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. 2021 May 19;31(3):1213–1246. doi: 10.1007/s40670-021-01295-x

Table 2.

Synthesized table of extracted data for studies that met eligibility criteria

In-text citation Type of health professional learner Description and/or purpose of the BLP How is the program labeled in the study Country and/or Region of Study Usability Component Being Evaluated Was the overall concept of “Usability” explicitly evaluated and/or discussed? Method of evaluation Did the study discuss instrument reliability, standardization, and/or validity if utilized?
[86] Physiotherapy students (3rd year) To teach ethics in physiotherapy Blended learning Spain Effectiveness; satisfaction No Self-reported questionnaires (the Attitudes Questionnaire towards Professional Ethics in Physiotherapy – AQPEPT; Perceptions about Knowledge regarding Professional Ethics in Physiotherapy; and a student’s opinion questionnaire The self-reported questionnaire were previously validated with good-high reliability (Cronbach’s alpha = 0.898; 0.760 respectively); the reliability/standardization/validity of the student’s opinion questionnaire was Not indicated
[103] Medical students (6th year); practicing family doctors and interns To improve professional competence in the certification of causes of death in the Spanish National Health System Blended learning Spain Effectiveness; satisfaction No “Quasi-experimental” pre- and post-survey Not indicated
[104] Internal medicine postgraduate trainees (2nd year) To teach outpatient diabetes management Flipped classroom USA Effectiveness; efficiency; satisfaction No Opinion questionnaire; focus groups; pre-post and 6 month follow-up knowledge test (New England Journal of Medicine Knowledge + Question Bank); and an attitudinal survey using a 5-point Likert scale Not indicated for the opinion questionnaire and the attitudinal survey; the Knowledge + Question Bank seems to be standardized
[105] All dental students (year not specified) registered in a Clerkship at the Department of Oral and Maxillofacial Surgery To teach material on oral and maxillofacial surgery in a 2-week clerkship Blended learning using a flipped classroom approach Germany Effectiveness; efficiency; satisfaction No Pre-post test with 20 single-choice questions; program evaluation questionnaire delivered on a 10-point Likert scale Not indicated
[106] Dental students (2nd year) To teach pediatric dentistry Flipped classroom USA Effectiveness; satisfaction; efficiency No Pre- and post-survey (8 items), which includes an additional 12 questions administered at the end of the program only. Surveys included Likert scales (1–5); thematic analysis conducted on open-ended questions Not indicated
[107] Medical residents (internal medicine) To teach students in an internal medicine residency program Flipped classroom USA Effectiveness; satisfaction; efficiency No Kirkpatrick’s model of evaluation level 1 and 2. Pre-post survey with Likert scale (1–5); comparison between students enrolled in the flipped classroom curriculum vs. the traditional course Study functioned to validate their survey
[87] Medical students (4th and 5th year) To teach students differential diagnosis Inverted classroom Germany Effectiveness; satisfaction; efficiency No Pre- and post-survey (standardized questionnaire form University of Marburg) with Likert scales (1–5); focus group Standardized
[88] Pharmacy students (3rd year) To teach pharmacotherapy oncology Flipped classroom USA Effectiveness; satisfaction No ANCOVA analysis on examination scores using previous academic performance variables (i.e., undergraduate GPA) as covariates. Summative teaching evaluation (two-item questionnaire) Not indicated
[93] Medical students (1st year) To teach advanced cardiac life support Flipped classroom USA Effectiveness; efficiency No Comparison of three written evaluations (multiple-choice questions) between students taking part in BLP vs. traditional program. Ungraded 10-question quizzes to gauge student compliance with podcast viewing -
[108] Chiropractic students (2nd year) To teach clinical microbiology Inverted classroom model USA Effectiveness; satisfaction No Test performance compared between students being taught using an inverted classroom model and students being taught using the traditional lecture-based face-to-face method; a six-question survey Indicates that most survey items were adapted from items appeared in validated study surveys; face validity of the survey was established by the university’s director of academic assessment and two other faculty members; Cronbach’s alpha was also calculated
[109] Health professional students (physical therapy, occupational therapy, and other) and health professionals (physical therapist, occupational therapist, prosthetics and orthotics, MD—physiatry working in hospital, academic, outpatient and in-patient settings To increase knowledge in basic-level wheelchair service provision Hybrid course India and Mexico Effectiveness; satisfaction No Quasi-experimental design with non-equivalent control groups; test and satisfaction survey using a 5-point Likert scale Validity and standardization discussed for the test, and mentions that the satisfaction survey was created from adapting a previously established survey
