A systematic review of health sciences students’ online learning during the COVID-19 pandemic | BMC Medical Education
Dhawan S. Online learning: a panacea in the time of COVID-19 crisis. J Educ Technol Syst. 2020;49:5–22.
El Said GR. How did the COVID-19 pandemic affect higher education learning experience? An empirical investigation of learners’ academic performance at a university in a developing country. Adv Human Computer Interact. 2021;2021:1–10.
Kessler G. Introduction to teaching and technology. TESOL Encycl English Lang Teach. 2018;1:1–20.
Kusmaryono I, Jupriyanto J, Kusumaningsih W. A systematic literature review on the effectiveness of distance learning: problems, opportunities, challenges, and predictions. Int J Educ. 2021;14:62–9.
Ismaili Y. Evaluation of students’ attitude toward distance learning during the pandemic (Covid-19): a case study of ELTE university. Horiz. 2021;29:17–30.
Aguilera-Hermida AP. College students’ use and acceptance of emergency online learning due to COVID-19. Int J Educ Res Open. 2020;1:100011.
Cojocariu V-M, Lazar I, Nedeff V, Lazar G. SWOT anlysis of e-learning educational services from the perspective of their beneficiaries. Procedia Soc Behav Sci. 2014;116:1999–2003.
Pokhrel S, Chhetri R. A literature review on impact of COVID-19 pandemic on teaching and learning. 2021;8:133–41.https://doi.org/10.1177/2347631120983481
Hurlbut AR. Online vs. traditional learning in teacher education: a comparison of student progress. Am J Distance Educ. 2018;32:248–66.
Sintema EJ. Effect of COVID-19 on the performance of grade 12 students: implications for STEM education. Eurasia J Math Sci Technol Educ. 2020;16:1–6.
Şen HŞ. The attitudes of university students towards learning. Procedia-Social Behav Sci. 2013;83:947.
Alberti S, Motta P, Ferri P, Bonetti L. The effectiveness of team-based learning in nursing education: a systematic review. Nurse Educ Today. 2021;97:104721.
Azeem M, Mahmood N, Khalil-ur-Rehman, Afzal MT, Muhammad N, Idrees M. Development of an attitude scale to measure pre-service teachers attitude towards the teaching profession. Int J Learn. 2009;16:175–88.
Heitmann H, Wagner P, Fischer E, Gartmeier M, Schmidt-Graf F. Effectiveness of non-bedside teaching during the COVID-19 pandemic: a quasi-experimental study. BMC Med Educ. 2022;22:1–7.
Hannay M, Newvine T. Perceptions of distance learning: a comparison of online and traditional learning. J online Learn Teach. 2006;2:1–11.
Kemp N, Grieve R. Face-to-face or face-to-screen? Undergraduates’ opinions and test performance in classroom vs. online learning. Front Psychol. 2014;5:1278.
Mukhtar K, Javed K, Arooj M, Sethi A. Advantages, Limitations and Recommendations for online learning during COVID-19 pandemic era. Pakistan J Med Sci. 2020;36:S27.
Kmet LM, Cook LS, Lee RC. Standard quality assessment criteria for evaluating primary research papers from a variety of fields. 2004.
Khalil R, Mansour AE, Fadda WA, Almisnid K, Aldamegh M, Al-Nafeesah A, et al. The sudden transition to synchronized online learning during the COVID-19 pandemic in Saudi Arabia: a qualitative study exploring medical students’ perspectives. BMC Med Educ. 2020;20(1):285.
Suliman WA, Abu-Moghli FA, Khalaf I, Zumot AF, Nabolsi M. Experiences of nursing students under the unprecedented abrupt online learning format forced by the national curfew due to COVID-19: a qualitative research study. Nurse Educ Today. 2021;100:104829.
Khan AM, Patra S, Vaney N, Mehndiratta M, Chauhan R. Rapid transition to online practical classes in preclinical subjects during COVID-19: experience from a medical college in North India. Med J Armed Forces India. 2021;77:S161–7.
