Pejorative phrases or innocent idioms? Exploring terms used by tomorrow’s doctors in relation to older people

ABSTRACT

Older people are the “core business” for 21st century hospitals. Of concern, therefore, is negative stereotyping of older people by medical students. Through a bespoke teaching session for final-year medical students, we aimed to deconstruct the phraseology they employed in relation to older people and to drive attitudinal change among students. This study also aimed to discern whether there was a detectable difference in attitudes toward older people after the session. Forty-seven medical students participated. Students recorded in a “word-cloud” terms they associated with older people in hospital before and after the session. The University of California Los Angeles Geriatrics Attitude Scale (UCLA-GAS) was administered for pre-session. The intervention students, along with a control group, completed this instrument at the end of their placement. Content analysis of word cloud data was performed—an iterative, transparent, structured approach to analysis, along with external critique of findings and collaborative triangulation ensured rigor of analysis. Qualitative analysis demonstrated the use of pejorative and sometimes nihilistic terms. There were evidence of growing appreciation of the inherent complexity of caring for older people and increasing awareness of how healthcare systems can be challenging for older people. Quantitative analysis revealed that there is no statistical difference neither between the UCLA-GAS pre- and post-teaching nor the intervention and control groups. In conclusion, a bespoke educational intervention, designed to promote student reflection on their views toward older people in hospital, can be a catalyst to challenging superficial and stereotypical views.     

The Evolution of Smokey Bear: Environmental Education About Wildfire for Youth

Many environmental education programs in the United States educate youth about the prevention of wildfire and its role in ecosystems. We reviewed 50 wildfire education programs for youth (WEY) in the U.S. through an Internet search and interviews with program providers. We investigated whether they reflect current wildfire science, environmental education (EE) instructional strategies, and place-based education (PBE) approaches. We found that while one-third of the programs focus exclusively on wildfire prevention, suppression, and safety topics, one-third focuses on fire ecology, management, and science, and one-third includes all these topics, mirroring evolving scientific approaches to wildfire. Also, while state and federal agencies design and disseminate much of the curricula used, 60% of WEY programs incorporate local social and ecological contexts, revealing the close relationship between WEY and PBE.     

TEACHING RESEARCH IN GERONTOLOGY: TOWARD A CUMULATIVE MODEL

In this article, we consider different approaches to teaching research methods in gerontology across a continuum of educational program levels. Our goal is to offer a conceptual framework and stimulate productive discussion of key issues and challenges in teaching research in gerontology. It is our belief that education in gerontology should include some level of training in research methodologies across all levels of gerontology instruction. Therefore, we have sought to identify those components of research training most appropriate for each level of gerontological education. Thus, basic understanding of research methods is appropriate at the associate's degree level and introductory exposure to basic issues involved in conducting research with elders provides a necessary backdrop to undergraduate programs. More in-depth understanding of gerontological research methods, particularly those involved in applied research, is a component of quality master's level programs. Finally, in-depth knowledge and the ability to apply distinctively gerontological research methods are necessary for conducting advanced original research at the doctoral level.     

Collective Worldviews and Health of Pacific American Elders

The community as part of the social environment is a key social determinant of health and is a central organizing feature of Pacific culture. A collective worldview informs the way social support is conceived in Pacific cultures, and it is core to Samoan and Tongan elders’ perceptions of the influence of community on health and well-being. In turn, inability to fulfill community responsibilities may be an indication of poor health and well-being and may be distressful because of this collective worldview. Using principles of grounded theory that informed the data collection and analysis, in-depth interviews were conducted with 10 Samoan and 10 Tongan elders in Hawai'i, the port of entry for most Pacific Americans migrating to the U.S. and the location where the majority of Samoans and Tongans reside. Four main themes—community norms, social functions of community, community capacity, and negative community influences—were identified as community factors affecting the health and well-being of Samoan and Tongan elders. Implications for research and policy practice are offered.     

An Application of the Questionnaire on Teacher Interaction and College and University Classroom Environment Inventory in a Multicultural Tertiary Context

The research reported in this inquiry consisted of the application of two classroom learning environment questionnaires developed in a Western context to a culturally diverse context, namely, the Pacific Islands. The College and University Classroom Environment Inventory (CUCEI) and Questionnaire on Teacher Interaction (QTI) instruments were administered to intact classes of first- and second-year science students ( n= 257) at a regional university in the Pacific Islands, containing a total of 12 ethnicities. The data reveal that the QTI instrument holds good reliability for all scales, whereas the CUCEI holds reliability for only two scales. This may be due to the simple nature of the questions on the QTI whereas the questions on the CUCEI require more interpretation, the latter exacerbated by the fact that English is a second or third language for most participants. Surprisingly, there were few differences in perceptions of teacher student interaction based on ethnicity, but substantial differences based on gender. As reported in previous classroom environment research at the secondary school level, in this study, females perceived their environment more favourably than males. The data for the QTI reveal that the students perceive their classrooms to be highly teacher dominated, consistent with previous naturalistic studies of secondary schools and exploratory studies at the tertiary level in Fiji. Since almost all the graduates from this institution become science teachers, a cycle is completed.     

Identifying exemplary science teachers through their students’ perceptions of the assessment process

This paper reports on part of a large‐scale study aimed at examining students’ perceptions of assessment. This paper will report on a study utilising mixed methodology in 150 Australian middle school classrooms. The purpose of the study described in this paper was to use the Students’ Perceptions of Assessment Questionnaire on Teacher Interaction (SPAQ) to identify and describe exemplary science teachers. With a sample of over 3000 science students, the reliability of the SPAQ scales ranged from 0.62 to 0.82. The exemplary teachers were identified as those whose students’ perceptions were more than one standard deviation above the mean on three of the five scales of Congruence with planned learning, Transparency, Authenticity, Student consultation, and Diversity. The construct validity of the SPAQ to identify these exemplary teachers was confirmed through interviews with students and these views are reported in the article.     

Assessing teacher practice and development: the case of comprehensive literacy instruction

In this paper, we report on 2 studies developing, testing, and using an observation tool for measuring primary literacy instruction, the Developing Language and Literacy Teaching (DLLT) rubrics. In Study 1 (an instrumentation study), we show that the DLLT has a high level of internal consistency, that there are high levels of inter-rater reliability when the tool is used by in-school coaches, that the items order consistent with a hypothesized developmental trajectory, and that the DLLT can distinguish between novice and more experienced teachers at one time point. In Study 2 (a 3‐year longitudinal study), we show that the DLLT is sensitive to growth in teaching practice, that this growth is related to exposure to one-on-one coaching, and that teacher practice as measured by the DLLT is related to teachers' value added to student achievement year by year.