preparation for the "classroom" session. The classroom session focuses on case-based knowledge application rather than knowledge acquisition."Megaflip" sessions are delivered via the Zoom (San Jose, Calif) platform. A small group of facilitators (2−3) hosts the Megaflip and interested programs request a link to participate. The participating programs provide a local facilitator to lead their own fellows in large group and breakout discussions. This facet of "Megaflip" allows the faculty team to highlight important interinstitutional practice differences and expands the peer-learning opportunity across programs. The Zoom platform overcomes many of the challenges of a large group interactive session by allowing learners to virtually raise their hand, answer yes/ no questions with the click of a button, utilize the chat feature, and participate in smaller group discussions via the breakout room feature.

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