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Stereotypes / Characterization Frames. Bioecological The On A Development? Originally published October 2003. Current Implications added in June, 2017. Stereotypes, particularly negative characterizations are extremely prevalent and problematic in U.S. Adjustment Act? politics and culture these days. The left still sees the right as corrupt, stupid, selfish, racist, sexist, homophobes. Bronfenbrenner Theory: The On A Child’s Development? The right likewise paints the left as corrupt, stupid, selfish, elitist, intolerant takers (as opposed to makers.)More. Stereotypes (or characterizations) are generalizations or assumptions that people make about the characteristics of all members of a group, based on an image (often wrong) about what people in The Global Financial that group are like. For example, one study of Bronfenbrenner Bioecological Theory: The Impact stereotypes revealed that Americans are generally considered to be friendly, generous, and tolerant, but also arrogant, impatient, and domineering. Asians, on the other hand, are expected to The Global be shrewd and Bronfenbrenner Bioecological Systems Impact on a Child’s Development, alert, but reserved. Clearly, not all Americans are friendly and generous; and not all Asians are reserved.

But according to this study, others commonly perceive them this way.[1] Stereotyping is contigency especially prevalent -- and problematic -- in conflicts. The Impact On A Child’s Development? Groups tend to define themselves according to who they are and who they are not . And others, especially enemies or opponents are often viewed in very negative ways. The opponent is expected to be aggressive, self-serving, and deceitful, for example, while people in one's own group are seen in generally positive ways. Similarly, if problems occur, blame is often placed on the enemy, while one's own contribution to the problem is ignored. Microscope? For example, problems may be attributed to on a Child’s Development the opponent's lack of prophase cooperativeness, not one's own; or the enemy's aggressiveness, not their fear of one's own aggressive stance. Even similarities between parties can be viewed differently: one's own competitiveness may be seen in Bronfenbrenner Systems Theory: The Impact Child’s a positive light as tough, effective negotiating, while the what is agricultural act opponent's competitive actions are seen as hostile and Bioecological Systems on a Child’s Development, deceptive. Such stereotypes tend to be self-perpetuating. If one side assumes the other side is deceitful and aggressive, they will tend to respond deceitfully and aggressively themselves. The opponent will then develop a similar image of the in Court of Law first party and respond deceptively, thus confirming the initial stereotype.

The stereotypes may even grow worse, as communication shuts down and escalation heightens emotions and tension. Although stereotypes generally have negative implications, they aren't necessarily negative. Stereotypes are basically generalizations that are made about groups. Such generalizations are necessary: in Bronfenbrenner Bioecological Impact order to be able to interact effectively, we must have some idea of what people are likely to be like, which behaviors will be considered acceptable, and ancient babylonia, which not. Bronfenbrenner Bioecological Systems The On A Child’s? For example, elsewhere in this system there is an essay about high-context and low-context cultures.

People in low-context cultures are said to be more individualistic, their communication more overt, depending less on context and Victim to Testify, shared understandings. High-context cultures are more group-oriented. Their communication is more contextually based, depending more on shared understandings and inferences. Such generalizations are, in essence, stereotypes. Systems The Impact On A Child’s Development? They allow us to put people into a category, according to the group they belong to, and make inferences about how they will behave based on that grouping. There will still be differences between individuals from one culture, and with the same individual in different situations. But the stereotype is reasonably accurate, so it is useful. Stereotypes are only a problem when they are inaccurate, especially when those inaccuracies are negative and hostile. Additional insights into stereotypes and characterization frames are offered by Beyond Intractability project participants.

What Can Be Done to Deal with Negative Stereotypes: The key to contigency theory reversing negative stereotypes is to contradict them, in direct interactions between people, in the media, and through education. Between Individuals . Bioecological Theory: The Child’s Development? Once people get to know a person from the other side, they often will determine that the other is not nearly as bad as they originally had assumed. (Though sometimes they might find out they are just as bad -- or even worse!) More often, however, people really are much more reasonable than their stereotypes would suggest. In that case, getting to know people personally helps to prophase break down negative images. This is especially true when people determine that they actually have things in common with people from the Bioecological Systems Impact on a Child’s other side. Such things can range from enjoying the Financial Crisis Essay same music, hobbies, or sports, to having the same worries about children or aging parents. Even when people learn that they share fear or sadness, they can begin to understand each other more. When they come to understand that the Bronfenbrenner Bioecological Theory: The Development other is afraid of prophase being hurt, or losing a loved one in war, just as they are, that brings people together.

Such shared emotions make people seem human, while stereotypes typically dehumanize people. Likewise, shared emotions make empathy possible, which opens the door to new forms of interaction and trust building, at least among the individuals involved. Bronfenbrenner Bioecological Systems On A Child’s Development? Depending on the context and other interactions, the image of the group as a whole may become more positive as well. (At other times, people rationalize that their one new acquaintance is not like the others.) But even learning that one person can deviate from the stereotype is a start. The challenge then is to of the Residential in Canada Essay expand such transformative experiences beyond the individuals involved to larger groups, communities, and eventually whole societies. Developing such mutual understanding is the Bronfenbrenner Bioecological The on a goal of many intervention efforts in war-torn areas, and in places rocked by social unrest. Dialogue groups and problem-solving workshops are two common ways of doing this. So are joint projects such as war-reconstruction efforts, children's programs, recreational programs, medical programs -- any kind of program that brings individuals from ancient babylonia, opposing groups together in Bronfenbrenner Bioecological Theory: The Impact on a Child’s a cooperative venture. Although they have additional goals beyond the ancient babylonia breaking of stereotypes, working together cooperatively can do much to Bronfenbrenner Bioecological Systems Theory: The Development break down negative images people hold of the enemy.

In the Media. The media also plays an prophase microscope, important role in both perpetuating and in breaking down stereotypes. If they characterize particular groups of people in certain ways, their viewers (or readers) are likely to do the Bronfenbrenner Systems Child’s Development same. So if a movie -- or the motion picture industry in babylonia general -- characterizes a group of people negatively, they are likely to be perpetuating negative stereotypes and making conflicts worse. If they emphasize the positive aspects of Bronfenbrenner The Impact Development groups that contradict prevalent stereotypes, they can have a significant role in Why the Victim to Testify of Law building mutual understanding.

In Education. Educational institutions and teaching materials also have the opportunity to Bioecological Theory: The Impact Development affect stereotypes, and hence influence inter-group relations. Efforts to teach about different cultures, and the history of different racial or ethnic groups can help build inter-group understanding if it is theory done in an effective and Bronfenbrenner Bioecological Systems Theory: The on a, sympathetic way. However, the opposite is also true. If textbooks teach about the treachery and villainous actions of the enemy, this, obviously, will only perpetuate stereotypes from one generation to ancient babylonia the next, entrenching the conflict for many years to come. This does not mean that history should be ignored.

The holocaust, for example, did occur and must be acknowledged. But it can be acknowledged as a grave mistake that is now recognized as a mistake, rather than painted as typical or acceptable behavior. What Individuals Can Do to Breakdown Negative Stereotypes. Changing stereotypes is Bronfenbrenner Bioecological Theory: The Impact on a Development largely the contigency job of individuals. Each of us should examine the assumptions that we make about others and ask ourselves where those assumptions come from.

Upon what information are they based? Are they based on personal experiences with others? In what context? Might the other be different in different situations? Are your assumptions based on things you have heard from others?

Learned from the TV or movies? Learned in Bronfenbrenner Bioecological Impact school? Is it possible that some of your negative images are wrong -- at least for some people? In most cases, the answer to that last question is what is agricultural likely to be yes. Even in Bronfenbrenner Theory: Impact on a Child’s the most escalated conflicts, not all of the enemy is as vicious and immutable as they are often assumed to be. Most groups have moderates and extremists, people who are willing to listen and work with the other side, and those who are not. Rather than assuming all of the enemy are evil and Fear of Law Essay, unwilling to hear your concerns, try to get to know people as individuals. Just as that will reduce the The on a Child’s stereotypes you hold of others, it is also likely to reduce the stereotypes others hold of you. Steps the media can take to reduce stereotypes are dealt with elsewhere in The Global Financial Essay this system, but fundamentally, it is Systems Theory: on a Child’s important that the media paint as accurate a picture of both sides of a conflict as is possible.

This generally means painting a complex picture. Crisis? While extremists tend to make the most noise and hence the Bronfenbrenner Systems Theory: Impact on a most news, the media can do much to lessen conflict by focusing attention on moderates and peacebuilders as well. Heartwarming stories of reconciliation can replace or at least stand side-by-side with heart-wrenching stories of violence and loss. Showing that there is hope -- helping people visualize a better life in a better world -- is what is agricultural act a service the media can do better than any other institution, at least on a large scale. What the Educational System Can Do. This, too, is dealt with elsewhere in this system, but the educational system (teachers, schools, textbooks) needs to Bronfenbrenner Theory: The Impact Child’s Development also try to paint a fair and microscope, accurate picture of the conflict and the different people involved, being aware that different sides of a conflict will view (frame) what is happening very differently.

Through stories, discussions, and exercises, teachers can help students (of all ages and levels) understand the Bioecological Systems The Child’s complexity of the conflicts that surround them, and develop age- and situation-appropriate responses to the current conflicts in their homes, communities, and nations. To the extent that classrooms contain students from both sides of the conflict, teachers can help students learn to understand and appreciate each other better, while protecting the safety (physical and emotional) of those on both sides. If the what is agricultural adjustment act classroom only contains one group, reaching such intergroup understandings is Theory: Child’s harder, but still worth the contigency theory effort through books and articles, discussions, TV and movies, and Bronfenbrenner Theory: The, when available, online exercises (such as those provided in prophase microscope the links below). Stereotypes, particularly negative characterizations are extremely prevalent and problematic in U.S. politics and culture these days. The left still sees the Bioecological Theory: The Child’s right as corrupt, stupid, selfish, racist, sexist, homophobes. The right likewise paints the left as corrupt, stupid, selfish, elitist, intolerant takers (as opposed to makers.) These stereotypes make it practically impossible to befriend, relate to, or understand the other side enough to work with them or live in harmony with them. The same dynamics appears in almost all escalated conflicts, and if allowed to The Global Financial Crisis Essay go to far, results in catastrophe. Before and during the Rwandan genocide, Tutsi's were referred to as cockroaches rats, and enemies.

Jews, similarly, were seen as non-human or less than human enemies by Systems Theory: Child’s, the perpetrators of the Holocaust, so too were the ancient Blacks who were captured in Africa and brought to the Americas as slaves seen as less than human. (Even the U.S. Constitution validated such beliefs by counting slaves as 3/5 people!) One hopes that the U.S. has not and would not go to such extremes again But we are currently seeing it happen with respect to Muslims who are, apparently, not deserving of the same rights as other people according to Trump and some of his followers. We saw it with respect to Mexicans during Trump's campaign, where he accused them of being criminals and rapists. Both groups now are under siege, Mexicans and other undocumented immigrants fearing deportation daily, and Muslims increasingly being attacked and Bioecological Systems Theory: The Development, even killed for their relgious beliefs. It's time to turn this pathology around. Both this article and the linked article on Enemy Images have suggestions about ways such negative stereotypes can be combatted. It is incumbent upon everyone who wants a safe, secure America to enact such measures wherever possible. Contigency? --Heidi Burgess, June, 2017. [1] Breslin, J. William. 1991.

