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Research Article | Volume 14 Issue: 2 (March-April, 2024) | Pages 1018 - 1023
Enhancing Quality In Theory Paper Writing For First MBBS Exam Aspirants
 ,
 ,
 ,
1
Additional Professor, Department of Physiology, HBT Medical College and Dr RN Cooper Hospital, Mumbai
2
Additional Associate Professor, Department of Physiology, HBT Medical College and Dr RN Cooper Hospital, Mumbai
3
Professor and Head, Department of Physiology, HBT Medical College and Dr RN Cooper Hospital, Mumbai
4
Tutor Department Of Forensic Medicine And Toxicology Topiwala National Medical College & Byl Nair Charitable Hospital, Mumbai
Under a Creative Commons license
Open Access
PMID : 16359053
Received
Feb. 6, 2024
Revised
Feb. 22, 2024
Accepted
March 13, 2024
Published
April 3, 2024
Abstract

Background: The transition into medical school marks a significant juncture in the academic journey of aspiring healthcare professionals. The first year of MBBS education lays the groundwork for foundational knowledge in the biomedical sciences, with theory paper writing serving as a pivotal component of the assessment process. Students often lack clarity on how to articulate their thoughts and meet teachers' expectations, revealing a noticeable gap in their preparation.

Objectives: This scholarly article explores the importance of enhancing quality in theory paper writing for first MBBS exam aspirants. It delves into various facets of quality paper writing, including planning strategies, examination techniques, and skill development.

Materials and Methods: The study conducted in the Department of Physiology for first MBBS students of batch 2020 involved an online presentation aimed at elucidating examination preparation and paper writing strategies. Feedback from students highlighted the efficacy of the session in aiding study planning, understanding exam patterns, and building confidence in completing syllabi within preparatory periods.

Results: Students' suggestions underscored the need for additional sessions on essential topics and unit-wise tests. The study showed that interventions such as online presentations can significantly impact students' understanding and confidence in paper writing and exam preparation.

Conclusion: We hereby conclude by emphasizing the critical role of educators in nurturing writing skills among medical students, ultimately preparing them for success in academia and future medical practice. This study highlights the importance of explicit instruction and support in theory paper writing to bridge the gap between students' current skills and the expectations of their medical education.

Keywords
INTRODUCTION

The transition from pre-medical to medical school marks a profound shift in the academic trajectory of aspiring healthcare professionals. It represents a pivotal moment where students transition from foundational learning to the specialized knowledge required for medical practice. The first year of MBBS education, in particular, is a critical phase characterized by the assimilation of fundamental concepts in the biomedical sciences. Within this foundational learning, the assessment process assumes a central role, serving as a barometer for students' comprehension and application of these foundational principles.(1)

 

Among the various components of assessment, theory paper writing stands out as a cornerstone of evaluating students' understanding and proficiency. Unlike multiple-choice questions or practical examinations, theory papers demand more than the mere regurgitation of facts; they require students to engage critically with the material, demonstrate analytical prowess, and articulate their thoughts through the written word. In essence, theory paper writing serves as a litmus test for students' ability to synthesize complex information, construct logical arguments, and communicate their ideas effectively—a skill set indispensable for success in both academia and clinical practice.(2,3)

 

In recent years, there has been a discernible shift in focus towards enhancing the quality of theory paper writing within medical education. Educators and institutions alike have come to recognize the far-reaching implications of proficient writing skills for aspiring healthcare professionals. Beyond serving as a means to assess academic prowess, high-quality 

theory paper writing cultivates attributes crucial for future medical practitioners, including clarity of thought, precision in communication, and the ability to construct coherent narratives—a skill set essential for conveying complex medical information to patients, colleagues, and other stakeholders.(4)

 

Moreover, as the landscape of medical education continues to evolve, so too does the art of paper setting and blueprinting. With advancements in pedagogy and assessment methodologies, there arises a concomitant need to equip students with the requisite tools and strategies for navigating the intricacies of theory paper writing.(5) No longer can students rely solely on rote memorization or surface-level understanding; they must develop the capacity to engage critically with the material, interrogate assumptions, and construct arguments grounded in evidence—a proficiency that forms the basis of medical scholarship and clinical practice.

