Student’s Perspective on ‘E-learning’ as a Tool for Medical Education: A KAP Study
Authors
##plugins.themes.bootstrap3.article.main##
Abstract
Background: The COVID-19 pandemic catalyzed widespread adoption of e-learning in medical education, yet its sustained acceptability and integration as a core pedagogical tool remain insufficiently explored in resource-constrained government medical colleges of South India. Methods: A cross-sectional questionnaire-based study was conducted from January to March 2024 among undergraduate MBBS students at Government Medical College, Pudukkottai, Tamil Nadu. Using convenience sampling, 512 of approximately 600 eligible students (response rate 85.3%) completed a pretested self-administered questionnaire assessing knowledge (7 items), attitude (12 items), and practice (11 items) regarding e-learning. Data were analysed using IBM SPSS version 25.0; descriptive statistics and chi-square tests were applied. Results: Students exhibited high confidence in basic digital skills (online search 61.5%, emails 58.6% very confident) but low confidence in advanced tasks (statistics 16.2%, blog creation 6.1%). Two-thirds (67.6%) supported e-learning as a supplement to regular classes, whereas only 17.9% favoured replacing all lectures. Concerns about increased screen time and health issues were endorsed by 66.4%. Daily social networking was nearly universal (63.1%), while specialized academic uses remained limited. Senior students showed significantly higher confidence in online medical platforms (χ² = 26.81, P < 0.001), and students acknowledging health risks paradoxically spent more time on social networking (χ² = 16.26, P = 0.0003). Conclusion: Undergraduate medical students are digitally proficient and strongly favour blended learning models. A balanced digital ecosystem is essential to enhance learning without compromising student well-being. Institutions should prioritise structured hybrid frameworks, advanced informatics training, and digital-wellness interventions to optimise benefits while addressing screen-time related morbidity.
##plugins.themes.bootstrap3.article.details##
Copyright (c) 2026 Dr. Muthamizhveena R, Dr. Muthukumar Rajamohan, Dr. Peter R

This work is licensed under a Creative Commons Attribution 4.0 International License.
Creative Commons License All articles published in Annals of Medicine and Medical Sciences are licensed under a Creative Commons Attribution 4.0 International License.
[1] Ruiz JG, Mintzer MJ, Leipzig RM. The impact of e-learning in medical education. Acad Med. 2006;81(3):207-12.
[2] Al Shorbaji N, Atun R, Car J, Majeed A, Wheeler E, editors. E-learning for undergraduate health professional education: a systematic review informing a radical transformation of health workforce development. Geneva: World Health Organization; 2015.
[3] Frehywot S, Vovides Y, Talib Z, Mikhail N, Ross H, Wohltjen H, et al. E-learning in medical education in resource constrained low- and middle-income countries. Hum Resour Health. 2013;11:4.
[4] Pei L, Wu H. Does online learning work better than offline learning in undergraduate medical education? A systematic review and meta-analysis. Med Educ Online. 2019;24(1):1666538.
[5] Vaona A, Banzi R, Kwag KH, Rigon G, Cereda D, Pecoraro V, et al. E-learning for health professionals. Cochrane Database Syst Rev. 2018;1(1):CD011736.
[6] 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, attitudes, and practices regarding electronic learning. PLoS One. 2020;15(11):e0242905.
[7] Nimavat N, Singh S, Fichadiya N, Sharma P, Patel N, Kumar M, et al. Online medical education in India – different challenges and probable solutions in the age of COVID-19. Adv Med Educ Pract. 2021;12:237-43.
[8] Panchal V, Patel P, Chaudhari A, Goyal P. Medical students perception of online learning during COVID-19 pandemic in India-a survey. Natl J Physiol Pharm Pharmacol. 2022;12:202-5.
[9] Singh HK, Joshi A, Malepati RN, Najeeb S, Balakrishnan P, et al. A survey of E-learning methods in nursing and medical education during COVID-19 pandemic in India. Nurse Educ Today. 2021;99:104796.
[10] Alkanzi FK, Abd-algader AA, Ibrahim ZA, Krar AO, Osman MA, Karksawi NM. Knowledge, attitude and practice in electronic education among teaching staff and students in governmental medical faculties-Khartoum state. Sudan J Med Sci. 2014;9:43-8.
[11] Abbasi MS, Ahmed N, Sajjad B, Alshahrani A, Saeed S, Sarfaraz S, et al. E-Learning perception and satisfaction among health sciences students amid the COVID-19 pandemic. Work. 2020;67:549-56.
[12] Choules AP. The use of e-learning in medical education: a review of the current situation. Postgrad Med J. 2007;83(978):212-6.
[13] Deshpande J, Kulshrestha A, Akella M, Kumar A, Ambekar H. Effects of internet and social media use among medical students of a tertiary care teaching hospital. Int J Med Sci Public Health. 2020;9:439-43.
[14] Bhave KA, Jain PH, Chhaya MU, Kulkarni MR. A cross sectional descriptive study of internet addiction among second MBBS students of a medical college in India. Natl J Physiol Pharm Pharmacol. 2022;12:1615.
[15] GR JJ, Brattiya K. E-learning among 2-year MBBS students in a Government Medical College in South India – A KAP study. Natl J Physiol Pharm Pharmacol. 2022;12:1-6.
[16] Hiwarkar M, Taywade O. Assessment of knowledge, attitude and skills towards e-learning in first year medical students. Int J Res Med Sci. 2019;7(11):4119-23.
[17] Rafi A, Khan MR, Ahmed I, et al. Medical students’ perception regarding e-learning during COVID-19 pandemic in Pakistan. Pak J Med Sci. 2021;37:1138-43.
[18] Shah S, Diwan J, Shah R, et al. Perception of undergraduate medical students towards online learning during COVID-19 pandemic. Int J Community Med Public Health. 2021;8:4039-44.
[19] Regmi K, Jones L. A systematic review of the factors – enablers and barriers – affecting e-learning in health sciences education. BMC Med Educ. 2020;20(1):91.
[20] O’Doherty D, Dromey M, Lougheed J, Hannigan A, Last J, McGrath D. Barriers and solutions to online learning in medical education – an integrative review. BMC Med Educ. 2018;18(1):130.
[21] Gupta N, Krishnamurthy N, Vishwakarma P, et al. Excessive screen time and internet addiction among medical students: a growing concern. J Family Med Prim Care. 2022;11:3456-61.