[110] Nursing students (4th-year undergraduates) To teach pediatric nursing content Flipped classroom Bahrain Effectiveness; efficiency; satisfaction No Quiz; class-engagement scores; and focus groups Not indicated
[67] Nursing students (1st year) To teach a course called “Human Beings and Health” Flipped learning South Korea Effectiveness; satisfaction; efficiency No Flipped Course Evaluation Questionnaire; open-ended questions; focus groups. Conventional content analysis Not indicated
[89] Practicing nurses To teach a course called “Patient Navigation in Oncology Nursing” Blended learning Canada Effectiveness No Questionnaire (adapted from standardized questionnaire), including a Likert scale (1–5) and additional open-ended questions Standardized
[111] Doctor of Physical Therapy students (in the first two semesters) To teach gross anatomy Flipped classroom USA Effectiveness No Comparison of examinations and grades between students in a flipped vs. traditional anatomy class -
[112] Medical students (4th year) To teach a course on management of trauma patients Inverted classroom Colombia Effectiveness; satisfaction; efficiency No Pre- and post-test; generic institutional questionnaire; and evaluation by Flipped Classroom Perception Instrument (FCPI) Not indicated
[71] Medical students (3rd and 4th year) To teach students in a geriatric medicine rotation Blended learning Australia Effectiveness; satisfaction; efficiency No Pre- and post-knowledge assessment instrument Not indicated
[113] Dental students (3rd and 4th year) To teach topics from dental pharmacology related to oral lesions and orofacial pain Blended learning Malaysia Effectiveness; satisfaction; efficiency No Qualitative thematic analysis of student reflections -
[72] Emergency department staff members (RNs, nursing assistants, and unit coordinators) To provide staff with health information technology training Blended learning USA Effectiveness; satisfaction; efficiency No Qualitative analysis of 13-question survey, including Likert scale (1–5). Responses summarized into “satisfaction score,” plus additional thematic analysis Indicates that the survey used was pre-existent, but does not use the word validated
[51] Nursing students (undergraduates—year not explicitly stated) To teach a course about information technology for nurses Blended learning Saudi Arabia Effectiveness; satisfaction; efficiency No 6-tool descriptive research design, including comparison of student grades (enrolled vs. not enrolled in BLP); Student Satisfaction Survey (Likert scale 1–5), and teacher/course evaluations Indicates that the survey used is a modified version of the Students’ Evaluation of Educational Quality Survey
[114] Midwifery students in a master’s program (note that all students in the program were midwifery educators who had previous training as nurses-midwives and 5 to 30 years of experience) To teach midwifery educators about learning styles and pedagogical approaches Blended learning Bangladesh Effectiveness; efficiency No Structured baseline questionnaire; endpoint questionnaire; and focus groups—the questionnaires used 5-point Likert scales and open-ended responses; qualitative data were analyzed using content analysis Not indicated
[115] Pharmacy students (final year) To teach diabetes mellitus counseling skills Blended learning Germany Effectiveness; satisfaction No Online tests; objective structured clinical examination scores; surveys using a 6-point Likert scale Not indicated
[73] Practicing midwives To provide midwives with increased training and education in perinatal mental health education Blended learning UK (Scotland) Effectiveness; satisfaction; efficiency No A modified online Objective Structured Clinical Examination (OSCE); evaluation of portfolios of reflective accounts -
[74] Nursing students (3rd year) To assist learners in strengthening their communication skills in mental health nursing Blended learning Norway Effectiveness; satisfaction; efficiency No Exploratory design; questionnaire with open-ended questions (Likert scale 1–5). Content analysis Determined face validity of the questionnaire through discussion with a reference group
[75] Nutrition/dietetics students (undergraduates—year not explicitly stated) To teach the courses “Professional Skills in Dietetics” and “Community Nutrition” Flipped classroom USA Effectiveness; satisfaction; efficiency No Survey with Likert scale (1–5) Reliability tested (assessed the Cronbach alpha of the survey prior to utilizing it)
[84] Pharmacy students (2nd year) To teach a course called Dosage Form II (sterile preparations) Flipped classroom Malaysia Effectiveness; satisfaction No Quasi-experimental pre- and post-test intervention; and a web-based survey using a 5-point Likert scale Not indicated
