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as in several other European countries&#44; medicine is the only university degree that is followed by a uniform national examination&#46; The MIR &#40;for <span class="elsevierStyleItalic">M&#233;dico Interno Residente</span>&#41; exam is the Spanish national examination provided by the Ministry of Health&#44; Social Services and Equality and that determines the employability of the medical school graduate to select his or her specialty&#46;<a class="elsevierStyleCrossRefs" href="#bib0020"><span class="elsevierStyleSup">4&#44;5</span></a> Students in Spain desiring to be doctors go directly from secondary school to a medical school &#40;<span class="elsevierStyleItalic">Facultad de Medicina</span>&#41; at a university&#44; the equivalent of an extended undergraduate course of study in an American university&#46; The medical curriculum is expected to last six years and ends with a <span class="elsevierStyleItalic">licenciatura</span> or degree in medicine&#46; To obtain a residency place in any specialty&#44; the candidate must take the MIR exam and based on the score the specialty and Hospital is chosen&#46; Before 2010&#44; the candidate&#39;s score on the national MIR exam contributed 75&#37; to his overall ranking in the national competition for residency training positions&#44; while his medical school grade point average determines the remaining 25&#37;&#46; Afterwards those percentages changed to 90&#37; and 10&#37;&#44; respectively&#46;</p><p id="par0035" class="elsevierStylePara elsevierViewall">The results of the national MIR exam offer a unique opportunity to make quantitative&#44; objective comparisons among Spanish medical schools&#46; No inter-university comparison based on the MIR exam&#44; nor any study of the trends in MIR scores over time&#44; have been published&#46; This study&#39;s aims are to assess the presence and magnitude of differences in the MIR exam results among Spanish medical schools and to analyze the variability of Spain&#39;s medical schools ranking based on the MIR exam results between 2003 and 2011&#46;</p></span><span id="sec0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0080">Data and methods</span><span id="sec0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0085">Data</span><p id="par0040" class="elsevierStylePara elsevierViewall">The main database is an archive of individual choices of residency training programs in the annual competitions from 2003 through 2011&#44; provided by Spain&#39;s Ministry of Health&#44; Social Services and Equality&#46; The data were provided with the condition of not identifying medical schools&#44; except for the medical school that obtained the best result&#46; For each candidate in each year&#44; the archive contains the candidate&#39;s national ranking &#40;an ordinal number ranging from 1 up to the total number of candidates&#41;&#44; the residency program chosen &#40;including specialty and medical center&#41;&#44; the candidate&#39;s residential postal code&#44; sex&#44; nationality&#44; and medical school attended&#46;</p></span><span id="sec0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0090">Methods</span><p id="par0045" class="elsevierStylePara elsevierViewall">First&#44; we focused on a descriptive analysis of the national rankings in relation to the candidate&#39;s medical school&#44; according to the 2011 national competition&#46; For each medical school&#44; we computed the mean and standard deviation of graduates&#8217; national ranking&#44; and then employed nonparametric tests to assess differences in the observed mean rankings between medical schools&#46;</p><p id="par0050" class="elsevierStylePara elsevierViewall">To analyze the temporal stability of the rankings during 2003&#8211;2011&#44; we first standardized the rankings as percentiles in order adjust for differences in the number of candidates electing residency positions in each year&#44; and then calculated the mean percentile ranking for each university in each year&#46; We then examined the trends in the mean percentile rankings of the highest- and lowest-rank universities&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">Medical schools are only identified by a number&#44; since we were given access to the data with the condition of maintain the names occult&#44; except for medical school &#35;1&#46;</p></span></span><span id="sec0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0095">Results</span><p id="par0060" class="elsevierStylePara elsevierViewall">In the year 2011 a total of 6873 residency positions nationwide were offered by the Spanish Ministry of Health&#44; Social Services and Equality&#46; These positions covered 47 specialties distributed over 231 training centers&#46; Family &#38; Community Medicine offered the higher number &#40;1919&#41; of residency positions&#46; A total of 11&#44;550 medical graduates &#40;including 1997 foreign nationals&#41; took the MIR exam to apply for the 6873 training positions&#46; Of these candidates&#44; 4677 