Medical School	Subscale	2ndYearMean ±SD	% of maximum possible score in the global scale and subscales	4th YearMean ±SD	% of maximum possible score in the global scale and subscales	p-value
M1	Learning	27.6±6.6	57.5	24.3±7.2	50.5	**
	Teacher	28.1±6.0	62.8	27.7±6.4	62.9	NS
	Academic	20.2±4.5	63.1	20.5±4.5	64.0	NS
	Atmosphere	32.1±6.6	66.8	30.2±6.2	62.9	NS
	Social	16.4±6.6	58.5	15.4±6.2	55.0	NS
	Global scale	124.5±23.1	62.2	116.8±20.0	58.4	**
M2	Learning	24.5±7.0	51.0	13.4±6.0	27.0	***
	Teacher	25.9 ±5.9	58.8	19.7±7.0	44.7	***
	Academic	19.6±4.7	60.3	13.9±4.0	43.4	***
	Atmosphere	29.5±7.3	61.4	18.6±12.0	38.7	***
	Social	15.1±4.0	53.9	11.8±3.9	42.1	***
	Global scale	114.8±24.2	57.4	79.1±21.3	39.5	***
M3	Learning	32.6±5.7	67.9	30.0±7.2	62.5	NS
	Teacher	29.1±6.2	66.1	29.5±6.8	67	NS
	Academic	21.9±4.5	68.4	20.9±5.6	65.3	NS
	Atmosphere	31.8±6.3	66.2	30.6±6.8	63.7	NS
	Social	18.4±3.6	65.7	16.1±4.3	57.5	NS
	Global scale	133.9±22.7	66.5	127.3±27.2	63.6	NS
M4	Learning	25.4±7.2	52.9	21.4±7.2	44.5	***
	Teacher	26.4±4.5	60.0	26.4±5.6	60.0	NS
	Academic	18.3±5.2	57.1	16.6±5.3	51.8	**
	Atmosphere	29.3±5.9	61.0	25.3±7.1	52.7	***
	Social	15.7±4.0	56.0	12.8±4.0	45.7	***
	Global scale	115.8±22.5	57.9	102.7±24.1	51.5	**
M5	Learning	24.9±5.5	51.8	21.8±6.5	45.4	***
	Teacher	22.6±4.5	51.3	25.1±5.1	57.0	NS
	Academic	19.7±3.8	61.5	19.1±4.4	59.6	NS
	Atmosphere	27.3±5.1	56.2	27.1±5.7	56.4	NS
	Social	16.6±3.4	59.2	16.6±3.4	59.2	NS
	Global scale	113.12±17.5	56.5	109.8±20.1	54.9	**
Mean of allMedical Schools	Learning	25.1±7.6	52.9	21.4±9.0	44.5	**
	Teacher	25.3±6.2	57.5	24.9±7.5	56.5	NS
	Academic	19.3±5.0	60.3	18.0±5.5	56.2	NS
	Atmosphere	29.0±7.2	60.4	26.0±7.9	54.1	**
	Social	15.9±4.1	56.7	13.9±4.3	49.6	**
	Global scale	115.6±25.6	57.8	104.8±29.5	52.4	***

** p

Int J Med Educ. 2015; 6:65-75; doi: 10.5116/ijme.5557.25f9