Langegård U, Kiani K, Nielsen SJ, Svensson PA. Nursing students’ experiences of a pedagogical transition from campus learning to distance learning using digital tools. BMC Nurs. 2021;20:23.
Caton JB, Chung S, Adeniji N, Hom J, Brar K, Gallant A, et al. Student engagement in the online classroom: comparing preclinical medical student question-asking behaviors in a videoconference versus in-person learning environment. FASEB BioAdvances. 2021;3:110–7.
Suppan M, Stuby L, Carrera E, Cottet P, Koka A, Assal F, et al. Asynchronous distance learning of the national institutes of health stroke scale during the COVID-19 pandemic (e-learning vs video): randomized controlled trial. J Med Internet Res. 2021;23:e23594.
Atli K, Selman W, Ray A. A comprehensive multicomponent neurosurgical course with use of virtual reality: modernizing the medical classroom. J Surg Educ. 2021;78:1350–6.
Co M, Chung PHY, Chu KM. Online teaching of basic surgical skills to medical students during the COVID-19 pandemic: a case–control study. Surg Today. 2021;51:1404–9.
Olum R, Atulinda L, Kigozi E, Nassozi DR, Mulekwa A, Bongomin F, et al. Medical education and E-learning during COVID-19 pandemic: awareness, attitudes, preferences, and barriers among undergraduate medicine and nursing students at Makerere University. Uganda J Med Educ Curric Dev. 2020;7:2382120520973212.
Sawarkar G, Sawarkar P, Kuchewar V. Ayurveda students’ perception toward online learning during the COVID-19 pandemic. J Educ Health Promot. 2020;9:342.
Jaap A, Dewar A, Duncan C, Fairhurst K, Hope D, Kluth D. Effect of remote online exam delivery on student experience and performance in applied knowledge tests. BMC Med Educ. 2021;21:86.
Martinez L, Holley A, Brown S, Abid A. Addressing the rapidly increasing need for telemedicine education for future physicians. PRiMER. 2020;4:16.
Schoenfeld-Tacher RM, Dorman DC. Effect of delivery format on student outcomes and perceptions of a veterinary medicine course: Synchronous versus asynchronous learning. Vet Sci. 2021;8:1–14.
Jiménez-Rodríguez D, Arrogante O. Simulated video consultations as a learning tool in undergraduate nursing: students’ perceptions. Healthc. 2020;8:280.
Al-Balas M, Al-Balas HI, Jaber HM, Obeidat K, Al-Balas H, Aborajooh EA, et al. Distance learning in clinical medical education amid COVID-19 pandemic in Jordan: current situation, challenges, and perspectives. BMC Med Educ. 2020;20:1–7.
Alqurshi A. Investigating the impact of COVID-19 lockdown on pharmaceutical education in Saudi Arabia – a call for a remote teaching contingency strategy. Saudi Pharm J. 2020;28:1075–83.
Alsoufi A, Alsuyihili A, Msherghi A, Elhadi A, Atiyah H, Ashini A, et al. Impact of the COVID-19 pandemic on medical education: medical students’ knowledge, attitudes, and practices regarding electronic learning. PLoS One. 2020;15(11):e0242905.
Amir LR, Tanti I, Maharani DA, Wimardhani YS, Julia V, Sulijaya B, et al. Student perspective of classroom and distance learning during COVID-19 pandemic in the undergraduate dental study program Universitas Indonesia. BMC Med Educ. 2020;20:392.
Anwar A, Mansoor H, Faisal D, Khan HS. E-Learning amid the COVID-19 lockdown: standpoint of medical and dental undergraduates. Pakistan J Med Sci. 2021;37:217.
Bączek M, Zagańczyk-Bączek M, Szpringer M, Jaroszyński A, Wożakowska-Kapłon B. Students’ perception of online learning during the COVID-19 pandemic: a survey study of Polish medical students. Medicine (Baltimore). 2021;100:e24821.