 

Against this backdrop, this scholarly article endeavors to delve into the multifaceted nature of quality theory paper writing, probing its significance, strategies for enhancement, and potential impact on first MBBS exam-going students. By interrogating the various dimensions of theory paper writing, from the nuances of clear and concise expression to the intricacies of critical analysis and synthesis, we aim to provide a comprehensive framework for understanding and improving this essential aspect of medical education.

 

Central to our exploration is the recognition of the pivotal role played by educators in guiding and supporting students along their writing journey. Beyond imparting subject-specific knowledge, educators serve as mentors, coaches, and facilitators, nurturing the development of essential skills such as critical thinking, effective communication, and scholarly inquiry.(6)Through targeted interventions, feedback mechanisms, and instructional support, educators can empower students to transcend the constraints of conventional pedagogy and excel in the realm of theory paper writing.

 

By laying the foundation for high-quality theory paper writing, our goal is to equip the next generation of medical professionals with the requisite skills and competencies to thrive in both academic and clinical settings. Beyond mere academic achievement, proficiency in theory paper writing holds the promise of fostering a cohort of healthcare practitioners who can communicate effectively, think critically, and navigate the complexities of modern medicine with confidence and proficiency. In doing so, we aspire not only to elevate the standards of medical education but also to imbue students with the tools and mindset necessary for lifelong learning and professional growth in the ever-evolving landscape of healthcare.

MATERIAL AND METHODS:

The study on quality paper writing was conducted in the department of physiology for first M.B.B.S students of batch 2020. An online presentation was taken for students on how to prepare for their examination and how to write the theory paper.

 

Section 1 of the presentation included the planning part of the study before the examination. Students were made to understand the purpose of examination. This was followed by making them understand the paper pattern. Division of topics under paper 1 and 2 , relative weightage of each topic, pattern of questions and  marks and time allotted to each question was explained.

 

Table -1 A topics in paper 1

Paper 1

•        General Physiology

•        Blood

•        Respiratory System

•        Cardio Vascular System,

•        Cardio-respiratory and metabolic adjustment during exercise

•        Renal system

•        Gastro intestinal system

•        Life style, aging, Meditation

•        AETCOM module no. 1.2 & 1.3

•        Scenario based / application questions can be on any topic of the paper I

•        For long answer question and scenario based / application questions , topics will not be repeated

 

 

 

 

Table 1-B Topics in paper 2

  Paper 2

•        Endocrine Physiology

•        Reproductive System, Physiology of Infancy

•        Special senses

•        Central nervous system includingbrain death

•        Temperature Regulation & applied

•        Nerve muscle physiology

•        Scenario based / application questions can be on any topic of the paper II

•        For long answer question and scenario based / application questions , topics will not be repeated

 

 

Table -2 Paper pattern

 

                                                                        Paper pattern

•        Total marks- 100

•        Duration – 3hrs

•        Section A -30 minutes

•        MCQ-20 MCQ (1 mark) -  4 MCQ case based

•        Section B-  2hrs30mins.

•        BAQ- 10/11 (10*2=20)

•        SAQ 8/9 (8*5=40)  2 SAQ CASE BASED , 1 SAQ AETCOM MODULE

•        LAQ 2/3 (2*10=20)

 

 

 

After explaining the paper pattern, students were given tips on how to plan the study.

  • The importance of a topic in an examination need not be reflected by the space given for that topic in a textbook. 
  • Cover the entire syllabus before the examination. 
  • Be ready with important key words for the topics
  • Prepare templates for the answers of major types of questions.
  • Sleep well before the examination as it enhances consolidation of memory.
  • Plan your time during the examination
  • For a 2 mark question, the time is 9*2= 20 minutes
  • For a 5 mark question, the time is 8*10 = 80minutes 1 hr 20 minute
  • For a 10 mark question, no more than 2* 15 = 30 minutes;
  • Allot time to plan, keywords, draw, underline and re read what is written.

