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Manufactured Landscape

 

 

 

 

 

 

 

 

 

 

Is blogging the digital equivalent of tree-planting?

In his famous series of large-scale photographs capturing the impacts of industry Edward Burtynsky highlights massive reconstructions of our natural world. I watched the award-winning 2006 documentary Manufactured Landscapes on a long-haul flight a few years ago, juxtaposing mountains of discarded computer monitors (on the screen in front of me), with pristine polar ice (out the airplane window).

Burtynsky shows us debris fields in real environments. What are some of the by-products and reconfigured terrains of the knowledge construction industry?  Here are three manifestations:

1. Degree inflation: Just like 50 is the new 40, Masters are the new Bachelors. Is this because today’s world is infinitely more complex and new hires need additional time and preparation for job readiness? Or are we seeing the equivalent of monetary inflation? I once served on a selection committee for a prestigious lectureship, where the candidate we chose had the credentials PhD, PhD. Let’s leave it at that.

2. Manufactured authenticity: Knowledge workers tend to spend a lot of time indoors. We all crave the experience of real-world adventure but fear of the attendant risks can be a deterrent. That’s what simulations are for: in teaching, learning and recreation. Google Glass represents the first wave of integrated mobile computing. Will this be the next television?

3. Digital nostalgia: The internet is a social construction and was once (in the words of Howard Rheingold) an electronic frontier. Consider the contrast between the WELL and Facebook with respect to discourse and advertising presence. Burtynsky catalogued the manufactured landscapes of the industrial world – what will 2020’s documentary on the manufactured landscapes of the information economy look like?

The post-industrial wastelands of the digisphere weren’t always there. Maybe blogging is the digital equivalent of tree-planting?

 

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The world is opening up, and that’s a good thing. (Don Tapscott) 

 

In their 2010 book Wikibrands, Sean Moffett and Mike Dover argue that with the advent of the social web, it’s no longer the purview of a company to articulate and define its brand – it’s what people say about the company that defines the brand. The implications for all organizations and sectors, including education, are huge.

Institutions of higher learning expend considerable resources on branding, but for the most part this follows traditional marketing channels. And where social media is integrated into organizational branding, it tends to be used as more a corporate communication tool than a meaningful way to engage with students or prospective students. Reputation management is a big consideration. How do you control your brand if you open up a “comments” or “review” page on your website?

A recent investigative reporting piece focusing on healthcare invited Canadians to rate hospitals, and while popular among the public (see story), was sharply criticized – by hospital administrators (though not by patients, see story).

Whether we like it or not, there are multiple outlets for review and commentary, and these are more likely to be adopted when the “official” website is perceived as promoting versus informing. When I choose a hotel do I trust a corporate website or visit TripAdvisor for candid ratings and reviews? Why should it be any different in selecting a college or university? The stakes are a lot higher, and information = power, or at least the illusion of such.

The drive towards inside-out organizations is premised on the notion that we – organizations – get more from sharing than we do from secrecy. This is a big culture change for education. It’s radical. Although high-level data about high school and post-secondary outcomes are publicly available, specifics (e.g. course evaluations, students’ comments and reviews) are not.

Here’s the thing: In a very short time frame complete institutional transparency is going to be expected. As a matter of course. If we don’t provide it someone else will be happy to step in and do it for us. And they get to keep the ad revenue from the high click-through rate: RateMyProfessors is only the beginning.

As Don Tapscott puts it: “Institutions are becoming naked, and if you’re going to be naked … fitness is no longer optional. If you’re going to be naked, you better get buff.”

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Why teaching and learning have a lot in common with street art

I am a big fan of street art. I like how it subverts traditional conceptions of art, artist and viewer. By creating artistic encounters in unexpected places there is a sense of serendipitous discovery and personal connectedness. Street art wakes us up to the creative possibilities in environments that are taken-for-granted and thus invisible.

But is it really art? What is art?

 

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Is art beauty? Truth? A thought, idea or emotion captured in images or words?

Or is it an experience, an evocation of some reaction (positive or negative), stimulus for thought/reflection?

All of the above and more?

And who gets to decide what constitutes art? The artist? The viewer? The museum curator? The market?

