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Policy and attitude-related reasons for gender disparity in post allocation for graduate medical education in Austria

Article Open Access
Objective: A previous study found that in Austria 50.3 physicians (m: 43.2, f: 58.6) have not attained their chosen specialty. We aimed to explore the policy and attitude-related reasons for gender disparity in training post allocation. Methods: This cross-sectional study used a quantitative and a qualitative method. A self-administered 12-item questionnaire was sent twice to all 8127 licensed Viennese physicians. Physicians' opinions regarding why the chosen medical specialty was not attained were analyzed. To estimate the responder bias respondents from the first and second mailing were compared. Results: A total of 2736 questionnaires (34) were returned. When a specialty is favored by men, the chance for women to achieve that specialty decreases. According to the qualitative results, men were more often ready to accept training in a specialty different from the one originally desired. Female physicians were put at a disadvantage by consultants due to organizational considerations and sex-stereotyping. Conclusions: According to physicians' self-reported opinions, consultants do not place female candidates at disadvantage as a result of an unconscious process but mainly based on reasoning about organizational aspects and sex-stereotyping. Several explanations for the phenomenon that men are more often ready to accept training in a specialty different from the one originally desired were identified. © 2010 Informa UK Ltd All rights reserved.
Objective: A previous study found that in Austria 50.3 physicians (m: 43.2, f: 58.6) have not attained their chosen specialty. We aimed to explore the policy and attitude-related reasons for gender disparity in training post allocation. Methods: This cross-sectional study used a quantitative and a q …

Current trends in complete denture teaching in British dental schools

Article
Aims Against the background of the publication of the General Dental Council's interim report on undergraduate dental education the aim was to investigate current trends in teaching of complete denture construction to undergraduates in the twelve long established dental schools and to gather the opinions of lead teachers of complete denture courses regarding students' competence on graduation. Materials and method A questionnaire containing twenty-five factual questions and eight opinion questions was sent by email to the lead teacher in each of the twelve long established dental schools. Results Replies were received from all twelve schools. All schools teach complete denture construction although the number of cases students are required to treat varies from 5-6 to 1-2. Laboratory courses also varied in content and in most schools all technical work for patients was completed by technicians. Opinions varied regarding the level of competence achieved by students and their preparedness for Vocational Training. Three respondents thought students were adequately prepared, four thought they were, but with reservations and five thought their students were under prepared. The majority thought that the external examiner system, Teaching Quality Assessments and GDC visitations did not ensure GDC requirements for competence in complete denture construction were being met. © 2010 Macmillan Publishers Limited. All rights reserved.
Aims Against the background of the publication of the General Dental Council's interim report on undergraduate dental education the aim was to investigate current trends in teaching of complete denture construction to undergraduates in the twelve long established dental schools and to gather the opi …

Facilitating evaluations of innovative, competence-based assessments: Creating understanding and involving multiple stakeholders

Article
Schools are held more responsible for evaluating, quality assuring and improving their student assessments. Teachers' lack of understanding of new, competence-based assessments as well as the lack of key stakeholders' involvement, hamper effective and efficient self-evaluations by teachers of innovative, competence-based assessments (CBAs). While evaluating two CBAs in Agricultural Vocational Education and Training institutions, two interventions in the evaluation process aimed to tackle these problems were examined: (1) starting with explicating the CBA in the teacher team using a concrete explication format and (2) qualitatively involving key stakeholders (i.e., teachers, students and employers) in the evaluation of the CBA through mixed-group interviews. Quantitative and qualitative analysis, as well as stakeholders' perceptions are used to find indications for the added value of these interventions for evaluation and further improvement of the CBAs. Results show that external facilitation is needed to make both interventions work. However, under this condition, explicating the CBA led to more complete, concrete and shared understandings of the actual CBA among teachers and mixed-groups interviews resulted in more concrete and elaborate evaluations of the CBAs' quality and more ideas for improvement. Both interventions can facilitate building up elaborate, more valid and concrete arguments for CBA quality in self-evaluations, certainly in the case of evaluating innovative assessments. Lessons learned will provide guidelines for incorporating the interventions into other evaluations of innovative programs. © 2009 Elsevier Ltd. All rights reserved.
Schools are held more responsible for evaluating, quality assuring and improving their student assessments. Teachers' lack of understanding of new, competence-based assessments as well as the lack of key stakeholders' involvement, hamper effective and efficient self-evaluations by teachers of innova …

Education and occupational status in 14 countries: The role of educational institutions and labour market coordination

