Narratives or Sources? Active Learning and the Teaching of Ancient Jewish History and Texts

During my career, I have regularly taught a survey course on the history of Jews and Judaism in the Persian, Greek, and early Roman periods (ca. 520 BCE – 70 CE). Student performance in the course has long concerned and puzzled me. By the end of the course students demonstrated familiarity with the narratives and concepts we covered, but most did not really “think historically.” They had great difficulties using and applying the historical tools they learned to new situations and evidence. In 2006 and again in 2010 I overhauled the course not only to improve it, but also to figure out how my students learned history. Using a wiki exercise, I traced how students learned and then applied these insights the next time I taught the course. In this essay I report on what I learned.     

Amount and distribution of study in a personalized instruction course and in a lecture course

The rapid proliferation of courses based on Keller's Personalized System of Instruction (PSI) calls for a prompt evaluation of the relative costs involved in PSI and more traditional forms of college instruction. To determine the cost in student time required by a course taught with PSI relative to lecture, students did their studying in a special Study Center where course materials could be used but not removed. Students in the PSI section spent an average of about 50% more time in the Study Center (46 hr) than did students in the lecture section (30 hr), but that difference was made up by the lecture students spending an average of 20 hr attending lectures. Thus, total preparation time was about the same. PSI students scored slightly higher on common course exams, and while college entrance exam scores correlated highly with course exam scores, Study Center time was reliably related to course exam score only for PSI students. An analysis of the study records of individual students revealed that PSI produced fairly regular patterns of study by all students, while lecture students varied greatly in their patterns.     

Society for Projective Techniques,Inc

While in the Army, I read Freud and decided to become a psychologist. Opting to be close to my fiancée I entered graduate school at Indiana University. After a year in academia, I chose a clinical position that offered valuable experience. Then I returned to academia (University of Pittsburgh) in order to teach and do research full time. I have taught 2 generations of students and still teach. I am proud of former graduate students. My scholarly pursuits were typically not planned, but in hindsight there were paths taken as I wandered into areas of aggression, psychopathology, temperament, shyness, and several topics concerning the self.     

From My Place: Teaching the Holocaust and Judaism at the University of Mississippi Fifty‐Three Years after James Meredith

This essay explores classroom dynamics when students identify and connect their own painful experiences to structural racism or ethnocentrism exhibited in the Holocaust or parts of Jewish history. The intrusion of this proximal knowledge can be an obstacle to student learning. If engaged by professors, however, I argue that proximal knowledge can be a catalyst that promotes learning. Social scientific theory provides a useful lens for helping students to better grasp and contextualize both their old experiences and the new materials that are being taught in the course within the larger structural frames of race, religion, and ethnicity that they have selected, but may not fully appreciate. Reflective guided journaling is an essential part of the learning experience.     

Teaching with Comics: A Course for Fourth-Year Medical Students

Though graphic narratives (or comics) now permeate popular culture, address every conceivable topic including illness and dying, and are used in educational settings from grade school through university, they have not typically been integrated into the medical school curriculum. This paper describes a popular and innovative course on comics and medicine for 4th-year medical students. In this course, students learn to critically read book length comics as well as create their own stories using the comics format. The rationale for the course, its general content and format, and methods for teaching are described. Finally, the author offers some reflections on why this medium resonates so powerfully with medical student learners.     

有关开设思维能力训练课程对中学生智能水平影响的实验研究

本实验探讨思维能力训练课程对于中学生(初一和高一)智能的影响。实验历时三个月,12课时。结果表明:中学生在掌握了一定的思维策略后,能够在较短的时间内提高其智能水平;在一定的范围内思维能力训练效果是可以迁移的;性别、年龄差异对训练效果没有显著影响;学生原有的智能水平与训练效果之间存在着交互作用。     

Exploring the Spiritual/Religious Dimension of Patients: A Timely Opportunity for Personal and Professional Reflection for Graduating Medical Students

Teaching about spirituality in medical school training is lacking. Spirituality is a dimension of humanity that can put experiences of health and illness into a meaningful context. Medical students might benefit from understanding how spirituality is an important element in learning to care for patients. Spirituality also provides a context for medical students to explore their own motivations for doctoring. This article describes a longitudinal senior elective course at the end of their medical school training to delve into matters of religion/spirituality surrounding patient care. The authors pose their own perspectives on what both students and faculty gained from the experience.     

