Objectives: To evaluate conventional lecture method and problem based learning using the cases notes prepared by new graduates. Study Design: Cross-sectional study. Setting: Departments Anesthesia, Gynecology and Obstetrics of Nishtar Medical University and Hospital, Multan. Period: December 1st, 2018 to April 30st, 2019. Material & Methods: Total 138 patients’ files were selected, 69 anesthesia files for PBL and 69 gynecology files for CLM. All the files were analyzed for date and time when the doctor saw the patients, physical examination, review of systems, personal and social history, family history, diagnosis, investigations and filing the results, drugs given at the time of admission and at discharge. Data was put in the SPSS 23 and compared between the two groups. Percentages were compared by applying Chi-square test and p≤0.05 was taken as statistically significant. Results: The CLM group was significantly better in the documentation of the date and time, review of the systems, medication at the time of admission and the time of discharge. The PBL group performed significantly better in taking drug history and smoking, making final diagnosis and requesting specific investigation. Conclusion: Both PBL and CLM systems are efficient selectively, but a combination of both these system will be more efficient approach.