摘要：Introduction The effect of learning climate effect on self-directed student learning remains controversial. This study aims to compare this effect between 2 teaching approaches in surgery. Methods Using previously validated questionnaires, student perceptions about climate and self-directed learning were evaluated in an interactive teaching approach (inverted classroom) and a traditional approach (lecture). The inter-variable correlations in each group were calculated and then between both groups. Results A total of 75 students (inverted classroom) and 74 students (lecture) self-completed questionnaires at the end of surgery course. Although the learning climate was higher in the inverted classroom, the perceptions of self-directed learning were similar in both groups. All correlations, between the scores of the 2 questionnaires, overall, and by domain, were higher in the inverted classroom, compared with lectures ( P < .05) Conclusions The inverted classroom fosters a higher learning climate, with respect to the lecture, which is positively related to self-directed learning in surgical undergraduates. However, self-directed learning skills were similar in both approaches, and offer opportunities to evaluate other factors in this context.
