Korean J Med Educ.  2015 Jun;27(2):107-116. 10.3946/kjme.2015.27.2.107.

A school-level longitudinal study of clinical performance examination scores

• Park JH

• KMID: 2363913
• DOI: http://doi.org/10.3946/kjme.2015.27.2.107

Abstract

PURPOSE
This school-level longitudinal study examined 7 years of clinical performance data to determine differences (effects) in students and annual changes within a school and between schools; examine how much their predictors (characteristics) influenced the variation in student performance; and calculate estimates of the schools' initial status and growth.
METHODS
A school-level longitudinal model was tested: level 1 (between students), level 2 (annual change within a school), and level 3 (between schools). The study sample comprised students who belonged to the CPX Consortium (n=5,283 for 2005~2008 and n=4,337 for 2009~2011).
RESULTS
Despite a difference between evaluation domains, the performance outcomes were related to individual large-effect differences and small-effect school-level differences. Physical examination, clinical courtesy, and patient education were strongly influenced by the school effect, whereas patient-physician interaction was not affected much.
CONCLUSION
Student scores are influenced by the school effect (differences), and the predictors explain the variation in differences, depending on the evaluation domain.

Keyword

Longitudinal studies; Multilevel analysis; Clinical performance examination; School effect; Quasi-longitudinal data

MeSH Terms

*Achievement
*Clinical Competence
*Education, Medical
Humans
Longitudinal Studies
Patient Education as Topic
Physical Examination
Physician-Patient Relations
*Schools, Medical
*Students, Medical