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Association between students’ clinical performance and their success in the computerized national ranking tests: A single-center retrospective cohort study Article

Azoyan, L, Lombardi, Y, Renaud, MC et al. (2023). Association between students’ clinical performance and their success in the computerized national ranking tests: A single-center retrospective cohort study . 44(1), 5-11. 10.1016/j.revmed.2022.07.004

cited authors

  • Azoyan, L; Lombardi, Y; Renaud, MC; Duguet, A; Georgin-Lavialle, S; Cohen-Aubart, F; Ibanez, G; Steichen, O

authors

abstract

  • Introduction: Before attending residency, 6th-year French medical students must validate a final examination including a practical clinical test in their faculty. However, the national ranking that determines their future specialty and region solely relies on a computerized knowledge test. Our goal was to investigate the association between the final faculty test and the national ranking test. Methods: In our faculty, the final examination includes a computerized theoretical test (similar to the national one) and a practical test: a standardized evaluation of semiology skills at the bedside and a standardized assessment of relational skills with role plays. The agreements between the national test and faculty computerized and practical tests were analyzed by intraclass correlation coefficients (ICC). Results: Data from 1806 students who underwent the three examinations from 2017 to 2021 were analyzed. There was a good agreement between the ranks in the faculty and national computerized tests: ICC 0.83 (95% CI 0.81–0.85). By contrast, the agreement between the ranks in the faculty practical test and the national computerized test was poor: ICC 0.13 (95% CI 0.08–0.17). Results were stable over the years. Conclusion: The agreement between the ranking of the current national test and the clinical skills assessed by a specific faculty test is poor. This could relate to a true independence or to different levels of motivation to perform well. Indeed, the result of the national test is the most important one as it determines their career. Incorporating a clinical assessment into the national ranking test will motivate students to acquire clinical skills and value those who perform well this practical dimension.

publication date

  • January 1, 2023

Digital Object Identifier (DOI)

start page

  • 5

end page

  • 11

volume

  • 44

issue

  • 1