The politics of vocational evaluation: a qualitative study.
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"Early outreach" may be defined as a long-term, talent-development strategy designed to prepare a well qualified pool of disadvantaged and underrepresented minority applicants for entry into health professions schools, particularly medical schools. The concept of early outreach is to prepare, motivate, and educate talented, economically disadvantaged junior high or secondary school students to gain the necessary academic qualifications to make high school graduation, college attendance, and health careers a reality. In this paper the author defines the problem to which early outreach is addressed and discussed the contextual and historical background of the concept. A number of programs at the Health Sciences Center at the University of Illinois at Chicago designed and implemented to provide a model to achieve the concept of early outreach are described.
Over a seven-year period, data were gathered on 249 declared medical technology majors enrolled in an Introduction to Medical Technology course at the University of Iowa. The Kendall Tau C test for significance (p = less than .05) was utilized in determining the influence of several variables or factors in the students' choice of medical technology as a career. Such factors as the type of work, demand for medical technologists, and desire to help people were found to be highly motivating factors in choice. It appeared the motivation was primarily internalized with assistance sought from various sources. The decision of medical technology as a career was predominantly made in the junior/senior year in high school or freshman/sophomore year in college.
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Three good reasons to improve allied health student selection can be suggested: There are often more applicants than spaces; there is often high attrition within programs; and it is often difficult for a student to transfer in or out of a program without cost in time and/or money. Although college grade point average (GPA) has been the best single predictor of continuing academic success in an allied health major, this GPA is not available for entering freshmen. Also, students' curriculum or career choices are often uninformed. It seemed worthwhile, therefore, to consider what could be added to evaluation of high school achievement and expressed interest to improve the selective admission of students to allied health programs. This study evaluated the use of the Strong Vocational Interest Blank (SVIB) and the Strong-Campbell Interest Inventory (SCII) as a selection technique for medical technology students. Results of the two interest inventories appeared to be similar in comparable areas. Our findings did not support the use of either test as a selection device for medical technology students, primarily because of the lack of discrimination within allied health professions. The graduates' scores on the basic interest and occupational scales of the SVIB-SCII did show shared interests and similarity with other allied health professions. This suggests that these tests could be of value in more general counseling of students interested in the allied health professions.
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Many patients have parents and siblings who possess the sickle cell trait and who often require not only genetic counseling, but also information about their own health. Some have been informed that they cannot pursue careers in aviation. Some have been told that they are at special risk for the hypoxemic effects of heavy exertion, especially the exertion associated with sports. A few believe that certain elements of the industrial environment are unusually hazardous to them. An examination of the literature reveals little evidence in support of any of these beliefs. Most, if not all, unfavorable reports are clouded by faults of various kinds. All of them are of anecdotal type, based on small numbers of cases; the evidence offered is circumstantial. On the other hand, experiments designed to test the susceptibility of those with sickle cell trait have yielded favorable results. Studies of large populations indicate that those with the trait have normal health and normal life expectancy. There are almost as many favorable anecdotal reports as there are negative ones. We must conclude that people with sickle cell trait are just as tolerant to aviation and industrial environments as those who are homozygous for hemoglobin A. Also, there are strong indications that those with sickle cell trait are not endangered by heavy physical exertion, including the exertion of athletic competition.