Geriatric Expertise among Medical School Faculty: Preparing for the Challenges of an Aging Population

This study examined non-geriatrician physicians' experiences in a geriatrics-focused faculty development program, and effects of the program on their geriatrics knowledge and their teaching and practice. In-depth interviews were conducted with all physicians (n = 26) participating in the Dean's Faculty Scholars in Aging program. Most participants reported substantial gains in geriatric knowledge, and in the knowledge that older people are a distinct group with special needs. Most reported substantial changes in the way they care for older patients. Most reported incorporating notably more geriatrics content into their teaching. The program may serve as a process to address the growing need for physicians with geriatric knowledge.     

THE DEVELOPMENT OF A MEDICAL STUDENT INTEREST GROUP IN GERIATRICS

As society ages, there is an increasing demand for knowledge and skills to care for the elderly. Innovative ways to stimulate the interest of medical students in geriatric medicine present an important challenge to medical schools today. This article discusses the value of a student interest group in meeting this challenge. In 1988, the Department of Geriatrics at the Mount Sinai School of Medicine in New York City initiated a student interest group in geriatrics. Over the ensuing years, this group has provided medical students with a forum for pursuing research interests in geriatrics, networking with other students, and interacting with faculty role models interested in geriatric medicine.     

Confidence and Expectations About Caring for Older People With Dementia: A Cross-Sectional Survey of Student Nurses

Older people who are living with dementia often need healthcare, including hospital admissions, due to additional health conditions. Caring for older people who are living with dementia is, therefore, a core nursing role. This study investigated student nurses’ expectations of, and confidence about, caring for older people with dementia and the effect of students’ age, precourse experience, and their academic year. The design was a cross-sectional survey using questionnaires to collect data. The participants (n = 328), based at one university in England, had all had at least one practice learning placement. Most student nurses (n = 202; 62%) had precourse contact with older people with dementia and had cared for them during the course (n = 291; 89%). The student's academic year significantly affected confidence about caring for older people with dementia (p = .006), but still only 52% (n = 26) of third-year students felt “generally confident.” Precourse contact with older people with dementia had a significant impact on expectations (p = .001) and confidence in caring for people with dementia (p = .002). Students who were >25 years were significantly more likely to have had precourse contact with older people with dementia (p = < .001). Nurse educators should ensure that students entering nurse education appreciate that caring for older people who are living with dementia will be a core part of their role. They must proactively prepare nursing students to care for people with dementia, recognizing that some students have no previous contact, which may affect their confidence and experiences.     

Oral History in the Classroom: A Comparison of Traditional and On-line Gerontology Classes

In this study, the effectiveness of an oral history assignment was assessed in a traditional gerontology class versus a distance education (DE) gerontology class. Attitudes toward older adults and the aging process were measured before and after students in the traditional (n = 29) and DE (n = 16) setting completed an oral history assignment. Scores were evaluated at posttest for differences between groups. The assignment positively influenced students' attitude toward older adults in both classes. Results indicate that this assignment was as effective in the DE setting as in the traditional setting. Findings suggest that oral history is an effective teaching assignment in a DE gerontology class.     

Geriatric community health workers’ views about aging,work, and retirement: implications for geriatrics and gerontology education

ABSTRACT

Seasoned geriatric community health workers offered valuable data that will inform educators and community health workers working with older persons. Geriatric community health workers’ views about retirement and about facilitators and barriers that keep them engaged with older adults during retirement were identified. Twenty geriatric community health workers participated in semi-structured, qualitative interviews conducted by the research team. Sixty percent of the participants (N = 12) reported plans not to work during retirement, although 40% (N = 8) expressed interest in full- or part-time employment post-retirement. When asked about their expectations to stay in the field of aging or gerontology in some capacity during retirement, 30% (N = 6) expected to stay in gerontology during retirement. The findings from this research will help organizations and educational institutions create programs and resources that will encourage geriatric community health workers to continue working in the field of aging during retirement.     

Motivation and self‐regulated science learning in high‐achieving students: differences related to nation,gender, and grade‐level

A total of three hundred and fifteen (n = 315) gifted students from the 10th and 12th grade from the United States (n = 102), China (n = 125) and Germany (n = 88) were surveyed regarding their motivation and self‐regulation in chemistry learning. A 3×2×2 MANOVA revealed “nation” as having the largest major effect on these variables. The American group scored higher in most of the motivational and self‐regulatory characteristics than their Chinese and German counterparts. Although in all samples gifted girls reported a higher effort goal orientation, they used superficial cognitive strategies in learning science more frequently than boys. In addition, students' effort goal orientation was less pronounced in higher grades in all samples.     

