The Category of Age in the Psychology and Pedagogy of Development

Vygotsky's words, uttered about sixty years ago, may serve as a very special epigraph to the analysis that follows; they have not lost their meaning even today: "The problem of age is not only central to the whole of child psychology: it is the key to all questions of practice as well" [4. P. 260].

The key importance of the concept of age as a category in educational psychology has become obvious now, in light of the urgent need for a reorganization of education, a need to give it a developmental character. This category is just as important for a practice-oriented pedagogy, which can no longer be satisfied with simple study of individual phenomena in educational psychology; it must necessarily become a composite and, even more, a projective science, since it involves contriving complex, synthetic objects that bring together concrete studies, blueprints for educational systems, the programs and technology of continuous education throughout a person's entire life, and expert systems for evaluating and means for monitoring the effectiveness of such continuous education.     

湿地自然保护区旅游者环境教育感知研究——以盐城丹顶鹤、麋鹿国家自然保护区为例

环境教育是当前生态旅游研究中的热点论题。基于生态旅游动机、环境教育途径、环境教育感知及环境教育效果4个结构变量,以生态旅游发展处于起步阶段的盐城丹顶鹤保护区和处于稳定发展阶段的盐城麋鹿保护区为例,构建湿地自然保护区旅游者环境教育感知影响结构关系模型,深入分析不同生命周期阶段生态旅游地旅游者环境教育感知分异及其影响因素。结果表明:(1)生态旅游动机、环境教育途径、环境教育感知均对环境教育效果产生正向影响。丹顶鹤保护区生态旅游动机对环境教育效果产生显著正向影响,环境教育途径、环境教育感知对环境教育效果均产生正向影响;麋鹿保护区生态旅游动机、环境教育途径均对环境教育效果产生正向影响,环境教育感知对环境教育效果产生显著正向影响。(2)在生态旅游动机、环境教育途径、环境教育感知3个分维度上,丹顶鹤保护区分别以一般生态旅游动机、常规环境教育途径、表层环境教育感知为主,麋鹿保护区则分别以严格生态旅游动机、专门环境教育途径、深度环境教育感知为主。(3)不同生命周期阶段生态旅游地游客环境教育效果存在差异。丹顶鹤保护区游客环境教育效果主要集中在态度、行为效果上,意识效果为辅,知识、技能效果作用较小;麋鹿保护区游客环境教育效果则以知识、态度效果为主,行为、技能、意识效果均起辅助作用。     

以精品课程建设为契机努力提高《神经病学》教学质量

目的:精品课程建设是一个系统工程,是高等学校教学质量和教学改革的重要部分,其关键在于体现现代化教育思想,改革教学模式,形成有特色的教学方法,激发学生自主学习的兴趣,提高教学效果。本文结合精品课程建设,探讨神经病学的教学改革,加强师资队伍建设,建立科学的教学内容体系,改革教学手段和教学方法,加强教材建设,优化教研室的常规管理,努力提高神经病学教学质量。     

Improving the preregistration experience: the New Zealand approach.

There is currently much debate about how to improve undergraduate medical education, and in particular on how best to prepare students for clinical responsibility. For 20 years a period of trainee internship has formed part of New Zealand medical students'' undergraduate training, and the model could have much to offer the United Kingdom. Students take their final examinations at the end of the second clinical year; they spend their final year in a series of eight clinical attachments, during each of which they shadow a preregistration house officer or senior house officer. As trainee interns they are paid 60% of a house officer''s salary for their clinical work, which is supervised by the firm''s registrars and consultants under the overall responsibility of the head of the academic department. The order of the attachments is determined on educational, not service, grounds, and trainees have to attend educational sessions and pass assessments on each attachment. The trainee internship, funded jointly by the education and health departments, offers a more seamless transition from student to house officer and aims at improving both general medical education and clinical training.     

An American's view of Canadian medical education.

Undergraduate medical education in Canada and the United States is remarkably similar, except for the fact that Canadian medical schools are supported by their provincial governments. However, the systems diverge sharply at the postgraduate level. In Canada, the number and specialty mix of residents are negotiated by medical schools in response to educational and social needs; in the United States, these factors are largely determined by hospital service needs. The Canadian systems of accreditation, certification and payment for medical education after graduation are much simpler than those of the United States, and the accreditation and certification systems are more objective. In addition, the US system promotes subspecialization and a costly specialty imbalance, whereas Canada''s system has achieved an appropriate balance of specialists and generalists. In general, Canadian medical education appears to be simpler, more accountable and more socially responsive.     

