Students' academic achievements
hyperthyroidism
HYPERTHYROIDISM
Our findings showed that the pretest and posttest scores showed highly statistically differences within each group separately, but the independent t-test which compared the pretest and post-test scores of the studied groups revealed that there were no statistically significant differences between group A (the FCM group) and group B (Traditional Lecture group) pretest and posttest scores. This may be explained by the fact that the Traditional Lecture group was given reading materials to study immediately after the lecture and before the post-test, which we think is biased toward the method since no reading materials are usually given after lectures. In other words, the Traditional Lecture group studied the reading materials and was immediately given the post-test, which is not the real practice during the traditional lecture. Another explanation for the absence of difference between the two groups may be that FCM was a new experience for the FCM group hence they were facing this new approach for the first time in their education and the time used was very short for students' preparation.This explanation goes with Chen Hsieh et al study as they mentioned that, the students facing difficulty dealing with the FCM because it was a new approach to them, and most of the students stated that using FCM needed heavily loaded requirements besides they had no time to watch videos outside the class [However, some studies showed that the use of FCM increased students' academic success. Janotha in 2016 was examining if the FCM teaching approach affects the academic achievement of nursing students. Students were administered a national standardized test and Council of Health Education System tests. The result of the study showed that the students in the experimental group achieved higher academic performance than the students in the control group (Janotha, 2016) [On the other hand, some researchers used a combination of different methods like problem-based learning (PBL) with FCM and the result was a positive student academic achievement. Like Xiaolei et al. study in 2019, they combined PBL with FCM in a hyperthyroidism endocrinology internship at Medical College and concluded that this combination although it increased students’ workload, it was better than using traditional lecture alone [So, to do the successful implementation of FCM and get better student performance three suggested points by Ramula may be necessary: the first teacher should select suitable topics, time match the optimum of students’ capability, and have well-planned classroom discussion [The effectiveness of FCM is still controversial and the different subjects or course designs might be the causes of the heterogeneity among these studies [However, many researchers showed improvement significantly in learning when they used FCM, and the learning outcome of FCM by many previous reviews suggested that improvement in student performance was found when compared with the traditional teaching approach [