STUDENTS' PERCEPTION OF THE MEDICAL SCHOOL LEARNING ENVIRONMENT: A PILOT STUDY INTO SOME DIFFERENCES AND SIMILARITIES BETWEEN CLINICAL SCHOOLS IN THE U.K.

The importance of the ethos or learning environment of a training institution is increasingly being appreciated in terms of its effect on learning process and outcome. This paper reports upon the development of an inventory to measure medical students’ perceptions of their learning environment and upon its pilot use to contrast their experiences in five British medical schools. Broad similarities were found between the medical schools upon some dimensions of the questionnaire, but a number of substantial differences are also reported. It is concluded that it is by no means difficult to develop an instrument which can identify important differences between institutions’ learning milieux. However, reservations are expressed about making other than tentative conclusions from the details of the findings of similarities and differences: the desirability of conducting a more comprehensive study is emphasised.     

Phonemic awareness and reading skill in hyperlexic children: A longitudinal study

Children with hyperlexia who learn to readspontaneously before the age of five are impaired inreading and listening comprehension but have wordrecognition skills well above their measured cognitiveand linguistic abilities. In a previous study, theauthor administered a battery of cognitive, academicachievement, and phonemic awareness tests to threechildren classified as hyperlexic. The findingsshowed that the levels of phonemic awareness of thesechildren were low and not commensurate with their wordreading skill. In the present study, the authorreevaluated the three children approximately 7–8 yearslater with the same battery of cognitive, academicachievement, and phonemic awareness tests as well asseveral additional measures of phonemic awareness. The results showed that all three childrens' levels ofphonemic awareness were still low and not commensuratewith their word reading skill. Other findings showedthat two of the children, both of whom had remained inspecial education classes since the previous study,continued to be voracious readers. The other child,who had always been in regular education classes, hadnot read very much for several years. Findings alsoshowed that the word recognition skills of two of thechildren, including the child who had always attendedregular education, had decreased by one to twostandard deviations.     

Empirical versus subjective procedures for identifying gender differences in science test items

When judgmental and statistical procedures are both used to identify potentially gender-biased items in a test, to what extent do the results agree? In this study, both procedures were used to evaluate the items in a statewide, 78-item, multiple-choice test of science knowledge. Only one item was flagged by the sensitivity reviewers as being potentially biased, but this item was not flagged by the statistical procedure. None of the nine items flagged by the Mantel-Haenszel procedure were flagged by the sensitivity reviewers. Eight of the nine statistically flagged items were differentially easier for males. Four of these eight measured the same category of objectives. The authors conclude that both judgmental and statistical procedures provide useful information and that both should be used in test construction. They caution readers that content-validity issues need to be addressed when making decisions based on the results of either procedure.