The longitudinal testing of student achievement requires the solution
of several new problem areas. In this article, several small groups of
medical students at the University of Limburg Medical School in Maast
richt, The Netherlands, are compared with respect to their performance
s. The results indicate, that, despite the possession of more knowledg
e at entrance, students with a low rate of growth of knowledge in the
first year demonstrate a lower level of knowledge after the second aca
demic year and continue to do so throughout the academic program when
compared to students who show a higher rate of growth of knowledge in
the first year. The analysis has been carried out using a distribution
-free version of a longitudinal IRT-model suggested by Albers, Does, I
mbos, and Janssen (1989). Furthermore, growth of knowledge has been de
scribed by means of a general regression model. Statistical inferences
are possible using a randomization design extended to the situation w
here the observations are time-dependent proportions of correct answer
s.