Medical education reform efforts and failures of U.S. medical schools, 1870-1930

The dramatic decline in the number of US medical schools in the early twentieth century has been traced to a medical education reform movement that gained momentum after the Civil War. The major parties to reform-the universities themselves, the Association of American Medical Colleges (AAMC), state licensing boards, the American Medical Association (AMA), and Flexner-had different interests and strategies, however, and scholars have continued to debate the impact each had on the decline. To isolate the independent effects that the temporally intertwined forces for reform had on medical school failures, this study applies statistical survival analysis to an extensive and unique data set on medical schools operating in the United States between 1870 and 1930. Contrary to the views of some scholars, the results indicate that schools closed in response to critical evaluations published by the Illinois State Board of Health in the nineteenth century and the AMA and Flexner in the twentieth century. Additionally, the results indicate that schools were less likely to have failed if they adopted certain reforms implemented at leading schools or joined the AAMC, and were more likely to have failed if their state's licensing regulations mandated lengthier premedical and medical training.     

THE CHANGING GEOGRAPHY OF HIGHER MEDICAL EDUCATION IN THE USSR, 1917-1985

During the Soviet period the network of medical schools expanded from one essentially limited to the European part of the country to a widely dispersed system covering the entire territory except for the far north. Analysis of the locational factors of Soviet medical school establishment shows that, like other higher education institutions, these medical schools were located primarily by city population size. Many peripheral regions received schools, despite having only lower-order population centers, and those places where schools were established fared much better in retaining physicians than those where they were not.     

对"大跃进"时期江苏省农业中学的宏观历史考察

1958年,农业中学最先诞生于江苏省.在"大跃进"运动的影响下,江苏省农业中学的学校数量及在校人数迅速膨胀,成为全国教育"大跃进"的一个重要组成部分和表现形式.在整个"大跃进"时期,江苏省的农业中学始终保持了一个庞大的规模,直到中共中央决定对国民经济实行"调整、巩固、充实、提高",其盲目发展的势头才得以遏制并开始逐步调整.     

Public School Search Policies and the "Politics of Sin"

In recent years, high school students have been subjected to greater levels of drug searching and surveillance on school grounds. The effect of such searching is potentially wide-ranging, because public schools "play an important role in socializing students according to the norms and mores of society" ( Vergari, 2000 ). Using the "morality politics" framework, this study reports and analyzes the presence of random, suspicionless drug searches in the Nebraska public schools. Whereas most studies of morality policy have focused on the state as the unit of analysis, we consider the perceptions, attitudes, and behaviors of principals in regards to drug policies in schools. Our findings, based on a survey of 181 high school principals, reflect several features of morality policy. There has been a significant rise in the number of random drug searches, despite the principals' observation that these measures neither lessen drug use nor catch perpetrators. The most important predictors of drug policy are pressure from local sources, perception of the problem within the community (but not the schools), and the racial composition of schools. Principals articulate limited concern for student rights, and students largely accept searches without resistance. In the discussion, we consider these findings in light of recent court rulings and introduce the potential ramifications of waging the drug war in our nation's classrooms and hallways.     

Women Students and the London Medical Schools, 1914–39: The Anatomy of a Masculine Culture

During the First World War in Britain, women were exhorted to rally to the nation's need and to train as doctors. A number of the London medical schools opened their doors to female students for the first time. After the war, several of these schools reverted to their former status as exclusively male institutions. This article looks at these events in some detail, focusing on the controversies over co-education in medicine and attempting to unravel some of the issues and politics involved. It is suggested that the gender politics which characterise these debates illuminate our understanding of the social history of work cultures and masculinity in the period.     

