Abstract

Online learning is a critical component of higher education. In 2017, the US Department of Education National Center for Education Statistics reported that one-third of all college and university students were enrolled in at least 1 online course. 1 Ginder SA Kelly-Reid JE Mann FB Enrollment and Employees in Postsecondary Institutions, Fall 2017; and Financial Statistics and Academic Libraries, Fiscal Year 2017: First Look (Provisional Data). NCES 2019-021rev. National Center for Education Statistics, US Department of Education, 2019https://nces.ed.gov/pubs2019/2019021REV.pdfDate accessed: February 19, 2021 Google Scholar In response to the coronavirus disease 2019 outbreak, online course delivery has flourished, 2 Adedoyin OB, Soykan E. Covid-19 pandemic and online learning: the challenges and opportunities [published online ahead of print September 2, 2020]. Interact Learn Environ.https://doi.org/10.1080/10494820.2020.1813180. Google Scholar but there are still unique challenges in online instruction: feelings of isolation, 3 Gillet-Swan J The challenges of online learning: supporting and engaging the isolated learner. J Learn Des. 2017; 10: 20-30 Google Scholar perceived lack of rigor/effectiveness, 1 Ginder SA Kelly-Reid JE Mann FB Enrollment and Employees in Postsecondary Institutions, Fall 2017; and Financial Statistics and Academic Libraries, Fiscal Year 2017: First Look (Provisional Data). NCES 2019-021rev. National Center for Education Statistics, US Department of Education, 2019https://nces.ed.gov/pubs2019/2019021REV.pdfDate accessed: February 19, 2021 Google Scholar lack of student engagement, 4 Stott P The perils of a lack of student engagement: reflections of a “lonely, brave, and rather exposed” online instructor. Br J Educ Technol. 2014; 47: 51-64 Crossref Scopus (14) Google Scholar greater student attrition, 5 Lee Y Choi J A review of online course dropout research: implications for practice and future research. Educ Technol Res Dev. 2011; 59: 593-618 Crossref Scopus (260) Google Scholar and participation barriers for under-represented students. 6 Baum S McPherson M The human factor: the promise & limits of online education. Daedalus. 2019; 149: 235-254 Crossref Google Scholar Although blended and flipped classroom formats offer promising approaches to overcome these obstacles, 7 Evans L Vanden Bosch ML Harrington S Schoofs N Coviak C Flipping the classroom in health care higher education: a systematic review. Nurse Educ. 2019; 44: 74-78 Crossref PubMed Scopus (20) Google Scholar , 8 Hew KF Lo CK Flipped classroom improves student learning in health professions education: a meta-analysis. BMC Med Educ. 2018; 18: 38 Crossref PubMed Scopus (202) Google Scholar , 9 Liu Q Peng W Zhang F Hu R Li Y Yan W The effectiveness of blended learning in health professions: systematic review and meta-analysis. J Med Internet Res. 2016; 18: e2 Crossref PubMed Scopus (207) Google Scholar courses that are taught entirely asynchronously online face many challenges.

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