<p>I am instructing several courses to the surgical technology students. I am using LMS to teach the lecture part and the students then learn from the laboratory and clinical practice in the operating room. Incorporating this type of hybride program is a challenge. I now can use methods explained here to offer an active learning environment for my students. I find a long 5 hours lecture through LMS can be difficult for few students to maintain concentration. Time to time I find students to&nbsp;<span>procrastinate and not engage. Creative team works and simple task through the LMS is helpful.</span>&nbsp;&nbsp;</p>