=Paper= {{Paper |id=Vol-3037/paper16 |storemode=property |title=Virtual Platforms under University Teaching During the COVID-19 Pandemic in Peru: Perception of University Students |pdfUrl=https://ceur-ws.org/Vol-3037/paper16.pdf |volume=Vol-3037 |authors=Agueda Muñoz del Carpio Toia,Oliverio Pichardo-Diestra,Klinge Villalba-Condori,Sively Mercado-Mamani }} ==Virtual Platforms under University Teaching During the COVID-19 Pandemic in Peru: Perception of University Students== https://ceur-ws.org/Vol-3037/paper16.pdf
    Virtual Platforms under University Teaching During the COVID-
        19 Pandemic in Peru: Perception of University Students.
Agueda Muñoz del Carpio Toia 1, Oliverio Pichardo-Diestra 2,3, Klinge Villalba-Condori4 and
Sively Mercado-Mamani 5
1
  Escuela de Medicina. Vicerrectorado de Investigación. Escuela de Postgrado. Universidad Católica de Santa
María, Arequipa, Perú
2
  Instituto de Evaluación de Tecnologías en Salud e Investigación – IETSI, Lima, Perú
3
  ECU Consultores en Educación, Trujillo, Peru
4
  Universidad Continental, Arequipa, Perú
5
  Vicerrectorado de Investigación. Universidad Nacional Del Altiplano, Puno, Perú


                Abstract
                The COVID-19 pandemic, at a global level, has brought serious consequences to people's
                health, but it has also meant a challenge for the development of teaching activities under the
                context of social isolation; it is necessary to know how this adaptation has been from the
                students' perception, in order to facilitate decision making and the management of
                improvements in the teaching process in virtual platforms. Objective: To identify the perception
                of university students regarding virtual platforms. Methods: In an exploratory-descriptive study,
                a Google Forms questionnaire was applied to 395 students of a Peruvian university on the
                perception of education on virtual platforms. Results: The questionnaire showed 57% positive
                student satisfaction with the virtual service. Conclusion: Students perceive as positive the
                adaptations of education in times of pandemic COVID -19.

                Keywords 1
                Perception, teaching, students, virtual platforms, pandemic COVID-19




1. Introduction
   The new disease caused by the SARS CoV-2 coronavirus appeared in December 2019 in China [1]
and spread rapidly globally, forcing the World Health Organization to declare a pandemic in March
2020 [2]; since then, activities with large crowds of people have changed, including classes in schools
and universities.
   The COVID 19 pandemic has meant great human losses, the collapse of health systems globally, and
various changes due to measures adopted to contain the massive contagion of people globally, one of
the first measures being the mandatory social confinement that included the closure of schools and
universities.
   The closure of universities meant a serious challenge in education since in a short period it was
necessary to move from face-to-face classes to purely virtual classes [3] and in this adaptation, there
were a series of changes [4], [5] that is important to know from the perception of the university students
themselves a year and a half after they opted for this virtual teaching modality.


CISETC 2021: International Congress on Educational and Technology in Sciences, November 16-18, 2021, Chiclayo, Peru
EMAIL: amunozde@ucsm.edu.pe (A. Muñoz del Carpio Toia); pichardodiestra@gmail.com (O. Pichardo-Diestra); kvillalba@continen-
tal.edu.pe (K. O. Villalba-Condori); smercado@unap.edu.pe (S. Mercado-Mamami)
ORCID: 0000-0003-0501-7314 (A. Muñoz del Carpio Toia); 0000-0003-2012-1662 (O. Pichardo-Diestra); 0000-0002-8621-7942 (K. O.
Villalba-Condori); 0000-0003-4101-4989 (S. Mercado-Mamami)
             ©️ 2020 Copyright for this paper by its authors. Use permitted under
             Creative Commons License Attribution 4.0 International (CC BY 4.0).
             CEUR Workshop Proceedings (CEUR-WS.org)
   The objective of this study was to identify the perception of students at a Peruvian university
regarding education through virtual platforms after a year and a half under this modality.
   The study was approved by the Research Ethics Committee of the Universidad Católica de Santa
María. The students participated voluntarily, with prior informed consent.

