Posts Tagged ‘ ethics

Twitter Weekly Updates for 2010-07-05

  • Locate your stolen Linux laptop With Prey – free, opensource tracking app http://tinyurl.com/3xz55ch #
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  • Disgusting result. Feel sick that cheating paid off for Suarez #wc2010 #
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  • Is it ever OK for a therapist to snoop on clients online? http://bit.ly/cKWlAW #
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  • Free Online Textbook Project Gets Federal Money – Wired Campus – The Chronicle of Higher Education http://bit.ly/at35RY #
  • Springer Announces New Open-Access Journals – Wired Campus – The Chronicle of Higher Education http://bit.ly/d6uYd8 #
  • The World Cup Desperately Requires Innovation http://bit.ly/9ywUXJ #
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Some thoughts on assessment in the Ethics module

This post is a result of a few short notes I made on my phone a few months ago, and then forgot about. I came across it the other day and thought I’d put it up here.

The way we currently assess students has no equivalent in practice. For some of our modules (e.g. Management), it makes more sense to allow students to write the test in a computer lab where they have a set time limit but can find what they need online. When would anyone of us be expected to know how to write up a business plan without being able to consult other sources? This would allow us to highlight in another way, that memorising content is not an appropriate strategy to be an effective physiotherapist in the real world. In case anyone is wondering, I’m not suggesting that students don’t need to be able to recall facts…they will obviously still need to memorise some stuff, particularly in the clinical components of the curriculum (e.g. you need to know what hypertonus is before you can address it). But there are definitely some areas of the curriculum where memorising facts is an terrible idea.

The “Professional Ethics” module is one of these areas. Currently assessed in a written examination format, this module has so many alternative approaches that could be more realistic and effective, including small group discussions (my current preference). Students would have to prepare in advance, familiarising themselves with the main concepts that the exam will cover (which would be provided to them beforehand). The exam could take place over a 30 minute period with the examiner guiding the conversation through a set number of topics that cover various important themes in professional ethics and ethical reasoning. Each group of students would certainly have a different conversation, so consistency would be hard to determine e.g. did all groups actually have the same exam?. A marking rubric is one way that could be used to ensure that each student is assessed on a range of the same themes as every other student e.g. participation, comprehension, communication skills, conflict resolution, etc.

I imagine a series of a few of these small group discussions taking place over the course of the year, potentially with different formats and objectives. There would be no summative assessment at the end of the year, only a few formative assessments during. I”m going to start putting together a proposal for the department to change the way the professional ethics module is assessed.

Any feedback or comments around this idea would be most welcome.

Research development workshop: research ethics

This presentation mainly used the ethics policy of this institution, so I didn’t take many notes considering that I have the policy.

The intention of ethics in research is to safeguard human dignity and to promote justice, equality, truth and trust → crtical reflection on morality

Ethics are norms for conduct that distinguish between acceptable and unacceptable behaviour

Why is research ethics necessary?

  • Promotes the aims of research
  • Promotes the values that are essential to collaborative work e.g. trust, accountability, mutual respect, fairness
  • Helps to ensure that researchers can be held accountable to the public
  • Helps to build public support for research
  • Important to develop morale

Twitter Weekly Updates for 2010-02-22

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Assignments

Over the last week I’ve given my fourth year physiotherapy students 2 assignments to be completed over the next few months. Here is a basic rundown of each.

The first assignment is part of the continuous evaluation for the Management module I teach. The students must create a website for a (fictional) private physiotherapy practice. They’ll be using Google Sites as the platform, which seems to be the simplest approach that removes most of the barriers to creating sites for people with no experience in this regard. I wanted to make the technology as small a factor as possible, which I think Sites does quite nicely. The objectives for the students are that they should be better able to:

  • Identify relevant information that potential clients would need to find their practice
  • Identify and make use of professional guidelines on advertising and self-promotion
  • Learn new skills that will better prepare them for practice e.g. establishing an online presence using freely available tools
  • Be creative in how they present themselves and their practices

The second assignment is part of the Ethics and Human Rights in Health module that I teach. Students will use a wiki to explore the differences in community-based physiotherapy in South Africa (University of the Western Cape) and Ireland (Royal College of Surgeons), as part of an international collaborative project on Physiopedia. This assignment will focus on groupwork and collaborative learning, using the content as a framework on which to build a body of shared experiences. They will be working with Irish physiotherapy students to create short narratives on the different learning and practical experiences of stutdents working in both countries. The objectives (for our students) that they should be better able to:

  • Identify relevant sources of information to provide background to the narratives
  • Highlight the role of the physiotherapist in community-based healthcare settings
  • Explore and discuss some of the ethical and patient rights issues inherent in the South African healthcare system
  • Engage in dialogue with students who come from different backgrounds, cultures and socio-economic environments, acknowledging the perspectives of those who experience the world in different ways
  • Make effective use of technology to community with and share ideas with peers who are geographically dispersed
  • Participate in the peer review process, by commenting on the work of other groups

I’ll be reporting on the progress of the students as they work on these assignments, and will be making any findings available following their completion.