Chandrasinghe PC, Siriwardana RC, Kumarage SK, Munasinghe BNL, Weerasuriya A, Tillakaratne S, et al. A novel structure for online surgical undergraduate teaching during the COVID-19 pandemic. BMC Med Educ. 2020;20(1):324.
Coffey CS, MacDonald BV, Shahrvini B, Baxter SL, Lander L. Student perspectives on remote medical education in clinical core clerkships during the COVID-19 pandemic. Med Sci Educ. 2020;30:1577–84.
De Ponti R, Marazzato J, Maresca AM, Rovera F, Carcano G, Ferrario MM. Pre-graduation medical training including virtual reality during COVID-19 pandemic: a report on students’ perception. BMC Med Educ. 2020;20(1):332.
Dost S, Hossain A, Shehab M, Abdelwahed A, Al-Nusair L. Perceptions of medical students towards online teaching during the COVID-19 pandemic: a national cross-sectional survey of 2721 UK medical students. BMJ Open. 2020;10:e042378.
Elsalem L, Al-Azzam N, Jum’ah AA, Obeidat N. Remote E-exams during Covid-19 pandemic: A cross-sectional study of students’ preferences and academic dishonesty in faculties of medical sciences. Ann Med Surg. 2021;62:326–33.
Guiter GE, Sapia S, Wright AI, Hutchins GGA, Arayssi T. Development of a remote online collaborative medical school pathology curriculum with clinical correlations, across several international sites, through the Covid-19 pandemic. Med Sci Educ. 2021;31:549–56.
Gupta S, Dabas A, Swarnim S, Mishra D. Medical education during COVID-19 associated lockdown: faculty and students’ perspective. Med J Armed Forces India. 2021;77:S79-84.
Ibrahim NK, Al Raddadi R, AlDarmasi M, Al Ghamdi A, Gaddoury M, AlBar HM, et al. Medical students’ acceptance and perceptions of e-learning during the Covid-19 closure time in King Abdulaziz University. Jeddah J Infect Public Health. 2021;14:17–23.
Jiménez-Rodríguez D, Torres Navarro M del M, Plaza del Pino FJ, Arrogante O. Simulated nursing video consultations: an innovative proposal during Covid-19 confinement. Clin Simul Nurs. 2020;48:29–37.
Kim JW, Myung SJ, Yoon HB, Moon SH, Ryu H, Yim JJ. How medical education survives and evolves during COVID-19: our experience and future direction. PLoS One. 2020;15(12):e0243958.
Kumar A, Al Ansari A, Kamel Shehata M, Yousif Tayem Y, Khalil Arekat M, Mohammed Kamal A, et al. Evaluation of curricular adaptations using digital transformation in a medical school in arabian gulf during the COVID-19 pandemic. J Microsc Ultrastruct. 2020;8:186–92.
Mahdy MAA. The impact of COVID-19 pandemic on the academic performance of veterinary medical students. Front Vet Sci. 2020;7:594261.
Menon UK, Gopalakrishnan S, Unni CSN, Ramachandran R, Baby P, Sasidharan A, et al. Perceptions of undergraduate medical students regarding institutional online teaching-learning programme. Med J Armed Forces India. 2021;77:S227–33.
Merson C, Gonzalez FJN, Orth E, Adams A, McLean A. Back in the saddle: student response to remote online equine science classes. Transl Anim Sci. 2020;4:txaa218.
Muflih S, Abuhammad S, Al-Azzam S, Alzoubi KH, Muflih M, Karasneh R. Online learning for undergraduate health professional education during COVID-19: Jordanian medical students’ attitudes and perceptions. Heliyon. 2021;7:e08031.
Puljak L, Čivljak M, Haramina A, Mališa S, Čavić D, Klinec D, et al. Attitudes and concerns of undergraduate university health sciences students in Croatia regarding complete switch to e-learning during COVID-19 pandemic: a survey. BMC Med Educ. 2020;20:416.
Rajab MH, Gazal AM, Alkattan K. Challenges to online medical education during the COVID-19 pandemic. Cureus. 2020;12:e8966.