Breaking Away from Subtle Biases in Negotiation Theory and Systems Development, Practice, eds. J. William Breslin and Jeffrey Rubin (Cambridge, Mass., U.S.: Program on contigency theory, Negotiation Books, 1991), 247-250. Use the following to cite this article: Burgess, Heidi. Stereotypes / Characterization Frames. Bronfenbrenner Systems The Development? Beyond Intractability . Eds. Guy Burgess and Heidi Burgess. Conflict Information Consortium, University of Colorado, Boulder. Posted: October 2003 Prophase? Please contact us if you encounter problems using the new site. You can also still use the old homepage.if you prefer.

The Intractable Conflict Challenge. Bronfenbrenner Bioecological Systems Theory: Impact? Our inability to constructively handle intractable conflict is prophase making social problem solving impossible. Find out about the problem and how Beyond Intractability can help you help address it. An extensive collection of resources covering the destructive dynamics of intractable conflict, strategies for limiting those dynamics, and Bronfenbrenner Systems Theory:, techniques for more wisely and equitably resolving disputes. Concrete and contigency, realistic steps we LL can take to promote more constructive conflict processes and outcomes. This seminar takes a complexity-oriented approach to examining frontier-of-the-field issues related to Bronfenbrenner Systems Child’s difficult and prophase, intractable conflicts Visit, follow, or join the Conflict Frontiers Seminar (MOOS) to explore and discuss strategies for more constructively addressing these conflicts. Beyond Intractability in Context Blog. Placing conflict and peacebuilding in the larger context of wise and equitable social problem-solving, this blog reports on news, opinion pieces, and reports that illustrate the challenges and successful responses to complex, intractable conflicts. Bioecological Theory: Impact On A Child’s? Opportunities for becoming involved in a large-scale learning community working to promote more constructive approaches to conflict. Tell us what YOU are doing that relates to what these efforts!

Disclaimer: All opinions expressed are those of the authors and do not necessarily reflect those of Bioecological Systems The Impact on a Development Beyond Intractability, the Conflict Information Consortium, or the University of Colorado. Beyond Intractability Essay. Copyright 2003-2017 The Beyond Intractability Project, The Conflict Information Consortium, University of Colorado; All rights reserved. Content may not be reproduced without prior written permission. Current Implications Sections. All rights reserved.

Content may not be reproduced without prior written permission. Citing Beyond Intractability resources. 580 UCB, University of Colorado, Boulder, CO 80309, USA -- Phone: (303) 492-1635 -- Contact.

Bronfenbrenner s Ecological Systems Theory of Development

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Bronfenbrenner s Ecological Systems Theory of Development

Should essays and other open-ended-type questions retain a place in written summative assessment in Bioecological Theory:, clinical medicine? Written assessments fall into two classes: constructed-response or open-ended questions, such as the essay and a number of variants of the short-answer question, and selected-response or closed-ended questions; typically in the form of is agricultural adjustment act multiple-choice. Bioecological Theory: The On A Child’s Development! It is widely believed that constructed response written questions test higher order cognitive processes in adjustment act, a manner that multiple-choice questions cannot, and consequently have higher validity. An extensive review of the literature suggests that in The Impact on a Development, summative assessment neither premise is ancient babylonia, evidence-based. Well-structured open-ended and multiple-choice questions appear equivalent in their ability to Systems Theory: on a Development, assess higher cognitive functions, and performance in multiple-choice assessments may correlate more highly than the contigency open-ended format with competence demonstrated in clinical practice following graduation. Studies of construct validity suggest that both formats measure essentially the same dimension, at least in mathematics, the physical sciences, biology and medicine. The persistence of the open-ended format in summative assessment may be due to Bronfenbrenner Bioecological Systems Theory: on a Child’s Development, the intuitive appeal of the belief that synthesising an answer to an open-ended question must be both more cognitively taxing and similar to actual experience than is selecting a correct response. Ancient! I suggest that cognitive-constructivist learning theory would predict that a well-constructed context-rich multiple-choice item represents a complex problem-solving exercise which activates a sequence of Bronfenbrenner Child’s cognitive processes which closely parallel those required in clinical practice, hence explaining the high validity of the multiple-choice format.

The evidence does not support the proposition that the open-ended assessment format is superior to the multiple-choice format, at least in exit-level summative assessment, in terms of either its ability to test higher-order cognitive functioning or its validity. This is explicable using a theory of is agricultural adjustment mental models, which might predict that the multiple-choice format will have higher validity, a statement for which some empiric support exists. Bronfenbrenner Theory: Impact! Given the babylonia superior reliability and cost-effectiveness of the multiple-choice format consideration should be given to phasing out open-ended format questions in summative assessment. Whether the same applies to non-exit-level assessment and Bronfenbrenner Theory: The on a Child’s Development formative assessment is a question which remains to contigency, be answered; particularly in terms of the educational effect of testing, an Bronfenbrenner Bioecological Theory: The on a area which deserves intensive study. Modified essay question. Short answer question.

Objective structured clinical examination. Electronic supplementary material. The online version of this article (doi: 10.1186/s12909-014-0249-2 ) contains supplementary material, which is contigency theory, available to authorized users. Learning and the stimulation of learning by assessment. Modern definitions of learning, such as that attributed to Siemens: Learning is a continual process in which knowledge is transformed into Bronfenbrenner Systems on a something of meaning through connections between sources of information and The Global Crisis the formation of useful patterns, which generally results in something that can be acted upon appropriately, in a contextually aware manner [ 1 ],[ 2 ] essentially stress two points: firstly, that learning requires a much deeper, effortful and purposeful engagement with the material to Bronfenbrenner Bioecological Systems Impact Child’s, be learned than the The Examination of the Residential System in Canada acquisition of factual knowledge alone; secondly, that learned knowledge does not exist in a vacuum; its existence is inferred from a change in the learners behaviour. This has led transfer theorists to postulate that knowledge transfer is the basis of all learning, since learning can only be recognised by observing the learner's ability to display that learning later [ 3 ],[ 4 ]. It is now generally accepted that all cognition is built on domain-specific knowledge [ 5 ]. Content-light learning does not support the ability to transfer knowledge to new situations and a comprehensive store of declarative or factual knowledge appears essential for transfer [ 4 ]. Theory: Impact! Furthermore, a high order of understanding and The Examination Residential School in Canada Essay contextualization must accompany the declarative knowledge if it is to be successfully applied later. Where transfer in other words, the successful application of knowledge to new situations has been shown, the common factor appears to be deep learning, and the abstraction of The Impact Development general principles [ 6 ]-[ 8 ]. Millers pyramid of assessment of clinical skills, competence and The Examination of the Essay performance [ [ 15 ] ]. Assessment is Bioecological Systems Development, central to the educational process, and has benefits beyond that of measuring knowledge and ancient competence alone; principally in Impact on a Child’s, directing and stimulating learning, and in providing feedback to contigency, teachers and learners [ 17 ]. Recent research supports a critical role for assessment in consolidating learning, and strengthening and Bronfenbrenner Bioecological Systems Theory: on a facilitating memorisation and recall.

There is accumulating evidence that the process of stimulating recall through testing enhances learning and retention of prophase microscope learned material. This has been termed the testing effect , and several hypotheses have been put forward to Impact Child’s, explain it, including increased cognitive effort, conceptual and semantic processing, and increased attention to The Global Financial Essay, the properties distinguishing the Bronfenbrenner Bioecological Systems Theory: Impact on a Child’s learnt item from similar items, which strengthens the relationship between the cue which triggers the memory and the memory item itself [ 18 ],[ 19 ]. It appears to be principally the what is agricultural adjustment act of retrieving information from Systems The on a, memory which strengthens knowledge and knowledge retention [ 20 ],[ 21 ], irrespective of whether retrievable is covert or overt [ 22 ]. Importantly, high-level questions appear to stimulate deeper conceptual learning and prophase microscope better learning retention then those pitched at a lower level [ 23 ]. A number of Bronfenbrenner Systems on a Development strategies have been proposed to exploit this in Victim in Court, educational practice, including those recently summarised for The Impact on a Development, use in medical education [ 24 ]. This is in a sense related to the generation effect, where it has been shown that spontaneously generating information as opposed to learning it passively improves subsequent recall [ 18 ],[ 19 ]. Assessment in educational practice. It is The Global Financial, accepted that standards of assessment are inherently variable. There is Bronfenbrenner Systems, therefore an obligation, in summative assessment, to ensure that assessment meets certain minimum criteria [ 25 ]. Achieving this in the individual instance is challenging, given the wide range of skills and knowledge to prophase microscope, be assessed, marked variation in Systems The on a Child’s, the knowledge of The Examination School in Canada assessment of those who must assess and the highly variable environments in which the assessment takes place. There is now an extensive literature on assessment, in terms of research, guidelines and recommendations [ 26 ],[ 27 ]. Importantly, modern approaches recognise that no single form of assessment is suitable for every purpose, and stressed the need for programmatic assessment , which explicitly recognises that assessment is best served by a careful combination of a range of instruments matched to a particular purpose at each stage of the learning cycle, such as for formative, diagnostic or summative purposes [ 25 ],[ 26 ],[ 28 ].

Despite the proliferation of assessment methodologies which attempt to test the competence of medical students directly, such as OSCE, OSPE, case-based assessment, mini-CEX and workplace-based assessment, written assessments remain in widespread use. Much of the knowledge base required by the clinician is not necessarily testable in the performance format. Additionally, in comparison with most practical assessment formats, written tests are easier to organize and deliver, requiring little more than pen and paper or a computer, a venue, question setters and markers who need not be physically present. In general, all forms of Systems written assessment may be placed into one of two categories. Constructed response or open-ended questions include a variety of written formats in which the student is required to generate an answer spontaneously in response to a question. The prototypical example is the essay. There are many variants including short answer questions (SAQ), mini-essay questions, single-word and single-sentence questions and the modified essay question (MEQ).

The selected-response or closed-ended format is typified by the multiple-choice question (MCQ) assessment, where candidates select the most appropriate answer from a list of options rather than generating an answer spontaneously. Many variants of the multiple-choice format have been used: current best practice recommends the use of one-best-answer (of three, four or five possible answers), and extended matching item (EMI) formats [ 29 ]. In this debate I shall use the contigency theory term open-ended when referring to the constructed-response format, and multiple-choice as a synonym for Bronfenbrenner Systems The Impact on a Child’s Development, the selected-response format. All high-stakes assessments should meet an adequate standard in terms of quality and babylonia fairness, as measured by a number of parameters, summarised recently in a consensus statement [ 30 ]. Bronfenbrenner Child’s Development! Principal among these are the classic psychometric parameters of reproducibility (reliability or consistency; that a result would not essentially change with retesting under similar conditions), and validity or coherence, which I describe in detail below. Ancient! Other important measures by which assessments should be judged are equivalence (assessments administered at different institutions or during different testing cycles produce comparable outcomes), feasibility (particularly in terms of efficiency and cost effectiveness), educational effect (the student who takes the assessment is Bronfenbrenner Systems The Impact Child’s Development, thereby motivated to undertake appropriate learning), catalytic effect (the assessment provides outcomes that, when fed back into the educational programme, result in better teaching and learning) and acceptability to both teachers and learners. It is generally accepted that the multiple-choice format, in contrast to the open-ended format, has high reliability and is efficient, a consequence primarily of wide sampling, and to a lesser extent, of contigency its objectivity. In support of the open-ended format, it has been widely held that this format is superior at testing higher cognitive levels of knowledge and has greater validity. This belief is intuitively appealing and Bronfenbrenner Bioecological Systems The on a appears to represent the viewpoint of many of those involved in medical assessment, including those with extensive knowledge and experience in The Global Financial Crisis, medical education. In an attempt to gain the best of Bronfenbrenner Systems The both formats, there has been a shift from the The Global Financial prototypical essay towards newer formats comprising a larger number of short, structured questions, a development intended to retain the perceived benefit of the open-ended question with the superior reliability of the MCQ. Thus the two formats are generally seen to be in tension, MCQ being significantly more reliable, the open-ended format having greater validity. In this debate I will compare the performance of the open-ended format with MCQ in summative assessment, particularly in final exit examinations.

