Background: Written communication skill is of the important skills for medical doctors and medical professionals. Written communication includes daily notes, letters, memos, personal requests, summaries, reports, editorials, and essays. An essay is a form of written assessment used by educators to make inferences about a problem, evaluate a situation, and assess their knowledge and understanding among students. Essay writing is an important tool for developing thinking, critical thinking, and analytical skills. Aim: To do a comparative evaluation of essays by first-year students of pre-med and pre-health education Materials and Methods: In this study, essays written on the topic “My Childhood” by students who studied Communication Skills in the 2022–2023 and 2023–2024 academic years were evaluated using the 6 criteria of the Rubric and the group discussion identified the problems students faced when writing essays. Results: Among the essays of 568 first-year basic education students who studied in the 2022–2023 academic year, 32.6% had spelling errors, 25.5% had grammatical and composition errors, and 20.4% were insufficiently written in terms of content. It was identified that 28.6% of the essays of 525 students who studied in the 2023–2024 academic year contained spelling errors, 21.8% contained compositional errors, and 18.6% lacked content. Additionally, 10.5% did not have the required essay structure for writing their essays. Conclusion This indicates the need for content reforms in the curriculum to further improve students' writing skills.