Determination of clinically relevant content for a musculoskeletal anatomy curriculum for physical medicine and rehabilitation residents

To address the need for more clinical anatomy training in residency education, many postgraduate programs have implemented structured anatomy courses into their curriculum. Consensus often does not exist on specific content and level of detail of the content that should be included in such curricula. This article describes the use of the Delphi method to identify clinically relevant content to incorporate in a musculoskeletal anatomy curriculum for Physical Medicine and Rehabilitation (PM&R) residents. A two round modified Delphi involving PM&R experts was used to establish the curricular content. The anatomical structures and clinical conditions presented to the expert group were compiled using multiple sources: clinical musculoskeletal anatomy cases from the PM&R residency program at the University of Toronto; consultation with PM&R experts; and textbooks. In each round, experts rated the importance of each curricular item to PM&R residency education using a five‐point Likert scale. Internal consistency (Cronbach's alpha) was used to determine consensus at the end of each round and agreement scores were used as an outcome measure to determine the content to include in the curriculum. The overall internal consistency in both rounds was 0.99. A total of 37 physiatrists from across Canada participated and the overall response rate over two rounds was 97%. The initial curricular list consisted of 361 items. After the second iteration, the list was reduced by 44%. By using a national consensus method we were able to objectively determine the relevant anatomical structures and clinical musculoskeletal conditions important in daily PM&R practice. Anat Sci Educ 7: 135–143. © 2013 American Association of Anatomists.     

An Oral Reading Fluency Assessment for Young Adult Career and Technical Education Students

Educators confront a difficult challenge of quickly and efficiently identifying students with literacy skill deficits in academically diverse career and technical education classes. A statistical examination of oral reading fluency (ORF) of 296 at‐risk students participating in Job Corps tests the hypothesis that a 2‐minute, two‐dimensional ORF task is a useful tool for differentiating the basic literacy skills of these students. This study formed four student groups on this basis and statistically demonstrated the groups were distinct in terms of standardized assessments of reading and cognitive processing: phonological processing, processing speed, memory, and integrated and fluent reading with comprehension. We discuss the implications of these findings for further diagnostic reading assessments and instructional planning.     

Examining the impact of prior academic achievement on moral reasoning development among college students: A growth curve analysis

Moral reasoning is concerned with making decisions regarding the appropriate course of action in particular situations and has been highlighted as a critical factor that may facilitate (or impede) the effectiveness of educational programs in promoting positive outcomes. This study examined the trajectories of moral reasoning as measured by the Defining Issues Test (DIT2) for college students and to what extent there are intra-individual (within student) and inter-individual (between student) changes in moral reasoning during this developmental period. The results suggest that moral reasoning was best represented by a linear increase on the mean level and non-signi?cant variability across students. The relationship between moral reasoning and students’ prior academic attainment was also examined.     

Through the years: a longitudinal study of physical education teachers from a research-based preparation program

This study investigated factors that enhanced and constrained the career development of six teachers, who had graduated from the same university teacher education program, in their induction years (Woods & Earls, 1995) and again later in their career cycles. Three participants were physical education teachers (PETs), and three were former physical education teachers (FPETs). Fessler's (1985) Teacher Career Stage Model provided the theoretical framework. Data sources were: interviews with teachers and their teacher educators and direct observations of lessons. Results indicated that the PETs continued to have skill development as their primary teaching objective. The teachers maintained many of their teaching skills, and shifted between the career cycles of "competency building" and "enthusiastic and growing." All three FPETs left their physical education positions during the career frustration stage and at the time of publication were in the career exit stage.     

Towards a Theory of Aesthetic Learning

D.H. Hargreaves's “traumatic theory of aesthetic learning” is reviewed in the light of research on educational events in the areas of creative writing and drama. If the full educational benefits of conversive drama are to be realised, they have to be seen within the context of more gradual cumulation of skills and knowledge. Before the trauma, students are prepared by confidence‐building, having their sensitivities sharpened, abilities encouraged, and acquiring control and power of expression. During and after the trauma there is considerable personal development, students discovering new things about themselves, maturing, and in some cases being transformed. They acquire more of the art of learning, involving skills of both expression and appreciation. There is also notable social development, resulting in the experience of communitas, wherein participants rise above institutional structures and statuses and develop exceptional community spirit. Above all, conversive trauma excites the emotions, at first in uncontrollable ways, but the educational experience involves the individual coming to terms with, and understanding, the disturbance. A theory of aesthetic learning is advanced involving a constructivist teaching style, charismatic personal qualities, naturalistic context, co‐operation, appropriate content, and grounded and open enquiry.     

The Self‐Reference Effect on Memory in Early Childhood

The self‐reference effect in memory is the advantage for information encoded about self, relative to other people. The early development of this effect was explored here using a concrete encoding paradigm. Trials comprised presentation of a self‐ or other‐image paired with a concrete object. In Study 1, 4‐ to 6‐year‐old children (N = 53) were asked in each trial whether the child pictured would like the object. Recognition memory showed an advantage for self‐paired objects. Study 2 (N = 55) replicated this finding in source memory. In Study 3 (N = 56), participants simply indicated object location. Again, recognition and source memory showed an advantage for self‐paired items. These findings are discussed with reference to mechanisms that ensure information of potential self‐relevance is reliably encoded.     

Access to General Certificate of Secondary Education (GCSE) examinations for students with special educational needs: what is 'best practice'?

In England, Wales and Northern Ireland, recent guidance on access arrangements for students with special educational needs taking public examinations such as the end-of-school General Certificate of Secondary Education (GCSE) has signalled a commitment to the development of access arrangements in line with 'best practice'. In this article, Kevin Woods, from the Educational Support and Inclusion section of the School of Education at the University of Manchester, provides a relevant evaluation of access arrangements for GCSE examinations using questionnaire feedback from 205 specialist teachers involved in their implementation. The findings are that the system for allocating access arrangements is considered 'manageable' by 20% of teachers and 'fair' by only 25% of teachers; 70% of teachers would consider extension of access arrangements to be appropriate, notwithstanding resource constraints. Qualitative data from the questionnaires highlight the reasons for this pattern of results and a call by teachers for wider access in examinations to readers, scribes, extra time and a word processing facility. Kevin Woods sets his findings within the context of recent Government initiatives that are designed to improve engagement and achievement in the 14 to 19 age group.