A novel online platform promotes asynchronous class preparation and thought transparency
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Updated: Jan 4, 2026

Mixed Reality for Education MRE Implementation and Results in Online Classes for Engineering
Published on: June 23, 2023
Jaekyu Shin1, Katherine Gruenberg1, Tina Brock2
1Department of Clinical Pharmacy, School of Pharmacy, University of California, San Francisco, 533 Parnassus Avenue, U585, Box 0622, San Francisco, CA 94143-0622, United States.
Background And Purpose:
Engaging all learners with self-directed class preparation materials can be challenging. The purpose of this study is to assess student perceptions of a novel app and web-based program, Practice Improvement using Virtual Online Training (PIVOT) as a preparatory tool in a pharmacy therapeutics course.
Educational Activity And Setting:
PIVOT was designed to encourage self-directed information gathering, group collaboration, and problem-solving prior to classes. Students accessed PIVOT to obtain patient information and provide responses to questions. A semi-structured large group case discussion, facilitated by the instructor, followed the preparatory assignment. All students were invited to participate in pre-/post-activity online surveys to evaluate their experiences.
Findings:
One hundred and ten students (92.4%) completed both surveys. Students identified viewing/comparing answers with classmates (73%), enforcing preparation (51%), and asynchronous preparation (51%) as useful aspects of PIVOT. Working with a group (42%) and organizing patient information (32%) were selected as negative aspects of PIVOT. More than half of students preferred not to use PIVOT for class preparation, but 41% of students would like to see PIVOT integrated in their therapeutics courses.
Summary:
Integrating PIVOT into a pharmacy therapeutics course resulted in mixed student perceptions. Several helpful aspects of this platform were identified and a majority suggested drawbacks that are also common features of actual pharmacy practice. Implementing PIVOT in a different learning context may improve student perceptions.
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