Birth control and the fertility of the U. S. Black population, 1880 to 1980

Black fertility in the U. S. declined sharply in the latter part of the 19th century and continued declining up to 1940. Common expert opinion has held that this decline in fertility was not attributable to an increase in birth control practice. Instead, experts hypothesized that the fertility decline was due almost entirely to deleterious changes in health factors among blacks. The health hypothesis is faulty because those black groups with socioeconomic advantages most conducive to good health were the very groups with the lowest fertility rates. A number of recent fertility studies seem to show fairly widespread use of birth control among blacks during the 60 years up to 1940. This widespread use did not increase precipitously in the 1930s but grew gradually over the previous 1/2 century. Knowledge and acceptance levels of birth control were also high during those years among blacks. Similarly, the experts' beliefs that birth control, even if practiced among blacks, did not have much effect on black fertility because "infective" methods were used, birth control was not practiced "effectively," and blacks started birth control practice too late in their reproductive lives have been shown by studies to have no empirical bases.     

Appropriate remedial action? medical students, medical schools, and smoking and health education in New York and the United States, 1964-87

The Surgeon General's 1964 report on smoking and health, which declared that cigarette smoking was a cause of lung cancer, is considered a landmark in the history of medicine and public health. This article examines the impact of the report on medical student education by reviewing how the relationship between smoking and lung cancer was presented in medical school textbooks and syllabi between 1964 and 1987, changes in hospital smoking regulations and doctors' attitudes toward smoking following the publication of the report, and medical students' smoking patterns and attitudes toward cigarette smoking in the years after 1964. Although it provided some advanced students with additional insight into mechanisms of pathogenesis related to smoking, the education that many medical students received seems to have been neither a primary influence on their smoking patterns nor an important source of their scientific understanding of the causal link between smoking and lung cancer for at least a decade following the publication of the Surgeon General's report.     

A history of anatomy theaters in sixteenth-century Padua

The history of anatomy includes not only professors and the support of their institutions but also medical students. Because medical students were quick to assess a teacher's pedagogy, their complaints tell us a great deal about the transition from Galenic to Aristotelian projects of anatomy. When Fabricius of Aquapendente instituted a new style of anatomical inquiry, one based on Aristotle and the search for universal principles, students repeatedly complained that his demonstrations did not provide technical education in structural anatomy (as demonstrations employing a hands-on, Galenic pedagogy did). Within the new anatomy theater (the second of its kind in Padua), however, students were persuaded to accept Fabricius's demonstrations. Fabricius's philosophical orientation combined with the formal atmosphere and aesthetic features of the new theater to create anatomy demonstrations that relied on orations and music for their structure (rather than on the progressive stages of human dissection). A place that emphasized a discourse of anatomy as the study of the "secrets of nature," the new theater so effectively publicized a new style of anatomy that a larger, more diverse group of spectators attended subsequent demonstrations and participated in the celebration of leading academic figures as well as the institution of the university.     

Defiant Retreat： The Relocation of Middle Schools to China＇s Interior, 1937-1945

This study focuses on the migration of middle school students to the interior of China after the Japanese invaded in 1937. It argues that the Guomindang （GMD） central government was generally successful in handling the 500,000 displaced students, making substantial efforts to monitor, register, educate, and provide training for them, as well as establishing government-run ＂national middle schools＂ during the war. Meanwhile, the GMD also exerted a strong influence on course curriculum, instructing educators how to implement the Three People＇s Principles and other party doctrines in classrooms. These processes expanded the state＇s hand in secondary education and allowed the GMD to include refugee students and schools in its wartime narrative of progress, praising the students＇ patriotic participation in defying the Japanese occupiers and their contribution to ＂national reconstruction＂ （jianguo）. However, there were still many challenges. Refugee students, teachers, and principals forcibly converted Buddhist temples into schools and clashed with local monks, farmers, villagers, and even the GMD military. With schools merging and moving inland, relocation also provided opportunities for unscrupulous administrators and teachers to exploit the situation for themselves, as government reports reveal many cases of corruption in the wartime schools.     

School Choice in Milwaukee

For decades educational reformers have identified school choice programs as a strategy for restructuring public school systems. Practically every state has considered or adopted a school assignment program that qualifies as a "choice" initiative, one in which students and parents have some choice in school selection. Increasingly, school districts are contemplating plans that include a choice of private, as well as public, schools. One of the most far-reaching of these school choice plans is the Milwaukee (Wisconsin) Parental Choice Program, which, as legislated, allows parents to use vouchers to enroll their children in both sectarian and nonsectarian schools in the community. This paper explores the evolution of school choice in Milwaukee and examines the extent to which school choice is representative of other privatization efforts currently under way in the United States.     

