Perceptions of anatomy: critical components in the clinical setting

The evolution in undergraduate medical school curricula has significantly impacted anatomy education. This study investigated the perceived role of clinical anatomy and evaluated perceptions of medical students' ability to apply anatomical knowledge in the clinic. The aim of this study was to develop a framework to enhance anatomical educational initiatives. Unlike previous work, multiple stakeholders (clinicians, medical students, and academic anatomists) in anatomy education were evaluated. Participants completed an eleven-point Likert scale survey written by the investigators. Responses from both clinical educators and medical students at Penn State Milton S. Hershey Medical Center and College of Medicine suggest that medical students are perceived as ill-prepared to transfer anatomy to the clinic. Although some areas of patient management differ in relevancy to anatomical education, there are areas of clinical care which were uniformly ranked as relying heavily on anatomical knowledge (imaging and diagnostic studies, physical examination, and arrival at correct diagnosis) by a variety of clinical specialists. Our results suggest a need for advanced anatomy courses to be taught coincidental with medical students' clinical education. Development of these courses would optimally rely on input from both clinicians and academic anatomists, as both cohorts rated clinical anatomy similarly (P ≥ 0.05). Additionally, we hypothesize that preclinical students' application of anatomy would be enhanced if clinical context was derived from areas of clinical care which rely heavily on anatomy, whereas courses designed for advanced medical students will benefit from anatomical context focused on specialty specific aspects of clinical care identified in this study.     

Assessing the effects of school‐wide Second Step implementation in a predominately English language learner,low SES,Latino sample

Because school violence is widespread, social and emotional competence must be targeted. Second Step is a social and emotional violence‐prevention curriculum that teaches prosocial skills and reduces aggressive behavior. The purpose of this study was to examine the effects of Second Step implementation on students (N = 403) in preschool through fourth grade who were predominately Latino, English language learners, and from families with low socioeconomic status. The data of 165 out of the 403 students were included in the present study. Analyses consisted of paired‐samples t‐tests to identify changes in social and emotional knowledge and behavioral and emotional risk. Results showed that there was a significant increase in both social and emotional knowledge and behavioral and emotional risk following the implementation of Second Step. These results are discussed with regard to previous and future research, limitations, and implications for school practice.     

Kaupapa Māori,Philosophy and Schools

Abstract

Goals for adding philosophy to the school curriculum centre on the perceived need to improve the general quality of critical thinking found in society. School philosophy also provides a means for asking questions of value and purpose about curriculum content across and between subjects, and, furthermore, it affirms the capability of children to think philosophically. Two main routes suggested are the introduction of philosophy as a subject, and processes of facilitating philosophical discussions as a way of establishing classroom ‘communities of inquiry’. This article analyses the place of philosophy in the school curriculum, drawing on three relevant examples of school curriculum reform: social studies, philosophy of science and Kura Kaupapa Māori.     

Book reviews

Black, Edwin and Kerr, Harry P., American Issues Harcourt, Brace, and World, 750 Third Avenue, New York 17, New York. 1961, paper, $2.25.

Wrage, Ernest J. and Baskerville, Barnet, American Forum, Speeches on Historic Issues, 1788–1900. Harper and Brothers, 49 East 33rd Street, New York 16, New York. 1960.

Simmons, Harry, Executive Public Speaking Techniques. Chilton Company—Book Division, Philadelphia 39, Pennsylvania. 1959, $5.00.

Jones, E. Einston, A Guide to Effective Speech. Longmans, Green and Company, 119 West 40th Street, New York 18, New York. 1961, $3.75.

Smith, Joseph F. and Linn, James R., Skill in Reading Aloud. Harper and Brothers, 49 East 33rd Street, New York 16, New York. 1960, $5.75.     

"PRIME TIME": THE INTEGRATION OF THE CONTENT OF A WEEKLY NEWSPAPER COLUMN ON AGING INTO THE GERONTOLOGY CURRICULUM

This paper provides suggestions for the curricular introduction of materials from a weekly newspaper column on aging (or similar local or nationally syndicated newspaper column - for our purposes, The Courier-Journal, Louisville, KY) for a period of one year (October 5, 1997 to September 27, 1998). The study provides a content analysis of the column and presents numerous specific suggestions for the inclusion of its content into the curriculum, especially columns with course-related themes (e.g., medical problems, elder abuse, nutrition, and so forth) to show the relationship between theory and practice. In one exemplary activity, students wrote their own aging columns to develop their research and writing skills.     

