Impact of the COVID-19 Pandemic on the Acceptance and Use of an E-Learning Platform

E-learning has become an increasingly important part of higher education and is currently used both for distance education and as a complement to teaching on the campus. In this study, we investigated the acceptance of the e-learning platform (ELP) ClinicalKey Student (ELSEVIER©) among first-year medical students. Furthermore, we asked whether acceptance (i.e., digital activities) and user behavior changed during the COVID-19 lockdown. Two first-year medical student study cohorts were followed: one cohort during the COVID-19 lockdown and another cohort one year before the lockdown. Different parameters, such as online versus offline studying, daily activities or users versus nonusers, were recorded and evaluated. Additional surveys were conducted to understand why the students used the ELP. In the non-pandemic cohort, 68 out of 251 enrolled students registered in the ELP, while the number of registered students significantly increased during the COVID-19 lockdown (201 out of 255 enrolled 2nd semester students). The increase in registered users was paralleled by an increase in daily activities normalized per user and day. Despite this increase in ELP activities, the relative distribution of different user types (i.e., online versus offline users) did not change. To conclude, this study demonstrates that the COVID-19 lockdown increases the receptivity of medical students to an ELP, but the way the students work with the ELP remains unchanged.