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However, evaluating CAM curricular impact is complicated by the perceived heterogeneity of trainees' baseline attitudes toward CAM, per se, and the application of CAM to medical practice.
The evaluation of CAM curricular impact is complicated by the perceived heterogeneity of baseline attitudes or beliefs toward CAM and integrative medicine.
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Research suggests that teachers' attitudes and views about the content impact their curricular and pedagogic decisions (Carlesen 1991; Deniz et al. 2008).
Unfortunately, our curricular intervention did not impact students' information management performance as measured by an SP case.
Accordingly, there is increasing recognition of the importance of investigating the impact of curricular and programmatic interventions on student development over the long term (Asai, 2011).
An instrument such as the IMAQ may serve educators in their attempts to evaluate, assess and adjust the impact of curricular interventions on attitudes toward CAM/integrative medicine.
In order to justify further research and initiatives to address the problem in teenage students it is necessary to ask the questions, how prevalent is "sleepiness" and does it have a significant impact on curricular or extracurricular activities?
Furthermore, analyses such as the one detailed here could be used to provide information on the shortfalls of individual primary medical degree programs, and the impact of curricular changes.
19 20 37 40 Use of the H-PEPSS (1) is not resource intensive and (2) obviates the need to address the numerous challenges inherent in trying to measure the impact of curricular change on more distal outcomes such as provider behaviour or change in patient outcomes.
We propose that biology instructors can use the TOSLS to evaluate their students' proficiencies in using scientific literacy skills and to document the impacts of curricular reform on students' scientific literacy.
A more rigorous study would be a logical next step to further investigate the impact of these curricular materials on student learning and student attitudes about science in general and evolution specifically.
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