Tracey Papinczak

Adolescents With Asperger Syndrome and Perceptions of Friendship

This qualitative study investigated the perceptions of friendship faced by teenagers diagnosed With Asperger syndrome. This research aimed to provide teachers With an insight into the social World of Asperger syndrome from a student perspective. A multiple—case study approach Was used to collect data from 5 secondary school students in Australia. Data Were collected through the use of semistructured intervieWs. An inductive approach to data analysis resulted in a number of broad themes in the data: (a) understanding of concepts or language regarding friendships, (b) description of What is a friend, (c) description of What is not a friend, (d) description of an acquaintance, and (e) using masquerading to cope With social deficits. The insights provided by the participants in this study are valuable for teachers, parents, and anyone else involved in inclusive education.

An analysis of peer, self, and tutor assessment in problem-based learning tutorials

Objective: The purpose of this study was to explore self-, peer-, and tutor assessment of performance in tutorials among first year medical students in a problem-based learning curriculum. Methods: One hundred and twenty-five students enrolled in the first year of the Bachelor of Medicine and Bachelor of Surgery Program at the University of Queensland were recruited to participate in a study of metacognition and peer- and self-assessment. Both quantitative and qualitative data were collected from the assessment of PBL performance within the tutorial setting, which included elements such as responsibility and respect, communication, and critical analysis through presentation of a case summary. Self-, peer-, and tutor assessment took place concurrently. Results: Scores obtained from tutor assessment correlated poorly with self-assessment ratings (r = 0.31–0.41), with students consistently under-marking their own performance to a substantial degree. Students with greater self-efficacy, scored their PBL performance more highly. Peer-assessment was a slightly more accurate measure, with peer-averaged scores correlating moderately with tutor ratings initially (r = 0.40) and improving over time (r = 0.60). Students consistently over-marked their peers, particularly those with sceptical attitudes to the peer-assessment process. Peer over-marking led to less divergence from the tutor scoring than under-marking of ones own work. Conclusion: According to the results of this study, first-year medical students in a problem-based learning curriculum were better able to accurately judge the performance of their peers compared to their own performance. This study has shown that self-assessment of process is not an accurate measure, in line with the majority of research in this domain. Nevertheless, it has an important role to play in supporting the development of skills in reflection and self-awareness. Practice points Self-assessment results in substantial under-marking compared to tutor assessment. Scores obtained from peer-assessment are significantly more generous than those scores arising from tutor assessment. Self-assessment is a less accurate means of assessing student performance than peer-assessment.

A review of longitudinal community and hospital placements in medical education: BEME Guide No. 26

Background: Traditionally, clinical learning for medical students consists of short-term and opportunistic encounters with primarily acute-care patients, supervised by an array of clinician preceptors. In response to educational concerns, some medical schools have developed longitudinal placements rather than short-term rotations. Many of these longitudinal placements are also integrated across the core clinical disciplines, are commonly termed longitudinal integrated clerkships (LICs) and often situated in rural locations. This review aimed to explore, analyse and synthesise evidence relating to the effectiveness of longitudinal placements, for medical students in particular to determine which aspects are most critical to successful outcomes. Method: Extensive search of the literature resulted in 1679 papers and abstracts being considered, with 53 papers ultimately being included for review. The review group coded these 53 papers according to standard BEME review guidelines. Specific information extracted included: data relating to effectiveness, the location of the study, number of students involved, format, length and description of placement, the learning outcomes, research design, the impact level for evaluation and the main evaluation methods and findings. We applied a realist approach to consider what works well for whom and under what circumstances. Findings: The early LICs were all community-based immersion programs, situated in general practice and predominantly in rural settings. More recent LIC innovations were situated in tertiary-level specialist ambulatory care in urban settings. Not all placements were integrated across medical disciplines but were longitudinal in relation to location, patient base and/or supervision. Twenty-four papers focussed on one of four programs from different viewpoints. Most evaluations were student opinion (survey, interview, focus group) and/or student assessment results. Placements varied from one half day per week for six months through to full time immersion for more than 12 months. The predominant mechanism relating to factors influencing effectiveness was continuity of one or more of: patient care, supervision and mentorship, peer group and location. The success of LICs and participation satisfaction depended on the preparation of both students and clinical supervisors, and the level of support each received from their academic institutions. Conclusion: Longitudinal placements, including longitudinal integrated placements, are gaining in popularity as an alternative to traditional block rotations. Although relatively few established LICs currently exist, medical schools may look for ways to incorporate some of the principles of LICs more generally in their clinical education programmes. Further research is required to ascertain the optimum length of time for placements depending on the defined learning outcomes and timing within the programme, which students are most likely to benefit and the effects of context such as location and type of integration.

