scholarly journals The Reliability of 2-Station Clerkship Objective Structured Clinical Examinations in Isolation and in Aggregate

2019 ◽  
Vol 6 ◽  
pp. 238212051986344
Author(s):  
Aaron W Bernard ◽  
Richard Feinn ◽  
Gabbriel Ceccolini ◽  
Robert Brown ◽  
Ilene Rosenberg ◽  
...  
Keyword(s):  
Clinical Skills ◽  
The United States ◽  
Good Reliability ◽  
Generalizability Coefficient ◽  
Variance Components Analysis ◽  
Objective Structured Clinical Examinations ◽  
Potential Alternative ◽  
Clerkship Grade ◽  
The Individual ◽  
Academic Year

Background: Most medical schools in the United States report having a 5- to 10-station objective structured clinical examination (OSCE) at the end of the core clerkship phase of the curriculum to assess clinical skills. We set out to investigate an alternative OSCE structure in which each clerkship has a 2-station OSCE. This study looked to determine the reliability of clerkship OSCEs in isolation to inform composite clerkship grading, as well as the reliability in aggregate, as a potential alternative to an end-of-third-year examination. Design: Clerkship OSCE data from the 2017-2018 academic year were analyzed: the generalizability coefficient (ρ2) and index of dependability (φ) were calculated for clerkships in isolation and in aggregate using variance components analysis. Results: In all, 93 students completed all examinations. The average generalizability coefficient for the individual clerkships was .47. Most often, the largest variance component was the interaction between the student and the station, indicating inconsistency in the performance of students between the 2 stations. Aggregate clerkship OSCE analysis demonstrated good reliability for consistency (ρ2 = .80). About one-third (33.8%) of the variance can be attributed to students, 8.2% can be attributed to the student by clerkship interaction, and 42.6% can be attributed to the student by block interaction, indicating that students’ relative performances varied by block. Conclusions: Two-station clerkship OSCEs have poor to fair reliability, and this should inform the weighting of the composite clerkship grade. Aggregating data results in good reliability. The largest source of variance in the aggregate was student by block, suggesting testing over several blocks may have advantages compared with a single day examination.

‘A Routh O’ Auld Nick-Nackets’ – the antiquarian collection of John Rae

2015 ◽  
Vol 36-37 (1) ◽  
pp. 163-183
Author(s):  
Paul Taylor
Keyword(s):  
United States ◽  
Nineteenth Century ◽  
Social Context ◽  
Moral Education ◽  
The United States ◽  
Representative Case ◽  
National Museums ◽  
The Individual ◽  
The University

John Rae, a Scottish antiquarian collector and spirit merchant, played a highly prominent role in the local natural history societies and exhibitions of nineteenth-century Aberdeen. While he modestly described his collection of archaeological lithics and other artefacts, principally drawn from Aberdeenshire but including some items from as far afield as the United States, as a mere ‘routh o’ auld nick-nackets' (abundance of old knick-knacks), a contemporary singled it out as ‘the best known in private hands' (Daily Free Press 4/5/91). After Rae's death, Glasgow Museums, National Museums Scotland, the University of Aberdeen Museum and the Pitt Rivers Museum in Oxford, as well as numerous individual private collectors, purchased items from the collection. Making use of historical and archive materials to explore the individual biography of Rae and his collection, this article examines how Rae's collecting and other antiquarian activities represent and mirror wider developments in both the ‘amateur’ antiquarianism carried out by Rae and his fellow collectors for reasons of self-improvement and moral education, and the ‘professional’ antiquarianism of the museums which purchased his artefacts. Considered in its wider nineteenth-century context, this is a representative case study of the early development of archaeology in the wider intellectual, scientific and social context of the era.

