The views of medical students about the purpose and objectivity of assessment in a medical college in Western Nepal

Context: Previous studies had shown problems with the different methods of assessment in medical schools. However, studies in Nepal are lacking. Objective: The present study was carried out to obtain information on the purpose of assessment in an ideal world and at the Manipal College of Medical Sciences (MCOMS) and the perception of student respondents regarding the objectivity of assessment at MCOMS. Methods: The study was carried out among the second to seventh semester students during February 2006, using a three part semi-structured questionnaire. The first part collected basic demographic information, the second was related to the purpose of assessment in an ideal world and at MCOMS, and the third dealt with the perceived objectivity of assessment at MCOMS. Percentage agreement scores were compared among the basic science (semesters II, III and IV) and clinical science students (semesters V, VI and VII) using the χ² test (p<0.05). The median total scores were compared among different subgroups using appropriate non-parametric tests (p<0.05). Findings: 340 students participated in the study (overall response rate- 74.1%). 165 respondents (48.5%) were basic science students. 166 students (49.9%) were Indians, 145 (43.5%) were Nepalese and 22 (6.6%) were Sri Lankans and others. Basic science students were significantly more likely to agree that assessment at MCOMS ensured competence, provided feedback and guided student learning. The median total score was 22 (maximum score -32). The score was higher among basic science and Sri Lankan students. Conclusions: The overall perceived objectivity of assessment at MCOMS was not high. Modifications in the assessment system may be considered. Further studies are required.