This article outlines key components of a medical evaluation of a child who is not talking. Factors to consider during diagnosis and screening are discussed, including the presence of mental retardation, hearing impairments, autism, cerebral palsy, and other disorders. The physiology of speech/language disorders in children is also examined.…

A case-based, student-centered instructional model designed to mimic orthodontic problem solving and decision making in dental general practice is described. Small groups of students analyze case data, then record and discuss their diagnoses and treatments. Students and instructors rated the seminars positively, and students reported improved…

Focuses on possible causes of attention deficit disorder (ADD), changes in ADD terminology, the diagnosis of ADD, the school counselor's unique position in addressing this disorder, and the multidisciplinary team-multidimensional approach to treatment of ADD individuals. School counselors should know the specific diagnosis of individuals with ADD…

Implications of case specificity in two computer-based clinical-simulation examination cases were examined by a classical measurement approach and by a Bayesian analysis of test characteristics. Results from 163 medical students indicate that such examinations cannot be used in high-stakes situations without additional research. (SLD)

Low-cost, privately supported voice clinics were developed to perform laryngeal examinations of public school children to identify those needing treatment for voice disorders. This paper describes the model used in implementing the program, the population seen at the clinics, and the logistics involved in clinic operation. (Author/JDD)

A study of six distinguished clinical teachers in internal medicine investigated how they made rapid instructional decisions in response to each case presentation in teaching rounds. Results indicated these characteristics: substantial planning before rounds; quick, simultaneous diagnosis of patient problems and learners' level of understanding;…

A four-step procedure is described for using evaluation to contribute to the knowledge that intake staff need to assign clients to treatment programs. The procedure is illustrated with data from the evaluation of a professional development program delivered to 35 teacher consultants in Ontario (Canada). (SLD)

The article addresses advances in speech and language assessment through the use of technology. Discussed are the large amounts of accurate diagnostic information that software can generate and the use of microcomputers in data interpretation. Categories of assessment software (phonological analysis and language sample analysis) are considered and…

Performance by medical school sophomores (N=106) on higher-order questions in a second year introductory medicine course did not correlate with perceived performance in subsequent clerkships any better than did performance on fact-recall items. The use of multiple clinical simulations may emerge as the only satisfactory controlled assay of…

Discusses the discrepancies among physicians, psychologists, and schools regarding the diagnosis and treatment of attention deficit disorders. Stresses the need for all evaluations to include cross-disciplinary cooperation, and for the acceptance of standardized measures as part of the identification and treatment process. (CR)

A mother of an adult son with Asperger disorder discusses his adoption, the symptoms of his disability, social problems that he encountered in school, and his placement in a psychiatric hospital. His misdiagnosis with reactive attachment disorder and the long journey to a correct diagnosis of Asperger disorder are recounted. (CR)

It has been only in the past decade that autism has been widely recognized among Chinese service providers. As a result, there are few professionals who are trained to treat the disorder. Although efforts are currently under way to determine the prevalence of autism in China, to date there are no reliable data that indicate the magnitude of the…

Increasing numbers of infants and toddlers who were premature, had low birth weight, or experience chronic medical conditions are referred to early intervention services (Bernstein, Heimler, & Sasidharan, 1998). These young children often endure prolonged hospitalizations and are at risk for developmental disabilities by nature of their illnesses,…

Background: Velo-cardio-facial syndrome (VCFS), the most frequent known interstitial deletion identified in man, is associated with chromosomal microdeletions in the q11 band of chromosome 22. Individuals with VCFS are reported to have a characteristic behavioural phenotype with high rates of behavioural, psychiatric, neuropsychological and…

Background: The aim was to document the spectrum of present and lifetime psychological disorders in female juvenile offenders, and to examine the relations between mental health status and socio-demographic, family and trauma variables. Method: One hundred juvenile offenders were matched with a comparison group of 100 females on age and…