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Table 2 The questionnaire was answered by all the students after the examination. The anonymous paper questionnaire survey was adopted to compare the subjective learning feelings of the two groups of students. The content includes skills development, appropriate assessment, and academic environment. 1 = strongly agree, 2 = agree, 3 = neutral, 4 = strongly disagree, 5 = disagree. Effect size is calculated by test statistic divided by the root of sample size (small effect: 0.1 < r ≤ 0.3, medium effect: 0.3 < r ≤ 0.5, large effect: r > 0.5)

From: Effectiveness of flipped classroom combined with team-, case-, lecture- and evidence-based learning on ophthalmology teaching for eight-year program students

 

Flipped classroom

Control

Mann-Whitney U

P value

Effect size

1. Skills Development

 The class has helped me develop my ability to work as a team member.

1.6875 ± 0.89577863

3.514285714± 0.939435832

102.000

0.000

0.723519

 The class has sharpened my analytical skills.

2.03 ± 0.97

3.11±0.97

249.500

0.000

0.493219

 As a result of my degree course, I feel confident about tackling unfamiliar problems.

2.531 ± 1.27

3.143± 0.961

393.500

0.031

0.263531

 The class has developed my problem-solving skills

2.4063 ± 0.9456

3.1429± 0.971

331.500

0.002

0.378375

 The class has improved my skills in written communication

2.65625 ± 1.09572115

3.342857143±0.903256894

339.500

0.003

0.366768

 My class has helped me to develop the ability to plan my own work

2.53125 ±1.163542283

3.085714286±1.158817131

389.500

0.025

0.273183

2. Appropriate Assessment

 There is a lot of pressure on me as a student in this class

2.9687± 1.092034946

3.257142857±1.125110224

483.500

0.314

0.12303

 The workload is too heavy

2.9375±1.014014697

3.085714286±1.267418323

502.500

0.423

0.097862

 I am generally given enough time to understand the things I have to learn

2.4375±1.075759297

3.085714286±1.401529776

359.000

0.008

0.32413

 The sheer volume of work to be got through in this class means it can’t all be thoroughly comprehended Clear Goals and Standards

2.75±1.163975

2.8±1.656157

539.500

0.788

0.032865

 I have usually had a clear idea of where I am going and what is expected of me in this class

2.0625±1.075759297

2.628571429±1.884565547

418.000

0.065

0.225412

 It is always easy to know the standard of work expected

2.13±1.24

2.94±1.92

345.000

0.006

0.339157

 The staff made it clear right from the start what they expected from students

2.3438±0.9708

3.1429±2.0616

345.00

0.005

0.340501

 It has often been hard to discover what is expected of me in this class

4.125±0.907

3.3429±2.1667

357.500

0.008

0.322663

3. Academic Environment

 The class is intellectually stimulating.

2.0625±1.075759297

2.742857143±2.418677324

392.000

0.030

0.265852

 The class administration is effective in supporting my learning

2±1.135924

3.114286±2.443488

268.000

0.000

0.46292

 My class has stimulated my enthusiasm for further learning

2.1875±1.148281

3±2.621644

340.000

0.004

0.348076

 Where it was used, information technology helped me to learn

2.28125±1.32554

2.942857±2.695528

368.500

0.013

0.303115

 I feel part of a group of students and staff committed to learning

2.46875±1.243937

2.971429±2.882211

408.50

0.048

0.241662

 I feel I benefit from being in contact with active researchers

2.25±1.04727

3±3.075118

359.500

0.009

0.31741