Rationale: AETCOM teaching of the NMC module 1.5 “cadaver as our first teacher” is traditionally taught to the Phase 1 students at the very beginning of their Anatomy course with the event of lecture followed by cadaveric oath-ceremony.NMC has mandated to include the 5-marks short note on AETCOM on theory assessment. But nowhere has mentioned the mandatory reflection writing by the learners. Earlier studies put question marks on the ability of theory question to predict the AETCOM skill, but evidence lacking. So his work has been undertaken to compare the correlation of theory score and reflection essay grade with the practical score of AETCOM assessment. Methodology: After the AETCOM class Phase 1 students were asked to submit their reflection essay within one month time. Those essays were graded according to their strength. Students’ theory-score in AETCOM question was collected from departmental record. Students’ practical assessment score in AETCOM were also collected from departmental record. Those cognitive parameters were correlated with the practical score. Result-Analysis: It was observed that reflection-essay grades bear significant correlation with the practical score (p<0.05) but the theory score not (p>0.05). Discussion- Conclusion: Hence it could be postulated that the 5-marks theory question in internal assessment exams is not at all flawless to assess AETCOM skill of a student; rather it would be better if reflective practices could be imbibed amongst the learners.