Flipped classroom improves students’ learning effectiveness in physiology course
To evaluate the impact of flipped classroom on the student’s learning effectiveness, students’ online scores and final exam scores (including scores in objective questions and subjective questions) were compared between the flipped classroom group and traditional teaching group. Our results showed that the average online score of students in the flipped classroom was significantly higher than that in traditional teaching class (94.82 ± 0.67 vs. 91.97 ± 1.28, There was also a significant increase in the final exam score of students from flipped classroom compared to that from traditional teaching group (85.47 ± 1.28 vs. 81.46 ± 1.27, 
The average scores of students in the traditional teaching group and flipped classroom teaching groupTraditional teaching(n = 69)Flipped classroom(n = 62)Values are means ± SEM and analyzed by t-test. *We further analyzed the distribution of students with different final exam scores in the two teaching classes. A score of 90 ~ 100 points is excellent, 80 ~ 89 points is good, 70 ~ 79 points is average, 60 ~ 69 points is fair, and lower than 60 points is failure. As shown in Table 
Number of students with different level of final exam score in traditional teaching group and flipped classroom groupTraditional teaching(n = 69)Flipped classroom(n = 62)