2. Methods

2.1. Study Design and Participants
  Descriptive observational study. A total of 395 students from a private university in Arequipa, Peru,
were selected through judgmental sampling.

2.2. Procedures
    Structured questionnaires, elaborated with Google forms, were applied to learn about the students'
perception of the virtual platforms used for the teaching process in the context of the COVID-19
pandemic and mandatory social isolation in Peru. The variables studied were the appearance of the
virtual service, platforms suitable for the service, perception of ease of access to virtual platforms,
updating of virtual platforms.

2.3. Data Analysis
    After having collected all the responses, we continued with the cleaning of the data set and the review
of inconsistencies using Microsoft Excel 2019 software. Finally, to understand the responses given by
these students, descriptive statistics were applied to construct tables and graphs showing the proportions
of perception of improvement on some aspects of the virtual platforms used, the university's help for
better virtual teaching, and the improvement of platforms for virtual teaching. Tables were also
constructed to summarize the perception of the respondents on various aspects of the virtual platforms
and the help they received at the time of filling out the questionnaire.

3. Results
   Three hundred and ninety-five students from a Peruvian university, enrolled between March 2020
and August 2021, participated. Of the total sample (395 students), 57.2% are female, 42.0% are male,
while 0.8% are other; 84.8% are between 17 and 24 years old; 40.5% are in the middle socioeconomic
level; 52.7% take their classes from the Arequipa region and 47.3% from other regions (Table 1).

                                               Table 1
                                    Sociodemographic characteristics


                              Sociodemographic
                                                          n = 395      %
                              characteristics
                              Gender
                                Female                      226      57.2%
                                Male                        166      42.0%
                                Other                        3       0.8%
                              Age
                                17-18                       57       14.4%
                                19-20                       112      28.4%
                                21-22                       109      27.6%
                                  23-24                       57      14.4%
                                  25+                         60      15.2%
                               Socioeconomic level
                                  A                          62       15.7%
                                  B                          123      31.1%
                                  C                          160      40.5%
                                  D                          40       10.1%
                                  E                          10       2.5%
                               Region from where
                               they carry out their
                               virtual classes
                                  Arequipa                   208      52.7%
                                  La Libertad                51       12.9%
                                  Lima                       28       7.1%
                                  Puno                       28       7.1%
                                  Tacna                      18       4.6%
                                  Others                     62       15.7%

    Table 2 summarizes the results obtained after applying the corresponding questionnaire to the
students in the sample. Considering the trends of the answers given for each of the questions, it is
observed that: the majority think that the appearance of the virtual service is good (52.7%) and 50.1%
perceive that the suitability of the educational platforms for the service is good. In addition, more than
half of the students responded that the ease of access to the platforms for virtual classes is good. Finally,
the percentage of students who say that the updating of the platforms for virtual classes was good is
50.4%. It should be noted that in none of the questions does the response "deficient" exceed 5% of the
total.

                                                 Table 2
                                       Results of the questionnaire
                                Questions and Answers n = 395           %
                                Appearance of the ser-
                                vice
                                   Deficient             19           4.8%
                                   Fair                  119          30.1%
                                   Good                  208          52.7%
                                   Excellent             49           12.4%
                                Educational platforms
                                suitable for the service
                                   Deficient             12           3.0%
                                   Fair                  110          27.8%
                                   Good                  198          50.1%
                                   Excellent             75           19.0%
                                The platforms for
                                the virtual classes
                                are easily accessi-
                                ble
                                   Deficient             10           2.5%
                                   Fair                  73           18.5%
                                   Good                  210          53.2%
                                   Excellent             102          25.8%
                                 Platforms for virtual
                                 classes are up to
                                 date.
                                    Deficient                     10        2.5%
                                    Fair                          108       27.3%
                                    Good                          199       50.4%
                                    Excellent                     78        19.7%

    On the other hand, the students were asked whether they perceived improvements in various aspects
related to the virtual platforms three months after the beginning of the pandemic. Thirty-seven percent
of the students surveyed thought that the appearance of the virtual service had positively improved.
Regarding the perception of the suitability of the platforms for the educational service, only 29% of the
respondents believe that there were improvements. In addition, 28% of these students perceive that there
were improvements in the accessibility of the platforms for virtual classes. Finally, 41% think that there
were improvements in the updates of the platforms for virtual classes (Figure 1).