Focus on dementia care: Continuing education preferences,challenges, and catalysts among rural home care providers

ABSTRACT

Home care staff who provide housekeeping and personal care to individuals with dementia generally have lower levels of dementia care training compared with other health care providers. The study's purposes were to determine whether the professional role of home care staff in a predominantly rural region was associated with preferences for delivery formats of dementia-specific continuing education (CE) programs, and challenges and catalysts to attending CE on any topic. From January through March, 2014, 82 of 111 eligible home care staff in one Saskatchewan health region completed a cross-sectional postal survey (73.9% response rate). The survey included 41 nurses/case managers (client care coordinators, assessors, and team managers) and 41 continuing care aides (home health aides). Nurses/case managers and aides were equally likely to report moderate to high interest in locally delivered CE and low interest in Internet-based and computer-based CE. Compared with nurses/case managers, aides were more likely to report challenges to CE attendance due to CE not being a requirement of their position or relevant to their work. Low staffing levels were the top challenge regardless of professional role. Nurses/case managers and aides were equally likely to identify locally offered programs and paid time off as the top two catalysts of CE attendance. Given the growing number of individuals with dementia receiving home care services, the current study suggests that continuing education should be offered locally and included in rural staff’s paid time in order to encourage attendance.     

Reliability and Validity Issues for Two Common Measures of Medical Students' Attitudes toward Older Adults

Results are reported from 2 common measures of medical student attitudes toward older adults: Maxwell-Sullivan Attitude Survey (MSAS); and UCLA Geriatrics Attitude Survey (GAS), with students entering the University of South Carolina School of Medicine (USCSM) in the period 2000–2005. A reliability analysis incorporating item means, Cronbach's alpha, item correlation matrix, and, Spearman-Brown prediction for positively and negatively worded items was conducted. Internal consistency results were unacceptable, revealing reliability and validity problems in this sample of medical students. Reconsideration of the use of these common measures, and a reframing of attitudes of medical students toward older adults seem appropriate.     

Review of “No Shelf Required 2: Use and Management of Electronic Books,” edited by Sue Polanka

No abstract available for this article.     

Interaction effects of teacher enthusiasm and student notetaking on recall and recognition of lecture content

The purpose of this study was to determine whether teacher enthusiasm and student notetaking activity would interact to produce significant differences in students’ learning from lecture. Three modes of student learning activity (listen only, notes, notes plus review) were crossed with two levels of lecturer enthusiasm (less enthusiastic, more enthusiastic) in a 3X2 MANOVA design. Dependent variables were simple recall, complex recall, and recognition of lecture content. Results showed a significant interaction for simple recall. Also, a significant main effect was obtained for learning activity. Findings are discussed with respect to how learning activity and teacher behavior can function jointly in student processing of information. Suggestions for future research are given in light of limitations to the present study.     

The ego function of protest songs: An application of Gregg's theory of protest rhetoric

This essay applies Richard Gregg's theory of protest rhetoric to 705 American social movement songs from 1800 to 1985 to discover how songs enable protestors to identify against others and thus to locate themselves positively in the social hierarchy. Songs are ideal messages for ego‐enhancement because they are movement‐centered, concerned with social relationships, and highly self‐directed. Terms denoting innocent victimage and wicked victimizer dominate the selected songs, and the vision of reality is negative, dangerous, threatening, and unfair. Relatively few songs emphasize the unity, virtue, wisdom, or bravery of protestors. The self‐image contained in songs does not appear to express a strongly positive identity or locate the oppressed very high in the symbolic or social hierarchy. This self‐image would seem to fulfill three ego functions essential for the early phases of social movements: raising consciousness, allaying guilt, and reclaiming or proclaiming one's ego. However, a different self‐image is needed as movements grow, confront opposition successfully, achieve some goals, suffer setbacks, and splinter into factions. This analysis of songs indicates that protestors have difficulty making the essential transition from a self‐image of victim to one of power, worth, and virtue. They cannot extricate themselves from symbolically defensive positions in a hostile environment.