I read, with great interest, the article by Dhingra et al 1 that assesses the role of medical students' motivation and extrinsic factors on online teaching during the Covid-19 pandemic at a medical school in North India. Although the study is set in a specific context, as a medical student in the UK who has experienced online teaching, I can relate to the topic.The study refers to three issues in respect of online teaching faced by students at a medical school in India relating to limited internet connectivity and students' socio-economic status and household environment. Similarly, in Pakistan, a lowincome country, internet connectivity issues and lack of faculty training and institutional support have been mentioned as being the key challenges in respect of online medical education during the pandemic. 2 Although the authors 1 conclude that students' household environment and socio-economic status hampered their motivation to attend online classes during the pandemic, these variables are not clearly defined or operationalized as has been done in some other studies. 3 The authors also do not evaluate how students' socioeconomic status affects ownership of smart devices, access to internet and data.This study uses online questionnaires, but poor internet connectivity in rural areas may have lowered the response rate. A combination of paper-based and online surveys 3 could have been used to address this issue. The sample 1 only included 1st, 2nd and 3rd year medical students, which limits generalizability of the results. Many studies have reported significant differences in student perception of online learning between students in pre-clinical (1 to 3) and clinical years (4 to 6), 3,4 and highlighted limits of online learning in the clinical years. 5 Another limitation is that this study 1 is based at a single and relatively new medical school in North India, which further reduces its generalizability.