Search Results for
"human"

Called for in the 1870s and 1880s as a solution for the "apprenticeship crisis", the introduction of manual activities constituted one of the major elements of the law of 28th March 1882. This legislation introduced manual work as a primary school subject, envisaging it as a "preparation for vocational education" while associating it with scientific teaching. A certain number of institutional, material, and human constraints influenced the organization of this teaching, which was generally identified with woodwork and metalwork and for which the creation of school workshops seemed necessary. Towards the end of the 1880s, the feeling that this was too close to vocational training, especially in elementary levels of primary schools, led to an original didactic formula which kept the preparation for a trade and the related social practices at a distance and diminished the workshop aspects of the subject. Associated with mathematics and drawing, manual work integrated the space and norms of the class, placing the emphasis laid on its educational dimension aiming at facilitating its recognition as a subject in its own right.

Background: Although medical students' use of portfolios has been studied from many angles, little is known about their motivations. Aim: This article explores medical students' motives for voluntarily compiling a learning portfolio that widely exceeded the assignments. Methods: Content analysis was performed on 22 (8%; n = 22/269) extensive portfolios, followed by a semi-structured interview with 11 medical students. Building on the theoretical work of Simons et al. (2004), interpretative analysis was used to reconstruct and understand the medical students' motives for the effort they put into the portfolios. Results: Compiling an elaborate portfolio is mainly instigated by a personal instrumentality (internally regulated instrumental motivation). These medical students reflected on what they considered important and useful. The portfolio was a tool to achieve self-set goals, yet the specific goals turned out to be very different among the students, reflecting their particular needs and experiences during clerkship. Conclusion: Motivation theory shows that students whoare internally regulated use more deep-level learning strategies and perform better. Internally regulated motivation mainly occurs when students use the portfolio to achieve their self-set goals. The formal portfolio assignments, enforced by the medical school, were more related with externally regulated motivation.

Background: This study aimed to compare broad range of behavioral problems and their relations to working status of adolescents in samples of Turkish apprenticeship, technical and high schools. Method: The research was carried out on a total of 899 adolescents aged 15 to 20. The study sample was recruited from three different type of schools (High School, Technical School, Apprenticeship School), located in the city of Zonguldak, Turkey. Two questionnaires were administered to the students. First questionnaire evaluated the adolescents' sociodemographic variables, working status and working durations. Second questionnaire evaluated the behavioral problems namely Youth Self Report (YSR). Results: The majority of adolescents (75.2 %) in apprentice programs were working regularly. Compared to adolescents in high school and technical school, adolescent students in apprenticeship programs were found to have higher scores of withdrawn, somatic complaints, depression and anxiety, social problems, delinquent behaviors, internalization and externalization on the YSR. The Total Problems, Internalizing Problems, Somatic Complaints, Anxious/Depressed, Social Problems and Delinquent Behaviors scores of working adolescents were higher than nonworking adolescents. Conclusion: Compared to other schools, adolescents in apprenticeship programs were found to have higher behavioral problems. Longer working hours seems to be associated with withdrawn, somatic complaints, being anxious and depressed, social problems, delinquent behaviors, internalizing and externalization problems. We suggest that it is important to control working conditions of adolescents in order to prevent development of behavioral problems that may lead to several other health problems. © Universitätsverlag Ulm GmbH 2007.

The purpose of this study is to review the main perspectives or issues dealt with in the research on considered to be key competences, in order to develop a fuller understanding of how human competence functions. As a result of this review, two themes considered as having important implications for the actual practices can be identified: that there exists an holistic nature with different aspects of a given competence and that influences of a contextual and cultural nature are factors which affect the operation of human competence. By incorporating four characteristics and three domains of competence with the review conducted in this study, we began to appreciate what the research on human characteristics related to key competences has achieved and what is needed for future research. Copyright 2007 by Education Research Institute.

Aim: To assess and observe the development of competence in oral surgical skills during a 3-year undergraduate programme. Method: Over a 3-year period 75 students were followed through from the beginning of their clinical course to their Bachelor of Dental Surgery graduation and their surgical experience monitored by the use of logbooks. Their development of competence was assessed objectively through structured assessments and subjectively by a single tutor responsible for each year. Assessments were made of their ability in exodontia, pre-surgical assessment and the surgical extraction of teeth/roots. Results: Seventy-three students completed the course (97%). Successful completion rates for the objective testing were 100% for both exodontia and pre-surgical assessment. The surgical assessment, (surgical extraction of a tooth or root) had a successful completion rate of only 23% and the caseload for students was low with a mean of four teeth removed surgically upon graduation. Relationships were examined between total numbers of teeth extracted, total number of minor oral surgical procedures completed and the successful completion of the surgical competence assessment, but no significant relationships were found. Conclusions: This study demonstrates that it is possible to achieve objectively measurable levels of competence in undergraduates undertaking oral surgery procedures. It is however, a labour and time intensive process and appropriate clinical and teaching resources are required. National co-operation towards agreed standardised competencies should be encouraged to allow data to be pooled and more powerful analyses to occur. © 2007 The Authors. Journal Compilation © 2007 Blackwell Munksgaard.

