The Effectiveness of the Flipped Classroom from the Perspective of Medical Students: A Systematic Review of the Literature


1 MD, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

2 Department of Midwifery, Firoozabad Branch, Islamic Azad University, Firoozabad, Iran.

3 MD, Pediatrician, Department of Pediatric, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

4 MD, Evelina London Children’s Hospital, Guy’s and St. Thomas’ National Health Service Foundation Trust, London, UK.



Background: The rapid growth and pervasiveness of the Internet have led to the advance of online technologies and dramatic changes in teaching and learning methods. One of these methods is the Flipped Classroom. The present study reviews the studies on the effectiveness of the Flipped Classroom from the perspective of Iranian medical students.
Materials and Methods: In this systematic review, a systemic search of online databases (Medline, EMBASE, Scopus, Web of Science, Cochrane Library, CIVILICA, Magiran, SID, and Google Scholar search engine) was conducted for related studies in reliable Persian and English databases with no time limit up to January 2022. Two reviewers carried out the study selection.
Results: Finally, seven studies with a sample size of 440 medical students were included in the study. The results showed that 90% of students believed that this educational method improves learning, 80% believed that it increases their interest in learning and participation, and 41.8% believed that this method reduces stress in the classroom. The majority of students (79.1%) preferred flipped classroom teaching to the traditional method. This educational method also created satisfaction, self-regulated learning, more attractiveness, and better motivation in students' learning. In the flipped classroom, students were more willing to participate and engaged in much interaction, discussion, and critical thinking.
Conclusion: Flipped classroom teaching improves learning, reduces classroom stress, and increases student satisfaction. Due to the high volume of educational content in medical science education and the limited opportunity in the classrooms, this educational method and other student-centered methods are recommended.