                                                                        37%
                               Virtual service appearance                     58%
                                                             4%

                                  Educational platforms               29%
                                                                                69%
                                  suitable for the service   3%

                                     Platforms for virtual            28%
                                       classes are easily                       70%
                                           accessible        2%

                                    Platforms for virtual               41%
                                                                              56%
                                   classes are up to date    3%


                                    Got better    Remained the same     Got worse

Figure 1: Perception of improvement of virtual platforms used by a university.

    Table 3 summarizes the answers obtained to the questions related to the help provided by a university
to students for better virtual teaching. The data show that: 45.6% of the respondents think that the help
for virtual enrollment is good, and the same is true for those who perceive that the help for training in
the management of virtual platforms is good. In addition, 38% of these students responded that help
with educational problems related to connectivity is good. Finally, the percentage of students who said
that the help with educational problems related to virtual exams was good was 39.5%. In contrast, it
should be noted that those students whose perception of the different assistance provided by the
university is deficient do not exceed 17% of the total.

Table 3
Results of the questionnaire
                                Questions and Answers n = 395   %
                                Help for virtual enroll-
                                ment
                                  Deficient               28  7.1%
                                  Fair                    134 33.9%
                                  Good                    180 45.6%
                                  Excellent               53  13.4%
                                Help to be trained in the
                                use of virtual platforms
                                Deficient                       28        7.1%
                                Fair                            134       33.9%
                                Good                            180       45.6%
                                Excellent                       53        13.4%
                              Help with educational
                              problems related to con-
                              nectivity
                                Deficient                       67        17.0%
                                Fair                            150       38.0%
                                Good                            129       32.7%
                                Excellent                       49        12.4%
                              Help with educational
                              problems related to vir-
                              tual exams
                                Deficient                       57        14.4%
                                Fair                            156       39.5%
                                Good                            135       34.2%
                                Excellent                       47        11.9%

   Students were also asked about whether there were improvements in the help they received from the
university in order to achieve better virtual teaching, three semesters after the pandemic began. Of those
surveyed, 25% felt that there was an improvement in the help received to enroll virtually, and 29% felt
that there was an improvement in the help received to become trained in the use of virtual platforms.
Similarly, the perception of help received with educational problems related to connectivity and virtual
exams was improved for 22% and 25% of respondents, respectively (Figure 2).


                                        Help for virtual        25%
                                                                             71%
                                         registration      4%

                             Help to train in the use of            29%
                                                                             69%
                                 virtual platforms         2%

                                Help with educational           22%
                                                                             74%
                                connectivity problems      4%

                                 Help with educational          25%
                                  problems related to                        71%
                                   virtual evaluations     4%


                                 Got better     Remained the same     Got worse

Figure 2: Perception about the improvement of the help that a university provides to students for a
better virtual teaching.

    In general, 57% of the students surveyed agreed with the statement that the virtual teaching platforms
have improved, and 13% agreed. These percentages coincide when the consultation is made particularly
concerning the teaching of virtual theoretical classes. However, there is less acceptance regarding the
teaching of virtual internships: 39% agree with the statement that the platforms for teaching virtual
internships have improved, while 8% agree (Figure 3).
                                                             13%
                               Platforms for virtual                          57%
                               teaching in general           16%
                                     improved              11%
                                                         3%

                                                             13%
                             Platforms for teaching                           57%
                             virtual theory classes              18%
                                    improved               9%
                                                         3%

                                                            8%
                             Platforms for teaching                     39%
                               virtual evaluations              25%
                                    improved                  18%
                                                            10%


                                        Strongly agree       Agree
                                        Indiferent           Disagree
                                        Strongly disagree

Figure 3: Perception regarding the improvement of platforms for virtual teaching.

