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The objective of this study was to analyze first-year UFRJ medical students’ perceptions about the
implementation of a blended learning (BL) experience in their Biochemistry I course. During the first se-
mester of 2009, three Biochemistry professors used the Constructore course management system to de-
velop virtual learning environments (VLEs) for complementing course Modules I, II, and IV, using different
resources and activities. Forty-nine students (46%) took part in the study. Results show that, in general,
students gave positive evaluations to their experiences with BL, indicating that the VLEs have not only
motivated but also facilitated learning. Most of the students reported that access to resources in the
three modules provided a more in-depth approach to Biochemistry education and greater study
autonomy. Students suggested that the VLEs could be better used for promoting greater communication
among participants.
Keywords: Web-based learning, biochemistry education, teaching in medical schools.
at supporting Modules I, II, and IV. Constructore (available at: scientific articles, in the recognition of new concepts, and in the
http://ltc.nutes.ufrj.br/constructore) is an authoring tool devel- application of these concepts to new situations. The use of the
oped at UFRJ (Brazil) with the objective to support teachers in forum in this Module was more frequent than others and it was
the development, publication, and monitoring virtual learning used for students’ doubts and teamwork. Each student group
activities (blended or distance education), without any need for was provided its own forum space to work collaboratively. The
Web programming knowledge. professor used part of the face-to-face classroom hours for dis-
In order to provide a general description of the VLEs devel- tance activities.
oped by the three professors, we gathered information, with Table I presents a summary of the three Biochemistry I
their explicit permission, about each Module presentation text, Modules VLEs characteristics.
available learning resources, and proposed student activities, as
described bellow.
Research Instruments
In Module I, ‘‘Structure and Function of Proteins,’’ the pur-
pose of the VLE was to offer access to Bioinformatics tools In order to analyze students’ perceptions about the BL expe-
such as ‘‘Basic Local Alignment Search Tool’’ (Blast), ‘‘Physico- rience in Biochemistry education, a semi-structured question-
chemical parameters of a protein sequence’’ (Protparm), naire was developed. The questionnaire consisted of three
‘‘Prediction of transmembrane regions’’ (SOSUI), ‘‘Biological parts. Part I presented students with a list of all resources and
sequence alignment editor (BioEdit), ‘‘Protein Data Bank (PDB),’’ activities available in the three modules’ VLEs; they were
and ‘‘Molecular Graphic Visualization Tool’’ (RasMol) and to requested to rate on a four point scale (0 for no, 1 for low, 2 for
guide students in conducting research activities that help them medium, and 3 for high) the learning relevance of each of them.
visualize and understand protein structure and function. To Part II consisted of three open questions about advantages and
guide the use of these software, the teacher designed activities disadvantages of each module VLE. Part III presented one
which should be completed as the students advanced in their question that required students to evaluate their BL experience
studies, using the Constructore tool. Activities were organized indicating if the VLEs have facilitated, hampered, or did not
in eight steps: 1) Protein identification and data collection; 2) change their study activities; they were also asked to justify
Identification of the primary structure of proteins; 3) Occurrence their opinions.
of signal peptide and prediction of cellular location; 4) Align-
ment of the sequences of interest
Instrument Administration and Data Treatment
5) Evaluation of relatedness/similarities; 6) Evaluation of terti-
ary and quaternary structures of proteins; 7) Search for similar Students’ questionnaires were administered right after the
structures of the protein of interest; 8) Information consolidation. course was over, by the end of the semester. The decision to
In each activity, students were supposed to use the appropriate administer during this period aimed at giving students freedom
bioinformatics tools and complete online questionnaires. Class to openly give their opinions after course grading.
slides and tools manuals were available in the VLE. A dis- For the purpose of analysis of the Part I of the questionnaire,
cussion forum was also created through which students we decided to aggregate the results’ categories ‘‘no relevance
could present and discuss their content doubts and learning with low relevance’’ as well as the categories ‘‘medium rele-
difficulties. vance with high relevance’’. This data reduction provided us
The objective of the second Module, ‘‘Bioenergy,’’ was to with a sharper view of two major tendencies in students’
inform students about the energy transformations in biological opinions.
systems, through the study of various metabolic cell pathways. In Part II, student comments were organized according to the
In this module, the professor used the Constructore tool to two main categories ‘‘main advantages’’ and ‘‘main disadvan-
make available classroom slides as well as complementary tages’’ for each of the three course modules. Some students’
audiovisual resources, and classroom guided study instructions. answers were selected in order to illustrate the main findings
No communication resources were implemented in this VLE. about the advantages and disadvantages of each VLE.
