Evidence map›Paper›PMID 42298555›Full record

SynthesisBMC medical education2026

Effectiveness of the flipped classroom in medical education: a systematic review and meta-analysis.

Yaqiu Wu, Meixiong Cheng

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

Yaqiu WuDepartment of Neurosurgery, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, No. 32, West Section 2, 1st Ring Road, Chengdu, Sichuan Province, 610072, China.
Meixiong ChengDepartment of Neurosurgery, Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, No. 32, West Section 2, 1st Ring Road, Chengdu, Sichuan Province, 610072, China. chengmeixiong@med.uestc.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis systematic review and meta-analysis aimed to evaluate the effectiveness of the FC approach compared to conventional teaching methods in medical education.

methodsA comprehensive search of PubMed, Embase, and Web of Science databases was conducted. Eighteen eligible studies, involving diverse learner populations, were included in the analysis. The effectiveness of the FC model was assessed across five predefined domains: theoretical knowledge, procedural/technical skills, self-directed learning ability, case analysis/problem-solving ability, and learner satisfaction.

resultsPooled analyses demonstrated significant advantages of the FC model, with moderate to large effect sizes observed across most outcomes. Notable improvements were found in self-directed learning ability and procedural/technical skills. Subgroup analyses suggested that residents showed larger benefits, particularly in procedural/technical skills and learner satisfaction. Sensitivity analyses generally supported the direction of the findings, although statistical significance was not retained in all leave-one-out analyses for some outcomes.

conclusionsFlipped classrooms were associated with improved outcomes in medical education, with larger effects in residents. Given high heterogeneity and limited evidence in some domains, benefits appear context dependent. Implementation should be tailored, and future studies should define mechanisms and optimal conditions.

Indexed as

Education, MedicalModels, EducationalProblem-Based LearningClinical CompetenceHumansInternship and ResidencyTeachingEducational OutcomesFlipped ClassroomMedical EducationMeta-AnalysisResidentsSystematic Review

Identifiers

PMID42298555
PMCPMC13501834

What OpenQuestion holds

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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.