Comparing performance and integrity of proctored physical, unproctored online, and proctored online MBBS exams
Examination modality strongly impacted on performance and reliability. Unproctored online exams led to grade inflation, reduced variability, and low reliability, while proctored formats-physical or virtual-reinstated assessment rigor, fairness, and psychometric integrity, emphasizing the need for robust invigilation in high-stakes medical assessments.
Authors
- Damian Cohall (ORCID: https://orcid.org/0000-0002-2173-7322)
- Kandamaran Krishnamurthy (ORCID: https://orcid.org/0000-0001-5592-7020)
- Maisha K. Emmanuel (ORCID: https://orcid.org/0000-0002-3449-9669)
- Naveen Seecheran (ORCID: https://orcid.org/0000-0002-7779-0181)
- Michael Campbell (ORCID: https://orcid.org/0000-0002-5927-2612)
- Joanne Paul-Charles
- Ajay Kumar (ORCID: https://orcid.org/0000-0001-9985-8653)
- MdAnwarul Azim Majumder
- Euclid Morris
- Kenneth Connell
Institutions
- University of the West Indies (TT)
- Ross University School of Medicine (BB)
- University of the West Indies (JM)
- University of the West Indies (BB)
Publication Details
- Journal
- Medical Teacher
- Published
- 2026-02-23
- DOI
- https://doi.org/10.1080/0142159x.2026.2628961
- Primary Topic
- Innovations in Medical Education
- Type
- article
- Field-Weighted Citation Impact
- 0.00