Maybe I’m especially drawn to street art as a form of conceptual/contemporary art because it has so much in common with my philosophy of teaching and learning. Just like great street art:

Real learning happens outside the classroom.

Advances in knowledge question the status quo.

Learning derives from our engagement with our environment.

Deep learning stimulates an emotional response: surprise, delight, outrage, insight.

 

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Teaching and learning are essentially creative enterprises as much (or more?) than cognitive/intellectual processes. Educators are both curators (What will I teach? What sources and strategies will I use?) and artists (What response am I trying to elicit? What experience (curriculum) do I (co-)create to get us to that place?).

The creative imperative is all around – and within – us. We are all artists in our construction of knowledge, experience and expression.

 

 

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Blogging can facilitate the convergence of reflection-in AND reflection-on

Reflective practice is a cornerstone for continuous advancement as academic educators and scholars, and we all engage in reflective practice: with our students, with our colleagues, and with ourselves. Donald Schon, in his groundbreaking and influential theory of knowledge generation and learning, posited two reflective processes:

Reflection-in-practice

Reflection-on-practice.

In the moment (reflection-in-practice) we respond and make decisions based on a complex inter-weaving of practice wisdom, experience in classroom teaching, our integrated observation and enactment of what has worked for others, and evidence-based knowledge and skills. In the aftermath (reflection-on-practice) we mull over what worked and what was less effective. We talk things over with colleagues, seek supervision, and/or we journal or otherwise record our reflections.

Traditionally these two processes (reflecting-in and reflecting-on) have been seen to occur as separate but related. Further, the “products” of reflective practice – journaling, goal-setting, dialogue – have been constrained by physical geography and the limits of our professional networks.

Enter social media: thanks to “reflective practice 2.0” reflecting in / on are no longer necessarily distinct. Blogging may well represent a kind of “reflective practice power tool” in its ability to facilitate the convergence of reflection-in and reflection-on.

Digital communication has qualities of speaking and publishing together, and students are part of the conversation. Commenting enables an extended, many-to-many dialogue and blurs the boundaries between in-the-moment (i.e. in-the-classroom) reflection and post hoc reflective discourse. In other words, the act of blogging is itself teaching (in) even as it represents a reflective process (on). The classroom has become porous. Reflective practice is “unboundaried”.

We are all students, and we’re all teachers.

(See an excellent summary of Schon’s work, thinking and contributions at this link).

(Check out the presentation version of this post on Slideshare).

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Here’s what the ultimate teaching challenge might look like…and in the future it may be the rule rather than the exception

A new book, Motivational Interviewing in Groups (Wagner and Ingersoll) outlines motivational approaches and strategies in group facilitation. While the book’s emphasis is on clinical practice, the principles and applications are also relevant to education settings.

The book’s authors present a table illustrating different types of group format, structure, composition, size, length and admission arranged along a continuum of difficulty (for facilitators) from easier to harder:

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This looks different for educational groups, but the essentials still apply. Here is my modification of Wagner and Ingersoll’s framework calibrated for teaching and learning:

Slide1

 

 

 

 

 

 

 

 

 

In other words:

Elective courses are easier to teach than mandatory courses. Students generally take electives out of interest, as opposed to being forced to take mandatory courses. Teaching students content that someone else thinks they ought to know is tougher than content in which they’re already interested.

Instructor-led courses presuppose a “script” (i.e. lesson plan), versus collaborative or student-led curricula. Paragogical approaches posit peer-to-peer learning and individual autonomy, and demand a proportionately higher level of finesse and facilitation.

Classes where students share more similarities than differences can be easier to work with than heterogeneous class compositions. For example, students who differ widely in age, ability or pre-existing knowledge and skills present more of a challenge in ensuring that all learning needs are met, and establishing an inclusive, cohesive and positive community of learning. Of course diversity, including culture, sex, gender and lived experience, enriches everyone’s learning exponentially – but demands artful facilitation on our part.

Student engagement and interactivity are more straightforward in classes of 25 or less. As class size increases so does the challenge of promoting opportunities for practice and integration of knowledge and skills.

It’s easier to keep peoples’ interest and attention for a single class of 2 or 3 hours than it is for a whole day or for multiple days. The latter demands both a varied menu of instructional strategies as well as formidable stamina (on the part of the instructor and the students).

