1.
What is the big take home message(s) from the
Prezler paper.
For me, there were two big themes that I
pulled out of this paper.
The first is that students in upper
division courses were less likely to view clicker questions as valuable to
their learning. The authors propose that
the reason was that most of the students moved into the upper division courses
without having used clickers in previous courses. The clicker questions represented change in
what those students are used to. What I
take from this is that in higher-level courses, the instructor must present the
students with and evidence-based rationale for using clickers in their
classroom. Also, it is important to use
quicker questions that are of a higher cognitive level.
A second refers to figure 6. These data demonstrate that in both lower and
upper division courses, clickers improved performance on exams. This was the most objective data presented in
this paper and my opinion.
2.
Using the information from Caldwell’s paper,
write two high quality clicker questions that will provide meaningful
information about student understanding.
Question 1:
JT is a 63 year old female who presents to her physician
with complaints of fatigue and shortness of breath on exertion, both of which
are progressively worsening. She reports
no chest pain, cough, or peripheral swelling.
Her physical examination findings include a normal pressure, a normal
and regular heart rate, and decreased radial pulses. Her lung exam is normal. Auscultation of her heart reveals a loud S1,
no third heart sound, an opening snap, and a low pitched diastolic murmur that
is heard most prominently at the apex of the heart. An echocardiogram reveals a pressure gradient
between the left atrium and ventricle of 10 cm of water.
Given the history, physical findings, and findings on
echocardiogram, considered the diagnosis.
Which of the following would be the preferred treatment for this
patient?
a.
Mitral valvuloplasty
b.
ACE inhibitor therapy
c.
Mitral valve surgery
d.
Aortic valve surgery
Question 2:
JT is a 53-year-old male who presents to his physician with
exercise intolerance, shortness of breath on minimal exertion, and ankle
swelling. His medical history includes a
diagnosis of coronary artery disease. He
had coronary artery bypass surgery 6 years ago.
His electrocardiogram shows normal sinus rhythm, a normal PR interval,
and a QRS duration of 180 ms. His most
recent echocardiogram revealed an ejection fraction of 31% and a large anterior
area of akinesis.
Of the following, what treatment would improve his overall
survival and improve his symptoms?
a.
An implantable cardioverter-defibrillator
b.
A right ventricular pacemaker
c.
Amiodarone therapy
d.
An implantable cardioverter-defibrillator and a
biventricular pacemaker