Sandhaus Y, Kushnir T, Ashkenazi S. Electronic distance learning of pre-clinical studies during the COVID-19 pandemic: a preliminary study of medical student responses and potential future impact. Isr Med Assoc J. 2020;22:489–93.
Shahrvini B, Baxter SL, Coffey CS, MacDonald BV, Lander L. Pre-clinical remote undergraduate medical education during the COVID-19 pandemic: a survey study. BMC Med Educ. 2021;21:13.
Sindiani AM, Obeidat N, Alshdaifat E, Elsalem L, Alwani MM, Rawashdeh H, et al. Distance education during the COVID-19 outbreak: a cross-sectional study among medical students in North of Jordan. Ann Med Surg. 2020;59:186–94.
Tigaa RA, Sonawane SL. An international perspective: teaching chemistry and engaging students during the COVID-19 pandemic. J Chem Educ. 2020;97:3318–21.
Tuma F, Nassar AK, Kamel MK, Knowlton LM, Jawad NK. Students and faculty perception of distance medical education outcomes in resource-constrained system during COVID-19 pandemic. A cross-sectional study. Ann Med Surg. 2021;62:377–82.
Wang K, Zhang L, Ye L. A nationwide survey of online teaching strategies in dental education in China. J Dent Educ. 2021;85:128–34.
Yoo H, Kim D, Lee YM, Rhyu IJ. Adaptations in anatomy education during COVID-19. J Korean Med Sci. 2021;36:1–12.
Wang C, Xie A, Wang W, Wu H. Association between medical students’ prior experiences and perceptions of formal online education developed in response to COVID-19: a cross-sectional study in China. BMJ Open. 2020;10:e041886.
JunodPerron N, Dominicé Dao M, Rieder A, Sommer J, Audétat M-C. Online Synchronous clinical communication training during the Covid-19 pandemic. Adv Med Educ Pract. 2020;11:1029–36.
Al-Taweel FB, Abdulkareem AA, Gul SS, Alshami ML. Evaluation of technology-based learning by dental students during the pandemic outbreak of coronavirus disease 2019. Eur J Dent Educ. 2021;25:183–90.
Bolatov AK, Seisembekov TZ, Askarova AZ, Baikanova RK, Smailova DS, Fabbro E. Online-learning due to COVID-19 improved mental health among medical students. Med Sci Educ. 2021;31:183–92.
Co M, Chu K. Distant surgical teaching during COVID-19-a pilot study on final year medical students. Surg Pract. 2020;24:105–9.
Dutta S, Ambwani S, Lal H, Ram K, Mishra G, Kumar T, et al. The satisfaction level of undergraduate medical and nursing students regarding distant preclinical and clinical teaching amidst covid-19 across India. Adv Med Educ Pract. 2021;12:113–22.
Elzainy A, El Sadik A, Al AW. Experience of e-learning and online assessment during the COVID-19 pandemic at the College of Medicine, Qassim University. J Taibah Univ Med Sci. 2020;15:456–62.
Fischbeck S, Hardt J, Malkewitz C, Petrowski K. Evaluation of a digitized physician-patient-communication course evaluated by preclinical medical students: a replacement for classroom education? GMS J Med Educ. 2020;37:1–8.
Higgins R, Murphy F, Hogg P. The impact of teaching experimental research on-line: research-informed teaching and COVID-19. Radiography. 2021;27:539–45.
Kaliyadan F, ElZorkany K, Al WF. An online dermatology teaching module for undergraduate medical students amidst the COVID-19 pandemic: an experience and suggestions for the future. Indian Dermatol Online J. 2020;11:944–7.
Kalleny N. Advantages of Kahoot! Game-based formative assessments along with methods of its use and application during the COVID-19 pandemic in various live learning sessions. J Microsc Ultrastruct. 2020;8:175–85.