Strict and highly competitive admission criteria can yield the “cream of the crop” of high-achieving and highly motivated learners. On the other hand, classes where admission is unrestricted means addressing the needs of the best and the brightest alongside those with academic struggles and other challenges.

Like any framework, this conceptualization tends to oversimplify and blur the many complexities and nuances of artful classroom teaching. Real life is always messier than the manual (if there even is a manual). But in general, teaching a mandatory class using a student-led curriculum, among a highly diverse cohort of 100 students or more, over a multi-day course that is freely open to all could well represent the ultimate teaching challenge.

We haven’t added the layer of classroom-based versus online teaching and learning, but does this scenario represent what may well be future of higher education…MOOC 2.0?

 

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Six surefire ways to lose an hour in the classroom

Each spring 60 minutes evaporate when we set the clocks forward. Daylight Savings Time (DST) signals the start of long days, fresh colour, smell of earth and birdsong. But still, it hurts to lose that precious hour, especially when there are few enough in the weekend to begin with.

Of course we get an hour of DST back again in the fall, so it’s only a temporary loss. But for educators and students, how many precious hours of learning opportunity are lost in the classroom? Hours that add up to days, weeks, months and years over the course of a high school and post-secondary career. We could argue that this is a student issue based on motivation, attention or capacity: after all, learning is volitional and each of us is personally responsible. Still, I see this stance as at least somewhat disingenuous.

Even the most motivated, attentive and able students can find themselves wishing there was such a thing as what I call Classroom Savings Time (CST) during boring, irrelevant or unproductive “learning” activities. Here are a few tried and true instructional strategies to make them want to fast-forward the clock:

1. Give too much information (because “To teach well, we need not say all that we know, only what is useful for the pupil to hear.”)

2. Teach people what they already know

3. Lecture for more than 10 minutes at a time (TED talks might run twice as long, but after all these are some of the world’s most compelling speakers)

4. Permit student presentations in excess of 10 minutes each (see previous point)

5. Play a video for longer than eight minutes (and that’s still probably three minutes too long)

6. At all times stick to your script (textbook and/or lesson plan).

There is truth to the old saying: “You can lead a horse to water, but you can’t make him drink.” However, you CAN make him thirsty! There may be no getting away from DST, but we can all avoid CST. Students everywhere will be grateful.

 

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The hardest thing about writing is writing (Nora Ephron)

 

Student plagiarism is a big issue (and apparently an equally big industry) in high school and post-secondary education. It’s never been easier to craft a bricolage of web-based material for a written assignment, and it’s never been easier to detect evidence of academic dishonesty. Tools like Turnitin, iThenticate and online search engines allow for immediate identification of copied source material. Given the high risk and high stakes involved, why do students do it?

The way I see it, a number of interacting factors have created a “perfect storm” kind of context in which student plagiarism can flourish:

1. Stewart Brand, digital social network pioneer, famously said that “information wants to be free”. We’ve seen how intellectual ownership of music and film has been defended vigorously in the courts, yet for every torrent site that gets shut down, a new one pops up. Digital content on the network behaves like water: block one pipeline and it effortlessly reroutes through others. The digital generation has grown up accustomed to immediate access to a gushing flood of “free” content.

2. This leads to the next contributing factor: social media platforms are as much about the flow of content as original content creation. Pinterest, Tumblr, Twitter, and others are about free flow of media and ideas. There is a culture of “content curation”, and the best curators are rewarded by likes, notes, reblogs, retweets, repins etc.

3. Academic databases have traditionally been way less user-friendly than search engines. This is starting to change, but the reality is that if you’re pressed for time, don’t understand Boolean logic, and want easily-digested and accessible information, a quick web search might win out. There have been periodic (and growing) exhortations for researchers to make the products of research more accessible, however we have far to go in realizing this knowledge transfer ideal.

4. I am not sure that students really appreciate the consequences of academic misconduct. It’s a bit like impaired driving: seems worth the risk at the time, but when you find yourself in court, without a license, and facing massive fines, insurance costs and social stigma, the cost of booking a stretch limo is a bargain. Same goes for plagiarism. Universities take it pretty seriously, and that meeting with the Dean is a lot like going before a judge.