General practitioners' continuing medical education within and outside their practice.

To study continuing medical education 96 out of 101 general practitioners chosen at random from the list held by a family practitioner committee were interviewed. The results provided little evidence of regular attendance at local postgraduate centre meetings, though practice based educational meetings were common. Thirty one of the general practitioners worked in practices that held one or more practice based educational meetings each month at which the doctors provided the main educational content. Performance review was undertaken in the practices of 51 of the general practitioners, and 80 of the doctors recognised its value. The general practitioners considered that the most valuable educational activities occurred within the practice, the most valued being contact with partners. They asked for increased contact with hospital doctors. The development of general practitioners'' continuing medical education should be based on the content of the individual general practitioner''s day to day work and entail contact with his or her professional colleagues.     

Number of siblings,family background,and the process of educational attainment

Abstract

Sociological research has found that educational attainment is the most important known determinant of men's occupational positions. Since the educational process occurs primarily while boys depend on their families, sociologists are increasingly interested in familial influences on education. This paper concentrates on the number of siblings in the family, and addresses two principal questions concerning the relation of sibship sire to educational outcomes. First, controlling for family background characteristics, does sibship size affect men's educational attainment and, if so, where in the educational process is this effect most evident? Second, among family variables, what is the relative importance of sibship size compared to the father's education, the father's socioeconomic status, farm background, and a broken family? Research was based on probability samples of 57,000 white men in the United States.     

ESP理论参照下的临床医学英语教学实践探讨

目的:由于传统的英语教学无法满足全球化对于双语医学教育的新要求,ESP特殊用途英语如何在中国医学教育中得以实践并取得有效成果成了医学教育者的新课题。方法:为了解决这一课题,在上海交通大学医学院进行医学双语教学的试点培训,以学士,硕士和博士三种学历组成人数为3-5人的小型试点班级,目的在跟踪不同阶段的医学生在培训期间的专业素质水平与英语水平的成效,并参照语言学家Pauline Robinson的ESP方法论,归纳总结出适应我国不同阶段学生的教学方法。Pauline Robinson的ESP方法分别为:角色扮演和模仿,案例学习法,项目教学法和演讲。结果:培训教师从三组不同学生的实际情况出发,结合上述四种教学方法,经过三个学期的培训分别得出了博士生组的口语能力,硕士生组听力能力以及本科生的写作阅读能力进步比较突出的结果。结论:中国教育体制所导致的被动接受的学习习惯是中国的特殊情况,而角色扮演和模仿,案例学习法,项目教学法和演讲是紧密相扣的四环相连的教学方法,每一种教学方法都是对彼此的补充和丰富,符合我国当代学生的个性特点和医学教育的方向,从而需要更多的医学教育工作者更好地利用四种教学方法以不断提升医学英语教学的教育事业以更好地帮助医学工作者融入国际舞台。     

Educational homogamy lowers the odds of reproductive failure

Assortative mating based on education is a common phenomenon. We investigated whether it affected parameters of reproductive performance such as childlessness, offspring number and age at first marriage. On the basis of the US census from 1980 (n = 670,631 married US couples), we find that the proportion of childless individuals is usually minimal in women married to a husband of the same educational level. This holds particularly true in the highest and the lowest educated women. Educational homogamy is also associated with a lower average age at first marriage. No obvious effect of educational homogamy on a woman''s average offspring number is found, where mean offspring number generally increases both with decreasing woman''s and decreasing husband''s educational attainment. We conclude that educational homogamy reduces the likelihood of reproductive failure.     

Is Content Really King? An Objective Analysis of the Public's Response to Medical Videos on YouTube

Medical educators and patients are turning to YouTube to teach and learn about medical conditions. These videos are from authors whose credibility cannot be verified & are not peer reviewed. As a result, studies that have analyzed the educational content of YouTube have reported dismal results. These studies have been unable to exclude videos created by questionable sources and for non-educational purposes. We hypothesize that medical education YouTube videos, authored by credible sources, are of high educational value and appropriately suited to educate the public. Credible videos about cardiovascular diseases were identified using the Mayo Clinic''s Center for Social Media Health network. Content in each video was assessed by the presence/absence of 7 factors. Each video was also evaluated for understandability using the Suitability Assessment of Materials (SAM). User engagement measurements were obtained for each video. A total of 607 videos (35 hours) were analyzed. Half of all videos contained 3 educational factors: treatment, screening, or prevention. There was no difference between the number of educational factors present & any user engagement measurement (p NS). SAM scores were higher in videos whose content discussed more educational factors (p<0.0001). However, none of the user engagement measurements correlated with higher SAM scores. Videos with greater educational content are more suitable for patient education but unable to engage users more than lower quality videos. It is unclear if the notion “content is king” applies to medical videos authored by credible organizations for the purposes of patient education on YouTube.     