 

On the day of the exam

  • Read all questions carefully -determine calmly what is actually expected in the answer.
  • Attempt all questions as required
  • Adhere to the time plan for each question. Failure to do so may cost valuable time, and prevent attempting other questions.
  • Move to the next question as soon as the time for a question is over. No matter how much you write, you will not receive more than the maximum mark for a question. 
  • Help the examiner award you marks
  • Write in points– this improves readability of the answer, as it is difficult to rapidly pick the main points from a paragraph
  • Underline key words in each answer-
  • Number all answers correctly
  • Follow a consistent bulleting
  • Do not create confusion with the answer numbers.
  • Write the entire answer to a question in the same location
  • Ensure that visuals are neatly drawn and appropriately labelled. Avoid drawing with ballpoint pen.
  • Ensure that every visual is accompanied with explanatory text. 
  • Review all answers

 

Mistakes that the student should always avoid

  • Do not write a lengthy paper
  • Do not write a good answer to the wrong question
  • Do not expect the instructor to figure out what is meant to by the candidate.
  • May be marks and its correlation with how to attempt those questions were told

 

Students where explained the skills to write a good paper using examples. Case studies where used to make them understand how to prepare a given topic.

 

A specific mention of AETCOM module was made. The topic was covered in brief and students were made aware of the points to be covered under the AETCOM  module.

 

After the session students feedback was taken using a google form on how confident they felt on theory paper writing with this session. The questionnaire included 9 closed ended questions on 5 point Likert scale and one open ended question was used to gather the responses.

 

Table 3- Student feedback on theory paper writing

SR NO.

Responses

5 point Likert scale

1- strongly agree, 5 strongly disagree

 

1.

 Do you feel the sessions helped you to plan your studies for your final examination?

YES/NO

 

2.

 The session helped you to understand the exam pattern. Grade your response:

 

 

3.

 Do you feel more confident in being able to complete your syllabus within the preparatory leave period? Grade your response

 

 

4.

 You will be able to allot time adequately for each section of the question paper?

 

 

5.

 The session has helped you to plan your answers before attempting them:

 

 

6.

 Did the session help you to prepare for case-studies in the paper?

 

 

7.

Did the session help you to prepare for AETCOM questions in the paper?

 

 

8.

 Did the session help you to prepare for MCQs in the theory paper?

 

 

9.

 When do you feel was the appropriate time to take the session?

 

 

10.

Any other suggestions for improving the sessions?

 

 

 

                                       

 

 

RESULTS:

Student feedback on theory paper writing session was collected using a google form. 81 responses were collected.

 

100% of students felt that the session helped them plan their studies for final examination.43.8% students strongly agreed that the session helped them understand the exam pattern.55% students were confident of being able to complete their syallbus in the preparatory leave.

 

54.3% students strongly agreed that they will be able to allot time as planned for each section in the question paper.

 

53.1% students agreed that the session helped them plan their answers and 54.3% agreed that it helped to prepare for case studies. 49.4% and 53.1% students responded strongly agree and agree respectively for session helped to prepare for AETCOM and MCQS in theory paper.

 

55.6% students felt that before the prelims was the right time to take this session on paper writing.

 

 

T

DISCUSSION

In the pursuit of excellence in medical education, the quality of theory paper writing stands as a crucial milestone for first-year MBBS students. This scholarly exploration into the world of quality paper writing for these aspiring medical professionals has shed light on the multi-dimensional nature of this art. It has become evident that beyond being a tool of academic assessment, quality theory paper writing is a cornerstone for the development of essential skills, central to success in both academia and future medical practice.(7,8)

 

The journey to producing high-quality theory papers goes beyond the memorization of facts and figures. It calls for the cultivation of critical thinking, analytical abilities, and effective communication – all qualities integral to the practice of medicine. Clear, concise, and precise expression, coupled with an in-depth understanding of the subject matter, becomes not only an academic expectation but also a reflection of one's future responsibilities as a healthcare provider.

 

Furthermore, this article highlights the pivotal role of educators in nurturing these skills among first-year MBBS students. Through guidance, mentorship, and the provision of constructive feedback, educators can empower their students to become proficient and confident writers. The impact of such guidance goes beyond the examination hall, as it prepares these young minds for a lifetime of scholarly research, medical documentation, and effective communication with patients and colleagues.(9,10)

 

As medical education continues to evolve, the emphasis on quality theory paper writing remains a testament to the commitment of educators, students, and institutions to nurture holistic and competent healthcare professionals. In today's rapidly changing healthcare landscape, where the ability to synthesize and communicate complex medical information is paramount, the importance of quality paper writing cannot be overstated.

 

Moreover, quality theory paper writing serves as a bridge between the classroom and the clinic, preparing students for the rigors of clinical practice. By honing their writing skills, students develop the ability to document patient encounters accurately, convey medical information clearly to colleagues, and engage in scholarly discourse within their respective fields of study. This integration of theory and practice is essential for producing well-rounded healthcare professionals who can navigate the complexities of modern medicine with confidence and proficiency.