The nature of illness experience: a course on boundaries

With the Accreditation Council for Graduate Medical Education's designation of "professionalism" as one of six core competencies in residency medical education, some educators of residents and medical students believe that the concept of professional role is too restrictive and narrow for grappling with the complex dynamics of professional-patient relationships. The ethical quandaries of abortion and physician assisted suicide illustrate how individual personal values cannot be ignored in the dynamic relationship between health care professional and patient. This article describes a medical school course where students are paired with "patient mentors." Within the dynamic and intimate relationship that unfolds over several months, students explore the "experience of boundaries," and are invited to use this experience to consider their evolving professional identity.     

A preliminary study of emotional intelligence, empathy and exam performance in first year medical students

A group of 156 first year medical students completed measures of emotional intelligence (EI) and physician empathy, and a scale assessing their feelings about a communications skills course component. Females scored significantly higher than males on EI. Exam performance in the autumn term on a course component (Health and Society) covering general issues in medicine was positively and significantly related to EI score but there was no association between EI and exam performance later in the year. High EI students reported more positive feelings about the communication skills exercise. Females scored higher than males on the Health and Society component in autumn, spring and summer exams. Structural equation modelling showed direct effects of gender and EI on autumn term exam performance, but no direct effects other than previous exam performance on spring and summer term performance. EI also partially mediated the effect of gender on autumn term exam performance. These findings provide limited evidence for a link between EI and academic performance for this student group. More extensive work on associations between EI, academic success and adjustment throughout medical training would clearly be of interest.     

Perfectionism and exam performance: The mediating effect of task-approach goals

Perfectionistic strivings are positively correlated with students’ achievement goals and exam performance. However, so far no study has employed a prospective design investigating whether achievement goals mediate the positive relationship between perfectionistic strivings and exam performance. In the present study, 100 university students completed a measure of self-oriented perfectionism and socially prescribed perfectionism (Hewitt & Flett, 1991) and received a chapter from a textbook to study for 2–4 days. Then they returned to the lab to complete a measure of achievement goals following the 3 × 2 model (Elliot, Murayama, & Pekrun, 2011) and sit a mock exam testing their knowledge of the chapter. Multiple regressions showed that socially prescribed perfectionism negatively predicted exam performance when the overlap with self-oriented perfectionism was controlled for. In contrast, self-oriented perfectionism—a defining indicator of perfectionistic strivings—positively predicted exam performance. Moreover, task-approach goals mediated the positive relationship between self-oriented perfectionism and exam performance. The findings suggest that perfectionistic strivings make students adopt task-approach goals that help them achieve better results on exams.     

Increasing Pre-service Teachers’ Use of Differential Reinforcement: Effects of Performance Feedback on Consequences for Student Behavior

Significant dollars are spent each school year on professional development programs to improve teachers’ effectiveness in the classroom. The usefulness of these programs can be measured by the consistent application (i.e., implementation integrity) of skills which were taught in the training sessions. This study assessed the integrity with which pre-service teachers used a differential reinforcement of alternate behavior (DRA) strategy taught to them during their student teaching experience. Seven student teachers in general education settings participated. Teaching assignments ranged from early elementary through high school in urban, suburban, and rural settings. Intervention consisted of a 1-h workshop and individual feedback meetings following direct classroom observation. Results showed that (a) student teachers increased their number of correct DRA responses as measured by accurate teacher feedback to students, and (b) students showed increased hand-raising and decreased talk-outs. Implications for helping pre-service general education teachers to teach more consistently and effectively in inclusive settings are discussed.     

