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Instructors use a variety of online formative assessment (FA) activities to support learning outside class. Previous studies have revealed barriers for students in online courses, but little is known about the barriers students experience when completing online FA assignments. Understanding these barriers to access is critical to fostering more inclusive learning for all students. Using a framework from previous work in online learning, we examined student perceptions of online FA access with respect to five barrier categories: technical resources, instructor organization, social interactions, personal engagement, and learning environment. We developed and administered a survey to more than 1200 undergraduate biology students at 2-year and 4-year institutions. Students responded to statements using Likert scales and open-ended prompts. Statistical models indicated differences in access across the barrier categories and revealed that demographic characteristics were associated with certain barrier categories. Furthermore, technical resources, instructor organization, and personal engagement barriers were associated with lower course performance. In open-ended responses, students most frequently suggested that changes to scheduling logistics, course delivery, and FA format would improve their online FA experience. We discuss how these findings and student suggestions can inform instruction, particularly how instructors can alter their FA characteristics to better suit their student populations.
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http://dx.doi.org/10.1187/cbe.22-05-0098 | DOI Listing |
Cureus
August 2025
General Surgery, Saqr Hospital, Emirates Health Services, Ras Al Khaimah, ARE.
Introduction: The widespread utilization of neck ultrasound (US) by family physicians for the investigation of non-specific neck symptoms, as well as by endocrinologists and general surgeons for symptomatic thyroid problems, has led to an increase in the detection of nonpalpable thyroid nodules. This presents challenges and dilemmas regarding the decision to perform fine-needle aspiration cytology (FNAC). The routine use of cytology is often considered unnecessary, costly, and inconvenient for patients.
View Article and Find Full Text PDFBMJ Open
September 2025
Department of Bio Allied Sciences, Al-Balqa' Applied University, Al-Karak, Jordan.
Objective: To assess the knowledge and practices of community pharmacists regarding managing diabetes in fasting patients during Ramadan and the barriers the community pharmacists face when managing diabetic patients who fast in Ramadan.
Design: A survey-based cross-sectional study.
Setting: A structured questionnaire was distributed online during April and May 2024.
J Med Internet Res
September 2025
Institute of Hospital Management, Peking University Third Hospital, Beijing, China.
Background: Telemedicine is developing rapidly, presenting new opportunities and challenges for physicians and patients. Limited research has examined physicians' behavior during the process of adopting telemedicine and related factors.
Objective: This study aimed to identify perceived barriers and enablers of physicians' adoption of telemedicine and to develop intervention strategies.
Front Oncol
August 2025
School of Medicine, Kaiser Permanente Bernard J. Tyson School of Medicine, Pasadena, CA, United States.
Rationale: The national average rate of lung cancer screening (LCS) has remained low at roughly 6%, with California's rate among the lowest at 1% compared to all fifty states.
Methods: We enrolled Kaiser Permanente Northern California (KPNC) patients eligible for LCS per the USPSTF guidelines published in 2013 and 2021, respectively. Annual and overall rates of completed initial low-dose computed tomography of chest (LDCT) were computed from February 2015 to February 2022.
BMJ Public Health
August 2025
Flinders Health and Medical Research Institute, College of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.
Objectives: There are large and growing communities of Chinese, Vietnamese and Arab populations within many high-income countries, including Australia. These populations experience disproportionately higher rates of tobacco smoking. Cessation strategies are required that acknowledge the cultural factors shaping smoking behaviours.
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