Community College Student Perceptions of Their Experiences Related to Global Learning: Understanding the Impact of Family,Faculty, and the Curriculum

ABSTRACT

The purpose of this mixed-method research study was to better understand community college students’ engagement in global learning. The study, supported by the Florida Consortium for International Education, was conducted during the 2015–2016 academic year in Florida across nine community colleges drawing from a 55-question survey with an 11% response rate (n = 175). Both qualitative and quantitative methods were used, with data analysis conducted using NVivo and SPSS software. An electronic survey was piloted with one institution, and a refined version was sent to select professors across nine community colleges in the state for distribution to students in the fall semester of 2015. A total of 175 students completed the survey. The majority of students responding were interested in global learning; however, they reported that this interest stemmed primarily from family encouragement and personal experiences rather than from their academic experiences. Students did report that professors were promoting global learning in their classes, although the results were not statistically significant. Students who did not express an interest in global learning felt as though it was not important because it was unrelated to their daily lives. It is the hope that this study will inform community college administrators and faculty to better understand how and why students become interested in global learning to more effectively promote their engagement both on and off campus.     

USING FOCUS GROUPS AS AN EDUCATIONAL METHODOLOGY: DECONSTRUCTING STEREOTYPES AND SOCIAL WORK PRACTICE MISCONCEPTIONS CONCERNING AGING AND OLDER ADULTS

During the coming years the number of older adults will increase dramatically, which will require a corresponding increase in the number of social workers who have accurate knowledge of this population. This article reports the impact focus groups with older adults and with service providers who work with older adults and their families have on baccalaureate social work (BSW) students. We find that BSW students exposed to focus groups have their negative attitudes about older adults and service providers deconstructed and replaced with more positive and accurate information about older adults. When students' misconceptions about older adults are confronted, they become more interested in choosing geriatric social work as a career option.     

Factors Influencing M.S.W. Students' Interest in Clinical Practice

This study utilizes linear and log‐linear stochastic models to examine the impact that a variety of variables (including graduate education) have on M.S.W. students' desires to work in clinical practice. Data was collected biannually (between 1992 and 1998) from a complete population sample of all students entering and exiting accredited graduate programs of social work in California (n = 5,793). The influences of past practice experiences, professional motivations, socio‐demographic characteristics, ideological affiliations, and education and training experiences while a graduate students were all examined. Findings suggest that there is tremendous commonality in the variability of interest toward doing clinical practice among all student groups both before and after the completion of graduate studies. Male and female students, students of varied ethnic, social class and political identifications/affiliations, along with students of varied ages did not differ in their desire or interest to engage in clinical practice. The desire to prepare for private practice had the strongest influence—that was maintained over the course of their education—on students' interests in clinical social work. Desires to work with the poor were not associated with students' desires to be clinicians who wish to apply their trade across a wide variety of problems and populations.     

An Intergenerational E-mail Pal Project on Attitudes of College Students Toward Older Adults

Intergenerational interactions have demonstrated some success at improving attitudes of college students toward older adults. This quasiexperimental study involved undergraduate college students paired with older adults for a six-week e-mail exchange. Student attitudes toward older adults were measured pre- and posttest with Polizzi's revised version of the Aging Semantic Differential (ASD). Students were assigned to an intervention group (n = 23) or a control group (n = 20). The intervention group demonstrated significant improvement in attitude toward older adults as compared to the control group (F 14.694, p < .05). This educational approach holds promise for using readily accessible technology to connect the generations.     

Empathetic Responses and Attitudes about Older Adults: How Experience with the Aging Game Measures Up

This study aimed to assess the impact of pre-professional education on students' knowledge and attitudes about aging, including the option of a simulated learning activity. Using a mixed design, groups of nursing and nutrition students (n = 127) were randomly assigned to experience the Aging Game. Pre- and posttest observations included measures of anxiety, attitude and empathy. In the Aging Game, students played the role of an elderly adult with common physical disabilities during various scenarios and then reflected on the experience. As a result, students became more familiar with what being an older adult felt like, and increased understanding and empathy.     

Creating first-year assessment support: lecturer perspectives and student access*

While online courses provide opportunities for a range of assessment tools and resources, little is known about how lecturers might best provide assessment cues to support diverse cohorts. This study explored how lecturers communicate messages about assessment expectations to first-year students in two courses at an Australian regional university (Nursing, n = 323; Engineering, n = 153), and how students accessed the assessment resources. A comparative case study methodology was used. Data included interviews with course coordinators to identify the assessment cues provided, course online content related to assessment and data recording student access of assessment resources. Diverse messaging systems were observed and verbal and written cues were abundant and embedded throughout both courses; however, not all students accessed all cues. What remains unclear is how students might bring together these cues in a productive way. Further research must explore the extent to which students can be better supported to improve their learning.     

Men considering (and choosing) teaching as a career: what accounts for their decision to become a teacher?