withdrew without choosing a residency program&#46;</p><span id="sec0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0100">University rankings</span><p id="par0065" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a> shows the medical schools ranked by their MIR exam results and the corresponding percentage of graduates that chose Family &#38; Community Medicine specialty&#46; The median graduate from university &#35;1 &#40;that is&#44; the numerical value from medical school &#35;1 that separates the higher half from the lower half graduates according to the 2011 MIR exam results&#41;&#44; occupied position 1477 out of 6873 in the national MIR ranking&#46; This corresponds to a standardized ranking of 21 out of 100 &#40;that is&#44; 1477&#47;6873&#41;&#46; In other words&#44; the median graduate from medical school &#35;1 got the position 21 out of 100 graduates from all Spanish medical school graduates that took the same exam &#40;half of university &#35;1 graduates got a better position that 21&#37; in the MIR exam and the other half of university &#35;1 graduates got a worse position&#41;&#46;</p><elsevierMultimedia ident="tbl0005"></elsevierMultimedia><p id="par0070" class="elsevierStylePara elsevierViewall">Also shown in <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a> are the standardized nationwide rankings of students in the 25th and 75th percentiles within their own medical school&#46; For example&#44; a student who ranked in the 75th percentile among graduates of the medical school of university &#35;1 &#40;that is&#44; in the bottom quarter of his class&#41;&#44; was nonetheless in the top 38&#37; of all participants in the national MIR exam&#46;</p><p id="par0075" class="elsevierStylePara elsevierViewall">The percentage of each medical school graduates among the first 1000 and above position 5001 is shown in <a class="elsevierStyleCrossRef" href="#tbl0010">Table 2</a>&#46; Striking differences among the universities are evident&#46; While university &#35;1 had 41&#37; of its graduates among the first 1000&#44; the corresponding figure for medical school &#35;29&#44; at the bottom&#44; was 10 times worse &#40;4&#37;&#41;&#46; Marked differences were also evident between medical school &#35;1 and &#35;2&#46; The first had 41&#37; of its graduates among the first 1000&#44; but university &#35;2 had 10&#37; less graduates among the first 1000 &#40;31&#37;&#41;&#46; Medical school &#35;1 had 81&#37; of its graduates among the first 3000 and only 5&#37; above position 5001&#46; The corresponding figures for medical school &#35;2 and &#35;29 were 70&#37; and 21&#37; &#40;among the first 3000&#41;&#44; and 5&#37; and 44&#37; &#40;above position 5001&#41;&#44; respectively&#46;</p><elsevierMultimedia ident="tbl0010"></elsevierMultimedia><p id="par0080" class="elsevierStylePara elsevierViewall">The cumulative distributions of the standardized rankings by medical school in the 2011 MIR examination results are shown in <a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#46; A number of medical schools showed cumulative score distributions that closely adhere to the diagonal line from the origin to the vertex at the upper right&#46; These medical schools produce graduates who are roughly representative of all candidates nationwide&#46; Those medical schools whose curves are situated to the left of the diagonal produce graduates who perform better than the national average&#44; while those whose curves are situated to the right perform worse&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span><span id="sec0045" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0105">Trends in medical school rankings 2003&#8211;2011</span><p id="par0085" class="elsevierStylePara elsevierViewall"><a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a> shows the trend in the nationwide MIR rankings of the median graduate from the highest and lowest ranked medical schools for the period 2003&#8211;2011&#44; as well as the corresponding trend for graduates of all foreign medical schools &#40;medical school &#35;28 in <a class="elsevierStyleCrossRef" href="#tbl0005">Table 1</a>&#41;&#46; Throughout this period&#44; the same medical school &#8211; the Universidad Aut&#243;noma de Madrid &#40;UAM&#41; &#8211; held the top ranking&#44; with its median graduate achieving between the 21st and the 26th percentile nationwide&#46; The lowest ranked medical school&#44; whose median graduate ranked between the 61st and 70th percentile&#44; was always held by one of the same two universities&#46; In recent competitions&#44; the median foreign candidate obtained better results than those domestic institutions&#46; Among 23 universities with rankings throughout 2003&#8211;2011&#44; twelve remained in the same ranking quartile&#44; while eleven moved up or down only one quartile&#46; The Spearman correlation coefficients of the universities&#8217; percentile rankings between any pair of years ranged from 0&#46;75 to 0&#46;86&#46;</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia></span></span><span