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Differences in transitional needs of high school students with and without learning disabilities.

Studies investigating the post-high-school vocational status of individuals with disabilities have frequently found that these individuals are more likely to be unemployed, underemployed, or employed part-time, when compared to nondisabled peers. Transition programs are needed for adolescents with disabilities to facilitate their vocational success. The current study surveyed 80 high school students with learning disabilities (LD) and 80 nondisabled (NLD) peers to determine their transitional needs. Results indicated that (a) more students with LD than NLD students are involved in transition programs; (b) career goals were established by the majority of both groups; (c) parents provided most of the assistance in making career decisions; and (d) twice as many NLD students as students with LD wanted to go to college, while twice as many students with LD as NLD students wanted to enter the job market. More students with LD than NLD students were aware of vocational rehabilitation (VR) services, but the number was still below 50%. The majority of the information about VR services came from the school.

Adolescent↗

Learning disabilities, employment discrimination, and the ADA.

The Americans with Disabilities Act (ADA) of 1990 was intended to prohibit discrimination against individuals with disabilities. Although the scope of this legislation is broad, there are aspects of Title I and Title II of the ADA that may be of particular interest to persons with learning disabilities who are preparing for employment. This article discusses those aspects and presents case studies to demonstrate how the ADA could potentially be applied to typical situations. Suggestions are given for individuals with learning disabilities, their parents, and teachers with regard to employment preparation in secondary and postsecondary settings.

Adolescent↗

Evaluating very small and rapidly evolving programs. Consultation in the case of a health careers information program.

The case of a health careers program evaluation illustrates some aspects of evaluating very small and rapidly evolving programs. Such programs can change quickly, since there is no massive bureaucracy to restrain them. Rigid evaluation research methods would frustrate both researchers and program staff. The authors suggest that flexible design, use of specialized interviewing and analytical experiments--in this case, telephone surveys testing program response--and a recognition that a consultative relationship exists will result in outcomes useful to the program and rich in evaluation data.

Career Choice↗

The employment service and vacancy durations.

In the literature, there are few examples of studies analyzing the impact of labor market programs on vacancies. This article presents the results of a study of the impact of personnel increase at Swedish employment offices on vacancy durations. The evaluation method in the study is quasi-experimental. The main results of the study are as follows: (a) The increase of employment office staff members reduced their vacancy durations by approximately 2 days, and the probability that a vacancy is cancelled from the register is 1.17 times higher for the program offices; and (b) this effect is too small for the increase of staff members to represent a socially efficient use of resources and for a positive outcome in a public finance context.

Cost-Benefit Analysis↗

Academic-community partnerships: opening the doors to a nursing career.

With the belief that diversity is strength, the community of Reading, Pennsylvania, set forth an effort to meet the challenges of the disparity within the local nursing workforce with a comprehensive, long-term approach for the recruitment and retention of an underrepresented group. An academic-community partnership was formed to develop multifaceted programs and support across school and community agency systems. The Alvernia College Nursing Department has taken a leadership role to coordinate many community and health care agencies with the goal of increasing the number of baccalaureate-prepared Hispanic and bilingual nurses to provide culturally competent and sensitive care to the community.

Career Choice↗

Hand-scoring error rates in psychological testing.

Despite the comprehensive treatment of test validity in most technical manuals, test authors appear to routinely assume that clients and professionals will score their instruments without error. Recently Allard and Faust challenged this assumption by suggesting that error rates "may not be rare or benign" and demonstrated that tests with more complex scoring procedures were associated with a greater number of scoring errors. This study investigated error rates that resulted from hand scoring seven psychometric tests commonly employed in psychological practice. Significant and serious error rates were identified for both psychologist and client scorers across all tests investigated. Scoring complexity was found to predict the base rate of scorer errors. The findings suggest that greater development in and attention to test-scoring procedures is required to restrict the likelihood of scorer error.

Adult↗

Recruiting future neuroscientists: what asking the recruits can teach us.