The aim of the current study is to better understand the decision-making of men considering teaching as a career option. By means of a longitudinal study (n = 226), we examined the persistence of male academic high-school students in Switzerland interested in teaching during transition to higher education. For 85 men attending information events for teacher education, using regression analysis we explore factors contributing to their decidedness and volition before enrolling for teacher education studies. The findings reveal that only a very small number of male academic high-school students are interested in teaching. Those who are, however, are persistent in their study choice. Results of the regression analysis show that an interest in working with children and youth, the importance of having free time for other things and having professional experience working with children contribute to the likelihood of men having decided to take up teacher education studies.     

How meaning-oriented learning is enhanced in Dutch academic primary teacher education

The present study identifies ways of how meaning-oriented learning is enhanced in academic primary teacher education, a new route to the teaching profession in the Netherlands. Meaning-oriented learners are generally described in the literature as being capable to regulate their own learning, to understand a topic thoroughly, to form their own opinion about it and to draw their own conclusions. Semi-structured interviews were held with both student teachers (n = 32) and educators (n = 18) who participated in this new route. Interviewees perceived common ways of enhancing meaning-oriented learning, such as encouraging students to structure, relate and critically process knowledge. Other ways are related to the development of students’ professional identity as an academic primary teacher in general, for example, through students’ reflection on the development of such an identity and their sharing of knowledge, not only with peers and educators, but also externally in publications, on a conference or on the Web. The present study indicates that the newly developed route to the teaching profession successfully contains elements that provoke meaning-oriented learning. The results of this study are useful for the (further) development of teacher education contexts in which the enhancement of meaning-oriented learning by student teachers is an important aim.     

Higher education professionals' perspectives on international student experiences of life and learning in Ireland: a qualitative study

Although numerous studies have explored international students' experiences, there is a dearth of research exploring the perspectives of professionals who have contact with international students. The present study addresses this gap in the literature by providing an analysis of higher educational professionals' (n=11) perspectives of international students' experiences and analysing the challenges which arise when working with international students. In this study, semi-structured interviews were conducted with staff from a large Irish Higher Education Institution. Participants described a range of difficulties experienced by international students, including sociocultural and psychological difficulties, and outlined a number of challenges which exist when dealing with international students, most of which relate to cultural differences and lack of interest in internationalisation. The findings have important policy and practical implications for higher education service provision and point to the need to consider internationalisation as a process which can be enriching for international students, host students and staff members alike.     

To walk invisible: distance students in a dual-mode university*

Abstract

This paper argues that dual mode provision has a critical role to play in widening participation. The mixed methods study drew on institutional records, an online survey (n = 126) and 17 semi-structured interviews to explore the participation experience of a group of distance graduates (n = 268) from a dual mode university. Derived from the theories of Bourdieu, a social reproduction framework was employed, using the concepts of habitus, field and capital. Findings indicate that graduates shared a predominantly working class background. They chose a dual mode university as they did not want their degree seen in any way as different from those of conventional university graduates. During their participation they experienced a sense of belonging to their peer group, but not to the university. They perceived themselves to have been less important to the university than full-time students and felt excluded from institutional supports. Implications for dual mode provision are drawn from the findings.     

The Relationship between Faculty Confirmation and Community College Student Self-Efficacy

Nearly half of all college students in the United States begin at community colleges, including higher numbers of students coming from backgrounds which have been historically underrepresented in higher education. Despite record numbers of new students enrolling at community colleges, the number of students who are retained at the institution long enough to be deemed successful, either through transferring or graduating, remains largely unchanged. One theory is that some students enter college with less confidence in their ability to be successful, hastening their departure. Faculty members are in a unique position to impact student self-efficacy, which ultimately may impact student success. This exploratory study quantitatively assessed whether a relationship exists between confirmation behaviors employed by faculty members in the classroom and changes in reported academic self-efficacy of students. The research was conducted through a causal comparative matched pair design with Midwestern community college students during their first semester. The results support a relationship between change in self-efficacy and perceived faculty confirmation (r_s = .212, n = 70, p = .039*), particularly for female students (r_s = .331, n = 35, p = .026*) and for those students where neither parent completed a degree higher than high school (r_s = .316, n = 46, p = .016*).     

BUILDING A LEARNING EXPERIENCE: THE IMPLEMENTATION OF A CLERKSHIP IN GERIATRIC MEDICINE

Recent curriculum changes at McGill University include a mandatory 4-week clerkship for third-year medical students. The basis of this clerkship is the assessment and management of frail elderly who have a combination of complex acute and chronic medical problems and functional disabilities. It includes the understanding of the need for continuity of care across settings and the transition from hospital to the community. Our main purpose is to offer students a learning experience based upon self-reflection, access to technology, interactive learning and permanent feedback. To accomplish the technological goals, didactic sessions were mostly electronic-based with two main components: web-based interactive modules that include the contents in seven web-based interactive lectures complemented with pre- and post-tests, and an electronic portfolio to assess students' acquisition of skills and attitudes. We expect that implementation of this model of clinical clerkship will prepare future physicians, not only for the practice of geriatric medicine, but also for different medical and surgical specialties, and will enhance the attitudes, knowledge, and skills practitioners need to care for older people.