Oxford's teachhing methods of english language
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The note-taking process
In order to reconstruct a complete account of what one perceives through
listening, reading, observing, discussing, or thinking, it is necessary to
take notes either simultaneously with the act of perception or after an
interval of just a few seconds. We cannot expect to remember everything we
perceive, and despite the advantages of training our memory, it is better
to have notes taken at the moment things happen.
Language educators have approached note-taking from different perspectives.
McKeating (1981) sees note-taking as a complex activity which combines
reading and listening with selecting, summarizing, and writing.
Grellet (1986) advises helping students to establish the structure of a text so they can pull out the key ideas and leave out nonessential information. Nwokoreze (1990) believes that "it is during the note-taking stage that students reach the highest level of comprehension."
Two main aspects concerning note-taking:
It involves the combination of different skills, i.e.; listening or
reading, selecting, summarizing, and writing.
It requires the selection of relevant information from the nonessential.
Moreover, most authors see note-taking as a complex activity which must be approached gradually. When teaching the skill, Raimes suggests that elementary-level students can be given a skeleton outline to work with when they take notes, so that their listening is more directed. Advanced students can listen to longer passages and make notes as they listen.
Murray refers to a "rehearsal for writing," which begins as an unwritten
dialogue within the writer's mind: what the writer hears in his/her head
evolves into notes. This may be simple brainstorming-the jotting down of
random bits of information which may connect themselves into a pattern
later on.
Note-taking involves putting onto paper the data received through any of
our senses. These data could range from simple figures, letters, symbols, isolated words, or brief phrases to complete sentences and whole ideas.
Most teachers instruct students to take notes while perceiving . However,
Nwokoreze insists on the need for first listening long enough to make sure
the essence of the information is perceived before taking notes. The
decision on whether the notes are to be taken at the moment of perception
or shortly afterwards depends on the complexity of the task and the ability
of the note-taker. Consequently, if we are to take notes with figures, letters, or single words to fill in a pre-designed skeleton, we can do it
at the same time we receive the information; whereas notes which require
selection, summarizing, and organization ought to be taken later.
Guided note-taking
As teachers, we must decide what sort of help our students need for every
task we assign. The guidance we give for taking notes will depend on
various aspects. One of them is language level. Raimes suggests providing
beginners with a skeleton outline to fill in or expand to make their
listening more directed. She also proposes letting the advanced students
listen to longer passages and make notes as they listen.
Guidance provided will depend on the degree of difficulty of the task
involved. The reasons for taking notes and the follow-up activities are
also important. If the students only take notes of simple figures, letters, or single words as the basis for a discussion to take place immediately, they will not need much guidance. But if they are supposed to take notes of
a higher complexity to use in writing a report for homework, they will need
more preparation.
Using note-taking in our classes
Assuming an extreme position when defining the concept of note-taking, we
can say that even checking or ticking items on a list is a form of note-
taking, as long as what students have to "tick" represents the content of
the reading or listening passage. If we give students a multiple-choice
exercise, a list, or Yes/No questions, and ask them only to tick the
correct answer, they will be taking notes. This could be considered the
most basic form of note-taking. Nevertheless, if we analyze the task in
detail, we find it is not as simple as it seems. To answer accurately, the
students will first have to understand the statements and determine whether
their choices are correct or not. Furthermore, they have to predict and
speculate about what they are going to perceive.
When revising any topic we may practice it and use this technique giving students a skeleton to fill in while listening. Example:
|Hypertension |
|Instructions: |
|Listen to the interview with the patient and tick (v) the correct |
|answer: |
|Patient's |Mrs. Kelly. | |
|name: | | |
|Main |high blood pressure headache | |
|Symptoms: | | |
| |dizziness | | |
|Other |obesity |blurred vision | |
|Symptoms: | | | |
| |trouble breathing |swollen ankles | |
| |urinary problems |pain in the back | |
| |chills and fever | | |
|Past |heart disease |chest pain | |
|History: | | | |
| |kidney infection | | |
|Family |hypertension |diabetes | |
|History | | | |
| |kidney disease |stroke | |
| |heart attack | | |
|Any other information? |
With this last question, we are prompting the students to note down other information, not limiting them only to what the chart asks for. Not all the students will be able to take further notes, but the most skilled will not get bored while their classmates are engaged at a more elementary level.
Another instance that calls for note-taking is reporting on medical cases.
To do this, the class may be divided into teams of three or four students.
