A cross-sectional, mixed methods examination of a modified “Flipped Classroom” pedagogy
The “Sandwich Approach”
The “Flipped Classroom” has garnered much popularity as an instructional pedagogy over the past several years. At times, popular press and less empirical descriptions have superseded data driven descriptions of the technique. Further, many of the publications, which describe the flipped classroom approach, provide limited information about implementation or a vague overview of the principle. Nonetheless, the approach has thrived and is used broadly given gains in engagement and academic performance reported in a few key investigations. Several shortcomings have been identified but not evaluated systematically, in terms of potential solutions. This paper attempts to summarise previous empirical research findings, describe a modified version of the pedagogy referred to as the “sandwich approach,” and provide detailed information regarding implementation. A multi-year, cross-sectional, and mixed qualitative-quantitative design was employed to analyse comparisons of traditional versus flipped versus sandwich pedagogies in an undergraduate neuroanatomy course. Variables included student performance, influence of each pedagogy on student confidence, and student perceptions regarding each pedagogy. In quantitative comparisons of final grades, the sandwich approach out-performed traditional instruction . Student confidence ratings were generally better in the flipped contexts, as opposed to traditional. Qualitative analyses compared barriers and facilitators across pedagogies. Perceived barriers were highest for the flipped classroom approach, whereas barriers were lowest for the sandwich pedagogy and facilitators were the highest for the sandwich approach. Previous evidence suggested that the flipped classroom approach improved grade performance but was perceived less favourably by students. The sandwich approach appears to improve grade performance at a level equivalent or exceeding flipped classroom approach, while improving student perceptions. Since student perceptions are likely related to their motivation and engagement, addressing concerns identified in previous research regarding student perceptions within the flipped classroom approach is an important finding.
Baker, J.W. and Mentch, M.W. (2000). IMOWA curriculum materials.
Barkley, E.F, Cross, K.P., and Major, C.H. (2005). Collaborative Learning Techniques. San Francisco, CA: John Wiley & Sons.
Bembenutty, H. (2009). Self-regulation of homework completion. Psychology Journal, 6, 138–153.
Bergmann, J. and Sams, A. (2012). Flip your Classroom. Washington, DC: International Society for Technology in Education.
Bergmann, J. and Sams, A. (2008). Remixing the chemistry class. Learning and Leading with Technology 36 (4), 22–27. Retrieved from
Bishop, J. L. and Verleger, M. A. (2013. The flipped classroom: A survey of the research. In ASEE National Conference Proceedings, Atlanta, GA.
Blumenfeld, H. (2010). Neuroanatomy Through Clinical Cases. (2nd ed). Sunderlund, MA: Sinauer Associates.
Blumenfeld, P. C., Soloway, E., Marx, R. W., Krajcik, J. S., Guzdial, M., and Palincsar, A. (1991). Motivating project-based learning: Sustaining the doing, supporting the learning. Educational Psychologist 26 (3–4), 369–398. https://doi.org/10.1080/00461520.1991.9653139
Bonwell, C. C. and Eison, J. A. (1991). Active Learning: Creating Excitement in the Classroom. 1991 ASHE-ERIC Higher Education Reports. Washington, DC: ERIC Clearinghouse on Higher Education.
Bull, G., Ferster, B., and Kjellstrom, W. (2012). Inventing the flipped classroom. Learning & Leading with Technology 40 (1), 10–11. Retrieved from
Butt, A. (2014). Student views on the use of a flipped classroom approach: Evidence from Australia. Business Education & Accreditation 6 (1), 33–43.
Carr-Chellman, A. (2010). Instructional Design for Teachers: Improving Classroom Practice. Florence, KY: Routledge. https://doi.org/10.4324/9780203847275
Carvalho, H. and McCandless, M. (2014). Implementing the flipped classroom. Revista Hospital Universitário Pedro Ernesto 13 (4). https://doi.org/10.12957/rhupe.2014.13946
Cohn, E. and Chabon, S. S. (2011). The Communication Disorders Casebook: Learning by Example. Boston, MA: Pearson.
Corbo, J. C., Reinholz, D. L., Dancy, M. H., Deetz, S., and Finkelstein, N. (2016). Framework for transforming departmental culture to support educational innovation. Physical Review Physics Education Research 12 (1), 010113.