Journey to the Advisor Within: Exploring Challenge, Transformation and Evolution in Advisor Stories

Relay Journal ◽  
2019 ◽  
pp. 319-322
Author(s):  
Gamze Güven-Yalçın ◽  
Stephanie Lea Howard ◽  
Hatice Karaaslan
Keyword(s):  
Language Learning ◽  
Reflective Practice ◽  
Message Board ◽  
Initial Experiment ◽  
Narrative Style ◽  
The Third ◽  
Visual Message ◽  
Knowledge And Practice ◽  
The Individual ◽  
Academic Year

In the Reflective Practice column of the third issue of the Relay Journal, Yamamoto (2019) remarked on the importance of creating a platform for advisors to voice their views, feelings, and experiences, and suggested a need for more reflective narratives to be posted from different social, historical, and cultural contexts in order to provide an intimate view inside advising sessions, thereby offering a better understanding of said advising practices. The aim was to create a forum where advisors could learn from each other, and ultimately, everyone could mutually benefit from the experiences shared. To further this innovative research into Advising in Language Learning (ALL), the initial experiment by language advsiors at Kanda has been replicated in a different setting with four learning advisors from Ankara Yıldırım Beyazıt University, Turkey. The design used by the advisors at Kanda, a narrative style adopted while telling the stories, has been expanded to include a visual message board to which 20 learning advisors have contributed with their short reflective captions on their advisor selves. Additionally, the theme used by the advisors at Kanda, “the most memorable advising experience of this academic year” has been altered in our case to avoid repetition and to allow reflection on different aspects of the advising experiences. Thus, our narratives and the visual message board will examine two different themes: (1) How has advising affected you? (2) How do you define yourself as an advisor? Four narratives have elaborated on the first theme of the influence of advising knowledge and practice on the individual advisors, and the visual message board includes 20 images with reflective captions on the second theme of defining advisor identities.

Hospice Care in the United States: The Process Begins

1983 ◽  
Vol 13 (2) ◽  
pp. 159-171 ◽  
Author(s):  
Robert W. Buckingham
Keyword(s):  
Home Care ◽  
Hospice Care ◽  
Care Facility ◽  
The United States ◽  
Considerable Change ◽  
Educational Institutions ◽  
Hospice Movement ◽  
Treatment Equipment ◽  
Centered Care ◽  
The Individual

The hospice concept represents a return to humanistic medicine, to care within the patient's community, for family-centered care, and the view of the patient as a person. Medical, governmental, and educational institutions have recognized the profound urgency for the advocacy of the hospice concept. As a result, a considerable change in policy and attitude has occurred. Society is re-examining its attitudes toward bodily deterioration, death, and decay. As the hospice movement grows, it does more than alter our treatment of the dying. Hospices and home care de-escalate the soaring costs of illness by reducing the individual and collective burdens borne by all health insurance policyholders. Because hospices and home care use no sophisticated, diagnostic treatment equipment, their overhead is basically for personal care and medication. Also, the patient is permitted to die with dignity. Studies indicated that the patient of a hospice program will not experience the anxiety, helplessness, inadequacy, and guilt as will an acute care facility patient. Consequently, a hospice program can relieve family members and loved ones of various psychological disorders.

Medicaid Not Required to Fund Medically Necessary Abortions

1980 ◽  
Vol 1 (8) ◽  
pp. 3-6
Author(s):  
George J. Annas
Keyword(s):  
United States ◽  
Law Enforcement ◽  
United States Supreme Court ◽  
The United States ◽  
United States Constitution ◽  
Medical Procedures ◽  
Poor Women ◽  
Law Enforcement Agency ◽  
The Individual ◽  
Joint Resolution

In an extraordinary and highly controversial 5-4 decision, the United States Supreme Court decided on June 30, 1980, that the United States Constitution does not require either the federal government or the individual states to fund medically necessary abortions for poor women who qualify for Medicaid.At issue in this case is the constitutionality of the Hyde Amendment. The applicable 1980 version provides:|N]one of the funds provided by this joint resolution shall be used to perform abortions except where the life of the mother would be endangered if the fetus were carried to term; or except for such medical procedures necessary for the victims of rape or incest when such rape or incest has been reported promptly to a law enforcement agency or public health service, (emphasis supplied)

A Discussion of Ismail K. White and Chryl N. Laird’s Steadfast Democrats: How Social Forces Shape Black Political Behavior

