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Stud Health Technol Inform. 2018;247:356-360.

Consequences of Switching to Blended Learning: The Grenoble Medical School Key Elements.

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UGA, CNRS, Public Health Department, CHUGA, TIMC Laboratory UMR 5525, Themas, Grenoble, F-38041.
Dean's office directory, Medical School, UGA, Grenoble. F-38041.
LIP6 Equipe MOCAH - UPMC Paris.



In 2006, the Grenoble-Alpes University Medical School decided to switch the learning paradigm of the first year to a blended learning model based on a flipped classroom with a continuous dual assessment system providing personal follow-up. We report a descriptive analysis of two pedagogical models.


The innovative blended learning model is divided into 5 week-sequences of learning, starting with a series of knowledge capsules, following with Interactive On Line Questions, Interactive On Site Training and an Explanation Meeting. The fourth and final steps are the dual assessment system that prepares for the final contest and the personal weekly follow-up. The data were extracted from the information systems over 17 years, during which the same learning model was applied.


With the same student workload, the hourly knowledge/skills ratio decreased to approximately 50% with the blended learning model. The teachers' workload increased significantly in the first year (+70%), and then decreased each year (reaching -20%). Furthermore, the type of education has also changed for the teacher, from an initial hourly knowledge/skill ratio of 3, to a ratio of 1/3 with the new model after a few years. The institution also needed to resize the classroom from a large amphitheatre to small interactive learning spaces.


There is a significant initial effort required to establish this model both for the teachers and for the institution, which have different needs and costs However, the satisfaction rates and the demand for extension to the other curriculums from medics and paramedics learners indicate that this model provides the enhanced learning paradigm of the future.


Blended Learning; Educational Measurement; Flipped Classroom; France; Medical Education; Teaching/methods; Undergraduate/methods

[Indexed for MEDLINE]

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