Education

Top Sites for Data and Info regarding relationships between education and health, societal efficiency, outcomes, distributions  rcbowman@atsu.edu

Review at Hart and Risley, Meaningful Differences in the Everyday Lives of American Children detailed studies of 42 families linked to education and child development literature. After age 8, interventions are far more costly and less effective.

PreKindergarten http://nieer.org/yearbook/pdf/yearbook.pdf  2005 data on dwindling American efforts

The United States spends 0.5% of GDP on age 0 – 6 child development compared to Denmark at 2% GDP (Starting Strong II, OECD). Not starting well means more costs and inefficiency in many ways

Working parents with high school degrees in the Midwest have children with rates of poverty that will make this one of the most disadvantaged populations in the next few years.  In this report on The New Poor, the nation is adding new populations of disadvantage instead of removing some.

The Funding Gap 2004 Carey - state and local financing of education

Jay Greene, High School Graduation Rates in the United States - not a pretty picture

ETS Study Warns of Growing Inequality in Income, Skills by Lynn Olson Education Week, February 7, 2007     Irwin S. Kirsch, Senior Research for the Educational Testing Service, is quoted "We can either sit back... or we can choose to make investments in policies that would try to return us to a period of more shared prosperity."  "I'm not naive enough to think that schools are the only thing that need to improve, but given all the changes that are on the horizon in terms of the economy, I don't see how people are going to have a real opportunity unless we find ways of improving the overall skill levels of the population and narrowing the gaps." America's Perfect Storm by ETS

Carnevale and Rose in Kahlenberg, Left Behind, New Century Foundation, page 9 74% of top income quartile students attend top 146 colleges compared to 3% for lowest income quartile

Understanding Statistics, Realities, Education Maldistributions  Outsider in the Locker Room   What the Stories We Tell Ourselves About High Expectations Leave Out  By William A. Proefriedt  a classic at Education Week

Those who wish to consider the impact of neglected infrastructure or how colleges gatekeep admissions by income levels may do well to review Winner Take All Economics by Robert H. Frank

Congressional Hearings about Real Costs of Poverty
http://realcostofprisons.org/blog/archives/2007/01/childhood_pover.html

Kennedy and Crisis: A Long Term Blueprint for Conduction the Nation

National Center for Children in Poverty - midwest children poverty up 29% (43% of the increase in child poverty in the nation), greatest rise in families without college education
http://www.nccp.org/media/npr06_text.pdf

The US could adopt UK methods that were stolen from the US in previous eras

Changes in Admissions in Allopathic Medical Schools

Admissions Ratios, Changing Admissions, and Physician Distribution

About 70% of physicians come from the top income 30% and 30% come from lower and middle income populations. The 30% admitted have the most connections with major medical centers, medical schools, and professional parents and are the least likely to be service oriented, aware, empathetic, or to be found in rural or underserved areas or primary care or family medicine. Those outside of major medical centers in origin, training, and location remain outside for practice. Those choosing family medicine have outside origins, train in medical schools that admit and train differently, train themselves outside as much as possible, depend upon health policy that supports physicians outside of major medical centers, and remain in family medicine and remain in primary care and outside of Major Medical Centers at the highest levels.

Live Chat Links from Quality Counts 2007: A Discussion About Early-Childhood Education
Friday, Jan. 12, 12 p.m., Eastern Time http://enews.edweek.org/GoNow/a15864a159263a420824540a4

Join our panel of guests to discuss the connections between quality early-childhood education efforts and student achievement in K-12 schools.

Research has found that participation in intensive, high-quality early-childhood education can improve school readiness. Children who attend such programs are less likely to drop out of school, repeat grades, or need special education than children who have not had such experiences. As adults, they are less likely to commit crimes, more likely to be employed, and more likely to have higher earnings.

Studies also suggest that poor and minority children stand to benefit the most academically from attending high-quality early-childhood programs.

Yet access to successful programs remains sharply divided by race and class.

What can be done to improve access? What are the building blocks of a high-quality program? And how can K-12 educators and policymakers work to establish stronger links between preschool education efforts and the K-12 world?

