A multicohort study using an eLMS in the UAE The Impact of an eLearning platform on Medical Student Performance in Respiratory System Module: A Multi-Cohort Study in the United Arab Emirates

Background This study investigates how medical student engagement with an e-learning platform (Lecturio) correlates with academic performance in a respiratory system module at the College of Medicine and Health Sciences (CMHS), United Arab Emirates University (UAEU). Methods A retrospective cohort study analyzed six student cohorts (2018–2024) using engagement metrics from Lecturio and academic outcomes from internal assessments. Metrics included videos watched, logins, quiz and Question-bank (Q-bank) activity, and quiz accuracy. Results Platform engagement was highest in the first year and varied across subsequent cohorts. Students who actively used the platform achieved significantly higher final scores than those with minimal engagement (85.50 vs. 82.04, p < 0.001). Key engagement metrics—particularly quiz questions attempted and accuracy on first attempt—were significantly associated with academic performance. Conclusion Student interaction with e-learning tools is positively associated with academic success. This study highlights specific engagement patterns that correlate with improved outcomes, supporting the integration of digital platforms into blended medical curricula. Future research should explore long-term effects, qualitative student experiences, and the role of e-learning in professional skill development and lifelong learning.