Reading comprehension is fun-damental

What someone today learns via social media, or online classes, or self-study, education and skill development is a matter of information availability, personal ambition and ability. When addressing the topic of education reform, much of the discussion today is relegated to complaints of political- or culturally-biased ideology. These do not address skill- or knowledge- attainment. Funding increases to education do not address it.

Traditional education is based on facts and figures and passing tests – not on a comprehension of the material and its application to your life.

Will Smith, actor

Education has changed, and not necessarily for the better in the “age of COVID”. Video learning is not going to replace live training, lab-activities and personal-interaction. However, this is what everyone today has to work with, so reading comprehension for many is going to take additional resources and time. The highly-motivated, once given the tools in reading, writing, and logical thinking, will be enabled to pass the state exams. Gaining employment has always been for the best qualified or most -teachable candidate. While actor Will Smith is correct, in what you do with your training being important, the first step in a healthcare career comes with passing the certification tests.

JamesESL English Lessons (engVid)

In my experience as a state examiner, all immigrant candidates where English is not their native language, should have been offered a test and subsequently as needed, a program tailored to reading comprehension in their intended profession. My experience, in healthcare licensure, California examinations are required to be performed in English. These are state and federal mandates. While most of the licensure candidates do pass the skills demonstration examinations, many fail the written exam and sometimes, they fail subsequent retests.

In the field of healthcare with which I am familiar, there are two avenues for education, one through public institutions and the other, through private, for-profit businesses. Public institutions have rigorous training over a few months to a semester in length. Some are specifically tailored to communities with low-income or immigrant constituents. However, as public institutions incur long wait-listed candidates, private schools offer shorter format courses but often are a significant tuition. While not an indictment of the for-profit system in general, some schools graduate candidates for whom English is a second language, and do not possess sufficient English spoken – or reading comprehension to pass the examinations. For those considering a healthcare occupation, and have access to the Internet, there are numerous courses to practice reading comprehension. One suggestion is linked above, but there are many such available through YouTube.

R.O.A.D. “scholar”

The supreme quality for leadership is unquestionably integrity. Without it, no real success is possible, no matter whether it is on a section gang, a football field, in an army, or in an office.

Dwight D. Eisenhower

During my career in the Navy, “Retired On Active Duty” was a derogatory label for someone whose ambition was to do the least amount of real work possible. While applicable to junior personnel, it primarily was a pejorative for those holding some seniority in rank, but were unmotivated, in terms of their duties or responsibilities. Generally, lacking in ethics or integrity to perform their jobs well, these “ROAD scholars” would perform the bare minimum, so to avoid scrutiny from their superiors. In my experience, I have known a couple that kept that charade for years – impeding others trying to earn promotion. Promotion was based not only on one’s job performance but also if there were sufficient slots in a particular career field open. Fo those ROAD warriors in senior positions, their refusal to retire or promote would cause some very worthy professionals to stagnate – be career-limited and mandatorily retired.

Have you encountered someone who is filling a position, that they no longer – if they ever did – are performing the duties and responsibilities of that position? If we are talking politics, that critique probably fits most of the representatives and senators (State and Congressional) who have been in office more than 12 to 16 years. But have you encountered, in civil service or in education, a person whose seniority seems to get them a pass when it comes to performing the job?

Is integrity a victim of the times?

Today, the American spirit of “can-do”, ingenuity, teamwork and integrity is stressed to near-breaking. With the pandemic with us likely for another year or two, the old way of doing everything is changing.

Real integrity is doing the right thing, knowing that nobody’s going to know whether you did it or not.

Oprah Winfrey

Social, political, and economic change we are living through (suffering) in the 21st Century affects everyone. It began long before we were mandated to remain at least six feet apart, and limit large gatherings. Technology has made it no longer necessary to have in- person, work or customer relationships. When both the service- provider and the served remain insulated from one-another by web ordering,  email,  text messaging, or video- conferencing, the human connection, which may be between a doctor and a patient, teacher and student, account administrator and vendor, or state official and a constituent, is absent.  

