Correlates of honor ratings in a clinical clerkship employing a faculty forum evaluation system

5he purpose of this study was to determine whether or not suspected variables affected a surgery clerk's chances of being awarded an honor rating. Findings indicated a significant relationship between a student receiving an honor rating and his or her preceptor's predetermined level of student advocacy, the number of completed patient interview and physical examination write-ups, and final examination scores. There was no significant relationship found between honor ratings and the preceptor's status, the sequence in which the student was discussed or the length of time spent discussing the student at the final evaluation meeting, or the number of clinical faculty present at the meeting. These results lend support to the faculty forum evaluation approach, but suggest a need for further scrutiny of some influencing variables to ensure all students are fairly considered and honor ratings judiciously awarded.     

Reading,writing and word processing: Toward a phenomenology of the computer age

Ethnographers read cultures and in writing inscribe memory into texts; in literature, a reading is a dialogue with a writer through the medium the text, and writing translates text into action. In a study of humanists using the microcomputer as a writing technology, changes were perceived in the phenomenology of writing, the writer's relation to the text, and the relation to the reader. Typists remarked that the computer enabled them to recover a spoken voice because the screen gave the text a processual and temporal form which replaced the inflexible typed page. Handwriters often remarked that the computer changed humanistic craft labor into industrial production: the screen gave privilege to the lexical in place of the graphic; the sentence replaced the paragraph as a unit of meaning; writing became a medium for transmitting information rather than an artistic performance. Humanists perceived that technical norms were embedded in technical culture and software, and that the computer marked a shift in the reward structure of their professions toward productivity and efficiency. This suggests three issues for the writing crafts of ethnographers. Electronic memory may replace the interpretive text, making fieldnotes public and treating them as information. The technical capacity to organize fieldnotes in data bases may shift the fieldworker's conception of knowledge from interpretation to information. And consuming the norms and concepts of technical culture may shift the craftlike norms of the field worker's culture.

—Mallarme

     

Geographic distribution of undocumented immigrants: estimates of undocumented aliens counted in the 1980 census by state

"This article presents estimates of the number of undocumented aliens counted in the 1980 [U.S.] census for each state and the District of Columbia. The estimates, which indicate that 2.06 million undocumented aliens were counted in the 1980 census, are not based on individual records, but are aggregate estimates derived by a residual technique. The census count of aliens (modified somewhat to account for deficiencies in the data) is compared with estimates of the legally resident alien population based on data collected by the Immigration and Naturalization Service in January 1980." Estimates are provided "for each of the states for selected countries of birth and for age, sex, and period of entry categories.... The origins of the undocumented alien population [are described], as well as some of their demographic characteristics. Some of the implications of the numbers and distribution of undocumented aliens are also discussed." This paper was originally presented at the 1984 Annual Meeting of the Population Association of America (see Population Index, Vol. 50, No. 3, Fall 1984, p. 435).     