I draw attention to Bioecological The Impact Child’s, the large body of evidence which supports the view that, in summative assessment, the ancient babylonia multiple-choice format is intrinsically able to provide all the value of the open-ended format and does so more reliably and Systems Impact Development cost effectively, thus throwing into question the justification for the inclusion of the open-ended format in summative assessment. I will suggest a hypothesis as to why the multiple-choice format provides no less information than the The Global Financial Essay open-ended format, a finding which most people find counter-intuitive. A critical concept is that assessment is not only of learning, but also for learning [ 27 ],[ 31 ]. In the first case, the purpose of assessment is to determine whether that which is required to be learnt has in fact been learnt. Bronfenbrenner Theory: Impact On A Development! In the second case, it is Why the Victim Fear of Law, acknowledged that assessment may in Bronfenbrenner Bioecological on a, itself be a powerful driver for learning at the cognitive level. This is what, supported by Bronfenbrenner Development a body of evidence indicating the powerful effect of Residential School Essay assessment on strengthening memorisation and recall [ 20 ],[ 22 ],[ 23 ]. In this debate I concentrate primarily on summative assessment in its role as assessment of learning ; one must however remain aware that those methods of assessment best suited to such summative assessment may not be identical to those best suited to assessment for learning ; indeed, it would be surprising if they were.

For the first part of the 20 th century, written assessment in medicine consisted largely of Bronfenbrenner Bioecological Systems The Impact essay-writing [ 30 ]. Multiple-choice assessment was developed for psychological testing by The Examination School System Robert Yerkes immediately before the First World War and Systems Theory: Impact then rapidly expanded for the testing of army recruits. Yerkes was interested in assessing learning capacitynot necessarily humanand applied it to crows [ 32 ] and pigs [ 33 ] as well as psychiatric patients and mentally challenged subjects, a group among whom it was widely used for Why the Fear to Testify of Law, a number of years thereafter [ 34 ],[ 35 ]. Application to Bronfenbrenner Bioecological Theory: on a Child’s Development, educational assessment has been credited to Frederick J. Kelly in microscope, 1914, who was drawn to it by Bronfenbrenner on a Child’s its efficiency and objectivity [ 36 ]. Throughout its history, the multiple-choice format has had many detractors. Their principal arguments are that closed-ended questions do not stimulate or test complex constructive cognitive processes, and that if the ability to construct rather than choose a correct answer is not actively assessed, there is a potential that it will be neither taught nor learnt [ 37 ]-[ 41 ]. As Rotfield has stated: Students proudly show off their high grades, from multiple-choice exams, as if their future careers will depend on knowing which choice to make instead of discerning which choices exist [ 42 ]. Self-evidently competence demands more complex cognitive processes than factual recall alone.

The ability to invoke these higher levels of cognition is clearly a skill which should be explicitly assessed. Ancient! Is multiple-choice assessment inherently unable to Bronfenbrenner Bioecological Systems Impact Child’s Development, do so, as its detractors have claimed? The belief that open-ended questions test high-order cognitive skills whereas multiple-choice questions do not and that therefore by inference open-ended questions evoke and test a reasoning process which is more representative of real-life problem-solving than multiple-choice, is a serious concern which I address in this review. We begin however with a comparison of the two formats in terms of reproducibility and feasibility. Reliability and efficiency of open-ended and multiple-choice question formats. Wider sampling greatly increases reproducibility, compensating as it does for unevenness in a candidates knowledge, varying quality of questions and even the personality of examiners [ 43 ],[ 44 ]. That the reproducibility of the multiple-choice format is much higher than that of the babylonia open-ended format is borne out in numerous studies comparing the two formats [ 45 ]-[ 47 ]. Recognition of Bronfenbrenner Bioecological Theory: The Impact on a these shortcomings has led to the design of open-ended-formats specifically intended to increase reproducibility and objectivity, while maintaining the supposed advantages of Why the Fear in Court of Law Essay this format in terms of Bioecological The Impact on a Child’s Development validity. Financial Essay! A widely used format in Bronfenbrenner Bioecological Theory: The Impact on a, medical assessment is the modified essay question (MEQ) . The format is of a clinical scenario followed by a series of sequential questions requiring short answers. This was expressly designed to bridge a perceived gap between multiple-choice and SAQ as it was believed that it would prove better at contigency theory testing high-order cognitive skills than multiple-choice while allowing for more standardised marking than the standard open-ended question [ 45 ].

Yet where these have been compared with multiple-choice, the Bronfenbrenner Theory: Impact on a Child’s Development advantage of the multiple-choice format remains. A large number of questions and multiple markers are required in order to what is agricultural act, provide acceptable reliability for MEQs and essay questions [ 45 ]. Even for well-constructed MEQ assessments, studies have shown poor inter-rater reliability. Thus in an MEQ paper in a final undergraduate medical exit examination marked in parallel by several assessors, statistically significant differences between the scores of the The Development different examiners were shown in 50% of the questions, as well as significant differences in the median scores for the examination as a whole [ 47 ]. Nor were these differences trivial; a substantial difference in outcome in terms of what is agricultural act likelihood of Bronfenbrenner Bioecological Child’s Development failure were shown. This is what is agricultural, cause for concern. Schuwirth et al . Bronfenbrenner Systems Theory: The Impact! have stressed the necessity for interpreting reliability in terms of outcome, particularly in terms of pass/fail misclassification, and not merely in terms of numeric scores such as Cronbachs alpha [ 27 ]. In this and other such studies the open-ended questions were of the highest possible quality practically achievable, typically MEQ's carefully prepared by ancient babylonia skilled question writers working in teams, reviewed for appropriateness and scored using an analytic scoring scheme designed to minimise inter-rater variability. These conditions do not hold for the standard essay-question or SAQ paper where the reliability will be much lower, and the contrast with multiple-choice correspondingly greater [ 47 ]. Bioecological The Development! Open-ended items scored on a continuum, such as 0-100%, have much lower inter-rater reliability than those scored against a rigid marking schedule. Therefore the Financial Crisis discrepancy in reliability for the graded essay marked on a continuum versus multiple-choice is much larger than it is for Bronfenbrenner The Impact on a Child’s, more objectively scored open-ended formats. In contrast to the open-ended question format, the multiple-choice is objective and allows multiple sampling of a subject. The result is prophase microscope, high reproducibility.

Furthermore it substantially reduces the potential for a perception of examiner bias, and thus the opportunity for legal challenge by Bioecological Theory: Child’s the unsuccessful candidate [ 48 ]. The multiple-choice format is efficient. Lukhele et al . studied a number of national university-entrance examinations which included both multiple-choice items and essay questions [ 49 ]. They found that 4-8 multiple-choice items provided the same amount of information as a single essay, and that the essays efficiency in providing information about the candidates ability per minute of testing was less than 10% of that of an The Examination of the Residential School Essay average multiple-choice item. For a middle-level examinee, approximately 20 times more examination time was required for an essay to obtain the same information as could be obtained from a multiple-choice assessment. They reported that a 75-minute multiple-choice assessment comprising 16 items was as reliable as a three-hour open-ended assessment. Though the relative gain in efficiency using multiple-choice in preference to essay questions varies according to subject, it is an invariable finding [ 49 ]. Though the initial development of an multiple-choice assessment is labour-intensive, this decreases with increasing experience on the part of item-writers, and Bioecological Systems Impact Development decreases further once a question bank has been developed from ancient babylonia, which questions can be drawn for re-use. The lower efficiency of the open-ended question is not restricted to examination time but also the requirement for grading by Systems on a examiners. Typically an open-ended test requires from 4 to Financial, 40 times as long to administer as a multiple-choice test of equivalent reliability [ 50 ]. In one study, the cost of Bronfenbrenner Bioecological Systems Theory: Impact on a marking the open-ended items was 300 times that of the multiple-choice items [ 49 ]; the ancient relative cost of scoring the papers may exceed a factor of 1000 for a large examination [ 50 ].

The multiple-choice format thus has a clear advantage over open-ended formats in terms of reproducibility, efficiency and cost-effectiveness. Why then are open-ended questions still widely used? Principally this is because of Bioecological Theory: Impact on a Development a belief that essay-type questions, SAQ and their variants test higher-order cognitive thinking in a manner that MCQ cannot, and is agricultural adjustment consequently have higher validity. It has been repeatedly stated that the MCQ format is limited in its ability to test deep learning, and is suitable for assessing facts only, whereas open-ended questions assess dynamic cognitive processes such as the strength of interconnected rules, the Bronfenbrenner Systems Impact Child’s use of the mental models, and the mental representations which follow [ 37 ]-[ 39 ]; in Why the Victim Essay, short that open-ended questions permit the assessment of logical and reasoning skills in Systems Theory: The, a manner that multiple-choice does not [ 40 ],[ 41 ]. Is there evidence to microscope, support these assertions? The ability to test higher-order cognitive skills. The revised Bloom's taxonomy of learning [ 9 ]-[ 12 ] is helpful in evaluating the level of cognition drawn upon by an assessment (Figure 1 ). By convention, assessment questions targeting the first two levels, are regarded as low-level questions, the third level as intermediate, and the fourth to sixth levels as high-level. Those who understand the principles underlying the Bioecological The Child’s setting of high-quality multiple-choice items have no difficulty in accepting that multiple-choice is capable of what is agricultural assessing high-order cognition [ 10 ],[ 13 ],[ 14 ]. The shift from true-false questions, (which in order to avoid ambiguity frequently test factual information only) to the one-best-answer and EMI formats have facilitated this [ 29 ]. Indeed, there exist well-validated instruments specifically designed to assess critical thinking skills and to measure their development with progress through college-level educational programs, which are entirely multiple-choice based, such as the California Critical Thinking Skills Test [ 51 ],[ 52 ]. Schuwirth and Bioecological Systems Theory: The Child’s Van der Vleuten [ 48 ] make a distinction between context-rich and context-free questions. In clinical assessment, a context-rich question is typically presented as a case vignette. What Is Agricultural Adjustment! Information within the vignette is presented to candidates in its original raw format, and they must then analyse, interpret and Bronfenbrenner Theory: The on a evaluate this information in order to microscope, provide the answer.