2021 ◽  
Vol 19 (1) ◽  
pp. 209-210
Author(s):  
Michael Leo Owens
Keyword(s):  
African American ◽  
African Americans ◽  
Political Behavior ◽  
Democratic Party ◽  
The United States ◽  
Social Forces ◽  
Individual Level ◽  
The Individual ◽  
Behavioral Norm ◽  
Black Political Behavior

Charge: As Ismail K. White and Chryl N. Laird note, collectively more than 80% of African Americans self-identify as Democrats according to surveys, and no Republican presidential candidate has won more than 13% of the Black vote since 1968. This is true despite the fact that at the individual level many African Americans are increasingly politically moderate and even conservative. Against this backdrop, what explains the enduring nature of African American support for the Democratic Party? In Steadfast Democrats: How Social Forces Shape Black Political Behavior, White and Laird answer this question by developing the concept of “racialized social constraint,” a unifying behavioral norm meant to empower African Americans as a group and developed through a shared history of struggle against oppression and for freedom and equality. White and Laird consider the historical development of this norm, how it is enforced, and its efficacy both in creating party loyalty and as a path to Black political power in the United States. On the cusp of perhaps the most consequential presidential election in American history, one for which African American turnout was crucial, we asked a range of leading political scientists to assess the relative strengths, weaknesses, and ramifications of this argument.

scholarly journals US Rural Surgeons Leading During COVID-19: Where Are They Now?

2020 ◽  
pp. 000313482096005
Author(s):  
Michael Sarap ◽  
Julie Conyers ◽  
Crystal Cunningham ◽  
Adam Deutchman ◽  
Glenn Levine ◽  
...  
Keyword(s):  
United States ◽  
The United States ◽  
Social Lives ◽  
The Individual

Rural surgeons from disparate areas of the United States report on the effects of the COVID-19 pandemic in their communities as the virus has spread across the country. The pandemic has brought significant changes to the professional, economic, and social lives of the individual surgeons and their communities.

scholarly journals Analysis of Severe Injuries in Crashes Involving Large Trucks Using K-Prototypes Clustering-Based GBDT Model

Safety ◽  
2021 ◽  
Vol 7 (2) ◽  
pp. 32
Author(s):  
Syed As-Sadeq Tahfim ◽  
Chen Yan
Keyword(s):  
Injury Severity ◽  
Unobserved Heterogeneity ◽  
The United States ◽  
Clustering Methods ◽  
Severe Injuries ◽  
Traffic Crash ◽  
Crash Data ◽  
Boosted Decision Trees ◽  
The Individual ◽  
Crash Characteristics

The unobserved heterogeneity in traffic crash data hides certain relationships between the contributory factors and injury severity. The literature has been limited in exploring different types of clustering methods for the analysis of the injury severity in crashes involving large trucks. Additionally, the variability of data type in traffic crash data has rarely been addressed. This study explored the application of the k-prototypes clustering method to countermeasure the unobserved heterogeneity in large truck-involved crashes that had occurred in the United States between the period of 2016 to 2019. The study segmented the entire dataset (EDS) into three homogeneous clusters. Four gradient boosted decision trees (GBDT) models were developed on the EDS and individual clusters to predict the injury severity in crashes involving large trucks. The list of input features included crash characteristics, truck characteristics, roadway attributes, time and location of the crash, and environmental factors. Each cluster-based GBDT model was compared with the EDS-based model. Two of the three cluster-based models showed significant improvement in their predicting performances. Additionally, feature analysis using the SHAP (Shapley additive explanations) method identified few new important features in each cluster and showed that some features have a different degree of effects on severe injuries in the individual clusters. The current study concluded that the k-prototypes clustering-based GBDT model is a promising approach to reveal hidden insights, which can be used to improve safety measures, roadway conditions and policies for the prevention of severe injuries in crashes involving large trucks.

