A conceptual model which relates patterns of academic achievement to the personality characteristics of learners was tested by a quasi-longitudinal study. The results of the study provide strong evidence for a model which emphasizes the influence of histories of successful academic achievement on personality characteristics. The findings suggest, additionally, that rewards for academic achievement provided by the home are related to both high achievement and positive personality characteristics. Instructional models such as Mastery Learning and the manipulation of time variables are discussed in terms of their potential for providing students the means both to achieve well and develop positive personality characteristics.
Introduction: Complementary and alternative medicine (CAM) encompasses a wide variety of increasingly popular therapies not generally taught in allopathic medical schools but of apparent interest to medical trainees. However, little is known about the learners' specific needs for improving their CAM clinical skills. Methods: Third-year medical students and internal medicine resident-physicians at the University of Kentucky were invited to participate in a voluntary questionnaire to assess CAM knowledge, skills, attitudes as well as their desired learning methods. Results: Medical students (n ¼ 22) and resident-physicians (n ¼ 39) generally hold favorable attitudes toward CAM but admit to significant knowledge deficits and do not feel adept at counseling their patients about CAM. Students indicate observation and hands-on experiences as their preferred pedagogy while residents favor textbooks, articles, and lectures to learn about CAM. Nevertheless, one resident noted, ''any information in any format would be helpful as we get no teaching in this area''. Conclusions: In our sample, learner-driven CAM education at undergraduate and graduate levels is indeed necessary and wanted. In constructing CAM education interventions, attitudes, perceived knowledge deficits, and preferred learning strategies should be considered for the trainees and thus ultimately responsive to the needs of their patients.
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