Document Type : Original Article


1 Department of Pathology, Chamarajanagar Institute of Medical Sciences, India

2 Department of Community Medicine, Karwar Institute of Medical Sciences, Karwar, Karnataka, India

3 3 Department of Forensic Medicine and Toxicology, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India


BACKGROUND: Conducting online classes and assessment during the COVID‑19 pandemic is
not without challenges. The world of medical education is adapting online training and assessment
because of COVID‑19 pandemic restrictions. The present study was conducted to assess the
students’ perception regarding the process, difficulties encountered and perceived effectiveness of
online assessment.
MATERIALS AND METHODS: Online viva‑voce (theory and visual based) was conducted in
a government medical college in Karwar, Karnataka, India using videoconferencing application
(Google Meet) to 149 second MBBS students as a formative assessment in 2020 over 3 months.
Ten students per day joined Google Meet, 10 questions were asked to each student and assessed
using a tutor marking system (on‑spot). A feedback questionnaire (Google Form) was administered
to students who attended online Viva‑Voce. Data was analysed using descriptive and inferential
statistics (Student’s t‑test).
RESULTS: Out of 149 students, 132 participated and responded to a feedback questionnaire.
Majority of the participants (91%) agreed that questions covered all topics kept for viva, 82% of
them felt it would be helpful for performance in final examinations. Thirty percent of students faced
network issues at their places, 45% felt nervous while facing viva in the presence of other students
and 35% of participants preferred online methods over traditional viva voce. Online viva voce can
be transparent (90%) and less biased (88%) if done in structured format.
CONCLUSION: Online viva‑voce may become relevant and effective in medical education
assessment with transparent marking system for students’ performance.


1. Singh T, Anshu. Principles of Assessment in Medical Education.
1st ed. Haryana: JayPee; 2012. p. 1
2. Woolliscroft JO. Innovation in response to the COVID‑19
pandemic crisis. Acad Med 2020;95:1140‑2.
3. Available from:
article31156691.ece. [Last accessed on 2021 Feb 20].
4. Hixon E, Buckenmeyer J, Barczyk C, Feldman L, Zamojski H.
Beyond the early adopters of online instruction: Motivating the
reluctant majority. Internet High Educ 2012;15:102‑7.
5. Available from:‑‑problemsof
onlinelearningandhowtosolvethem. [Last accessed on
2021 Feb 20].
6. Esani M. Moving from face‑to‑face to online teaching. Clin Lab
Sci 2010;23:187‑90.
7. Sklar DP. COVID‑19: Lessons from the disaster that can improve
health professions education. Acad Med 2020;95:1631‑3.
8. Valenti S, Neri F, Cucchiarelli A. An overview of current research
on automated essay grading. JInform Technol Educ 2003;2:319‑30.
9. Schuwirth LW, van der Vleuten CP. How to design a useful
test: The principles of assessment. In: Swanwick T, editor.
Understanding Medical Education. 1st ed. Chichester: Wiley
Blackwell; 2010.
10. Walsh K. Online assessment in medical education – Current trends
and future directions. Malawi Med J 2015;27:71‑2.
11. Rosen LD, Weil MM. Computer availability, computer experience
and technophobia among public school teachers. Comput Hum
Behav 1995;11:9‑31.
12. Chiasson K, Terras K, Smart K. Faculty perceptions of moving
a face‑to‑face course to online instruction. J Coll Teach
13. Guangul FM, Suhail AH, Khalit MI, Khidhir BA. Challenges
of remote assessment in higher education in the context of
COVID‑19: A case study of middle east college. Educ Assess Eval
Account 2020;32:519‑35.
14. Kumar LR, Bedra A, Karkera R. Perception of medical students
on e‑assessment conducted through Yengage portal. Arch Med
Health Sci 2013;1:61‑6.
15. Chang CC. Construction and Evaluation of a Web-based Learning
Portfolio System: An Electronic Assessment Tool. Innovations in
Education and Teaching International. 2001; 38(2):144.
16. Petrisor M, Marusteri M, Simpalean D, Carasca E, Ghiga D.
Medical students’ acceptance of online assessment systems. Acta
Med Marisiensis 2016;62:30‑2.