Impact and educational outcomes of a small group self‐directed teaching strategy in a clinical neuroscience curriculum

The complexity of the material being taught in clinical neuroscience within the medical school curriculum requires creative pedagogies to teach medical students effectively. Many clinical teaching strategies have been developed and are well described to address these challenges. However, only a few have been evaluated to determine their impact on the performance of students studying clinical neuroscience. Interactive, 2‐hour, self‐directed small‐group interactive clinical case‐based learning sessions were conducted weekly for 4 weeks to integrate concepts learned in the corresponding didactic lectures. Students in the small groups analyzed cases of patients suffering from neurological disease that were based on eight learning objectives that allowed them to evaluate neuroanatomical data and clinical findings before presenting their case analysis to the larger group. Students’ performances on the formative quizzes and summative tests were compared to those of first‐year medical students in the previous year for whom the self‐directed, small‐group interactive clinical sessions were not available. There was a significant improvement in the summative performance of first‐year medical students with self‐directed clinical case learning in the second year (Y2) of teaching clinical neuroscience (P < 0.05) when compared with first‐year students in the first year (Y1) for whom the self‐directed learning approach was not available. Student performance in the formative assessments between Y1 and Y2 was not significantly different (P = 0.803). A target of ≥70% student scoring above 80% in the final summative examination was met. The current study revealed evidence for the impact and educational outcomes of a self‐directed, clinical teaching strategy in a clinical neuroscience curriculum for first‐year medical students. Anat Sci Educ 11: 478–487. © 2017 American Association of Anatomists.     

Training of elite cyclists: effects on mood state and selected hormonal responses

The psychobiological status of cyclists over a period of 8 months of training was assessed by measuring the sympatho-adrenal level, the central noradrenergic activity, and the cortisol?-?testosterone ratio status non-invasively. Alteration of these indices after a large increase in training load lasting 4 days (?+?187%) was also examined. Urinary excretion of methoxyamines (metanephrine, normetanephrine) and 3-methoxy-4-hydroxyphenylglycol sulphate (MHPG-S), and salivary concentrations of cortisol and testosterone, were measured in 12 national cyclists after a non-specific training period and 48 h before 4 days of increased training (T₁), after these 4 days (T₂) and at the end of 4 months of specific training (T₃). Urinary and salivary samples were also collected during a rest period (T₀). At each of these times, mood states and ratings of perceived muscle soreness were assessed, and a questionnaire of early clinical symptoms of the overtraining syndrome (Profile of Mood States) was administered. A significant increase in normetanephrine (P <?0.05) and a decrease in the testosterone?-?cortisol ratio (P <?0.05) were observed at T₂, while MHPG-S excretion remained unchanged. Over the same periods, increased training loads did not induce mood disturbances. Eight months of training were associated with significant alterations in metanephrine (P?<?0.05) and MHPG-S (P?<?0.05). These results suggest a dissociation between the neural and endocrine catecholaminergic components systems. Opposite responses between MHPG-S and Profile of Mood States scores show that further investigations are needed to understand the relationship between central noradrenergic function, which is recognized as a regulatory factor of mood, and psychological tests measuring mood.     

The 2000 Cohort of New Assistant Professors of Counselor Education: Year 3

This article is the 3rd in a series that has been focused on the experiences of assistant professors of counselor education who were at the conclusion of their 3rd year in the profession. Thirty‐six participants provided information about their experiences, sources of pleasure and displeasure, professional contributions, areas of change, and expectations for tenure and promotion. Prominent themes that emerged from the data included mentoring, balance and family focus, and scholarship. Recommendations are presented for counselor educators‐in‐training, candidates, new counselor educators (CEs), and veteran CEs.     

Responding to a fiscal crisis: a data‐driven approach

The Division of Planning and Institutional Improvement (PAII) at Indiana University–Purdue University Indianapolis provides for the campus data for academic planning and management, assessment and evaluation services, and progress reports on mission‐critical goals. To respond to a forecast fiscal crisis and support long‐range planning for the Division, staff undertook a survey of deans and other key campus stakeholders to determine which of its services were best‐known and considered most useful for unit‐level planning and decision‐making, especially as these units faced the same projections of severe fiscal constraints. Findings indicated greater awareness and use of PAII data among deans than among other academic leaders and provided important insights into the kinds of data needed most for decision‐making. These outcomes will guide the Division’s future strategies for educating deans and other stakeholders on underused, but potentially useful, services and for selecting new services to offer.     

English and French pedagogical cultures: convergence and divergence in Cameroonian primary school teachers' discourse

This article approaches the phenomenon of the continuing influence of French and English pedagogical cultures in Africa relying on post-modern notions of time and space. It reports on a project carried out in Cameroon where both cultures are in contact and where the teachers from two primary schools were observed and interviewed over a period of five weeks each. The data collected is interpreted as revealing divergent professional contexts within which the teachers' discourse about their professional roles and the place of languages rests on assumptions reminiscent of the pedagogical values of the former colonisers. However, teachers from both schools are strongly in favour of maintaining French and English as medium of education. The significance of the phenomena reported is critically discussed to highlight new discontinuities in present day Cameroon which transform these apparently sharp distinctions: the disjunction between the notion of place and the medium of education, the fast evolving meanings of ‘French’ ‘English’ and ‘bilingualism’ in the twenty first century and the fact that schools are multilingual sites. The paper concludes that the differences in the way teachers construct their professional identities has prevented them from developing a joint pedagogical repertoire and that lack of mutual understanding might be a reason for the reported mere ‘cohabitation’ provided by bilingual schools.     

Confucius on Educational Failure: Three Types of Misguided Students

In this essay David Black claims that, if one pieces together the many sketches of educational decorum found in the Confucian Analects, one will discover three types of misguided student; that is, one will come to recognize that Confucius admonishes three types of insensitive learners who, due to the lure of personal advantage and social rhetoric, begin to mismanage the exchanges of respect particular to the educational process. These students misappropriate key rituals of decorum and dialogue, and consequently create a degree of disorder that, for Confucius, actually threatens the existence of civil society.     

Assessment and the aims of the curriculum: An explorer’s journey

This article considers lessons learnt through involvement in several assessment projects. Early experience, in university work and in school examinations, led to an opportunity to help establish a novel system of assessment for an innovative school curriculum. Different lessons were then learnt from work on a national survey of school students’ learning of science, and different lessons again while leading a group to advise the UK government on a new scheme for national testing of all students. Many welcomed the group’s advice but politicians rejected it; however, the recoil from this defeat led to very rewarding work on formative assessment. The article ends with reflection on the conflict between the summative and the formative and ways to resolve that conflict, along with the full benefit of formative approaches that investment can secure to help teachers share responsibility for high-stakes summative assessments.