5. Finally, writing is hard. Encoding our ideas in abstract alphabetical symbols just doesn’t come naturally for most of us. In fact, sometimes coming up with original ideas to encode doesn’t come too naturally either.

Academic Integrity is the foundation of knowledge generation and production. But somehow there’s a disconnect with digital norms and popular culture/practice. The solution? Still murky, but I think that an ongoing dialogue with students acknowledging and exploring the terrain between these separate realities is a good place to start.

 

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Why it’s less about managing the class than joining with the group

Recently overheard in a high school classroom: “F#*%  you…sir!”    Wow: Did I just witness respect + disrespect expressed simultaneously? How does that work exactly?

Teaching is a tough job whatever the age group. Adults may be less “out there” than teenagers, but the group dynamics are the same. Groups tend to behave like unitary entities: they can be your best friend or your worst enemy. But if they fall into the latter category they are a many-headed hydra who cannot be vanquished.

Here’s how I see it: If you have to actually “manage” the class that is not a good sign. Now I am not talking about classroom management in terms of providing guidance or direction with respect to learning content or processes. Every group needs a guide to stay on track. What I mean is that if students act out, tune out or walk out, things have already gone bad. At that point it’s likely not so much a student issue as a group issue.

Here are a few tips to help get things off to a good start, and to keep it that way:

1. Mutual respect is an essential precondition for ANY relationship. If it’s lacking there’s no relating. Regularly affirm your respect for each student and for the class as a whole (the “two clients”: the individual and the group).

2. Make it interesting. Easy to say, but how? Three words: make it relevant. OK, but how? The group will tell you if you ask. What do they care about? Why are they there in the first place? What do they want from you and from each-other?

3. But… what if I am teaching a mandatory course that no one cares about? Here’s the thing: There is no such thing as a topic that’s inherently interesting (have you ever gone to a talk that intrigued you only to be bored out of your mind?). And, conversely, there is no such thing as a topic that’s inherently boring (have you ever gone to a talk you were dreading only to be pleasantly surprised?). Why is the course mandatory? What’s the larger narrative? Why is this essential knowledge and learning? These are the primary questions to address as part of an ongoing group dialogue.

4. Show that you care. Not just about what you’re teaching, and not just about your students as people, but about their experience in the here-and-now. Who’s tired? Who’s bored? How comfortable is the room? What else is happening in the world and how does that impact the tasks at hand? This in-the-moment reflection continuously reestablishes the connection between facilitator and class. In clinical practice it’s called therapeutic use of self – tune in to your own experience to help you tune in to the group.

5. Be generous. Generous with your humour, your time, your interest, yourself. I think of generosity as comprised of curiosity, authenticity, empathy and joy. It’s less a focus on how the group sees you than on who is in the group and what you see in them. And be generous with people when they’re having a bad day. It happens to all of us.

Over the last two days I facilitated a mandatory training for a diverse group of health and social service professionals in Halifax, Nova Scotia. What a pleasure – even if some learners started off the day with ambivalence, we all ended on a high note. And just to add…if you ever find yourself in that beautiful city, be sure to check out Cabin Coffee on Hollis Street for a latte and a killer cinnamon bun!

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Complex skills are best learned in authentic environments

Buying a new car has meant finding a good home for my beloved 95 Chevy. A colleague is now the proud owner, only there is one small but crucial detail…he has never learned how to drive a car with manual transmission (stick shift). Thus, last Sunday afternoon his friend was the one who drove off into the sunset after we did the deal, but that’s no long-term solution. Oh Chevy, I see grinding gears and burning clutch in your future!

Driving a stick shift isn’t easy. In fact, in the beginning it feels pretty complicated and there’s not always much room for error. I’ve been thinking about some of the ways that learning to drive shares common ground with learning the complex skills of clinical practice.

1. The stakes are high: If you don’t master key practical skills, your own and others’ safety are at risk. Have you ever stalled out on a steep grade with other cars right behind? Not a good situation in which to freeze up or panic!

