Some signposts for medical and nursing educational policy formulation for aboriginal healthcare

As part of a larger ethnographic inquiry designed to ascertain how the Cree communities of the James Bay in northern Quebec viewed, interpreted, and handled the growing incidence of diabetes, this study explored the perceptions, knowledge, and experiences of health professionals serving aboriginal clientele in connection with diabetes. Qualitative data were gathered through in-depth interviews with 28 health professionals. Findings indicate that health professional perceptions of lifestyle are generated from within a nonaboriginal context and that knowledge and understanding of diabetes are rooted within patterns of health practices attributed to individual behaviour. The study concludes that trends towards individualizing the incidences and prevalence of diabetes obfuscate the socioeconomic processes affecting Cree people.     

Whose curriculum? Critical notes on integration and entitlement

ABSTRACT

This paper considers the way in which current notions of integration and curriculum entitlement may disadvantage pupils with exceptional needs. An illustrative case of a pupil with profound and multiple learning difficulties is discussed along with general issues of entitlement arising, and the implications for that individual. Through an examination of the effects of the criteria for ‘being educated’ that result from the implementation of the National Curriculum in the UK, we question current perceptions of issues such as normalization, age appropriateness and 'integration’. We use a case study of a child with autism to question whether his educational interests are best served by current notions of integrated education. We suggest a broader notion of education that encompasses rather than contrasts with care, and suggest that curriculum entitlement should involve common curricular principles rather than common curricular content and should not deny within‐child factors. We further suggest that ‘integration’ should be reconceptualized as 'inclusion’ and we query the features that make educational needs ‘special’     

Comparing Models of Nature of Science Dimensionality Based on the Next Generation Science Standards

Instruments measuring understanding of the nature of science (NOS) are required if educational institutions intend to use benchmarks or examine the effects of interventions targeting students’ NOS development. Compared to other constructs, NOS understanding is complex, having been the subject of debate among scholars in both its substance and its dimensionality. This complexity invites challenges in defining what is to be measured. Drawing from the perspective that policy reform documents provide pragmatic consensus-based definitions of NOS, this study investigated how well the dimensionality described in the NOS component of the Next Generation Science Standards (NGSS) framework matched the empirical structure of data collected from a set of secondary-school students’ responses to an NOS instrument comprising multiple-choice and Likert-scale items. Using multidimensional item response modeling to compare structures of NOS dimensionality, we found that treating NOS as comprising multiple dimensions—as defined by the themes in the NGSS NOS framework—resulted in a better fitting model than when treating NOS as a single dimension. The multidimensional model also had fewer poorly functioning items and revealed NOS profiles that otherwise would have been masked in a model treating NOS as a single dimension. These results provide support for the NOS NGSS framework and contribute to the ongoing discussion about the dimensionality of NOS.     

美国医学教育中的职业化问题:从证据到责任

职业化是维护公众对医学职业信任的核心要素,也是医患关系的本质所在.但有证据表明,公众对医学职业的信任日渐消失,医生也在维护医学职业价值观念时面临着各种挑战.本文在医学教育背景下界定"职业化"的定义和框架,描述了职业化面临的各种挑战,也详细论述了医学院校和教学医院在维护医学职业化过程中的角色和作用.此外,还评述了现行和试行中的评价职业化的工具、方法.最后,作者还提出一些建议供医学院校和教学医院参考.     

The Museum Maturity Framework: A Path to Purpose,Meaning, and Values

Abstract In this paper we synthesize elements of the modern philosophy and practice of organization management and leadership and illustrate their application to museums. The elements of our synthetic theory are a museum's inventory of processes (system of work), the role of its leader/director, and the social structures of the museum. These theoretical elements are placed in a conceptual context called the museum maturity framework, a five‐level developmental sequence in which are organized the paradigms and behaviors of a museum as it matures. The museum maturity framework can help the internal and external analysis and assessment of museums.