{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T01:06:58Z","timestamp":1779152818436,"version":"3.51.4"},"reference-count":45,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T00:00:00Z","timestamp":1776643200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T00:00:00Z","timestamp":1776643200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100010731","name":"Faculty of Medicine, Chiang Mai University","doi-asserted-by":"publisher","award":["097\/2568"],"award-info":[{"award-number":["097\/2568"]}],"id":[{"id":"10.13039\/501100010731","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["asmepublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Clinical Teacher"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Child abuse represents a critical public health challenge requiring medical professionals to possess both theoretical knowledge and practical communication skills. Traditional flipped classrooms, while effective for knowledge acquisition, may inadequately prepare students for emotionally charged clinical encounters. This study evaluated the impact of integrating peer role\u2010play into a flipped classroom approach for teaching child abuse management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A quasi\u2010experimental study was conducted among fifth\u2010year medical students during their paediatric rotation. Two cohorts were compared: the 2022 cohort (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009112) receiving traditional flipped classroom instruction and the 2023 cohort (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009100) experiencing a flipped classroom with integrated peer role\u2010play. Clinical reasoning and knowledge application were assessed using a Modified Essay Question (MEQ) examination. Student satisfaction was evaluated using a standardised questionnaire. Independent\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests were used to compare outcomes between cohorts.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Students in the peer role\u2010play group achieved significantly higher MEQ scores (75.54\u2009\u00b1\u200913.06) compared to the traditional group (58.09\u2009\u00b1\u200913.58), representing a 30% improvement (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001; Cohen's\n                      <jats:italic>d<\/jats:italic>\n                      = 1.28, 95% CI: 0.74\u20131.82). Satisfaction ratings were higher across all dimensions (all\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05), particularly engagement (4.84\u2009\u00b1\u20090.39 vs. 4.21\u2009\u00b1\u20090.52) and perceived learning effectiveness (4.82\u2009\u00b1\u20090.41 vs. 4.18\u2009\u00b1\u20090.48).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Integrating peer role\u2010play into a flipped classroom model was associated with improved clinical reasoning and knowledge application in child abuse management. This approach represents a feasible and scalable strategy to support active learning in sensitive clinical topics. Further research using performance\u2010based assessments is warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/tct.70419","type":"journal-article","created":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T02:18:36Z","timestamp":1776737916000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Peer Role\u2010Play Integration in Flipped Classroom Education Enhances Medical Students' Clinical Reasoning in Child Abuse Management: A Quasi\u2010Experimental Study"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9163-2916","authenticated-orcid":false,"given":"Nonglak","family":"Boonchooduang","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Faculty of Medicine Chiang Mai University  Chiang Mai Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7728-1117","authenticated-orcid":false,"given":"Orawan","family":"Louthrenoo","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Faculty of Medicine Chiang Mai University  Chiang Mai Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,4,20]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/pir.2015-0012"},{"issue":"2","key":"e_1_2_12_3_1","first-page":"72","article-title":"Child Maltreatment, Abuse, and Neglect: An Umbrella Review of Their Prevalence and Definitions","volume":"20","author":"Massullo C.","year":"2023","journal-title":"Clinical Neuropsychiatry"},{"key":"e_1_2_12_4_1","volume-title":"Global Status Report on Preventing Violence Against Children 2020","author":"World Health Organization","year":"2020"},{"key":"e_1_2_12_5_1","volume-title":"Hfocus: The Ministry of Public Health Reveals That Over 10,000 \u201cOne Stop Crisis Center\u201d Have Assisted More Than 92,000 Victims of Violence","year":"2024"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2017.303667"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.154.5.489"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.31128\/AJGP-04-18-4563"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.3928\/0090-4481-20050501-08"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0000000000000648"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-019761"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-2938"},{"issue":"12","key":"e_1_2_12_13_1","article-title":"Knowledge and Attitudes of Medical and Nursing Students in Greece Regarding Child Abuse and Neglect","volume":"9","author":"Pisimisi D. 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