For background, read:

"Paying Attention Earlier On"  http://enews.edweek.org/GoNow/a15864a159263a420824540a1

"Early Intervention on a Large Scale" http://enews.edweek.org/GoNow/a15864a159263a420824540a0

And read this year's "Quality Counts": http://enews.edweek.org/GoNow/a15864a159263a420824540a3

About the guests:

Rob Grunewald, associate economist, Federal Reserve Bank of Minneapolis

Arthur J. Rolnick, senior vice president and director of research, Federal Reserve Bank of Minneapolis

Sara Watson, senior officer, state policy initiatives, The Pew Charitable Trusts

The battle for better physicians involves admissions of a much wider variety of students, particularly lower income students from both rural and urban areas. US medical schools are admitting more and more students who are less and less likely to serve or understand those with the most challenging situations. Changes must begin in education and move throughout all levels to medical school and medical practice.

Physician Distribution means Health Policy, Education Policy, Admissions Policy, all focusing on Breadth, not Depth!

Next Generations Result

Better Education

Physicians who are Accessible, Health Care That Is Affordable and High Quality

Less Need for Health Care, Savings in Other Costly Societal Components, Improved Economics, Services, etc. in Underserved Areas

Cutting back on education always costs more in future years - health, legal, prison, social, insurance, security, etc.

Medical schools must meet national needs and priorities first, in education and in health care

Who gets in, compare US medical school admissions. Rural, older, and instate students tend to have lower status and are also admitted in lower numbers

Rural Medical Education

Rural Workforce and Health Policy in the United States

Models of Rural Medical Education

The World of Rural Medical Education   

The test of our progress is not whether we add more to the abundance of those who have much; it is whether we provide enough for those who have too little." Franklin Delano Roosevelt - from John Gazewood MD

Physician Workforce Studies

Propositions - a variety of amendments have been proposed to limit government. Limiting government care prevent government from acting when it is most needed.

Step 1. Education: the top priority

Health care must not erode educational investment by states

Education equity, reform of property tax-based education that penalizes those from underserved areas where there is less to tax and more challenges and costs

Comprehensive efforts in inner city,    and rural education Strong community colleges,

Breadth => depth of Education, More than just gifted

Step 2. Pre-K Elementary

Continue and expand quality continuity health care for all children

Early reading by parents, access to Pre-K school, emphasis on reading by parent and school,

Science and math teachers

Health care orientation

Step 4. College

Stellar College Health advisors in all colleges

Greater variety of higher education experiences so that students can have a better fit and better performance

Summer jobs, shadowing, service-oriented on a par with current research and academic experiences, including role models exhibited

Step 6. Admissions Partnerships

Involves increased admissions of students with lower admissions ratios

Partnerships with community colleges, small colleges, sites where students have different education, background

Older students, rural, low income, from underserved populations, job experience that would add value to medical education and medicine

 
Step 3. Secondary

Career advising including health careers, academic excellence

Special materials and programs for science, math and other teachers and schools, specific for school and student needs

Summer jobs and shadowing

Academic partnerships with underserved, AHEC

Bridging Tracks to Admissions
Step 5. Education Partnership

Replicate existing successful examples widely

Partnerships working with states and schools and teachers to develop materials, assist with experiences

Remove obstacles in minds such as cost, grades, attitudes, lack of role models in underserved areas

Driven by school, student, and community needs
Step 7. Admissions Policies

Evidence-based admissions

Strong desire for students of character, overcomers, systems-oriented

Broad criteria, service orientation, Older, rural, low income, educational background

MCAT Not used as ranking for interview or admit

MCAT and Family Medicine

"Not to know is bad. Not to wish to know is worse." African proverb  Sometimes we make decisions as a nation that make it less and less likely to be aware.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Understanding Higher Education and Income

Growing Up America - integration of admissions, education, and health policy

More and more I have been drawn to K-12 Education as the source of maldistribution of education, health care, health providers, and poverty. My heroes have shifted from the likes of physicians to teachers and teachers assistants in alternative, middle, and elementary schools as well as volunteer mentors who make a tremendous difference in the lives of those most at risk.

A recent review of Nebraska's finest students reviewed what the past decade's grads had done and where they were located. Few were of any consequence to Nebraska or Omaha. However those who are not in the top 1% do a great deal for the state. I am especially proud of those who have graduated from the medical school. The real work in education is not in the gifted, however. They usually take care of themselves.

The key work that can and should be done is in the early years with the at risk kids. The challenge is great - education, parenting, fatherlessness, discrimination, resentment, mental health, legal issues, etc. The rewards include lives not wasted, other lives not damaged by criminal acts or violence or theft, dollars saved in legal, education, and prison costs with future tax savings.