[76] Medical students (3rd year—family medicine clerkship) To teach behavior change counseling Blended learning USA Effectiveness No Attitude and Knowledge assessment; 12-item pre- and post-class assessment; additional 5 questions only at conclusion Not clearly indicated—mentions that items were derived from questions developed by Martino et al. (2007)
[77] Pharmacy students (1st year) To teach advanced physiology Flipped teaching USA Effectiveness No Comparison of exam grades between different cohorts (flipped vs. non-flipped) -
[78] Medical students (4th year) To teach social determinants of health Flipped learning UK Effectiveness; satisfaction; efficiency No First level of Kirkpatrick’s evaluation model: questionnaire (Likert scale 1–4); semi-structured group interview; thematic analysis Not indicated
[56] Physiotherapy students (2nd year) To teach gross anatomy Blended learning Australia Effectiveness; satisfaction; efficiency No Retrospective cohort study of student grades and student feedback (“Likert-style questions”); thematic and content analysis Not indicated
[57] Medical students (5th year) To teach radiology content Blended learning UK Effectiveness; satisfaction; efficiency No Questionnaire Not indicated
[116] Doctor of Chiropractic Program students (year not specified) To teach an introductory extremities radiology course Integrative blended learning USA Effectiveness; efficiency; satisfaction No Cross-sectional comparison of students cohorts learning via an integrative blended learning approach vs. traditional approach; comparison of test scores from lecture and laboratory examinations; and a course evaluation The course evaluation questions that were analyzed came from the institutional-based course evaluation system
[58] Pharmacy students (2nd year) To teach the principles of nutrition for diabetes mellitus Flipped classroom Thailand Effectiveness; satisfaction; efficiency No Test scores compared between different cohorts (flipped vs. non-flipped); student feedback via 15-item survey (Likert scale 1–5); plus open-ended feedback from two peer instructors (not affiliated with course development or instruction) Not indicated
[117] Healthcare providers (family physicians and allied health professionals) To train primary care physicians in rheumatology care Blended learning Pakistan Effectiveness; efficiency; satisfaction No Participation in teaching activities; pre- and post-course self-assessment; written feedback; and a questionnaire Not indicated
[118] Nursing students (2nd to 4th year) To teach a course on patient safety Flipped classroom South Korea Effectiveness No Quasi-experimental study with a non-equivalent control group; pre-post test administered as a survey containing demographic questionnaire and the Patient Safety Competency Self-Evaluation (PSCSE) which uses a 5-point Likert scale Indication of PSCSE validation and reliability is made
[52] Pharmacy students (2nd year) To teach a pharmacotherapy course Flipped classroom USA Effectiveness; satisfaction; efficiency No Pre- and post test scores compared between different cohorts (flipped vs. un-flipped); pre- and post-course survey (designed to assess levels of Bloom’s Taxonomy of Learning with Likert scale 1–5); content analysis Indicates that survey questions were adapted from a validated survey instrument of student attitudes toward televised courses
[55] Doctor of Pharmacy students (2nd year) To teach a course on gastrointestinal and liver pharmacotherapy Flipped classroom USA Effectiveness; efficiency; satisfaction No Traditional vs. flipped classroom instruction impacts measured in cohorts via pre-post course survey using Likert scales, quizzes, and mean student performance Not indicated
[59] Medical students (1st year) To teach biochemistry Inverted classroom Germany Effectiveness; satisfaction; efficiency No Exam marks compared between different cohorts; course evaluation; questionnaire; indicates that qualitative data were collected but did not reference the type of qualitative analysis that was conducted in the study Not indicated (but does mention that the questionnaire was derived from a previous study by Rindermann et al., 2001)
[90] Osteopathic medicine students (3rd year—pediatric clerkship) To teach students in a pediatric rotation Blended learning USA Effectiveness; satisfaction; efficiency No Osteopathic Medical Achievement Test (120 items) scores and final course grades; preceptor evaluations (18 items, Likert scale 1–10) were compared between the standard learning and blended learning groups; post-course survey; identifies themes but does not discuss the type of qualitative analysis (i.e., thematic, content, etc.) or provide a reference to the approach that was used to derive these findings Not indicated