Opencourseware Consortium panel discussion at UWC

Last Friday I was fortunate enough to attend 2 panel discussions on the use of OER in higher education. It was a bit of an occasion as one of the panels included a few board members of the Opencourseware Consortium (on a side note, UWC is a member of the OCW Consortium). This post is really just a few of the comments made during the panels.

The session began with a welcome message by the university’s Chancellor, Archbishop Desmond Tutu, a wonderful man who is always a pleasure to listen to. Something he said struck a chord with me, as I’ve been reflecting on this issue with my students in the ethics module I teach. He said to remember that we are not second rate, and that we don’t have to apologise for who we are. This is important because so often I find that my students lack self-confidence and seem almost apologetic for even being here. The history of this particular institution seems to haunt them, and they can’t seem to shake the belief that their degree isn’t worth the same as one from another university. This is obviously a deep issue that I’m not going to go into here, but I just wanted to mention that comment.

The Vice-Chancellor also made an interesting point in his short welcome address. That is, a redistribution of wealth from the rich 10% won’t significantly improve the lot of the poor 90%. Only by empowering the majority of the people to make their own change, can the country move forward.

The other comments I made a note of included the following:

Andy Lane (Open University, UK): OER is not just good to do. It’s about some form of social justice.

Neil Butcher (OER Africa, South Africa): Curricular frameworks must drive the development of OER i.e. content is not the focus, content comes after pedagogy

Derek Keats (Wits University, South Africa): 1) When content is free, students can use scarce financial resources to acquire technology, which opens up access to an even greater body of content. 2) When institutional strategy is developed around OER, faculty pushback can be reduced

N.B: 1) Institutional pushback is reduced when the OER conversation happens around better ways of addressing faculty and student needs. 2) The content is infrastructure.

Philip Schmidt (Peer 2 Peer University): When lecturers become "internet superstars", they can teach a greater body of students than any traditional lecturer could teach in a lifetime. This reduces the emphasis on formal recognition of professional development.

Ultimately, OER is about content, but I’m more interested to know if it has a role to play in changing teaching and learning practice?

Giving students a voice in Physiotherapy Ethics

I’ve been going through some of the “Professional Ethics” assignments I received from our third year physiotherapy students, and wanted to share this one with you (with the students’ permission). It was written by Basil Buthelezi, and which I think really showcases the wonderful talents our students have, which we would never usually encounter because we focus so much energy on the clinical component of physiotherapy education.

The assignment was to explore the theme of Human rights in South African healthcare, using any media that the students wanted. So far, I’ve received a fictional newspaper front page (which I’m hoping to put up here as well), been directed to this blog, and now this poem by Basil. I wanted to share it because I think it illustrates the potential that students have to amaze us when we give them the opportunity to speak with their own voices. Here’s the poem by Basil Buthelezi…

Site of entertainment (voices personalising HIV / AIDS)

I’m all over,
From the person next to you,
In the neighbourhood and,
All four corners of the world.

They all bow for me,
From TB to Cancer,
From strokes to the paralysed,
Beautiful or ugly,
From infants to the elderly,
Rich or poor,
White or black, “colour with no discrimination”,
But all the negativities in me.

Fair enough,
I’m tired of tears and the angry faces of stranded orphans,
Hopeless,
Harmless,
Hungry,
Homeless,
Their tears have given birth to an ocean.
Yes, my throat is dry, but I can’t drink in this ocean because it’s dirty,
All infected, the attack of vampires is in full swing,
Kill them, kill them all!!
Seize the duplication.

Dollars and dollars,
I have explored their pockets and robbed their monies,
Monies buying antiretrovirals
To keep me low, yet
The dead sentence is coming.

Graves and graves,
If they were coloured red
This world will be red, red
Red for danger
Red bloody red.

The equation is shifting,
Outplaying the moments of pleasure,
Abstain to restore the equilibrium
“Be faithful” is a song of goodwill.

If not!
Pause, before you explore the site of entertainment,
Have you worn a jacket to protect you,
To protect you from hot and juicy stuff?
I know you want to be happy down there…,
But you need a license to enjoy,
Cause I’m like a vampire waiting to attack
And destroy the essence of your life.

Basil Buthelezi (2009)

Twitter Weekly Updates for 2009-09-28

  • Cultivating Communities of Practice: A Guide to Managing Knowledge – 7 Principles http://bit.ly/1J8gpw #
  • Can’t wait for my netbook to arrive so that I can play with Moblin 2.0…http://bit.ly/gqdOV #
  • BMJ Case Reports blog: Finding your doctor through their published case reports http://bit.ly/3qEG9y #
  • Trends and issues in open and distance learning in Africa IRRODL, Vol 10, No 4 (2009) http://bit.ly/Goafv #
  • Seeking health information online: does Wikipedia matter? J Am Med Inform Assoc. (2009 Jul-Aug] – PubMed Result http://bit.ly/13fKqO #
  • Ethics assign. for 3rd yr South African physio student. Please visit & comment to show support for innovative approach http://bit.ly/1QzNAT #
  • “What’s New in the Sixth Edition of the APA Publication Manual?” from http://bit.ly/Sn7da #
  • “The International Review of Research in Open and Distance Learning” from http://www.irrodl.org/index.php/irrodl #
  • “New Edition of the APA Manual | Virtual Canuck” from http://bit.ly/1yjoz #

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Third year ethics assignment

I just wanted to send out a quick post to highlight the great work that one of my third year students has done as part of her ethics assignment.  The idea was to discuss the topic of human rights in South African healthcare using any method that the students wanted to.  I’m getting some great feedback from them, which is pretty exciting considering that students almost never want to discuss their assignments.

