Anatomy as a Model Environment for Acquiring Professional Competencies in Medicine: Experiences at Harvard Medical School

Anatomy education provides students with opportunities to learn structure and function of the human body, to acquire professional competencies such as teamwork, interpersonal skills, self-awareness, and to reflect on and practice medical ethics. The fulfillment of this wide potential can present challenges in courses that are part of an integrated curriculum and shorter than traditional courses. This new reality, together with students' increasing concern about the stresses within medical education, led to efforts at Harvard Medical School to implement practical steps toward an optimal learning environment in anatomy. These were based on core elements of ethical anatomy education and principles of trauma-informed care. Anatomy is conceptualized here as the “first clinical discipline,” with relational interactions between anatomical educators, medical students, and body donors/patients. Essential prerequisites for the implementation of this work were support by the medical school leadership, open partnership between engaged students and faculty, faculty coordination, and peer-teaching. Specific interventions included pre-course faculty development on course philosophy and invitations to students to share their thoughts on anatomy. Student responses were integrated in course introductions, combined with a pre-dissection laboratory visit, an introductory guide, and a module on the history and ethics of anatomy. During the course, team-building activities were scheduled, and self-reflection encouraged, for example, through written exercises, and elective life-body drawing. Students' responses to the interventions were overall positive, but need further evaluation. This first attempt of a systematic implementation of an optimal learning environment in anatomy led to the identification of areas in need of adjustment.     

Early Malnutrition and Child Neurobehavioral Development: Insights from the Study of Children of Diabetic Mothers

In this study we sought to discern whether disturbances in mothers' metabolism during pregnancy may exert long-range effects on the neurobehavioral development of the progeny. Participants were 139 Women with diabetes in pregnancy and their singleton offspring. Serial estimates of circulating maternal fuels were obtained for each pregnancy, along with detailed records of perinatal course and outcome. Offspring were administered the Wechsler Intelligence Scale for children—Revised (WISC-R) full-scale IQ scores below 70 in our cohort did not differ significantly from national estimates. Nonetheless, after statistically controlling for other influences, WISC-R verbal, performance, and full-scale IQ scores, and Bannatyne's indices of Verbal Conceptualization Ability, Acquired Knowledge, Spatial Ability, and Sequencing Ability were inversely correlated with measures, of maternal lipid and glucose metabolism in the second and third trimesters. KTEA Arithmetic scores were similarly correlated with measures of maternal lipids in the third trimester. All correlations indicate that poorer metabolic regulation was attended by poorer child performance. The effects of maternal metabolism on fetal brain and neurobehavioral development are discussed as potential intermediary factors.     

Phytochemicals in Fruits and Vegetables: Use of Interactive Videoconferencing and the World Wide Web for Teaching a Multidisciplinary Course

ABSTRACT: An evaluation of interactive video conferencing and Web-assisted instruction to deliver a multidisciplinary course entitled Phytochemicals in Fruits and Vegetables to Improve Human Health was conducted during the spring semesters of 1999 and 2001. This course was taught by 20 instructors from 11 institutions to 49 students during spring 2001, which was an increase of 53% over spring 1999. Weekly 3-h lectures were delivered by the Trans-Texas Videoconference Network integrated with PowerPoint® or HTML slides available on the course Web site ( http://phytochemicals.tamu.edu ). Qualitative and quantitative data were collected through formative and summative methods. Participants expressed their satisfaction with course format and the need for technical support for interactive videoconferencing.     

Wrangling math from Microsoft Word into JATS XML workflows

The majority of today's scholarly papers are authored in Microsoft Word. Some of those papers include simple and/or complex math. Authors have at their disposal multiple means to insert equations in Word documents, including several of Word's native equation editors and third‐party applications, such as Design Science's MathType. Building workflows that smoothly and accurately transform all of these formats into the appropriate XML markup for use in multiple rendering environments has many challenges. This paper clarifies the different forms of equations that can be encountered in Word documents and discusses the issues and idiosyncrasies of converting these various forms to MathML, LaTeX, and/or images in the JATS XML model. It also touches on workflow alternatives for handling equations in various rendering environments and how those downstream requirements may affect the means of equation extraction from Word documents.     

