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Versailles Donating Member (384 posts) Send PM | Profile | Ignore Mon Jul-27-09 09:54 PM
Original message
No dentist left behind
Sharing this analogy I posted in another thread by request...

My dentist is great! He sends me reminders so I don't forget check-ups. He uses the latest techniques based on research. He never hurts me, and I've got all my teeth. When I ran into him the other day, I was eager to see if he'd heard about the new state program. I knew he'd think it was great.

"Did you hear about the new state program to measure effectiveness of dentists with their young patients?" I said.

"No," he said. He didn't seem too thrilled. "How will they do that?"

"It's quite simple," I said. "They will just count the number of cavities each patient has at age 10, 14, and 18 and average that to determine a dentist's rating. Dentists will be rated as excellent, good, average, below average, and unsatisfactory. That way parents will know who the best dentists are. The plan will also encourage the less effective dentists to get better," I said. "Poor dentists who don't improve could lose their licenses to practice."

"That's terrible!" he said.

"What? That's not a good attitude," I said. "Don't you think we should try to improve children's dental health in this state?"

"Sure I do," he said, "but that's not a fair way to determine who is practicing good dentistry."

"Why not?” I said. "It makes perfect sense to me."

"Well, it's so obvious," he said. "Don't you see that dentists don't all work with the same clientele, and that much depends on things we can't control? For example, I work in a rural area with a high percentage of patients from deprived homes, while some of my colleagues work in upper middle- class neighborhoods. Many of the parents I work with don't bring their children to see me until there is some kind of problem, and I don't get to do much preventive work. Also, more educated parents who understand the relationship between sugar and decay. To top it all off, so many of my clients have well water which is untreated and has no fluoride in it. Do you have any idea how much difference early use of fluoride can make?"

"It sounds like you're making excuses," I said. "I can't believe that you, my dentist, would be so defensive. After all, you do a great job, and you needn't fear a little accountability."

"I am not being defensive!" he said. "My best patients are as good as anyone's, my work is as good as anyone's, but my average cavity count is going to be higher than a lot of other dentists because I chose to work where I am needed most.”

"Don't get touchy," I said.

"Touchy?" he said. His face had turned red, and from the way he was clenching and unclenching his jaws, I was afraid he was going to damage his teeth. "Try furious! In a system like this, I will end up being rated average, below average, or worse. The few educated patients I have who see these ratings may believe this so-called rating is an actual measure of my ability and proficiency as a dentist. They may leave me, and I'll be left with only the most needy patients. And my cavity average score will get even worse. On top of that, how will I attract good dental hygienists and other excellent dentists to my practice if it is labeled below average?"

"I think you are overreacting," I said. "'Complaining, excuse-making and stonewalling won't improve dental health'...I am quoting from a leading member of the DOC," I noted.

"What's the DOC?" he asked.

"It's the Dental Oversight Committee," I said, "a group made up of mostly lay persons to make sure dentistry in this state gets improved.”

"Spare me," he said, "I can't believe this. Reasonable people won't buy it," he said hopefully.

The program sounded reasonable to me, so I asked, "How else would you measure good dentistry?"

"Come watch me work," he said. "Observe my processes."

"That's too complicated, expensive and time- consuming," I said. "Cavities re the bottom line, and you can't argue with the bottom line. It's an absolute measure."

"That's what I'm afraid my parents and prospective patients will think. This can't be happening," he said despairingly.

"Now, now," I said, "don't despair. The state will help you some."

"How?" he asked.

"If you receive a poor rating, they'll send a dentist who is rated excellent to help straighten you out," I said brightly.

"You mean," he said, "they'll send a dentist with a wealthy clientele to show me how to work on severe juvenile dental problems with which I have probably had much more experience? BIG HELP!"

"There you go again," I said. "You aren't acting professionally at all."

"You don't get it," he said. "Doing this would be like grading schools and teachers on an average score made on a test of children's progress with no regard to influences outside the school, the home, the community served and stuff like that. Why would they do something so unfair to dentists? No one would ever think of doing that to schools."

I just shook my head sadly, but he had brightened. "I'm going to write my representatives and senators," he said. "I'll use the school analogy. Surely they will see the point." He walked off with that look of hope mixed with fear and suppressed anger that I, a teacher, see in the mirror so often lately.

If you don't understand why educators resent the NO CHILD LEFT BEHIND ACT, this may help. If you do understand, you'll enjoy this analogy, which was forwarded by John S. Taylor, Superintendent of Schools for the Lancaster County, PA, School District.



There is a difference between being held accountable in their job and using an inaccurate method of measuring student success as a measuring stick to teaching ability. Any teacher worth his or her salt, in my opinion, will realize that every single one of their students is different and cannot be shoved into the same mold. Some students test well, others don't. I was a student who could ace every single test put in front of me without doing a single lick of work during the school year. Does that mean I learned the material or does that mean that I could ferret out the correct answer in a variety of multiple choice questions? If I had done the opposite and done every assignment perfectly, stayed after school for extra information, etc. but taken a test the same day I had to go to the funeral of a close family member and therefore failed the test, does that show that I didn't learn anything and the helpful and supportive teacher did not do their job?

