title: [Consequences of critical appraisal of medical literature on 2009 National Ranking in France].
abstract: OBJECTIVE
  To assess the impact of the introduction of the critical appraisal of medical literature (LCA) on the rating ranks of students and faculties of medicine in the National Ranking (NR). A secondary objective was the evaluation of each test of the NR on the rating ranks of students and faculties of medicine.
  
  
  METHODS
  From the official results of the NR in 2009, the academic ranks of students were recalculated after eliminating the note in each file. Medical schools were ranked on the basis of mean scores for students from these schools in each file.
  
  
  RESULTS
  The notes of 6258 students tested in 40 faculties of medicine and the military health department were selected. The Spearman rank correlation for LCA notes and clinical records was Rho=0.44 (p<0.001). The test of LCA aims to award 561 places to a student and lose up to another 595. The rate ranking rank of a faculty of medicine has been modified by 5 places with the LCA.
  
  
  CONCLUSIONS
  The LCA test in 2009 had a significant effect on the rate ranking of students, whereas the LCA accounted for only 5 % of the total score. The LCA test effect on the ranking of faculties of medicine was more modest. The influence of the LCA may be more pronounced in 2010 because it will count for 10 % of the notes. The rate ranks were heterogeneous within each medical faculty, which should raise questions about the teaching of some medical specialities in each faculty.
authors.affiliation: Conseil scientifique, Centre national des concours d'Internat (CNCI), France. lorette@med.univ-tours.fr
authors.forename: Gérard
authors.initials: G
authors.lastname: Lorette
authors.forename: Damien
authors.initials: D
authors.lastname: Jolly
authors.forename: Pierre
authors.initials: P
authors.lastname: Ambrosi
authors.forename: Didier
authors.initials: D
authors.lastname: Dreyfuss
authors.forename: Jean-Luc
authors.initials: JL
authors.lastname: Magne
authors.forename: Chantal
authors.initials: C
authors.lastname: Kohler
authors.forename: Pierre
authors.initials: P
authors.lastname: Duhaut
authors.forename: Jean-Louis
authors.initials: JL
authors.lastname: Gérard
mesh_terms: D004501:Education, Medical; D004521:Educational Measurement / Q000379:methods*; D005602:France; D011932:Reading; D013337:Students, Medical / Q000145:classification