Each team prepares a case for the others to analyze. One variant would be
having each team first brainstorm, then prepare a skeleton outline with the
sort of information they need the other team to provide in order to write a
full case report. Once ready, they exchange skeletons, brainstorm again, and note down the information the skeleton forms ask for. The teams should
give neither the diagnosis nor the treatment. As soon as they finish, they
swap these "problem-cases," analyze them, and confer on the diagnosis, treatment, and prognosis of the patient. Next, they write a full case
report that everyone reads and discusses. The class then moves around, reads, and comments on them. Finally, they decide which of the skeleton
forms are better and which reports are the most coherent and faithful to
the information provided.
A simpler variant would be having each team ask for the information orally
from one another, take notes on it and then report on the case orally or in
writing.
In teaching Medically Speaking , I suggest taking notes while listening to
the dialogues or reading the case studies given in the text. Instead of
having the students take down all the information, teams are formed to take
notes on specific parts.
Appendix
|Instructions for preparing and presenting a case report |
|First think of an interesting case you would like to report on |
|and discuss with your classmates. Consult your professors, look|
|for information about your case and associated diseases or |
|cases in magazines, books, journals, etc. Note down this |
|information. Then make an outline of the elements you need in |
|order to report on a case |
|1. Patient's |Age: |Sex: Race: |
|characteristics: | | |
| |Weight: |Height: |
|2. Main symptom: |8. Physical findings |
|3. Other symptoms: |9. Diagnostic procedure: |
|4. Past history: |10. Differential and definitive|
| |diagnosis: |
|5. Family history: |11. Therapeutic procedures: |
|6. (Toxic) habits: |12. Possible complications |
|7. Medications: |13. Prognosis |
Before presenting your case orally, copy the outline on the board, ask your classmates to also copy it in their notebooks. You will all follow this order for the presentation and discussion of your case. Your classmates will ask you for the data they need to complete their outlines and discuss the case. Once the discussion is over, they will use their notes to write a report on the case you presented.
|Patient's characteristics: Age: 22 |Race: white Sex: M |
|Weight: 70 kg. | |Height: 1.70m. |
|Main symptom: |pain in the right lower quadrant (sporadic and|
| |colicky in nature) |
| |*began in epigastrium two days ago |
| |*moved to periumbilical region and right lower|
| |quadrant |
|Other symptoms:|fever, vomits (3), anorexia, constipation for |
| |two days (no bowel movement). No diarrhea |
|Past history: |-none |
|Family history:|-none |
|Toxic habits: |-none |
|Medications: |-none |
|Physical |-patient well oriented as to time, place and |
|findings: |person |
| |-well nourished |
| |-extreme tenderness to palpation mainly |
| |over McBurney's point |
| |-guarding, muscle rigidity, rebound |
| |tenderness |
| |-difference: axillary & rectal temperature |
| |-bowel sounds: absent |
|Definitive diagnosis: acute appendicitis |
|Therapeutic procedures: appendectomy |
|Possible complications: perforation, necrosis, peritonitis |
|Prognosis: Anceps |
Report
Today we discussed the case of a 22-year-old white man who was in good
health prior to two days ago, when he began to have an abdominal pain. This
pain was sporadic and colicky in nature. It began in the epigastrium and
has since migrated to the right lower quadrant. The patient has had three
episodes of vomiting associated with the pain. He has been anorectic and
feverish. He has had no bowel movements for two days. He reported no
diarrhea, coughing with expectoration or shortness of breath. He has no
past history or family history of abdominal pain or any other disease. The
pertinent physical findings are related to the abdomen. There is extreme
tenderness to palpation, especially over McBurney's point. Guarding, muscle
rigidity and rebound tenderness are all present. Bowel sounds are absent.
There is a difference between the axillary and the rectal temperature. His
urinalysis, hemoglobin and hematocrit are within normal limits.
Nevertheless, both white blood count and red rate are elevated. His chest
film is clear, but in the abdominal film we observed the psoas line is
absent.
Finally, we decided the definitive diagnosis is acute appendicitis. Among the possible complications to consider are perforation, necrosis and peritonitis. Therefore, the prognosis is anceps. The only possible treatment is surgical: appendectomy.
Conclusion
As we have seen, there are numerous opportunities to help students develop the skill of note-taking. Note-taking assists the listener, reader, or observer in achieving a better understanding of what is presented, and it facilitates recall of facts as well as oral and written expression. The student's language level and the purpose which the notes are to serve will determine the type of guidance the teacher must provide to help them to take notes in class and later on the job.
Grammar games
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