Study limitations
TD
RECRUITMENT
The results from our investigations should be viewed in light of the limitations of this study. One such limitation is the lack of student participation in the study resulting in poor respondent rates. The ongoing global pandemic at the time of participant recruitment is a potential factor leading to a lack of study respondents. Additionally we have identified the delay from module completion to distribution of the post-clinical attachment survey as another factor influencing study participation. However, by using the widely validated CEQ we believe that this study offers a unique and important reflection of the impact that the pandemic has had on student learning during the pandemic. Another limitation is that that the OFC did not include clinical skills training which a staple in the TD approach is. It was not possible for our department to teach clinical skills online and consequently this aspect of the clinical attachment was not assessed for the OFC groups. Future studies seeking to determine changes in student and learning and student satisfaction with the OFC for delivery of Ophthalmology content should address these limitations by inclusion of our suggested changes to the curriculum.