title: Acceptability of the flipped classroom approach for in-house teaching in emergency medicine.
abstract: OBJECTIVE
  To evaluate the relative acceptability of the flipped classroom approach compared with traditional didactics for in-house teaching in emergency medicine.
  
  
  METHODS
  Our department changed its learning model from a 'standard' lecture-based model to a 'flipped classroom' model. The 'flipped classroom' included provided pre-session learning objectives and resources before each 2 h weekly session. In-session activities emphasised active learning strategies and knowledge application. Feedback was sought from all medical staff regarding the acceptability of the new approach using an online anonymous cross-sectional qualitative survey.
  
  
  RESULTS
  Feedback was received from 49/57 (86%) medical staff. Ninety-eight per cent (48/49) of respondents preferred the flipped classroom over the traditional approach. Aspects of the flipped classroom learners liked most included case-based discussion, interaction with peers, application of knowledge, self-directed learning and small-group learning. Barriers to pre-session learning include work commitments, 'life', perceived lack of time, family commitments, exam preparation and high volume of learning materials. Reported motivational factors promoting pre-session learning include formal assessment, participation requirements, more time, less material, more clinical relevance and/or more interesting material. Case studies and 'hands-on' activities were perceived to be the most useful in-session activities.
  
  
  CONCLUSIONS
  The flipped classroom shows promise as an acceptable approach to in-house emergency medicine teaching.
authors.affiliation: Department of Emergency Medicine, Middlemore Hospital, Counties Manukau Health, Auckland, New Zealand.|Department of Surgery, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.
authors.forename: Eunicia
authors.initials: E
authors.lastname: Tan
authors.affiliation: Department of Emergency Medicine, Middlemore Hospital, Counties Manukau Health, Auckland, New Zealand.|Department of Surgery, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.
authors.forename: Andrew
authors.initials: A
authors.lastname: Brainard
authors.affiliation: Department of Emergency Medicine, Middlemore Hospital, Counties Manukau Health, Auckland, New Zealand.|Department of Surgery, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.
authors.forename: Gregory L
authors.initials: GL
authors.lastname: Larkin
mesh_terms: D004635:Emergency Medicine / Q000193:education*; D006801:Humans; D007396:Internship and Residency / Q000379:methods; D011795:Surveys and Questionnaires; D013663:Teaching / Q000379:methods*; D013664:Teaching Materials
keywords: education; emergency medicine; flipped classroom