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z improved as students became familiar with the technology. The impact on student-student interaction could not be assessed but is assumed to be hindered due to the lockdown occurring early in the semester. Limited experience in conducting online exams resulted in a steep learning curve to identify methods to assure academic integrity. Hospital-based practicals were either cancelled, postponed or replaced with virtual teaching alternatives. Students conducting hospital-based research projectsdoi:10.1007/s13246-021-01024-z pmid:34424484 pmcid:PMC8381140 fatcat:7jrqj62qgzhcxaiztb627teqxe