id="sec0050" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0110">Discussion</span><p id="par0090" class="elsevierStylePara elsevierViewall">According to the yearly national MIR examination results this study shows marked differences between the Spanish medical school graduates&#46; In addition&#44; these differences are persistent over the period of 2003&#8211;2011&#46; Thus&#44; the differences in the results of the Spanish medical school graduates who take the yearly MIR examination are marked and persistent&#46; In the last nine nationwide MIR exams&#44; the Universidad Aut&#243;noma de Madrid has always occupied the top spot&#44; while one of two specific medical schools have consistently occupied the bottom &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#46; These results suggest that there are structural defects&#44; rather than a good or a bad cohort in a given year&#46; In addition the results suggest that the performance of each medical school is very similar throughout the years&#46;</p><p id="par0095" class="elsevierStylePara elsevierViewall">While a candidate&#39;s score on the national MIR exam may not ultimately predict professional success&#44; most Spanish medical school programs are influenced by this exam&#46; This study allowed for the first time to measure the success of each Spanish medical school at the national MIR examination and provides a detailed map of the differences&#46; In contrast with the inequitable egalitarianism of public budget allotments&#44; the MIR exam results provide a unique basis for rewarding performance&#46;</p><p id="par0100" class="elsevierStylePara elsevierViewall">The MIR exam has been criticized as unnecessarily dependent on rote learning as opposed to intellectual curiosity&#44; with insufficient evaluation of clinical problem-solving skills&#46; Nonetheless&#44; the extreme disparity in the Spanish medical school results points to persistent pockets of mediocrity&#46;</p><p id="par0105" class="elsevierStylePara elsevierViewall">Improvements in public medical schools in Spain and possibly in other European countries require encouraging competition for students and for financing&#46; One way that competition can be encouraged is through comparisons&#46; Such comparisons could lead to more informed choices on the part of students &#40;including foreign students&#44; whose tuitions help to cover university costs&#41;&#46; Such comparisons could also guide structural modifications within each medical school and financing&#46; In an environment where public financing rewarded performance&#44; other measures of excellence could be added&#44; such as published articles&#44; patents and innovative education&#46;</p><p id="par0110" class="elsevierStylePara elsevierViewall">Our study has a number of limitations&#46; First&#44; we studied the rankings of only those medical school graduates who made a residency selection&#46; We excluded those who took the MIR exam but withdrew without making a selection&#44; as we did not have data on their university of graduation&#46; However&#44; if we had included those candidates who withdrew from the competition&#44; it is likely that differences among universities would have been even more exaggerated than reported here&#46;</p><p id="par0115" class="elsevierStylePara elsevierViewall">Second&#44; we did not take into account each candidate&#39;s effort in preparing for the national exam&#46; A candidate with a strong preference for a noncompetitive specialty with few applicants may have less incentive to study&#46;</p><p id="par0120" class="elsevierStylePara elsevierViewall">Third&#44; our finding of wide and persistent differences among universities may be the result of student self-selection rather than the quality of education&#46; Thus&#44; the most talented students would seek to enroll in the UAM simply because of its reputation of training the best students&#46; As a consequence&#44; graduates of the UAM would obtain higher scores in the MIR not because of the quality of their medical education&#44; but simply because the UAM had accepted them&#46; One way to address this potential source of bias is to examine medical schools&#8217; admission criteria&#46; Our preliminary results show no correlation between a university&#39;s cut-off score for admission to medicine on the nationwide college entrance exam for 2004&#8211;2005 &#40;when the MIR cohort of 2010&#8211;2011 began their medical studies&#41;&#44; and the medical school MIR ranking six years later&#46;</p><p id="par0125" class="elsevierStylePara elsevierViewall">Finally&#44; not all the participants in the annual MIR competition are recent medical graduates&#46; There is&#44; in fact&#44; considerable &#8220;recirculation&#8221; of candidates&#44; not only among those who withdrew from a previous round&#44; but also from candidates already in residencies who are dissatisfied with their current training program&#46; In principle&#44; the fact that the results for 2011 derive from a mixture of different cohorts of candidates