The great Chinese surprise: the rupture with the United States is real and is happening

2020 ◽  
Vol 96 (2) ◽  
pp. 419-437
Author(s):  
Xiangfeng Yang
Keyword(s):  
United States ◽  
The United States ◽  
Donald Trump ◽  
Ample Evidence ◽  
Pendulum Swing ◽  
The Us ◽  
Methodological Problems ◽  
Trade War ◽  
The Stability ◽  
The Individual

Abstract Ample evidence exists that China was caught off guard by the Trump administration's onslaught of punishing acts—the trade war being a prime, but far from the only, example. This article, in addition to contextualizing their earlier optimism about the relations with the United States under President Trump, examines why Chinese leaders and analysts were surprised by the turn of events. It argues that three main factors contributed to the lapse of judgment. First, Chinese officials and analysts grossly misunderstood Donald Trump the individual. By overemphasizing his pragmatism while downplaying his unpredictability, they ended up underprepared for the policies he unleashed. Second, some ingrained Chinese beliefs, manifested in the analogies of the pendulum swing and the ‘bickering couple’, as well as the narrative of the ‘ballast’, lulled officials and scholars into undue optimism about the stability of the broader relationship. Third, analytical and methodological problems as well as political considerations prevented them from fully grasping the strategic shift against China in the US.

Comparing “Individual Health” Message Framing to “Organizational Efficiency” Message Framing to Encourage Adoption of Wearable Health Technologies at Work

2020 ◽  
pp. 089011712094431
Author(s):  
Jillian K. Kwong ◽  
Ignacio Cruz ◽  
Sheila T. Murphy
Keyword(s):  
Financial Incentives ◽  
Message Framing ◽  
The United States ◽  
Wearable Technology ◽  
Organizational Efficiency ◽  
Health Technologies ◽  
Individual Health ◽  
Intention To Adopt ◽  
The Individual ◽  
Adoption Intention

Purpose: To determine the relative impact of framing on employee intention to adopt wearable technology (eg, Fitbits) at work. Setting and Design: Posttest only online experiment utilizing a 2 (framing: organizational efficiency vs individual health) × 2 (financial incentive: absent vs present) between-subjects design. Participants: Participants (N = 310) were 18 years or older, currently employed, and residing in the United States. Measures: Unified Theory of Acceptance and Use of Technology (UTAUT) subscale on behavioral intent (modified for wearable technology). Analysis: Chi-square and between-subjects analysis of variance. Results: Participants receiving the organizational efficiency frame ( M = 3.97) expressed significantly lower intention to adopt a wearable compared to the individual health frame ( M = 4.37), F 2,308 = 3.99, P = .047. Financial incentives had a positive effect on adoption intention ( M = 4.39 with incentive, M = 3.95 no incentive), F 2,308 = 4.46, P = .036. The main effects of frame and incentive were additive, with participants in the individual health with incentive condition (n = 78, M = 4.60) expressing the highest intention to adopt and organizational efficiency without incentive expressing the lowest adoption intention (n = 77, M = 3.80; P = .03). Conclusions: Messaging emphasizing individual health benefits plus financial incentives might prove most successful when encouraging adoption of wearables at work.

Foundations of International Aid

1960 ◽  
Vol 329 (1) ◽  
pp. 137-143
Author(s):  
Jane M. Hoey
Keyword(s):  
Well Being ◽  
International Aid ◽  
Developed Countries ◽  
The United States ◽  
Moral Foundations ◽  
Economic Progress ◽  
Political Independence ◽  
The Developed Countries ◽  
The Individual

The newly developing countries desire not only political independence but also economic progress for their people—a progress which they can see, and are now aware of, in the rest of the world. The role of the developed countries is to extend aid to the needy. Moral foundations underlie the donor's contributions, but they are more than that, they are the means for acquiring support for international aid in the donor's country. The United States must assume the leader ship among' the free nations in granting aid; she must accept this role because of her economic achievements and technologi cal advantages. Donators of such aid should take cognizance of the complementary character and interrelatedness of economic and social development. For economic development, however much it is sought, is not an end in itself, rather the aim is the well-being and happiness of the individual. Such a goal neces sitates economic aid accompanied by social aid. Social welfare can also be a vehicle to achieve peace, inasmuch as people-to- people relationships generate brotherly love—the only lasting foundation for peace.—Ed.

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