Online vs. Paper-Based Examination: A Quasi-Experimental Study Comparing Two Examinations Formats in the Integrated Cardiovascular Module at FRPMC.
Year: 2026
Type: article
Abstract: Background: Medical education has rapidly shifted from traditional paper-based exams to online assessments, especially after the COVID-19 pandemic. This changes the trend from paper-based examination towards online examination. This study investigates the effectiveness and preferences of online versus paper-based exams among faculty and students at Fazaia Ruth Pfau Medical College (FRPMC), Karachi. Methods: A quasi-experimental study was conducted from December 2025 to January 2026 at Fazaia Ruth Pfau Medical College, Karachi, following IRB approval. A total of 225 MBBS students who completed the cardiovascular module participated in a structured perception questionnaire. Performance was assessed in a subsample of 100 students (50 paper-based, 50 online). Both examination formats were equivalent in content, duration, and the number of MCQs. Additionally, 13 faculty members provided qualitative feedback through open-ended questions. Data were analyzed using descriptive statistics in SPSS version 26, with questionnaire reliability assessed using Cronbach’s alpha. Conclusion: Students preferred paper-based exams and felt more confident and less stressed with them, while faculty appreciated the efficiency and fairness of online assessments. These findings imply the need for a balanced strategy that respects students’ comfort while simultaneously supporting the practicality and accuracy valued by faculty.
Language: English
Field: Medicine
Domain: Health Sciences
SDG: Quality education
Open Access status: diamond
OpenAlex ID: W7155515910
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