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.     

论小城镇建设在西部大开发中的地位和作用——德江县煎茶镇集镇建设调研启示

作者根据我国城市化道路的基本方针 ,运用社会学的社区研究方法 ,对贵州省德江县煎茶镇集镇建设的情况进行了考察调研 ,通过对煎茶镇集镇建设 1 5年取得的成就分析 ,认为贵州省在西部大开发中 ,只有走小城镇带动战略的振兴之路 ,才能迎头赶上东部地区的发展。同时分析了集贸型小城镇的弱点 ,认为贵州要振兴 ,应该按费孝通教授指出的大力发展庭院经济 ,完成“公司 +基地 +农户”的发展阶段 ,同时要学习借鉴东部城镇建设的经验 ,将集贸型小城镇逐步改造成工业型、贸易型、特色型小城镇 ,大、中、小城镇合理布局 ,协调发展 ,与长江流域、珠江流域的城市群融为一体 ,贵州才能实现全面振兴的目标。     

Linking Employment to Attachment: The Mediating Effects of Maternal Separation Anxiety and Interactive Behavior

This study examined the effects of maternal employment and separation anxiety on maternal interactive behavior and infant attachment. 73 mother-infant pairs participated in a laboratory free-play session when infants were 5 and 10 months of age and in the Strange Situation when the infants were 18 months of age. Maternal feelings about being separated from her infant were assessed by questionnaire at 5 months. Employed mothers returned to work before the infants' fifth month, and nonemployed mothers did not work outside the home through their infants' tenth month. Employed mothers who reported high levels of separation anxiety were more likely to exhibit intrusive behaviors at 10 months. While employment was not directly related to attachment, we found infants of high-anxiety employed mothers to develop anxious-avoidant attachments. The results suggest that maternal separation anxiety and interactive style may be important mediators between employment and later infant outcome.     

Research Mentorship in Counselor Education

The purpose of this national survey was to determine whether pretenured counselor educators receive research mentorship, and if so, what instructional and relational factors occur within that relationship. Pretenured counselor educators in counselor education programs accredited by the Council for Accreditation of Counseling and Related Educational Programs were surveyed (N = 269). The 139 respondents (51.7% response rate) indicated that most (n / 107) pretenured counselor educators receive research mentorship. The relationship(s), most often described as cooperative (n / 84) and open (n / 70), focused primarily on navigation of promotion and tenure (n / 87) and generating refereed publications (n / 95) and presentations (n / 72).     

A Counselling Framework for Caribbean Children and Families Who Have Experienced Migratory Separation and Reunion

This paper presents research findings on childrens’ responses to migratory separation and later reunion in Caribbean families and the needs of these families when parents migrate and leave their children behind. Implications of this type of separation on children, parents and surrogate caregivers are discussed. The challenges that counsellors in both the ‘sending’ and host countries face working with this population are also examined and suggestions made for psychosocial intervention and guidelines for counselling in both societies. The need for culturally competent counsellors to work with the growing population of immigrants in North America and Europe is indicated.     

The status of training and performance research in the AECT journals

“HPT has had a significant impact on the instructional design and technology field.” Cynthia Conn is working on her Ph.D. in educational technology at the University of Northern Colorado Jacqueline Gitonga is currently working on her Ph.D. in human resource education at the University of Illinois at Urbana-Champaign. Her research interests are in training and development, instructional design and human performance technology.     

The promise of curriculum in the post-Covid world: Eclecticism,deliberation, and a return to the practical and the prophetic

PROSPECTS - This article focuses on the possibilities through which curriculum on the other side of the Covid-19 pandemic might contribute more proactively to future social and political crises...     

Session - 3 December 19, 2007 Cardiovascular risk markers - II

Oral Cancer is one of the five leading sites of cancer in Indian population. The circulating immune complexes were investigated in 100 serum samples of 60 oral cancer patients having different grades of the disease and 40 patients with precancerous lesions obtained from Nair Hospital Dental collage, Mumbai. The results obtained were compared with those of group of 40 healthy blood donors. Elevated levels of Circulating Immune Complexes were observed in oral cancer patients and patients with oral precancerous lesions. 92% positive samples were observed in well differentiated squamous cell carcinoma whereas 100% positive samples were observed in both moderately and poorly differentiated squamous cell carcinoma. Oral leukoplakia and oral submucous fibrosis showed 15% and 90% positivity respectively. Increased level of Circulating Immune complexes in high grade tumor suggest that Circulating Immune complexes is likely to contribute in evaluating the degree of malignancy, but follow up study is needed to draw any conclusion regarding it's prognostic role