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The flipped classroom concept is great but it does require a lot of thought. In teaching practical nurses, we have the same challenge: make sure the content needed for licensure is covered. When students prepare ahead of class, you can present group learning activites for the more difficult subjects, assuming they have covered some  content when they prepared for the class.  It puts the responsibility on the studnets, however the bonus for them is a more challenging classroom environment. Using case studies of a difficult problem or learning need helps the student recall what they read, and effectively apply it to a pateint situation. Group work also works well for quiet students, they are more likely comfortable when working in small groups. 

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