The prevalence and correlations of medical student burnout in the pre-clinical years: a cross-sectional study

Burnout is a psychological syndrome of emotional exhaustion, depersonalization, and impaired personal accomplishment induced by repeated workplace stressors. Current research suggests that physician burnout may have its origins in medical school. The consequences of medical student burnout include both personal and professional distress, loss of empathy, and poor health. We hypothesized that burnout occurs prior to the initiation of the clinical years of medical education. This was a cross-sectional survey administered to third-year medical students at the Mount Sinai School of Medicine (MSSM) in New York, New York (a traditional-style medical school with a marked division between pre-clinical and clinical training occurring at the beginning of the third year). Survey included an instrument used to measure job burnout, a sleep deprivation screen, and questions related to demographic information, current rotation, psychiatric history, time spent working/studying, participation in extracurricular activities, social support network, autonomy and isolation. Of the 86 medical students who participated, 71% met criteria for burnout. Burnt out students were significantly more likely to suffer from sleep deprivation (p?=?0.0359). They were also more likely to disagree with the following statements: "I have control over my daily schedule" (p?=?0.0286) and "I am confident that I will have the knowledge and skills necessary to become an intern when I graduate" (p?=?0.0263). Our findings show that burnout is present at the beginning of the third year of medical school, prior to the initiation of the clinical years of medical training. Medical student burnout is quite common, and early efforts should be made to empower medical students to both build the knowledge and skills necessary to become capable physicians, as well as withstand the emotional, mental, and physical challenges inherent to medical school.     

Taking Counseling to Minority Students: The Classroom As Delivery Vehicle

This article discusses an alternate treatment approach for helping minority students learn a variety of academic and coping skills. A Special Services course was designed and taught by two counseling psychologists, who were assisted by peer counselors and graduate student group leaders. The goals of this course were to help students develop a more positive set of self-evaluations and to increase individual responsibility and group cooperation among the students. Specifics of the course are presented, and evaluation methods are suggested. In addition, there are implications of this course for minority student retention.     

THE EFFECTS OF PEER TUTORING WITH GROUP CONTINGENCIES ON THE ACADEMIC PERFORMANCE OF COLLEGE STUDENTS1

Improving the academic performance of college students who do not demonstrate mastery of course material is a major concern in traditional and nontraditional systems of instruction, where students may drop out, take incompletes, or continue to perform at low levels. The present study examined within-course peer tutoring as a potential solution. Twenty-one undergraduate students enrolled in a three-credit introductory course in Educational Psychology served as subjects. The class met one and a half hours each weekday for five weeks. Five students withdrew from the course and one student was placed on independent study before assignments to experimental conditions were made. The primary source materials were portions of Skinner's Technology of Teaching, plus two additional articles. The material was divided into nine equal units, each unit accompanied by study objectives. Nine one-hour essay exams were administered, one every other class day. Two review days were scheduled before a cumulative final was administered. Students could score a total of 20 points on each exam and the final. If a student scored 90% or better on an exam a score of 10 was earned. If a student scored 80% to 90%, a score of eight was awarded, and so on. A total score of 90 of 100 possible points at semester's end earned a student an “A”, 80 a “B”, and so on. The study consisted of three phases: Baseline I, Intervention, and Baseline II. Baseline I: after an initial introductory class, three lectures were presented—one for each unit. Each lecture day was followed by an exam day. Intervention: following the third exam, students were rank ordered and divided into high, medium, and low levels of performance on the basis of their raw scores on the previous three exams, and assigned to a paired or independent group. This assignment procedure resulted in three high-low pairs, three middle-middle pairs, two high-middle pairs, three low-independent students, and two middle-independent students. If, and only if, both students in a pair met a 90% mastery criterion on an exam did each receive five bonus points for the exam(s) reaching the criterion. The bonus points were used to offset points lost on the cumulative final. If both students in a pair met the 90% mastery criterion for units 4, 5, and 6, the pair received an automatic score of 10 on the cumulative final and had the two review days off. Other students who studied independently received identical payoffs if they met the same mastery criterion. The previous lecture time was used for inclass study. Baseline II: Baseline I procedures were reinstituted for the final three units. The test scores are the independent and paired students are shown in Figure 1. Compared to baseline, performance during peer tutoring improved for every student paired with a high partner, and not for those students who studied independently. Between-group comparisons suggest that the effective variables were related to the tutoring or its combination with the group contingency. However, the opportunity for intergroup discussion about treatment procedures and unequal assignment of subjects to the tutored and independent groups make conclusions about the between-group portion of the experiment tentative. Half to two-thirds of the students in each performance category viewed the peer-tutoring procedure favorably, and two-thirds or more reported that the procedure was effective in improving academic performance. Proportionately fewer students assigned to independent study found that procedure effective or viewed it favorably. It appears that pairing students with others who do better on tests and rewarding them for their combined performance results in considerable improvement in the performance of lower-level students.     

