Volume 18, Issue 4 (2025)                   JMED 2025, 18(4): 63-72 | Back to browse issues page

Ethics code: COE No. 249/2023 IRB No. P3-0104/2566

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Srisingh K, Jeephet K. Student views of a flipped classroom and case-based learning session informed by the PERMA well-being model: a pilot study among fourth-year medical students. JMED 2025; 18 (4) :63-72
URL: http://edujournal.zums.ac.ir/article-1-2555-en.html
1- Department of Pediatrics, Faculty of Medicine, Naresuan University, Phitsanulok, 65000, Thailand , klaitas@nu.ac.th
2- Research Center of the Faculty of Medicine, Naresuan University, Phitsanulok, 65000, Thailand
Abstract:   (172 Views)

Background & Objective: We wanted to see how fourth-year medical students felt about a new teaching approach we created—combining flipped classroom and case-based learning with a focus on student well-being through the PERMA model.
Materials & Methods: Twenty-two fourth-year medical students participated in our study between June 1, 2023, to April 30, 2024. Here's how it worked: students first watched instructional videos at home over two weeks. When they came to class, they took a quick quiz, then dove into discussing case study videos using the PERMA framework. We asked students to share their thoughts right after the session and again a month later to see how their perspectives held up over time.
Results: About one-third of our participants were male (7 out of 22), with an average age of 23. Students scored well on both the pre-test (8.18 out of 10) and post-test (8.77 out of 10), though the improvement wasn't statistically significant. The good news? Students were highly satisfied with the experience, and their enthusiasm didn't fade—their satisfaction scores remained consistently high both immediately after and a month later (4.41 vs 4.55 out of 5 for knowledge comprehension and around 4.00 for overall satisfaction). We saw small improvements in self-directed learning, memory, critical thinking, teamwork, and patient management skills, though learning motivation stayed about the same. Interestingly, students felt more confident using their knowledge and assessing lung sounds as time went on. Video engagement remained high, and stress levels didn't increase—which was encouraging.
Conclusion: Our pilot study shows that medical students really engaged with and appreciated this PERMA-based flipped classroom approach. While we didn't see dramatic jumps in test scores or other measured outcomes, students clearly found the method valuable and feasible. These findings provide valuable preliminary insights and will inform the design of a larger, more comprehensive study to evaluate the approach’s full education impact.

 

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Article Type : Orginal Research | Subject: Medical Education
Received: 2025/08/4 | Accepted: 2025/11/16 | Published: 2025/11/19

