Canadian neurology residency programs recently transitioned to Competency-Based Medical Education (CBME). Iterative evaluation is required to optimize CBME implementation. This study aimed to examine the variability and challenges in uptake of CBME in neurology residency programs and identify its benefits and pitfalls. Neurology residents and faculty participated in respective anonymous surveys. Common barriers to uptake were identified from both perspectives. Orientation to CBME was adequate, but workload was increased and contributed to burnout for faculty and residents. It is premature to draw conclusions regarding benefits of CBME. Future research considerations include standardization of entrustment scales and reduction of stakeholder burden.

Much attention has been centered on the use of emerging technologies in higher education, including flipped classes. However, widespread admiration for and adoption of these innovations seems to be occurring at a much faster pace than the assessment and evaluation of them. Questions about student performance in and perception of flipped classes remain unanswered, so more research is needed. This study examines student perceptions of a partially flipped Introduction to American Politics course. In general, the results indicate that students preferred the partially flipped format, although (1) it is not clear that students would prefer a fully flipped course, and (2) some aspects of the flipped format worked better than others.

Both service learning and simulations have been shown to positively impact student outcomes, but they are not often used together. This article examines how to effectively combine these active learning styles to reap the benefits of both. After examining a case in which the two were combined and the impact this approach had on student evaluations and learning outcomes, I discuss how such projects can be successfully executed in a variety of other classes.

Two random samples, each constituting 0·5 % of the institutionalized elderly (over 65) in the cities of New York and London have been compared. This preliminary report of a collaborative study demonstrates the similarity of the 2 samples.

Institutions in the 2 cities are shown to differ in size, type of ownership and the frequency that skilled nursing is provided.

Some implications of these 2 findings are raised now, and will be discussed later when the full data for the study are presented.

Recent studies have documented that parties influence legislative behavior. But such studies have been unable to distinguish between party voting stemming from ideological agreement and true party influence, as most lack independent measures of legislator ideology and have not been tested at the U.S. state level. Using survey data to control for legislator ideology, this analysis looks at how and under what conditions parties influence voting in three sessions of five state legislatures. The results suggest party influence on voting in the states is partly due to the fact that legislators have similar beliefs and represent similar people. Nonetheless, parties exert an independent influence on roll call voting due to state legislators' desire for party resources and their desire to create a positive brand name for the party. Furthermore, there are numerous circumstances under which parties exert this influence.