4. Discussion
    Since March 2020, the new disease COVID-19, brought with it illness and death, the collapse of
health services, global containment measures to avoid massive contagions and restrictions to our daily
life; which included mandatory quarantine, which was later modified as mandatory social isolation
measures according to the level of risk.
    In Peru, within the measures adopted by the government, the suspension of face-to-face university
teaching and the immediate adaptation to virtual teaching was included; this would be a measure that
impacted academic life to this day. This change implied several adaptations and challenges [4], both for
universities and for the families of students and university teachers, who had to adapt their homes with
Information and Communication Technology resources also immediately, to start the teaching-learning
process. In this study, we analyze some characteristics of these changes in university teaching with the
use of digital platforms, from the perception of the students of a private university in Peru.
    Self-administered questionnaires were taken from 395 students enrolled from the beginning of the
pandemic to the present in a private Peruvian university, 57.2% were women, young people between 17
and 24 years old, their socioeconomic level was medium in 40.5% and there were 52.7% who stated that
they took their classes in the Arequipa Region where the university is located, but there was an important
47.3% who took their classes in other regions, a finding that means that the university has students who
migrate internally within the country in search of university education.
    In Colombia, a study was conducted in 2020, in which 91 university students were interviewed, with
similar socio-demographic characteristics in terms of so, in that study 59.3% were young women
between 18 and 27 in 87.9%. [6]. The article highlights that their ages correspond to the Millennial
generation, which means that for these young people a transition from face-to-face to virtual classes
concerning the use of ICT is easier than for teachers themselves [6].
    In the study, it was found that students' perceptions of the appearance of the virtual service are good
(52.7%) and 50.1% also perceive that the suitability of the educational platforms for the service is good;
it is worth mentioning that the university studied had Teams among its teaching platforms and then, at
the beginning of virtual teaching, the Blackboard platform was also acquired.
    The students interviewed perceived as good the updating of the platforms for virtual classes was 50.
4%. It should be noted that, in none of the questions, the response "deficient" exceeded 5% of the total,
which shows a general satisfaction concerning the virtual platforms used for university teaching under
the scenario of the COVID-19 pandemic, at least as far as students are concerned, since other studies
reveal that there were serious difficulties in the use of ICTs, which forced the development of training
in the use of ICTs, for the use of institutional platforms; Thus, in a study developed with 383 university
professors of the Universidad Nacional Autónoma de México, it was found that the professors had
various problems, among which the logistical ones were found in 43. 3%, technological problems in
39.7%, as well as pedagogical problems in 35.2%, among others [8].
    Fifty-seven percent of the students surveyed perceived that in a year and a half that they have been
taking virtual classes, the virtual teaching platforms have improved, and 13% were in total agreement;
this result is positive, as it denotes an effort by the institutions to achieve a digital transformation with
the adoption of distance learning technologies, despite the technological and economic gaps.
    There is evidence that, in virtual university teaching, during this pandemic, several ICTs have been
used, such as the Zoom platform [9], Microsoft Teams [10], Google Meet [11], Blackboard [12], and
Google Classroom [13] mainly. On the other hand, virtual classes were taught in two modalities: live
"synchronous classes" and recorded material or material prepared in advance "asynchronous classes"
[14].
    Regarding asynchronous classes, it is a modality that requires constancy, persistence, and
commitment of students to review the material shared by teachers and in this pandemic university,
students showed acceptance of this type of class [15], being considered as a collaborative tool, which
allows firstly, that the teacher can control the quality of the video without interference, noise, etc. On
the other hand, this allows students flexibility in the schedule, being the student who assumes the
responsibility of studying the recorded video and educational material at the most appropriate time [16].
    The student can review the videos of both synchronous and asynchronous classes, if the teachers
share these videos in time, facilitating that their students can review them, pause them to take notes,
among others, that do not occur in the face-to-face modality [17].
    The study explores the perceptions of students regarding the help they received from the university
in order to achieve better virtual teaching, three semesters after the beginning of the pandemic, 25%
considered that the help received to enroll virtually improved, and 29%, to be trained in the management
of virtual platforms. In Spain, an analysis was made of the difficulties presented in virtual teaching in
this pandemic, such as: "gap in access, electronic devices and/or Internet connection, gap in Internet
quality, the gap in digital competencies for educational purposes of teachers and students and the ability
