Top Sites for Data and Info regarding relationships between education and health, societal efficiency, outcomes, distributions
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
Declining Rural Populations - Mayday 23 represents the world changing from a rural to an urban majority. In the United States, the states that cross from rural to urban have the greatest decline in rural born medical school admissions.
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! |
|
|
|
Step 1. Education: the top priority Health care must not erode educational investment by states 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,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 performanceSummer 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, backgroundOlder 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 needsSummer 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 experiencesRemove 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
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"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
Health care must not erode educational investment by states
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
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
Health care orientation
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
Income and Education Concerns - what is happening to those from low income families
State By State Education Status
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