Scientific management and class relations

Conclusion It has been the contention of this article that the true significance of the scientific management movement lies in what it can tell us about the engineering profession. Scientific management was not simply capitalist ideology, nor were the engineers who developed it simply the prisoners of capitalist ideology. Instead, scientific management was the product of the insertion of once-independent engineers into the complex, collective labor process in large corporations. It reflects both their inability to break loose fully from the dominant ideology and the fact that their interests as engineers were in conflict with the interests of their capitalist employers.The significance of this point, however, lies beyond the experience of turn-of-the-century shop culture engineers. For, if even as unpromising a group as the scientific managers could develop a program with implications inimical to the interests of capital, what of other, less commercialized groups? We have already seen that the early school-based engineers initiated a professionalizing project that included a claim to autonomy that was incompatible with the needs of their employers. It seems clear that the engineer's status as an employee, albeit an employee in an ambiguous position in the labor process, constitutes a basis for the development of conflicts with capitalist employers. This has been the thrust of our earlier discussion of the process of class formation. Gramsci's analysis of the situation of engineers in capitalist class relations, then, may not be without foundation:With the urban intellectuals it is another matter. Factory technicians do not exercise any political function over the instrumental masses, or at least this is a phase that has been superseded. Sometimes, rather, the contrary takes place, and the instrumental masses, at least in the person of their own organic intellectuals, exercise a political influence on the technicians.It may very well be that engineers, given a more militant labor movement, a more penetrating ideology, or a weaker capitalist class, could find themselves on the same side as more subordinate employees in conflicts with their employers.It is all the more important, then, that we understand the process by which American engineers have been domesticated. This has not happened automatically; far from it. Although there are ambiguities in the engineer's situation that make this process easier, the rapprochement of engineers with capital has had to be made. In this regard, the active intervention of business interests has been of particular importance, especially their efforts in fostering among engineers a safe variant of professionalism.Nor does this historical lesson apply only to engineers. For, there are other professional occupations that, increasingly, find themselves in situations comparable to engineers. Accountants, nurses, teachers, even certain kinds of lawyers have long been employed in large numbers by complex organizations. More recently, even doctors have begun to experience the condition of being an employee. For each of these occupations, we must avoid the easy assumption that there is something inherent in their social structural position that leads them into an accommodation with capital. On the contrary, as with engineers, we must stress the existence of real conflicts generated by capitalist relations of production, and then examine each occupation historically, asking what specific circumstances explain why its members do or do not enter into explicit conflict with their employers. However, while we must be aware of the possibility that professionals can (and sometimes do) enter into conflict with their employers, we also need to be sensitive to the complexity of the structural position of many professionals. Many professionals find themselves in positions of authority of some kind - either over subordinate workers in the case of engineers, or over clients in the case of doctors. This can be conducive to the attitude that the professionals' interests are different from those of the groups over which they have authority, or that their interests are the same as their employers'. Alternatively, as we saw in the case of engineers, this structural ambiguity may promote the formation of narrow occupational ideologies among professionals - i.e., the idea that their interests differ from those of both employers and subordinates. Therefore, while we need to be aware of the existence of employer/ professional conflict, we also need to recognize the existence of barriers to, and complexities within, the evolution of such conflicts.It is with this in mind that this article has stressed the importance of developing an adequate approach to the process of class formation. To restate briefly some of the arguments made earlier, the process of class formation in capitalist society is set in motion by the antagonisms inherent in capitalist relations of production. This is not, however, all that we need to know about the process of class formation - we also need to recognize the existence of both objective and historical barriers to this process. Nevertheless, one must be clear about what exactly these barriers are. There is, for example, an important difference between the relations of production that constitute class in the first place and workers' functions in the labor process. Similarly, one should not confuse barriers to the process of class formation with full-fledged class divisions. If we fail to distinguish among these various factors, we will be in danger of artificially placing a class barrier between engineers and other forms of wage-labor. If, on the other hand, we do make these distinctions, we will be able to account for both engineers' opposition to their employers and their domestication.

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Mental health services for Chinese in a community health center

Serious mental health problems exist within the Chinese population of the United States. This article describes one center's attempt to meet the psychiatric needs of both nonpsychotic and psychotic Chinese patients through bilingual, culturally relevant treatments.     

Declining world fertility: trends,causes, implications

This Bulletin examines the evidence that the world's fertility has declined in recent years, the factors that appear to have accounted for the decline, and the implications for fertility and population growth rates to the end of the century. On the basis of a compilation of estimates available for all nations of the world, the authors derive estimates which indicate that the world's total fertility rate dropped from 4.6 to 4.1 births per woman between 1968 and 1975, thanks largely to an earlier and more rapid and universal decline in the fertility of less developed countries (LDCs) than had been anticipated. Statistical analysis of available data suggests that the socioeconomic progress made by LDCs in this period was not great enough to account for more than a proportion of the fertility decline and that organized family planning programs were a major contributing factor. The authors' projections, which are compared to similar projections from the World Bank, the United Nations, and the U.S. Bureau of the Census, indicate that, by the year 2000, less than 1/5 of the world's population will be in the "red danger" circle of explosive population growth (2.1% or more annually); most LDCs will be in a phase of fertility decline; and many of them -- along with most now developed countries -- will be at or near replacement level of fertility. The authors warn that "our optimistic prediction is premised upon a big IF -- if (organized) family planning (in LDCs) continues. It remains imperative that all of the developed nations of the world continue their contribution to this program undiminished."     

Mental health program evaluation: Where you start?

Seduced by the elegance, sophistication and jargon characteristic of new developments in applied research, practicing evaluators are in danger of becoming distracted from achievement of their evaluative goal: that of providing timely, reliable and useful data to program management to facilitate rational data-based decision-making. To avoid such seduction, the author advocates adaptation of simple, inexpensive and efficient evaluative methods tailored to organizational needs and presentation of findings in language readily understood by constituent groups. Likewise, insistance by evaluators upon maintenance of a strict role boundary — that is, limiting role functioning exclusively to those tasks considered evaluation — may be dysfunctional. Rather than detract from accomplishment of his goals, the author maintains that such participation allows development of skills, insights and staff relationships which enhance the evaluator's effective functioning within the organizational context and contribute to organizational acceptance and use of his evaluative results.