Module IV, ‘‘Metabolic Integration,’’ aimed at providing stu- In Part III, students’ evaluations were counted according to
dents greater depth in the metabolic integration content pre- the three opinion options about the VLEs (facilitated, hampered,
sented in Modules II and III, exploring metabolic adaptations in or did not change students’ activities); some students’ argu-
different physiological or pathological states such as exercise, ments about their evaluations were selected in order to illustrate
starvation, and diabetes. In this case, the VLE was used to con- students’ opinions in their own words.
duct group studies and stimulate students to read and interpret
original scientific articles (classic and current) in order to under-
RESULTS AND DISCUSSION: STUDENTS’
stand specific patho-physiological situations. Students were PERCEPTIONS OF THE BL EXPERIENCE
presented with guided inquiry-based activities to be answered
with the Constructore support. These activities consisted of lists Forty nine students (46%) answered the questionnaire.
of questions which guided students in the interpretation of the This moderate response rate may be due to the fact that
225
TABLE II
Students’ perceptions about the learning relevance of different resources and activities available in the
VLEs of Modules I, II, and IV of the biochemistry Course
Level of relevance
None/low Moderate/high
Resources and Activities N8 % N8 %
Protein function and structure inquiry-based activities (Module I) 23 46.93 26 53.01
Access to texts, videos, and slides (Module II) 07 15.00 42 85.67
Access to scientific articles (Module IV) 06 13.14 33 67.33
Online inquiry-based exercises based on reading and interpretation 07 14.29 42 85.71
of the scientific articles (Module IV)
Online case-based exercises evaluation (Module IV) 20 40.08 19 38.76
Access to routine course announcements (Modules I and IV) 20 40.80 29 59.18
Communication with professors and their student assistants (Module I and IV) 23 46.92 26 53.07
Communication with other classmates (Modules I and IV) 35 71.40 14 18.52
students could be either in other courses’ final exams or received the most favorable evaluations among all the
were already out of campus for vacations. Nevertheless items analyzed, which may be related to the fact that in
we considered that as it was a pioneer experience at the the distance activities, there was effective professor’s
university using BL in the Biochemistry I Course, the participation. Another factor that may have contributed
results based on this sample would be valid to provide to this evaluation is the fact that in this Module the stu-
information to understand students’ views about this ex- dents used part of the classroom time to conduct the
perience for further research and development. distance activities.
The results of the study are presented according with
the three main questions proposed to the students.
Part II: Advantages and Disadvantages
of Each VLE Module
Part I: Relevance of Different Resources/ In Module I, Structure and Function of Proteins, stu-
Activities to Learning
dents emphasized the advantage of using protein identifi-
As can be seen in Table II, the resources and activities cation and visualization software in their learning activ-
that students considered most relevant were the educa- ities. For them, inquiry-based activities, not only facili-
tional materials provided both in Module II (85.67%) and tated the visualization and understanding of protein
in Module IV (67.33%), and the online inquiry-based structures, but also contextualized learning.
activities in Module IV (85.71%). On the other hand, most
The programs used were a great revelation for me
of the students indicated that communication with col-
and it was a lot of fun to assemble the protein
leagues (71.40%) and with professors (46.92%) was not
structures (S12).
considered a relevant factor in their experience.