 

It is imperative, therefore, that medical educators prioritize the teaching and assessment of writing skills alongside traditional medical curriculum. This entails not only providing students with the necessary tools and resources but also creating opportunities for them to practice and receive feedback on their writing.(11,12)By embedding writing instruction within the broader framework of medical education, educators can ensure that students graduate with the proficiency and confidence to excel in all aspects of their professional lives.

 

Furthermore, the integration of technology into medical education offers new avenues for enhancing theory paper writing skills. Online platforms, interactive learning modules, and virtual simulation tools can provide students with real-time feedback on their writing, helping them identify areas for improvement and refine their skills iteratively. Additionally, digital repositories of exemplary papers and writing resources can serve as valuable reference materials for students seeking to enhance their writing proficiency.(13,14)

 

In conclusion, the importance of quality theory paper writing in medical education cannot be overstated. Aspiring healthcare professionals must possess not only a strong foundation in medical knowledge but also the ability to communicate their ideas effectively through the written word. By prioritizing the teaching and assessment of writing skills, educators can empower students to become proficient and confident writers, prepared to excel in both academia and clinical practice.

REFERENCES
  1. Chickering AW, Gamson ZF. Sevenprinciples for good practice in undergraduate education. American Association for Higher Education Bulletin. 1987;39(7):3–7. 
  2. Shukla S, Acharya S, Acharya N, Shrivastava T, Kale A. Quality theory paper writing for medical examinations. J ClinDiagn Res. 2014 Apr, Vol-8(4): XC01-XC04
  3. Lavelle E, Zuercher N. The writing approaches of university students. Higher Education. 2001;42(3):373–91.
  4. Jaipurkar R. et al., Art of Paper Setting: The Blueprinting of MBBS Physiology CBME, Journal of Clinical and Diagnostic Research. 2021 Jul, Vol-15(7): CC01-CC05
  5. Zhang A., Olelewe C. J., Orji C. T., Ibezim N. E., Sunday N. H., Obichukwu P. U., & Okanazu O. O. (2020). Effects of Innovative and Traditional Teaching Methods on Technical College Students’ Achievement in Computer Craft Practices. Sage Open, 10(4). https://doi.org/10.1177/2158244020982986.
  6. Murray J (2021) Good teachers are always learning, International Journal of Early Years Education, 29:3, 229-235, DOI: 1080/09669760.2021.1955478
  7. Singh S, Singh T, Sharma M. The art of writing theory papers in medical examinations: A guide for students. Natl J Physiol Pharm Pharmacol. 2017;7(10):1107-1111.
  8. Parmar A, Patel K, Kantharia ND. Evaluation of theory paper writing skills among medical undergraduates: A pilot study. Indian J Appl Res. 2018;8(5):64-66.
  9. Bhattacharya S, Ray M, Ghosh S, Dey A, Ghosal M. Assessment of theory paper writing skills among first-year medical students: An institutional study. Int J Res Med Sci. 2020;8(11):4123-4127.
  10. Doshi P, Shah C, Shah K. Analysis of theory paper writing skills among medical undergraduates: A cross-sectional study. Int J Community Med Public Health. 2018;5(11):4973-4978.
  11. Sajid S, Ullah S, Ahmad S, Naz S, Khan MS. Enhancing writing skills in medical education: A systematic review. J Pak Med Assoc. 2020;70(10):1839-1843.
  12. Nair SC, Ibrahim H, Shukkur M, et al. Perceptions of students in different phases of medical education of the educational environment: Universiti Sultan Zainal Abidin. Adv Med EducPract. 2015;6:211-222.
  13. Lewis KO, Popov V, Fatima SS. From static web to metaverse: reinventing medical education in the post-pandemic era. Ann Med. 2024 Dec;56(1):2305694. doi: 10.1080/07853890.2024.2305694. Epub 2024 Jan 23. PMID: 38261592; PMCID: PMC10810636.
  14. Taradi SK. Integracija interneta u medicinsko obrazovanje [Integration of the Internet into medical education]. Lijec Vjesn. 2002 Jan-Feb;124(1-2):36-41. Croatian. PMID: 12038098.
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