Indian Journal of Medical Biochemistry

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VOLUME 25 , ISSUE 3 ( September-December, 2021 ) > List of Articles


E-learning in the Field of Medical Education: Journey from E-enhancement to Online and Moving towards Hybrid Mode

Almeida E Anthonio, Mohit Mehndiratta, Khan A Maroof, Rajarshi Kar, Dinesh Puri

Keywords : COVID-19, e-enhancement, E-learning, Hybrid mode, Medical education, Online teaching

Citation Information : Anthonio AE, Mehndiratta M, Maroof KA, Kar R, Puri D. E-learning in the Field of Medical Education: Journey from E-enhancement to Online and Moving towards Hybrid Mode. Indian J Med Biochem 2021; 25 (3):118-120.

DOI: 10.5005/jp-journals-10054-0187

License: CC BY-NC 4.0

Published Online: 11-03-2022

Copyright Statement:  Copyright © 2021; The Author(s).


Background: The coronavirus pandemic has affected all domains of our lives. Medical education is one such field that has been severely affected by disruptions in practical skill learning for which rapid adaptations were to be made. Closure of educational institutes to control the spread of the novel corona virus resulted in a drastic shift to the online teaching mode. A sparingly used modality in the developing countries. To continue medical education, our institute transitioned through various modes of E-learning, beginning with the e-enhancement mode, and ultimately moving toward the hybrid mode. Although we were off to an erratic start, as time progressed, events began to proceed smoothly as the students and faculty adjusted to the new normal which continues to date. In this article, we share our experience as we transitioned through the various modes of E-learning. Conclusion: E-learning has always played an important role in medical education. In the pre-COVID era, e-enhancement was already in use, but in a limited way, while during the peak of the pandemic, the online mode became indispensable. When the medical college re-opened and the physical presence of the students was now possible, the hybrid mode was predominant, i.e., there were in-person interactions between teachers and students, along with the continuation of other online components. This ensured that COVID norms were followed such as the maintenance of physical distancing, along with the continuous implementation of the curriculum of medical education.

  1. Fee KH. Delivering E-learning: a complete strategy for design application and assessment. London and Philadelphea: Kogan Page; 2005.
  2. Cheng K, Research A. Study on students’ level of acceptance in applying E-learning for business courses – a case study on a technical college in taiwan. J Am Acad Busin 2006;8(2):265–270.
  3. Al-Shorbaji N, Atun R, Car J, et al. E-learning for undergraduate health professional education - A systematic review informing a radical transformation of health workforce development. Geneva: World Health Organization; 2015. Available from:
  4. George PP, Papachristou N, Belisario JM, et al. Online e-learning for undergraduates in health professions: a systematic review of the impact on knowledge, skills, attitudes and satisfaction. J Glob Health 2014;4(2):10406. DOI: 10.7189/jogh.04.020401.
  5. Ruiz JG, Mintzer MJ, Leipzig RM. The impact of e-learning in medical education. Acad Med 2006;81(3):207–212. DOI: 10.1097/00001888-200603000-00002.
  6. Ward JP, Gordon J, Field MJ, et al. Communication and information technology in medical education. Lancet 2001;357(9258):792–796. DOI: 10.1016/S0140-6736(00)04173-8.
  7. Bhatia RP. Features and effectiveness of e-learning tools. Global J Business Manag Inform Tech 2011;1:1–7.
  8. Naing C, Wai VN, Durham J, et al. A systematic review and meta-analysis of medical students’ perspectives on the engagement in research. Medicine 2015;94(28):e1089. DOI: 10.1097/MD.000000000000 1089.
  9. Jeffries PR, Woolf S, Linde B. Technology-based vs. traditional instruction. A comparison of two methods for teaching the skill of performing a 12-lead ECG. Nurs Educ Persp 2003;24(2):70–74.
  10. Hadley J, Kulier R, Zamora J, et al. Effectiveness of an e-learning course in evidence-based medicine for foundation [internship] training. J R Soc Med 2010;103(7):288–294. DOI: 10.1258/jrsm.2010. 100036.
  11. Lee LC, Hao KC. Designing and evaluating digital game-based learning with the ARCS motivation model, humor, and animation. Int J Technol Human Interact 2015;11(2):80–95. DOI: 10.4018/ijthi. 2015040105.
  12. Bhongade D, Sarode Y. Prospects of E-learning in Indian higher education; trends and issues. Int J Curr Engineer Scient Res 2018;5(5):180–186.
  13. Khan AM, Patra S, Gupta P, et al. Rapid transition to online teaching program during COVID-19 lockdown: experience from a medical college of India. J Edu Health Promot 2021;10(1):99. DOI: 10.4103/jehp.jehp_606_20.
  14. Khan AM, Patra S, Vaney N, et al. Rapid transition to online practical classes in preclinical subjects during COVID-19: experience from a medical college in North India. Med J Arm Forces India 2021; 77(Suppl 1):S161–S167. DOI: 10.1016/j.mjafi.2020.12.030.
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