Will students pass a competitive exam that they failed in their dreams?

We tested whether dreams can anticipate a stressful exam and how failure/success in dreams affect next-day performance. We collected information on students’ dreams during the night preceding the medical school entrance exam. Demographic, academic, sleep and dream characteristics were compared to the students’ grades on the exam. Of the 719 respondents to the questionnaire (of 2324 total students), 60.4% dreamt of the exam during the night preceding it. Problems with the exam appeared in 78% of dreams and primarily involved being late and forgetting answers. Reporting a dream about the exam on the pre-exam night was associated with better performance on the exam (p = .01). The frequency of dreams concerning the exam during the first term predicted proportionally higher performance on the exam (R = 0.1, p = .01). These results suggest that the negative anticipation of a stressful event in dreams is common and that this episodic simulation provides a cognitive gain.     

GENDER BIAS IN HUMAN ANATOMY TEXTBOOK ILLUSTRATIONS

The hypothesis that female and male bodies are equally represented in human anatomy text illustrations was tested to determine whether medical students are shown both females and males as possessing equally important and normal bodies in medical school instructional material. All anatomy texts currently in use in a major western medical school (N = 8) were surveyed. In text sections dealing with standard (non-gender-specific) anatomy, male subjects were shown in 64% of the illustrations in which gender was discernable, females were shown in 11%, and gender-neutral or equal representations were shown in 25%. Females and males were found to be represented approximately equally in chapters on urogenital (gender-specific) anatomy (45 % female, 48% male, 7% neutral or equal representation). The implications of these findings for the perpetuation of sexist attitudes in the medical profession are discussed.     

Cutting Deep: The Transformative Power of Art in the Anatomy Lab

On Tuesday evenings at New York University School of Medicine (NYUSoM), the anatomy lab is transformed into an art studio. Medical students gather with a spirit of creative enterprise and a unique goal: to turn anatomy into art. They are participants in Art & Anatomy, an innovative drawing course within the Master Scholars Program in Humanistic Medicine (MSPHM)—a component of NYUSoM, which offers elective courses across a range of interdisciplinary topics in medical humanities. Art & Anatomy has had approximately four hundred fifty participants since its inception in 2009. The educational intention of the course is to use drawing as an active mode of learning that enhances visual-perceptual ability and three-dimensional (3D) spatial understanding of the body's interior; however, the course also opens a creative space for participants to process the emotional complexities of cadaver dissection and the anatomy lab experience. The anatomy lab can be the training ground for clinical detachment, but many U.S. medical schools are beginning to attend more closely to the emotional aspects of dissection. The authors maintain that the inherently expressive nature of drawing makes the Art & Anatomy course a novel and effective approach to this endeavor. Select student artwork and a curriculum overview are provided.     

