scholarly journals Adapting a Small Group Communication Quality Assessment to New Contexts

2018 ◽  
Vol 3 (2) ◽  
pp. 61 ◽  
Author(s):  
Lauren Jodi Van Scoy ◽  
Whittney Darnell ◽  
Tara Watterson ◽  
Vernon M Chinchilli ◽  
Emily J Wasserman ◽  
...  
Keyword(s):  
Medical Education ◽  
Small Group ◽  
Quality Analysis ◽  
Communication Quality ◽  
Small Group Communication ◽  
Group Settings ◽  
Communication Assessment ◽  
Communication Goals ◽  
The Individual ◽  
The Impact

Objectives: Small group learning is a well-established medical education strategy for cultivating essential communication skills. Yet, how best to measure communication quality in these groups remains understudied. This study aimed to adapt a communication assessment to medical education small group settings. Methods: This was an observational study of Preclinical Medical Humanities group discussions. Audio-recordings of 12 sessions (3 groups; n=22 students and 3 facilitators) were analyzed using Communication Quality Analysis. Three coders assessed communication quality by assigning numeric scores based on how well participants accomplished communication goals within five domains: content, engagement, relationship, emotion and identity. Coder reliability was assessed using intra-class correlations. Variance components were assessed using a generalized linear model.Results: High inter-rater reliability was established for each of five communication quality domains (ICC range 0.875 to 0.98). Variability in content, emotion, and engagement domains was primarily driven by the individual subjects (nested within the three communication groups)–accounting for 49%, 57% and 78% of the variability respectively; relational and identity domain score variability was accounted for by duration of class (accounting for 66% and 47% of the variability, respectively). Considerable variability was observed between participants, suggesting that the assessment is sensitive enough to detect nuanced differences between participants.Conclusions: Our study shows that CQA is reliable when adapted to medical education small groups.With further refinement, CQA provides an important measure that could be used in medical education to evaluate the impact of novel curricular activities or varied facilitation techniques on communication quality and other educational outcomes.

scholarly journals Implicit signals in small group settings and their impact on the expression of cognitive capacity and associated brain responses

2012 ◽  
Vol 367 (1589) ◽  
pp. 704-716 ◽  
Author(s):  
Kenneth T. Kishida ◽  
Dongni Yang ◽  
Karen Hunter Quartz ◽  
Steven R. Quartz ◽  
P. Read Montague
Keyword(s):  
Social Status ◽  
Small Group ◽  
Cognitive Capacity ◽  
Cultural Norms ◽  
Prediction Errors ◽  
Group Setting ◽  
Group Settings ◽  
Brain Responses ◽  
Dorsolateral Prefrontal ◽  
The Impact

Measures of intelligence, when broadcast, serve as salient signals of social status, which may be used to unjustly reinforce low-status stereotypes about out-groups' cultural norms. Herein, we investigate neurobehavioural signals manifest in small ( n = 5) groups using functional magnetic resonance imaging and a ‘ranked group IQ task’ where implicit signals of social status are broadcast and differentiate individuals based on their expression of cognitive capacity. We report an initial overall decrease in the expression of cognitive capacity in the small group setting. However, the environment of the ‘ranked group IQ task’ eventually stratifies the population into two groups (‘high performers’, HP and ‘low performers’, LP) identifiable based on changes in estimated intelligence quotient and brain responses in the amygdala and dorsolateral prefrontal cortex. In addition, we demonstrate signals in the nucleus accumbens consistent with prediction errors in expected changes in status regardless of group membership. Our results suggest that individuals express diminished cognitive capacity in small groups, an effect that is exacerbated by perceived lower status within the group and correlated with specific neurobehavioural responses. The impact these reactions have on intergroup divisions and conflict resolution requires further investigation, but suggests that low-status groups may develop diminished capacity to mitigate conflict using non-violent means.

11 Filling the void: preparing future junior doctors for challenging conversations

2018 ◽  
Vol 8 (3) ◽  
pp. 363.3-364
Author(s):  
Hannah Costelloe ◽  
Alice Copley ◽  
Andrew Greenhalgh ◽  
Andrew Foster ◽  
Pratik Solanki
Keyword(s):  
Palliative Care ◽  
Medical Education ◽  
Medical Students ◽  
Small Group ◽  
End Of Life ◽  
Communication Skills ◽  
Skills Training ◽  
Junior Doctors ◽  
List Type ◽  
The Impact