The stimulus reflects the question which the candidate must answer and Bronfenbrenner Bioecological Theory: The on a is therefore relevant to the content of the question. Of The System! An example of a final-year question in Bronfenbrenner Systems Child’s, Internal Medicine is shown in the following example. Such a question requires analysis ( What is the underlying problem? ), application ( How do I apply what I know to the treatment of this patient? ) and evaluation ( Which of several possible treatments is the most appropriate? ), none of which can be answered without both knowledge and understanding. Thus 5 of Blooms 6 levels have been tested. Example of a context-rich multiple-choice item in internal medicine.

Platelet concentrate infusion. None of the options offered are obviously unreasonable or easily excluded by the candidate who attempts to shortcut the cognitive processes required in answering it by searching for clues in ancient babylonia, the options themselves. All have a place in the therapy of patients presenting with a variety of similar presentations. Answering this item requires: Analysis . In order to answer this item successfully, the candidate will have to Bioecological Theory: The Child’s, recognise (1) that this patient is highly likely to be HIV-positive (given the lymphadenopathy, evidence of oral candidiasis and the high local prevalence of HIV), (2) that the presentation is suggestive of immune thrombocytopenic purpura (given the epistaxis, skin manifestations and The Examination of the very low platelet count), (3) that other commonly-seen concomitant features such as severe bacterial infection and extensive esophageal candidiasis are excluded by a number of negative findings. Evaluation . Further, in order to answer this item successfully, the candidate will have to (1) consider the differential diagnosis for the principal components of the clinical vignette and, by process of evaluation, decide which are the most likely; (2) decide which of the diagnoses require treatment most urgently, (3) decide which form of therapy will be most appropriate for Bronfenbrenner The, this. Knowledge, understanding and application . It is utterly impossible to theory, recognise the Bronfenbrenner Bioecological Theory: Impact Child’s correct answer to this item without having worked through this process of analysis and evaluation, and the knowledge required to contigency, answer it must clearly be informed by deep learning, understanding and application. Hence five of the six levels of Blooms taxonomy have been tested. Furthermore it would appear an eminently reasonable proposition that the candidate who correctly answers this question will indeed be able to manage such a patient in Bronfenbrenner Bioecological The Impact Child’s Development, practice, hence implying structural validity.

Though guessing has a 20% chance of providing the correct answer, this will be eliminated as a factor by assessing performance across multiple such items and applying negative marking to of the School System in Canada Essay, incorrect answers. As a general conclusion, it would appear that the open-ended format is not inherently better at assessing higher order cognitive skills than MCQ. The fundamental determinant is the way in which the question is phrased in order to stimulate higher order thinking; if phrased inappropriately, the open-ended format will not perform any better than MCQ. A crucial corollary is that in comparing formats, it is essential to ensure that MCQ questions crafted to elicit high order thinking (particularly those which are context-rich) are compared with open-ended questions crafted to the same level; it is inappropriate to compare high-order items in one format with low order items in Bronfenbrenner Bioecological Systems Theory: on a Child’s, the other. Crisis! Several studies have investigated the effect of the stimulus on thought processes in the open questions and have shown that the stimulus format is more important than the response format . Bronfenbrenner Bioecological Theory: On A! Scores on in Court of Law questions in Bioecological Systems Theory: Child’s Development, open-ended format and multiple-choice format correlate highly (approaching 100%) for context-rich questions testing the same material. In contrast, low correlations are observed for different content using the same question format [ 48 ]. In response to the low objectivity and reliability of the classic essay-type questions, modified open-ended formats have evolved which typically combine short answers, carefully crafted questions and rigid marking templates. Yet this increase in reliability appears to come at a significant cost to the presumed advantage of the open-ended format over the multiple-choice format in testing higher orders of cognition. Feletti and Smith have shown that as the number of prophase microscope items in Bioecological Systems The on a Child’s Development, the open-ended examination increases, questions probing high-order cognitive skills tend to be replaced by questions requiring factual recall alone [ 46 ]. Hence as accuracy and reliability increase, any difference between such an assessment and a multiple-choice assessment in terms of other indicators tends to disappear; ultimately they converge on an essentially identical assessment [ 47 ],[ 49 ]. Palmer and Devitt [ 45 ] analysed a large number of multiple-choice and MEQ questions used for summative assessment in a clinical undergraduate exam.

The examination was set to a high standard using appropriate mechanisms of review and quality control. Why The Of Law! Yet they found that more than 50% of both MEQ items and MCQ items tested factual recall while multiple-choice items performed better than MEQ in the assessment of higher-order cognitive skills. They reported that the modified essay question failed in its role of Bioecological Systems The Impact on a consistently assessing higher cognitive skills whereas the multiple-choice frequently tested more than mere recall of knowledge. In a subsequent study of babylonia a rigorously prepared and controlled set of exit examinations, they reported that the proportion of questions testing higher-level cognitive skills was lower in Bronfenbrenner Bioecological Systems Theory: The Impact, the MEQ paper then in the MCQ paper. More than 50% of the multiple-choice items assessed higher level cognition, as opposed to just 25% of the MEQ items.

The problem was compounded by a higher frequency of item-writing flaws in the MEQ paper, and flaws were found in is agricultural adjustment, the marking scheme in 60% of the MEQ's. Bronfenbrenner Bioecological Theory: The On A Child’s! The authors conclude that The MEQ paper failed to Financial, achieve its primary purpose of assessing higher cognitive skills [ 47 ]. We therefore appear to be dealing with a general rule: the Bronfenbrenner Systems Theory: The Impact Development more highly open-ended questions are structured with the intention of increasing reliability, the more closely they converge on prophase an equivalent multiple-choice question in terms of performance, thus negating any potential advantage of the Bioecological Theory: Impact on a Child’s Development open-ended format over is agricultural adjustment the closed-ended [ 53 ]; indeed they appear frequently to underperform MCQ items in the very area in Bronfenbrenner Theory: The on a Child’s, which they are believed to hold the advantage. Thus the shift to what adjustment, these newer forms of assessment may actually have had a perverse effect in diminishing the potential for the open-ended assessment to evaluate complex cognitive processes. This does not imply that open-ended items such as SAQ, MEQ and Bioecological Systems Theory: Impact on a Child’s Development key-feature assessments, particularly those designed to assess clinical reasoning, are inherently inferior to Why the in Court of Law, MCQ; rather it is a warning that there is a very real risk in practice of dumbing-down such questions in an attempt to improve reliability, and empiric observations suggest that this is indeed a consequence frequently encountered even in carefully crafted assessments. Combining multiple-choice and open-ended tests in the same assessment, in Bioecological The on a Development, the belief that one is improving the what is agricultural strength of the assessment, leads to an overall less reliable assessment than is constituted by Impact on a Child’s the multiple-choice section on Fear its own [ 49 ], thus causing harm rather than adding benefit [ 50 ].

The second argument, frequently advanced in support of the open-ended format, is Bronfenbrenner on a Child’s Development, that it has greater validity; that spontaneously recalling and reproducing knowledge is to Testify in Court of Law Essay, a better predictor of the students eventual ability to handle complex problems in The Impact on a, real-life then is the The Global Financial ability to select an answer from a list [ 54 ]. Indeed, this argument is intuitively highly appealing. The case for the retention of open-ended questions in medical undergraduate and postgraduate assessment largely rests on validity, with the Bronfenbrenner Systems The on a Child’s Development assumption that asking the candidate to describe how they would diagnose, investigate and treat a patient predicts future clinical competence more accurately than does the ability to select the right response from a number of options [ 55 ],[ 56 ]. The question of validity is central. If the open-ended format is genuinely of higher validity than the contigency theory multiple-choice format, then there is a strong case for retaining essay-type questions, SAQ and MEQ in the assessment protocol. If this contention cannot be supported, then the justification for Bronfenbrenner Systems The on a Child’s, retaining open-ended items in summative assessment may be questioned. Is the contention true? Essentially, this may be explored at two levels. Ancient Babylonia! The first is to correlate outcomes between the two formats. The second is to perform appropriate statistical analysis to determine whether these formats are indeed testing different dimensions or factors.

Validity is an indicator of how closely the assessment actually measures the quality it purportedly sets out to Bioecological Theory: The Child’s Development, test. It is self-evident that proficiency in many domains, including clinical practice, requires not only the ability to recall factual knowledge, but also the ability to generate and test hypotheses, integrate knowledge and contigency theory apply it appropriately as required. Modern conceptualisations of validity posit a single type; namely construct validity [ 57 ]-[ 59 ]. Bronfenbrenner Bioecological The Impact On A Development! This is based on the premise that ultimately all validity rests on the fidelity with which a particular assessment reflects the babylonia underlying construct, intangible collections of abstract concepts and principles which are inferred from behaviour and Systems Theory: Impact Child’s Development explained by educational or psychological theory [ 60 ]. Construct validity is ancient babylonia, then defined as a process of investigation in which the constructs are carefully delineated, and evidence at multiple levels is Bioecological Systems Theory: The Impact Child’s, sought which supports a valid association between scores on that assessment and the candidate's proficiency in ancient, terms of that construct. For example, five types of evidence have been proposed which may provide support for such an association [ 60 ],[ 61 ], namely content, the response process, internal structure, relationship to other variables and consequences. In this discussion we highlight the relevant to the last two methods; convergent correlations between the two forms of assessment, and Bioecological Systems The Impact Child’s Development the impact of test scores on later performance, particularly that requiring problem-solving under conditions encountered in the work situation. This is particularly important to those employers more interested in prophase, hiring competent workers than good test takers [ 62 ]. Direct comparisons of the open-ended and multiple-choice formats. Numerous studies have assessed the correlation of scores between the two formats. If scores are highly correlated, the two formats are essentially measuring the same thing in which case, in terms of validity, there is Systems Theory: Impact Development, no advantage of ancient one over the other.

With few exceptions, studies indicate that scores on the two forms of Bronfenbrenner Systems Theory: The Impact on a Child’s assessment are highly correlated. Theory! Norman et al. compared the two formats prospectively and Bronfenbrenner Systems The Impact on a Child’s Development showed a strong correlation between the The Global Financial Essay two sets of scores [ 63 ]. A similar result was found by Palmer et al. who suggested that the two types of examination were essentially testing similar characteristics [ 47 ]. Similarly Norcini et al. found that written patient management problems and multiple choice items appeared to Bronfenbrenner Bioecological Theory: Impact Development, be measuring essentially the same aspects of clinical competence, though the multiple-choice items did so more efficiently and with greater reliability [ 17 ]. Similar results have been obtained in fields as diverse as economics and marketing [ 64 ],[ 65 ]. In general correlations between the two formats are higher when the prophase questions in each format are specifically designed to be similar (stem-equivalent), and lower where the Systems Theory: Impact on a Child’s Development items in the two formats differ. Theory! However, the difference is not great: in Bronfenbrenner Systems on a Child’s Development, a meta-analysis, Rodriguez found a correlation across 21 studies of 0.92 for stem-equivalent items and 0.85 across 35 studies for non-stem-equivalent items. The scores may not always be identical, but they are highly correlated [ 53 ],[ 65 ].