[91] Practicing pharmacists To assist pharmacy practitioners in acquiring competency in and accreditation for conducting collaborative comprehensive medication reviews (CMRs) Does not refer to BL or any of its synonyms Finland Effectiveness; satisfaction; efficiency No Evaluation of participants’ learning through learner diaries; written assignments and portfolio. Post-intervention survey (Likert scale 1–5) Not indicated, but survey routinely used by University of Kuopio, Centre for Training and Development
[53] Medical students (3rd year—surgery clerkship) To teach a surgical clerkship Flipped classroom USA Effectiveness; satisfaction No Traditional vs. flipped classroom instruction impacts measured in cohorts via end-of-rotation NBME Surgery Subject Examination; course evaluation survey using a 5-point Likert scale and open-ended questions; and an open-ended survey analyzed using conventional qualitative content analysis Not indicated for the surveys; the exam was indicated to be valid and standardized
[54] Diagnostic Radiology and Imaging BSc Honours Program students (2nd year) To teach a course in relation to radiology and imaging Blended learning UK Effectiveness; satisfaction; efficiency No Two questionnaires, one for students and one for staff; identifies themes but does not discuss the type of qualitative analysis (i.e., thematic, content, etc.) or provide a reference to the approach that was used to derive these findings Not indicated
[79] Medical students (4th year—family medicine course) To teach a family medicine course Blended learning Saudi Arabia Effectiveness; satisfaction; efficiency No Dundee “ready educational environment measure” (50-items, Likert scale 1–4); the ‘objective structured clinical examination’; written examination with multiple-choice questions; analysis of case scenarios—comparison between intervention and non-intervention groups Validated
[60] Midwifery students (1st year) To teach a course on Research, Evidence and Clinical Practice Blended learning Australia Effectiveness; satisfaction; efficiency No University-based course evaluations (Likert scale 1–5) Not indicated
[61] Nursing students (accelerated undergraduates—year not explicitly stated) To teach a course on evidence-based nursing practice Flipped classroom USA Effectiveness; satisfaction; efficiency No 2 surveys (one after pre-class module, one at end of semester) with Likert scale (1–5); plus qualitative questions. Conventional content analysis Not indicated
[120] Pharmacy students (1st year) To teach the course Basic Pharmaceutics II (PHCY 411) Flipped classroom USA Effectiveness; satisfaction; efficiency No Pre- and post-course surveys Not indicated
[119] Pharmacy students (2nd year) To teach venous thromboembolism (VTE) to students enrolled in a pharmacotherapy course Blended learning USA Effectiveness; satisfaction; efficiency No Comparison of engagement and performance based on online module access; pre-and post-test; response to in-class Automated Response System; exam performance; survey Not indicated
[69] Medical students (3rd year) To teach introductory medical statistics Blended learning Serbia Effectiveness; efficiency No Comparison of grades (20 multiple-choice test, plus final knowledge test) between students taking part in a blended program and a traditional program -
[92] General practice trainers To teach a “Modular Trainers Course” which provided instruction on General Practice Specialty Registrars Blended learning UK Satisfaction; efficiency No Participant feedback (Likert scale 1–4); Identifies themes but does not discuss the type of qualitative analysis (i.e., thematic, content, etc.) or provide a reference to the approach that was used to derive these findings Not indicated
[121] Master of Public Health students To teach an introductory graduate course on epidemiology Flipped classroom Canada Effectiveness; satisfaction; efficiency No Surveys containing both Likert scale (1–5) and open-ended questions, which were administered at 3 time points; additional Learner Evaluation of Educational Quality (SEEQ) Survey Standardized
[122] Medical students (1st year) To teach a required integrated basic-science course called Foundations of Medicine Flipped classroom USA Effectiveness; satisfaction; efficiency No Comparison of final exam marks between students that took part in the FC vs. those in the LC; learner evaluations. Evaluations derived from Bloom’s taxonomy Not indicated
[62] Medical students (1st and 2nd year) To teach an anatomy course Blended learning Turkey Effectiveness; satisfaction; efficiency No Focus groups with purposive sample of students with high, medium and low academic scores; content analysis -
[70] Medical students (3rd and 4th year—radiology clerkship or elective) To teach neuroimaging content Flipped learning USA Effectiveness; satisfaction; efficiency No 19-item electronic survey; shortened version of the class-related emotions section of the Achievement Emotions Questionnaire; pre- and post-test Validated