could prevent us from drawing conclusive inferences about present-day medical schools&#46; Nonetheless&#44; the stability in the rankings over nine annual competitions suggests that this limitation is not serious&#46;</p></span><span id="sec0055" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0115">Conclusion</span><p id="par0130" class="elsevierStylePara elsevierViewall">There are marked differences in medical schools in Spain and these differences are very consistent over the years 2003&#8211;2011&#46; The MIR system provides an exceptional opportunity to compare the medical schools of an entire country in order to further educational and health policies&#46; The important differences in the results of the MIR exam among the different medical schools of Spain may serve as a starting point for reallocation of public funds among universities&#46; Such a reallocation should be based on responsible autonomy&#44; competence measured by comparison&#44; informed choice on the part of students and professors&#44; and result-based financing&#46;</p></span><span id="sec0060" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0120">Funding&#47;support</span><p id="par0135" class="elsevierStylePara elsevierViewall">This study was made as part of the Research Project <span class="elsevierStyleGrantNumber" refid="gs0005">ECO2010-21558</span>&#44; financed by the <span class="elsevierStyleGrantSponsor" id="gs0005">Ministry of Science and Innovation of Spain</span>&#46;</p></span><span id="sec0065" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0125">Conflicts of interest</span><p id="par0140" class="elsevierStylePara elsevierViewall">The authors declare that they have no conflict of interest&#46;</p></span></span>"
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        "resumen" => "<span class="elsevierStyleSectionTitle" id="sect0010">Background</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Medical school graduates in Spain must take a uniform national exam &#40;called &#8220;examen MIR&#8221;&#41; in order to enter postgraduate training in a specialty&#46; Its results offer a unique opportunity to rank medical schools according to this exam&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0015">Objectives</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">We measured differences in the MIR exam results among Spanish medical schools and assessed the stability of the MIR-based rankings for the period 2003&#8211;2011&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">In the year 2011 a total of 6873 residency positions nationwide were offered by the Spanish Ministry of Health&#44; Social Services and Equality&#46; These positions covered 47 specialties distributed over 231 training centers&#46; A total of 11&#44;550 medical graduates &#40;including 1997 foreign graduates&#41; took the MIR examination&#46; Marked differences among medical schools were evident&#46; The median graduate from medical school &#35;1 and &#35;29 occupied the positions 1477 and 5383&#44; respectively&#46; These figures correspond to a standardized ranking of 21 out of 100 for medical school &#35;1 &#40;that is&#44; 1477&#47;6873&#59; half of medical school &#35;1 obtained better &#91;below position 21&#37;&#93; and half worse &#91;over position 21&#37;&#93; results&#41; and a standardized ranking of 70 out of 100 for medical school &#35;29&#46; While 81&#37; of the medical school &#35;1 graduates were amongst the best 3000 MIR exams and only 5&#37; above the 5000 position the corresponding figures for medical school &#35;29 graduates were 21&#37; and 44&#37;&#44; respectively&#46; The ranking position of the 29 medical schools was very stable between the years 2003 and 2011&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0025">Conclusion</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">There are marked differences in medical schools in Spain and these differences are very consistent over the years 2003&#8211;2011&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle" id="sect0035">Antecedentes</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">En Espa&#241;a&#44; los graduados de las Facultades de Medicina deben tomar someterse a nacional uniforme &#40;llamado &#171;MIR&#187;&#41; con el fin de ingresar a la formaci&#243;n de posgrado en una especialidad m&#233;dica&#46; Sus resultados ofrecen una oportunidad &#250;nica para clasificar las Facultades en t&#233;rminos de calidad&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0040">Objetivos</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Medir la presencia y la significaci&#243;n de las diferencias en los resultados del MIR entre las facultades de medicina espa&#241;olas&#44; y evaluar la estabilidad de las clasificaciones basadas en los resultados de la prueba MIR para el per&#237;odo 2003&#8211;2011&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Se observaron diferencias significativas&#44; persistentes y consistentes en los rankings basados en los resultados de la prueba MIR&#46; El graduado promedio de la Facultad con mejores resultados queda clasificado en el percentil 21 en todo el pa&#237;s&#44; mientras que el graduado promedio de la Facultad con peores resultados queda clasificado en el percentil 70&#46;</p> <span class="elsevierStyleSectionTitle" id="sect0050">Conclusi&#243;n</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">Existen marcadas diferencias en las Facultades de Medicina en Espa&#241;a&#44; y estas diferencias son muy consistentes durante los a&#241;os 2003 a 2011&#46;</p>"
