Evaluation of the pivot to digital teaching and learning in pathology: Sentiments from a low-middle-income countryIn late 2019, a new virally mediated disease termed coronavirus disease 2019 (COVID-19) appeared in China. By March 2020, a multitude of countries had reported cases of COVID-19, and the disease was declared a pandemic. Many countries rapidly instituted wide-ranging measures to reduce the spread of the disease, such as lockdowns, curfews, and quarantines. 1,2 According to the United Nations Educational, Scientific, and Cultural Organization in 2020 (with respect to the COVID-19 pandemic), "governments should see higher education as integral to their economic and social recovery and higher education institutions should ensure continuity with equity." 3 Many educational organizations thus traded face-to-face teaching with remote online teaching in order to continue with the academic year (so-called emergency remote teaching). 4 Now that the COVID-19 pandemic has entered its third year and countries are beginning to live with the virus, many online learning activities have continued. The move to digital learning in many institutions of higher education already began some years ago before the pandemic. However, the pandemic fast-tracked this process, and within a few weeks to months, an immense change occurred in how teaching and learning transpired. [4][5][6] Although learning without the potential exposure to COVID-19 made for safer pedagogic environments, this pivot was not without its challenges. At a student level, the pivot to online learning led to technical challenges and highlighted inequities associated with access to appropriate devices and sufficient data. Other issues reported by students included a lack of appropriate learning spaces, difficulties with concentration, anxiety, and personal financial stressors, to name but a few. 4,6 Universities' academic staff-some with very little training, confidence, or support-had to adjust to an online environment. University management met with decreasing student enrollments, and some experienced reduced funding while contending with increased information technology (IT) costs. 5,6 Krishnamurthy 7 succinctly described this online pivot in higher education institutions as a "total disruption of business as usual."