[63] Nursing students (undergraduates—year not explicitly stated) To teach a flipped learning nursing informatics course Flipped learning South Korea Effectiveness; satisfaction; efficiency No 3 levels of Kirkpatrick’s evaluation model: 10-item questionnaire; course outcomes achievement (multiple choice test, essay, checklist); follow-up survey Not indicated
[123] Nursing students (2nd year) To teach a nursing informatics course Flipped learning South Korea Effectiveness; satisfaction No Pre-post test, one-group, quasi-experimental design; preliminary test; 5-point Likert scale questionnaire; post-course feedback analyzed using the generation of themes Preliminary test questions were reliability tested; not indicated for the questionnaire
[124] Health professional students (dental medicine; dietetics; medicine; occupational therapy; pharmacy; physical therapy; social work; speech language pathology) To teach an interdisciplinary evidence-based practice course Flipped classroom USA Effectiveness; satisfaction No Module quizzes; Readiness for Interprofessional Learning Scale (RIPLS), plus survey with Likert scale (1–5) Validated
[80] Allied health students (nursing; health science; podiatry; occupational therapist; physiotherapist; paramedicine; speech pathology; exercise physiology; oral health) To teach a first-year, first semester, physiology course Blended learning Australia Effectiveness; satisfaction; efficiency No Student grades; cross-sectional survey (Likert scale 1–5). Thematic analysis Not indicated
[125] Nursing students (1st year) To teach a first-year course on health assessment Flipped classroom Canada Effectiveness; satisfaction; efficiency No Student grades; feedback (comparison between different cohort of students—intervention vs. no intervention) Not indicated
[81] Pharmacy students (1st, 2nd, and 3rd year) To teach three courses: (1) small ambulatory care; (2) cardiovascular pharmacotherapeutics; and (3) evidence-based medicine Blended learning USA Effectiveness; satisfaction; efficiency No Exam grades; student survey; and additional open-ended questions asked to faculty. Thematic analysis on open ended questions Not indicated
[68] Medical students; dental students; pharmacy students To teach physiology Blended learning Montenegro Effectiveness; satisfaction; efficiency No Comparison of grades on assessments between intervention and non-intervention group; survey (Likert scale 1–5); use of online material Not indicated
[126] Dental students (4th year) To teach conservative dentistry and clinical dental skills in a course Blended learning with a flipped classroom approach Jordan Effectiveness; satisfaction No Comparison between students being taught via blended learning and traditional methods; performance measures included two exams, two assignments, in-clinic quizzes, and a clinical assessment; number of posts made by students in study groups and online discussion forums; and a questionnaire Not indicated
[127] Emergency medicine residents (post graduate year 3) To teach a course on pediatric emergency medicine Flipped classroom USA Effectiveness; satisfaction; efficiency No Pre- and Post-test; survey. Zaption analytics to determine levels of interaction with online content Not indicated
[82] Emergency medicine residents To teach a course on pediatric emergency medicine Flipped classroom USA Effectiveness; satisfaction; efficiency No Pre- and post-test; survey. Zaption analytics to determine levels of interaction with online content Not indicated
[128] Nursing students (3rd year) To teach a course entitled “Quality management methodology of nursing services” Blended learning Spain Effectiveness No Quasi-experimental post-treatment design with equal control group; the ACRAr Scales of Learning Strategies; student learning results The scale was indicated to be reliability tested and validated
[64] Medical students (1st and 2nd year) To teach radiology interpretation skills Blended learning Australia Effectiveness; satisfaction; efficiency No Pre- and post-test; survey. Identifies themes but does not discuss the type of qualitative analysis (i.e., thematic, content, etc.) or provide a reference to the approach that was used to derive these findings Not indicated
[129] Medical Documentation and Secretarial Program students To teach a course on medical terminology Flipped classroom Turkey Effectiveness; efficiency; satisfaction No Study Process Questionnaire which uses a 5-point Likert-type scale; learning activity participation rates; final exam grades; and an online survey comprised of open-ended questions which were followed up by telephone interviews—qualitative analysis technique was not specified explicitly The Study Process Questionnaire was previously validated and reliability tested; no indication for the survey
[130] Faculty of Medicine students (2nd year) To provide vascular access skill training via a Good Medical Practices Program in the faculty Flipped classroom Turkey Effectiveness; efficiency; satisfaction No Prospective controlled post-test and delayed-test research design involving a comparison with a control group; performance test; 5-point Likert-type assessment scale; feedback analyzed through qualitative themes Not indicated
