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To register for the test and the Graduate Record Examination, students pay fees to the National Organization for Educational Testing, which transfers payments through banks to E.T.S.
Throughout the semester, the workload is increasing and approximately 2 3 weeks before examination, students have to go through significant amount of learning materials.
After completing their Lower Secondary Examination, students enter Upper Secondary education, where they will be streamed into either the Science stream or the Arts stream based on their examination results.
As in the rest of India, after passing the Higher Secondary Examination (the grade 12 examination), students may enroll in general degree programs such as bachelor's degree in arts, commerce or science, or professional degree programs such as engineering, law or medicine.
During the examination students have to work individually and they found this to be more difficult than the group work during the practical sessions.
In the practical examination students get around one and half hours to select their P-drug, verify the suitability of the drug for an individual patient and write the prescription.
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During the examination, student encounters are displayed on a video screen at a central proctoring station.
For computer-based examinations, students selected their answer choice by clicking a web-page "radio button".
Prior to the formative examinations, students were provided with a one hour training session facilitated by two of the authors.
It is important to note that during all computer-based examinations, students are given a scratch paper for notes.
For the analysis of academic performance in standard-set examinations, students were categorised by whether or not they had, at any time during years 2 and 3 of their medical studies, designed their own SSC module ('self-proposed').
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