Return-Path: <nifl-health@literacy.nifl.gov> Received: from literacy (localhost [127.0.0.1]) by literacy.nifl.gov (8.10.2/8.10.2) with SMTP id i58MXb921043; Tue, 8 Jun 2004 18:33:37 -0400 (EDT) Date: Tue, 8 Jun 2004 18:33:37 -0400 (EDT) Message-Id: <40C63E50.9060806@goldfieldaccess.net> Errors-To: listowner@literacy.nifl.gov Reply-To: nifl-health@literacy.nifl.gov Originator: nifl-health@literacy.nifl.gov Sender: nifl-health@literacy.nifl.gov Precedence: bulk From: Archie Willard <millard@goldfieldaccess.net> To: Multiple recipients of list <nifl-health@literacy.nifl.gov> Subject: [NIFL-HEALTH:4442] Re: Which Test? X-Listprocessor-Version: 6.0c -- ListProcessor by Anastasios Kotsikonas Content-Transfer-Encoding: 7bit Content-Type: text/plain; charset=us-ascii; format=flowed Status: O Content-Length: 3467 Lines: 90 To All I have said this before, but I think it is worth repeating. I do not like to take written tests to receive health care. As a dyslexic and an adult learner with reading problems I speak for a lot of adult learners. We hate having to take another written literacy test. People with other kinds of handicaps are not continually asked to expose their weaknesses to whatever degree they are handicapped. There is no physical pain in taking a written test, but when we have to take a written test there is a lot of frustration inside of us. We grow up feeling humiliated because we had poor reading skills and now we are adults. More written tests are seen as another step backwards for us and it turns us away. Archie Willard Adult Learner David Rosen wrote: > NIFL Health Colleagues, > > I have not seen the REALM before, so thanks, Carol, for the Web page. > Now that I have seen it, I am concerned. > > It is not clear to me what this assessment measures. It doesn't > measure grade level, which is what it appears to report, and it > doesn't measure comprehension. It appears to measure one's ability to > pronounce medical vocabulary. I, for one can probably pronounce > hundreds of medical words which I do not understand the meaning of. > And I know people who do understand the meaning of some medical words > but cannot pronounce them. So, can someone explain what this > assessment does validly measure? > > I also have some concerns about administering literacy assessments in > medical contexts. If someone comes in for medical help, isn't it the > institution's or agency's responsibility to provide medical help, not > to assess their literacy. For example, at least one hospital in > Boston does not bring up literacy, per se. Instead, patients with > diseases or medical conditions are told "You have a disease that you > need to learn about. What ways would you prefer to learn about it? > Would you like to talk with someone? Read about it? Watch a video?" > Patients who do not choose to read may or may not have difficulty > reading, but that isn't the problem. Especially a time of crisis is > not the time to confront problems of literacy. The problem is how to > help patients learn what they need to in ways which work best for them. > > Others views on this? Do you use the REALM? How? Why? Please help > me to understand the conditions under which it would be useful. Have I > missed something? > > Thanks, > > David J. Rosen > djrosen@comcast.net > > > > On Tuesday, June 8, 2004, at 04:37 PM, Walter F. Wallace wrote: > >> Tx everyone for the leads on REALM...got to the heart of the matter... >> >> Walter >> >> Walter F. Wallace >> ACGME Regulations Manager >> GME Office >> Dartmouth-Hitchcock Medical Center >> 603-653-0466 (V) >> 603-653-0405 (F) >> Pager 5860 >> ******************************************** >> IMPORTANT NOTICE REGARDING THIS MESSAGE >> This e-mail transmission is for the sole use of the intended >> recipient(s) and may contain confidential and privileged information. >> Any unauthorized review, use, disclosure, or distribution violates >> confidentiality and privacy laws, and is prohibited. If you are not >> the intended recipient, please contact the sender immediately and >> destroy all copies of the message. Thank you for your cooperation. >> > -- Archie Willard millard@goldfieldaccess.net URL - http://www.readiowa.org/archiew.html
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