The effects of vocational interest on study results : student person : environment fit and program interest diversity

The extent to which a good person-environment (PE) interest fit between student and study program leads to better study results in higher education is an ongoing debate wherein the role of the study program environment has remained inadequately studied. Unanswered questions include: how diverse study programs are in the interests of their student populations, and how this program interest diversity influences study results, in comparison to individual PE fit? The present study addressed these questions in students (N = 4,635) enrolled in open-access university education. In such an open access system, students are allowed to make study choices without prior limitations based on previous achievement or high stakes testing. Starting from the homogeneity assumption applied to this open access setting, we propose several hypotheses regarding program interest diversity, motivation, student-program interest fit, and study results. Furthermore, we applied a method of measuring interest diversity based on an existing measure of correlational person-environment fit. Results indicated that interest diversity in an open access study environment was low across study programs. Results also showed the variance present in program interest diversity was linked to autonomous and controlled motivation in the programs’ student populations. Finally, program interest diversity better explained study results than individual student fit with their program of choice. Indeed, program interest diversity explained up to 44% of the variance in the average program’s study results while individual student-program fit hardly predicted study success at all. Educational policy makers should therefore be aware of the importance of both interest fit and interest diversity during the process of study orientation

Sex difference and intra-operative tidal volume: Insights from the LAS VEGAS study

BACKGROUND: One key element of lung-protective ventilation is the use of a low tidal volume (VT). A sex difference in use of low tidal volume ventilation (LTVV) has been described in critically ill ICU patients.OBJECTIVES: The aim of this study was to determine whether a sex difference in use of LTVV also exists in operating room patients, and if present what factors drive this difference.DESIGN, PATIENTS AND SETTING: This is a posthoc analysis of LAS VEGAS, a 1-week worldwide observational study in adults requiring intra-operative ventilation during general anaesthesia for surgery in 146 hospitals in 29 countries.MAIN OUTCOME MEASURES: Women and men were compared with respect to use of LTVV, defined as VT of 8 ml kg-1 or less predicted bodyweight (PBW). A VT was deemed 'default' if the set VT was a round number. A mediation analysis assessed which factors may explain the sex difference in use of LTVV during intra-operative ventilation.RESULTS: This analysis includes 9864 patients, of whom 5425 (55%) were women. A default VT was often set, both in women and men; mode VT was 500 ml. Median [IQR] VT was higher in women than in men (8.6 [7.7 to 9.6] vs. 7.6 [6.8 to 8.4] ml kg-1 PBW, P < 0.001). Compared with men, women were twice as likely not to receive LTVV [68.8 vs. 36.0%; relative risk ratio 2.1 (95% CI 1.9 to 2.1), P < 0.001]. In the mediation analysis, patients' height and actual body weight (ABW) explained 81 and 18% of the sex difference in use of LTVV, respectively; it was not explained by the use of a default VT.CONCLUSION: In this worldwide cohort of patients receiving intra-operative ventilation during general anaesthesia for surgery, women received a higher VT than men during intra-operative ventilation. The risk for a female not to receive LTVV during surgery was double that of males. Height and ABW were the two mediators of the sex difference in use of LTVV.TRIAL REGISTRATION: The study was registered at Clinicaltrials.gov, NCT01601223

From interest assessment to study orientation : an empirical advice set engine

Each student faces the challenge of choosing a study program that matches his or her vocational interest. A good person-environment fit (PE fit) between student and study program influences study success and persistence, prerequisites to obtaining the desired degree. But which criterion should be used when presenting advice sets of study options to orient students toward study programs that match their vocational interests? And how long should such a list of study options be? Moving beyond existing, non-evidence-based approaches, present study sets out to develop an empirical advice set engine (EASE) to optimize the process of matching future students to fitting study options. Compared to existing, non-evidence-based alternatives, EASE shows a better balance between the number and PE fit of the options presented. EASE may be a promising way to rethink how student PE fit information can be used in student orientation and higher education research

How interest fit relates to STEM study choice : female students fit their choices better

STEM (Science, Technology, Engineering and Mathematics) enrolments in higher education are declining while the STEM gender gap of female underrepresentation seems to widen. The present study addresses both issues by exploring how the fit between a student’s vocational interests and the STEM field contributes to a (non-) STEM study choice. Data was collected in the unique setting of an open access and low cost higher education system, which allowed for study of vocational interests without unwanted influence of admission conditions. Specifically, we assessed the interest fit of N = 9,162 first-year Belgian university students with (1) the STEM field (i.e., STEM fit) and (2) their specific program of choice (i.e., program fit). Results indicated STEM fit indeed predicted STEM study choice, with a stronger effect in female students. Results also indicated that female students showed a better specific program fit. In order to promote student STEM enrolment and address the gender gap, the present study therefore advocates a gender-specific approach to attract more students with appropriate interest profiles

Career goal engagement following negative feedback : influence of expectancy-value and perceived feedback accuracy

This study addresses the effects of negative attainability feedback on the shift from engagement to disengagement from a career goal. It was hypothesized that negative attainability feedback regarding study choice may lead to both goal engagement and goal disengagement and that this relation is mediated by self-efficacy, motivational beliefs, and by the perceived accuracy of feedback. Results confirmed that negative feedback led to goal disengagement and, to a lesser extent, to continued engagement. Perceived accuracy of feedback was an important mediator, as was motivation. Self-efficacy did not predict either goal management strategies

How accurately do program-specific basic skills predict study success in open access higher education?

Student fail rates in the first year of open access academic higher education can become dramatically high. The present study in Flanders, Belgium examines how performance on program-specific basic skillsets can identify students at risk at the start of their curriculum in 21 bachelor programs (N = 6,624), months before actually failing their exams or dropping out. Results identify up to 58% of the students prone to failure at relatively lower error rates while still adhering to the principles of higher education equity. In practice, institutions and counselors can use the methodology of this study to identify at-risk students and offer them reorientation and remediation trajectories, preventing failure. Future applications towards more restricted or selective international education systems are discussed

Do refined consensus guidelines improve the uniformity of clinical target volume delineation for rectal cancer? Results of a national review project

In a previous national central review project, 74% of the rectal cancer clinical target volumes (CTVs) needed a modification. In a follow-up initiative, we evaluated whether the use of refined international consensus guidelines improves the uniformity of CTV delineation in clinical practice