Cornelius-White, J. H. D., and Harbaugh, A. P. (2010). Learner-centered Instruction: Building Relationships for Student Success. Thousand Oaks, CA: Sage. https://doi.org/10.4135/9781483349183
Critz, C. and Wright, D. (2013). Using the flipped classroom in graduate nursing education. Nurse Educator 38 (5), 210–213. https://doi.org/10.1097/NNE.0b013e3182a0e56a
Davies, R. S., Dean, D. L., and Ball, N. (2013). Flipping the classroom and instructional technology integration in a college-level information systems spreadsheet course. Educational Technology Research and Development 61 (4), 563–580. https://doi.org/10.1007/s11423-013-9305-6
De Corte, E. (2003). Transfer as the productive use of acquired knowledge, skills, and motivations. Current Directions in Psychological Science 12 (4), 142–146. https://doi.org/10.1111/1467-8721.01250
De Corte, E. (1995). Fostering cognitive growth: A perspective from research on mathematics learning and instruction. Educational Psychologist 30 (1), 37–46. https://doi.org/10.1207/s15326985ep3001_4
De Corte, E., Verschaffel, L., and Masui, C. (2004). The CLIA-model: A framework for designing powerful learning environments for thinking and problem solving. European Journal of Psychology of Education 19 (4), 365–384. https://doi.org/10.1007/BF03173216
Falchikov, N. and Goldfinch, J. (2000). Student peer assessment in higher education: A meta-analysis comparing peer and teacher marks. Review of Educational Research 70 (3), 287–322. https://doi.org/10.3102/00346543070003287
Ferreri, S. P. and O’Connor, S. K. (2013). Redesign of a large lecture course into a small-group learning course. American Journal of Pharmaceutical Education 77 (1), 13. https://doi.org/10.5688/ajpe77113
Gagnon, G. and Collay, M. (2006). Constructivist: Key Questions for Learning, Teaching to Standards Design. Thousand Oaks, CA: Corwin Press.
Graneheim, U. H. and Lundman, B. (2004). Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Education Today 24 (2), 105–112. https://doi.org/10.1016/j.nedt.2003.10.001
Hamdan, N., McKnight, P., McKnight, K., and Arfstrom, K. M. (2013). The flipped learning model: A white paper based on the literature review titled a review of flipped learning. Retrieved from flippedlearning.org/wp-content/uploads/2016/07/WhitePaper_FlippedLearning.pdf
Henderson, C., Turpen, C., Dancy, M., and Chapman, T. (2014). Assessment of teaching effectiveness: Lack of alignment between instructors, institutions, and research recommendations. Physical Review Special Topics-Physics Education Research 10 (1), 010106. https://doi.org/10.1103/PhysRevSTPER.10.010106
Hoepner, J.K., Hemmerich, A.L., and Sterling-Orth, A. (2016). Use of Screencasting to increase student engagement and learning: Ingredients for success. Journal of Teaching and Learning with Technology 5 (1). 100–104. https://doi.org/10.14434/jotlt.v5n1.13632
Hoffman, E. S. (2014). Beyond the flipped classroom: Redesigning a research methods course for e3 instruction. Contemporary Issues in Education Research (Online) 7 (1), 51. https://doi.org/10.19030/cier.v7i1.8312
Hung, W., Harpole Bailey, J., and Jonassen, D. H. (2003). Exploring the tensions of problem-based learning: Insights from research. New Directions for Teaching and Learning 2003 (95), 13–23. https://doi.org/10.1002/tl.108
Kearsley, G. and Schneiderman, B. (1998). Engagement theory: A framework for technology-based teaching and learning. Educational Technology 38 (5), 20–23.
Kerr, N. L. and Bruun, S. E. (1983). Dispensability of member effort and group motivation losses: Free-rider effects. Journal of Personality and Social Psychology 44 (1), 78–94. https://doi.org/10.1037/0022-35220.127.116.11
Kolb, D. (1984). Experiential Learning as the Science of Learning and Development. Upper Saddle River, NJ: Prentiss Hall.