“Cancer – Educate to Prevent” – High-School Teachers,the New Promoters of Cancer Prevention Education Campaigns

Cancer is one of the leading causes of death worldwide, and thus represents a priority for national public health programs. Prevention has been assumed as the best strategy to reduce cancer burden, however most cancer prevention programs are implemented by healthcare professionals, which constrain range and educational impacts.We developed an innovative approach for cancer prevention education focused on high-school biology teachers, considered privileged mediators in the socialization processes. A training program, “Cancer, Educate to Prevent” was applied, so that the teachers were able to independently develop and implement prevention campaigns focused on students and school-related communities. The program encompassed different educational modules, ranging from cancer biology to prevention campaigns design. Fifty-four teachers were empowered to develop and implement their own cancer prevention campaigns in a population up to five thousands students.The success of the training program was assessed through quantitative evaluation – questionnaires focused on teachers'' cancer knowledge and perceptions, before the intervention (pre-test) and immediately after (post-test). The projects developed and implemented by teachers were also evaluated regarding the intervention design, educational contents and impact on the students'' knowledge about cancer. This study presents and discusses the results concerning the training program “Cancer, Educate to Prevent” and clearly shows a significant increase in teacher''s cancer literacy (knowledge and perceptions) and teachers'' acquired proficiency to develop and deliver cancer prevention campaigns with direct impact on students'' knowledge about cancer.This pilot study reinforces the potential of high-school teachers and schools as cancer prevention promoters and opens a new perspective for the development and validation of cancer prevention education strategies, based upon focused interventions in restricted targets (students) through non-health professionals (teachers).     

How Physicians Can Improve Patients' Participation and Maintenance in Self-Care

A protocol for the stepped education and support of patients is derived from the cumulative experience of more than 200 clinical trials of patient education and behavioral change interventions. The recommended procedure entails assessing a patient''s educational needs by asking a sequence of “diagnostic” questions to assure patient motivation, skill and resources and to reinforce adherence to the prescribed medical regimen or life-style modifications. The sequence of questions and interventions is also designed to minimize a physician''s time commitment and to maximize the medical benefit to the patient.     

“趣味教学法”在微生物学课堂中的应用及探讨

微生物学属于生命科学的重要分支,是生物、食品科学、临床医学等大学专业一门重要的基础课。该课程综合性强、知识涉及面广,所以如何有效调动学生的学习兴趣将直接影响课堂效果。为达到良好的教学效果,教师可在微生物学教学过程中综合运用多种方式提高学生学习兴趣与学习质量。因此,我们采用“趣味教学法”进行教学设计,并针对连续3个不同年级的相同专业班级做出教学改革,通过学生期末闭卷成绩、过程考核（签到率、课堂参与度、注意力集中程度等）成绩与学生反馈评语对教学成果进行验证。结果表明,采用“趣味教学法”进行教学改革的班级学生期末闭卷成绩中不及格率低于未改革的班级,“良好”与“优秀”学生比例均高于未改革的班级,过程考核成绩远高于未改革的班级,说明“趣味教学法”教学改革有效调动了学生的学习兴趣。我们认为,在大学微生物学课堂上,教师可在教学设计中适当引入趣味教学内容并适时展开,有助于改善教学气氛,调动学生学习积极性与主动性,提高教学质量。     

Economic Status,Education and Empowerment: Implications for Maternal Health Service Utilization in Developing Countries

Background

Relative to the attention given to improving the quality of and access to maternal health services, the influence of women''s socio-economic situation on maternal health care use has received scant attention. The objective of this paper is to examine the relationship between women''s economic, educational and empowerment status, introduced as the 3Es, and maternal health service utilization in developing countries.