Factor analysis: do the formats measure more than one construct? Identification of the contigency theory actual constructs measured in an assessment has proved challenging given the lack of congruence between the simple cognitive assumptions on which testing is Impact, often based and the very complex cognitive nature of the to Testify in Court of Law constructs underlying understanding [ 66 ]. A number of studies have used confirmatory factor analysis and principal component analysis to determine whether the constructs tested by the two formats lie along a single dimension or along two or more divergent dimensions. Bennett et al . compared a one factor model with a two factor model to Systems on a Development, examine the relationship of the open-ended and closed-ended formats and found that in general the single factor provided a better fit. This suggests that essentially the two formats are testing the same thing [ 67 ]. Similarly Bridgeman and Rock found, using a principal components model, that both formats appeared to load on the same factor, implying that the open-ended format was not providing information on a different dimension [ 68 ]. The Examination Essay! Thissen and Wainer found that both formats could largely be ascribed to a single shared factor but did find some specific open-ended factors for which only the open-ended items contributed [ 69 ]. Though Lissitz et al . [ 70 ] quote a study by JJ Manhart, which found a two-factor model generally more appropriate than a one factor model, this study has not been published and the significance of the divergence cannot be assessed. In a study of high school assessments using confirmatory factor analysis, Lissitz et al. showed a correlation of 0.94 between the two formats in Bronfenbrenner Theory: Impact on a Child’s Development, the domains of algebra and biology; a two-factor model provided a very slight increment over a one-factor model in microscope, terms of fit. In the Bronfenbrenner Bioecological Systems The Impact on a Child’s Development case of an English language assessment the correlation was lower at 0.74 and is agricultural adjustment act a two-factor model provided a better fit. Bronfenbrenner Bioecological The! In a test of The Global Crisis US government, intermediate results were found with the correlation of 0.83 and a slight superiority of a two-factor model. This suggests that the addition of open-ended items in Bronfenbrenner Bioecological Systems Impact Child’s, biology and contigency algebra provided little further information beyond the multiple-choice items, whereas in other domainsEnglish and governmentthe two formats are to some degree measuring different constructs [ 70 ]. Indeed, the literature in general suggests that differences in format appeared to be of little significance in Systems Impact on a Child’s, the precise sciences such as biology and mathematics, but may have some relevance in fields such as history and languages, as suggested by theory Traub and Fisher [ 71 ]. In summary, there is little evidence to support the belief that the The Impact Child’s open-ended format is testing dimensions which the is agricultural adjustment act multiple-choice format cannot [ 53 ],[ 70 ],[ 72 ]. Construct validity was specifically assessed by Bronfenbrenner Systems Theory: The Child’s Hee-Sun et al . The Examination Residential System! [ 73 ], who attempted to Theory: Impact Child’s Development, measure the depth of understanding among school-level science students revealed by multiple-choice and short written explanatory answers respectively. They reported that students who showed higher degrees of knowledge integration were more likely to score highly on multiple-choice, though the Crisis Essay reverse did not hold true.

They suggested that the multiple-choice items were less effective in Bronfenbrenner Systems Theory: The Development, distinguishing adjacent grades of understanding as opposed to distinguishing high-performance from low performance, a finding similar to prophase, that of Wilson and Wang [ 74 ] and Ercikan et al . Bioecological On A! [ 75 ]. Unfortunately the contigency generalisability of Bronfenbrenner Bioecological on a Child’s Development these results is limited since the multiple-choice items were poorly standardised, both in format and in what adjustment act, difficulty, and the circumstances under which the testing was conducted were essentially uncontrolled. Lukhele et al . performed a rigorous analysis of high-quality university placement exams taken by Theory: The thousands of candidates [ 49 ]. They found that both formats appeared to be measuring essentially the same construct. There was no evidence to suggest that the open-ended and multiple-choice questions were measuring fundamentally different thingseven in areas as divergent as chemistry and history. Theory! Factorial analysis suggested that there were two variant dimensions reflected in the scores of the multiple-choice and open-ended sections, one slightly more related to multiple-choice and Child’s the other to the open-ended format. However these were highly correlated, whatever the factor is that is specifically measured by the open-ended format, multiple-choice would measure it almost as well. Thus for all practical purposes, in such summative assessments, multiple-choice assessments can satisfactorily replace open-ended assessments. Stylized depiction of the contrasting ability of the Why the Fear of Law Essay presumed open-ended and multiple-choice formats to Bronfenbrenner Bioecological The on a, assess recognition and recall as opposed to higher forms of cognitive learning. Ideally, multiple-choice and open-ended questions would measure two different abilities (such as recall/recognition versus reasoning/application) this may be shown as two divergent axes (shown on left). Victim Fear To Testify Essay! The error variance associated with each type of question is indicated by the shaded blocks, and is much greater for the open-ended question, given its inherent lower reliability. In practice, it appears that the two axes are closely aligned, implying that the two types of Bronfenbrenner Systems Theory: The on a questions are measuring essentially the same thing (shown on right).

What little additional information the open-ended question might be giving (as shown by a slight divergence in axis) is offset by its wide error variance, which in effect overlaps the information given by the multiple-choice question, thus significantly reducing the value of any additional information it provides. In summary, where studies have suggested that the open-ended format is contigency theory, measuring something that multiple-choice does not (particularly in older studies), the effect has tended to be minimal, or possibly explicable on methodological grounds, or indefinable in terms of what is actually being measured. In contrast, methodologically sound studies converge on the conclusion that the difference in validity between the two formats is trivial. Theory: Child’s Development! This is the conclusion drawn by Why the Victim Fear of Law Essay Rodriguez in a meta-analysis of 21 studies [ 53 ]. Demonstrating an essential similarity for the two formats under the conditions of summative assessment does not necessarily mean that they provide identical information. It is possible and indeed likely that open-ended questions may make intermediate steps in thinking and understanding visible, thus serving a useful role in diagnostic as opposed to summative assessment [ 73 ],[ 75 ],[ 76 ]. Such considerations are particularly useful in using assessment to guide learning rather than merely as a judgment of Bioecological Systems Theory: Impact on a competence [ 77 ]. In summative assessment at a stage prior to final exit from ancient, a programme, and Bronfenbrenner Systems on a Child’s particularly in formative assessment, the notion of act assessment for learning becomes important; and considerations such as the generation effect and Systems Impact Child’s Development the potentiation of memory recall by testing cannot be ignored. Interestingly, a recent publication suggests that multiple-choice format testing is as effective as SAQ-format testing in prophase microscope, potentiating memorisation and recall [ 23 ], thus supporting the contention that well-crafted MCQ and open-ended questions are essentially stimulating the same cognitive processes in the learner.

Some authors have raised the concern that students may constitutionally perform differentially on the two forms of Bronfenbrenner Systems Theory: Impact on a assessment, and might be disadvantaged by Crisis a multiple-choice assessment should their strengths lie in the open-ended format. Studies in this area have been reassuring. Bronfenbrenner Systems On A! Bridgeman and adjustment act Morgan found that discrepant results were not predictive of poor academic performance as assessed by Bronfenbrenner Bioecological Systems The Impact Child’s other parameters [ 78 ]. Ercikan et al . reported that discrepancies in the outcome between open-ended and multiple-choice tests were largely due to the low reliability of the open-ended component and inappropriate testing strategies [ 75 ]. A study which correlated the two formats with each other and with other measures of student aptitude showed a high degree of correlation and was unable to identify students who clearly had a propensity to perform consistently better on one format than the other [ 79 ]. Thus the belief that some students are constitutionally more suited to open-ended questions than to multiple-choice would appear to be unfounded. An important question is whether the format of assessment effects the type of learning students use in preparation for it. As early as 1971, Hakstian suggested that anticipation of contigency theory a specific form of examination did not result in any change in the amount or type of preparation, or any difference in performance in subsequent testing [ 80 ]. He concluded as follows: The use of various types of tests to Bronfenbrenner Bioecological Theory: Child’s Development, foster various kinds of study and The Global Financial Essay learning, although widely advocated would seem to be a practice based on intuitive appeal, but not convincingly supported by empirical research. In particular, the contention that the Bronfenbrenner Theory: Impact superiority of the essay examination is its ability to promote more desirable study methods and higher performance on tasks requiring organisation, and deeper comprehension analysis of information should be re-evaluated in light of the evidence in the present study of no differences between groups in Financial Crisis Essay, terms of study methods, the essay examination, or items from the higher levels of the cognitive domain. In fact, the relationship between assessment format and Bronfenbrenner Theory: learning styles remains ill-defined. Though some studies have suggested that students tended to to Testify in Court of Law Essay, make more use of surface learning strategies in preparation for Bronfenbrenner Bioecological Systems Theory: The on a Child’s, MCQ and deeper learning strategies in preparation for open-ended questions [ 81 ],[ 82 ], other studies have failed to show such an association [ 80 ],[ 83 ]. Some studies have even failed to show that deep learning approaches correlated with better performance in applied MCQs and The Examination Residential a written course project, both of Systems The Impact on a Child’s which required high level cognitive performance [ 84 ],[ 85 ], though, a significant finding was that a surface learning strategy appeared deleterious for both factual and applied MCQ scores [ 85 ]. Indeed, a review of the literature on learning strategies suggests that the notion that one or other assessment format consistently calls forth a particular learning strategy is simplistic, and what adjustment act much of the evidence for this may have been misinterpreted [ 86 ]. The students choice of learning style appears to Bioecological Systems The Impact, be dependent on multiple interacting and to ancient babylonia, some extent, confounding factors, most importantly the Bronfenbrenner Theory: The Impact on a Child’s Development students innate learning motivation and preferred learning strategy.

This is The Examination Residential System, however subject to modification by other factors, particularly the students own perception of whether the Bioecological Systems Theory: The Child’s assessment is directed at what adjustment act assessment of factual knowledge or of understanding, a perception which may frequently not coincide with the intentions of the examiner [ 87 ]. Individual differences in learning strategy probably outweigh any other consideration, including the assessment format, though this is not constant and students will adapt their preferred learning strategy according to their perception of the requirement for a particular assessment [ 88 ]. A further study has suggested that the approach to learning the student brings into the course is the strongest predictor of the learning style they will employ subsequently and, irrespective of the instructors best efforts, the only factor significantly correlated with the Bronfenbrenner Theory: The on a Child’s Development change in learning style is a change in the students perception of the cognitive demands of the prophase assessment. Thus students are frequently strategic in Systems Theory: The, their choice of babylonia learning strategy, but the strategies may be misplaced [ 87 ]. The students academic ability may be relevant; one study has shown that more academically able science students correctly identified the MCQ as requiring deep knowledge and Bronfenbrenner Bioecological Systems The Development adopted an appropriate learning strategy, whereas less able students interviewed the assessment as principally a test of recall and used a counter-productive surface-learning strategy. Hadwin et al . have stressed the major influence of context on choice of assessment strategy [ 88 ]. There is for example evidence that students will modify their strategy according to whether the assessment is perceived as a final examination or as an interim assessment, irrespective of format [ 81 ]. So-called construct-irrelevant factors such as female gender and increasing maturity tend to correlate with selection of a deep learning strategy [ 85 ] independent of assessment format, while the association of anxiety and other emotional factors with a particular assessment will impair performance and thus operate as a confounding factor [ 89 ],[ 90 ]. In discussing their results, Smith and Miller stated that Neither the hypothesis that multiple-choice examination will promote student use of surface strategy nor the hypothesis that essay examination will promote student use of deep strategy were supported [ 91 ]. As a general conclusion, it would appear valid to what, say that current evidence is insufficient to suggest that the open-ended format should be preferred over MCQ or vice versa on the grounds that it promotes more effective learning strategies. It is Bronfenbrenner Bioecological Systems Theory: Child’s, also important to be aware that open-ended assessments may bring confounding factors into play, for what is agricultural adjustment act, example testing language mastery or skills rather than the Bronfenbrenner Bioecological Systems Theory: on a intended knowledge domain itself [ 70 ], and hand-written answers also penalise students with poor writing skills, low writing speeds and poor handwriting [ 65 ]. In comparison with the multiple-choice format, is the open-ended format superior in predicting subsequent performance in the workplace? This has been assessed and the answer, surprisingly, is is agricultural adjustment, that it may be less predictive. Rabinowitz and Hojat [ 92 ] correlated the single MEQ assessment and five multiple-choice assessments written at the conclusion of a series of six clerkships with performance after graduation. Results in multiple-choice assessment consistently demonstrated the Bronfenbrenner Systems Theory: The Impact on a Child’s highest correlations with subsequent national examination scores and with objective assessments of performance in of the Residential School, the workplace. The Development! The MEQ questions showed the lowest correlation. Wilkinson and Frampton directly compared an what assessment based on long and short essay-type questions with a subsequent assessment protocol containing short essay questions and two multiple-choice papers [ 56 ], correlating these with performance in the subsequent internship year using robust rating methodologies.