References
1. Zayapragassaravan Z, Menon V, Kar S, Batmanabane G. Understanding critical thinking to create better doctors. J Adv Med Educ Res. 2016;1(3):9-13.
2. West M. How can good performance among doctors be maintained? BMJ. 2002;325(7366):669-70. [DOI:10.1136/bmj.325.7366.669] [PMID] []
3. Rosen MA, DiazGranados D, Dietz AS, Benishek LE, Thompson D, Pronovost PJ, et al. Teamwork in healthcare: key discoveries enabling safer, high-quality care. Am Psychol. 2018;73(4):433-50. [DOI:10.1037/amp0000298] [PMID] []
4. McGee RG, Wark S, Mwangi F, Drovandi A, Alele F, Malau-Aduli BS, et al. Digital learning of clinical skills and its impact on medical students' academic performance: a systematic review. BMC Med Educ. 2024;24:1477. [DOI:10.1186/s12909-024-06471-2] [PMID] []
5. Tudor Car L, Soong A, Kyaw BM, Chua KL, Low-Beer N, Majeed A. Health professions digital education on clinical practice guidelines: a systematic review by Digital Health Education collaboration. BMC Med. 2019;17:139. [DOI:10.1186/s12916-019-1370-1] [PMID] []
6. Altintas L, Sahiner M. Transforming medical education: the impact of innovations in technology and medical devices. Expert Rev Med Devices. 2024;21(9):797-809. [DOI:10.1080/17434440.2024.2400153] [PMID]
7. Seligman MEP. Flourish: a visionary new understanding of happiness and well-being. New York: Atria Books; 2011.
8. Iammeechai W. Applying positive psychology in medical curriculum: creating engaging and meaningful interactive lecture. Siriraj Med Bull. 2024;17(2):181-7. [DOI:10.33192/smb.v17i2.265290]
9. Lou J, Xu Q. The development of positive education combined with online learning: based on theories and practices. Front Psychol. 2022;13:952784. [DOI:10.3389/fpsyg.2022.952784] [PMID] []
10. Afshar M, Zarei A, Moghaddam MR, Shoorei H. Flipped and peer-assisted teaching: a new model in virtual anatomy education. BMC Med Educ. 2024;24:722. Algarni A. Biomedical students' self-efficacy and academic performance by gender in a flipped learning haematology course. BMC Med Educ. 2024;24(1):443. [DOI:10.1186/s12909-024-05421-2] [PMID] []
11. Cai L, Li YL, Hu XY, Li R. Implementation of flipped classroom combined with case-based learning: a promising and effective teaching modality in undergraduate pathology education. Medicine (Baltimore). 2022;101(5):e28782. [DOI:10.1097/MD.0000000000028782] [PMID] []
12. Honarpishe R, Ghotbi N, Jalaei S. Design, implementation, and evaluation of flipped classroom for postgraduate physiotherapy students. J Mod Rehabil. 2024;18(1):62-9. [DOI:10.18502/jmr.v18i1.14730]
13. Hu X, Zhang H, Song Y, Wu C, Yang Q, Shi Z, et al. Implementation of flipped classroom combined with problem-based learning: an approach to promote learning about hyperthyroidism in the endocrinology internship. BMC Med Educ. 2019;19(1):290. [DOI:10.1186/s12909-019-1714-8] [PMID] []
14. Yang F, Lin W, Wang Y. Flipped classroom combined with case-based learning is an effective teaching modality in nephrology clerkship. BMC Med Educ. 2021;21(1):276. [DOI:10.1186/s12909-021-02723-7] [PMID] []
15. Bösner S, Pickert J, Stibane T. Teaching differential diagnosis in primary care using an inverted classroom approach: student satisfaction and gain in skills and knowledge. BMC Med Educ. 2015;15:63. [DOI:10.1186/s12909-015-0346-x] [PMID] []
16. Bergmann J, Sams A. Flip your classroom: reach every student in every class every day. Washington DC: International Society for Technology in Education; 2012.
17. Galway LP, Corbett KK, Takaro TK, Tairyan K, Frank E. A novel integration of online and flipped classroom instructional models in public health higher education. BMC Med Educ. 2014;14:181. [DOI:10.1186/1472-6920-14-181] [PMID] []
18. Ryan MD, Reid SA. Impact of the flipped classroom on student performance and retention: a parallel controlled study in general chemistry. J Chem Educ. 2016;93(1):13-23. [DOI:10.1021/acs.jchemed.5b00717]
19. van Vliet EA, Winnips JC, Brouwer N. Flipped-class pedagogy enhances student metacognition and collaborative-learning strategies in higher education but effect does not persist. CBE Life Sci Educ. 2015;14(3):ar26. [DOI:10.1187/cbe.14-09-0141] [PMID] []
20. Al-Zahrani AM. From passive to active: the impact of the flipped classroom through social learning platforms on higher education students' creative thinking. Br J Educ Technol. 2015;46(6):1133-48. [DOI:10.1111/bjet.12353]
21. Bhagat KK, Chang CN, Chang CY. The impact of the flipped classroom on mathematics concept learning in high school. J Educ Technol Soc. 2016;19(3):134-42. Available from:
22. Chen L, Chen TL, Chen NS. Students' perspectives of using cooperative learning in a flipped statistics classroom. Australas J Educ Technol. 2015;31(6):621-40. [DOI:10.14742/ajet.1876]
23. Fautch JM. The flipped classroom for teaching organic chemistry in small classes: is it effective? Chem Educ Res Pract. 2015;16(1):179-86. [DOI:10.1039/C4RP00230J]
24. Smitha JD. Student attitudes toward flipping the general chemistry classroom. Chem Educ Res Pract. 2013;14(4):607-14. [DOI:10.1039/C3RP00083D]
25. Khanova J, Roth MT, Rodgers JE, McLaughlin JE. Student experiences across multiple flipped courses in a single curriculum. Med Educ. 2015;49(10):1038-48. [DOI:10.1111/medu.12807] [PMID]
26. Kiviniemi MT. Effects of a blended learning approach on student outcomes in a graduate-level public health course. BMC Med Educ. 2014;14:47. [DOI:10.1186/1472-6920-14-47] [PMID] []
27. Kong SC. Developing information literacy and critical thinking skills through domain knowledge learning in digital classrooms: an experience of practicing flipped classroom strategy. Comput Educ. 2014;78:160-73. [DOI:10.1016/j.compedu.2014.05.009]
28. Porcaro PA, Jackson DE, McLaughlin PM, O'Malley CJ. Curriculum design of a flipped classroom to enhance haematology learning. J Sci Educ Technol. 2016;25(3):433-40. [DOI:10.1007/s10956-015-9599-8]
29. Thalerngnawachart C, O'Donnell JM, Surabenjawong U. Comparison between the standard teaching and the Thai version of blended teaching on basic airway management in Siriraj medical students. Siriraj Med J. 2024;76(7):422-8. [DOI:10.33192/smj.v76i7.266174]
30. Wongwandee M, Paritakul P. Pre-class versus in-class video lectures for the flipped classroom in medical education: a non-randomized controlled trial. Siriraj Med J. 2020;72(6):476-82. Akçayır G, Akçayır M. The flipped classroom: a review of its advantages and challenges. Comput Educ. 2018;126:334-45. [DOI:10.1016/j.compedu.2018.07.021]
31. Rajasekaran R, Padmanath K, Sasikumar S, Richard Jagatheesan PN. Transformation of veterinary education through the flipped classroom model: advantages, challenges, and future implications. Indian J Vet Sci Biotechnol. 2024;20(2):1-6.
32. Zainuddin Z, Halili SH. Flipped classroom research and trends from different fields of study. Int Rev Res Open Distrib Learn. 2016;17(3):313-40. [DOI:10.19173/irrodl.v17i3.2274]
33. Tune JD, Sturek M, Basile DP. Flipped classroom model improves graduate student performance in cardiovascular, respiratory, and renal physiology. Adv Physiol Educ. 2013;37(4):316-20. [DOI:10.1152/advan.00091.2013] [PMID]
34. Shen J, Qi H, Mei R, Sun C. A comparative study on the effectiveness of online and in-class team-based learning on student performance and perceptions in virtual simulation experiments. BMC Med Educ. 2024;24:135. [DOI:10.1186/s12909-024-05080-3] [PMID] []

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