The Health Professional Ethics Rubric: Practical Assessment in Ethics Education for Health Professional Schools

A barrier to the development and refinement of ethics education in and across health professional schools is that there is not an agreed upon instrument or method for assessment in ethics education. The most widely used ethics education assessment instrument is the Defining Issues Test (DIT) I & II. This instrument is not specific to the health professions. But it has been modified for use in, and influenced the development of other instruments in, the health professions. The DIT contains certain philosophical assumptions (??Kohlbergian?? or ??neo-Kohlbergian??) that have been criticized in recent years. It is also expensive for large institutions to use. The purpose of this article is to offer a rubric??which the authors have named the Health Professional Ethics Rubric??for the assessment of several learning outcomes related to ethics education in health science centers. This rubric is not open to the same philosophical critiques as the DIT and other such instruments. This rubric is also practical to use. This article includes the rubric being advocated, which was developed by faculty and administrators at a large academic health science center as a part of a campus-wide ethics education initiative. The process of developing the rubric is described, as well as certain limitations and plans for revision.     

A factor-adjusted multiple testing procedure for ERP data analysis

Event-related potentials (ERPs) are now widely collected in psychological research to determine the time courses of mental events. When event-related potentials from treatment conditions are compared, often there is no a priori information on when or how long the differences should occur. Testing simultaneously for differences over the entire set of time points creates a serious multiple comparison problem in which the probability of false positive errors must be controlled, while maintaining reasonable power for correct detection. In this work, we extend the factor-adjusted multiple testing procedure developed by Friguet, Kloareg, and Causeur (Journal of the American Statistical Association, 104, 1406-1415, 2009) to manage the multiplicity problem in ERP data analysis and compare its performance with that of the Benjamini and Hochberg (Journal of the Royal Statistical Society B, 57, 289-300, 1995) false discovery rate procedure, using simulations. The proposed procedure outperformed the latter in detecting more truly significant time points, in addition to reducing the variability of the false discovery rate, suggesting that corrections for mass multiple testings of ERPs can be much improved by modeling the strong local temporal dependencies.     

Optimal sequences of trials for balancing practice and repetition effects

This paper describes procedures for generating trial sequences to balance out practice effects and intertrial repetition effects in experiments consisting of repeated trials. In the sequences presented, each stimulus appears an equal number of times, is preceded equally often by itself and by each other stimulus, and is distributed in a “balanced” manner throughout the block of trials. Two criteria for balance are employed. One criterion aims to equalize the average position of each stimulus in the sequence. The second criterion maintains, as much as possible, a uniform interval between appearances of each stimulus in the sequence. For each criterion, optimal or near-optimal sequences are presented for experiments involving from three to nine different stimulus conditions. Suggestions are included for extending (e.g., doubling or tripling) the length of the sequences.     

BOLD activation varies parametrically with corner angle throughout human retinotopic cortex

The Alternating Brightness Star (ABS) is an illusion that provides insight into the relationship between brightness perception and corner angle. Recent psychophysical studies of this illusion have shown that corner salience varies parametrically with corner angle, with sharp angles leading to strong illusory percepts and shallow angles leading to weak percepts. It is hypothesized that the illusory effects arise because of an interaction between surface corners and the shape of visual receptive fields: sharp surface corners may create hotspots of high local contrast due to processing by center-surround and other early receptive fields. If this hypothesis is correct, early visual neurons should respond powerfully to sharp corners and curved portions of surface edges. Indeed, the primary role of early visual neurons may be to localize the discontinuities along the edges of surfaces. If so, all early visual areas should show greater BOLD responses to sharp corners than to shallow corners. On the other hand, if corner processing is exclusively constrained to certain areas of the brain, only those specific areas will show greater responses to sharp vs shallow corners. To address this we explored the BOLD correlates of the ABS illusion in the human visual cortex using fMRI. We found that BOLD signal varies parametrically with corner angle throughout the visual cortex, offering the first neurophysiological correlates of the ABS illusion. This finding provides a neurophysiological basis for the previously reported psychophysical data that showed that corner salience varied parametrically with corner angle. We propose that all early visual areas localize discontinuities along the edges of surfaces, and that specific cortical corner-processing circuits further establish the specific nature of those discontinuities, such as their orientation.     