Evidence demonstrates that medical students have limited experience in developing ‘higher-order communication skills’ (Kaufman et al. 2000). Anecdotally many do not feel confident in their ability to conduct difficult conversations often due to a lack of exposure to such scenarios in practice or a pervasive notion that these scenarios are inappropriate for students and beyond the scope of a junior doctor’s role and thus not a focus of curriculums (Noble et al. 2007). There is however a correlation between level of clinical experience and improved confidence for medical students (Morgan and Cleave-Hogg 2002).We surveyed a group of final year medical students to assess their confidence using a 10-point Likert scale in tackling common palliative and end of life care scenarios. Our intervention comprised a study day of 10 practical small-group teaching simulation and OSCE-style stations designed to provide exposure to common experiences in a controlled setting. We reassessed the confidence of students after delivery and objectively explored the impact of the day by asking participants to complete a validated assessment before and after the course. All results showed significant improvement on t-testing: confidence in end of life communication in an OSCE setting improved by 42.2% and assessment marks improved by 24.7% (p=0.039).Palliative care is an area in which students approaching the end of undergraduate training feel underprepared. Our findings demonstrate that small group sessions improve confidence by facilitating communication practice in a controlled environment and providing crucial exposure to common palliative care scenarios they will face as doctors.References. Kaufman D, Laidlaw T, Macleod H. Communication skills in medical school: Exposure confidence and performance. Academic Medicine [online] 2000;75(10):S90–S92. Available at https://journals.lww.com/academicmedicine/Fulltext/2000/10001/Communication_Skills_in_Medical_School__Exposure.29.aspx [Accessed: 30 May 2018]. Morgan P, Cleave-Hogg D. Comparison between medical students’ experience confidence and competence. Medical Education [online] 2002;36(6):534–539. Available at https://doi.org/10.1046/j.1365-2923.2002.01228.x [Accessed: 30 May 2018]. Noble L, Kubacki A, Martin J, Lloyd M. The effect of professional skills training on patient-centredness and confidence in communicating with patients. Medical Education [online] 2007;41(5):432–440. Available at https://doi.org/10.1111/j.1365-2929.2007.02704.x [Accessed: 30 May 2018]

scholarly journals It’s what you do, not the way you do it – online versus face-to-face small group teaching in first year medical school

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Adrienne Torda ◽  
Boaz Shulruf
Keyword(s):  
Medical Education ◽  
Linear Regression ◽  
Small Group ◽  
Learning Outcomes ◽  
Social Outcomes ◽  
First Year ◽  
Direct Impact ◽  
Small Group Teaching ◽  
Face To Face ◽  
The Impact

Abstract Background Major disruptions imposed on medical education by the COVID-19 pandemic and the rapid shift to online teaching in medical programs, necessitated need for evaluation of this format. In this study we directly compared knowledge outcomes, social outcomes, and wellbeing of first year student small group teaching in either face to face (f2f) or online format. Methods At the end of the first course of our medical program, students were invited to participate in an online questionnaire with 10 quantitative items and 1 qualitative item. These were analysed using Factor Analysis Pattern Matrix and linear regression to group items and assess relatedness. Qualitative responses were thematized using Qualtrics software (Qualtrics, Provo, UT, USA). Summative assessment results were compared, both between current cohorts to historical cohorts. Results From a cohort of 298 students there was a 77% response rate. Overall, there were no differences in knowledge gains, either between groups or when compared to historical cohorts. Questionnaire items fell reliably into groups that related to either learning outcomes, social outcomes, or wellbeing. Independent T tests showed that format for teaching (online versus f2f) had an impact on social outcomes but no direct impact on learning outcomes. Linear regression revealed that the social outcomes have a direct impact on wellbeing and almost the double the impact on learning outcomes than mode of learning i.e.. F2f or online (β = .448 and β = .232 respectively). Conclusion In this study, we were able to show with statistical strength that social outcomes for students such as engaging with peers and facilitator, contributing to the group, and making friends have a direct impact on wellbeing and indirectly impact learning outcomes (such as motivation, satisfaction, integration of knowledge). In a rapidly changing educational landscape, in our opinion, it is vital that these aspects are a focus of design and delivery of medical education. The data from this study supports the notion that activity design and the expertise of the teacher in facilitating the small group activities, has greater impact than the mode of educational delivery itself on students’ learning processes.

It’s what you do, Not the way that you do it – Online Versus Face to Face Small Group Teaching in First Year Medicine.

2021 ◽  
Author(s):  
Adrienne Torda ◽  
Boaz Shulruf
Keyword(s):  
Medical Education ◽  
Linear Regression ◽  
Small Group ◽  
Learning Outcomes ◽  
Social Outcomes ◽  
First Year ◽  
Direct Impact ◽  
Small Group Teaching ◽  
Face To Face ◽  
The Impact

Abstract BackgroundMajor disruptions imposed on medical education by the COVID-19 pandemic and the rapid shift to online teaching in medical programs, necessitated need for evaluation of this format. In this study we directly compared knowledge outcomes, social outcomes, and wellbeing of first year student small group teaching in either face to face (f2f) or online format.MethodsAt the end of the first course of our medical program, students were invited to participate in an online questionnaire with 10 quantitative items and 1 qualitative item. These were analysed using Factor Analysis Pattern Matrix and linear regression to group items and assess relatedness. Qualitative responses were thematized using Qualtrics software (Qualtrics, Provo, UT, USA). Summative assessment results were compared, both between current cohorts to historical cohorts.ResultsFrom a cohort of 298 students there was a 77% response rate. Overall, there were no differences in knowledge gains, either between groups or when compared to historical cohorts. Questionnaire items fell reliably into groups that related to either learning outcomes, social outcomes, or wellbeing. Independent T tests showed that format for teaching (online versus f2f) had an impact on social outcomes but no direct impact on learning outcomes. Linear regression revealed that the social outcomes have a direct impact on wellbeing and almost the double the impact on learning outcomes than mode of learning ie. F2f or online (β=.448 and β=.232 respectively). ConclusionIn this study, we were able to show with statistical strength that social outcomes for students such as engaging with peers and facilitator, contributing to the group, and making friends have a direct impact on wellbeing and indirectly impact learning outcomes (such as motivation, satisfaction, integration of knowledge). In a rapidly changing educational landscape, it is vital that these aspects are a focus of design and delivery of medical education. The data from this study supports the notion that activity design and the expertise of the teacher in facilitating the small group activities, is more important than the mode of educational delivery itself.

