Academic Guidance in Medical Student Research: How Well Do Supervisors and Students Understand the Ethics of Human Research?

Research is increasingly recognised as a key component of medical curricula, offering a range of benefits including development of skills in evidence-based medicine. The literature indicates that experienced academic supervision or mentoring is important in any research activity and positively influences research output. The aim of this project was to investigate the human research ethics experiences and knowledge of three groups: medical students, and university academic staff and clinicians eligible to supervise medical student research projects; at two Australian universities. Training in research ethics was low amongst academic staff and clinicians eligible to supervise medical student research. Only two-thirds of academic staff (67.9 %) and students (65.7 %) and less than half of clinicians surveyed (47.1 %; p?=?0.014) indicated that specific patient consent was required for a doctor to include patient medical records within a research publication. There was limited awareness of requirements for participant information and consent forms amongst all groups. In the case of clinical trials, fewer clinicians (88.4 %) and students (83.3 %) than academics (100 %) indicated there was a requirement to obtain consent (p?=?0.009). Awareness of the ethics committee focus on respect was low across all groups. This project has identified significant gaps in human research ethics understanding among medical students, and university academic staff and clinicians. The incorporation of research within medical curricula provides the impetus for medical schools and their institutions to ensure that academic staff and clinicians who are eligible and qualified to supervise students’ research projects are appropriately trained in human research ethics.     

Christian Churches and Immigrant Support in Canada: An Organizational Ecology Perspective

Canada receives roughly 250,000 immigrants each year, and the government spends considerable resources on assisting them to settle and integrate into Canadian society through the agencies they support. Most of these new immigrants settle in Canada’s largest cities, where churches meet specific needs that extend beyond the capacities of government agencies. In smaller centers, churches cover a wide range of services because few government supports are available. Little is known about the work of churches in Canada in spite of their importance to immigrant settlement and integration. In this study, we examine the services offered to immigrants by Canadian Christian churches. We show how the service provision of Christian churches is constrained by other organizations and groups in their environment, in ways consonant with the organizational ecology framework. Specifically, churches service the needs of immigrants by adapting to specific niche needs and by filling in gaps left by other service providers.     

Cognitive tuning,encoding, and the attribution of causality

Subjects were given a transmission or reception set before or after viewing a videotape of an event which involved an extreme outcome. The results indicated that transmitters made relatively extreme attributions to plausible causal agents when the set was given prior but not subsequent to viewing the event. The results also showed that subjects who had been given a transmission set before viewing the videotape exhibited relatively high recognition of aspects of the event they observed. It is suggested that the data provide support for an encoding interpretation of transmission-reception differences in the attribution of causality.     

Pragmatics in the measurement of family functioning: an interpretive framework for methodology

The issue of the cross-method comparison of concepts that describe family functioning is addressed by means of an empirical investigation of two methods of family assessment. The examination focuses on a consideration of the functional, or pragmatic, aspects of subjects' responses through a comparison of a self-report and an observational method whose associated concepts appear to be similar. Little predicted association based on conceptual similarity is noted. An interpretive framework is developed suggesting that the outcomes of empirical method comparisons may be usefully considered in terms of the pragmatic aspects of subjects' responses or the way in which subjects may be using their responses, based on their inferences regarding the interpersonal context associated with each method.     

Influence of children's emotional states on the recognition of emotion in peers and social motives to change another's emotional state

This experiment addressed the question of whether children's own emotional states influence their accuracy in recognizing emotional states in peers and any motives they may have to intervene in order to change their peers' emotional states. Happiness, sadness, anger, or a neutral state were induced in preschool children, who then viewed slides of other 4-year-old children who were actually experiencing each of those states. Children's own emotional states influenced only their perception of sadness in peers. Sad emotional states promoted systematic inaccuracies in the perception of sadness, causing children to mislabel sadness in peers as anger. Children had high base rates for using the label “happy,” and this significantly enhanced their accuracy in recognizing that state. Low base rates for labeling others as in a neutral state reduced accuracy in recognizing neutrality. Children were generally motivated to change sad, angry, and neutral states in peers, and they were most motivated to change a peer's state if they were to be the agent of such change. The results are discussed in terms of the limited role of children's own emotional states in their recognition of emotion in others or motives to intervene and in terms of factors influencing the perception of emotion, such as base rate preferences for labeling others as experiencing, or not experiencing, particular emotional states.     

Developing an efficient clinical information system for a comprehensive psychiatric institute: II. Initial evaluation form

This paper describes the objectives, design, organization, content, evaluation, and implementation of the initial evaluation form, first component of a comprehensive psychiatric institute’s clinical information system. Major features of this effort are the involvement of a large number of clinicians in the form’s development, the use of complementary narrative and standardized components, the use of an expanded DSM-III multiaxial diagnostic format, pilot testing with over 1,000 patients, the evaluation of the form’s usefulness and interrater reliability, the form’s computerization, facilitating data retrieval and coordination with other institutional data bases, and the form’s monitoring.     

The essential process in a family of measurement models

Five members of the Rasch family of latent trait models which have appeared more or less independently in the literature are brought together and identified as one model. In addition to sharing the distinguishing characteristic of the dichotomous Rasch model—separable person and item parameters and hence sufficient statistics—all five models share a common algebraic form and have as their basic element the fundamental process defined by Rasch's simple logistic expression. In these models, the sufficient statistics for person and item parameters are counts of events constructed to be indicative of the variable being measured, and the measures they enable are ‘fundamental’.     

Intact Procedural Knowledge in Patients with Alzheimer's Disease: Evidence from Golf Putting

Can Alzheimer's disease (AD) patients efficiently learn to perform a complex motor skill when relying on procedural knowledge? To address this question, the authors compared the golf-putting performance of AD patients, older adults, and younger adults in 2 different learning situations: one that promotes high error rates (thus increasing the reliance on declarative knowledge) or one that promotes low error rates (thus increasing the reliance on procedural knowledge). Motor performance was poorer overall for AD patients and older adults relative to younger adults in the high-error condition but equivalent between similar groups in the low-error condition. Also, AD patients in the low-error condition had better performance at the final putting distance relative to those in the high-error condition. This performance facilitation for AD patients likely stems from intact procedural knowledge.