2. It can be a challenge to practice new skills in an environment that feels safe yet also authentic: See Point 1 – you need the experience of stalling the car on a steep hill to learn how to get going again, but you don’t want the reality of rolling backwards into the guy behind. My drivers’ ed training car had a clutch and brake for both me and the instructor/passenger, so I knew that a mistake wouldn’t be catastrophic. Simulation in healthcare education accomplishes the same objectives of safety + authenticity.

3. An experienced mentor can make all the difference: My driving instructor was about 70 years young and had over 40 years experience in teaching new drivers. Everything that a student could possibly do or say he had seen or heard, and literally nothing rattled him. He had this very calm and patient demeanor, which I guess is how he survived that long teaching people like me how to drive. Just knowing that any mistakes I made were par for the course and all part of the learning process freed me up to get into the zone of deep learning.

4. Corrective feedback in the moment shapes behaviour: Direct observation and feedback about the skills I was practicing effectively and where I needed more work helped me learn faster and better. Abstract instructions and memorization aren’t nearly as effective for integrating and mastering practical application of complex skills.

Perhaps a couple of “continuing education” sessions on how to drive a stick shift would not go amiss for Chevy’s new owner. Who knows, might save the cost of a replacement clutch and maybe more. SWP, are you listening?

 TO LISTEN

Ears + Eyes + Undivided Attention + Heart

Zen rocks lake

Group facilitation is more about listening than speaking

Facilitating groups is a delicate art: groups progress through certain well-defined stages of development, and our style as facilitators needs to be pitched to where the group is at. Furthermore, facilitators need to respond to the “two clients” – the individual, and the group – and attend to both content and process. This multilayered complexity, whether in education or clinical contexts, is a big part of what makes groups so energizing and exciting.

What is reflective listening?

In its simplest form, it’s a response that paraphrases or mirrors the spoken content of a person’s statement. Reflective listening is a way to check back and make sure that we’ve understood what someone else tells us. This type of response is also a good alternative to the “Righting Reflex”!

Done artfully, the skill of reflective listening looks easy but is far from it (at least in my own experience). Really impactful reflective listening goes further than paraphrasing, and mirrors back the implied meaning beneath a person’s words; exploring the emotions, assumptions, ideas, hopes, concerns or wishes. These types of complex reflections demand our full listening attention and focus on the other. We all want to feel understood, and reflective listening helps bridge the communication gap in a respectful and validating way.

Here’s an analogy: simple reflections are like the tip of an iceberg – the content “above the waterline” – while complex reflections go deeper.

This video example of an angry client demonstrates how the practitioner uses lots of reflective listening to establish understanding and build rapport.

Reflective Listening in Groups

Reflective listening in groups ups the ante because of their interpersonal complexity. But, looked at another way, groups give us even more options and opportunities to use this important skill. I’ve come up with three general categories for practicing reflective listening in groups (and I’m sure that there are more):

1. Simple versus complex reflections

2. Reflecting an individual’s comments versus content taken from the group’s overall contributions

3. Reflecting group content versus group process.

Note that a facilitator might decide to use any one of these approaches (and within each category are a myriad of alternate ways of responding)…that’s the artful strategy part!

Here’s an illustrative example of a hypothetical client who is coming to the first session of a support group for people living with heart disease. The facilitator has asked group members to share their goals for attending, and the last client to speak says:

“I’m only coming to group today because my doctor and my wife are both pressuring me.”

Reflect 1

Reflect 2

Reflect 3

Notice how each reflective strategy builds on the next – but they aren’t sequential (or prescriptive for that matter). Just some pretty powerful tools that are appropriate across a spectrum of clinical, educational, professional and other kinds of groups. Because in the end, the best facilitation is more about listening than talking.

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The brave (not-so-)new world of online learning

I have an online graduate course starting next week – this is my 11th year teaching in the “virtual classroom”, and the new term has put me in mind of some of the most valuable learning I have gained through experience, course evaluations and student feedback. Here are my Top 3:

1. Put out the welcome mat

Universities and organizations generally have a standardized, branded Learning Management System (LMS). The LMS is the platform in which the online course is delivered, so your customization options tend to be fairly limited. In other words, it is your words – versus the overall site design – that are key to a positive first impression.

