Ultrasound imaging in medical student education: Impact on learning anatomy and physical diagnosis

Ultrasound use has expanded dramatically among the medical specialties for diagnostic and interventional purposes, due to its affordability, portability, and practicality. This imaging modality, which permits real‐time visualization of anatomic structures and relationships in vivo, holds potential for pre‐clinical instruction of students in anatomy and physical diagnosis, as well as providing a bridge to the eventual use of bedside ultrasound by clinicians to assess patients and guide invasive procedures. In many studies, but not all, improved understanding of anatomy has been demonstrated, and in others, improved accuracy in selected aspects of physical diagnosis is evident. Most students have expressed a highly favorable impression of this technology for anatomy education when surveyed. Logistic issues or obstacles to the integration of ultrasound imaging into anatomy teaching appear to be readily overcome. The enthusiasm of students and anatomists for teaching with ultrasound has led to widespread implementation of ultrasound‐based teaching initiatives in medical schools the world over, including some with integration throughout the entire curriculum; a trend that likely will continue to grow. Anat Sci Educ 10: 176–189. © 2016 American Association of Anatomists.     

Perceived Academic Control and Failure in College students: A Three-Year Study of Scholastic Attainment

Although self-initiative is recognized as instrumental to success in college, some students do not take responsibility for their academic development and fail to make the transition from high school to college. This problem is exacerbated when bright, highly skilled students drop courses or quit college entirely. Research into this paradox of failure reveals that, although high academic control benefits learning-related emotions, cognitions, motivation, and performance, it is not sufficient to ensure optimal success. Along with academic control other factors are implicated in the paradox. In this 3-year longitudinal study, four groups of students who differed in academic control (low, high) and failure preoccupation (low, high) were tracked using broad indices of scholastic development. Overall, students higher in academic control obtained better 3-year GPAs and withdrew from fewer courses. More notable, however, high-academic-control students who were concerned about failure had better 3-year GPAs and also were less likely to withdraw from courses or quit university than the other three groups. Paradoxically, high-academic-control students who were less concerned about failure did poorly. In qualifying the assumption that more perceived control is always better, these results are interpreted following social cognition theory.     

The nature of the activity deficit produced by inescapable shock

Two experiments investigated the nature and etiology of the reduced activity in the presence of shock produced by prior exposure to inescapable shock. Previous experiments have demonstrated this deficit in the presence of gridshock. However, gridshock hurts less if movement across the grids is reduced. It is thus unclear whether the inescapable-shock-produced deficit represents a facilitation of learning to reduce movement across the grids in order to alleviate pain or is an “unconditioned” reduction in movement in response to shock. The first experiment tested these possibilities by examining the effects of inescapable shock on subsequent movement during shock delivered via fixed tail electrodes to freely moving subjects. Inescapably shocked subjects still moved less in response to shock than did escapably shocked and restrained control subjects. Experiment 2 examined the possibility that this deficit occurs because unconditioned movement in response to shock during pretreatment diminishes after a few seconds, the reduction then being adventitiously reinforced by shortly ensuing shock termination. Activity during inescapable shock was closely monitored by ultrasonic motion detection. Although activity did decrease across trial blocks, the required within-trial patterns did not occur. Shock-elicited activity did not diminish after a few seconds of shock, but remained unchanged across the 5-sec shock presentations.     

Two-way and monolingual English immersion in preschool education: An experimental comparison

An experimental study was conducted comparing the effects of dual language, or two-way immersion (TWI) and monolingual English immersion (EI) preschool education programs on children's learning. Three-and four-year old children were randomly assigned by lottery to either a newly established TWI Spanish/English program or a monolingual English program in the same district. Children in the study were from both Spanish and English home language backgrounds. All classrooms in the study used the High/Scope curriculum, and all met high standards for teacher qualifications, ratio, and class size. The TWI program alternated between English and Spanish weekly by rotating children between two classrooms (and teachers) each week. Programs were compared on measures of children's growth in language, emergent literacy, and mathematics. Children in both types of classrooms experienced substantial gains in language, literacy, and mathematics. No significant differences between treatment groups were found on English language measures. Among the native Spanish speakers, the TWI program produced large gains in Spanish vocabulary compared to the EI program. Both TWI and EI approaches boosted the learning and development of children including ELL students, as judged by standard score gains. TWI also improved the Spanish language development of English language learners (ELL) and native English speaking children without losses in English language learning.     

