Kirkpatrick level	Evaluation outcome	Explanation
Level 1	Reaction	Participants’ views of the learning experience, its organisation, presentation, content, teaching methods, and quality of instruction
Level 2A	Learning – change in attitudes	Changes in attitudes or perceptions among participant groups towards teaching and learning
Level 2B	Learning – modification of knowledge or skills	For knowledge, this relates to the acquisition of concepts, procedures and principles For skills, this relates to the acquisition of thinking and problem-solving, psychomotor and social skills
Level 3	Behaviour – change in behaviours	Documents the transfer of learning to the workplace or willingness of learners to apply new knowledge and skills
Level 4A	Results – change in the system or organisational practice	Refers to wider changes in the organisation attributable to the educational programme
Level 4B	Results – change among the participants’ students and peers	Refers to improvement in medical student or peer learning or performance as a direct result of the educational intervention

Int J Med Educ. 2016; 7:25-31; doi: 10.5116/ijme.5685.14da