For example, is the first announcement or discussion posting focused on technical instructions and course requirements? Or on how you will support students’ success in the course, and how enjoyable and inspiring the collective learning journey will be? Time spent crafting a warm and positive welcome helps set the stage for group safety and engagement.

2. Generate controversy

If fostering meaningful critical discourse is challenging in traditional classrooms, it can be even more so online. Students often feel more inhibited when posting messages as opposed to speaking up in face-to-face groups. And online conversation can quickly take on the flavour of a series of rather stilted “mini-essays” unless you model and shape conversational threads.

One effective way I’ve found to stimulate authentic and lively conversation is to post about a controversial topic related to the course content – preferably something that links to a website, video or social media site, or all three. In my addictions course, this might be the way that addiction is portrayed in popular media, and how that connects to broader theories of addiction. Now the class is critiquing theory in a context that highlights real-life applications and relevance.

3. Over-communicate but under-state

Over-communicate because people don’t read. That is to say, they read, but tend to skim or miss points that are buried in the “fine print”. It’s better to make the same points in different ways across the learning platform or course tools in order to ensure that no one gets lost or left behind. This refers to issues that are process-related (like assignment deadlines, accessing technical support or how students will be graded), as well as content-specific (for example key definitions, essential points or important references). In my courses I try to reinforce communication using discussion forums, weekly overviews, course announcements and email to make sure that everyone is on board and on track.

Under-state because there is a phenomenon associated with text-based communication known as “emotional magnification”. Without visual cues, the same content delivered in person with no ill effects can be experienced with greater emotional intensity and negative valence when delivered online. We’ve all experienced this in email and other digital communication modes, and the consequences can adversely impact the positive learning community you’ve worked so hard to foster. Special care in providing corrective feedback is warranted, and this is especially critical in group discussion forums.

There is lots more to online teaching than captured here, but these are my “Top 3” and will be front of mind for me next week as the new term starts.

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What (and who) inspired me in 2012?

As the calendar clicks over to 2013, it’s an opportune time to reflect on some of the inspiring tools and ideas that have engaged me over the past year – and will continue to have traction in the coming year.

Here is a reverse-ordered list with lots of links to explore. Happy New Year!

10. Playlists: Every course (or presentation) needs a good soundtrack. Songza is an auto-playlist-maker recommended by Mary Nisi on NPR’s technology blog

9. Infographics: We can all do a better job at presenting complex ideas visually and elegantly. Here is a List.ly List of infographics tools

8. Presentation Zen: (Re)imagining visual communication – Garr Reynolds has been a big influencer on my own presentation style and content

7. Personal Learning Networks (PLNs): The whole really is greater than the sum of its parts

6. Gaming: Networked learning and simulation can benefit from the principles of successful, immersive and authentic hi-fidelity game environments – and this is progressing in medical simulation in Canada and worldwide.

5. Virality: What is the “replicability factor” intrinsic to certain memes? How can we infuse knowledge products with that same DNA? Check out some emerging research by Berger and Milkman (2012) What Makes Online Content Viral? and Stanford now offers an online course on viral marketing

4. Another MOOC MOOC by Hybrid Pedagogy: Because information wants to be free

3. Motivational Interviewing: A clinical approach that maps equally well to teaching and learning

2. Y Combinator: A model with applications for curricular innovation, education research and student engagement?

1. Social Inclusion: Anyone can learn if they have the tools – like the instrumental support pioneered by the World Braille Foundation: Braille = Equality… Why? Because literacy is the key to opportunity, economic security and freedom. Yet in many countries 95 per cent of blind children don’t even attend school due to lack of skilled teachers and limited access to Braille materials.

This international foundation is dedicated to promoting literacy, independence and empowerment to blind persons, with past and current projects in Kenya, Swaziland, Niger, Burkina Faso, Mali, Liberia and Lesotho. I make a donation every year. Plus, full disclosure, the WBF was started 10 years ago by my dad, Euclid Herie, and my #1 inspiration!

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Wise words from a school principal

Grade 8 graduation – lots of speeches, uncomfortable chairs and a few fleeting moments when my own grade 8 grad is on stage for the bestowing of the diploma. Who knew that a few thoughtful words by the school principal at the end of the ceremony would capture with absolutely perfect clarity the essence of what it is to teach (and learn)?