Article Open Access
This article explores the role of national institutional factors - more specifically, the level of skill transparency of the education system and labour market coordination - in accounting for cross-national differences in the relationship between education and occupational status. Consistent with previous research, our findings suggest that skill transparency is the primary moderator. Countries with a highly transparent educational system (i.e., extensive tracking, strong vocational orientation, limited tertiary enrolment) tend to be characterized by a strong relationship between education and occupational status. These findings hold even after controlling for the level of labour market coordination. Nevertheless, we also find that labour market coordination plays an independent role by dampening the effect of education on occupational status. Taken together, these results suggest two quite different policy implications: (1) strengthening the skill transparency of the education system by increasing secondary and tertiary-level differentiation may strengthen the relationship between education and occupation, regardless of the level of coordination, and (2) increasing labour market coordination could lead to improved social inclusion and a reduction in inequalities related to educational attainment. © London School of Economics and Political Science 2010.
This article explores the role of national institutional factors - more specifically, the level of skill transparency of the education system and labour market coordination - in accounting for cross-national differences in the relationship between education and occupational status. Consistent with p …

Rural student doctors top city colleagues: Representation of a rural clinical school in the rural press

Article
Objective: To describe the way in which the rural press portrays a rural clinical school and its staff and students. Design: Textual analysis of a collection of newspapers kept by the local campuses of the University of New South Wales Rural Clinical School (UNSW RCS). The study: The UNSW established a RCS in January 2000. This study sampled a total of 225 articles from eleven rural newspapers, a collection held by the campuses of the rural clinical schools. The major themes of the articles were identified; the descriptive terms the newspaper articles used for medical students, the UNSW RCS and rural doctors were also identified. The way in which clinical schools, their staff and students, are portrayed in the rural press has the potential to influence recruitment and retention. Conclusions: The study showed that the rural press was strongly supportive of the rural clinical school in their local region. This was particularly true for medical students, the school itself and the potential impact on workforce. The newspapers provided information for future students, depicting work-experience programs and current students. They were less illustrative of current medical and academic staff, with the exception of the Head of School. © 2010 The Authors. Australian Journal of Rural Health © 2010 National Rural Health Alliance Inc.
Objective: To describe the way in which the rural press portrays a rural clinical school and its staff and students. Design: Textual analysis of a collection of newspapers kept by the local campuses of the University of New South Wales Rural Clinical School (UNSW RCS). The study: The UNSW establishe …

Learning in the workplace: Fostering resilience in disengaged youth

Article
Objective: International reports on school-to-work transition make it clear that worldwide youth are at-risk for educational disengagement and are three times as likely to be unemployed as their adult counterparts. Work-based education (WBE) is one of the most frequently recommended solutions for youth disengagement which suggests that WBE serves as a protective factor and encourages resilience in at-risk youth. The objective of this study was to describe and compare the experiences of two at-risk youth enrolled in WBE. Participants: Two 18-year old at-risk youth enrolled in WBE were chosen for study because they were learning in workplaces judged likely to promote resilience. Both had been disengaged from school prior to enrolling in WBE. Method: Each multiple-perspective case study includes the perspective of the youth, the workplace employer, and the work-based educator. Data consisted of ethnographic observations and interviews conducted at the workplace, and with the teacher in the school. Results: Each case study highlights how supportive adults and an at-risk youth engage in interactions that facilitate the emergence of resilience in the workplace. Conclusions: In these two cases, risk and resilience are context specific, suggesting that at-risk youth may require tailored workplace programs to meet their career development needs. © 2010 - IOS Press and the authors. All rights reserved.
Objective: International reports on school-to-work transition make it clear that worldwide youth are at-risk for educational disengagement and are three times as likely to be unemployed as their adult counterparts. Work-based education (WBE) is one of the most frequently recommended solutions for yo …

An evaluation of a vocational training scheme for dental therapists (TVT)

