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Impact of integrating paper-based pulmonary function test case group discussions into flipped classroom on residents'
1Department of Pulmonary and Critical Care Medicine, Sichuan Academy of Medical Sciences and Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, Sichuan, China.
Background:
The flipped classroom model combined with case-based learning has emerged as a promising educational approach in medical residency training. However, the specific impact of integrating paper-based pulmonary function test case discussions on residents' ability to accurately assess COPD severity remains underexplored.
Objective:
To investigate the effect of incorporating paper-based pulmonary function test case group discussions within a flipped classroom framework on residents' competency in COPD grading assessment, comprehensive examination performance, and self-efficacy.
Methods:
This single-center, retrospective cohort study analyzed 100 residents who completed respiratory medicine rotations between 2022 and 2024. Participants were divided into an intervention group (n = 50) receiving flipped classroom instruction with paper-based case discussions and a control group (n = 50) receiving traditional didactic teaching. Outcomes included COPD grading accuracy rates, comprehensive examination scores, and self-efficacy levels measured by the Self-Efficacy for Professional Tasks (SEPT) scale.
Results:
The intervention group demonstrated significantly higher COPD grading accuracy rates both immediately post-instruction (86.4% vs. 68.2%, p < 0.001) and at one-month follow-up (82.6% vs. 64.8%, p < 0.001). Comprehensive examination scores were superior in the intervention group (88.2 ± 6.4 vs. 78.6 ± 8.2, p < 0.001), as were self-efficacy scores (4.2 ± 0.5 vs. 3.4 ± 0.6, p < 0.001). Teaching satisfaction ratings were also higher in the intervention group (4.6 ± 0.4 vs. 3.8 ± 0.7, p < 0.001).
Conclusion:
Integrating paper-based pulmonary function test case discussions into flipped classroom teaching significantly enhances residents' COPD grading assessment competency, examination performance, and professional self-efficacy. This innovative pedagogical approach merits wider implementation in respiratory medicine residency training programs.
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Pulmonary Function Tests are crucial diagnostic tools for assessing respiratory function, particularly in patients with chronic respiratory disorders. They comprehensively evaluate lung volumes, ventilatory function, breathing mechanics, diffusion, and gas exchange. These tests help diagnose pulmonary diseases and play a significant role in monitoring disease progression, evaluating disability, and assessing response to therapy.
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