The Kirkpatrick scale is a method for assessing the effectiveness of (online) learning activities. Most evaluations address the first level - the student reaction, as typically measured using a course evaluation. This paper (14 page PDF) describes expanding the evaluation using a modified scale in a very specific instance of medical education (as indicated in the title). The authors write, "it was a breakthrough to examine potential impacts on monetary and societal values at Level-4 and Level-5 and successful organization change in healthcare simulation training at Level-0." Of most interest to educational researchers, to my mind, will be the organization and presentation of this research, which is very different from what we would find in a typical education research journal.
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