Khalaf K, El-Kishawi M, Moufti MA, Al Kawas S. Introducing a comprehensive high-stake online exam to final-year dental students during the COVID-19 pandemic and evaluation of its effectiveness. Med Educ Online. 2020;25:1826861.
Liu Q, Sun W, Du C, Yang L, Yuan N, Cui H, et al. Medical morphology training using the Xuexi Tong platform during the COVID-19 pandemic: development and validation of a web-based teaching approach. JMIR Med Inform. 2021;9:e24497.
Schlenz MA, Schmidt A, Wöstmann B, Krämer N, Schulz-Weidner N. Students’ and lecturers’ perspective on the implementation of online learning in dental education due to SARS-CoV-2 (COVID-19): a cross-sectional study. BMC Med Educ. 2020;20(1):354.
Steehler AJ, Pettitt-Schieber B, Studer MB, Mahendran G, Pettitt BJ, Henriquez OA. Implementation and evaluation of a virtual elective in otolaryngology in the time of COVID-19. Otolaryngol Head Neck Surg. 2021;164(3):556–61.
Zhang Q, He YJ, Zhu YH, Dai MC, Pan MM, Wu JQ, et al. The evaluation of online course of Traditional Chinese Medicine for MBBS international students during the COVID-19 epidemic period. Integr Med Res. 2020;9:100449.
Afonso N, Kelekar A, Alangaden A. “I have a cough”: an interactive virtual respiratory case-based module. MedEdPORTAL J Teach Learn Resour. 2020;16:11058.
Amer M, Nemenqani D. Successful use of virtual microscopy in the assessment of practical histology during pandemic COVID-19: A descriptive study. J Microsc Ultrastruct. 2020;8:156–61.
Alkhowailed MS, Rasheed Z, Shariq A, Elzainy A, El Sadik A, Alkhamiss A, et al. Digitalization plan in medical education during COVID-19 lockdown. Informatics Med Unlocked. 2020;20:100432.
Choi B, Jegatheeswaran L, Minocha A, Alhilani M, Nakhoul M, Mutengesa E. The impact of the COVID-19 pandemic on final year medical students in the United Kingdom: a national survey. BMC Med Educ. 2020;20:1–11.
Nguyen T. The effectiveness of online learning: beyond no significant difference and future horizons. MERLOT J Online Learn Teach. 2015;11:309–19.
Cheng M, Taylor J, Williams J, Tong K. Student satisfaction and perceptions of quality: testing the linkages for PhD students. High Educ Res Dev. 2016;35:1153–66.
Stone C, Freeman E, Dyment JE, Muir T, Milthorpe N. Equal or equitable?: The role of flexibility within online education. Aust Int J Rural Educ. 2019;29:26–40.
Gustiani S. Students’motivation in online learning during covid-19 pandemic era: a case study. Holistics. 2020;12:23–40.
Alvermann DE, Rezak AT, Mallozzi CA, Boatright MD, Jackson DF. Reflective practice in an online literacy course: lessons learned from attempts to fuse reading and science instruction. Teach Coll Rec. 2011;113:27–56.
Pedro J, Abodeeb-Gentile T, Courtney A. Reflecting on literacy practices: using reflective strategies in online discussion and written reflective summaries. J Digit Learn Teach Educ. 2012;29:39–47.
Jones SH. Benefits and challenges of online education for clinical social work: three examples. Clin Soc Work J. 2015;43:225–35.
Coman C, Țîru LG, Meseșan-Schmitz L, Stanciu C, Bularca MC. Online teaching and learning in higher education during the coronavirus pandemic: students’ perspective. Sustainability. 2020;12:10367.
Bahnson J, Olejnikova L. Are recorded lectures better than live lectures for teaching students legal research. Law Libr J. 2017;109:205.
Alawamleh M, Al-Twait LM, Al-Saht GR. The effect of online learning on communication between instructors and students during Covid-19 pandemic. Asian Educ Dev Stud. 2020;11(2):380–400.
Saminathan V. Problems of Online Classes. Int J Acad Res Reflectoor. 2021;9 January:1–4. https://www.researchgate.net/publication/348447927.
