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Nevertheless, time in the CSL is fixed as a result of large number of pupils combined with restricted option of personnel. Consequently, a flipped classroom (FC) model ended up being introduced to maximise learning experiences. The aim of the present research was to assess the effect of flipped classroom CSL training on students' self-efficacy and useful surgical skills. Flipped classroom CSL training was implemented for the third-year pre-clinical students (n = 196) into