KMID : 0381520150270020107
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Korean Journal of Medical Education 2015 Volume.27 No. 2 p.107 ~ p.116
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A school-level longitudinal study of clinical performance examination scores
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Park Jang-Hee
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Abstract
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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.
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KEYWORD
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Longitudinal studies, Multilevel analysis, Clinical performance examination, School effect, Quasi-longitudinal data
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