Curricular innovation in an undergraduate medical program: What is “appropriate” assessment?

In post-secondary education, there is a widely-held belief in a “gold standard” for evaluative studies of curricular innovations. In this context, “appropriate” assessment is understood to refer to experimental designs and statistically significant differences in group outcomes. Yet in our evaluative study of a medical undergraduate program, we did not find these concepts to be particularly applicable. Based on our experience, we now feel that it is appropriate to assemble an eclectic mix of scientific findings, show how they have been used for program improvement, and articulate the program’s theoretical rationale and social significance. In the absence of statistically significant differences, this comprehensive argument can be used to justify the deployment of curricular innovations. The same may be true of other educational programs that target hard-to-measure changes in affective domains.     

Neoliberalism,global poverty policy and early childhood education and care: a critique of local uptake in England

The global rise of a neoliberal ‘new politics of parenting’ discursively constructs parents in poverty as the reason for, and remedy to, child poverty. This allows for Early Childhood Education and Care (ECEC) to become a key policy lever by using human technologies to intervene in and regulate the lives of parents and children in poverty. The article explores the uptake of this policy locally through interviews with 30 ECEC practitioners in three locations across England. The interviews suggested that the neoliberal discursive formation of child poverty as a problem of the poor themselves had symbolic power and was a view shared by most of the interviewees. This appeared to restrict their thinking and action, shaping a limited engagement with parents in poverty. Delivering curricular requirements was seen to further delimit practitioners’ practices with children in poverty by reducing their poverty sensitivity. Although this is a small study, its findings may be of value in questioning neoliberal logics, and their implications are considered critically.     

Enabling integrated knowledge acquisition and management in health care teams

Basing treatment, policy and planning decisions on the best available research knowledge remains a central principle in modern health care around the world, yet many health professionals find acquiring and managing published research knowledge challenging. In this paper, we report on a Soft Systems Methodology-based collaborative action research initiative with a specialist mental health service from the United Kingdom's National Health Service. Our objective was to design and implement improvements to their knowledge acquisition and management activities in order to facilitate sustained and effective evidence-based practices. We report on both the factors found to impede effective research knowledge acquisition and management and the development of more integrated knowledge management processes designed to improve the situation.