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…

This study investigated the types of interventions that elementary school teachers and pre-service teachers choose to employ when working with students displaying hyperactive behavior. The extent to which beliefs systems, namely entity/incremental theories, showed relationships with the selection of particular types of interventions was also…

A list of all treatment facilities for adolescent sex offenders that described themselves as inpatient or residential was requested from the Safer Society Foundation in Brandon, Vermont. A total of 203 such facilities were identified in this manner. Each was sent a questionnaire regarding their policies and practices. Of the 50 questionnaires that…

Most psychosocial research on attention-deficit/hyperactivity disorder (ADHD) has focused on deficits in school, family, or behavioral functioning without incorporating perceived quality of life (QoL) or the adolescents' perspective. The Youth Quality of Life Instrument-Research Version (YQOL-R), was used to assess self-perceived QoL in a…

This collection of 18 papers on assessing infants and toddlers includes the views of parents, clinicians, researchers, and policymakers. The following papers are included: (1) "Toward a New Vision for the Developmental Assessment of Infants and Young Children" (Stanley I. Greenspan and Samuel J. Meisels); (2) "Charting the Continuum…

A study was undertaken to investigate the validity of a progress test, the Maastricht Progress Test, that was designed to measure knowledge and clinical reasoning growth in a problem-based medical curriculum. Scores and subscores of about 40 students per year (total sample of 195) on the different categories of the progress test were compared with…