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.     

Quality Assurance with Respect to University Teaching in South Africa: a narrative analysis

In this paper, national research projects underway which are aimed at establishing national standards on lecturing capabilities within a new national qualifications framework, are argued to typify a policy narrative informed by functionalist understandings of education, curriculum and evaluation. This narrative is counter‐posed with two others, found largely but not exclusively in the historically white liberal English‐speaking universities, which critique that narrative, arguing that curriculum development, the evaluation of courses and programmes, and the assessment of teaching, are complex activities which are context‐bound, and incapable of being reduced to the measurement of the performance of certain capabilities. In the analysis undertaken in the paper, the two critiques identified are argued to be at odds with the dominant policy narrative partly because, although much of the language and the intentions are similar, at base lie fundamentally different concepts of quality. The dominant narrative is argued to regard quality as ‘fitness for purpose’, where the overall purpose of higher education is assumed to be singular and uncontested, and as meeting certain pre‐specified standards. The critiques understand quality either in the liberal sense as an absolute to be aspired to, or in a more constructivist way, as significantly adding to existing levels of development in particular sectors, thereby contributing to greater justice and equality in South African society. These different understandings have different implications for the assurance of quality in university teaching. The power differentials between the narratives are explored and it is argued that unless a way is found to accommodate the different perspectives, resistance to the dominant narrative might undermine its implementation. In this paper a metanarrative ‘told’ by the comparison of the three narratives, which attempts to take into account the conceptual dissonance examined, is put forward. It is suggested that, in order to lead to a policy‐relevant narrative on quality assurance with respect to university teaching, a conceptual distinction between ‘quality’ and ‘standards’ be made. With this conceptual separation, policies may be developed to assure both standards and quality, using different methodologies and different implementing bodies in such a way that potential resistance to the dominant narrative may be averted.     

Leveraging sponsorship: The activation ratio

The accelerated growth of sponsorship has brought increased attention and scrutiny to this relatively new area of marketing and communications strategy. In turn, researchers have focused on defining, understanding and measuring the various aspects of sponsorship. However, detailed research related to the ‘how’ of sponsorship implementation remains limited. A key aspect of implementation is known as activation, which refers to the investment by the sponsor above and beyond the fee required to acquire the official rights to that sponsorship. Activation is normally referred to as a ratio of the additional investment to the cost of the rights fees. Previous studies have offered recommended activation ratios ranging from 1:1 to as high as 8:1 in order to fully reap the rewards of sponsorship. This research seeks to enhance our understanding of sponsorship activation via an in-depth case study, a typical method for exploratory research of this nature. Specifically, we ask (i) what drives activation, (ii) what are the best methods of activation, and (iii) how much should be spent on activation? Findings suggest that management decisions regarding activation focus on the custom development of quality strategies versus increasing the activation ratio. Indeed, a formula based on a variety of factors is recommended since activation tactics and their appropriateness to a specific sponsorship are the cornerstones of sponsorship success. Overall, results present a four-step model including activation drivers, strategic considerations, activation spending, and sponsorship outcomes.     

Delivering Information Literacy Instruction for a Joint International Program: An Innovative Collaboration Between Two Libraries

This article focuses on a collaborative project between Mount Saint Vincent University Library and Bermuda College Library to introduce students to services and resources at the libraries of the partner institutions. Using Web conferencing software that allowed for voice, instant messaging chat, and live Web demonstration, a series of workshops was developed to introduce students to the concepts of information and literacy and reinforce for the students that they were able to access librarians and library services at both institutions. Issues relating to both the students’ home library at Bermuda College in Hamilton, Bermuda and their remote library at Mount Saint Vincent University in Nova Scotia, Canada are examined, including the obstacles that have been surmounted as well as recommendations for other libraries considering this type of partnership. Strategies, activities, and tools used to implement the initiative are discussed.     

Innovative programs for improvement in reading through cognitive enhancement: a remediation study of Canadian First Nations children

Forty-five Grade 3 students from a reservation school in Western Canada were divided into two remedial groups and a no-risk control group. One remedial group was given a classroom-administered cognitive enhancement program (COGENT) throughout the school year. The second group received COGENT for the first half of the year followed by a pull-out cognitive-based reading enhancement program (PREP). Children were assessed across phonological awareness, rapid naming, reading, and cognitive ability at the beginning of the year, mid-term, and at the end of the school year. MANOVA results showed a significant interaction for reading measures, with students receiving classroom intervention over the school year making the greatest gains. Results are discussed in terms of group, remediation program, and individual participant improvements.     

