Clinical reasoning is an essential competency in medical education. This study aimed at developing and validating a test to assess diagnostic accuracy, collected information, and diagnostic decision time in clinical reasoning. A norm-referenced computer-based test for the assessment of clinical reasoning (ASCLIRE) was developed, integrating the entire clinical decision process. In a cross-sectional study participants were asked to choose as many diagnostic measures as they deemed necessary to diagnose the underlying disease of six different cases with acute or sub-acute dyspnea and provide a diagnosis. 283 students and 20 content experts participated. In addition to diagnostic accuracy, respective decision time and number of used relevant diagnostic measures were documented as distinct performance indicators. The empirical structure of the test was investigated using a structural equation modeling approach. Experts showed higher accuracy rates and lower decision times than students. In a cross-sectional comparison, the diagnostic accuracy of students improved with the year of study. Wrong diagnoses provided by our sample were comparable to wrong diagnoses in practice. We found an excellent fit for a model with three latent factors-diagnostic accuracy, decision time, and choice of relevant diagnostic information-with diagnostic accuracy showing no significant correlation with decision time. ASCLIRE considers decision time as an important performance indicator beneath diagnostic accuracy and provides evidence that clinical reasoning is a complex ability comprising diagnostic accuracy, decision time, and choice of relevant diagnostic information as three partly correlated but still distinct aspects.

No abstract

In Germany, according to their prior achievement students are tracked into different types of secondary school that provide profoundly different options for their future educational careers. In this paper we suggest that as a result, school tracks clearly differ in their social status or reputation. This should translate into different collective school-type identities for their students, irrespective of the students' personal academic self-concepts. We examine the extent to which collective school-type identity systematically varies as a function of the school track students are enrolled in, and the extent to which students' collective school-type identity makes a unique contribution beyond academic self-concept and school track in predicting scholastic motivation. In two cross-sectional studies a measure of collective school-type identity is established and applied to explain motivational differences between two school tracks in Berlin. In Study 1 (N = 39 students) the content of the collective school-type identity is explored by means of an open format questionnaire. Based on these findings a structured instrument (semantic differential) to measure collective school-type identity is developed. In Study 2 (N = 1278 students) the assumed structure with four subscales (Stereotype Achievement, Stereotype Motivation, Stereotype Social, and Compensation) is proved with confirmatory factor analysis. This measure is used to compare the collective school-type identity across school tracks and predict motivational outcomes. Results show large differences in collective school-type identity between students of different school tracks. Furthermore, these differences can explain motivational differences between school tracks. Collective school-type identity has incremental predictive power for scholastic motivation, over and above the effects of academic self-concept and school track.

In two cross-sectional questionnaire studies with N = 2,931 German students, aged between 12 and 17 years (M = 14.1, SD = 0.5), we investigated the relation between students' bullying behavior and their personal belief in a just world (BJW). We considered students' personal experience of teacher justice as a possible mediator in this relation and investigated whether the students' experiences of their teachers' classroom management explained bullying behavior in addition to personal BJW and teacher justice, while statistically controlling for sex and school type. In both studies, multilevel modeling results showed that the more students endorsed personal BJW and the more they evaluated their teachers' behavior toward them personally as being just, the less likely they were to report that they bullied others. The students' personal experience of teacher justice mediated the association of personal BJW with bullying. Furthermore, the students' personal experience of classroom management significantly predicted bullying in addition to personal BJW and teacher justice. The observed relations were mainly significant at the individual level. The pattern of results persisted when we controlled for school type and when we considered student sex as a moderator. We discussed the adaptive functions of BJW and implications for future school research and practice.

Fostering equity by offering the best education possible to all students is one of the main goals of inclusive schooling. One instrument to implement individualised education is individualised education planning (IEP). IEP requires cooperation between special and regular teachers. From research on school leadership it is known that leadership styles are connected to the way, school leaders use their scope of action with respect to fostering collaboration. However, little is known about the relationship between the leadership of a school, the provision of structures for collaboration, and the implementation of IEP in an inclusive context. The article focuses on the question to what extent transformational (TL) and instructional leadership (IL) are connected to the provision of structures for collaboration and how TL and IL as well as structures for collaboration relate to the implementation of IEP directly and indirectly. Based on data of N = 135 German schools, a path model was calculated. It revealed medium relations between TL, IL, and structures for collaboration as well as a medium effect from structures to collaboration on implementation of IEP. The effect from TL towards implementation of IEP was fully mediated by structures for collaboration, while the effect from IL persisted. ARTICLE HISTORY

ZusammenfassungGerechtigkeitserleben spielt eine zentrale Rolle für produktives Wohlbefinden in der Schule und trägt zum Zugehörigkeitsgefühl bei. Die vorliegende Studie untersucht in einem experimentellen Design, wie die Berücksichtigung sonderpädagogischer Förderbedarfe im Sinne des Bedarfsprinzips Gerechtigkeitsbeurteilungen von SchülerInnen-Lehrkraft-Interaktionen beeinflusst. Eine Stichprobe von 275 Lehramtsstudierenden gab an, wie gerecht sie die in Textvignetten beschriebenen Unterrichtssituationen beurteilte. Es zeigte sich ein bedeutsamer Einfluss des Vorhandenseins sonderpädagogischer Förderbedarfe im „Förderschwerpunkt emotionale-soziale Entwicklung“ sowie ein signifikanter Einfluss aus der Kombination von Förderbedarfen im Bereich „Lernen“ und des gerechtigkeitstheoretischen Fokus’ der Vignetten (Verteilungsfragen oder zwischenmenschliche Gerechtigkeitsfragen). Eine Nichtbeachtung des Bedarfsprinzips in inklusiven Unterrichtssituationen führte tendenziell zu einer weniger gerechten Unterrichtswahrnehmung. Eine zusätzliche Information über eine explizite Diagnose beeinflusste die Gerechtigkeitsurteile der Befragten nicht. Die Ergebnisse weisen darauf hin, dass das Bedarfsprinzip in der Beurteilung schulischer Interaktionen bereits bei Lehramtsstudierenden eine Rolle spielt.

No abstract

No abstract