Research| Volume 49, ISSUE 1, P124-133, January 2023

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The Effect of the Flipped Classroom Model on Teaching Clinical Practice Skills

Published:November 15, 2022DOI:



      No evidence was found in the literature for the use of the flipped classroom model in teaching clinical practice skills in paramedics. The study aimed to determine the effect of the flipped classroom model in teaching clinical practice skills to paramedic program students.


      The study was a single-center, randomized controlled, single-blind parallel-group study. The research was carried out with a university’s first-year paramedic program students in the 2021 to 2022 academic year. The students were divided into groups by stratified sampling (intervention group = 21, control group = 21). Five clinical skills practices at various times were explained to the intervention group with the flipped classroom model and to the control group with the traditional lecture method. The research data were collected with the Introductory Characteristics Information Form, Checklists, Time Tracking Form, and Students’ Questionnaire for Evaluating the flipped classroom model.


      Although the students in the intervention group received a higher total score from all 5 clinical practice skills than the students in the control group, this difference was not statistically significant (P > .05). However, although the time allocated for applications in the intervention group was 40 to 75 minutes longer than in the control group, most students stated that this model successfully taught skills and theory, increased their motivation during the application, and reduced application and exam anxiety.


      The flipped classroom model can be used as an alternative method to the traditional system in teaching clinical practice skills. This innovative educational approach can be recommended as a student-centered method in clinical skills teaching.

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      Ali Kaplan is an Assistant Professor, Incesu Ayşe and Saffet Arslan Health Services Vocational School, Department of Medical Services and Techniques, University of Kayseri, Kayseri, Turkey. ORCID identifier:


      Cevriye Özdemir is an Assistant Professor, Incesu Ayşe and Saffet Arslan Health Services Vocational School, Department of Medical Services and Techniques, University of Kayseri, Kayseri, Turkey. ORCID identifier:


      Özlem Kaplan is a Research Assistant, Health Science Faculty, Department of Nursing, University of Erciyes, Kayseri, Turkey. ORCID identifier: