There has been an observable trend indicating a decline in students' attendance in the lectures. Several reasons for this have been proposed, and various measures to mitigate this have been suggested in the past. We implemented a novel approach in our instructional strategy to address this. Real-life clinical problems relevant to the topic were integrated into the lectures, and they were deliberately excluded from the pre-lecture handouts. During the lectures, students were motivated to post questions and actively engage in peer-peer and peer-tutor discussions. To evaluate the impact of this intervention, student attendance before and after was monitored, calculated and statistically analyzed to get the average attendance. The results revealed a significant increase in the average attendance, demonstrating a statistically meaningful difference (p<0.001). Commencing classes with pertinent patient problems or real case scenarios and stimulating student participation through open-ended discussions and interactions significantly enhanced the appeal of the lectures. This intervention holds great significance in alignment with the forthcoming clerkship training of the students in the
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