Revisiting Leadership Communication: A Need for Conversation

2021 ◽  
pp. 097215092110619
Author(s):  
Irfan A Rizvi ◽  
Sapna Popli
Keyword(s):  
Communication Competence ◽  
Primary Objective ◽  
Primary Data ◽  
Organizational Leaders ◽  
Leadership Communication ◽  
Communication Assessment ◽  
Two Factors ◽  
The Individual ◽  
The Impact ◽  
Meaningful Communication

Effective communication is critical for leaders to influence and create an impact within and outside organizations. Despite this, questions are raised regarding the efficacy & effectiveness of organizational leaders in conducting meaningful communication & conversations with their teams. Often, organizations are unsure of the specific leadership communication attributes and their outcomes at the individual, team and organizational levels. The primary objective of this study is to evaluate the impact of leaders’ communication on the feelings and thoughts of subordinates and to identify attributes for a possible measure of ‘effective leadership communication’. On the basis of ‘communicative leadership’ theorization by Johansson et al. (2014) , primary data was collected from employees’ across organizations. The study reveals gaps in the leader’s communication competence and suggests a need for more meaningful conversation with subordinates. The study proposes a tool for leadership communication assessment comprising two factors: transforming thoughts and transforming individuals.

The Impact of Group Size and Social Presence on Small-Group Communication

2006 ◽  
Vol 37 (6) ◽  
pp. 631-661 ◽  
Author(s):  
Paul Benjamin Lowry ◽  
Tom L. Roberts ◽  
Nicholas C. Romano ◽  
Paul D. Cheney ◽  
Ross T. Hightower
Keyword(s):  
Small Group ◽  
Group Size ◽  
Social Presence ◽  
Group Communication ◽  
Small Group Communication ◽  
The Impact

Housing Wealth and Inheritance

1988 ◽  
Vol 17 (4) ◽  
pp. 417-436 ◽  
Author(s):  
Moira Munro
Keyword(s):  
Small Group ◽  
Old Age ◽  
Housing Wealth ◽  
Housing Career ◽  
Price Appreciation ◽  
The Individual ◽  
The Impact ◽  
First Time ◽  
Distribution Of Income ◽  
Close Family

ABSTRACTOwner-occupation is now an important source of wealth for many people. Housing has experienced price appreciation much in excess of most other assets over the last 20 years and, at the same time, owner-occupation has expanded dramatically. This paper first discusses the impact that this growth in popular wealth holding has had on the overall distribution of income and points to its great importance for all groups except the very wealthy. The importance of housing wealth to the individual is also discussed. Despite the importance of housing wealth, both at an individual and at the broader level, there is virtually no evidence on the transmission of wealth between generations for the mass of people with moderate wealth. This paper rectifies this by analysing the patterns of inheritance of housing wealth for a sample of estates in Glasgow. The evidence shows that wealth left by owner-occupiers is typically passed to a very small group in the close family. The amount of money received can be quite substantial, but tends to go to those in the same or the following generation, that is, people already in middle or old age themselves. Thus, housing inheritance is not likely to be passed directly to young, first time buyers, but to people who already have an established housing career.

Accent Policy and Accent Modification Enterprises as Potential Indicators of Intercultural Power Relations: A Call for an Updated Research Agenda

2013 ◽  
Vol 3 (1) ◽  
pp. 22-33 ◽  
Author(s):  
Brynne D. Ovalle ◽  
Rahul Chakraborty
Keyword(s):  
International Relations ◽  
Identity Construction ◽  
Social Theory ◽  
Power Relations ◽  
Linguistic Diversity ◽  
Cultural Organization ◽  
Using Data ◽  
The Individual ◽  
The Impact ◽  
The Relationship

This article has two purposes: (a) to examine the relationship between intercultural power relations and the widespread practice of accent discrimination and (b) to underscore the ramifications of accent discrimination both for the individual and for global society as a whole. First, authors review social theory regarding language and group identity construction, and then go on to integrate more current studies linking accent bias to sociocultural variables. Authors discuss three examples of intercultural accent discrimination in order to illustrate how this link manifests itself in the broader context of international relations (i.e., how accent discrimination is generated in situations of unequal power) and, using a review of current research, assess the consequences of accent discrimination for the individual. Finally, the article highlights the impact that linguistic discrimination is having on linguistic diversity globally, partially using data from the United Nations Educational, Scientific and Cultural Organization (UNESCO) and partially by offering a potential context for interpreting the emergence of practices that seek to reduce or modify speaker accents.

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