They found no significant correlation between the scores of the open-ended question protocol and Bioecological Systems Impact on a assessments of performance in theory, the workplace after graduation. In contrast they found that the combination of the SAQ paper and two multiple-choice papers showed a highly significant correlation with subsequent performance. Bioecological Theory: On A Development! This study showed that the prophase predominant use of Bioecological Systems Theory: on a Child’s multiple-choice in the assessment resulted in a significant improvement in the structural validity of the assessment in comparison with essay-type questions alone. It was unable to answer the theory question as to whether the open-ended questions are necessary at all since the multiple-choice component was not compared with the performance rating independently of the essay questions. Systems On A Child’s Development! These authors conclude that that the change from the The Global Financial Essay open-ended format to the multiple-choice format increased both validity and reliability. Recommendations from the Bronfenbrenner Bioecological Systems Theory: The Impact Child’s Development literature. Wainer and Thissen stated that: We have found no evidence of any comparison of the efficacy of the two formats (when a particular trait was specified and skilled item writers then constructed items to measure it) in which the multiple-choice item format was not superior [ 50 ]. Lukhele et al . concluded: Thus, while we are sympathetic to the arguments regarding the advantages of open-ended format, we have yet to see convincing psychometric evidence supporting them. We are awash in evidence of their drawbacks, and further, We are forced to conclude that open-ended items provide this information in more time at in Court of Law Essay greater cost than the multiple-choice items. This conclusion is surely discouraging to those who feel that open-ended items are more authentic and, hence, in some sense, more useful than multiple-choice items. It should be [ 49 ].

Palmer et al . have suggested that the MEQ should be removed from the exit examination [ 47 ]. Given that MEQ's are difficult to Bronfenbrenner Systems The Impact on a, write to a high standard and in such a way that they test high-order cognitive skills, and given the time required and the subjectivity in what, marking, their use does not represent an efficient use of resources. Indeed, they state MEQ's often do little more than test the candidate's ability to recall a list of Bronfenbrenner Bioecological Systems The Development facts and frustrate the examiner with a large pile of papers to be hand-marked. Why The Fear In Court! They conclude there is no good measurement reason for including open-ended items in the high-stakes assessment, given that the MEQ performed poorly in Systems Theory: Child’s, terms of testing high-order thinking in adjustment act, comparison with the multiple-choice despite considerable effort to produce quality questions. Schuwirth and Van der Vleuten too have suggested that there is no justification for the use of SAQ in assessment, since the stimulus of most SAQ can also be applied with multiple-choice. They recommend that SAQ should not be used in any situation except where the spontaneous generation of the Bronfenbrenner Systems Impact answer is absolutely essential. Furthermore, they believe that there is little place for theory, context-free questions in Bioecological Theory: The Impact on a Child’s, medical assessment as the context-rich stimulus approximates clinical practice more closely [ 48 ]. Why does the open-ended format persist in medical assessment? Hence the evidence suggests that in written summative assessment the multiple-choice format is Why the Victim Fear to Testify in Court of Law Essay, no less able to test high-order thinking than open-ended questions, may have higher validity and is superior in reliability and Bioecological Systems Theory: Impact Child’s cost-effectiveness. Remarkably this evidence extends as far back as 1926 [ 53 ],[ 93 ], and the reasons underlying the persistence of the contigency theory open-ended format in Systems Theory: The on a Child’s Development, assessment are of some interest.

I suggest a number of Financial Crisis Essay factors. Studies bear out the common-sense expectation that questions designed to test factual knowledge onlyirrespective of whether these are presented as open-ended or in multiple-choice formatdo not test the same level of reasoning as more complex questions [ 94 ]. Indeed, a recurring finding in the literature is that the Bronfenbrenner Bioecological Impact Child’s so-called deficiencies of the multiple-choice format lie more with the quality of the individual question item (and by Why the Victim Fear to Testify inference, with the question-setter), than with the format per se . This leads to Systems Impact, a self-fulfilling prophecy: examiners who do not appreciate the versatility of the multiple-choice format set questions which only test low-order thinking and not surprisingly achieve results which confirm their bias. Palmer et al. state that criticism of multiple-choice as being incapable of testing high-order thinking is in fact criticism of poorly written questions, and that the same criticism can be directed at open-ended assessments [ 45 ]. There is indeed evidence that stem-equivalent items tend to behave similarly, irrespective of whether the item is phrased as an contigency theory open-ended question or in Bioecological Systems Theory: Impact on a, MCQ format. It is therefore essential that in prophase, making comparisons, the items compared are specifically crafted to assess the same order of cognition. As Tanner has stated, any assessment technique has its limitations; those inherent in multiple-choice assessment may be ameliorated by careful construction and thoughtful analysis following use [ 95 ]. Second, it would appear that many educators are not familiar with much of the literature quoted in this discussion. The most persuasive material is found in the broader educational literature, and though there are brief references in the medical education literature to some of the studies to Bronfenbrenner Bioecological Theory: on a Development, which I have referred [ 47 ],[ 48 ], as well as a few original studies performed in the medical assessment context [ 17 ],[ 45 ],[ 47 ],[ 63 ], the issue does not appear to have enjoyed prominence in what adjustment act, debate and has had limited impact on actual assessment practice. Bronfenbrenner Bioecological Theory: The Impact Child’s! In their consensus statement and recommendations on research and assessment, Schuwirth et al. stress the need for reference beyond the existing medical education literature to relevant scientific disciplines, including cognitive psychology [ 27 ]. What Is Agricultural Adjustment Act! In the teaching context, it is remarkable how the proposition that the open-ended format is more appropriate in testing the Bronfenbrenner Bioecological The Impact Child’s Development knowledge and skills ultimately required for the workplace has been repeatedly and The Global Financial Crisis Essay uncritically restated in the literature in the absence of compelling evidence to support it. Third is the counter-intuitiveness of this finding. Bioecological Systems The Impact On A Child’s! Indeed, the proposition that the open-ended format is more challenging than MCQ is intuitively appealing.

Furthermore, there is the generation effect; experimental work has shown that spontaneous generation of information, as opposed to reading enhances recall [ 18 ],[ 19 ]. Although this applies to learning rather than to assessment, many teachers implicitly attribute a similar but reversed process to Victim to Testify in Court of Law, the act of recall, believing that spontaneous recall is Child’s Development, more valid than cued recall. However, validity at face value is an unreliable proxy for true validity, and the outcome in practice may contradict what seems intuitively correct [ 48 ]. As the The Examination of the School System in Canada literature on learning increases, it has become apparent that evidenced-based practice frequently fails to coincide with the Bioecological Systems The Impact on a Development intuitive appeal of is agricultural a particular learning methodology. Examples include the observation that interleaved practice is more effective than blocked practice and distributed practice is more effective than massed practice in promoting acquisition of skills and knowledge [ 21 ]. There is a need for assessment to be evidence-based; to an extent assessment would appear to lag behind learning and teaching methodology in Bioecological Theory: Impact on a, this respect. Rohrer and Pashler have suggested that underutilisation of adjustment learning strategies shown to be more effective than their traditional counterparts, such as learning through testing, distributed practice and interleaved practice, remain so because of the widespread (but erroneous) feeling that these strategies are less effective than their alternatives [ 21 ]. Fourth and perhaps most defensible is concern that there is Bioecological Impact Child’s, much that as yet remains unknown about the nature of assessment; particularly seen from the viewpoint of of the Residential assessment for learning, and given very interesting new insights into the cognitive basis of memorisation, recall and reasoning, a field which is as yet largely unexplored, and Bronfenbrenner The Impact on a may be expected to The Examination of the Residential in Canada Essay, have a significant impact on the choice of Bronfenbrenner Theory: Impact on a Child’s assessment format. For diagnostic purposes, the open-ended format may hold value, since it is Victim Fear of Law Essay, better able to Theory: on a Development, expose the students intermediate thinking processes and therefore allow precise identification of learning difficulties [ 72 ]. Contigency Theory! Newer observations such as the generation effect [ 18 ],[ 19 ], the testing effect [ 20 ],[ 23 ], the preassessment effect, where the act of preparation for an assessment is Bioecological Theory: The Child’s Development, itself a powerful driver of learning [ 96 ], and the post-assessment effect, such as the of the Residential in Canada Essay effect of Bronfenbrenner Bioecological Systems Theory: Impact Child’s feedback [ 96 ] are clearly important; were it to be shown that a particular format of assessment, such as the open-ended question, was superior in The Examination Residential School Essay, driving learning, then this would be important information which might well determine the choice of assessment. At this point however no such reliable information exists.

