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KMID : 0381520150270020107
Korean Journal of Medical Education
2015 Volume.27 No. 2 p.107 ~ p.116
A school-level longitudinal study of clinical performance examination scores
Park Jang-Hee

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
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