There is considerable speculation and some empirical evidence that teacher collective bargaining agreements (CBAs) in urban school districts are more restrictive to district administrators than CBAs in other districts. We build on prior work by comparing urban with nonurban CBAs in three states--California, Michigan, and Washington--and, for a set…

Research suggests that physicians perform multiple reasoning tasks beyond diagnosis during patient review. However, these remain largely theoretical. The purpose of this study was to explore reasoning tasks in clinical practice during patient admission review. The authors used a constant comparative approach--an iterative and inductive process of…

Using the Short Form 12 Health Survey this cross-sectional study examined parental well-being in caregivers of children with one of three genetic disorders associated with intellectual disability; Down syndrome, Rett syndrome and the CDKL5 disorder. Data were sourced from the Western Australian Down Syndrome (n = 291), Australian Rett Syndrome (n…

Background: Medical problems are described in a population of persons with Down syndrome. Health surveillance is compared to the recommendations of national guidelines. Method: Case records from the specialised and primary healthcare and disability services were analysed. Results: A wide spectrum of age-specific medical and surgical problems was…

Although the methamphetamine epidemic in the United States has caught the attention of law enforcement and the media, the needs of the children living in so-called "meth homes" have not yet been addressed. These children are endangered from not only the chemicals involved, but also parental abuse and/or neglect. Little is known, however,…

Background: Worked examples are very effective for novice learners. They typically present a written-out ideal (didactical) solution for learners to study. Aims: This study used worked examples of patient history taking in physiotherapy that presented a "non"-didactical solution (i.e., based on actual performance). The effects of model expertise…

The purpose of this investigation was to explore students' epistemic beliefs and conceptual understanding of biotechnology. Epistemic beliefs can influence reasoning, how individuals evaluate information, and informed decision making abilities. These skills are important for an informed citizenry that will participate in debates regarding areas in…

The use of patient encounter recordkeeping systems in four medical programs at three universities (Case Western Reserve University, Ohio; University of Colorado; and University of Rochester, New York) is described and compared. Uses for curriculum evaluation and development, psychometric uses, and administrative issues are discussed. (MSE)

This study examined reasons why novice physicians, even after 6 years of medical education, are apparently unable to utilize a patient's contextual information (age, sex, profession, previous diseases, operations, and medical therapy) in the same accurate manner in disease diagnosis as their more experienced colleagues. Sixteen family physicians,…