It helped to the degree that it introduced tools for
This is compatible with the reports found in the litera-
the study of the protein structure in a contextualized
ture indicating that, in general, students value the oppor-
manner (S29).
tunity to access resources used in the classroom at any
place and time [3, 6]. By one side, this may be seen as Students also indicated that the fact that the VLE
valuing the traditional culture of learning based on con- included explanatory notes about the use of the software
tent transmission. On the other hand, it creates an op- helped them conducting the activities.
portunity to make classroom time more dynamic, given
The VLE helps by providing the steps and links
that students can access and read about the issues to
needed to conduct the tasks easily (S30).
be worked in classroom in advance [2, 14]. The low rele-
vance attributed to the communication tools may be Nevertheless, students pointed out that the need to
related to professors’ low use. Modules I and IV offered learn how to use new computer tools as a disadvantage
discussion foruns; in both cases they were used mainly of this experience, since it required more time for adap-
as a space for students placing their contents’ doubts. tation. Student adaption to these tools is not only related
As discussed by many authors, offering communication with the new technical skills required to be able to use
tools without a specific learning objective tends to be an them, but also relates with the need to develop
inefficient activity, because socialization and collabora- autonomy and self-study skills. Yudko et al. [17] argu-
tion in VLEs demands active teaching mediating strat- ment that these challenges may influence some students
egies [15, 16]. Another factor that may have contributed negative attitudes toward BL experiences. Furtheremore,
to the low participation in the forum is that students usu- as online education is a recent activity in Brazilian Uni-
ally prefer to use communication tools out of the VLEs, versities, many students do not identify computers and
where they can discuss privately without teacher’s con- Internet as pedagogical tools, but as entertainment and
trol [2]. social tools [12].
It should be emphasized that the distance activities In students’ opinion another negative element in this
proposed in Module IV (guided studies) were those that Module was that the activity of structuring proteins
226 BAMBED, Vol. 40, No. 4, pp. 222–228, 2012
became gradually ‘‘mechanical’’ as they learned how to Nevertheless, the students believe that the communi-
use the tools. cation with the professor and with other students through
the forums was used very little and generated difficulties
The concern about correctly structuring the protein
when they tried to resolve their doubts.
was greater than understanding the issue. The
function of the protein is passed over while empha- (. . .) and the disadvantage was the delay in resolving
sizing the computing tool (S15). any doubts (S26).
The tools were complicated and we had little time
The emphasis given by students about the opportunity
to dominate them and, therefore, we lost a lot of
to access content resources in VLEs is something widely
time learning to use them practically on our own
(S40). discussed in the literature [7, 11, 12]. It should be empha-
But the use of RASMOL in Module I did not contribute sized, however, that this preference is especially strong in
a lot to the course, because it ended up being a relation to resources used in the classroom (slides), which
mechanical repetition of the protocol given by the are those that are most important in guiding students
professor (S43). when studying for tests. Thus, the testing culture that, in
general, is reinforced in the university context, is reflected
Compatible with Espindola et al. [2] and Heidrich and in students’ opinions, whether in classroom activities, BL,
Angotti [3] findings, students who participated in the or complete distance education [7, 12]. The importance to
present study were receptive to activities that involve the
provide online content materials, as students indicate, is
use of the VLE. In the case of Module I, the activity
the opportunity to access them, at any time or place,
involved using six different bioinformatics programs for
what may influence the dynamics of face-to-face class-
studying proteins’ structures and functions, based on
room situations. In addition, as Heidrich and Angotti [3]
study guidance provided by the professor. Because of
and Amaral et al. [11] indicates, the use of audiovisual
the opportunity to place abstract concepts in action in
resources can contribute to Biochemistry teaching, con-
problems that challenged them to think, students valued
sidering the degree of abstraction needed to understand
the contextualized study of proteins. Similar results were
its various concepts and phenomena.
reported from other studies about the use of Bioinfor-
The negative element reported by the students in
matics tools in biochemistry courses [18, 19]. In general,
relation to this Module was the little opportunity for
these studies emphasize the potential of these tools for
communication with the professor. As in previous studies
supporting molecular structures visualization and for inte-
[2, 3, 11, 12], this relation with the professors is important
grating ludic and interactive activities.
to students and can be better explored in BL contexts.
