Background: Commitment to medical education can be assessed by the interest shown by students in attending classes. Medical education demands high attendance for good understanding and grasps over the subject. Aims and Objective: The aims and obejectives of the study were to study the effect of class attendance on performance in theory and practical examination. Materials and Methods: A retrospective cohort study was conducted at Department of Pharmacology, Government Medical College, Thrissur. The second professional MBBS students who have passed Pharmacology examination were included in the study. As per sample size calculation, 40 students were taken in each group, Group I having <80% attendance and Group II having more than 80% attendance in theory at the time of first internal examination. They were followed in second and final internal examination and their attendance and marks were compared. The attendance of practical classes and the performance in final internal practical examination of these students were also compared. Statistical analysis was performed using paired and independent sample t-test, Chi-square test, and Pearson correlation analysis. Results: The higher internal marks in theory and practical examination were seen in students with high attendance percentage (P < 0.05). There was significantly high pass percentage in all the three theory internal examination and final internal practical examination in students with high attendance. There was a positive correlation between attendance and marks in all the internal theory and practical examination. Conclusion: Performance in theory and practical examinations were significantly affected by attendance in theory and practical classes.
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