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Using Multivariate Statistics

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Learning To Teach In Higher Education

Depression in adolescence.

Catriona Mackenzie and Jacqui Poltera’s discussion of narrative integration and identity takes up a wide range of issues. It advances objections against Galen Strawson’s critique of narrative identity and defends both the claim that some narrative conception of identity can capture descriptively the ways in which human agents experience and make sense of their lives and also the claim that some form of narrative self-interpretation is required for a fulfilling, well-lived life. In defending these claims, Mackenzie and Poltera appeal, in part, to Elyn Saks’s autobiographical account of her long, on-going struggle with schizophrenia and the significance of this struggle for her selfunderstanding (Saks 2007). According to the authors,

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On narrative identity

Developing deep approaches to learning is claimed to enhance students' engagement with their subject material and result in improved analytical and conceptual thinking skills. Numerous calls have been made for accounting educators to adopt strategies that produce such results. This paper reports on changes to the learning environment centring on the introduction of group learning activities that were designed to improve the quality of students' learning outcomes. The impact of changes in the learning environment on students' approaches to learning, as measured by the Study Process Questionnaire (SPQ) (Biggs, 1987b), was then assessed. Results indicate that, across the semester, accounting students exhibited a small but statistically significant increase in their deep learning approach, and a small but statistically significant reduction in their surface learning approach. The results suggest that accounting educators, through changes in the learning environment, may be able to influence the learning approaches adopted by accounting students.

Changing the learning environment to promote deep learning approaches in first year accounting students

Medical students are exposed to multiple factors during their academic and clinical study that have been shown to contribute to high levels of depression, anxiety, and stress. The purpose of this article was to explore the issue of depression in the medical student population, including prevalence, causes, and key issues, along with suggestions for early identification and support from one medical school in New Zealand. After establishing that the prevalence of depression is higher for medical students than the general population, the key issues explored include assessment used in the program, characteristics of the student population (such as Type A personality and perfectionism), resilience, selection procedures, students' motivation, and the nature of the clinical environment. This review includes several recommendations to improve students' psychological health such as positioning well-being within an overarching comprehensive workplace wellness model and integrating peer and faculty-led support into the day-to-day running of the institution. It also highlights the advantages of the addition of a well-being curriculum, as skills to prevent and manage distress and depression are relevant in supporting the competencies required by medical practitioners. It concludes that medical schools need wide-ranging strategies to address the complexities associated with the particular student population attracted to medicine and calls for educators to act, by noticing opportunities where they can introduce such initiatives into their medical programs.

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Depression in medical students: current insights.

This study explored links between narrative identity, personality traits, and well-being for 263 adolescents (age 12–21) from three New Zealand cultures: Māori, Chinese, and European. Turning-point narratives were assessed for autobiographical reasoning (causal coherence), local thematic coherence, emotional expressivity, and topic. Across cultures, older adolescents with higher causal coherence reported better well-being. Younger adolescents with higher causal coherence instead reported poorer well-being. Personal development topics were positively linked to well-being for New Zealand European adolescents only, and thematic coherence was positively linked to well-being for Māori adolescents only. Negative expressivity, neuroticism, conscientiousness, and openness were also linked to well-being. Implications of these cultural similarities and differences are considered for theories of narrative identity, personality, and adolescent well-being.

Telling the Tale and Living Well: Adolescent Narrative Identity, Personality Traits, and Well-Being Across Cultures.

The present study examined the coherence of low- and high-point life-event narratives among adolescents (aged between 12 and 21 years) and their psychological functioning in terms of well-being and prosocial behaviour. The results showed robust age-related increases in narrative coherence. Age and gender significantly moderated the associations between narrative coherence and psychological functioning. Specifically, higher levels of coherence were significantly associated with prosocial behaviour only for older adolescents. Higher levels of narrative coherence were also associated with lower levels of well-being among adolescent boys, but not among adolescent girls. Results are discussed in terms of why coherent life-event narratives may not be linked to benefits for younger adolescents and for boys, and how low- and high-point life events both contribute to identity construction.

The coherence of critical event narratives and adolescents' psychological functioning.

Background Workplace-based assessments should provide a reliable measure of trainee performance, but have met with mixed success. We proposed that using an entrustability scale, where supervisors scored trainees on the level of supervision required for the case would improve the utility of compulsory mini-clinical evaluation exercise (CEX) assessments in a large anaesthesia training program. Methods We analysed mini-CEX scores from all Australian and New Zealand College of Anaesthetists trainees submitted to an online database over a 12-month period. Supervisors' scores were adjusted for the expected supervision requirement for the case for trainees at different stages of training. We used generalisability theory to determine score reliability. Results 7808 assessments were available for analysis. Supervision requirements decreased significantly (P   0.7) with a feasible number of assessments. Adjusting scores against the expected supervision requirement considerably improved reliability, with G > 0.8 achieved with only nine assessments. Three per cent of trainees generated average mini-CEX scores below the expected standard. Conclusions Using an entrustment scoring system, where supervisors score trainees on the level of supervision required, mini-CEX scores demonstrated moderate reliability within a feasible number of assessments, and evidence of validity. When scores were adjusted against an expected standard, underperforming trainees could be identified, and reliability much improved. Taken together with other evidence on trainee ability, the mini-CEX is of sufficient reliability for inclusion in high stakes decisions on trainee progression towards independent specialist practice.

Making robust assessments of specialist trainees' workplace performance.

Progress Tests (PTs) draw on a common question bank to assess all students in a programme against graduate outcomes. Theoretically PTs drive deep approaches to learning and reduce assessment-related stress. In 2013, PTs were introduced to two year groups of medical students (Years 2 and 4), whereas students in Years 3 and 5 were taking traditional high-stakes assessments. Staged introduction of PTs into our medical curriculum provided a time-limited opportunity for a comparative study. The main purpose of the current study was to compare the impact of PTs on undergraduate medical students’ approaches to learning and perceived stress with that of traditional high-stakes assessments. We also aimed to investigate the associations between approaches to learning, stress and PT scores. Undergraduate medical students (N = 333 and N = 298 at Time 1 and Time 2 respectively) answered the Revised Study Process Questionnaire (R-SPQ-2F) and the Perceived Stress Scale (PSS) at two time points to evaluate change over time. The R-SPQ-2F generated a surface approach and a deep approach score; the PSS generated an overall perceived stress score. We found no significant differences between the two groups in approaches to learning at either time point, and no significant changes in approaches to learning over time in either cohort. Levels of stress increased significantly at the end of the year (Time 2) for students in the traditional assessment cohort, but not in the PT cohort. In the PT cohort, surface approach to learning, but not stress, was a significant negative predictor of students’ PT scores. While confirming an association between surface approaches to learning and lower PT scores, we failed to demonstrate an effect of PTs on approaches to learning. However, a reduction in assessment-associated stress is an important finding.

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Yan Chen

Papers

Depression in medical students: current insights.

Telling the Tale and Living Well: Adolescent Narrative Identity, Personality Traits, and Well-Being Across Cultures.

The coherence of critical event narratives and adolescents' psychological functioning.

Making robust assessments of specialist trainees' workplace performance.

Progress testing in the medical curriculum: students' approaches to learning and perceived stress.