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.     

Physician perceptions of medical malpractice and defensive medicine

Using judgments obtained in interviews with 33 Massachusetts physicians, the annual statewide volume of expenditures incurred for defensive medical reasons in 1982 was estimated to be $1.0 billion, 12% of all medical care expenditures. Estimates for the nation were $37 billion, 14% of expenditures. Nationally, 180,000 cesarean deliveries were thought to be performed for defensive motives. In their own institutions, respondents judged 43% of all skull x-rays following injury to be medically justified, 30% to be defensive medicine, 16% to be placebos, and 11% to be physician misjudgments. In considering the economic and noneconomic costs of medical malpractice procedures, the dollar costs of insurance were considered most serious, followed closely by defensive medicine, unfairness, and poorer relations with patients. Thirty-two percent of the responsibility for the negative aspects of malpractice processes was assigned to lawyers, 21% to physicians, 18% to legislatures and courts, 16% to patients, and 13% to insurance companies.     

The utilization of prevailing evaluation policy in the selection of performance measures

This study considers the problem of inferring a functional evaluation criterion from existing performance measure policies. The objective is to develop a rational basis by which to adaptively evaluate a current best set of performance measures from alternative sets. The analysis is based on a matrix approach for relating system characteristics to performance measures across a set of activities. A procedure for ranking measure combinations which are candidate implementation alternatives is devised using this matrix representation and cost information. An example illustrating the procedure is presented.     

Size and duration of empires growth-decline curves, 3000 to 600 b.c.

Area changes of about 30 best known empires and states are compiled and tabulated. Superimposed and juxtaposed graphs (size versus time) help to visualize the relative size and location in time of these empires. Size-time integral, maximum stable size, adulthood date, and duration are defined operationally and are listed for 20 empires. A criterion is given for distinctness of successive empires. The size-time integral is a direct measure of an empire's impact on history insofar as that impact depends on sheer size and duration. The integral is largest for the Chinese Hsia-Shang, Egyptian New, Old, and Middle, Assyrian New, and Hittite empires. A world-wide territorial concentration index is tabulated. It increases during the period considered from 0.08 to 1.4% of the world dry land area.     

渴求新知与崇尚传统——李叔同"学堂乐歌"创作的文化取向及其意义

李叔同的“学堂乐歌”创作是一种“别求新声”的现代追求;是一种不失传统的现代创新。他要借助西方的美学情调,推崇中国的精神内核。他的歌词创作未完成文学语言由古代韵文向现代白话的彻底转变,但从形式上打破了旧韵文的传统格局,而且创造性地运用了古代词牌长短句的特点,在形式上又发展了现代长短句歌词的新品种,并依照西洋乐曲形成了自己崭新的结构。他在用西方音乐形式与“本国语言”向人们诉说最深沉的感情的同时,也展示了“学堂乐歌”民族性与现代性相融合的特征。     

工科院校社会工作专业教育存在的困境与办学特色探讨

社会工作专业教育自20世纪80年代末期在我国设立以来,在经历了前十几年缓慢发展以后,最近几年进入了一个快速扩张时期,国内高校尤其工科院校开办社会工作专业的数量成倍增加。社会工作注重应用性、实践性和操作性的特点与很多工科院校或以有工科背景的综合性大学的办学方针不谋而合。社会工作专业教育在取得了一定的成绩和研究成果的同时,也不难发现在其发展过程中存在不少的问题。把社会工作专业办成工科院校的亮点和特色,就要在办学过程中充分体现工科院校的应用型定位。     

孙悟空的名号与《西游记》的主旨

《西游记》中,孙悟空的名号有一个美猴王-孙悟空-弼马温-齐天大圣-孙行者-斗战胜佛的变化,亦可称之为心与魔之间相交的变化。二者相交反映着孙悟空的心路历程,即求心-束心-放心-收心-正心的过程,而这也正是小说的主旨。且心魔相交之说在《西游记》主旨探求过程中始终是一条重要支脉而延绵不断,这与晚明大行其道的心学思潮有着紧密关联。     

The limitations of using school league tables to inform school choice

Summary. In England, so-called 'league tables' based on examination results and test scores are published annually, ostensibly to inform parental choice of secondary schools. A crucial limitation of these tables is that the most recent published information is based on the current performance of a cohort of pupils who entered secondary schools several years earlier, whereas for choosing a school it is the future performance of the current cohort that is of interest. We show that there is substantial uncertainty in predicting such future performance and that incorporating this uncertainty leads to a situation where only a handful of schools' future performances can be separated from both the overall mean and from one another with an acceptable degree of precision. This suggests that school league tables, including value-added tables, have very little to offer as guides to school choice.     

Designing for “touch”, “reach” and “movement” in postwar (1946–1972) English primary and infant school environments

ABSTRACT

This article examines the use and interpretation of the terms “touch”, “reach” and “movement” in Ministry of Education (later, Department of Education) official publications known as Building Bulletins between the years 1949–1972. A close critical reading of Building Bulletins concerned primarily with school design for young children (infant and primary schools) in the English context has been carried out and the results of this exercise are discussed in the wider context of close relationships established between architects designing schools and leading progressive educationalists in Britain. The wider international context, particularly progressive educational design in the USA, is used to further understand the use and interpretation of these terms. The article contributes to a current interest among historians of education in exploring material and sensory histories of schooling.     

西北贫困民族聚居区学校体育特征研究

在层层比较中作者们认为西北贫困民族聚居区学校体育具有总体比较落后、地域特征明显;观念比较陈旧、经费严重不足;民族特色突出、发展潜力较大;少数民族青少年为主体,多数以一课两操为支撑四个方面的基本特征。