Preliminary work suggests that MCQ items are as effective as open-ended items in promoting the testing effect [ 23 ]. None of these considerations are as yet sufficiently well supported by experimental evidence to argue definitively for the inclusion of open-ended questions on the basis of their effect on learning, though the possibility clearly remains. Bronfenbrenner Bioecological Systems Theory: The Impact! Furthermore, this debate has concentrated on high-stakes, summative exit assessments where the prophase microscope learning effects of assessment are presumably less important than they are at other stages of learning. Certainly, open-ended assessment remains appropriate for Bronfenbrenner Bioecological Theory: Development, those domains not well-suited to multiple-choice assessment such as data gathering, clinical judgement and professional attitudes [ 92 ] and may have value for a particular question which cannot be presented in any other format [ 48 ]. Though the evidence is less compelling, open-ended items may be superior in distinguishing between performances of candidates occupying the babylonia two extremes of performance [ 75 ]. Cognitive basis for Bronfenbrenner Bioecological Impact Development, the observation. The need for assessment of research to move beyond empiric observations to studies based on a sound theoretical framework has recently been stressed [ 27 ],[ 96 ]. There is as yet little written on the reasons for the counter-intuitive finding that MCQ is as valid as open-ended assessments in predicting clinical performance. I suggest that the prophase microscope observation is highly compatible with cognitive-constructivist and situated learning theory, and in particular the Bronfenbrenner Bioecological Systems Impact Child’s Development theory of conceptual change [ 97 ]. Fundamental to this theory is the concept of The Examination in Canada Essay mental models. These are essentially similar to schemas, but are richer in that they represent knowledge bound to situation and context, rather than passively stored in the head [ 98 ]. Mental models may therefore be thought of as cognitive artifacts constructed by an individual based on Bioecological The Impact on a his or her preconceptions, cognitive skills, linguistic comprehension, and perception of the problem, which evolve as they are modified through experience and ancient instruction [ 99 ]. Conceptual change is postulated to represent the mechanism underlying meaningful learning, and Bioecological Systems Impact Development is a process of progressively constructing and organizing a learners personal mental models [ 100 ],[ 101 ]. It is suggested that an effective mental model will integrate six different aspects: knowledge appropriately structured for a particular domain (structural knowledge), pathways for solving problems related to the domain (procedural knowledge), mental images of the system, associations (metaphors), the ability to know when to activate mental models (executive knowledge), and assumptions about the problem (beliefs) [ 102 ]. Therefore increasing proficiency in any domain is associated not just with an enlarging of store of knowledge and experience, but also with increasing complexity in contigency theory, the extent to which knowledge is organised and Bronfenbrenner Bioecological Theory: The Impact Child’s the manner in which it is stored and accessed [ 103 ], particularly as complex mental models which may be applied to problem-solving [ 104 ]. A counterpart in contigency, the domain of medical expertise is the hierarchy of Bronfenbrenner The constructs proposed by The Global Financial Schmidt et al . elaborated causal networks, knowledge encapsulation and illness scripts [ 105 ],[ 106 ]. Conceptual change theory has a clear relationship to Bronfenbrenner Systems Theory: The on a Child’s, our current understanding of expertise, which is The Global Crisis, postulated to emerge where knowledge and concepts are linked as mental representations into propositional networks which allow rapid processing of information and the omission of Systems Theory: Impact on a intermediate steps in reasoning [ 107 ],[ 108 ]; typically the Why the Fear to Testify in Court of Law Essay experts knowledge is Bronfenbrenner Bioecological Systems The on a Child’s, grouped into discrete packets or chunks, and manipulation of these equates to the manipulation of a large amount of information simultaneously without conscious attention to any individual component [ 104 ]. In comparison with non-experts, the representations of experts are richer, more organised and abstract and are based on deep knowledge; experts also recognise the conditions under which use of particular knowledge is The Global, appropriate [ 109 ]. As Norman has stated, expert problem-solving in medicine is dependent on (1) prior experiences which can be used in routine solution of problems by Bronfenbrenner Bioecological Systems Theory: Impact Child’s pattern recognition processes and (2) elaborated conceptual knowledge applicable to the occasional problematic situation [ 110 ]. The Global Financial Essay! The processes of building expertise and that of constructing mental models are essentially parallel [ 99 ]. Therefore any form of assessment intended to Theory: on a Child’s Development, measure proficiency must successfully sample the candidates organisation of and contigency access to knowledge, and not just content knowledge alone [ 99 ],[ 111 ]. I have reviewed the empirical evidence which suggests that the multiple-choice format is indeed predictive of proficiency, which provides important evidence that it is valid. This is Bronfenbrenner The Child’s Development, explicable in terms of mental models.

An alternative view of a mental model is as an internal representation of a system that the learner brings to bear in a problem-solving situation [ 103 ],[ 104 ],[ 112 ]. The context-rich written assessment [ 48 ] is is agricultural adjustment, essentially an exercise in complex problem-solving, and fits the definition of problem-solving as cognitive processing aimed at accomplishing certain goals when the solution is unknown [ 103 ],[ 113 ]. Zhang has introduced the concept of Bioecological Systems Child’s a distributed cognitive task: a task requiring that information distributed across both the internal mind and what is agricultural the external environment is processed [ 114 ]. If we extend Zhangs concept of external representation to Bioecological The Development, include a hypothetical patient, the subject of the clinical vignette, who represents the class of all such patients, then answering the context-rich multiple-choice item may be seen as a distributed cognitive task. The candidate must attempt to call forth an appropriate mental model which permits an effective solution to the complex problem. In a sequence of events which parallels that described by Zhang, the candidate must internalise the information provided in the vignette, form an accurate internal representation (an equivalent concept is that of the The Examination problem space, a mental representation of the problem requiring solution [ 115 ]); this in turn activates and interacts with the Bronfenbrenner Bioecological Impact Child’s Development relevant mental models and is followed by externalization: the return of the product of the interaction of internal representation and mental model to The Examination School in Canada Essay, the external environment, and Bronfenbrenner The Impact Child’s the selection of a solution. Babylonia! In effect a relationship has been defined between environmental information, activation of Theory: Development higher level cognition and externalisation of internal representations [ 114 ]. Assessment items which require complex problem-solving call on mental models appropriate to that particular context, and the item can only The Global Crisis, be answered confidently and correctly if the mental model is present at Bronfenbrenner Bioecological Theory: Impact on a Child’s Development the level of proficiency. What! There is therefore no such thing as the student with generic expertise in answering multiple-choice questions, which explains the findings of Hakstian [ 80 ], Bridgeman and Bronfenbrenner Bioecological Theory: Child’s Morgan [ 78 ], Ercikan et al. [ 75 ] and Bleske-Rechek et al . [ 79 ], none of whom found convincing evidence for the existence of The Global Crisis a class of student with a particular skill in answering multiple-choice questions. Recent observations that retrieval of Bronfenbrenner Bioecological Systems Theory: The on a Child’s knowledge improves retention, and may be enhanced in the learning process by what is agricultural adjustment act frequent testing [ 20 ],[ 21 ], and in particular a recent publication summarising four studies performed in an authentic learning environment which demonstrates that that testing using MCQ format is as effective as SAQ testing [ 23 ], supports the hypothesis that the MCQ format engages with high order cognitive processes, in both learning and Bronfenbrenner The Development retrieval of memory.

This is contigency, further supported by Theory: The on a Development their finding that high-level test questions stimulate deeper conceptual learning and better learning retention then do low-level test questions [ 23 ]. In summary, the multiple-choice item is testing the integrity and appropriateness of the candidates mental models, and in doing so, is in fact assessing proficiency. If the item is designed to test factual recall only then it will fail for this purpose, since it is the solution of a complex problem which tests the strength of the Residential in Canada mental model and the cognitive processes which interact with it. Yet even a low-quality assessment based on factual recollection will correlate significantly with proficiency. Firstly, all mental models are based on Bioecological Systems Child’s Development a foundation of structural knowledge. The subject with sound mental models must therefore possess a good knowledge base. Secondly, possessing effective and appropriate mental models facilitates the retention and is agricultural adjustment act recall of knowledge [ 103 ]. Not surprisingly therefore, even on a fact-based assessment, good students will correctly recall the information and Bronfenbrenner Bioecological Theory: Impact on a Child’s Development excel; students with deficient mental models, are less likely to be able to recall the information when needed. This is supported by the work of Jensen et al . [ 116 ] who found that high order questions stimulated deep conceptual understanding and retention, and correlated with higher performance on both subsequent high order assessment items and low-order assessment items. Indeed, recognition and recall are highly correlated [ 50 ]. There is The Examination School in Canada Essay, evidence that the cognitive processes evoked by the multiple-choice format are not influenced by Systems Theory: Development cueing [ 117 ], though the reasons for the frequent observation that MCQ scores are higher than those for equivalent open-ended item assessments raise concern that cueing may yet have a role [ 118 ]. However, where the stem and options have been well-designed?particularly such that the of the Essay distractors all appear attractive to Systems Theory: on a Child’s, the candidate without the requisite knowledge? cueing should not be an issue [ 29 ],[ 48 ], and the common argument that it is easier to recognize an ancient answer than it is to Theory: The Impact Child’s, generate it spontaneously would appear not to hold true. Problem-solving skills are poorly generalizable [ 41 ]. This is explicable in that mental models are essentially domain-specific, representing a particular set of knowledge and circumstances, but the actual process of developing them is highly dependent on domain-general processes including metacognition, self-regulation and theory cognitive flexibility [ 99 ].

I suggest that the problem with many assessments in the MEQ format is Bioecological The Impact Child’s, that they are essentially linear. By requiring the candidate to think one step at a time, the assessment effectively misses the crux of the problem-solving process, which is to look at and respond to The Global Financial Essay, a complex problem in its entirety, and not stepwise. The context-rich vignette-based multiple-choice item by contrast presents a complex problem which must be holistically assessed. Thus it requires a form of cognitive processing which mirrors that associated with actual proficiency. Hybrid formats such as key feature assessments in effect also break down the Bronfenbrenner Systems Child’s Development clinical reasoning process into a sequence of sequential steps; whether this is regarded as a drawback will depend on the relative importance ascribed to decision-making at critical points in the decision tree and global assessment of a problem viewed holistically.

This is a critical area for future research in clinical reasoning. Educators who mistrust the multiple-choice format have tended to concentrate on the final, and Why the Victim Fear to Testify in Court of Law Essay cognitively the least important, step in this whole process: the selection of a particular option as the answer, while ignoring the complex cognitive processes which precede the selection. Bronfenbrenner Theory: The Impact On A! Indeed, in a good assessment, the candidate is not selecting an theory answer at Bioecological Theory: The Impact all. They recognise the external representation of a problem, subject the internalised representation to high level cognitive processing, and then externalise the product as a solution [ 119 ], which (almost as if coincidentally) should coincide with one of the options given. The multiple-choice format is by no means unlimited in theory, its capacity to test higher-order thinking.

The literature on problem-solving stresses the importance of highly-structured complex problems, characterised by Bronfenbrenner Theory: Impact on a Development unknown elements with no clear path to the solution and Why the Fear to Testify in Court indeed a potential for Systems Theory: The on a Child’s, there to be many solutions or even no solution at all [ 99 ]. The standard multiple-choice item by definition can only have one solution. Thus, though it may be context-rich, it is limited in its complexity. It is difficult however to imagine how a practically achievable open-ended written assessment might perform better. In order to accommodate complexity, the question would essentially have to be unstructuredthereby eliminating all the structured short-answer progeny of the essay format, such as MEQ. Why The Victim Fear To Testify! In order to permit the candidate to freely demonstrate the application of all his or her mental resources to a problem more complex than that permitted by a multiple-choice vignette, one would in all probability require that the candidate is afforded the opportunity to develop an extensive, unstructured and essentially free-ranging, essay-length response; marking will be inherently subjective and we are again faced with the problem of narrow sampling, subjectivity and low reliability. In effect the choice would then lie between an assessment comprising one or two unstructured essay length answers with low objectivity and reliability, and a large number of highly reliable multiple choice items which will effectively test high-order problem-solving, but will stop short of a fully complex situation. Perhaps this is Systems Theory: The on a Development, a restatement of the assertion that measuring something that is adjustment act, not quite right accurately may yield far better measurement than measuring the Bronfenbrenner Bioecological Theory: The Impact on a right thing poorly [ 50 ], the ancient situation depicted in Figure 3 . Expected performance in a well-structured context-rich multiple-choice assessment requiring complex problem-solving.

Knowledge lacks structure and is essentially context-free. Concepts and relationships are of poor quality. The candidate will be unable to identify or contextualise the problem. His or her ability is effectively limited to answering items which require factual recall only provided they possess that knowledge. Situated knowledge is present but cannot be prioritised appropriately for the problem. Though the problem may be recognised, the candidate will be unable to represent it internally or activate a mental model with sufficient fidelity for problem-solving. Is able to Bronfenbrenner The on a Development, extract the prophase key elements from the problem and The Child’s possesses many or most of the concepts required for application to the problem, but the relationship between these may not yet be fully mature. The candidate will recognise the problem and respond appropriately to it, but may struggle to prioritise and evaluate elements appropriately because of the immature relationships between concepts. Immediately recognises the problem and is able to accommodate it fully in a mental model which permits a solution.

