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Monday, July 8, 2013

Dr. Duncan Misdiagnosis The Patient



I’ve been watching reruns of the television show House recently.  Patients come into Princeton-Plainsboro hospital in varying degrees of ill health. Dr. House prescribes a bunch of tests and treats the patients based on those tests. The patients get worse. More tests, more treatment, more declining patients. This goes on until the last 15 minutes when Dr. House—usually without the benefit of more tests—finally figures out what is really wrong, gives the patients a pill or a shot and voilĂ ! Health restored.

This strikes me as a good metaphor for educational reform.  The “patient” has been in poor health—depending on who’s doing the diagnosing—for 10 years, 30 years, or since the particular diagnostician making the claim graduated. Interesting side note: cuneiform tablets from around 3000 BCE have been found in which the writer complains about students’ lack of skills. 

Like Doctor House, our educational reformers prescribe a battery of tests, but unlike Doctor House, these tests aren’t supposed to provide information leading to the cure, they’re supposed to be the cure. Strangely, the patient gets sicker. Diagnosis: More testing. The patient declines further, so even more tests are called for.
Well, since this is my analogy I get to play the role of Dr. House and tell you that there is no need for further  testing—especially since it seems to be making the patient worse. I know what the disease is, or at least a major component of a multi-faceted, multi-level disease. It’s poverty, and much as I’d like to take credit for that diagnosis, as a profession we’ve known about this disease and its effects on the educational achievement of students for a long time. I did a brief, informal review of the literature on poverty and educational achievement and found research going back into the 70’s that indicated the longer children live in poverty, the lower their educational  achievement.

Recently, there was an article that appeared  in the Post Tribune about the effects of poverty on school achievement which, for the purposes of my analogy can serve as a description of symptoms for this national disease.  Patients suffering from this malady often share the following history:

In a recent report by Cornell University, “The Role of Planning Skills in the Income-Achievement Gap,” researchers used longitudinal data from the National Institute of Child Health and Human Development’s Study of Early Child Care and Youth Development to establish a significant link between early childhood poverty and weak math and reading achievement in the primary grades, regardless of IQ.

Previous research has shown that income-related gaps in academic achievement start as early as kindergarten and continue through high school. Those gaps are amplified by low levels of intellectual stimulation and few healthy relationships with adults in the home. But this is the first time the income-achievement gap has been explained with the behavioral measurement of ability to plan efficiently, from such a young age.

Now, I think that even though Dr. House is a medical doctor and not an educational specialist even he could see that kids who suffer from “low levels of intellectual stimulation and few healthy relationships with adults in the home don’t need more tests to learn better, nor are you going to improve the skills of students who come from an environment  “which includes constant high levels of background noise, the overvaluation of entertainment as a respite from the exertions of survival, a strong belief in destiny or fate because choices are in low supply, and polarized thinking in which options are hardly ever examined (again, because so few tend to be available)”  by subjecting them to high stakes exams, wouldn’t you agree  Arne Duncan, Secretary of Education and head diagnostician for America’s schools?

Today is a great day! I have looked forward to this day for a long time--and so have America's teachers, parents, students, and school leaders. Today is the day that marks the beginning of the development of a new and much-improved generation of assessments for America's schoolchildren. Today marks the start of Assessments 2.0.
 
Oh. Well, uh…guess the only people getting healthy around here are the ones that own test making companies.