Assessing The Role Of Gender In Objective And Subjective Question Outcomes In Medical Physiology Among First Year Medical Students
Keywords:
Subjective, Objective, Multiple Choice QuestionsAbstract
Background: Context: Several studies have indicated that female medical students tend to outperform their male counterparts in subjective assessments. Studies in other subjects like Physics and Mathematics, as well as entrance exams, suggest that male students perform better in Multiple Choice Question (MCQ)-based assessments. Limited research has been conducted on gender differences in performance across objective and subjective assessments in medical education. Our study aims to examine the differences in performance between male and female students in Physiology assessments.
Aims: To compare the performance of male and female students in MCQ based and subjective assessment in Physiology.
Settings and Design: The study was conducted as a retrospective cross-sectional study. Marks obtained by all 299 students from 2 batches 2021-2022 and 2022-2023 in the prefinal exams of Physiology were collected.
Methods and Material: Marks obtained in MCQ and descriptive sections of both Paper I and Paper II together were converted to percentage (%) score and was analyzed with respect to gender.
Statistical analysis used: Comparison of percentage marks obtained by male(n=141) and female students(n=158) is done by Student T- test. Correlation between the marks obtained in MCQ and descriptive sections is done by Pearson Correlation.
Results: Students obtained significantly more percentage marks in MCQs (60.97%) as compared to Subjective questions (47.43%). Female students scored significantly more marks in descriptive part having subjective questions as compared to male students (Females-47.3%, Males- 44.95% p<0.001). Male students scored slightly higher percentage marks in MCQs; the difference is not statistically significant. There is statistically significant correlation of subjective and MCQ (objective) marks of all students put together.
Conclusions: Our study indicates that female students perform significantly better than their male counterparts in subjective tests, whereas no significant difference is observed between the genders in MCQ marks.
Downloads
Metrics
References
J. Norcini et al. Criteria for good assessment: Consensus statement and recommendations from the Ottawa 2010 Conference. Medical Teacher. 2011; 33: 206–214.
Zubair Amin, Khoo Hoon Eng. Basics in Medical Education. Singapore: World Scientific Publishing Co. Pte. Ltd; 2007.
Ramalingam et al. Assessment of learning domains to improve student’s learning in higher education. Journal of Young Pharmacists. Jan-Mar 2014; Vol 6 (1): 27-33.
Khan MU, Aljarallah BM. Evaluation of Modified Essay Questions (MEQ) and Multiple-Choice Questions (MCQ) as a tool for Assessing the Cognitive Skills of Undergraduate Medical Students. Int J Health Sci (Qassim). 2011 Jan;5(1):39-43.
Sinha M et al. Gender difference in performance of undergraduate medical students
for subjective and objective evaluation in physiology. Int J Sci Rep. 2017 Feb;3(2):22-27.
Pai P, Sanji N et al. Comparative Assessment in Pharmacology Multiple Choice Questions Versus Essay with Focus on Gender Differences. Journal of Clinical and Diagnostic Research. 2020 June;(4):2515-2520.
Wilson K, Low D, Verdon M and Verdon A. Differences in gender performance on competitive physics selection tests. 2016 August; Phys. Rev. Phys. Educ. Res. 12, 020111.
Silvia Griselda. Gender gap in standardized tests: What are we measuring? Journal of Economic Behavior & Organization. 2024; Volume 221, Pages 191-229.
J. Ignacio Conde-Ruiz & Juan José Ganuza & Manuel García. "Gender Gap and Multiple-Choice Exams in Public Selection Processes," Hacienda Pública Española / Review of Public Economics, IEF, 2020 December; vol. 235(4), pages 11-28.
Pepple DJ, Young LE, Carroll RG: A comparison of student performance in multiple choice and long essay questions in the MBBS stage I physiology examination at the University of the West Indies (Mona Campus). Advances in physiology education. 2010, 1;34(2):86-9
Oyebola DDO, Adewoye OE, Iyaniwura JO, Alada ARA, Fasanmade AA, Raji Y. A comparative study of students’ performance in preclinical physiology assessed by multiple choice and short essay questions. Afr J Med Med Sci 29: 201–205, 2000.
Mujeeb, A., Pardeshi, M. L., & Ghongane, B. B. (2010). Comparative assessment of multiple-choice questions versus short essay questions in pharmacology examinations. Indian Journal of Medical Sciences, 64(3), 118–124. https://doi.org/10.4103/0019-5359.95934
A. Al-Mulhim, M. Elsharawy and N. Awad, "The Influence of Gender on Saudi Students Performance in the Undergraduate Surgical Examination," Surgical Science, Vol. 3 No. 4, 2012, pp. 206-209. doi: 10.4236/ss.2012.34039.
. Hedges LV, Nowell A. Sex differences in mental test scores, variability, and numbers of high-scoring individuals. Science 1995;269: 41-45.
Castagnetti, Carolina & Rosti, Luisa, 2009. "Effort allocation in tournaments: The effect of gender on academic performance in Italian universities," Economics of Education Review, Elsevier, vol. 28(3), pages 357-369, June.
Deepak KK, Al-Umran KU, Al-Sheikh MH, Al- Rubaish A. The influence of gender on undergraduate performance in multiple choice testing in clinical disciplines at University of Dammam, Saudi Arabia. Al Ameen J Med Sci. 2011;4(2):123-30.
Jamatia E, Goswami B, Kaushik S, Koner BC. Gender variability in performance of multiple choice question based assessment on medical biochemistry topics among 1st year MBBS students. Indian J Health Sci Biomed Res 2023; 16:237-41.
K.B. Coffman, & D. Klinowski. The impact of penalties for wrong answers on the gender gap in test scores, Proc. Natl. Acad. Sci. U.S.A. 117 (16) 8794-8803.
Downloads
Published
How to Cite
Issue
Section
License

This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
Terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.