Table 2.

Group interview concerning SPOC^a perceptions^b.

Theme	Positive	Negative
Contextual learning	SPOC was adequately targeting interns Useful patient cases Content was handy and informative	Assignments did not match clinical problems encountered in WPLc Learning objectives were unclear Unclear how SPOC complements WPL Contents did not match the real world
Collaboration, relatedness, and constructive learning	—d	Peer feedback is less useful than feedback from teacher Interaction Interns wanted answer sheets instead of peer discussion
Self-regulated learning or autonomy	Sufficient time to finish assignments during daily shift Nice that SPOC is not obligatory	Tight deadlines Time-consuming Insufficient time to finish assignments during daily shift Need more choice instead of fixed assignments Do not want theoretical assignments during the practical phase Less obligatory and more optional assignments Want a complete overview of a clinical presentation, instead of looking up information Wished the SPOC to be more motivating
Competence	Good patient cases, e-learnings, and quizzes Useful lessons, mainly virtual reality patients Useful for interns with less patient contacts and less moments for clinical reasoning Enjoyed videos observing others taking history History taking videos led to discussion among peers Those videos must be part of the training	SPOC did not fill gaps encountered in clinical practice Watching videos seeing others taking history is not active learning Learned more from observation in workplace Need more specific physical exam tools instead of observation general physical examination Need more assignments that specifically enhance knowledge
Other	SPOC was accessible Good learning environment Videos were enjoyable	Unclear deadlines Problems planning patient-related assignments (suitable patients dismissed) Technical shortcomings Insufficient support

^aSPOC: Small Private Online Course.

^bThe positive and negative perceptions of the interns are displayed in the middle and right columns. Those were assembled in 6 predefined clusters (left column). Collaboration and constructive learning have been clustered because of overlapping interview data.

^cWPL: workplace learning.

^dNot available.