Methods/Principal Findings

The analysis uses data from the most recent Demographic and Health Surveys conducted in 31 countries for which data on all the 3Es are available. Separate logistic regression models are fitted for modern contraceptive use, antenatal care and skilled birth attendance in relation to the three covariates of interest: economic, education and empowerment status, additionally controlling for women''s age and residence. We use meta-analysis techniques to combine and summarize results from multiple countries. The 3Es are significantly associated with utilization of maternal health services. The odds of having a skilled attendant at delivery for women in the poorest wealth quintile are 94% lower than that for women in the highest wealth quintile and almost 5 times higher for women with complete primary education relative to those less educated. The likelihood of using modern contraception and attending four or more antenatal care visits are 2.01 and 2.89 times, respectively, higher for women with complete primary education than for those less educated. Women with the highest empowerment score are between 1.31 and 1.82 times more likely than those with a null empowerment score to use modern contraception, attend four or more antenatal care visits and have a skilled attendant at birth.

Conclusions/Significance

Efforts to expand maternal health service utilization can be accelerated by parallel investments in programs aimed at poverty eradication (MDG 1), universal primary education (MDG 2), and women''s empowerment (MDG 3).     

国家公园研学旅行适宜性评价指标体系构建与实证研究

国家公园兼具自然生态系统保护与教育、游憩等社会文化功能,是自然性、体验性和课程性研学旅行的潜在活动场所之一。研学旅行为国家公园的教育、游憩价值实现提供路径参考。基于"内在价值-外在条件"分析框架,根据独立性、全面性、科学性及可操作原则,选择教育价值、游憩价值、环境条件、相关设施及服务等4个因子构建国家公园研学旅行适宜性评价指标体系,并以钱江源国家公园为例进行实证分析。结果表明,国家公园的研学旅行利用应首先考虑教育价值,在完善教育、游憩等相关设施及服务的同时兼顾环境承载力及利益相关者态度等环境条件,最后考虑游憩价值;钱江源国家公园的研学旅行利用具有良好的教育及游憩价值基础,中小学生的研学旅行需求与利益相关者的支持态度等提供了外在环境条件保障,但在教育、交通及安全等方面的设施及服务有待改善。研究结果可为国家公园及其他场地的研学旅行利用规划与管理提供参考。     

The Effect of an Individualized Practice-Based CME Program on Physician Performance and Patient Outcomes

The Professional Competence Assurance Program (PROCAP) is an individualized educational program that examines physicians'' performance in ambulatory practice. It uses medical record review to identify deficiencies in the care process that guides development of the educational intervention. Medical care is reassessed one year later. This program was used with 51 private practitioners to assess the care of 1,229 hypertensive patients. The educational program included a computer printout comparing one physician''s performance with that of peers, readings targeted to management problems, and a conference call or group seminar with an expert stressing issues relevant to each physician''s performance. Postintervention assessment showed that physicians prescribed beta-blockers (P<.01) and vasodilators (P<.01) more often. Improvement (P<.05) occurred in the control of diastolic blood pressure (≤90 mm of mercury) and in several other criteria. These results show that well-designed, individualized continuing medical education addressing specific deficiencies can change physicians'' performance and patients'' intermediate outcome.     

Observations on a Medical Teacher Training Program

An increasing interest in educational science as applied to medical education is apparent in the past decade. Recently, a six-week teacher training program was held at the Center for the Study of Medical Education at the University of Illinois. Fifteen medical faculty members, including five Canadians, participated. During this period there was an opportunity to engage in discussions and independent study of several aspects of medical education, using the personnel from the Center''s four major divisions as resource people. Training in educational science is important for all teachers, and a centre to provide this type of instruction should be available in Canada.     

Gender,family configuration,and the effect of family background on educational attainment

Abstract

A comprehensive model of family influences on educational resemblance of siblings expands the traditional sibling pair model to a full sibship model in order to investigate how gender, gender composition of sibships, and a measure of ordinal position moderate the effect of social origins on educational attainments of siblings. One common family factor is sufficient to explain the variation of educational attainment among brothers and sisters. Although effects of social origin variables on brothers are larger than on sisters, the relative effects of measured social origins are virtually the same among sisters and brothers. The disparity between educational attainments of brothers and sisters persists across sex composition and family size. Ordinal position does not alter the effects of social origins on educational attainment nor does it directly affect educational attainment. Father's and mother's education are equally important for all siblings regardless of birth order, gender composition, and family size.