I have come to the conclusion that we have mortgaged our future to the hilt by not paying better attention to those in most need today. RCB 7/2003

Medical school admissions in Nebraska is an interesting discussion point. When considering students born in the state in rural as compared to urban areas for the past 5 classes admitted to UNMC, there is a similar probability for rural as compared to urban students. However in studying national data on those born in Nebraska, the admissions to out of state schools is limited for those from rural areas. This may be the impact of rural origins, lower income, lower scores, etc.

Any school in any location can manage to get a kid who is gifted with speeded intellect into medical school. It takes a state and local partnership administered through quality teachers to get the less "speedy' kids admitted to medical school. These students who have broader focus and different background are the ones that depend upon quality education. This is not an easy task because it appears that the nation is heading toward less experienced teachers in the most challenging urban and rural areas, worsening distribution of funding, lack of accountability (or accountability with no funding), and a complete disregard of the value of education.

Parents of Asian students (US born or schooled), those likely Mormon (born in Utah), foreign born students, and those from upper midwest states seem to value education much more than most in this nation.

Students from the higher income and professional groups are increasing in numbers and percentages admitted to medical school. Students born in the US are decreasing in percentage from every county type from the most rural to the most urban. Short of major improvements in respect for education, this will continue for decades. This should be a wakeup call for US education, but so far we continue to sleep and await a "Sputnik" or a full realization that the global war against terrorism will only be won by a global emphasis on education and health, when young men realize that investing in education is viable, realistic, and necessary.

For those at risk, for those in poverty, and for the young professionals we must have in our nation

Step 1. Education: the top priority

Health care must not erode educational investment by states

Education equity, end of property tax-based education that penalizes those from underserved areas where there is less to tax and more challenges and costs

Comprehensive efforts in inner city,    and rural education    those from underserved areas

Can disadvantaged children learn? The states with the best investments and the least obstacles to teaching rank highly in their students gaining access to medical school. Several of the highest rated states (by Adjusted School Efficiency) are increasing sources of US medical students, such as Utah, Idaho, North Carolina, Kansas, and Wyoming. States lowest on this scale such as New York (37th), Michigan (45th), New Jersey (46th), Pennsylvania (43rd) and Illinois (36th) have declining admissions of medical students born within these states. There is a .31 correlation between Adjusted School Efficiency in a state (Teachability Readiness Economics Community Health Race Family) and increases in medical students born in the state. States doing better in education are able to get more of the students born there admitted to medical school.

Strong community colleges, Breadth => depth of Education, More than just gifted

Understanding Higher Education and Income

Step 2. Pre-K Elementary

Continue and expand quality continuity health care for all children

Early reading by parents, access to Pre-K school, emphasis on reading by parent and school,

Review at Hart and Risley, Meaningful Differences in the Everyday Lives of American Children detailed studies of 42 families linked to education and child development literature. After age 8, interventions are far more costly and less effective.

PreKindergarten http://nieer.org/yearbook/pdf/yearbook.pdf  2005 data on dwindling American efforts

The United States spends 0.5% of GDP on age 0 – 6 child development compared to Denmark at 2% GDP (Starting Strong II, OECD). Not starting well means more costs and inefficiency in many ways

Science and math teachers

Health care orientation

Step 3. Secondary

The Funding Gap 2004 Carey - state and local financing of education

Jay Greene, High School Graduation Rates in the United States - not a pretty picture

Carnevale and Rose in Kahlenberg, Left Behind, New Century Foundation, page 9 74% of top income quartile students attend top 146 colleges compared to 3% for lowest income quartile

Career advising including health careers, academic excellence   PreProfessional Advice

Special materials and programs for science, math and other teachers and schools, specific for school and student needs

Summer jobs and shadowing

Academic partnerships with underserved, AHEC

Bridging Tracks to Admissions   

    Rural Health Opportunities Program

    The Rural Alabama Health Alliance

    West Virginia Rural Health Education Partnerships

    Chadron State Rural Health Career Fair

 

Admissions and Social Status

Education is the Key

Choices in Education

Admissions Summary

Income and Education Concerns - what is happening to those from low income families

State By State Education Status

Age and FP Physicians

Poorer Health in the Process

Education and Personal Growth

Education Opens, Closes Doors http://www.pal-item.com/news/stories/20030629/localnews/565746.html

also saved copy in private if change of URL

AIDS Devastation in Africa Impacts Young Professionals - leaving little chance of restoring countries in poverty and lacking in education and health services.

Underserved - Overview and Models

Restoration of Communities, Nations, People: Role of Rural Family Docs

Medical Education Concept Files

www.ruralmedicaleducation.org