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          "en" => "<p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">Distribution of national MIR rankings within each medical school&#44;<span class="elsevierStyleSup">a</span> 2011&#46; &#40;a&#41; The horizontal axis measures the standardized ranking among all candidates nationwide&#44; while the vertical axis measures the standardized ranking within each medical school&#46; Each curve corresponds to the cumulative distribution for a particular medical school&#46; The leftmost curve corresponds to medical school &#35;1&#44; while the rightmost corresponds to medical school &#35;29&#46; The horizontal line drawn at the level 50 corresponds to the median student within each medical school&#46; The points of intersection of this horizontal line with each curve correspond to the national ranking of the median student within each medical school &#40;the numerical value separating the higher half of the graduates in one medical school from the lower half according to the 2011 MIR exam results&#41;&#46; Thus&#44; the last position 6873 becomes 100 and the median position 3437 becomes 50&#46; The vertical axis measures the standardized ranking within each medical school&#46; Thus&#44; position 1477 out of 6873 &#40;median for medical school &#35; 1 with a standardized ranking of 21 out of 100&#41; corresponds to the intersection of leftmost curve with the horizontal line drawn at the level 50&#46; It signifies that 50&#37; of the graduates from medical school &#35; 1 were among the best 21&#37; of all graduates taking the 2011 MIR examination&#46; Position 4811 out of 6873 &#40;standardized ranking of 70 out of 100&#41; for medical school &#35; 29 corresponds to the intersection of right most curve with the horizontal line drawn at the level 50&#46; It signifies that 50&#37; of the graduates from medical school &#35; 29 obtained position numbers above 70&#37; of all graduates taking the 2011 MIR examination&#46;</p>"
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                  \t\t\t\t" style="border-bottom: 2px solid black">&#37; Graduates electing family medicine residencies</td></tr><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">50th percentile &#8211; median<a class="elsevierStyleCrossRef" href="#tblfn0025"><span class="elsevierStyleSup">e</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">75th percentile<a class="elsevierStyleCrossRef" href="#tblfn0030"><span class="elsevierStyleSup">f</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr></thead><tbody title="tbody"><tr title="table-row"><td class="td" title="\n
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                  \t\t\t\t">28<a class="elsevierStyleCrossRef" href="#tblfn0010"><span class="elsevierStyleSup">b</span></a>&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">29&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">5383&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">49&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">70&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">84&nbsp;\t\t\t\t\t\t\n
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                  """
              ]
              "imagenFichero" => array:1 [
                0 => "xTab470649.png"
              ]
            ]
          ]
          "notaPie" => array:6 [
            0 => array:3 [
              "identificador" => "tblfn0005"
              "etiqueta" => "a"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Universities are listed from number 1 &#40;the medical school with its median graduate in the best position in the 2011 MIR examination&#44; number 1477 out of 6873&#41; to number 29 &#40;the medical school with its median graduate in the worst position in the 2011 MIR examination&#44; number 5383 out of 6873&#41;&#46;</p>"
            ]
            1 => array:3 [
              "identificador" => "tblfn0010"
              "etiqueta" => "b"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0010">Foreign universities combined&#46; All medical graduates from foreign medical schools have been grouped into medical school &#35;28&#46;</p>"
            ]
            2 => array:3 [
              "identificador" => "tblfn0015"
              "etiqueta" => "c"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0015">Median&#44; the numerical value separating the higher half of the graduates in one medical school from the lower half according to the MIR exam results&#46; The median graduate of medical school &#35;2 obtained the position 1879 in the 2011 MIR examination&#46; That is&#44; half of medical school &#35;2 graduates got better positions in the ranking and the other half of medical school &#35;2 graduates got worse positions in the ranking&#46;</p>"