Unique Contributions of Maternal Reading Proficiency to Predicting Children’s Preschool Receptive Vocabulary and Reading Proficiency

This study investigated whether mothers’ measured reading proficiency and their educational level predict, over and above each other, their children’s receptive vocabulary and reading proficiency when confounding factors of speaking a minority language, ethnicity, number of children in the family, and marital and employment status are controlled. The sample included 155 children (aged 3–5 years) and their mothers (aged 20–44 years) of low income and low educational background from Western Canada. Findings support the conclusion that maternal reading level predicts both their children’s receptive vocabulary and reading proficiency prior to schooling after maternal education is taken into account. The findings also show, after the effects of maternal reading ability are removed, maternal education predicts their children’s reading ability prior to school but not their receptive vocabulary proficiency. Thus, maternal reading proficiency and maternal education appear not to serve as proxies for each other, and the use of both variables should be used in studies where children’s reading and receptive vocabulary proficiency are dependent measures. Early childhood educators dedicated to the improvement of the language and literacy levels of children in their care may consider the implementation of programs that focus on improving mothers’ reading proficiency whereby their children’s levels also improve. Early childhood education is the prime time to provide a richer and more fruitful approach to reduce the persistent knowledge gap of children from low-income and low-educational background families.     

Revisiting the "simple view of reading" in a group of children with poor reading comprehension

According to Gough and Tunmer's Simple View of Reading, Reading Comprehension = Decoding (D) x Listening Comprehension (C). The purpose of this study was to evaluate the model with a sample of First Nations children, known to have average decoding and listening comprehension but poor reading comprehension. In addition, the authors examined the contribution of naming speed and phonological awareness to reading comprehension beyond the effects of D and C. Consistent with the findings of previous studies, the children exhibited poor reading comprehension despite average performance in decoding and listening comprehension, a finding that challenges the simple view of reading. The results also revealed that an additive model (D + C) fitted the data equally well as a product model (D x C). Neither naming speed nor phonological awareness accounted for unique variance.     

Using learning analytics to explore self-regulated learning in flipped blended learning music teacher education

Blended learning (BL) is a popular e-Learning model in higher education that has the potential to take advantage of learning analytics (LA) to support student learning. This study utilized LA to investigate fourth-year undergraduates' (n = 157) use of self-regulated learning (SRL) within the online components of a previously unexamined BL discipline, Music Teacher Education. SRL behaviors were captured unobtrusively in real time through students' interaction with course materials in Moodle. Categorized by function: (1) activating—online access location, day-of-the-week, time-of-day; (2) sustaining—online frequency; and (3) structuring—online regularity and exam review patterns, all six SRL behaviors were revealed to have weak to moderate significant relationships with academic achievement. Results indicated access day-of-the-week and access frequency as the strongest predictors for student success. Findings regarding access regularity when viewed through results from previous SRL-LA research may suggest the importance of this SRL behavior for successful students within several BL discipline areas. In addition, the role of learning design (eg, flipped instruction) in potentially scaffolding students' choices toward specific SRL behaviors, was revealed as an important context for future researchers' consideration.     

Beyond the Total Score: A Preliminary Investigation into the Types of Phonological Awareness Errors Made by First Graders

Current phonological awareness assessment procedures consider only the total score a child achieves. Such an approach may result in children who achieve the same total score receiving the same instruction even though the configuration of their errors represent fundamental knowledge differences. The purpose of this study was to develop a tool for phonological awareness error classification and explore the types of errors made by 215 grade one children from low socioeconomic backgrounds on a phonological awareness test. Twenty-one distinct errors were identified and classified into eight categories. The most frequently occurring error category was Additions followed by Segmentations, Substitutions, Insertions, Repetitions, Omissions, Reversals, and Multiple Errors. Examination of a subsample of study participants who were classified as high and low reading performers revealed differences in the both the degree and type of errors exhibited. Low reading performers exhibited significantly more Insertion, Omission, Segmentation, and Substitution errors. Knowledge of child errors has the potential to enhance understanding and interpretation of child test performance and subsequent instructional recommendations.     

An Evaluative Look at the Model used in the Assessment of Teaching Quality at the University of Natal,South Africa: reflections,rewards and reconsiderations

The assessment of teaching quality has been high on the agenda of higher education institutions in South Africa since the beginning of the momentous transformation of that society and the attendant relatively sudden changes in the student constituencies served by those institutions. The University of Natal has accepted the need to recognise and reward quality in teaching, and since 1994 has implemented a new route to academic promotion through teaching, based on committee evaluation of a candidate's teaching portfolio. In this paper, the process of development and the actual model of the assessment of quality in teaching, including the evaluation criteria used in assessing teaching portfolios, is explored, described and evaluated. The successes and the problems inherent in the system are highlighted, and suggestions are made with respect to possible reconsiderations. Finally, the possibilities for generalising the model for use in other institutions are explored.