[65] Undergraduate medical students (year not explicitly stated—pediatric clerkship) To improve newborn examination skills/neonatology Blended learning Australia Effectiveness; satisfaction; efficiency No Performance of newborn examination on standardized assessment compared between blended learning and control group; questionnaire Not indicated
[83] Medical students (4th-year ophthalmology clerkship) To teach an ophthalmology clerkship Flipped classroom China Effectiveness; satisfaction; efficiency No A questionnaire modified from Paul Ramsden’s Course Experience Questionnaire and Biggs’ Study Process questionnaire with verified reliability and validity Adapted from a questionnaire that was previously reliability tested and validated
[85] Dental students (2nd year) To teach a medical physiology course Inverted classroom model China Effectiveness; efficiency No Comparison between traditional and blended learning classes; Kolb’s learning style inventory (LSI); and a satisfaction questionnaire using a 5-point Likert scale Kolb’s LSI is indicated to be reliability tested and valid; the satisfaction questionnaire was developed based on the Course Experience Questionnaire which is indicated to be used in Australia
[131] Medical students (3rd year) To teach a medical statistics course Flipped classroom China Effectiveness; satisfaction No Learning motivation measured by an 11-item students’ interest questionnaire; self-regulated learning was measured using a 10-item questionnaire; academic performance measured using a self-designed test; course satisfaction measured via student feedback using a 5-point Likert Scale The learning motivation questionnaire was partially developed using items revised from an academic interest scale—internal consistency discussed; self-regulated learning questionnaire was developed according to previously developed scales—internal consistency discussed; not indicated for the satisfaction measurement
[132] Practicing nurses To teach a course on occupational health nursing Blended learning USA Effectiveness No Survey Not indicated
[97] Postgraduates enrolled in a master program (includes nurses, medical doctors, pharmacists, paramedics, and policy officer) To teach a course on quality and safety in patient care Blended learning Netherlands Effectiveness; efficiency; satisfaction Yes Questionnaires using a 5-point Likert scale Indicates that one of the questionnaires was developed previously but not published elsewhere, provides a Cronbach’s alpha score for the constructs of the questionnaire
[133] Doctor of Pharmacy students (all years) To teach advanced pharmacy practice courses Blended learning Qatar Effectiveness; efficiency; satisfaction No Focus groups analyzed using thematic analysis -
[66] Pharmacy students (1st year) To teach 3 classes on cardiac arrhythmias Flipped teaching USA Effectiveness; satisfaction; Efficiency No Exam scores; 15-item survey (Likert scale 1–4); student feedback (comparison of intervention and non-intervention groups) Not indicated
[134] Doctor of Dental Surgery students (1st year) To teach physiology of the autonomic nervous system Flipped classroom USA Effectiveness No Student performance assessed via quiz -
[135] Nursing students (senior level students—year not explicitly stated) To teach a course on sleep education Does not refer to BL or any of its synonyms USA Effectiveness; satisfaction; efficiency No Pre- and post-quiz; student feedback (Likert scale, 1–10) Not indicated
[136] Undergraduate clinical medicine students (2nd year) To teach a course on physiology Flipped classroom China Effectiveness; satisfaction No Pre-post test comparison between students being taught in traditional vs. flipped classroom methods; and a questionnaire Not indicated
[94] Pharmacists working in various community pharmacies in urban areas To train pharmacists in cardiovascular disease risk assessment Blended learning Qatar Effectiveness; satisfaction No The authors sought to evaluate the program using Kirkpatrick’s four-level evaluation framework (though the results do not explicitly indicate which levels of the model were assessed for); this includes pre-post questionnaires; interactive quizzes; objective structured clinical examination; and a satisfaction survey using a 5-point Likert Scale Not indicated
[137] Graduate health professional students [medicine; nursing (clinical nurse leader); pharmacy; public health; and Master of Social Work] To teach a course on population health and clinical emersion Blended learning USA Effectiveness; satisfaction No Pre- and post-assessment; reflection paper; assessment for Interprofessional Team Communication scale (AITCS) with Likert scale (1–5); course evaluations; benchmark reported through electronic medical record Validated