Abstract
Introduction: 
 Medical education is based upon innovating teaching strategies to teach more problem-solving attitudes in medical students. Teaching methodologies have evolved over the last few decades with the sole purpose of making teaching and learning interactive for students. This study aimed to evaluate the teaching methodologies and their effectiveness concerning students' perceptions.
 Methodology: We conducted this cross-sectional study for six months. We included 115 medical students of Rawalpindi and Islamabad through convenient sampling who were willing to participate in the study. We used a self-structured questionnaire for the data collection, and data were analyzed using SPSS Version 24. 
 Result: 
 In this study, 57% of participants were female, and 43% were male. The majority of the study participants (49%) were from second-year MBBS. Around 91% of students were aware of different teaching methodologies. As per student perception, the most preferred teaching methodology was task-based (27.0%). The most ineffective method for students was self-directed learning (34.78%) and conventional lectures (26.1%).
 Conclusion: 
 Medical students of different medical colleges have various teaching and learning methodologies, and they do have their perceptions regarding other effective and ineffective teaching and learning methods.
 
 Key Words: Medical Students, Teaching Methodology, Perception, Learning
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