limited availability of personnel. Therefore, a flipped classroom (FC) model was introduced to maximize learning experiences. The goal of the present study was to evaluate the effect of flipped classroom CSL training on students' self-efficacy and practical surgical skills. Flipped classroom CSL training was implemented for the third-year pre-clinical students ( = 196) in the 6-year veterinary medicine program. Prior to CSL sessions, students studied online 'learning paths,' including text, pictures, videos of the skills, links to background information, a forum, and a compulsory pre-class quiz. A pre- and post-test were administered before and after flipped classroom CSL training. The tests consisted of a self-efficacy scale consisting of 20 items and an objective structured clinical examination (OSCE) test of surgical skills performance. Flipped classroom CSL training resulted in significantly higher self-efficacy (score/100, pre-test 55 ± 14 vs. post-test 83 ± 8, < .001) and surgical skills performance (score/20, pre-test 5 ± 3 vs. post-test 17 ± 3, < .001). In conclusion, this study demonstrated the feasibility and value of implementing a flipped classroom approach in combination with CSL training.
临床技能实验室（CSL）培训最近在根特大学更新的兽医课程中引入，使用模型和模拟器来教授实践技能。然而，由于学生人数众多，加上人员有限，CSL 的时间受到限制。因此，引入了翻转课堂（FC）模式，以最大限度地提高学习体验。本研究的目的是评估翻转课堂 CSL 培训对学生自我效能感和实践手术技能的影响。翻转课堂 CSL 培训在六年制兽医专业的三年级临床前学生（=196 人）中实施。在 CSL 课程之前，学生在线学习“学习路径”，包括技能的文本、图片、视频、背景信息链接、论坛和强制性预课测验。在翻转课堂 CSL 培训前后进行了预测试和后测试。测试包括由 20 个项目组成的自我效能感量表和手术技能表现的客观结构化临床考试（OSCE）测试。翻转课堂 CSL 培训导致自我效能感（得分/100，预测试 55 ± 14 与后测试 83 ± 8，<.001）和手术技能表现（得分/20，预测试 5 ± 3 与后测试 17 ± 3，<.001）显著提高。总之，这项研究证明了在 CSL 培训中实施翻转课堂方法的可行性和价值。