Here’s the link: http://laurenharwin.wordpress.com/

If you like the idea, please consider posting a comment or two on her blog, as she is trying to generate a conversation around the topic.

Assessment in an outcomes based curriculum

I attended a seminar / short course on campus yesterday, presented by Prof. Chrissie Boughey from Rhodes University. She spoke about the role of assessment in curriculum development and the link between teaching and assessing. Here are the notes I took.

Assessment is the most important factor in improving learning because we get back what we test. Therefore assessment is acknowledged as a driver of the quality of learning.

Currently, most assessment tasks encourage the reproduction of content, whereas we should rather be looking for the production of new knowledge (the analyse, evaluate and create parts of Bloom’s top level cognitive processes).

Practical exercise: Pick a course / module / subject you currently teach (Professional Ethics for Physiotherapists), think about how you assess it (Assignment, Test, Self-study, Guided reflection, Written exam) and finally, what you think you’re assessing (Critical thinking / Analysis around ethical dilemmas in healthcare, Application of theory to clinical practice). I went on to identify the following problems with assessment in the current module:

  • I have difficulty assigning a quantitative grade to what is generally a qualitative concept
  • There is little scope in the current assessment structure for a creative approach

This led to a discussion about formal university structures that determine things like, how subjects will be assessed, as well as the regimes of teaching and learning (“we do it this way because this is the way it’s always been done”). Do they remove your autonomy? It made me wonder what our university official assessment policy is.

Construct validity: Are we using assessment to asses something other than what we say we’re assessing? If so, what are we actually assessing?

There was also a question about whether or not we could / should asses only what’s been formally covered in class. How do you / should you asses knowledge that is self-taught? We could for example, measure the process of learning, rather than the product. I made a point that in certain areas of what I teach, I no longer assign a grade to an individual peice of work and rather give a mark for the progress that the student has made, based on feedback and group discussion in that area.

Outcomes based assessment / criterion referenced assessment

  1. Uses the principle of ALIGNMENT (aligning learning outcomes, passing criteria, assessment)
  2. Is assessing what students should be able to do
  3. “Design down” is possible when you have standardised exit level outcomes (we do, prescribed by the HPCSA)
  4. The actual criteria are able to be observed and are not a guess at a mental process, “this is what I need to see in order to know that the student can do it”
  5. Choosing the assessment tasks answers the question “How will I provide opportunities for students to demonstrate what I need to see?” When this is the starting point, it knocks everything else out of alignment
  6. You need space for students / teachers to engage with the course content and to negotiate meaning or understanding of the course requirements, “Where can they demonstrate competence?”

Criteria are negotiable and form the basis of assessment. They should be public, which makes educators accountable.

When designing outcomes, the process should be fluid and dynamic.

Had an interesting conversation about the priviliged place of writing in assessment. What about other expressions of competence? Since speech is the primary form of communication (we learn to speak before we learn to write), we find it easier to convey ideas through conversation, as it includes other cues that we use to construct meaning. Writing is a more difficult form because we lack visual (and other) cues. Drafting is one way that constructing meaning through writing could be made easier. The other point I thought was interesting was that academic writing is communal (drafting, editors, reviewers all provide a feedback mechanism that isn’t as fluid as speech, but is helpful nonetheless), but we often don’t allow students to write communally.

Outcomes based assessment focusses on providing students with multiple opportunities to practice what they need to do, and the provision of feedback on that practice (formative). Eventually, students must demonstrate achievement (summative).

We should only assign marks when we evaluate performace against the course outcomes.

Finally, in thinking about the written exam as a form of assessment, we identified these characteristics:

  • It is isolated and individual
  • There is a time constraint
  • There is pressure to pass or fail

None of these characteristics are present in general physiotherapy practice. We can always ask a colleage / go to the literature for assistance. There is no constraint to have the patient fully rehabilitated by any set time, and there are no pass or fail criteria.

If assessment is a method we use to determine competence to perform a given task, and the way we asses isn’t related to the task physio students will one day perform, are we assessing them appropriately?

Note: the practical outcomes of this session will include the following:

  • Changing the final assessment of the Ethics module from a written exam to a portfolio presentation
  • Rewriting the learning outcomes of the module descriptors at this year’s planning meeting
  • Evaluating the criteria I use to mark my assignments to better reflect the module outcomes