Don't forget the learner: An essential aspect for developing effective hypermedia online learning in continuing medical education

WHAT IS ALREADY KNOWN IN THIS AREA: • There is increasing use of hypermedia online learning in continuing medical education that presents the learner with a wide range of different learning resources. • Effective hypermedia online learning requires learners to use self-regulated learning (SRL) skills. • Facilitating online learners to develop their SRL skills can increase the learning impact of hypermedia online modules. WHAT THIS WORK ADDS: • This study is the first to apply an SRL perspective to understand how learners engage with hypermedia online learning in continuing medical education. • The main SRL skills required by users of hypermedia online learning in continuing medical education are similar to previous research from other educational contexts, with use of strategies and monitoring. SUGGESTIONS FOR FUTURE RESEARCH: • 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 continuing medical education.