发展繁荣社会主义文化的成功之路--"双百"方针、"二为"方向述论

从毛泽东到邓小平,从1956年提出"百花齐放,百家争鸣"的方针到1980年提出"文艺为人民服务,为社会主义服务"的方向,他们把马克思主义与中国革命和建设的实践相结合,制定了一套完整的社会主义文艺的总方针、总政策.在贯彻实施过程中,又根据实际情况提出"古为今用,洋为中用"等具体方针、政策、要求、办法,为中国探索出了一条发展繁荣社会主义文化的成功之路.     

"Constrained by Zeal": Women in Mid-NineteenthCentury Nonconformist Churches

In the nineteenth century, women discovered that nonconformist churches provided a third, intermediate sphere between private and public life in which they could find a variety of roles. Churches provided a supportive environment where, as "Angels out of the House" they found an extension of their role in the home. In some cases, however, they clearly moved beyond that to the public sphere. Women taught in Sunday schools, visited the poor and sick, distributed tracts, were instrumental in fundraising, led Methodist class meetings, prayed with other women, and some even preached. Despite the importance of women within Nonconformity, and the significance of religion in many women's lives, few historians of either Nonconformity or women's history have concentrated on women's lives within these churches. This paper seeks to add to our limited knowledge of their activities within the "intermediate sphere" in four denominations.     

Social status, race, and the timing of marriage in Cuba's first constitutional era, 1902-1940

This article examines the practice of marriage among whites, "mestizos," blacks, Cubans, and Spaniards during the first constitutional era, focusing upon the reported ages of brides and grooms. The study consists of a quantitative examination of trends found in the records of 900 Catholic marriages celebrated in Havana during the opening decades of independence. The first major finding of the research is that according to most major indicators of status, age was negatively correlated with rank. Thus, contrary to the conclusions of studies conducted in many other contexts, those in the highest strata of society married young. Furthermore, very significant differences were detected in the marital patterns of those identified as mixed-race and those labeled as black. This finding offers empirical weight to the notion that the early-mid twentieth-century Cuban racial structure would best be characterized as tripartite, rather than binary in nature.     

Quakers,North Carolinians and Blacks in Indiana's Settlement Pattern

Indiana had an unusually sizeable Quaker population by 1850 that formed the state's fifth largest denomination and comprised the fourth largest number of Quakers in the United States. Quaker churches were concentrated in east-central Indiana. Most of the Quakers came from the South, particularly North Carolina. Southern Quakers had freed their slaves by 1800 and were actively opposed to the “peculiar institution,” and many free blacks lived near them. When economic and political conditions in North Carolina became intolerable for the Quakers and blacks, many of them moved to Indiana together. Although some blacks migrated separately and settled different areas, many chose to locate close to the Quakers due to their antislavery and humanitarian philosophy. As a result, there was a close association in Indiana among natives of North Carolina, Quakers and blacks by 1850.     

Women in neuroscience (WIN): the first twenty years

Women in Neuroscience (WIN) is an international organization whose major goal is to promote the professional advancement of women neuroscientists. To this end, WIN facilitates contacts and communication among women working in neuroscience, and organizes appropriate activities at the annual Society for Neuroscience (SfN) meeting. WIN was created in 1980, when despite major changes and advances in 'equal opportunities', women were still not achieving a proportionate level of success in the subdiscipline of neurosciences. In 1980, women made up 40 to 50% of entering classes in medical schools or graduate programs, but often comprised only 5 to 15% of leadership in respective organizations. Although there had been women elected to serve as SfN presidents, council, and committee members, women were under-represented in other positions of the Society, such as symposium and session chairs. There was an even lesser degree of representation in leadership positions at universities and medical schools in terms of full professorships, chairs, and program directors, as well as on editorial boards, advisory boards, and councils. Over the years, WIN has worked with success toward increasing the participation of women in neuroscience.     

