The Effects of Digital Inking on Retention and Transfer of Knowledge: A Randomized Controlled Trial

This study investigates the effects of digital inking on knowledge retention and transfer, with a focus on the role of drawing monitor technology in facilitating active learning. In a three-part randomized controlled trial, graduate and undergraduate students in pathophysiology, gross anatomy, and business statistics courses were assigned to either an experimental or control group. The experimental group received instructor-drawn digital inking illustrations in real time during lectures, while the control group received a traditional lecture with pre-drawn illustrations. Retention and transfer of knowledge were assessed through multiple-choice exams, and student satisfaction was measured using a Likert scale. By integrating digital drawing technology into the learning process, this study examines its effectiveness compared to traditional lecture-based methods. Findings will provide insight into how technology-enhanced drawing activities impact student learning outcomes and engagement, contributing to the evolving landscape of digital active learning strategies.