Grouping inhibits motion fading by giving rise to virtual trackable features

After prolonged viewing of a slowly drifting or rotating pattern under strict fixation, the pattern appears to slow down and then momentarily stop. The authors show that grouping can slow down the process of "motion fading," suggesting that cortical configural form analysis interacts with the computation of motion signals during motion fading. The authors determined that grouping slows motion fading because it can give rise to trackable features, such as virtual contour terminators not present in the image, that possess stronger motion signals than would occur in the absence of such trackable features. That a continuously rotating stimulus will eventually be perceived to stop, despite the presence of such trackable features, suggests that the motion-from-form system itself can be fatigued. The finding that stationary form can remain visible even after the motion signal has faded suggests that the neural bases of motion visibility and form visibility arise from different neuronal populations.     

Burnout and workplace deviance among flight attendants in Taiwan

The relationship between burnout and workplace deviance, identified as a component of job performance, was examined. Burnout was assessed with the Maslach Burnout Inventory which has three dimensions, Emotional Exhaustion, Depersonalization, and Reduced Personal Accomplishment. Workplace deviance was defined as voluntary behavior that violates significant organizational norms and threatens the well-being of an organization, its members, or both. This was assessed with the Workplace Deviance Scale, measuring the extent to which the participants had engaged in workplace deviant behavior such as taking property from work without permission, making fun of someone at work, or cursing at someone at work. Anonymous questionnaires with stamped envelopes were distributed to a sample of 1,470 Taiwanese flight attendants at the Arrival Hall of Taiwan Taoyuan International Airport. A response rate of 22.45% was obtained. After cases with missing data (n = 27) had been eliminated, the sample totaled 303, 17 men and 286 women. The average age was 28.7 yr. (SD = 4.6). Results of hierarchical regression showed that Depersonalization scores were significantly predictive of Workplace Deviance scores but not Emotional Exhaustion and Reduced Personal Accomplishment scores. Possible reasons and implications of these findings were discussed.     

Functional heterogeneity of inferior frontal gyrus is shaped by linguistic experience

A crosslinguistic, positron emission tomography (PET) study was conducted to determine the influence of linguistic experience on the perception of segmental (consonants and vowels) and suprasegmental (tones) information. Chinese and English subjects (10 per group) were presented binaurally with lists consisting of five Chinese monosyllabic morphemes (speech) or low-pass-filtered versions of the same stimuli (nonspeech). The first and last items were targeted for comparison; the time interval between target tones was filled with irrelevant distractor tones. A speeded-response, selective attention paradigm required subjects to make discrimination judgments of the target items while ignoring intervening distractor tones. PET scans were acquired for five tasks presented twice: one passive listening to pitch (nonspeech) and four active (speech = consonant, vowel, and tone; nonspeech = pitch). Significant regional changes in blood flow were identified from comparisons of group-averaged images of active tasks relative to passive listening. Chinese subjects show increased activity in left premotor cortex, pars opercularis, and pars triangularis across the four tasks. English subjects, on the other hand, show increased activity in left inferior frontal gyrus regions only in the vowel task and in right inferior frontal gyrus regions in the pitch task. Findings suggest that functional circuits engaged in speech perception depend on linguistic experience. All linguistic information signaled by prosodic cues engages left-hemisphere mechanisms. Storage and executive processes of working memory that are implicated in phonological processing are mediated in discrete regions of the left frontal lobe.     

Measuring Quality of Life: A Case for Re-Examining the Assessment of Domain Importance Weighting

Domain importance weighting has long been a topic of debate in the study of quality of life (QoL). The purpose of this study is to examine the adequacy of popular approaches used to assess domain importance weighting with QoL measures that follow a formative-indicator approach. Using both empirical and simulation data, this study found that neither of the two popular methods of evaluating the performance of domain importance weighting in QoL measures, correlation and moderated regression analysis, was ideal in capturing the actual function domain importance weighting posited in the data. More specifically, results from the popular approaches used to assess domain importance weighting could be quite misleading when QoL measures were constructed using a formative-indicator approach. These findings call for a careful re-examination of results from previous studies using those popular approaches to assess domain importance weighting in QoL measures.     

Employees' reactions to psychological contract breach: A moderated mediation analysis

This study examined the mediating role of acquiescent silence in the relationship between psychological contract breach and employee job satisfaction, as well as the moderating roles of perceived ethical climate on that relationship and on the mediation effect of acquiescent silence. Survey data were collected from a sample of 273 full-time employees from nine high-tech firms in Taiwan. The results showed that acquiescent silence partially mediated the relationship between psychological contract breach and job satisfaction. Moreover, the results from the moderation analysis showed that perceived ethical climate moderated the influence of psychological contract breach on acquiescent silence and the results from the moderated mediation analysis revealed that this mediation of acquiescent silence was moderated by perceived ethical climate such that at the lower level of perceived ethical climate, the mediation effect of acquiescent silence became stronger. Implications for managerial practices and suggestions for future research were discussed.