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Tests used to be just for evaluating students, but now the testing of students is used to evaluate teachers and, in fact, the entire educational system. On an individual level, some students and parents have noticed a change — more standardized tests and more classroom and homework time devoted to preparation for them.
So what exactly do test scores tell us?
The Flynn effect has always been tinged with mystery. First popularized by the political scientist James Flynn, the effect refers to the widespread increase in IQ scores over time. Some measures of intelligence — such as performance on Raven’s Progressive Matrices in Des Moines and Scotland — have been increasing for at least 100 years. What’s most peculiar is how scores have increased:
1) Scores have increased the most on the problem-solving portion of intelligence tests.
2) Verbal intelligence has remained relatively flat, while non-verbal scores continue to rise.
3) Performance gains have occurred across all age groups.
4) The rise in scores exists primarily on those tests with content that does not appear to be easily learned.
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While one might assume that IQ scores could increase over time in terms of crystallized intelligence — the part of the test that measures particular kinds of knowledge, such as being able to count or vocabulary words — it’s actually increased on measures of fluid intelligence, which is the ability to solve abstract problems. This has led some psychologists, such as Ian Dreary, to conclude that “large differences in scores [between generations] are demonstrated in just those situations where similarity would be expected.” Flynn, meanwhile, marveled at the magical constancy of the effect: “It’s as if some unseen hand is propelling scores upward,” he wrote.
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. In recent years, many psychologists have embraced the “multiplicity hypothesis” which argues that the Flynn effect is explained by a long list of factors, such as improvements in early education (especially for girls), removal of lead paint, increased sophistication of tests, better test taking attitudes and adequate nutrition.
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The truth is not all screening tests are equal, and more importantly, even when a screening test is accurate (yes, I chose to use this term because I am lazy) and we are able "determine the health condition of an individual", it did not necessarily mean that it was cost-effective to screen the population at large, or indeed a specific patient. Unfortunately, if someone was in a position that "the costs of these tests are a big burden" to him or her, an accurate diagnosis may just be the beginning of more financial burden...
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The truth is not all screening tests are equal, and more importantly, even when a screening test is accurate (yes, I chose to use this term because I am lazy) and we are able "determine the health condition of an individual", it did not necessarily mean that it was cost-effective to screen the population at large, or indeed a specific patient. Unfortunately, if someone was in a position that "the costs of these tests are a big burden" to him or her, an accurate diagnosis may just be the beginning of more financial burden...
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But the cost-effectiveness of screening tests are really quite a technical issue that we cannot expect laymen (or even all doctors) to understand - that's not what bothered me about this letter. What bothered me was how a layman can think that a bunch of doctors and statisticians sitting in MOH can be blind to the benefits of "all cancer screenings as well as all tests to detect heart disease", which are so obvious to him.
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