Lage, M.J., Platt, G.J., and Treglia, M. (2000) Inverting the classroom: A gateway to creating an inclusive learning environment. Journal of Economic Education, Winter, 30–43. https://doi.org/10.1080/00220480009596759
Maher, M. L., Latulipe, C., Lipford, H., and Rorrer, A. (2015). Flipped classroom strategies for CS education. In Proceedings of the 46th ACM Technical Symposium on Computer Science Education, 218–223. New York: ACM. https://doi.org/10.1145/2676723.2677252
Maher, M. L., Lipford, H., and Singh, V. (2013). Flipped classroom strategies using online videos. University of North Carolina at Charlotte. Retrieved from: http://cei.uncc.edu/sites/default/files/CEI%20Tech%20Report%203.pdf
Mason, G. S., Shuman, T. R., and Cook, K. E. (2013). Comparing the effectiveness of an inverted classroom to a traditional classroom in an upper-division engineering course. IEEE Transactions on Education 56 (4), 430–435. https://doi.org/10.1109/TE.2013.2249066
Mazur, A. D., Brown, B., and Jacobsen, M. (2015). Learning designs using Flipped Classroom Instruction. Canadian Journal of Learning & Technology 41 (2), 1–26. https://doi.org/10.21432/T2PG7P
Missildine, K., Fountain, R., Summers, L., and Gosselin, K. (2013). Flipping the classroom to improve student performance and satisfaction. Journal of Nursing Education 52 (10), 597–599. https://doi.org/10.3928/01484834-20130919-03
O’Flaherty, J. and Phillips, C. (2015). The use of flipped classrooms in higher education: A scoping review. The Internet and Higher Education 25, 85–95. https://doi.org/10.1016/j.iheduc.2015.02.002
Piaget, J. (1950). The Psychology of Intelligence. New York: Routledge.
Pluta, W. J., Richards, B. F., and Mutnick, A. (2013). PBL and beyond: Trends in collaborative learning. Teaching and Learning in Medicine 25 (sup1), S9–S16. https://doi.org/10.1080/10401334.2013.842917
Prober C. and Heath, C. (2012). Lecture halls without lectures – a proposal for medical education. New England Journal of Medicine 366 (18), 1657–1659. https://doi.org/10.1056/NEJMp1202451
Savery, J. R. (2006). Overview of problem-based learning: Definitions and distinctions. Interdisciplinary Journal of Problem-Based Learning 1 (1).
Schlairet, M. C., Green, R., and Benton, M. J. (2014). The flipped classroom: Strategies for an undergraduate nursing course. Nurse Educator 39 (6), 321–325. https://doi.org/10.1097/NNE.0000000000000096
Segers, M. and Dochy, F. (2001). New assessment forms in problem-based learning: The value-added of the students’ perspective, Studies in Higher Education 26 (3), 327–343. https://doi.org/10.1080/03075070120076291
Strayer, J. F (2012). How learning in an inverted classroom influences cooperation, innovation and task orientation. Learning Environments Research 15, 171–193. https://doi.org/10.1007/s10984-012-9108-4
Strayer, J. F. (2007). The effects of the classroom flip on the learning environment: a comparison of learning activity in a traditional classroom and a flip classroom that used an intelligent tutoring system. Dissertation, Ohio State University.
Struyven, K., Dochy, F., and Janssens, S. (2003). Students’ perceptions about new modes of assessment in higher education: A review. In M. Segers, F. Dochy, and E. Cascallar (Eds) Optimising New Modes of Assessment: In Search of Qualities and Standards, 171–223. Dordrecht: Springer. https://doi.org/10.1007/0-306-48125-1_8
Tanner, C. A. (2006). Thinking like a nurse: A research-based model of clinical judgment in nursing. Journal of Nursing Education 45 (6), 204–211.
Toto, R. and Nguyen, H. (2009). Flipping the work design in an industrial engineering course. In Frontiers in Education Conference, October 2009. FIE’09. 39th IEEE (pp. 1–4). IEEE. https://doi.org/10.1109/FIE.2009.5350529
Umbach, P. D. and Wawrzynski, M. R. (2005). Faculty do matter: The role of college faculty in student learning and engagement. Research in Higher Education 46 (2), 153–184. https://doi.org/10.1007/s1162-004-1598-1
Visconti, C. F. (2010). Problem-based learning: Teaching skills for evidence-based practice. SIG 10 Perspectives on Issues in Higher Education 13 (1), 27–31. https://doi.org/10.1044/ihe13.1.27
Wilson, S. G. (2013). The flipped class: A method to address the challenges of an undergraduate statistics course. Teaching of Psychology 40 (3), 193–199. https://doi.org/10.1177/0098628313487461
Yeung, K. (2014). Making ‘the flip’ work: barriers to and implementation strategies for introducing flipped teaching methods into traditional higher education courses. New Directions in the Teaching of Physical Sciences 10 (1), 59–63. https://doi.org/10.11120/ndir.2014.00024
Young, B., Hughes, H., Inzko, H., Oberdick, J., and Smail, R. (2011). 7 things you need to know about flipping the classroom. Retrieved from
Zappe, S., Leicht, R., Messner, J., Litzinger, T., and Lee, H. W. (2009). Flipping the Classroom to Explore Active Learning in a Large Undergraduate Course. Washington, DC: American Society for Engineering Education. Retrieved from
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