Purpose
Pharmacology at Kentucky College of Optometry (KYCO) is taught in the 2nd year over 2 semesters (total 8 blocks/year). Students are assigned pharmacology practice questions in the form of PDF files (one with questions and one with answers) that are uploaded on Canvas©, the Learning Management System (LMS). We have received student feedback in the past that this might not be the best way to assign practice questions. 

Methods
So, to change this process, students (class of 59 students) were assigned practice questions the same way through a PDF file in the Fall semester, while in the Spring semester, questions were administered via Canvas©-based digital practice quizzes. Quiz statistics were obtained from Canvas, and a SurveyMonkey feedback survey was sent out at the end of the year to get student input. 

Results 
A total of 4 Canvas quizzes were made and assigned with 8, 12, 2, and 5 questions (A mix of matching and multiple-choice questions). Although there is no way to find how many students attempted the pdf-based quizzes, for the Canvas©-based quizzes, 84.7%, 72.9%, 76.3%, and 76.3% students attempted each of the 4 quizzes. A total of 69.5% of the class returned back the feedback survey. For questions in the survey related to impact, interest, help with concepts, ease of use, and help with block exams, the students overwhelmingly found the Canvas-based quizzes much more beneficial (statistically significant data, p< 0.0001). 

Conclusion 
Results show the effectiveness of this intervention and the advantage of making full use of an LMS.