The medical licensing examination debate

National licensing examinations are typically large‐scale examinations taken early in a career or near the point of graduation, and, importantly, success is required to subsequently be able to practice. They are becoming increasingly popular as a method of quality assurance in the medical workforce, but debate about their contribution to patient safety and the improvement of healthcare outcomes continues. A systematic review of the national licensing examination literature demonstrates that there is disagreement between assessment experts about the strengths and challenges of licensing examinations. This is characterized by a trans‐Atlantic divide between the dominance of psychometric reliability assurance in North America and the wider interpretations of validity, to include consequences, in Europe. We conclude that the debate might benefit from refocusing to what a national licensing examination should assess: to achieve a balance between assessing a breadth of skills and the capacity for such skills in practice, and focusing less on reproducibility.     

Is There a Culture or Religion of Torture? International Support for Brutal Treatment of Suspected Terrorists

Do certain cultures or religions predispose citizens to support the deployment of torture against suspected terrorists? Based on an international survey of 31 different countries, we examine how religion and culture affect respondents' position on torture. We find that at the individual level, the nonreligious are resolutely opposed to torture, and that Christians, Buddhists, Hindus, Jews, and other faiths are more supportive. Among world cultures, Muslim/African cultures are most opposed to the torture of terrorists, while Confucian, English-speaking, and South Asian cultures are the most supportive of it. We also find that the use of torture has less support in countries that are suffering from terrorism, once religion and culture are considered.     

paradise,built in hell: decolonising feminist utopias in <Emphasis Type="Italic">Top of the Lake</Emphasis> (2013)

Jane Campion and Gerard Lee’s miniseries Top of the Lake (2013) marked New Zealand-born but Australian resident Campion’s return to New Zealand for the first time since The Piano (1993). The show’s central subject of child sexual abuse by state officials echoes the different yet resonating political situations in twenty-first century Australia and New Zealand, a state of emergency that allows for the emergence of what Rebecca Solnit (2009) calls a ‘disaster community’. Implicitly addressing critiques of her colonialist gaze in the earlier film, the miniseries both decolonises the idea of the utopian no-place and offers an alternate, emplaced vision of relational, anti-colonial provisional utopia through the main, mirroring female characters, Detective Robin Griffin and her half-sister Tui Mitcham. In contrast to contemporaneous police procedurals focussed on lone female officers, Top of the Lake rejects the authority of the police state and offers a resolution aslant that critiques generic expectations of individual heroism and resolution within a legal framework. Looking specifically at how the show knows its place—Lake Wakatipu on South Island, New Zealand—the article offers a close reading of Top of the Lake’s formal critique of the male colonial gaze and its adoption of a feminist soundscape in relation to Campion’s oeuvre; and considers its politics through indigenous media theory, to argue that it marks an initial step towards a decolonisation of viewing practices in relation to feminist conceptions of utopia.     

What Happens at the Polling Place: Using Administrative Data to Look Inside Elections

Tremendous attention has been paid to local election administration since the 2000 presidential election meltdown, yet policy makers still lack basic information about what happens at the polling place. One strategy to understand the interactions between citizens and street‐level election bureaucrats is to turn to administrative data. Using logs collected by polling place workers, the authors analyze more than 66,000 individual incidents recorded from four different statewide elections. Such data provide novel insights and guidance for the administration of elections. Findings indicate that task scale (in terms of the number of ballots) and complexity (in terms of absentee ballots) increase the incident rate. Managerial choices about how polling places are run also matter: the use of electronic voting machines and central count processing of ballots reduce the incident rate, while splitting poll worker shifts increases it. Operator capacity, measured in terms of experience, also reduces the number of incidents.     

Splitting the Tactical Vote? Coordination Problems with Polling Model-Driven Tactical Voting Websites

The 2019 general election gave prominence to tactical voting advice websites, particularly those projecting constituency-level results using national polling data and sophisticated multi-level regression and poststratification (MRP) polling models. We see tactical voting as an example of a coordination game and argue that polling-model driven advice websites are disruptive to the existing focal points for strategic voting. Although such websites may well help identify the strongest candidate based on constituency demographics, the article argues they are unlikely to coalesce support behind that single candidate, a prerequisite for successful tactical voting. In practice, there are multiple competing models and websites as well as other key sources of information to voters. Furthermore, the heuristic of relying on tactical voting websites is vulnerable to strategic action by partisans. In short, it is argued that the emergence of these websites risks muddying the waters further for electors seeking to vote tactically, potentially splitting the tactical vote rather than unifying it.     