Conducting the symphony: a qualitative study of facilitation in problem-based learning tutorials

Context  Tutors in problem‐based learning (PBL) tutorials have a complex role to play in facilitating students’ learning. This includes providing support for students’ acquisition of content knowledge and skills in critical thinking, coaching of group processes and modelling of reflective practice. Few studies which investigate the key role of tutors in the PBL tutorial process are qualitative in design.

A phenomenological study: The social world of five adolescents who have Asperger's syndrome

Abstract This phenomenological study investigated the social experiences and perceptions of friendship among teenagers diagnosed with Aspergers syndrome. Data were collected through the use of semi‐structured interviews from five secondary school students in Australia. Data analysis resulted in the identification of a number of recurring themes used to illustrate the words of the young people in the study. These themes and words inform the reader by providing real experience of the characteristics of people who have Aspergers Syndrome that are emerging in the growing research: (1) description of social experiences — both difficult and satisfactory (2) description of hostile encounters with peers (3) need for following rules and (4) ‘masquerading’. Masquerading is a term used to describe the façade, which some individuals with Aspergers syndrome adopt in order to mask their social differences. This type of study enables professionals to enter the worlds of adolescents who have Aspergers syndrome, by describing and analyzing the social phenomena found there. Although professionals have the goal of assisting young people with Aspergers syndrome to participate in ‘socially accepted ways’, there is also an obligation to recognise and value different persons’ social perspectives. The findings of this study could inform a more subtle approach to social skill programmes for adolescents with Aspergers syndrome.

An exploration of perceptions of tutor evaluation in problem‐based learning tutorials

Medical Education 2010: 44: 892–899

Using student-generated questions for student-centred assessment

In small groups, medical students were involved in generating questions to contribute to an online item bank. This study sought to support collaborative question‐writing and enhance students’ metacognitive abilities, in particular, their ability to self‐regulate learning and moderate understanding of subject material. The study focused on supporting students to write questions requiring higher order cognitive processes. End‐of‐year formal examinations comprised 25% student‐generated questions (SGQs), while mid‐year examination items were completely unseen. Data were gathered from repeated administration of a questionnaire and from examination results. No statistically significant changes were identified in self‐rated monitoring of understanding and regulation of learning. The activity of generating questions supported students to work collaboratively in developing questions and answers. The bank of questions was appreciated by students as a source of revision material, even though it was not strongly focused on higher order processes. Based on scores, it would appear that many students chose to memorise the question bank as a ‘high‐yield’ strategy for mark inflation, paradoxically favouring surface rather than deep learning. The study has not identified directly improvements in metacognitive capacity and this is an area for further investigation. Continual refinement of the study method will be undertaken, with an emphasis on education of students in developing questions addressing higher order cognitive processes. Although students may have memorised the questions and answers, there is no evidence that they do not understand the information.

Strategies for Sustaining Quality in PBL Facilitation for Large Student Cohorts.

Problem-based learning (PBL) has been used to scaffold and support student learning in many Australian medical programs, with the role of the facilitator in the process considered crucial to the overall educational experience of students. With the increasing size of student cohorts and in an environment of financial constraint, it is important to develop quality control procedures to maintain an effective and efficient PBL program and a stable tutor workforce. This paper reports on organisational practices and faculty development opportunities used to sustain facilitation quality in a large cohort PBL program. Seven strategies are proposed, built around a sound professional development program, and a suite of tactics for recruitment of, and ongoing support for, PBL tutors.

Students generating questions for their own written examinations

Assessment partnerships between staff and students are considered a vital component of the student-centred educational process. To enhance the development of this partnership in a problem-based learning curriculum, all first-year students were involved in generating a bank of formative assessment questions with answers, some of which were included in their final written examination. Important principles to guide development of a sound methodology for such an assessment partnership have been described. These include organisational issues as well as matters pertaining to participation, education and motivation of students and teaching staff.

Perceptions of job satisfaction relating to affective organisation commitment

Medical Education 2012: 46: 953–962