Sleeping Pattern of Medical Students Preceding Viva Examination and Their Performance

  • Mukhtar Ansari Department of Clinical Pharmacy, College of Pharmacy, University of Hail, Saudi Arabia.
Keywords: medical; Nepal; performance; sleep deprivation; students.

Abstract

Introduction: Sleep is an important determinant of keeping healthy physically and mentally. Deviation in sleep is a common problem among students during examinations. The purpose of this study is to determine students’ sleep pattern during night preceding viva examination and its correlation with performance.  

Methods: This was a cross-sectional prospective study conducted between January and February 2014 among 1st and 2nd year MBBS students of National Medical College, Birgunj, Nepal who appeared in University’s final practical examinations. Based on simple random sampling approach, each of the 280 participants was allowed to pick out five pieces of lottery papers and they were asked the five questions resembling the number in the list of questions.

Results: Among the total 280 students, 74.6% were from India and 25.4% were from Nepal, and majorities (63%) of them were males. Fifty two percent of the students either could not sleep at all or slept just for 1 to 1.5 hours while 12% slept for 5 to 6.5 hours. Two-third (66%) of the students was able enough to achieve one to two scores, and only 1.8% could succeed to get the maximum score of five. The correlation between hours of sleep preceding examination and the score achieved was positively (r=0.701) and statistically significantly correlated (p<0.001).

Conclusions: There is a trend among the medical students either not to sleep or sleep only for few hours preceding viva examination that result in poor performance in examinations.

Keywords: medical; Nepal; performance; sleep deprivation; students.

References

National, Heart, Lung and Blood Institute. why is sleep
important?[Online]. 2012 [Cited 2016 Jan 4]; Available from:
http://www.nhlbi.nih.gov/health/health-topics/topics/
sdd/why.html
2. Fatima K, Rizvi F, Ali M, Afzal M. Sleep Pattern and Sleep
Duration of Medical College Students. Annals of Pakistan
Institute of Medical Sciences. 2011;7(2):79-81.
3. Al Ghamdi AA. Sleep Deprivation and Academic
Performance of Students in the Collage of Nursing at
King Saud University. World Applied Sciences Journal.
2013;27(2):155-67.
4. Kazim M, Abrar A. Sleep Patterns and Association with
Academic Performance in Students of a Medical College in
Pakistan. Khyber Medical University Journal. 2011;3(2):57-60.
5. Nakalema G, Ssenyonga J. Academic stress: Its causes and
results at a Ugandan University. African Journal of Teacher
Education. 2013;3(3):1-21.
6. Patel BS, Kubavat A, Piparva K. Correlation of students
performance in theory and practical of final summative
pharmacology examination in MBBS curriculum: A critical
insight. National Journal of Physiology, Pharmacy and
Pharmacology. 2013;3(2):171-75.
7. Pearce G. Viva voce (Oral Examination) as an assessment
method. Journal of Marketing Education. 2009;31(2):120-30.
8. Joughin G. A short guide to oral assessment [Online]. [Cited
2016 Jan 4]; Available from: https://www.leedsbeckett.
ac.uk/publications/files/100317_36668_ShortGuide-
OralAssess1_WEB.pdf
9. Haque M, Yousuf R, Abu Bakar SM, Salam A. Assessment in
undergraduate medical education: Bangladesh perspectives.
Bangladesh Journal of Medical Science. 2013;12(4):353-63.
10. Iqbal S, Gupta S, Venkatarao E. stress, anxiety &
depression among medical undergraduate students &
their socio-demographic correlates. Indian J Med Res.
2015;141(3):354-57.
11. Salgar ST. Stress in first year medical students. International
Journal of Biomedical And Advance Research. 2014;5(1):5-6.
12. Higher Education Review. Expensive medical education
compelling students to study abroad [Online] 2013[Cited
2016 Jan 4]; Available from: http://www.theher.in/
magazine/expensive-medical-education-compellingstudents-
to-study-abroad-ZBNZ330192207.html
13. Sustainable Education and Economic Developent. MBBS
in Nepal for Indian students [Online]. [Cited 2015 Nov 7];
Available from: http://www.seedmbbs.com/mbbs/nepal.
html
14. Dixit H, Maharjan S. Review of Admission of MBBS Students
at KMC. Kathmandu Univ Med J. 2003;1(3):212-21.
15. Rizvi AH, Awaiz M, Ghanghro Z, Jafferi MA, Aziz S.
Pre-examination's stress in second year medical students
in a government college. J Ayub Med Coll Abbottabad.
2010;22(2):152-55.
16. Shankar P, Singh K, Singh S. Possible impact of increase
in female medical student admissions in Nepal: Findings
from a qualitative study among medical undergraduates.
Australas Med J. 2012;5(3): 184-93.
17. Pahwa B, Goyal S, Srivastava K, Saldanha D, Bhattacharya D.
A study of exam related anxiety amongst medical students.
Industrial Psychiatry Journal. 2008;17(1): 46-48.
18. BaHammam AS, Alaseem AM, Alzakri AA, Almeneessier
AS, Sharif MM. The relationship between sleep and wake
habits and academic performance in medical students: a
cross-sectional study. BMC Med Educ. 2012; 12(61).
19. Genzel L, Ahrberg K, Roselli C, Niedermaier S, Steiger
A, Dresler M, et al. Sleep timing is more important than
sleep length or quality for medical school performance.
Chronobiol Int. 2013;30(6):766-71.
20. Ahrberg K, Dresler M, Niedermaier S, Steiger A, Genzel
L. The interaction between sleep quality and academic
performance. J Psychiatr Res. 2012;46(12):1618-22.
21. Chimanlal PH, Jayshree B. Stress levels and “immediate
examination performance” of medical students. International
Archives of Integrated Medicine. 2015;2(5):30-36.
Published
2015-12-31
How to Cite
Ansari, M. (2015). Sleeping Pattern of Medical Students Preceding Viva Examination and Their Performance. Journal of Nepal Medical Association, 53(200), 262-265. https://doi.org/10.31729/jnma.2742
Section
Original Article