Policing alienated minorities in divided cities

Minority groups frequently challenge the legitimacy of legal authorities, particularly the police. Without trust and legitimacy, the police encounter constant conflict and cannot function effectively. While past research has examined minorities’ perceptions of the police, national minorities provide an interesting and under‐investigated test case because of their inherent identity conflict with the state. The current research examines three factors to explain minority–majority disparities in views of the police: (i) police effectiveness and fairness; (ii) intergroup discrimination (termed relative deprivation in policing); and (iii) identification with the state. Findings from a survey of Jewish and Arab residents of nationally mixed neighborhoods in Israel (n = 394) suggest that while all of these factors account for minority–majority discrepancies in views of the police, perceptions of police fairness are particularly important. Furthermore, feelings of discrimination and low levels of identification with the state are less important than evaluations of fairness in explaining minorities’ negative perceptions of the police.     

Secret hideouts and the adolescent experience: Hubert on the art and politics of Adrian and the Tree of Secrets

The following interview examines Hubert's creative process for his graphic novel Adrian and the Tree of Secrets (Arsenal Pulp Press, 2014). It explores his thinking about gender and the adolescent experience in the context of a range of social issues including his own Catholic upbringing. This interview culminates with a discussion about homosexuality in contemporary France, Charlie Hebdo, and larger extremism.     

Further data on interrogative suggestibility and compliance scores following instructed malingering

Purpose. This study examined whether people can successfully feign high levels of interrogative suggestibility and compliance as measured by the Gudjonsson Suggestibility Scales (GSS) and the Gudjonsson Compliance Scale (GCS) when given instructions to malinger. Methods. Participants (N = 90) were randomly allocated to one of three groups that received: (1) instructions to give into leading questions in order to look vulnerable to suggestions, (2) instructions to be compliant with the examiner, or (3) the standard GSS/GCS instructions. Results. One of the two malingering instructions led to modestly elevated scores of total suggestibility, while subscales remained unaffected. In contrast, both malingering groups obtained highly elevated compliance scores. Conclusions. These findings suggest that heightened suggestibility is rather difficult to malinger, thereby confirming the reliability of the GSS. On the other hand, it might be easier to malingering compliance as measured with the self‐report GCS.     

Tractor driving and alcohol—A highly hazardous combination

Introduction

Approximately half of all injury-related fatalities in the agricultural industry are associated with farm tractors. Skill-based psychomotor tasks, such as driving and operating such machines, are easily impaired as a consequence of the use of alcohol. We have analyzed characteristics of fatal traffic accidents involving tractors in Zagreb County, with special accent to prevalence of alcohol use among drivers.

Subjects and methods

The material comprised all fatal accidents involving tractor drivers in Zagreb County between the years 2001 and 2005 where a medicolegal autopsy had been performed and samples taken for subsequent forensic toxicological analysis. The total of 47 cases were included. Data were collected on characteristics of the fatally injured as well as on circumstances and dynamics of the accident itself. The results are presented with absolute and relative frequencies.

Results

Ninety-one percent (43 out of 47 cases) of fatally injured were males. No person was under the age of 18, 70% were between 18 and 65 years of age and 30% were above 65 years of age. Blood alcohol reading was negative in only 13 out of 47 analyzed cases (28%). Six cases (13%) had blood alcohol concentration (BAC) below 0.50 mg/mL, further 6 between 0.50 and 1.49 mg/mL, 16 (34%) between 1.50 and 2.49 mg/mL and the remaining six had BAC between 2.50 and 3.49 mg/mL. Median BAC among 34 fatalities with positive blood alcohol level was 1.80 mg/mL, while the highest concentration observed was 3.49 mg/mL. Multiple injuries were the most common cause of death (43%) followed by crush asphyxia (26%). Most of the victims (81%) died at the scene of the accident and all of them died within the first 24 h. In the majority of accidents (79%), the tractor operator was a victim of the vehicle rollover.

Conclusion

High percentage of farm tractor users driving under influence and high median BAC indicates that legislation alone is not sufficient in preventing accidents. Further effort should be directed toward education aimed to increase awareness of the obvious risk that alcohol use represents to driving and workplace safety. Taking into account that the overwhelming majority of fatalities occurred from rollovers, strong encouragement should be given to implementation of rollover protecting structure (ROPS) devices in order to prevent such type of fatalities.