试论日本华侨学校的法律地位及其所带来的问题

作为日本华侨社会的主要教育设施,华侨学校不仅为华侨子弟的教育做出了贡献,也为整个华侨社会的统合和稳定发展以及中日文化的交流立下了汗马功劳。华侨学校具有持日本国籍的学生增多、学生总体趋向多元化,毕业生去向以升人日本学校为主流,以民族教育和升学教育为两大教学目标及注重培养学生的国际化观念等特点。但由于华侨学校长期处于边缘化的法律地位,故在学生入学、升学及学校财政等方面都受到了极大的限制。这也直接影响到了华侨学校教育活动的实施。     

The Present State and Tasks of Higher Geography Education

The author discusses the teaching of geography in universities and teachers colleges of the Soviet Union, noting that the majority of graduates are being assigned to geography teaching in middle schools. He gives data on the distribution of students by day, evening, and correspondence divisions; problems in teaching methods; the organization of field practice; and the limited number of degree holders in geography.     

Examining the Impact of Charter Schools on Performance in Traditional Public Schools

Charter schools have grown in popularity, as both citizens and government officials search for ways to improve public education in America. Much of the research on charter schools focuses on academic performance comparisons between charter schools and traditional public schools. Far less attention has been devoted to whether the presence of charter schools creates marketlike environments that bring about systemic improvements in public education. This study examines the extent to which charter schools stimulate performance gains in traditional public schools. The results show that charter schools contribute to modest overall performance improvements for students enrolled in traditional public schools. Charter schools help bring about stronger performance gains for low-income students enrolled in traditional public schools. The presence of charter schools also affects how financial and programmatic resources are allocated in traditional public schools.     

Children's daily travel to school in Johannesburg-Soweto,South Africa: geography and school choice in the Birth to Twenty cohort study

This paper has two aims: to explore approaches to the measurement of children's daily travel to school in a context of limited geospatial data availability and to provide data regarding school choice and distance travelled to school in Soweto-Johannesburg, South Africa. The paper makes use of data from the Birth to Twenty cohort study (n?=?1428) to explore three different approaches to estimating school choice and travel to school. First, straight-line distance between home and school is calculated. Second, census geography is used to determine whether a child's home and school fall in the same area. Third, distance data are used to determine whether a child attends the nearest school. Each of these approaches highlights a different aspect of mobility, and all provide valuable data. Overall, primary-school-aged children in Soweto-Johannesburg are shown to be travelling substantial distances to school on a daily basis. Over a third travel more than 3 km one way to school, 60% attend schools outside of the suburb in which they live, and only 18% attend their nearest school. These data provide evidence for high levels of school choice in Johannesburg-Soweto, and that families and children are making substantial investments in pursuit of high-quality educational opportunities. Additionally, these data suggest that two patterns of school choice are evident: one pattern involving travel of substantial distances and requiring a higher level of financial investment and a second pattern involving choice between more local schools, requiring less travel and a more limited financial investment.     

Renewing the purpose of geography education: Eco-anxiety,powerful knowledge,and pathways for transformation

Concerns about the decline in uptake of secondary geography education continue despite arguments supporting the value of geography education, the power of geographical thinking, and geography’s critical role in preparing students to deal with complex challenges. Already constrained by neoliberal politics of disadvantage, young people must plan and prepare for chaotic futures. Consequently, young people are becoming distressed and worried about their futures and feeling powerless as society fails to adequately address these issues. In this article, we ask what schools and universities can do as place-based public institutions to serve young people to effectively respond to eco-anxiety and build capacities to surf the unrelenting waves of change. We draw on journeys that brought three young doctoral candidates to study geography. From their stories, we sketch what a geographical education could offer in terms of relevance, practicality, and engagement with transformative system change. We think that under current world conditions, this is a moment to revive geography education and give it renewed purpose to encourage young people to develop skills and competences to tackle wicked problems.