Using high stakes testing as a measurement of the TEACHER'S ability is silly as those tests are often a poor indicator of STUDENT success. Teachers need to be evaluated by direct observation and a review of their tests and materials. Just thoughts from an ex-teacher who left the education field specifically because of the ludicrous demands put on teachers.
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ProgressiveProfessor Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Jul-27-09 09:58 PM
Response to Original message
1. NEA had the opportunity to address this and abidcated
We will have to make do with what is now forced upon us.
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Ten Bears Donating Member (183 posts) Send PM | Profile | Ignore Mon Jul-27-09 10:24 PM
Response to Reply #1
3. A broad statement without a specific allegation
Is repeating what you have heard easier than thinking things up yourself?
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ProgressiveProfessor Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Jul-27-09 10:53 PM
Response to Reply #3
6. Actually witnessed myself as member of my local union
Some form of teacher accountability has been looking for some time. The NEA etc chose to fight a futile rearguard action rather than get ahead of it and have workable proposals. Their lack of action on a national level has resulted in a steamroller at working teachers. Reg and crew screwed up and screwed us all.

I have discussed many times here sorry for not repeating myself on this one.

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Uncle Joe Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Jul-28-09 11:25 AM
Response to Reply #1
13. While you may be correct on your first sentence,
I don't believe that necessarily locks us in to the second, there can be reform of the reform.
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ProgressiveProfessor Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Jul-28-09 02:33 PM
Response to Reply #13
14. My concern is the light at the end of the tunnel is a locomotive...
Obama and his SecEd are clearly behind teacher accountability, and I hope not, I fear it may be too late to influence things.
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Strong Atheist Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Jul-27-09 10:07 PM
Response to Original message
2. Agreed. nt.
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Ten Bears Donating Member (183 posts) Send PM | Profile | Ignore Mon Jul-27-09 10:24 PM
Response to Reply #2
4. Evidently so!
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Fumesucker Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Jul-27-09 10:46 PM
Response to Original message
5. Nice analogy.. Recc'd n/t
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1monster Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Jul-28-09 12:51 AM
Response to Original message
7. K and R
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Versailles Donating Member (384 posts) Send PM | Profile | Ignore Tue Jul-28-09 08:04 AM
Response to Reply #7
8. Thanks for the K&R! n//t
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JPZenger Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Jul-28-09 08:07 AM
Response to Original message
9. Doctors avoid most unhealthy patients if rated?
That is part of the problem of rating doctors or hospitals based upon outcomes. If a doctor or hospital handles some of the worst cases, they might appear to have bad outcomes. If a doctor turns away the patients with the worst complications, they may appear to have the best outcomes.
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Versailles Donating Member (384 posts) Send PM | Profile | Ignore Tue Jul-28-09 08:19 AM
Response to Reply #9
10. Exactly...
And when this turns to education, what is to stop schools from finding ways to expel students who aren't going to perform at a high level...or from finding other methods to keep lower performing students from taking the test on that day.

Quite honestly, it isn't that hard to provoke a student into a situation that would result in a write up thus giving administrations a "valid" reason for expelling. This day in age when toenail clippers can be considered a weapon, dress codes are becoming more prevalent, and something as simple as aspirin can be considered a drug, it is not hard to pick and choose your students if you are a very unscrupulous administrator.
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1monster Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Jul-28-09 10:06 AM
Response to Reply #10
11. They already do get rid of lower performing/testing students. I know an ESE
teacher who quit her job because the new principal was calling in her students and telling them that high school was not for them and that they should quit school. He told the parents of another ESE student that high school could not do anything for their child and they should home school him.

Other students were harassed into transferring out or quiting school. They and their parents were subtly and not so subtly threatend with having their children hauled out in handcuffs over made-up, grossly exaggerated, or simply gossip-generated incidents. (Some of these students actually performed very well on the mandated tests, but had been perceived as not to bright for whatever reason.

The principal took his school from a grade of C to A in one year. But the costs to school in faculty and the costs to some of the students was far to great.

The only good news I have on this is that he is gone and will probably never be a principal again. Unfortunately not for the the damage he did to the students he forced out. And there are many others just like him.
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Versailles Donating Member (384 posts) Send PM | Profile | Ignore Tue Jul-28-09 02:34 PM
Response to Reply #11
15. Horrible...
This is the type of stuff that forced me out of education. The last school I taught at wanted Junior college prep and honors classes to be doing simplistic vocabulary and grammar the entire year so that the students' grades would be nice and high and GPAs would look good for colleges. I essentially refused and fought for critical thinking based on literature read throughout the year. I was chastised for my test being too hard (60%-70% "short" answer mini-essays and essays). They demanded that my final exam be 250+ multiple choice questions. No final paper or essay. Uggg...it was a nightmare.

The stress and anxiety from the year caused me such health problems that I collapsed in class one morning at the end of the year. I was ordered by the doctor to stay out for a week and recoup. The head of school called me while I was out to tell me that they weren't renewing my contract then handed me off to the school counselor in case I needed someone to talk to.
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maryf Donating Member (1000+ posts) Send PM | Profile | Ignore Tue Jul-28-09 11:18 AM
Response to Original message
12. Big K&R, great analogy!!
Harvard graduates should understand this...(some don't seem to)
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