THE VALIDITY AND RELIABILITY OF ORAL EXAMINATIONS IN ASSESSING COGNITIVE SKILLS IN MEDICINE1

In order to attempt to assess aspects of clinical competence, not adequately assessed by other means, the Center for the Study of Medical Education, University of Illinois College of Medicine together with the American Board of Orthopaedic Surgery developed oral examinations in formats specifically designed to yield information on high level cognitive functioning. The examinations were administered to 784 candidates for certification in January 1968. Reliability of the oral problem-solving component score pooled from four examiners was approximately .50. Assessment of content, construct, and concurrent validity made by questionnaire and factor analytic studies indicated that the oral tests identified factors not measured by multiple-choice tests and, therefore, significantly improved the relationship between supervisory evaluations and test scores.     

The relationship of campus crime to campus and student characteristics

This research draws upon merged national databases containing federal crime statistics, community demographic data, and campus characteristics. The study displays the trends in campus crime since 1974, and using 1990 data, examines the relationships between three measures of campus crime and 23 predictors developed for this study. The results show that campus rates of both violent crime and property crime are falling, especially since 1985. Moreover, students are considerably safer on campus than in the cities and communities surrounding them. The lowest average crime rates are found at two-year colleges, while the highest overall rates are at medical schools and health science centers. None of the community characteristics, including community crime and poverty rates, are significantly associated with campus crime. While campus organizational measures in general are more highly related to campus crime than are student characteristics, we find differences in the patterns of variables associated with violent crime versus property crime. Factors associated with property crime are partially consistent with existing theory on criminal activity. Factors associated with violent crime are more complex and difficult to predict.An earlier version of this paper was the winner of the regional Best Paper Award from the North East AIR annual meeting in Bolton Landing, N.Y., November 1993. It was presented again at the Association for Institutional Research Forum, New Orleans, Louisiana, May 1994.     

Toward cultural competency in diagnosis

Most counselors recognize the importance ofcultural competence in their work. As part ofeffective treatment, skills in accuratelydiagnosing clients from diverse backgrounds areessential, yet specific techniques addressingcultural differences to aid in the diagnosisprocess are underrepresented in the counselingliterature. The purpose of this article is tooffer one step toward the development ofdiagnostic methods suitable for an increasinglydiverse client base. The importance ofcultural competency during the diagnostic phaseof counseling is discussed, the nature ofculture and its influence on diagnosis isreviewed, and a practical conceptual frameworkthat can assist counselors in makingsystematic, culturally sensitive diagnosis ispresented.     

Designing informal learning experiences for early career academics using a knowledge ecosystem model

This article presents a ‘knowledge ecosystem’ model of how early career academics experience using information to learn while building their social networks for developmental purposes. Developed using grounded theory methodology, the model offers a way of conceptualising how to empower early career academics through (1) agency (individual and relational) and (2) facilitation of personalised informal learning (design of physical and virtual systems and environments) in spaces where developmental relationships are formed, including programmes, courses, events, community, home and social media. It is suggested that the knowledge ecosystem model is suitable for use in designing informal learning experiences for early career academics.     

Impediments to communication in transition to terminal illness

Viewing themselves in two hypothetical roles-as terminal patients and as family members related to a terminal patient-48 adults were surveyed on their expectations and preferences about how information should be communicated when a terminal illness is first diagnosed. Identifying with the patient role, respondents believed patients should be told the truth immediately and unconditionally. In contrast, respondents indentifying with family members perceived conditions under which the rights of patients should be abridged. In this latter role, male respondents were significantly less likely than males to imagine themselves as able to inform a loved one about a terminal illness. Nevertheless, for both sexes, early childhood experiences communicating about death and dying were found to be a better predictor of the case with which respondents can imagine communicating with a terminally ill loved one than are current adult attitudes and experiences. Regardless of personal ease in discussing death, however, most respondents thought the physician, not family members or other health care professionals, should decide when and how the terminally ill adult should be informed--a noteworthy finding in light of the fact that 83 percent of all respondents consider physicians poorly equipped for this role.     

Teacher and school characteristics and their influence on curriculum implementation

Reform‐based curriculum materials have been suggested as a mechanism to make inquiry‐based instruction more prevalent in secondary science classrooms, specifically when accompanied by comprehensive professional development (Loucks‐Horsley, Hewson, Love, & Stiles, 1998 ; Powell & Anderson, 2002 ). This research examines the implementation of a reform‐based high school chemistry curriculum in a large, urban school district. We explicitly consider the role of the teachers' knowledge and beliefs in their implementation of the reform‐based chemistry curriculum, as well as school level factors. Qualitative and quantitative data were collected in the form of beliefs interviews and classroom observations from 27 high school chemistry teachers. Analysis of the data revealed that implementation of the curriculum was strongly influenced by the teachers' beliefs about teaching and learning, and the presence of a supportive network at their school sites. © 2007 Wiley Periodicals, Inc. J Res Sci Teach 44: 883–907, 2007     

Academic Follow-Up Data on Two Cohorts of High-Risk Transfer Children

Two cohorts of children from inner-city elementary schools were provided a tutoring intervention to help in their transition to new schools. Participants were third, fourth, and fifth grade children who were identified as having low-income status, evidencing lags on achievement tests, and experiencing stressful life events. The intervention involved an orientation program with twice weekly paraprofessional tutoring. Two and three year academic and sociometric follow-up data were collected. Those provided the intervention evidenced some improvements over time, and these changes were most prominent in the area of reading grades. Fewer significant findings were found on sociometric indices.     

Combining issues of “girl-suited” science teaching,STS and constructivism in a physics textbook

This paper outlines the design of a physics textbook that addresses issues of gender-inclusive physics teaching, STS and constructivism. Difficulties of addressing these issues in a textbook for normal classes, which has to compete with other textbooks on the market will be discussed. Specializations: constructivist approaches in science education research and practice. Specializations: gender issues in science instruction. Specializations: primary education, integrated science. Specializations: STS, phenomenological oriented physics instruction. Specializations: peace education within science education.