ABSTRACT
Introduction: With the advent of the coronavirus pandemic, Higher Education Organizations (HEOs), including medical schools, started using online education to effectively teach, and evaluate students' performances. An increasingly popular contemporary modality offered by the digital e-learning market is a Learning Management System (LMS). Aims: The aim is to assess Moodle v. 3.9 as a tool to conduct online medical examinations. The objectives are: 1. To collect student feedback 2. To discuss technical aspects with Moodle experts 3. To implement necessary changes based on the feedback and discussion. Material and Methods: A short-term longitudinal observational study was conducted at the Symbiosis Medical College for Women, Pune, India to collect feedback from 143 students with regards to their online exam experience with Moodle and the technical difficulties they faced were noted. In collaboration with software experts, certain technical changes pertaining to bandwidth requirements were implemented Results: Authors observed that the students require extra time as compared to the online exam scenario for conversion of their answer sheets into PDFs, and this technical consideration needs to be taken into account while designing such exams. Authors also established the server band width that is essential for an uninterrupted online exam experience at the institute level. Lastly, student feedback suggested that the online examination environment is perceived as more stressful, compared to its live counterpart. Conclusion: Authors concluded that cost-effectiveness, userfriendly interface, and a multitude of assessment-related features make Moodle an efficient tool for conducting online medical examinations at the undergraduate level.