title: Don't forget the learner: an essential aspect for developing effective hypermedia online learning in continuing medical education.
abstract: There is increasing use of hypermedia online learning in continuing medical education (CME) that presents the learner with a wide range of different learning resources, requiring the learner to use self-regulated learning (SRL) skills. This study is the first to apply an SRL perspective  to understand how learners engage with hypermedia online learning in CME. We found that the main SRL skills used by learners were use of strategies and monitoring. The increasing use of strategies was associated with increasing interest in the topic and with increasing satisfaction with the  learning experience. Further research is recommended to understand SRL processes and its impact on learning in other aspects of hypermedia online learning across the different phases of medical education. Research is also recommended to implement and evaluate the learning impact of a variety  of approaches to develop the SRL skills of hypermedia online learners in CME.
authors.affiliation: School of Medicine, University of Leeds, Leeds, UK. j.e.sandars@leeds.ac.uk
authors.forename: John
authors.initials: J
authors.lastname: Sandars
authors.forename: Matthew
authors.initials: M
authors.lastname: Homer
authors.forename: Kieran
authors.initials: K
authors.lastname: Walsh
authors.forename: Alaster
authors.initials: A
authors.lastname: Rutherford
mesh_terms: D020375:Education, Distance / Q000379:methods*; D004502:Education, Medical, Continuing / Q000379:methods*; D058005:General Practitioners / Q000193:education; D006801:Humans; D019146:Hypermedia; D020407:Internet; D007858:Learning; D014584:User-Computer Interface