Evidence map›Paper›PMID 39402619›Full record

ArticleBMC medical education2024

Why do instructors pass underperforming students? A Q-methodology study.

Chunlin Liu, Jananey Rajagopalan, Bruce Wainman, Sarah Wojkowski, Joanna Pierazzo, Noori Akhtar-Danesh

Abstract read
In one paragraph

Article in BMC medical education, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Chunlin Liu *Temerty Faculty of Medicine, University of Toronto, Toronto, Canada.
Jananey Rajagopalan *Faculty of Health Sciences, McMaster University, Hamilton, Canada.
Bruce WainmanFaculty of Health Sciences, McMaster University, Hamilton, Canada.
Sarah WojkowskiSchool of Rehabilitation Sciences, McMaster University, Hamilton, Canada.
Joanna PierazzoSchool of Nursing, McMaster University, 1280 Main St. West, Room 2J21D, Hamilton, ON, L8S 4K1, Canada.
Noori Akhtar-DaneshSchool of Nursing, McMaster University, 1280 Main St. West, Room 2J21D, Hamilton, ON, L8S 4K1, Canada. daneshn@mcmaster.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFormal evaluations are an integral part of a student's learning and encourage students to learn and help instructors identify students' weaknesses. Over the past few decades there have been growing concerns that instructors and evaluators are passing students who do not meet expectations. This phenomenon, in which instructors pass students who do not meet expectations, has been referred to as "failure-to-fail". In this study, we used Q-methodology to identify instructors' justifications for failure-to-fail.

methodsA Q-methodology study was conducted to identify the major viewpoints of instructors at a Canadian university. A by-person factor analysis with principal component factor extraction and Varimax rotation was used. The analysis was conducted using the QFACTOR program in Stata. A Cohen's effect size of 0.80 was used to identify distinguishing statements.

resultsFifty seven instructors participated in this study. Through a by-person factor analysis, three factors representing three viewpoints emerged: Intrinsically Motivated, Extrinsically Motivated, and Administratively & Emotionally Deterred. The Intrinsically Motivated group perceived mental barriers that prevented them from failing students. They strongly disagreed that they experienced pressure from either students or their schools to pass students. The Extrinsically Motivated believed that their higher-ups and the university encouraged them to pass all students. They perceived discomfort associated with defending their reasons for failing students and were concerned that failing students would damage their own career advancements. The Administratively & Emotionally Deterred group believed that the process of failing a student was stressful and exhausting. They disagreed that a failed student is a result of the instructor's own inadequate guidance or mentorship.

conclusionsThis study identified three distinctive viewpoints that outline areas of consideration for addressing the failure-to-fail mechanism. More transparent discussions within schools, as well as identifying solutions, are required to create systems that ensure educational and professional standards are maintained. Further replication of this study in various disciplines may be used to determine whether these findings are consistent in different fields.

Indexed as

Students, MedicalAdultCanadaEducational MeasurementFactor Analysis, StatisticalFaculty, MedicalFemaleHumansMaleMotivationBy person factor analysisEvaluationFailure-to-failQ-methodology

Identifiers

PMID39402619
PMCPMC11472505

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.