Background: Once Iraqi ministry of Health had declared cases of COVID-19 in Iraq with subsequent curfew announcement, both academics and students knew that this represented a curving point in educational process. Education in general and medical education have witnessed unprecedented changes that call for extra-ordinary measures. Despite crucial role of E-learning in bridging this period, it still has certain disadvantages especially for medical students who need the most the practical part of education and training in hospitals which is considered now forbidden considering pandemic spread.Aim: This snapshot survey aimed to determine the preferred mode of teaching of medical students: problem-based and case-based learning (PBL/CBL) versus online traditional lecturing and to determine the fragile points in virtual learning from medical students' perspective with exploring their suggestions for further improvement of this experience.
Methods:A cross sectional survey involving fourth year medical students attending the course of internal medicine, survey was sent via google classroom platform, the survey compared traditional online lecturing (explaining lecture topics in traditional methods by online lectures) versus problem-based learning (fragmenting the topics into clinical scenarios and clinical problems then ask students to solve the problems or suggest a clinical diagnosis accordingly), the survey also investigated main obstacles perceived by students in E-learning as well as proposed suggestions to overcome these obstacles.
Results:The survey was sent to 61 students, among whom 21 (34.42%) responded, 52.4% were females, 86% of students favour problem-and case-based learning in medical E-learning, while 14% favour traditional online lectures. Lack of direct facing and interaction with lecturer was the main obstacle faced by students (45%), while 32% reported limited internet access, 14% reported lack of strict time schedules of E-learning compared to traditional class teaching, 31% of students suggested adherence to stricter time schedule in online lectures can improve the teaching process, while 19% of them suggested adopting case-based teaching in medicine can remarkably bridge the gaps in medical E-learning.
Conclusions:Most medical students favour problem-and case-based learning approach as they can bridge the gaps in their practical teaching that resulted from stopping the clinical attachment in the hospitals during pandemic. Every effort should be made by decision makers to improve this experience by providing sustainable infrastructure for virtual learning and tracking continuous feedbacks from students to push the educational process wheel forward.