[Structured viva as an assessment tool: Perceptions of undergraduate medical students]

To document the undergraduate medical students' perceptions regarding the structured viva as an assessment tool. Cross sectional. Army Medical College, National University of Sciences and Technology [NUST], Islamabad from April 2013 to April 2014. Data was collected from fourth year students of a public sector medical college. A structured questionnaire was used to evaluate student's perception regarding relevancy of viva questions to syllabus, level of comfort while being assessed and provision of adequate time to answer, bias or harassment by the mentors, freedom to answer in their own learning styles. One hundred seventy one, fourth year students gave consent to participate in this study. Almost all of the students were satisfid after being assessed in oral structed viva room: the results obtaind were: relevancy of questions to course: 169 [98%]; comfortable environment of viva room: 165 [97%]; appropriate time to answer the questions: 162 [94.7%], structured viva: 132 [94.7%]; welcomed upon arrival for viva: 147 [86%]; encouraged by examiner: 144 [84%]; facilitated to answer in their own learning style: 137 [80%]; covered all the topics: 120 [70% 1; demotivated during viva: 11 [6.4%] and bias during viva: 14 [8.1%] There is substantial need of introducing innovations in the conventional exam strategies being practiced in our medical colleges. Introducing structured viva examination, making the exam environment comfortable and adapting an appreciative inquiry approach while assessing students can greatly help them to overcome exam stress