A comparative mixed method study of flipped class room and traditional lecture for teaching rational drug prescription among undergraduates in Pharmacology.

Abstract

Rational drug prescription is a very important competency an Indian Medical Graduate (IMG) should acquire during his undergraduate training. It has great impact on the health of the patients as well as community as a whole. Irrational prescriptions lead to drug resistance, adverse drug reactions (ADRs) and drug interactions. This was a prospective interventional mixed method study where students were pseudo-randomized to either Traditional Lecture or Flipped Classroom based on the date of their academic session. For the study purpose, 250 phase 2 MBBS students in Pharmacology were divided into two groups. Allocation into 2 groups was done by lot method one week before the scheduled class so that the online study materials could be sent to the students belonging to the flipped classroom method in the form of case scenarios and videos. First group was taught rational drug prescription by traditional lecture method and the second group was dealt with flipped classroom method. A total of 198 students participated in the study with 103 in the TL group and 95 in the FC group. Acquisition of higher order cognitive skills like application and analysis was assessed by measuring an academic score obtained from a series of exercises on rational prescription in a given clinical scenario. The academic score of the TL group (Mean 5.99, SD 2.34) vs FC (Mean 5.59, SD 1.39 ) group thus obtained was not statistically significant p > 0.05, Effect size 0.08.There was statistically significant difference in favor of perceptions for FC in the ability to improve academic score, generate peer interaction, facilitate team work and improve teacher student interaction .

Competing Interest Statement

The authors have declared no competing interest.

Funding Statement

This study did not receive any funding.

Author Declarations

I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained.

Yes

The details of the IRB/oversight body that provided approval or exemption for the research described are given below:

Human Ethics Committee of Medical College Thiruvananthapuram gave ethical approval for this work.

I confirm that all necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived, and that any patient/participant/sample identifiers included were not known to anyone (e.g., hospital staff, patients or participants themselves) outside the research group so cannot be used to identify individuals.

Yes

I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance).

Yes

I have followed all appropriate research reporting guidelines and uploaded the relevant EQUATOR Network research reporting checklist(s) and other pertinent material as supplementary files, if applicable.

Yes

Data Availability

All data produced in the present study are available upon reasonable request to the authors. All results analyzed from the data are contained in the manuscript.

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