Construct-level predictive validity of educational attainment and intellectual aptitude tests in medical student selection: meta-regression of six UK longitudinal studies

Background: Measures used for medical student selection should predict future performance during training. A problem for any selection study is that predictor-outcome correlations are known only in those who have been selected, whereas selectors need to know how measures would predict in the entire pool of applicants. That problem of interpretation can be solved by calculating construct-level predictive validity, an estimate of true predictor-outcome correlation across the range of applicant abilities. Methods: Construct-level predictive validities were calculated in six cohort studies of medical student selection and training (student entry, 1972 to 2009) for a range of predictors, including A-levels, General Certificates of Secondary Education (GCSEs)/O-levels, and aptitude tests (AH5 and UK Clinical Aptitude Test (UKCAT)). Outcomes included undergraduate basic medical science and finals assessments, as well as postgraduate measures of Membership of the Royal Colleges of Physicians of the United Kingdom (MRCP(UK)) performance and entry in the Specialist Register. Construct-level predictive validity was calculated with the method of Hunter, Schmidt and Le (2006), adapted to correct for right-censorship of examination results due to grade inflation. Results: Meta-regression analyzed 57 separate predictor-outcome correlations (POCs) and construct-level predictive validities (CLPVs). Mean CLPVs are substantially higher (.450) than mean POCs (.171). Mean CLPVs for first-year examinations, were high for A-levels (.809; CI: .501 to .935), and lower for GCSEs/O-levels (.332; CI: .024 to .583) and UKCAT (mean = .245; CI: .207 to .276). A-levels had higher CLPVs for all undergraduate and postgraduate assessments than did GCSEs/O-levels and intellectual aptitude tests. CLPVs of educational attainment measures decline somewhat during training, but continue to predict postgraduate performance. Intellectual aptitude tests have lower CLPVs than A-levels or GCSEs/O-levels. Conclusions: Educational attainment has strong CLPVs for undergraduate and postgraduate performance, accounting for perhaps 65% of true variance in first year performance. Such CLPVs justify the use of educational attainment measure in selection, but also raise a key theoretical question concerning the remaining 35% of variance (and measurement error, range restriction and right-censorship have been taken into account). Just as in astrophysics, ‘dark matter’ and ‘dark energy’ are posited to balance various theoretical equations, so medical student selection must also have its ‘dark variance’, whose nature is not yet properly characterized, but explains a third of the variation in performance during training. Some variance probably relates to factors which are unpredictable at selection, such as illness or other life events, but some is probably also associated with factors such as personality, motivation or study skills

Using pattern languages in participatory design

In this paper, we examine the contribution that pattern languages could make to user participation in the design of interactive systems, and we report on our experiences of using pattern languages in this way. In recent years, there has been a growing interest in the use of patterns and pattern languages in the design of interactive systems. Pattern languages were originally developed by the architect, Christopher Alexander, both as a way of understanding the nature of building designs that promote a ‘humane’ or living built environment; and as a practical tool to aid in participatory design of buildings. Our experience suggests that pattern languages do have considerable potential to support participatory design in HCI, but that many pragmatic issues remain to be resolved.</p

Creating the Conditions for Reflethical Practice: Exploring the potential for creativity and arts-based approaches to support the development and evolution of ethical awareness in coaching practice

Using creativity and arts-based approaches in coaching is both emergent and experimental, with a limited body of research to support the safe development and implementation of this novel way of working as a coach or supervisor. This paper aims to challenge the creation and sharing of creative and arts-based coaching approaches without an accompanying and integrated discussion on ethical practice. Exploring the current landscape of ethical support for coaches reveals that it is complex and fragmented, and the individual coach has to use an idiosyncratic approach to ethical decision- making. In response, consideration of the role that creativity and arts-based approaches might play in supporting the evolution of our collective ethical awareness, particularly when working with experimental ideas, is offered, followed by the proposal of a new term, reflethical practice, and a corresponding model for its application

Is the Health Care System Working for Adolescents? Perspectives From Providers in Boston, Denver, Houston, and San Francisco

Assesses healthcare system services for adolescents in four urban areas. Includes provider perspectives on how health insurance, managed care, and other factors facilitate or impede access. Discusses innovative programs, and offers recommendations

Using Pattern Languages in Participatory Design

In this paper, we examine the contribution that pattern languages could make to user participation in the design of interactive systems, and we report on our experiences of using pattern languages in this way. In recent years, there has been a growing interest in the use of patterns and pattern languages in the design of interactive systems. Pattern languages were originally developed by the architect, Christopher Alexander, both as a way of understanding the nature of building designs that promote a ‘humane’ or living built environment; and as a practical tool to aid in participatory design of buildings. Our experience suggests that pattern languages do have considerable potential to support participatory design in HCI, but that many pragmatic issues remain to be resolved

Contested meanings of recovery: a critical exploration of the Canterbury earthquakes-voices from the social sciences

The Canterbury earthquakes of 2010-2012 have been generation shaping. People living and working in and around the city during this time have had their lives and social landscapes changed forever. The earthquake response, recovery and rebuild efforts have highlighted unheralded social strengths and vulnerabilities within individuals, organisations, communities and country writ large. It is imperative that the social sciences stand up to be counted amongst the myriad of academic research, commentary and analysis

Enhancing activity, nutrition and mental health in overweight adolescents Stage 1 - Formative Research

This report discusses Stage 1 of the 'Curtin Activity, Food and Attitudes Program' (CAFAP). As a part of this research program, a tertiary hospital adolescent obesity intervention was adapted and piloted it in a community setting with clinically obese adolescents and their families. The first stage of the project refined the program and its evaluation framework based on individual, family and community enablers and barriers. This report will present the outcomes of Stage 1. It will examine the experiences of participants and discuss the understanding gained of what would encourage potential participants to become involved in CAFAP if it was available to them in their community

Resource ecology of the Bolinao coral reef system

Resource /Energy Economics and Policy,

Understanding Seafood Consumption and Healthy Living Practices Report 2010

This report documents the findings of a small cross-sectional survey conducted from November 6 - 9th 2010. The survey was administered to 48 people via random interception at the Melbourne Exhibition Centre. Respondents were asked to complete demographic information, consumption and perception of seafood to other proteins (chicken, pork, lamb and beef), what types of seafood consumed in the past week and the preparation methods used. Respondents were also asked whether they participated in physical activities and what barriers they had to recreational fishing. Although the sample size was small, this study provided validation to the survey instrument used. Reliability will now be assessed and the survey modified accordingly for use in a larger study to be conducted through CESSH. The study has also provided some direction for further work within a community based model of behaviour change communication