Many different strategies are used to recruit students into scientific research careers, including neuroscience research. These strategies are rarely based on knowledge about students; instead, activities are selected based on their ease of implementation. The goal of the LEARN Project is to encourage high school students into mental health science research using the theme of learning and memory. One intervention the authors developed is five Web-based biographies introducing students to contemporary neuroscientist role models studying learning and memory. To guide the design of this intervention, the authors created a survey to determine where students obtain career information and who and what influences their career selection. In a convenience sample of 124 students, the authors found that almost all students use the Internet for information about careers, in addition to consulting family members and teachers. Students' career selections are influenced most by family members, teachers, and people already in the field. The most important factors students look for in their future career are money, fun, and a good match between current interests and future careers. The data affirm the value of outreach efforts that go beyond students to include a broader audience of parents and teachers who play a critical role in career selection.

Adolescent↗

Reflections from the ivory tower.

One health educator reflects on a career shift from public health practitioner to college faculty. The opportunity arose through informal Society for Public Health Education (SOPHE) networking. Similarities between the practitioner and academic roles are noted in relation to politics, mentoring, service on committees, presentations, consultation, and chain of command. Notable differences are discussed in areas of hiring and job security, work rules, teaching versus administration, molding students versus reshaping adults, degree of focus on health content versus program process, amount of bureaucracy and red tape, and degree of freedom to advocate. Recommendations are included for successful transitions. Both roles have unique rewards.

Career Choice↗

A center-based approach to a transplant employment program.

The return to work after transplantation has been actively discussed in the transplant community for years. However, despite the desire for transplant practitioners to have recipients return to being healthy, contributing members of society as well as return to work, practitioners often passively support the sick role. We discovered that patients who are returning to work after transplantation may have been out of the work force for several years, and require assistance that we as healthcare providers were unable or untrained to provide. An employment specialist was added to the transplant staff and became a vital part of our attempts to create a proactive employment atmosphere and enhance our patients' quality of life. Adding an advocate for employment in our center has also facilitated the shift in our thinking and approach to care from the sick role to one of rehabilitation and from reactive to proactive. This change in attitude has assisted in empowering our recipients to feel as if they can truly resume a normal life.

Adult↗

Mapping medical careers: questionnaire assessment of career preferences in medical school applicants and final-year students.

BACKGROUND: The medical specialities chosen by doctors for their careers play an important part in the workforce planning of health-care services. However, there is little theoretical understanding of how different medical specialities are perceived or how choices are made, despite there being much work in general on this topic in occupational psychology, which is influenced by Holland's RIASEC (Realistic-Investigative-Artistic-Social-Enterprising-Conventional) typology of careers, and Gottfredson's model of circumscription and compromise. In this study, we use three large-scale cohorts of medical students to produce maps of medical careers. METHODS: Information on between 24 and 28 specialities was collected in three UK cohorts of medical students (1981, 1986 and 1991 entry), in applicants (1981 and 1986 cohorts, N = 1135 and 2032) or entrants (1991 cohort, N = 2973) and in final-year students (N = 330, 376, and 1437). Mapping used Individual Differences Scaling (INDSCAL) on sub-groups broken down by age and sex. The method was validated in a population sample using a full range of careers, and demonstrating that the RIASEC structure could be extracted. RESULTS: Medical specialities in each cohort, at application and in the final-year, were well represented by a two-dimensional space. The representations showed a close similarity to Holland's RIASEC typology, with the main orthogonal dimensions appearing similar to Prediger's derived orthogonal dimensions of 'Things-People' and 'Data-Ideas'. CONCLUSIONS: There are close parallels between Holland's general typology of careers, and the structure we have found in medical careers. Medical specialities typical of Holland's six RIASEC categories are Surgery (Realistic), Hospital Medicine (Investigative), Psychiatry (Artistic), Public Health (Social), Administrative Medicine (Enterprising), and Laboratory Medicine (Conventional). The homology between medical careers and RIASEC may mean that the map can be used as the basis for understanding career choice, and for providing career counselling.

