Abstract
Purpose: The study assessed the influence of both intrinsic and extrinsic factors and students perceptions. While student and teacher-related factors constitute the intrinsic factors, parents and the government on the other hand are examples of the extrinsic factors. This research project focuses on assessing the factors that contribute and influence KMTC students’ performance with an aim of establishing ways to improve their performances in examinations and assessments.
 Methodology: A mixed and descriptive cross-sectional research design was utilized involving a study of both intrinsic and extrinsic factors that affect students’ performance.
 Findings: The study findings established that both intrinsic and extrinsic had an effect on performance. The study findings established that a unit increase in student attitude can lead to an increase of 0.05 in the scores of student performance. This implies that student attitude had a significant positive effect on student performance. The study found out that a unit increase in intrinsic factors of 0.227 can lead to an increase in students’ performance. This clearly shows that extrinsic factors had a significant positive effect on student performance. The study results revealed that a unit increase of 0.01 can lead to an increase in students’ performance. This shows that extrinsic factors had a significant positive effect on students’ assessment and performance. Therefore, the study independent variables had a strong positive relationship to the dependent variable which was student performance.
 
 Unique contribution to theory, practice and policy: The study recommends for higher learning institutions to integrate both intrinsic and extrinsic factors in their planning.
 Key Words: Multiple Choice Questions- Multiple choice questions are questions where the respondent is given a variety of options to pick from while answering, Objective Structured Clinical Examination- it is an examination structured to meet certain specific objectives and in this case OSCEs are particularly used in the assessment of clinical officers, Assessment-it refers to the various methods and tools that educators employ in evaluation, measurement and documentation of academic readiness, learning progress, skills acquisition and education needs of a student; Intrinsic factors- refers to those factors that exists within the system (KMTC), they form the internal drive to objectives and cannot be separated from the system. E.g. in KMTC, intrinsic factors includes students’ factors, lecturer factors, institutional factors e.t.c.; Extrinsic factors- refers to those factors that operate outside the system (KMTC) to influence the achievement of an objective. These factors are external and separate entities from the system but have established mutual connections e.g. the government, parents, employers’ e.t.c
Highlights
Background of StudyImproving student’s performance in examinations/assessments is a multifaceted issue that demands for the application of an array of strategies
The justifications as to why it is prudent to conduct a research study to assess the various ways of improving students’ assessments performance at the Kenya Medical Training College (KMTC): First, an improvement in KMTC students’ performance can be equated to an enhancement in the provision of health services in the country; Secondly, a study of the factors influencing the performance of KMTC students would help the institution improve the performance of its students and help it meet its goals and objectives; Thirdly, results from the study on the factors influencing KMTC students’ performance in assessments can be used to improve the performance of these students, and to come up with ways of making the evaluation and assessments more effective (Gallagher, 2015)
The study findings are based on the student independent variables which are student attitude, intrinsic factors and extrinsic factors
Summary
Background of StudyImproving student’s performance in examinations/assessments is a multifaceted issue that demands for the application of an array of strategies. Educationists recommend that improving students’ performance in assessments involves a close scrutiny of both intrinsic and extrinsic factors affecting students’ performance In developed countries such as the United States, education experts have narrowed down to intrinsic factors such as school culture as a way of improving students’ performance. On the other hand, developing countries such as most of the African countries are still battling with extrinsic factors affecting performance such as low income by parents In this case, some of the strategies that most of the African countries have developed include; availing teaching and learning resources and introducing free education. Some of the strategies that most of the African countries have developed include; availing teaching and learning resources and introducing free education Such strategies can be ineffective in directly influencing students’ performance, they contribute to students’ overall achievement. In Kenya, interventions are based on providing valid information about current performance, whereby pragmatic execution and ongoing student progress monitoring are essential (Katamei & Omwono, 2015)
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