title: [The keys to success in French Medical National Ranking Examination: Integrated training activities in teaching hospital and medical school].
abstract: BACKGROUND
  The National Ranking Examination (NRE) is the key to the choice of career and specialty for future physicians; it lets them choose their place of employment in a specialty and an hospital for their internship. It seems interesting to model the success factors to this exam for the medical students from Grenoble University.
  
  
  METHODS
  For each of the medical students at Grenoble University who did apply to the NRE in 2012, data have been collected about their academic background and personal details from the administration of the University. A simple logistic regression with success set as being ranked in the first 2000 students, then a polytomous logistic regression, have been performed.
  
  
  RESULTS
  The 191 students in the models are 59% female, 25 years old in average (SD 1.8). The factors associated to a ranking in the first 2000 are: not repeating the PCEM1 class (odds ratio [OR] 2.63, CI95: [1.26; 5.56]), performing nurse practice during internships (OR=1.27 [1.00; 1.62]), being ranked in the first half of the class for S3 pole (OR=6.04 [1.21; 30.20] for the first quarter, OR=5.65 [1.15; 27.74] for the second quarter) and being in the first quarter at T5 pole (OR=3.42 [1.08; 10.82]).
  
  
  CONCLUSIONS
  Our study finds four factors independently contributing to the success at NRE: not repeating PCEM1, performing nurse practice and being ranked in the top of the class at certain academic fields. The AUC is 0.76 and student accuracy is more than 80%. However, some items, for example repeating DCEM4 or participating in NRE mock exams, have no influence on success. A different motivation should be a part of the explanation… As these analysed data are mainly institutional, they are accurate and reliable. The polytomic logistic model, sharing 3 factors with the simple logistic model, replace a performing nurse practice factor's by a grant recipient factor.
authors.affiliation: UGA, CNRS, TIMC-IMAG UMR 5525, Themas, 38041 Grenoble, France. Electronic address: pierre.gillois@imag.fr.
authors.forename: Pierre
authors.initials: P
authors.lastname: Gillois
authors.affiliation: Ingénieries santé médicament (ISM) filière MDCP, 38000 Grenoble, France.
authors.forename: Marie
authors.initials: M
authors.lastname: Fourcot
authors.affiliation: UGA, CNRS, TIMC-IMAG UMR 5525, Themas, 38041 Grenoble, France.
authors.forename: Céline
authors.initials: C
authors.lastname: Genty
authors.affiliation: UGA, UFR médecine, assesseur second cycle, 38041 Grenoble, France.
authors.forename: Patrice
authors.initials: P
authors.lastname: Morand
authors.affiliation: UGA, CNRS, TIMC-IMAG UMR 5525, Themas, 38041 Grenoble, France.
authors.forename: Jean-Luc
authors.initials: JL
authors.lastname: Bosson
mesh_terms: D000124:Achievement; D000328:Adult; D002321:Career Choice; D003479:Curriculum; D004501:Education, Medical; D004521:Educational Measurement; D005260:Female; D005602:France; D006784:Hospitals, Teaching; D006801:Humans; D007396:Internship and Residency; D016015:Logistic Models; D008297:Male; D008511:Medicine; D012577:Schools, Medical