Table 5.

Kirkpatrick Level 4: Comparing 3YMD and 4YMD Students (4YMD-G Only) Ratings on Workplace-Based Readiness Outcomes on Residency Program Director Survey Ratings of Graduates as Interns

Variables	3YMD n=31, Mean (SD)	4YMD-G n=225, Mean (SD)	Comparisona
			t test	P Value
Overall performance	3.35 (0.71)	3.45 (0.60)	0.60	.42
EPA 1: Gather a history and perform a physical examination	3.32 (0.54)	3.31 (1.33)	0.06	.95
EPA 2: Prioritize a differential diagnosis	3.06 (0.44)	3.03 (1.05)	0.20	.85
EPA 3: Recommend and interpret common diagnostic and screening tests	3.06 (0.44)	2.07 (1.05)	0.48	.63
EPA 4: Enter and discuss orders and prescriptions	2.90 (0.60)	2.00 (1.07)	0.45	.66
EPA 5: Written note	3.10 (0.60)	3.20 (1.03)	0.53	.60
EPA 6: Oral presentation	3.26 (0.51)	3.30 (1.04)	0.25	.81
EPA 7: Form clinical questions and retrieve evidence	3.17 (0.59)	2.04 (1.56)	1.50	.14
EPA 8: Give or receive a patient handover to transition care	2.74 (0.82)	2.91 (1.36)	0.65	.51
EPA 9: Interprofessional collaborative practice	3.23 (0.56)	3.26 (1.05)	0.29	.77
EPA 10: Recognize a patient requiring urgent or emergent care	2.94 (0.68)	2.96 (1.32)	0.08	.94
EPA 11: Obtain informed consent	2.81 (0.75)	2.87 (1.96)	0.18	.86
EPA 12: Perform general procedures of a physician	2.42 (2.41)	2.60 (2.54)	0.38	.71
EPA 13: Identify system failures and contribute to a culture of safety and improvement	3.03 (0.71)	3.05 (1.15)	0.06	.95

Abbreviations: 3YMD, 3-Year MD; 4YMD-G, 4-Year MD graduate; EPA, enstrustable professional activities.

^aSignificance: Independent samples t tests with P value (non-parametric tests of median differences produced same results).

Note: Overall performance rating: 1–4 scale (1=Below average; 2=Marginal; 3=Average; 4=Above average). Core EPAs for entering residency rating: 1–4 scale (1=Cannot perform even with direct supervision; 2=Requires direct supervision; 3=Requires indirect supervision; 4=Can perform without supervision).