Evidence map›Paper›PMID 41135422›Full record

ArticleJournal of surgical education2026

The Flipped Classroom Effect: Improving Faculty and Resident Engagement and Satisfaction in Ophthalmology Residency.

Suma K Thareja, Brandon Kennedy, Rachel Simpson, Katherine Hu, Rachel Patel, Griffin Jardine, Marissa Larochelle, Ariana Levin, Tara Hahn, Rachel R Codden and 2 more

Abstract read
In one paragraph

Article in Journal of surgical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Suma K TharejaDepartment of Medical Education, Medical College of Wisconsin, Milwaukee, Wisconsin.
Brandon KennedyDepartment of Ophthalmology, Casey Eye Institute, Oregon Health Sciences University, Portland, Oregon.
Rachel SimpsonDepartment of Ophthalmology and Visual Sciences, John A. Moran Eye Center, University of Utah, Salt Lake City, Utah.
Katherine HuDepartment of Ophthalmology and Visual Sciences, John A. Moran Eye Center, University of Utah, Salt Lake City, Utah.
Rachel PatelDepartment of Ophthalmology, Colorado Permanente Medical Group, Denver, Colorado.
Griffin JardineDepartment of Ophthalmology and Visual Sciences, John A. Moran Eye Center, University of Utah, Salt Lake City, Utah.
Marissa LarochelleDepartment of Ophthalmology and Visual Sciences, John A. Moran Eye Center, University of Utah, Salt Lake City, Utah.
Ariana LevinDepartment of Ophthalmology, New York University, New York, New York.
Tara HahnDepartment of Ophthalmology, Houston Methodist Hospital, Houston, Texas.
Rachel R CoddenDivision of Epidemiology, Department of Internal Medicine, University of Utah, Salt Lake City, Utah.
Jeff PetteyDepartment of Ophthalmology and Visual Sciences, John A. Moran Eye Center, University of Utah, Salt Lake City, Utah.
Sravanthi VeguntaDepartment of Ophthalmology and Visual Sciences, John A. Moran Eye Center, University of Utah, Salt Lake City, Utah. Electronic address: Srav.Vegunta@hsc.utah.edu.

Funding

CTSA UM1 Program at University of UtahUM1TR004409 · NCATS · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI RACHEL HESS, Jennifer Juhl Majersik · 2023 to 2026
$21.9M
Medical Scientist Training ProgramT32GM080202 · NIGMS · MEDICAL COLLEGE OF WISCONSIN · PI BARBIERI, JOSEPH T, SALZMAN, NITA H · 2010 to 2024
$5.7M
NCATS NIH HHS UM1 TR004409NIGMS NIH HHS T32 GM080202
6 · The paper itself

Abstract

objectiveTo evaluate the longitudinal impact and sustainability of a flipped classroom model (MOLE) on faculty and resident satisfaction, engagement, and educational outcomes within an ophthalmology residency over 3 years.

designThis prospective, longitudinal, pre- post intervention study used anonymous surveys (5-point Likert scales) administered to faculty and residents preimplementation (baseline), and at 1- and 3-years postimplementation of the MOLE curriculum. Assessed metrics included satisfaction, learning preferences, perceived barriers, attendance, and preparation time.

settingThe study was conducted at the ophthalmology residency of the (University of Utah's John A. Moran Eye Center), a tertiary care academic institution in Salt Lake City, Utah.

participantsAll ophthalmology residents and teaching faculty were invited. At baseline, 1-year, and 3-year surveys, resident response rates were 100% (n = 12/12), 100% (n = 12/12), and 78.6% (n = 11/14), respectively. Faculty response rates were 70.6% (n = 24/34), 71.4% (n = 25/35), and 51.4% (n = 18/35), respectively, for the same time points.

resultsBaseline satisfaction with traditional lectures was moderate (faculty mean = 3.1/5; resident mean = 2.5/5). One-year post-MOLE, preference for the flipped format was high (faculty 88%; residents 100%), faculty satisfaction increased (mean = 4.1/5), and resident didactic attendance improved (from 61.7% to 84.2%). At 3 years, faculty preference for the flipped format persisted (83.3%), while resident preference declined to 63.6%, particularly among junior residents desiring more didactic structure. Ophthalmic Knowledge Assessment Program (OKAP) percentile scores increased from a pre-MOLE average of 51.8 (2017-2019) to 70.1 (2021-2023).

conclusionsA flipped classroom model initially improved satisfaction and engagement in this surgical residency. Longitudinal data underscore the need for ongoing adaptation, responsive to evolving learner needs across training levels. These findings are pertinent for surgical education programs considering or implementing similar active learning curricula.

Indexed as

Education, Medical, GraduateFaculty, MedicalInternship and ResidencyOphthalmologyAdultCurriculumFemaleHumansLongitudinal StudiesMaleModels, EducationalPersonal SatisfactionProspective StudiesSurveys and QuestionnairesUtahactive learningcurriculum developmentflipped classroomgraduate medical educationophthalmology educationresident education

Identifiers

PMID41135422
PMCPMC13489560

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.