This principal was moving on to a position at a new school, so it was his final address and farewell. I don’t remember much of that final speech, with the exception of the last sentence:

“Most of all, I want to thank you students; you gave me so much more than I ever gave to you.”

I was struck by those words as a container for everything that’s important in teaching and learning. The stance of attention, humility, curiosity, openness, collaboration, gratitude and honouring the other.

Those words were a gift and an affirmation of the truest meaning of “teacher”.

So in the spirit of the holiday season I’m passing the gift along. Thanks Mr. Beatty.

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It’s not rocket science

In a recent article in the journal Medical Education, Dr. Glenn Regehr champions a radical rethink of education research. Drawing on insights and advances in subatomic and macro physics, he argues against the imperatives of proof, generalizable solutions and simplicity (all drawn from the prevalent theoretical and methodological approaches in medical research broadly). Instead, Regehr suggests that we embrace the construct of uncertainty (“elegant messiness”) in unique education settings (“context is the irreducible covariate”).

Does a narrow focus on the success of medical education initiatives diminish the utility of education research? Here is Regehr’s thinking, with which I’m inclined to agree:

“Rather than dwelling on the questions of what is going on, we jump straight to the issue of whether it worked. We keep tweaking when the answer is ‘No’, but are satisfied as soon as the answer is ‘Yes’. We celebrate and publish our positive results as proof of our rightness and treat the negative results as ‘failures’ to be ignored or even buried. As a result, the information we share with the larger education research community through the talks we give and the studies we publish tends to feel more like a ‘show-and-tell’ exercise than an engaging and challenging contribution to the community’s understanding of learning processes and education practices.”

These are brave words, especially in a field that has historically privileged positivist epistemology over interpretivist approaches (a debate for another day). Yet the parallels between dynamic systems described in chaos theory, and its application to learning contexts and communities, are striking.

Both are highly context-sensitive and characterized by an “exponential growth in perturbation.” In other words, while all education settings have broad similarities, it is their unique and particular differences that matter with respect to learning outcomes and applications. Small contextual variations (perturbation) can lead to massively divergent results (that’s the exponential growth part).

Take-home messages and food for thought:

Competence isn’t contained within an individual practitioner – it emerges via interaction with an always-changing context.

Education research should focus on sharing new and better ways of thinking about clinical teaching/learning problems, issues and assumptions.

We need a shift from showing what we did right, to articulating what we learned along the way.

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How can we bridge the teaching/learning gap?

 

The evidence-based clinical practice model that I use and teach, Motivational Interviewing, is a respectful and collaborative way to talk about change with people who are ambivalent or unwilling.

In fact, conversations about change are clearly relevant beyond counselling, therapy or health care. The new edition of Motivational Interviewing by William Miller and Stephen Rollnick outlines four essential processes that map well onto processes of adult education, particularly in contexts where learners may be less than enthusiastic. These processes are somewhat linear but also recursive –  one naturally leads to (and provides a foundation for) the next, but we may also circle backwards and forwards as needed.

1. Engaging:

This is about establishing a relationship with the group and creating a positive learning community. Is it safe to speak up, disagree, critique and explore? Meaningful discourse hinges on successful engagement.

2. Focusing:

Engagement comes first, but it is also important to understand and highlight the relevance of the topic/learning objectives to real world problems and issues. What will I learn, and why should I care? How will mastering new knowledge and skills make my work easier and better? Individuals may raise topics or issues that instructors hadn’t anticipated. These are the burning questions that need to be resolved through successful focusing. Optimally, adult learners are engaged in co-creating curricula.

3. Evoking:

Learning is 100% volitional. Constructivism and paragogy mark a shift from installing knowledge and solutions towards evoking these. Although faculty bring expertise to the table – and we shouldn’t shy away from sharing this – a motivational approach presupposes doing so in partnership with learners, and with a spirit of nonjudgmental acceptance and compassionate empathy.

4. Planning:

We’ve engaged learners in an active partnership, linked curricula to real-world issues, and evoked new connections, insights, ideas and approaches. Now what? Identifying implications for practice and committing to an action plan are key. The planning process helps bridge the gap between learning and life. If new learning has no real-world implications, then we’ve missed the boat somewhere along the way.