This is easily illustrated with a few scenarios. A fairly new patient of a doctor makes an appointment with the physician. In the interim, the doctor moves his private practice to a larger corporate entity. And then the COVID quarantine terminates all in-person office access for the foreseeable future. Efforts to obtain service are prevented by an inaccessible web portal, and using a telephone system to request assistance with the portal, demands up to thirty minutes or more to remain on-hold. The clinic’s email server notifies the client of important information, but cannot be read using the portal, similarly frustrated by a lack of a user passcode.

A government agency responsible for the healthcare of millions of military veterans and their families comes under scrutiny for very public and shocking displays of veterans committing suicide in hospital lobbies, delays in receiving evaluation for what veterans believe service-connected disabilities, and media reports of ill veterans dying while on waiting lists for treatment – while the facilities receive bonuses and accolades for service efficiency. Media and Congressional investigations reveal that managers were complicit in altering records and rescheduling patients. Leadership changed. Procedural changes were promised. Some workers were censured. Legislation was voted upon. Time will tell if the agency culture has focused on integrity.

A state agency that oversees licensing of healthcare workers contracts with vendors to manage the process of coordinating examinees seeking licensing exams. The same agency approves the schools offering the training, the sites where these exams may be performed, and verify each candidate has met the requirements to be licensed. The vendor is responsible for collecting the test fees, order and disseminate the exam materials, and send the test results to the state agency. while the contracted evaluators establish relationships with the training schools, coordinate test schedules with the vendor and the client schools, and perform the certification exams. The evaluators submit invoices for payment to the vendor. Since the licensing examinations are only a minor contribution to each vendors’ core business, but require substantial manual work, the vendor’s commitment to an efficient operation is of key importance. With antiquated systems, a remote workforce, an already burdened office staff and aloof management, the unresponsiveness of the organization is now a factor to consider for any future business.

The foundation stones for a balanced success are honesty, character, integrity, faith, love and loyalty.

Zig Ziglar

Operations that, under normal conditions may be hindered by bureaucracy, are only worsened by a remote workforce, COVID safety precautions, antiquated processes, and office politics. This is exactly where professional integrity should be the most important feature of any servicer -customer relationship. When the customer (other departments, clients, or outside agents) seeks status on an invoice, or a functional responsibility of that servicer, the expectation is to have an answer as to when payment should be expected. In some organizations, answers and follow-up can be difficult to obtain. People may respond emotionally, who have neglected or erred in their duties. They may respond by shifting blame instead of seeking remedies. It is a successful work environment where obtaining results or remedies and not fixing blame, exist.

When this tendency to assign blame is a characteristic of the organization, it is a leadership issue If the leader does not set the tone, as Zig Ziglar states. ” (t)he foundation stones for a balanced success are honesty, character, integrity, faith, love and loyalty.” the organization suffers. In the present economy, there are always alternatives to an inefficient or poor business model. In the private sector, new enterprises or new joint-ventures can offer more efficient processing. In the public sector, political appointments do change oversight, and vendor funding, and state charters can be revoked.

Integrity matters.

identity crisis

Relationships inform you and me whether others perceive us as whom we consider ourselves to be.

While this may be a great starting point for a philosopher or intellectual following Goethe, Erikson, or Jung, in a modern society, your identity is whom you can prove yourself to be. Bureaucracy has replaced oral recitation of your birthright ( e.g., descent of your family or tribe from Moses, Seneca, or Charlemagne). If you don’t have a driver’s license, a passport, a social security card, or another government- produced identity card, how do you prove who you are?

It is always the same: once you are liberated, you are forced to ask who you are.

Jean Baudrillard, 1929-2007, French intellectual (best-quotations com)

It might be unnecessary for the Queen of Great Britain to carry identity papers (there, everything official is issued in her name) but in most every country, everyday life, that is, in one’s financial and legal relations, use identity as a basis for meaningful exchange.

Most who have suffered identity theft, where unknowingly, someone has enjoyed your savings or credit to buy yachts or Teslas, or found themselves wanted in Pennsylvania for fraud ( though you have never left Nevada) are painfully aware that your identity is you.

One must be something in order to do something

Wolfgang Goethe, via best-quotations.com

As someone now engaged in an occupation that is thoroughly entrenched in institutional bureaucracy, valid identification of my prospective clients requires official documents. In a world now telling people they “are” whom they believe themselves to be, in terms of “identity”, these same folks in bureaucratic circles tell us we are whom our documents dictate.