Receiving the Gift of Teaching: From ‘Learning From’ to ‘Being Taught By’

This paper is an enquiry into the meaning of teaching. I argue that as a result of the influence of constructivist ideas about learning on education, teaching has become increasingly understood as the facilitation of learning rather than as a process where teachers have something to give to their students. The idea that teaching is immanent to learning goes back to the Socratic idea of teaching as a maieutic process, that is, as bringing out what is already there. Against the maieutic conception of teaching I argue for an understanding of teaching in terms of transcendence, where teaching brings something radically new to the student. I explore the meaning of the idea of transcendence through a discussion of Kierkegaard and Levinas, who both criticise the maieutic understanding of teaching and, instead, argue for a transcendent understanding of teaching—an understanding of teaching which they refer to as ‘revelation.’ Whereas Kierkegaard argues that revelation—which he understand as a process of ‘double truth giving’—lies beyond the power of the teacher, Levinas interprets revelation as the experience of ‘being taught.’ I use Levinas’s suggestion in order to explore the distinction between ‘learning from’ and ‘being taught by’ and argue that teaching has to be understood in the latter sense, that is, in terms of the experience of ‘being taught.’ To connect the idea of teaching to the experience of ‘being taught’ highlights that teaching can be understood as a process of ‘truth giving’ albeit that (1) this ‘gift’ lies beyond the powers of the teacher, and (2) the truth that is given, has to be understood in terms of what Kierkegaard calls ‘subjective truth’—which is not relativistic truth but existential truth, that is, truth that matters for one’s life. Understanding teaching in these terms also opens up new possibilities for understanding the role of authority in teaching. While my argument implies that teachers cannot simply and straightforwardly ‘produce’ the experience of ‘being taught’—so that what matters has to do with the conditions under which the gift of teaching can be received—their actions and activities nonetheless matter. In the final section of the paper I therefore argue that if we want to give teaching back to education, we need to resist the depiction of the teacher as a disposable and dispensable ‘resource’ that students can learn from or not, and need to articulate and enact a different story about the teacher, the student and the school.     

Beginning Medical School: Determinants of Male and Female Emotional Reactions1

With the knowledge that medical students experience a variety of academic pressures as well as interpersonal stress during medical school, an assessment was made of emotional reactions among male and female students during the initial months of medical training. Questionnaires were completed at the start of school and 4 months later for the incidence of positive and negative emotions and tension-related symptoms. Students also estimated their midterm grade point average (GPA) and rated the friendliness of their peers and their experience of sex discrimination. By midterm, all students experienced negative emotions and symptoms more frequently and positive emotions less frequently than at the beginning of the school year. Additionally, women students reported more negative affect and physical symptoms at both time points than men. Women also reported a greater decrease in positive emotions and perceived peer friendliness than men. Higher anticipated GPA was associated with more frequent experience of positive emotions and less frequent negative emotions and physical symptoms in both sexes, but this pattern was stronger for women than for men. The implications of these findings are discussed.     

Remembering the silver lining: Reappraisal and positive bias in memory for emotion

Reappraisal and distraction, unlike suppression, are known to decrease the intensity of negative emotion in the short term. Little is known about long-term characteristics associated with emotion regulation strategies, however. In a longitudinal study, we examined the relation between the strategies people reported using to regulate emotions during a stressful situation and their later memory for their emotions. Students in Italy rated the intensity of positive and negative emotions they were experiencing as they prepared for their high school exit exam. They also rated the extent to which they were regulating emotion using reappraisal, distraction, and suppression. Six weeks later, students recalled their pre-exam emotions. The more students reported engaging in reappraisal before the exam, the more they overestimated positive emotion and underestimated negative emotion when recalling their experience. The association between reported reappraisal and memory bias was partially mediated by positive changes over time in students’ appraisals of the exam preparation experience. Reports of engaging in distraction and suppression were not associated with memory bias. Because remembered emotion guides future choices, these findings suggest that reappraisal is a highly adaptive strategy for coping with stressful situations, not only in the short run, but also in the long run.