Looking at the Levels of Bloom's Taxonomy in a Flipped Classroom Utilizing Study Guide and Interactive Assignment for Undergraduate Medical Students


Our aims were determining the student’s views about the effect of using the study guide on advance preparation in a flipped class setting and testing the effect of flipped class on higher cognition. Using a quasi-experimental design in Tehran University of Medical Sciences, one batch was taught using a flipped classroom and another batch by a lecture in 3 sessions. The student’s views were assessed using a questionnaire, and the effect of flipped class on levels of higher cognition based on Bloom's taxonomy was measured using two tests in two-time intervals. Seventy-two students believed that the study guide helped them to devote their time to study. Data did not support our hypothesis that flipped class could result in higher cognition one month and four months after the intervention T=-0.75, df=197, P=0.45 in knowledge Questions, T=-1.08, df=197, P=0.28 in comprehensive questions, T=-0.30, df=197, P=0.76 in an application, and T=-0.91, df=197, P=0.36 in analytical questions. Study guides could be effective tools to get students to interact with pre-assigned readings in a flipped class context. Our hypothesis that flipped class could result in higher cognition was not supported.

1. Sharma N, Lau CS, Doherty I, Harbutt D. How we flipped the medical classroom. Med Teach 2015;37:327-30.
2. Hejri M, Mirzazadeh A, Khabaz Mafinejad M, Alizadeh M, Saleh N, Gandomkar R, et al. A decade of reform in medical education: Experiences and challenges at Tehran University of Medical Sciences. Med Teach 2018;40:472-80.
3. Morton DA. Colbert‐Getz JM. Measuring the impact of the flipped anatomy classroom: The importance of categorizing an assessment by Bloom's taxonomy. Anat Sci Educ 2017;10:170-5.
4. Mirzazadeh A, Mortaz Hejri S, Jalili M, Asghari F, Labaf A, Sedaghat Siyahkal M, et al. Defining a Competency Framework: The First Step Toward Competency-Based Medical Education. Acta Med Iran 2014;52:710-6.
5. Moffett J. Twelve tips for “flipping” the classroom. Med Teach 2015;37:331-6.
6. Huitt W. Bloom et al.'s taxonomy of the cognitive domain. Educational psychology interactive, 2004:22.
7. O'Flaherty J. Phillips c. The use of flipped classrooms in higher education: A scoping review. Internet High Educ 2015;25:85-95.
8. Cohen DA, Newman LR, Fishman LN. Twelve tips on writing a discussion case that facilitates teaching and engages learners. Med Teach 2017;39:147-52.
9. Alizadeh M, Parmelee D, Overman I, AlJasem M. Preparing Learners for Learning in the Engaged Learning Classroom. MedEdPublish 2019;8.
10. Khogali SEO, Laidlaw JM, Harden RM. Study guides: a study of different formats. Med Teach 2006;28:375-7.
11. Dickson KL, Miller MD, Devoley MS. Effect of textbook study guides on student performance in introductory psychology. Teach Psychol 2005;32:34-9.
12. Chen CH. Measuring the differences between traditional learning and game-based learning using electroencephalography (EEG) physiologically based methodology. J Interact Learn Res 2017;28:221-33.
13. ten Cate O. What happens to the student? The neglected variable in educational outcome research. Adv Health Sci Educ Theory Pract 2001;6:81-8.
IssueVol 58, No 12 (2020) QRcode
Flipped class Active learning Medical student Bloom taxonomy Study guide

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How to Cite
Nassiri Toosi M, Alizadeh M, khodadadegi M, Armandei M, Ajalloian Z, Alikhani R. Looking at the Levels of Bloom’s Taxonomy in a Flipped Classroom Utilizing Study Guide and Interactive Assignment for Undergraduate Medical Students. Acta Med Iran. 58(12):649-653.