            ]
            3 => array:3 [
              "identificador" => "tblfn0020"
              "etiqueta" => "d"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0020">The 25th percentile is the score below which 25 percent of the observations may be found&#46; Medical school &#35;4 had 25&#37; of their graduates among the best 12&#37; in the 2011 MIR examination&#46;</p>"
            ]
            4 => array:3 [
              "identificador" => "tblfn0025"
              "etiqueta" => "e"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0025">The 50th percentile or median is the score below which 50&#37; of the observations may be found&#46; Medical school &#35;5 had 50&#37; of their graduates among the best 35&#37; in the 2011 MIR examination&#46;</p>"
            ]
            5 => array:3 [
              "identificador" => "tblfn0030"
              "etiqueta" => "f"
              "nota" => "<p class="elsevierStyleNotepara" id="npar0030">The 75th percentile is the score below which 75&#37; of the observations may be found&#46; Medical school &#35;1 had 75&#37; of their graduates among the best 38&#37; in the 2011 MIR examination&#46;</p>"
            ]
          ]
        ]
        "descripcion" => array:1 [
          "en" => "<p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">Ranking of medical schools in Spain according to the performance of their graduates in the MIR examination&#44; 2011&#46;</p>"
        ]
      ]
      3 => array:7 [
        "identificador" => "tbl0010"
        "etiqueta" => "Table 2"
        "tipo" => "MULTIMEDIATABLA"
        "mostrarFloat" => true
        "mostrarDisplay" => false
        "tabla" => array:2 [
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            0 => array:2 [
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                  \t\t\t\t\tvoid\n
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                  \t\t\t\t  " align="left" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t" style="border-bottom: 2px solid black">Medical school number<a class="elsevierStyleCrossRef" href="#tblfn0035"><span class="elsevierStyleSup">a</span></a>&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">Among the first 1000&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t  " align="left" valign="\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">From 1001 to 3000&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t" style="border-bottom: 2px solid black">From 3001 to 5000&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttop\n
                  \t\t\t\t">36&#37;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t">24&#37;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">17&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td></tr><tr title="table-row"><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">6&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">18&#37;&nbsp;\t\t\t\t\t\t\n
                  \t\t\t\t</td><td class="td" title="\n
                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">38&#37;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
                  \t\t\t\t\ttop\n
                  \t\t\t\t">27&#37;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
                  \t\t\t\t  " align="char" valign="\n
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                  \t\t\t\t">37&#37;&nbsp;\t\t\t\t\t\t\n
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                  \t\t\t\t\ttable-entry\n
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                  \t\t\t\t\ttable-entry\n
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        "texto" => "<p id="par0145" class="elsevierStylePara elsevierViewall">We acknowledge the assistance of the Medical Student National Council &#40;CEEM&#41;&#44; the deans of Spain&#39;s medical schools&#44; and the division of Professional Guidance of Spain&#39;s Ministry of Health&#44; Social Services and Equality in various phases of this study&#46;</p>"
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Original article
Ranking Spain's Medical Schools by their performance in the national residency examination
Clasificación de las facultades de medicina españolas según sus resultados en el MIR
B.G. Lopez-Valcarcela, V. Ortúnb,
Corresponding author
vicente.ortun@upf.edu

Corresponding author.
, P. Barbera, J.E. Harrisc,d, B. Garcíaa
a Department of Quantitative Methods for Economics and Management, University of Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain
b Department of Economics and Business, Universidad Pompeu Fabra, Barcelona, Spain
c Department of Economics, Massachusetts Institute of Technology, Cambridge, MA, United States
d Providence Community Health Centers, Providence, RI, United States

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