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ORIGINAL RESEARCH article

Front. Med.

Sec. Healthcare Professions Education

This article is part of the Research TopicInsights in Healthcare Professions Education: 2025View all 22 articles

SPOC(Small Private Online Course)-Infused Flipped Classroom: A Promising Approach to Address Knowledge Lag and Practice Gaps in Infectious Diseases Teaching

Provisionally accepted
Xiaohao  WangXiaohao WangHu  LiHu LiDazhi  ZhangDazhi ZhangDachuan  CaiDachuan CaiShan  ZhongShan Zhong*
  • Department of Infectious Diseases, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China

The final, formatted version of the article will be published soon.

Objective:This study aimed to design and implement a "SPOC (Small Private Online Course) + flipped classroom" teaching model for Infectious Diseases, and to evaluate its effectiveness in improving students' academic performance, clinical practical ability, and teaching satisfaction, so as to provide a scientific practical reference for the teaching reform of Infectious Diseases. Methods: A total of 361 five-year clinical medicine students (2018 and 2019 grades) from Chongqing Medical University were selected as the research objects. They were randomly divided into an experimental group (n=61) receiving SPOC-blended flipped classroom teaching and a control group (n=300) receiving traditional Lecture-Based Learning (LBL) teaching. There were no significant differences in baseline data between the two groups (P>0.05), indicating comparability.The two groups had the same teaching content, teaching hours, and teaching staff. After the course, the academic performance (final theoretical examination and Objective Structured Clinical Examination (OSCE)) and teaching satisfaction of the two groups were compared. Results: The scores of the final theoretical examination (81.7±6.64 vs. 77.2±6.13, P < 0.001) and OSCE (83.8±4.53 vs. 79.9±6.29, P < 0.001) in the experimental group were significantly higher than those in the control group. In terms of teaching satisfaction, the scores of the experimental group in all dimensions, including "practicality of teaching content" (4.4±0.5 vs. 3.1±0.6, P < 0.001), "attractiveness of teaching methods" (4.6±0.4 vs. 3.0±0.7, P < 0.001), "effect of ability improvement" (4.5±0.5 vs. 3.2±0.6, P < 0.001), and the total score (4.5±0.4 vs. 3.2±0.6, P < 0.001), were significantly higher than those in the control group. Conclusion: The "SPOC + flipped classroom" teaching model can effectively improve the academic performance, clinical practical ability, and teaching satisfaction of clinical medicine students in Infectious Diseases learning. It provides a feasible practical path for the teaching reform of Infectious Diseases and a replicable paradigm for mixed teaching in other medical courses.

Keywords: SPOC, flipped classroom, infectious diseases, Medical Education, randomized controlled trial

Received: 10 Sep 2025; Accepted: 30 Nov 2025.

Copyright: © 2025 Wang, Li, Zhang, Cai and Zhong. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Shan Zhong

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