Nevertheless, it should be emphasized that students In Module IV, Metabolic Integration, the dynamic of
evidenced great difficulty learning how to use the soft-
online inquiry activities, based on scientific articles read-
ware. As indicated by West et al. [7], technical challenges
ings and group discussions, was perceived as relevant
in the implementation of the VLE are as important as
for learning by the majority (85,71%) of the students who
pedagogical challenges, requiring teachers to prepare
responded to the questionnaire (Table II). In addition,
themselves to support students’ technical gaps. If on
since this module opened a communication channel with
one hand the technical gaps may have led some of the
students to consider the activity to be mechanical and the professors (with both commentaries to the guided
not significant, on the other hand, it is possible that they study, and with the forum for solving doubts), this aspect
did not completely understand their task. In addition, the appeared in the positive comments.
activity proposed required that students had abilities for The articles provided were important for completing
studying on their own, what probably has not yet been of the guided studies (S2).
developed at the time of this study, given that they were The virtual environment [in module IV] facilitated
in the first period of Medical school. communication between the professor and mem-
Students highly praised Module II, Bioenergetics, bers of the group (S26).
which made available all slides used in the classroom, in
addition to other resources. As presented in Table II, the Students also emphasized the importance of providing
resources that students considered most relevant, flexibility to face-to-face classroom hours to realize
among all VLEs, were the educational materials provided online activities, and indicated that this was a positive
in this module (85.67%). Students indicated satisfaction factor in the methodology used.
with the simplicity of the use of the VLE, and with the In this Module, as mentioned, there was an opportunity
study autonomy and flexibility allowed by the environ- to conduct the distance activity during class time,
ment. which was a great advantage, because we gained
It is very good to have access to this content, because time to organize the work (S22).
it is not possible to copy everything that the profes- Nevertheless, in this Module, the intensive time
sor says or the slides. Thus we pay more attention demand was mentioned by the students, due to the
in class, because we are not as concerned about complexity of the articles.
copying (S26).
Various materials expand and deepen knowledge The articles contributed, but there were a lot, and
about the material presented (S33). little time to read everything (S15).
227
The analysis of students’ opinions about Module IV Nevertheless, it requires the development of a new stu-
revealed how the opportunity for communication, not just dent attitude toward the learning process and effective
with the professor, but with their colleagues, is important professors’ participation in the organization of the VLE,
to them. This result is compatible with various reports in and in interacting and monitoring students’ work [2].
the literature [15, 16], as it is in the study by Quevedo
[20], in which the students, upon evaluating different CONCLUSION
blended courses, presented greater self-confidence and
motivation in courses with intensive professors’ participa- Based on the results of the present study it is possible
tion in discussion forums. It is worth mentioning that stu- to a firm that the integration of BL experiences in under-
dents in the present study tended to be passive and graduate Biochemistry courses seems to be an important
depended on the professors’ estimulation in the forum, educational strategy because it expands access to differ-
even for communicating with colleagues. ent types of learning resources, offers visualization tools
One difference of Module IV when compared with the that facilitate understanding complex biochemical con-
others, was the use of face-to-face classroom time to cepts and phenomena, expands the study boundaries
conduct distance activities. This is a key issue in BL: the beyond face-to-face traditional classroom space, and
integration and compatibility between classroom and dis- creates new opportunities for interaction between profes-
tance activities [7, 12]. If on one hand the students dem- sors and their students.
onstrate that they have little autonomy to conduct the Regarding students’ comments, it is possible to point
classroom and distance activities during the course, on out some requirements in order to improve these experi-
the other, the implementation of the VLEs without the ences: to strengthen the tie between face-to-face and
needed reorganization and flexibilization of the discipline virtual activities in the construction of an integrated edu-
limits their participation. Similar opinions were also found cational strategy which facilitates learning and considers
in a previous study with other Biochemistry class in the the time dedicated by the students; to provide greater
Medical school [2]. support and guidance to students when using the VLE
and performing the activities, and to expand the possibil-
ities for communication and collaboration in the learning
Part III: VLEs Influence on Students Study Activities process. When implementing BL it is necessary a strong
Considering the use of the three VLEs throughout the synergy between face-to-face and distance activities.
course, it was asked if, in general, the environments The analysis of different experiences such as the one
facilitated, hampered, or did not change their study activ- presented in this article have allowed to contribute for
ities. Thirty four students (69.39%) responded that the building more systematic knowledge about the
use of VLEs facilitated learning during the course, indi- challenges and potentials of the use ITC in the field of
cating as main advantages: access to the teaching mate- science and health education. These results also may
rials, study autonomy and flexibility, and the realization of be useful to assist teachers’ educational technology
distance activities that keeps them constantly studying. integration.