to create teaching and evaluation content through these platforms" [18].
    In this regard, this pandemic has revealed the great inequalities and gaps in computer access for both
teachers and students, with the most frequent disparities being related to the quality of the Internet,
access to technological devices, among others [19].
    In Latin America and Peru, the social and economic situation of many university students has been
determinant for their quality of participation in virtual classes. Before the pandemic, many families did
not have good access to the Internet and much less with devices such as computers, laptops, or cell
phones for all family members, therefore, in the context of the pandemic, all technological resources
were insufficient, since overnight, schools, universities and many jobs were closed, so that in the same
family, there could be parents with telework, university students studying remotely and kindergarten,
primary or secondary school students doing virtual classes; a situation that was unsustainable for a
household with few economic resources. These situations should be taken into account by university
teachers since students could be going through this type of situation to detriment of their participation
in virtual classrooms, etc [20], [21].
    The perception of the help received in the face of educational problems related to virtual exams was
also consulted, with an improvement of 25%. In this regard, there is evidence that one of the main
challenges of virtual teaching has been the issue of virtual evaluations, especially in internships. Vega
Ponte notes that one of the main difficulties detected during the transition from face-to-face classes to a
remote modality in the context of the Covid-19 pandemic was virtual evaluations, proposing some
recommendations to improve these problems such as "the acquisition or development of software for
simulation of practices, among others, in addition to the development of a "hybrid" education model
taking the advantages of face-to-face and non-face modalities, oriented towards education in the future"
[18]. On the other hand, Irala, Valesca Brasil, analyzes useful capabilities to face this pandemic and
virtual teaching, such as perceived self-efficacy and students' expectations, for which she conducted a
study with135 students, finding that the indicators of expectations showed greater differences than self-
efficacy throughout the semester" [22].
    At the present juncture, university teachers should engage in a sincere dialogue with their students,
to know the context around which they carry out their virtual studies and identify their vulnerabilities,
especially in the evaluation process.
    An evaluation with different qualities of technological support and internet signal could exacerbate
the inequalities of evaluation among students; thus among the problems reported in these months of
virtual teaching are observed: "I had bad signal, at the time of giving the exam", "the page crashed and
I could not follow the exam", "my exam opened slower than my classmates", the exam was closed and
I could not upload my answers due to bad signal", "I had no internet", etc. In short, each of these
situations could lead to undesired results in the evaluations, and a bad grade would not reflect the low
achievement of academic competencies, but rather technological inequities and gaps in the internet
systems.
    Throughout the study it was evidenced that students perceive that virtual teaching has been improved,
however, there are many challenges to be faced such as virtual evaluation and mainly practical exams;
however, there are other factors that should be studied in this new context, which will be very useful for
changes in the paradigm of the teaching-learning process in the future, and to manage teaching in new
normal or pandemic scenarios.
    In this regard, studies have been published that analyze other problems related to virtual teaching, in
addition to the institutional technology gaps or in the students' homes, such as a perception of little
interest due to the lack of personal contact [23], in addition to problems in the evaluations, student
commitment to submit evaluations [24], among several other problems.
    Universities before the pandemic did not have much experience in facing an online evaluation for all
their students, even more so in careers with a large number of students such as medicine for example,
so in this pandemic, teachers and institutions had to improvise in accelerated times and seek
"methodological and technological solutions, while ensuring fairness, legal certainty and transparency
for all stakeholders, internal and external" [25]. A proposed solution to manage the technical problems
presented in a final or academic phase exam is the continuous evaluation, in which the teacher knows
the permanent performance of his students and the progressive acquisition of competences, which could
help to qualify the complete performance of the students, dispensing with the final exam if someone
presents some connectivity or technological problem at the time of the final exam. It is worth
mentioning that, in addition to the fine knowledge that university teachers should have of their students,
they should identify those students with special abilities that require adaptations in their evaluations.
    In this regard, UNESCO proposes flexible assessment methods to ensure the inclusion of students
with special educational needs [26]. UNESCO also proposed ten recommendations to ensure continuity
of learning in this pandemic, which we can apply to both school and university teaching: during this