Chan MMK, Yu DSF, Lam VSF, Wong JYH. Online clinical training in the COVID-19 pandemic. Clin Teach. 2020;17(4):445–6.
Ramos-Morcillo AJ, Leal-Costa C, Moral-García JE, Ruzafa-Martínez M. Experiences of nursing students during the abrupt change from face-to-face to e-learning education during the first month of confinement due to COVID-19 in Spain. Int J Environ Res Public Health. 2020;17:5519.
Sitzmann T, Ely K, Bell BS, Bauer KN. The effects of technical difficulties on learning and attrition during online training. J Exp Psychol Appl. 2010;16:281.
Fawaz M, Samaha A. E‐learning: depression, anxiety, and stress symptomatology among Lebanese university students during COVID‐19 quarantine. Nursing forum: Wiley Online Library; 2021. p. 52–7.
Oluwalola FK. Effect of emotion on distance e-learning—the fear of technology. Int J Soc Sci Humanit. 2015;5:966–70.
Aliyyah RR, Rachmadtullah R, Samsudin A, Syaodih E, Nurtanto M, Tambunan ARS. The perceptions of primary school teachers of online learning during the COVID-19 pandemic period: a case study in Indonesia. J Ethn Cult Stud. 2020;7:90–109.
Sari M, Ilhamdaniah MT. Time management during Covid-19 pandemic. 2021. https://www.atlantis-press.com/proceedings/tvet-20/125952246.
Ilgaz H, Afacan AG. Providing online exams for online learners: Does it really matter for them? Educ Inf Technol. 2020;25:1255–69.
Gonzalez T, De La Rubia MA, Hincz KP, Comas-Lopez M, Subirats L, Fort S, et al. Influence of COVID-19 confinement on students’ performance in higher education. PLoS One. 2020;15:e0239490.
Schmidt SJ. Distracted learning: big problem and golden opportunity. J Food Sci Educ. 2020;19:278–91.
Barrot JS, Llenares II, Del Rosario LS. Students’ online learning challenges during the pandemic and how they cope with them: the case of the Philippines. Educ Inf Technol. 2021;26:7321–38.
Pelikan ER, Lüftenegger M, Holzer J, Korlat S, Spiel C, Schober B. Learning during COVID-19: the role of self-regulated learning, motivation, and procrastination for perceived competence. Zeitschrift für Erziehungswiss. 2021;24:393–418.
Gormley GJ, Collins K, Boohan M, Bickle IC, Stevenson M. Is there a place for e-learning in clinical skills? A survey of undergraduate medical students’ experiences and attitudes. Med Teach. 2009;31:e6-12.
Rodrigues PD, Vethamani ME. The impact of online learning in the development of speaking skills. J Interdiscip Res Educ. 2015;5(1):43–67.
Muflih S, Abuhammad S, Karasneh R, Al-Azzam S, Alzoubi K, Muflih M. Online education for undergraduate health professional education during the COVID-19 pandemic: attitudes, barriers, and ethical issues. Res Sq. 2020;3:1–17.
Diwanji S. Number of internet users in India 2015–2023. Statista. 2020. https://www.statista.com/statistics/255146/number-ofinternet-users-in-india/
Siddes M, Veerabhadrappa BP. Online education in India: issues and challenges. EPRA Int J Econ Bus Manag Stud. 2020;7:74–7.
Sharma D, Singh A. E-learning in India duringcovid-19: challenges and opportunities. Eur J Mol Clin Med. 2021;7:2020.
Aljaraideh Y, Al BK. Jordanian students’ barriers of utilizing online learning: a survey study. Int Educ Stud. 2019;12:99–108.
Levin KA. Study design III: cross-sectional studies. Evid Based Dent. 2006;7:24–5.
Stang A. Randomisierte kontrollierte Studien—unverzichtbar in der klinischen Forschung. Dtsch Arzteblatt-Arztliche Mitteilungen-Ausgabe A. 2011;108:661.