Integrating Northern Ireland: Cross‐group friendships in integrated and mixed schools

While Northern Ireland strives to build a shared society, the current reality is that everyday experiences are still shaped by division along ethno‐religious lines. This is particularly pronounced in the education system, where more than 92% of pupils attend separate schools. Within the predominantly separate education system, however, exists a small collection of schools which cater to a more heterogeneous pupil body and offer the opportunity for young people from both communities to meet and interact, and potentially develop cross‐group friendships. The present study compares the network‐based cross‐group friendships within two such school types; an integrated and a separate post‐primary school. These schools boast a distinct ethos yet they similarly enrol students from Catholic and Protestant backgrounds. Findings reveal that both schools show a high level of interconnection between pupils; however, the integrated school, with an ethos that openly supports social cohesion, shows a greater tendency towards cross‐group interactions and best friendships than those found within the separate school. In line with contact theory, these findings suggest that it may not be enough to simply create opportunities for intergroup contact but that optimal conditions, such as institutional support, may be a prerequisite for positive relationships to flourish. Implications for educational policies designed to promote greater cross‐community contact are discussed.     

Toward a better understanding of student perceptions of writing feedback: a mixed methods study

This explanatory sequential mixed methods study investigated the writing feedback perceptions of middle and high school students (N = 598). The predictive and mediational roles of writing self-efficacy and perceptions of writing feedback on student writing self-regulation aptitude were examined using mediation regression analysis. To augment the quantitative findings, the explanations students provided for either liking or disliking writing feedback were explored using open-ended questions. Quantitative findings revealed that students’ perceptions of the feedback they receive about their writing partially mediated the relationship between writing self-efficacy and writing self-regulation aptitude. Qualitative data suggested ways in which students perceive writing feedback—both positive and negative. Collectively, the quantitative and qualitative data illustrate the influential role writing feedback perceptions plays in middle and high school student writing motivation and self-regulation beliefs.     

Associations Between Classroom Language Composition,Teacher Social-Emotional Support,and Dual Language Learning Preschoolers’ Social Behavior

This secondary analysis explored longitudinal associations between the concentration of shared-language peers and the development of prosocial and problem behavior in dual language learning (DLL) preschoolers from low socioeconomic backgrounds. Mixed-effects regression models were used to analyze year-end outcomes of 212 Spanish-speaking students in 73 Head Start classrooms in which English was the only instructional language. Research Findings: Classroom concentration of Spanish speakers was not associated with Spanish-speaking DLLs’ year-end prosocial behavior. For problem behavior, there was a disordinal interaction between teacher social-emotional support and classroom concentration. In classrooms with higher teacher social-emotional support, the proportion of Spanish-speaking classmates was positively associated with Spanish-speaking children’s problem behaviors. In classrooms with lower teacher social-emotional support, the proportion of Spanish-speaking students per classroom was negatively associated with Spanish-speaking children’s problem behaviors. Practice or Policy: Findings highlight the value of shared-language peers in particular classroom contexts and have implications for DLL students’ preschool classroom placements.     

Designing for 21st century learning online: a heuristic method to enable educator learning support roles

With the growing emphasis on developing 21st century skills among today’s youth, there is continued optimism about the possibilities granted by increasing access to networked technologies, particularly for encouraging youth to pursue their interests and take ownership of their learning. Yet, research demonstrates the importance of adult support in realizing the promise of achieving these outcomes. Designers of such systems are thus faced with the need to create youth-centered spaces that also provide adult facilitation of learning. This paper presents an adaptation of the traditional heuristic evaluation method which provides designers of online learning systems with a holistic view of how adult learning support is enabled across the system. We describe how the heuristic evaluation method was adapted, and through a case example analyzing one online social learning system used in a middle school context, we demonstrate how it can be used to help identify areas for improvement and promising areas for further research. We also present a framework of heuristics which reflect specific educator learning support roles that have been found to be important for youth learning, particularly for supporting 21st century skills. This work contributes a novel heuristic evaluation method that can help designers of online learning platforms attend not only the experiences of learners, but also to how educators are enabled to support their learning.