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BACKGROUND Writing, sharing, answering, discussing and rating examination questions is a way to involve students in creating content and applying their knowledge. The PeerWise online question-setting platform facilitates student communities in this activity. This mixed-methods study asks the question Does students' writing and answering examination questions enhance their engagement and learning of Neurology as a Life Science topic?. METHODS Over a 2-year period, self-assembled groups of 3-4 students, submitted 1-2 multiple choice ques