pandemic and virtual teaching: "1. examine the state of preparedness and choose the most relevant tools,
2. ensure the inclusiveness of distance learning programs, 3. protect the privacy and data security, 4.
apply solutions to psychosocial problems before teaching, 5. plan the development of distance learning
programs, 6. provide teachers and learners with assistance in the development of distance learning
programs, 7. provide teachers and learners with assistance in the development of distance learning
programs, 8. provide teachers and learners with the necessary tools for the development of distance
learning programs, 9. provide teachers and learners with assistance in the development of distance
learning programs, and 10. plan the development of distance learning programs, 6. provide teachers and
learners with assistance in the use of digital tools, 7. combine appropriate approaches and limit the
number of applications and platforms, 8. set the rules for distance learning and monitor the learning
process of learners, 9. define the duration of distance learning units according to the self-regulation skills
of learners, and 10. create communities and promote social links" [26].
    On the other hand, the present study has also revealed positive data, since students have expressed
perceptions of improvements in virtual teaching, which will be a valid teaching strategy in the future in
some fields of university knowledge. In this regard, we agree with the conclusions of universities in
Germany, which have assessed the current situation of the use of technologies for teaching, with good
results in the efforts deployed for adaptations to a digital format with good reception of lectures and
seminars for their flexibility for study, which has led many teachers to express their desire to continue
using the materials developed in face-to-face classes shortly [27].
   In the results of the study, it can be observed that 25% of the students observed progressive
improvements in virtual teaching, a finding that means that there are still great challenges to be met, to
make this teaching a model to be followed in the future health emergencies.
    There is evidence in several studies that e-learning has meant a negative experience for students,
leading to think that there has been a lack of quality standards to homogenize the form, preparation,
dissemination, and evaluation of the content. This reality, for example, was reflected in the results of a
qualitative descriptive study conducted at Sabzevar University of Medical Sciences in Iran, where fifty-
two students were interviewed about their perception of e-learning and the results revealed that students
were dissatisfied with e-learning; among the main reasons, they named "dissatisfaction with the contents
uploaded by the teachers themselves, lack of feedback, problems of the communication channel such as
the platforms used, and the lack of preparation of the students themselves for this type of virtual
teaching; likewise, the students interviewed gave solutions to improve this type of teaching, the main
proposals being: "the possibility of receiving feedback, improvement of the channel and strengthening
of the educational content" [28]. It is necessary that, based on these examples, university systems
undertake the training not only to improve teachers' skills for the proper management of platforms but
also to achieve educational content with good quality standards, being this experience of the pandemic
an opportunity [29] to learn and improve [30]. This time of confinement, social isolation, and
unprecedented virtual teaching due to the prolonged time and the massive number of students under this
teaching modality, should leave us with lessons learned to be valued in order to improve both virtual
and face-to-face teaching.
    The pandemic has brought with it disease, pain, death, poverty, significant changes in the economy,
education, work, and social life of people globally; these sudden changes have caused adaptations in
record time, but also the installation of serious problems to the mental health of people, being the
students of colleges and universities mostly affected by stress [31], [32], anxiety [33], [34] and
depression [35] and it is a duty of university systems, not to be stressors for these young people, but on
the contrary, to be model universities that offer the vital support to contain them in times of crisis and
provide them with security, tranquility, educational quality in its different modalities and stability for
the adequate development of their university preparation.
    Young people have had to witness this pandemic, the contagion, and even the death of their family
and friends and without time for mourning and respective recovery they have had to endure these
difficult moments and continue with their virtual studies, development of tasks, and evaluations. It is
necessary, therefore, that this new view of an integral, quality, efficient, and humanized virtual education
takes into account the family context, the physical and mental health of the student, as well as the social,
cultural, and economic aspects of these and their families.
    Finally, it should be noted that in Peru and the world, since March 2020, it has meant a period of
changes in the technological infrastructure of universities, as well as resources in the homes of university
teachers, administrative staff, and students, unprecedented and all under the same goal, to continue with
university education despite living in the pandemic. These are great lessons learned during this time of
emergency that we must value.