Adolescent↗

Medical students who decompress during the M-1 year outperform those who fail and repeat it: a study of M-1 students at the University of Illinois College of Medicine at Urbana-Champaign 1988-2000.

BACKGROUND: All medical schools must counsel poor-performing students, address their problems and assist them in developing into competent physicians. The objective of this study was to determine whether students with academic deficiencies in their M-1 year graduate more often, spend less time to complete the curriculum, and need fewer attempts at passing USMLE Step 1 and Step 2 by entering the Decompressed Program prior to failure of the M-1 year than those students who fail the M-1 year and then repeat it. METHOD: The authors reviewed the performance of M-1 students in the Decompressed Program and compared their outcomes to M-1 students who failed and fully repeated the M-1 year. To compare the groups upon admission, t-Tests comparing the Cognitive Index of students and MCAT scores from both groups were performed. Performance of the two groups after matriculation was also analyzed. RESULTS: Decompressed students were 2.1 times more likely to graduate. Decompressed students were 2.5 times more likely to pass USMLE Step 1 on the first attempt than the repeat students. In addition, 46% of those in the decompressed group completed the program in five years compared to 18% of the repeat group. CONCLUSION: Medical students who decompress their M-1 year prior to M-1 year failure outperform those who fail their first year and then repeat it. These findings indicate the need for careful monitoring of M-1 student performance and early intervention and counseling of struggling students.

Control Groups↗

Four studies extending the utility of the Schwartz Outcome Scale (SOS-10).

The Schwartz Outcome Scale (SOS-10; Blais et al., 1999) is a brief, cost free, and easy to administer assessment device designed to measure a broad domain of psychological health. The 4 studies using the SOS-10 reported here extend the initial reliability and validity studies beyond psychiatric patients in a hospital setting to examine (a) test-retest reliability in a college student population, (b) concurrent validity with college students using an indirect technique assessing maladjustment, (c) concurrent validity with college counseling center clients using a self-report measure of client distress, and (d) sensitivity to treatment changes with outpatient clients. These studies lend further support for using the SOS-10 as a measure of psychological well-being and as an outcome measure in varied settings.

Directive Counseling↗

Masculinity and femininity predict optimal mental health: a belated test of the androgyny hypothesis.

In this study, we examined the relationship between psychological androgyny and optimal mental health in a sample of adults seeking career consultation (N = 154). Most earlier research on the subject employed self-report measures of well-being or adjustment. In this study, we employed an "observer-by-proxy" measure of optimal mental health that, although based on self report data, provides an empirically based estimate of ratings that clinicians would make using the California Q-set (Block, 1961/1978). High levels of both masculinity and femininity are associated with higher levels of optimal mental health. These findings represent a rare example of support for the additive androgyny hypothesis and argue for its further study. We also discuss the construct validity of the masculinity and femininity scales we used, and we argue for further study of our mental health measure.

Adult↗

Curricular reform of the 4th year of medical school: the colleges model.

BACKGROUND: The practice of medicine has changed dramatically over the last 3 decades. Medical education has struggled to keep up with these changes, with only limited success. The 4th year of medical school offers a tremendous opportunity for curricular innovation, but little change has occurred in the past 30 years. DESCRIPTION: This article traces the history of the 4th year, from the Flexnerian era in which the classic preclinical-clinical model for medical education was developed, through the 1970s, when virtually every medical school adopted a largely elective 4th year, to the present. Although the classic 4th-year curriculum has a number of strengths such as flexibility and relative autonomy of scheduling for students, it also has significant weaknesses. EVALUATION: A major educational initiative for the 4th year-the "College Phase"-has been implemented at the David Geffen School of Medicine at UCLA. It is designed to remedy many of the weaknesses of the 4th-year curriculum while preserving the benefits. CONCLUSION: Five colleges have been created: acute care, applied anatomy, medical science, primary care, and urban underserved. Students participate in a number of different college-specific activities that are hoped to produce a more engaging, rigorous, and enriching experience for students and faculty alike

Career Choice↗