“…Similarly, but to a lesser extent, there was an improvement in the answers to the questions that assessed lower order cognitive skills. In the last years, it has been shown that peer instruction increases the learning level of the contents of cardiovascular, respiratory, and renal physiology [11,16,17,19,[26][27][28], of exercise physiology [29], of acid-base physiology [19,30,31], of nervous system and hemato encephalic barrier physiology [11,20], excitability [32] and of a laboratory course of physiology [16,33,34].…”