Background and objective: The case/problem-based learning discussion method was recently introduced into the theory-based training program for residents run by the Catalan Society of Anaesthesiology. This study was designed to assess and compare its effectiveness with that of the lecture-based approach for teaching pre-anaesthetic assessment, applying an objective tool for knowledge evaluation before and after teaching. Methods: A prospective randomized study of two consecutive year groups of first year anaesthesiology residents was conducted. Twenty-nine residents attended a lecture, and 25, a case/problem-based learning discussion session. Their knowledge of pre-anaesthetic assessment was assessed before and after the teaching session with tests on four different clinical cases measuring six fields: (1) 'recognizing clinical data with anaesthetic implications'; (2) 'reasoning clinical data with anaesthetic implications'; (3) 'ASA class'; (4) 'Mallampati class'; (5) 'choice of anaesthetic technique'; (6) 'reasoning choice of anaesthetic technique'. Results: Before the teaching session, the lecture group scored significantly higher on field 1 (P = 0.006). Both teaching methods improved scores on fields 1, 2 and 4. The case/problem group also improved on fields 3 and 6. After the teaching session, the field 1 score was still significantly higher in the lecture group (P = 0.005), and the field 3 score was significantly higher in the case/problem group (P = 0.044). Conclusions: The effectiveness of lecture and case/problem-based learning discussion differed little in terms of improving participants' immediate knowledge of 'pre-anaesthetic assessment'. © 2007 Copyright European Society of Anaesthesiology.

The paper presents a conceptual review over the main aspects concerning the role of human capital investments and training activities within production processes, followed by empirical evidence on two local economic systems in Northern Italy, based on recent survey data. Theoretical and empirical considerations are brought together in order to provide new insights on the role of training and the factors associated to training activities at firm level. The potential driving factors of training here analysed compounds structural characteristics, labour demand dynamics, human resource management practices, workforce features, and firm performances. We observe that training activities emerge positively associated with high-performance practices, innovative labour demand features, workforce skill level, firm size, and are affected by labour flexibility in various directions. Empirical evidence confirms most previous results but also adds further important insights. The analysis suggests that a widening gap, between few innovatively evolving and many stagnant firms, could characterise the future dynamics of the Region. The high relevance of structural variables, labour demand factors and HRM/innovation practices shows that regional industrial policies and labour policies should be jointly implemented for increasing potential firm productivity. This is a key concern for the current debate on local systems economic development in the European and Italian environment. © 2007 Elsevier Inc. All rights reserved.

This study explores whether a clinical teaching effectiveness (CTE) instrument provides valid scores for summative faculty assessment. The sample included all CTE instruments (n = 10,087) that learners (N = 1,194) completed to assess clinical teachers (N = 872) during 1 academic year. The authors investigated response processes (e.g., missing data, straight-line responses, level of learner), internal structure (e.g., confirmatory and exploratory factor analysis), teaching ratings by learner group (medical student or resident), and relation to other variables (e.g., correlation with global rating). Response processes identified a high prevalence of straight-line responses (same rating across all items) and differential patterns of missing data by learner group. Medical students rated their teachers higher than residents, and CTE scores had different factor structures depending on learner group. High correlation coefficients of CTE items with a single rating of overall teaching performance suggest that learners consider global performance when assessing clinical teaching performance. © 2007 Sage Publications.

Background: There has been concern that trainees are seldom observed, assessed, and given feedback during their workplace-based education. This has led to an increasing interest in a variety of formative assessment methods that require observation and offer the opportunity for feedback. Aims: To review some of the literature on the efficacy and prevalence of formative feedback, describe the common formative assessment methods, characterize the nature of feedback, examine the effect of faculty development on its quality, and summarize the challenges still faced. Results: The research literature on formative assessment and feedback suggests that it is a powerful means for changing the behaviour of trainees. Several methods for assessing it have been developed and there is preliminary evidence of their reliability and validity. A variety of factors enhance the efficacy of workplace-based assessment including the provision of feedback that is consistent with the needs of the learner and focused on important aspects of the performance. Faculty plays a critical role and successful implementation requires that they receive training. Conclusions: There is a need for formative assessment which offers trainees the opportunity for feedback. Several good methods exist and feedback has been shown to have a major influence on learning. The critical role of faculty is highlighted, as is the need for strategies to enhance their participation and training.

Objective: The aim of this study was to test the hypothesis that pediatric residents would display similar levels of asthma interpersonal and communication skills in announced versus unannounced adolescent standardized patient (SP) encounters. Methods: We conducted a prospective repeat measures experimental study at a pediatric residency program at an inner-city children's hospital. A cohort of residents (N = 18) was subjected at random to 3 SP exercises: announced and being directly observed by faculty, announced and not observed by faculty, and unannounced and unobserved. Six adolescent SPs were trained to complete checklists that included items like asthma daytime and nighttime symptoms, exercise-induced symptoms, triggers, and asthma education. For the unannounced exercises, SPs were inserted into residents' regularly scheduled clinics. Standardized patients rated residents immediately following each exercise. Residents were rated by faculty following the observed encounter. Faculty rating validated SP ratings on the observed encounter. Differences in proportions of categorical variables were tested by chi-square analyses. Results: Fifty-four resident-SP encounters were analyzed. Residents consistently displayed significantly lower levels of desired behaviors in interpersonal and communication skills in the unannounced SP encounters on 10 of 14 checklist items. For example, residents asked about exercise-induced symptoms 90% of the time in announced/observed encounters versus 95% in announced/unobserved encounters versus 72% in unannounced/unobserved encounters (P = .001). There were no significant differences in residents' behaviors in the announced SP exercises (whether observed or unobserved). Conclusion: In this study, residents demonstrated lower levels of asthma communication skills during unannounced SP exercises. By using unannounced SPs, we were able to assess residents' interpersonal and communication skills in real clinical settings. © 2007 Ambulatory Pediatric Association.