Article Open Access
Commissioned by NHS Education South Central (NESC) Postgraduate Dental Deanery, this work provided an external, independent formative evaluation of the Dental Therapists Vocational Training (TVT) scheme in its first year of operation. Undertaken between March-September 2009, the evaluation engaged with all those involved in the TVT scheme: the newly qualified dental therapists (n = 9; group discussion and questionnaire; portfolio extracts) and interviews with their trainers (n = 9), Associate Postgraduate Dental Dean and TVT Scheme Adviser. Most of those on the scheme did not feel well prepared for work at the point of initial qualification and benefitted from enhancement of confidence and skills. Although the number of treatments undertaken by each of the trainees varied considerably, there was commonality in terms of treatment types. Benefits for trainers included the opportunity to work with a dental therapist and develop a better understanding of their role. They praised the trainees' skills with nervous patients and children and their preventative work. A therapist on the team released the dentist for more complex treatments. Challenges related to the recruitment of trainees and trainers, the relative lack of knowledge about the work of dental therapists, concerns about maintaining the range of therapy skills and issues about UDA (unit of dental activity) distribution. There was widespread support for a mandatory TVT scheme. This scheme could be improved by providing further guidance on the amount and type of clinical experience required. © 2010 Macmillan Publishers Limited. All rights reserved.
Commissioned by NHS Education South Central (NESC) Postgraduate Dental Deanery, this work provided an external, independent formative evaluation of the Dental Therapists Vocational Training (TVT) scheme in its first year of operation. Undertaken between March-September 2009, the evaluation engaged w …

The effects of performance-based assessment criteria on student performance and self-assessment skills

Article Open Access
This study investigated the effect of performance-based versus competence-based assessment criteria on task performance and self-assessment skills among 39 novice secondary vocational education students in the domain of nursing and care. In a performance-based assessment group students are provided with a preset list of performance-based assessment criteria, describing what students should do, for the task at hand. The performance-based group is compared to a competence-based assessment group in which students receive a preset list of competence-based assessment criteria, describing what students should be able to do. The test phase revealed that the performance-based group outperformed the competence-based group on test task performance. In addition, higher performance of the performance-based group was reached with lower reported mental effort during training, indicating a higher instructional efficiency for novice students. © 2010 The Author(s).
This study investigated the effect of performance-based versus competence-based assessment criteria on task performance and self-assessment skills among 39 novice secondary vocational education students in the domain of nursing and care. In a performance-based assessment group students are provided …

Special education teachers' perceptions of benefits, barriers, and components of community-based vocational instruction

Article
This study investigated special education teachers' perceptions of the benefits, barriers, and components of community-based vocational instruction (CBVI). Participants included special education teachers (N = 68) from randomly selected high schools in Illinois who had experience delivering vocational curriculum to students with disabilities. Data collection occurred via a survey. Special education teachers perceived CBVI to result in numerous benefits for students with disabilities. Limited resources, requirements of the No Child Left Behind Act, and student issues were identified as barriers to implementation. Incongruence existed between teachers' ratings of the importance and use of the components of CBVI. Years of teaching experience, types of students with disabilities served, size of school, and experience with CBVI affected teachers' perceptions of CBVI. © American Association on Intellectual and Developmental Disabilities.
This study investigated special education teachers' perceptions of the benefits, barriers, and components of community-based vocational instruction (CBVI). Participants included special education teachers (N = 68) from randomly selected high schools in Illinois who had experience delivering vocation …

Why do junior doctors not want to work in a rural location, and what would induce them to do so?

Article
Objective: Identify the most important factors associated with choosing rural medical practice. Design: Cross-sectional design using a web survey to collect quantitative and qualitative data. Participants: One hundred and ninety junior doctors - 91 interns, 99 PGY2. Main outcome measures: Choice of practice location (urban/rural), reason for choosing location, enticement to a rural location. Results: Twenty-seven per cent of junior doctors preferred a rural practice location. Preference to practice in a rural area was associated with medical placement bonding schemes, rural background, rural placement experience and being older. High levels of professional expectations and prestige were associated with a preference for an urban location. The most important reasons for choosing a practice location included consideration of partner, family and friends (35.3%), preference for a location (20.5%), lifestyle goals (19.5%) and career opportunities, specialty requirements and infrastructure (17.9%). Those who preferred an urban compared with a rural location gave more importance to factors concerning partner, family and friends. The factors that would entice a doctor to a rural location included partner and family considerations (27.0%), professional support (20.3%), and career opportunities, specialty requirements and infrastructure (16.3%). Women gave more importance to partner and family factors than men. Conclusions: Our findings support the continuation of policies that are known to encourage choice of rural practice, but highlight the need for additional strategies that consider the personal and professional needs of this generation of doctors. © 2010 The Authors. Australian Journal of Rural Health © National Rural Health Alliance Inc.
Objective: Identify the most important factors associated with choosing rural medical practice. Design: Cross-sectional design using a web survey to collect quantitative and qualitative data. Participants: One hundred and ninety junior doctors - 91 interns, 99 PGY2. Main outcome measures: Choice of …