5. Conclusion
   The COVID-19 pandemic has caused an unprecedented interruption in face-to-face medical
education; however, bioethics teaching has faced challenges to provide valid solutions to these times.
The Pandemic provides real scenarios for the analysis of real borderline cases allowing updating the
contents of the course of bioethics in medicine, being the virtual environments friendly for the
uninhibited participation of students, and application of participatory strategies.

6. References
[1] Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with
    2019 novel coronavirus in Wuhan, China. Lancet. 2020;395(10223):497-506. doi: 10.1016/S0140-
    6736(20)30183-5.
[2] OMS, Alocución de apertura del Director General de la OMS en la rueda de prensa sobre la
     COVID-19 celebrada el 11 de marzo de 2020, (n.d.). (accessed Sep 01, 2021)
     https://www.who.int/es/dg/speeches/detail/wh o-director-general-sopening-remarks-at-the- media-
     briefing-on-covid-19         11-march-2020
[3] Sacristán, José Antonio; Millán, Jesús. El médico frente a la COVID-19: lecciones de una
     pandemia. Educación Médica, 2020, vol. 21, no 4, p. 265-271.
[4] Herrera-Añazco, Percy; J Toro-Huamanchumo, Carlos. Educación médica durante la pandemia del
     COVID-19: iniciativas mundiales para el pregrado, internado y el residentado médico. Acta Médica
     Peruana, 2020, vol. 37, no 2, p. 169-175.
[5] Molina Gutierrez, Teresa de Jesús et al . Student crisis in pandemic. How do university students
     value virtual education? Conrado, Cienfuegos , v. 17, n. 80, p. 283-294, jun. 2021
[6] Ojeda-Beltran, Adelaida; Ortega Álvarez, Danny D.; Boom Carcamo, Efrain A. Análisis de la
     percepción de estudiantes presenciales acerca de clases virtuales como respuesta a la crisis del
     Covid-19. Espacios, 2020, vol. 41, p. 42
[7] Mendiola, Melchor Sánchez, et al. Retos educativos durante la pandemia de COVID-19: una
     encuesta a profesores de la UNAM. Revista digital universitaria, 2020, vol. 21, no 3, p. 1- 24.
[8] García Peñalvo, Francisco José, et al. La evaluación online en la educación superior en tiempos de
     la COVID-19. Education in the knowledge society: EKS, 2020.
[9] 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(3):549-56
[10] Gomez E, Azadi J, Magid D. Innovation Born in Isolation: Rapid Transformation of an In-Person
     Medical Student Radiology Elective to a Remote Learning Experience During the COVID-19
     Pandemic. Acad Radiol. 2020;27(9):1285-90
[11] Sierra-Fernández CR, López-Meneses M, Azar-Manzur F, Trevethan-Cravioto S. Medical
     Education during the health contingency by COVID-19: Lessons for the future. Arch Cardiol Mex.
     2020;90(Supl):50-5.
[12] Saiyad S, Virk A, Mahajan R, Singh T. Online Teaching in Medical Training: Establishing Good
     Online Teaching Practices from Cumulative Experience. Int J Appl Basic Med Res.
     2020;10(3):149-55.
[13] McRoy C, Patel L, Gaddam DS, Rothenberg S, Herring A, Hamm J, et al. Radiology Education in
     the Time of COVID-19: A Novel Distance Learning Workstation Experience for Residents. Acad
     Radiol. 2020;27(10):1467-74
[14] Marques, Paulo. Uso de lecciones sincrónicas y asincrónicas para la educación de enfermería
     durante la pandemia de COVID-19. Revista Cubana de Enfermería, 2020, vol. 36.
[15] Lagos Herrera, Irma Elena; Tarifeño Rubilar, Fernando Antonio; Abello Riquelme, Rubén Darío.
     Exploración de actividades digitales asincrónicas escritas en futuros docentes de Educación
     Básica. Revista de estudios y experiencias en educación, 2019, vol. 18, no 37, p. 153-168.
[16] Méndez Landa, F.J. (2021). La hibridación de clases sincrónicas y asincrónicas en la educación
     universitaria online: una estrategia para un mejor aprovechamiento del tiempo. En REDINE
     (Coord.), Medios digitales y metodologías docentes: Mejorar la educación desde un abordaje
