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Table 3 CAT progression in cohorts 2022 and 2023

From: Using the OSCE to assess medical students’ communication and clinical reasoning during five years of restricted clinical practice

Item

Measure 3° (2021) and 4° year (2022)

Measure 3° (2022) and 4° year (2023)

Mean 3°

Mean 4°

W

z

p

Mean 3°

Mean 4°

W

z

p

1

4.08

4.08

467.50

-0.56

0.29

4.07

4.35

127.50

-3.38

< 0.001*

2

4.24

4.33

342.00

-1.79

0.04*

4.05

4.46

53.00

-4.60

< 0.001*

3

4.08

4.01

581.00

-0.07

0.47

3.98

4.16

188.00

-3.14

< 0.001*

4

4.11

4.02

588.50

0.26

0.61

3.97

4.15

174.00

-2.68

0.004*

5

4.16

4.25

425.50

-1.47

0.07

4.02

4.35

90.00

-4.07

< 0.001*

6

4.27

4.26

414.00

-0.95

0.17

4.07

4.44

49.00

-4.56

< 0.001*

7

4.06

4.00

516.50

-0.50

0.31

3.80

4.10

124.50

-3.71

< 0.001*

8

4.03

4.17

269.50

-2.80

0.003*

3.86

4.29

77.00

-4.68

< 0.001*

9

3.98

3.97

423.50

-0.83

0.20

3.63

4.11

125.00

-3.96

< 0.001*

10

3.82

3.88

525.50

-1.08

0.14

3.49

4.00

145.50

-3.26

< 0.001*

11

3.60

3.39

767.00

1.25

0.90

3.22

3.53

213.00

-2.82

0.002*

12

4.03

4.02

479.00

-0.67

0.25

3.72

4.17

118.50

-3.37

< 0.001*

13

4.03

4.15

368.50

-2.07

0.02*

3.91

4.24

133.00

-3.14

< 0.001*

14

4.11

4.16

331.50

-1.91

0.03*

3.86

4.36

76.00

-4.38

< 0.001*

  1. Note. For all tests, the alternative hypothesis specifies that measure 3° year is less than measure 4° year
  2. *= statistically significant difference
  3. W = Paired Samples Wilcoxon signed-rank test used to assess differences between paired or related samples
  4. z = Z-score in the Wilcoxon test; the standardized value of the W statistic allows its interpretation in normal distribution
  5. p = p value < 0.05