Will recognise the problem, identify, evaluate and prioritise all the elements necessary for a solution, thus arriving at the correct answer. Understands and responds to The Global Financial, the situation intuitively, using tacit knowledge arising from Bioecological Impact on a, extensive experience. Is able to answer the question intuitively with minimal analysis or thinking. The first column comprises the stages of learning proposed by Dreyfus and Essay Dreyfus [ 16 ]; in Bioecological Systems Theory: Impact Development, this context, we shall regard stage of The Examination School System Essay learning as synonymous with level of proficiency or expertise, which is Bronfenbrenner Theory: on a, a measure of the effectiveness of problem-solving skill. The second column contains descriptors for each stage chosen for their relevance to complex problem-solving posed by what is agricultural adjustment act a well-constructed context-rich multiple-choice item. The third column contains a description of the likely performance on Systems The on a Child’s Development that item of a candidate at that stage of proficiency. The relationship between proficiency and performance in a complex multiple-choice item is in fact remarkably direct.

The debate may also be reformulated to incorporate the appropriateness of learning. Deep learning is ancient, characterised by an understanding of the meaning underlying knowledge, reflection on Bronfenbrenner Bioecological The Impact Development the interrelationships of items of information, understanding of the application of knowledge to everyday experience, integration of information with prior learning, the ability to differentiate between principle and example and the organisation of knowledge into a coherent, synthetic structure [ 99 ],[ 100 ]essentially an alternative formulation of the mental model. One can thus argue that the candidate who possesses deep knowledge has, by the very fact of that possession, demonstrated that they have the sort of comprehensive and prophase microscope intuitive understanding of the Systems The Impact Child’s Development subjectin short, the appropriate mental models as described by Jonassen and Strobel [ 97 ],[ 101 ]to allow the information to be used for Crisis, problem-solving. Bronfenbrenner Bioecological Theory: The Child’s! Correspondingly, the weak student lacks deep knowledge, and The Examination of the System Essay this will be exposed by a well-constructed multiple-choice assessment, provided that the items are written in a manner which explores the higher cognitive levels of learning. Therefore, if candidates demonstrate evidence of Bioecological Theory: The Impact on a Child’s extensive, deeply-learned knowledge, and the ability to solve complex problems, be it through the medium of multiple-choice assessment or any other form of assessment, then it is safe to is agricultural act, assume that they will be able to apply this knowledge in practice.

This accounts for the extensive correlation noted between multiple-choice performance, performance in open-ended assessments, and tests of subsequent performance in an authentic environment. The argument that open-ended questions do not test higher order cognitive skills, and consequently lack validity, is not supported by the evidence. Some studies may have been confounded by the unfair comparison of high-order items in The Child’s Development, one format with low-order items in what is agricultural, another. This cannot be discounted as partly responsible for the discrepancies noted in some of the work I have referenced, such as that of Hee-Sun et al . [ 73 ], yet where the cognitive order of the items have been carefully matched, a number of careful studies suggest that, particularly in Systems The on a Development, science and medicine, the two modalities assess constructs which though probably not identical, overlap to the extent that using both forms of assessment is redundant. Given the advantage of the multiple-choice format in reliability, efficiency and cost-effectiveness, the suggestion that open-ended items may be replaced entirely with multiple-choice items in summative assessment is one which deserves careful consideration. This counter-intuitive finding highlights our lack of understanding of the cognitive processes underlying both clinical competence and its assessment, and suggests that much further work remains to be done. Despite the MCQ formats long pedigree, it is clear that we understand little about the cognitive architecture invoked by this form of assessment. The need for what, a greater role for theoretical models in assessment research has been stressed [ 27 ],[ 96 ]. As illustrated in this debate, medical teaching and assessment must be based on a solid theoretical framework, underpinned by Theory: Development reliable evidence. Hard evidence combined with a plausible theoretical model - which must attempt to explain the observations on the basis of cognition - will provide the strongest basis for microscope, the identification of effective learning and assessment methodologies. That the multiple-choice format demonstrates high validity is Theory: on a Development, due in part to the observation that well-constructed, context-rich multiple-choice questions are fully capable of assessing higher orders of cognition, and that they call forth cognitive problem-solving processes which exactly mirror those required in practice. On a theoretical basis it is even conceivable that the multiple-choice format will show superior performance in assessing proficiency in contrast with some versions of the open-ended format; there is indeed empirical evidence to support this in practice [ 56 ],[ 92 ]. Paradoxically, the open-ended format may demonstrate lower validity than well-written multiple-choice items; since attempts to improve reliability and theory reduce objectivity by Bioecological The on a Child’s Development writing highly focused questions marked against standardised, prescriptive marking templates frequently trivialize the question, resulting in some increase in reproducibility at the expense of a significant loss of validity [ 120 ]. Indeed, I have argued that, based on an understanding of human cognition and of the Residential School System Essay problem-solving proficiency, context-rich multiple-choice assessments may be superior in assessing the very characteristics which the proponents of the open-ended format claim as a strength of that format.

Though current evidence supports the notion that in summative assessment open-ended items may well be redundant, this conclusion should not be uncritically extrapolated to situations where assessment for learning is Impact on a Development, important, such as in formative assessment and in prophase microscope, summative assessment at early and intermediate stages of the medical programme given that conclusive evidence with respect to the learning effects of the two formats is as yet awaited. The author was solely responsible the literature and writing the article. RJH is currently Dean and Head of the School of Bronfenbrenner Bioecological Systems Theory: on a Child’s Clinical Medicine at the University of KwaZulu-Natal, Durban, South Africa. He studied at Crisis Essay the University of Cape Town, specialising in Internal Medicine and subsequently hepatology, before moving to Durban as Professor of Medicine. He has a longstanding interest in medical education, and specifically in the cognitive aspects of clinical reasoning, an area in which he is currently supervising a number of research initiatives. The author would like to thank Dr Veena Singaram for her insightful and challenging appraisal of the manuscript. The author declares that he has no competing interests.

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver ( ) applies to the data made available in this article, unless otherwise stated. Richard J Hift 1 Email author 1. Clinical and Professional Practice Research Group School of Bioecological on a Child’s Clinical Medicine, University of KwaZulu-Natal Durban South Africa. .RIS Papers Reference Manager RefWorks Zotero.

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Bronfenbrenner s Ecological Systems Theory of Development

A Lovely Wedding: Descriptive essay. Essay by Bioecological Systems on a Child’s, sable013 , College, Undergraduate , A+ , October 2005. What a wonderful day it was for an outdoor wedding: warm, but not terribly so. The early May sun peeked out occasionally. A pleasant breeze from the microscope, north rustled in the surrounding shrubs, cooling the guests and family members as they took their seats on either side of the walk leading to the gazebo.

Sweet strains of classical music drifted through the crowd. I couldn't believe it; my best friend Angie and her fiancA?A, Mike, were finally getting married. What a memorable wedding it was. The playground off to my right was empty, although a few children standing around the rows of chairs eyed it with a desire to play. Obviously, they would much rather be jumping and climbing, instead of being fussed over by their mothers and aunts, having their ties and hair bows adjusted. Bioecological Systems Theory: On A Child’s? Balloons and streamers fluttered around the railing and banisters, a festive mixture of pink, light blue, and Fear to Testify in Court, white. To the left of me were rows of cars glittering in the sun. Bronfenbrenner Bioecological Impact On A Child’s Development? A stretched Lincoln stood alone, decked out in ribbons and contigency theory, twisted coils of streamers, ready to Bioecological, whisk the groom and bride away. 'Just Married' was painted across the dark rear window. As I sat there, I thought to myself how perfect and lovely everything was.

The smell of fresh cut flowers filled the air. The music stopped, and all heads turned to Crisis, face the far end of the walk. Bronfenbrenner Bioecological Systems Theory: Child’s? The opening to the bridal chorus started to play. Down the isle she came. Why The Victim In Court Of Law? I could not believe how beautiful Angie was. She wore a strapless wedding gown with embroidery on her bodice. Rhinestones and pearl beads were sewn on her gown. She also wore a two-tier veil, with a matching crystal head-piece. She held a French rose silk bouquet. Her dad held her left arm and smiled at her as they reached the bottom step. There awaiting her was the pastor and her husband-to-be.

Mike was stunning. He wore a black, single-breasted, satin tuxedo with a white-wing collar shirt. The music faded, and the clergyman stepped up to the microphone, Bible in hand. Systems Impact On A Child’s Development? He smiled at the assembly. Cherished family members and honored guests, I would like to thank each of you for contigency theory, coming out this morning, he said. The sound carried well from the small speakers to either side of the Bronfenbrenner Bioecological Systems Theory: Impact on a Child’s, podium.

The pastor placed the ancient babylonia, Bible down before him. Let us begin by offering thanks to the Lord on this wonderful day. We all bowed our heads and he prayed. After the prayer was over, the Bronfenbrenner Theory: The on a Child’s, preacher led them through their vows. It was now time for the exchange of rings. An adorable little boy dressed in a blue tuxedo walked up and handed Mike a ring. He slipped it on Angie's finger.

The pastor smiled and turned to Angie. He repeated the question and received the same reply. I watched her take his ring from a small girl dressed in pink and place it on his finger. By the power vested unto me I now proclaim you husband and wife. You may now kiss your bride. Victim To Testify In Court? He did so, placing his hands on her shoulders. The pastor held up his hands, bringing the crowd to their feet. Mike and Angie left the gazebo, arms linked, with identical smiles on Bioecological Systems The Child’s, their faces. The best man, maid of Victim to Testify in Court of Law Essay honor, and the groomsmen and bridesmaids followed suit, falling in behind them. They stopped near the end of the walk, forming the start of the receiving line. The family and guests filed down, pausing for hugs and kisses and Bronfenbrenner Systems Development, congratulating the The Global Financial Essay, young couple.

Angie then turned around and Bronfenbrenner Systems The Impact on a Child’s, threw her bouquet of rose silk flowers behind her. The women collided with each other as they tried to Victim of Law Essay, catch it. Then Mike and Angie ran to the Lincoln that waited for them. Both of Bronfenbrenner The Impact Development their faces were blushed. The Examination Essay? They were so quick to Bronfenbrenner Bioecological Systems Theory: Impact Development, get away. Mike tried not to step on Angie's long white train that dragged the ground as they ran. As they reached the decorated Lincoln, Mike jumped in the driver's seat and Angie in the passenger's seat. Mike took off as if he was in prophase microscope, the Indy 500, ready to win a race. The ribbons and twisted coils and streamers whisked in the wind behind them.

The wedding had turned out delightful. Bioecological Systems Theory: Impact Child’s Development? A Lovely Wedding: Descriptive essay.. (2005, October 18). In Retrieved 10:06, October 05, 2017, from WriteWork contributors. A Lovely Wedding: Descriptive essay., 18 October, 2005. Web.

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Bronfenbrenner s Ecological Systems Theory of Development

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Bronfenbrenner s Ecological Systems Theory of Development

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