A Comparison of Self-Adapted and Computerized Adaptive Tests

According to item response theory (IRT), examinee ability estimation is independent of the particular set of test items administered from a calibrated pool. Although the most popular application of this feature of IRT is computerized adaptive (CA) testing, a recently proposed alternative is self-adapted (SA) testing, in which examinees choose the difficulty level of each of their test items. This study compared examinee performance under SA and CA tests, finding that examinees taking the SA test (a) obtained significantly higher ability scores and (b) reported significantly lower posttest state anxiety. The results of this study suggest that SA testing is a desirable format for computer-based testing.     

Learner preferences for varying screen densities using realistic stimulus materials with single and multiple designs

Learner preferences for varying screen density levels were examined using multiple screen designs (high external validity) and single screen designs (high internal validity). When viewing multiple screens for each design in Study 1, subjects indicated the highest preference for medium-density screens while tending to select higher-density over lower density screens in individual comparisons. When viewing only the first screen of each density level in Study 2, subjects again expressed preferences for higher-density over lower-density designs. Suggestions are provided concerning the use of realistic and nonrealistic content for the stimulus materials as well as implications of using externally and internally valid screen designs for future research on computer-based instruction screen design.     

Differences in Pride and Shame in Maltreated and Nonmaltreated Preschoolers

This study examined the expression of shame and pride in maltreated and nonmaltreated preschool children. 84 4–5-year-old children and their mothers participated in the study: 42 had a history of child maltreatment and 42 served as matched controls. Children were presented with easy and difficult tasks and their emotional responses of shame and pride were observed. No shame was shown when subjects succeeded on the tasks and no pride was shown when they failed. Maltreating mothers offered more negative feedback, particularly to their daughters, than nonmaltreating mothers. Maltreated girls showed more shame when they failed and less pride when they succeeded than nonmaltreated girls. The relation between differential socialization practices and the self-conscious emotions is explored as it relates to observed gender differences in emotionality and self-concept.     

The Importance of Demographic, Social, and Political Context for Estimating Policy Impacts: Comment on “Implementing New York's Universal Pre-Kindergarten Program”

Morrissey, Leikes, and Cochran (this issue) raise concerns about potential negative effects of state pre-kindergarten (pre-K) on the early care and education system. To put their study in context, I reviewed national demographic and enrollment trends. I found little evidence of negative effects from state pre-K policy. One reason may be that population growth and child care policies mitigated potential negative impacts of pre-K expansion. However, national averages could conceal important local variations or even nationwide variations when there are offsetting gains and losses. Children under age 5, their families, and their teachers all likely gained from increases in public pre-K. Infant/toddler care in private programs expanded as quickly as public pre-K. Morrissey and colleagues' small data set from New York has serious limitations, but some of the most salient findings are consistent with the national picture. The study offers lessons and suggests topics for future research on the influence of pre-K policy on the early care and education system.     

The ‘Employer Engagement Cycle’ in Secondary Education: analysing the testimonies of young British adults

Work experience placements are mandatory in the UK for all young people aged 16–18 in education, and their employability effects and associated wage premia are well noted in the literature. Through Bourdieu’s lens, this article analyses and conceptualises a unique data set of reflective testimonies submitted in response to a YouGov survey of over one thousand young people. Different capitals are detected, their distributions are observed, and correlations with key variables such as social background and school type are reported. Emerging through young people’s perceptions of employer engagement is a complex web of human, social and cultural capital accumulation. Overlaps are frequent, with newly acquired forms of capital often activating others. We argue that because of the cyclical nature of employer engagement gains, benefits accumulate exponentially for some young people while leaving others increasingly detached from the capitals that are most important for labour market success.