     integral. (pp. 74- 82). Madrid, España: Adaya Press
[17] Del Rey, C. María Elena Rodríguez, et al. Las herramientas de comunicación sincrónica y
     asincrónica en la clase presencial. Revista Conrado, 2016, vol. 12, no 56
[18] Vega Aponte, Juan Camilo, et al. Dificultades detectadas durante la transición de clases
     presenciales a una modalidad remota en el marco de la pandemia del Covid-19. Caso de estudio:
     Programa de Ingeniería Civil en universidad pública. 2021.
[19] Peñuelas, Samuel Alejandro Portillo, et al. Enseñanza remota de emergencia ante la pandemia
     Covid-19 en Educación Media Superior y Educación Superior. Propósitos y Representaciones,
     2020, vol. 8, no SPE3, p. 589.
[20] Vivanco-Saraguro, Angel. Teleducación en tiempos de COVID-19: brechas de
     desigualdad. CienciAmérica, 2020, vol. 9, no 2, p. 166-175.
[21] C. Quiroz Reyes, «Pandemia Covid-19 e Inequidad Territorial : El Agravamiento de las
     Desigualdades Educativas en Chile», Revista Internacional de Educación para la Justicia Social,
     vol. 9, No 3, 2020.
[22] Irala, Valesca Brasil, et al. Expectativa versus realidade: experiências, percepções e desempenhos
     discentes frente ao ensino remoto. Revista Educar Mais, 2021, vol. 5, no 4, p. 849-863.
[23] Arora, Amit Kumar; Srinivasan, R. Impact of pandemic COVID-19 on the teaching–learning
     process: A study of higher education teachers. Prabandhan: Indian journal of management, 2020,
     vol. 13, no 4, p. 43-56.
[24] Guangul, Fiseha M., et al. Challenges of remote assessment in higher education in the context of
     COVID-19: a case study of Middle East College. Educational assessment, evaluation and
     accountability, 2020, vol. 32, no 4, p. 519- 535.
[25] García Peñalvo, Francisco José, et al. La evaluación online en la educación superior en tiempos de
     la COVID-19. Education in the knowledge society: EKS, 2020.
[26] UNESCO 2020. Cómo planificar las soluciones de aprendizaje a distancia durante el cierre
     temporal de las escuelas. https://es.unesco.org/news/como-planificar-soluciones-aprendizaje-
     distancia-durante-cierre-temporal-escuelas.
[27] Zawacki‐Richter, Olaf. The current state and impact of Covid‐19 on digital higher education in
     Germany. Human Behavior and Emerging Technologies, 2021, vol. 3, no 1, p. 218-226.
[28] Mortazavi, Forough, et al. Students’ perspectives on the virtual teaching challenges in the COVID-
     19 pandemic: A qualitative study. Journal of Education and Health Promotion, 2021, vol. 10.
[29] Ahmady S, Shahbazi S, Heidari M. Transition to virtual learning during the coronavirus
     disease-2019 crisis in Iran: Opportunity or challenge? Disaster Med Public Health Prep
     2020;17(3):1-2
[30] The. Educating Despite the COVID-19 Outbreak: Lessons from Singapore; 2020. Available from:
     https://www.
     timeshighereducation.com/blog/educating-despite-covid-19- outbreak-lessons-singapore.
[31] Sahu PA. Closure of universities due to coronavirus disease 2019 (COVID-19): Impact on
     education and mental health of students and academic staff. Cureus 2020;12:e7541
[32] Zhan, Huali, et al. Chinese college students' stress and anxiety levels under COVID-19. Frontiers
     in Psychiatry, 2021, vol. 12.
[33] Elsalem, Lina, et al. Stress and behavioral changes with remote E-exams during the Covid-19
     pandemic: A cross-sectional study among undergraduates of medical sciences. Annals of Medicine
     and Surgery, 2020, vol. 60, p. 271-279.
[34] Li, Yuanyuan, et al. Mental health among college students during the COVID-19 pandemic in
     China: A 2-wave longitudinal survey. Journal of affective disorders, 2021, vol. 281, p. 597-604.
[35] Zheng, Qiuyue, et al. Impact of the Perceived Mental Stress During the COVID-19 Pandemic on
     Medical Students' Loneliness Feelings and Future Career Choice: A Preliminary Survey
     Study. Frontiers in Psychiatry, 2021, vol. 12, p. 860.