THREE STRATEGIES FOR DELIVERING CONTINUING MEDICAL EDUCATION IN GERIATRICS TO GENERAL PRACTITIONERS

General practitioners (GPs) need advanced skills in geriatric assessment to be competent to treat the increasing number of elderly patients. Continuing medical education in geriatrics for GPs is heterogeneous, and not assessed for effectiveness. In this study we compared the educational effects of three geriatric post-graduate training methods on GPs. GPs in the health district of the Nijmegen University Medical Centre (The Netherlands) were offered a variety of training options in geriatric assessment: (1) a formal one-day teacher centered conference (TCC), (2) an interactive GP-centered day of workshops (GCW), and (3) participation in a project of knowledge translation, linked to a research project of geriatric intermediate care (GKT). Pre-post measures were taken of the attitudes of GPs towards the elderly (Aging Semantic Differential, 1969), attitudes towards geriatric patients (Maxwell & Sullivan, 1980 Maxwell, A. J. and Sullivan, N. 1980. Attitudes toward the geriatric patient among family practice residents. Journal of the American Geriatric Society, 2(8): 341–345.  [Google Scholar]; Rosencranz & McNevin, 1969 Rosencranz, H. A. and McNevin, T. E. 1969. A factor analysis of attitudes towards the aged. Gerontologist, 9: 55–59. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) and geriatric competencies (Robinson, Barry, Renick, et al., 2001 Robinson, B. E., Barry, P. P., Renick, N., Bergen, M. R. and Stratos, G. A. 2001. Physician confidence and interest in learning more about common geriatric topics: A needs assessment. Journal of the American Geriatric Society, 49: 963–967. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]). After training, neither the attitudes towards the elderly nor geriatric patients changed in any of the three groups. The TCC did not show a significant change in perceived competencies, while the GCW and GKT group improved. A formal large group conference is ineffective in improving GPs' geriatric assessment skills, while small interactive workshops and participation in a project of knowledge translation are equally effective. None of the three training methods improved or worsened attitudes toward the elderly in general or the geriatric patients in particular.     

The relation between intellectual and metacognitive skills in early adolescence.

The first objective of this study was establishing to what extent metacognitive skill is associated with intelligence. As a second objective, the impact of hints on the execution of metacognitive skills was investigated. Both issues have major implications for the training and transferability of metacognitive skills during performance on a representative school task. First, a standardized intelligence-test was administered to a group of first-year secondary-school students. Next, these students solved six math word problems, three without metacognitive hints and three including these hints. Metacognitive skilfullness was assessed through systematical observation, while learning performance consisted of performance on a math task and grade point average (GPA). Results show that without hints metacognitive skilfulness is the main predictor of initial learning, while intelligence additionally enters the regression equation after the presentation of metacognitive hints. GPA also appears to be predicted by a combination of intellectual and metacognitive skills. Consequences for the early acquisition of metacognitive skills are discussed.     

Interdisciplinarity in Adapted Physical Activity

ABSTRACT

It is commonly accepted that inquiry in adapted physical activity involves the use of different disciplines to address questions. It is often advanced today that complex problems of the kind frequently encountered in adapted physical activity require a combination of disciplines for their solution. At the present time, individual research questions in adapted physical activity are most often developed and pursued by researchers from a single discipline despite incentives to the contrary. However, the inclusion of multiple disciplines to address research questions raises a number of challenges. A major one is effective communication. The language related to the use of multiple disciplines is often used loosely. Key terms, such as multi-disciplinary, interdisciplinary, transdisciplinary, and cross-disciplinary, are often used interchangeably. We introduce the technical meaning of these terms and outline some key epistemic challenges to communication across disciplines and highlight the importance of willingness, on the part of researchers, to carefully listen to each other.     

Individualizing instruction in higher education: A review

The salient characteristics of a variety of approaches to individualizing instruction are described and their respective merits with regard to higher education discussed. The review includes: programmed instruction, computer-assisted instruction and -management, information retrieval systems, audio-tutorial and modular instruction, contingency management and contracting, and personalized and individually prescribed instruction. While these approaches differ from each other in some respects, they all share an overriding concern for individual differences among students and seek to better adapt instruction to the learner.A section on general issues regarding the degree of individualisation, the role of the professor, institutional support for improving instruction, the role of the student, content and method, evaluation, and the future of individualized instruction concludes the review.Formerly, Centre for Learning and Development, McGill University, Montreal, Quebec, Canada.     

Evaluation of a Coaching Programme for Cooperating

SUMMARY In this study, the implementation effects of a programme for the training of coaching skills with Dutch primary school teachers acting as cooperating or supervising teachers for teachers-in-training are described. Coaching is a form of in-class support intended to provide teachers-in-training with feedback on their functioning and thereby stimulate self-reflection and self-analysis to improve instructional effectiveness. Based on the pre- and post-training ratings of coaching conferences with the teachers-in-training, a significant treatment effect was found for the coaching skills concerned with the development of autonomy (empowerment), feedback     

Library Abuse in Academic Institutions

Abstract

The abuse of library materials defined in terms of theft, mutilation, unauthorized borrowing and vandalism was investigated in University of Port Harcourt (Uniport) in Nigeria and King Fahd University of Petroleum and Minerals (KFUPM) in Saudi Arabia. The study sought to find out the ways the collections of the two institutions were abused by various classes of readers and for various reasons. By interviewing librarians, and analysis of collection use records, it was revealed that students, as well as faculty, staff and external readers indulged in abuse of library materials, motivated by situational, conceptual, attitudinal and other factors. It was observed, however, that Uniport had more problems with the misuse of library materials than KFUPM. Recommendations relating to library building design, tightening of security, generous and flexible loans policies, etc., were made for improved collection protection. Besides, public relations campaign and multilateral co-operation on book theft detection would help to discourage in particular the uninitiated or new converts from any acts of library abuse.     

Noise and ethics: On Evan Parker and Alain Badiou

This essay investigates the possible relationship between noise and ethics through the music of improvising musician Evan Parker and the ‘post‐post‐structuralist’ philosophy of Alain Badiou. According to Badiou, one of the most important features of an ethical attitude is the recognition of a void in a situation, that is, the attention for something that cannot be thought, felt, or experienced within a conventional system, something that always already escapes established and existing structures. This seems to bear some resemblance to the way French thinker Jacques Attali describes noise. According to Attali, noise interrupts and disconnects. It is an aggression against all sorts of code, against all kinds of order. Noise is an evental break from the status quo or ordinary situation, which compels recognition of something new. Rethinking noise this way means that noise does not exist in and of itself, but only in relation to the system within which it is inscribed. Noise is a void in a situation and can therefore be connected to Badiou's ideas about ethics. In a relative rather than an absolute sense, the improvised music of Evan Parker – and this essay especially draws attention to one of his projects, Drawn Inward, in which electronics and acoustical instruments meet and hold a dialogue – produces noise, precisely in and through improvisation; in many ways it disrupts musical conventions. The essay thus explores the space within the triangle noise–improvisation–ethics.