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Advice

Doyle, Jennifer
Advice

Good afternoon--

I have a database of test scores on 10 different clinical scenarios/cases;  with an unequal number of test takers in each arm (50 faculty answers;  247 student answers.

Which test would best determine whether the differences in scores between faculty/students was significant for each of the scenarios? Thanks for your advice--

Jennifer

Jennifer Doyle, M.A.
Lecturer on Surgery, Harvard Medical School
Director of Surgical Education
Massachusetts General Hospital
55 Parkman Street - WAC 455Q
Boston, MA 02114
Phone:  617-643-8731
Fax:       617-724-0405
[hidden email]


I'm not an outlier; I just haven't found my distribution yet! -- Ronan M. Conroy, Lecturer in Biostatistics, Royal College of Surgeons of Ireland

Believe those who are seeking the truth, Doubt those who find it. -- Andre Gide

 The information transmitted in this email is intended only for the person or entity to which it is addressed. It may contain privileged or confidential material. Any review, retransmission, dissemination, or other use of this information by other than the intended recipient is prohibited. If you receive this email in error, please contact the sender and delete the material from any computer.



The information in this e-mail is intended only for the person to whom it is
addressed. If you believe this e-mail was sent to you in error and the e-mail
contains patient information, please contact the Partners Compliance HelpLine at
http://www.partners.org/complianceline . If the e-mail was sent to you in error
but does not contain patient information, please contact the sender and properly
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Re: Advice - Follow-up

Doyle, Jennifer
Advice
This is what an exploration of the data shows -- I'd thought I could do ANOVA to test differences between faculty & learners on each scenario - but my sense is that the numbers are too small to do anything more than a global t-test? Am I on the mark?  Thanks! Jennifer
 
 
 

Case Processing Summary

$B!! (B

Case / Scenario

LEVEL?

(Attending=0, resident=1)

Cases

$B!! (B

Valid

Missing

Total

$B!! (B

N

Percent

N

Percent

N

Percent

ESTIMATED TIME (MINS)

dimension1

1.00

dimension2

0

6

100.0%

0

.0%

6

100.0%

1

24

96.0%

1

4.0%

25

100.0%

2.00

dimension2

0

5

100.0%

0

.0%

5

100.0%

1

25

100.0%

0

.0%

25

100.0%

3.00

dimension2

0

5

100.0%

0

.0%

5

100.0%

1

24

96.0%

1

4.0%

25

100.0%

4.00

dimension2

0

6

100.0%

0

.0%

6

100.0%

1

25

100.0%

0

.0%

25

100.0%

5.00

dimension2

0

4

100.0%

0

.0%

4

100.0%

1

24

100.0%

0

.0%

24

100.0%

6.00

dimension2

0

5

100.0%

0

.0%

5

100.0%

1

25

100.0%

0

.0%

25

100.0%

7.00

dimension2

0

4

100.0%

0

.0%

4

100.0%

1

25

100.0%

0

.0%

25

100.0%

8.00

dimension2

0

5

100.0%

0

.0%

5

100.0%

1

25

100.0%

0

.0%

25

100.0%

9.00

dimension2

0

5

100.0%

0

.0%

5

100.0%

1

25

100.0%

0

.0%

25

100.0%

10.00

dimension2

0

5

100.0%

0

.0%

5

100.0%

1

25

100.0%

0

.0%

25

100.0%

 

Jennifer Doyle, M.A.
Lecturer on Surgery, Harvard Medical School
Director of Surgical Education
Massachusetts General Hospital
55 Parkman Street - WAC 455Q
Boston, MA 02114
Phone:  617-643-8731
Fax:       617-724-0405
[hidden email]


I'm not an outlier; I just haven't found my distribution yet! -- Ronan M. Conroy, Lecturer in Biostatistics, Royal College of Surgeons of Ireland

Believe those who are seeking the truth, Doubt those who find it. -- Andre Gide

 The information transmitted in this email is intended only for the person or entity to which it is addressed. It may contain privileged or confidential material. Any review, retransmission, dissemination, or other use of this information by other than the intended recipient is prohibited. If you receive this email in error, please contact the sender and delete the material from any computer.

 


From: SPSSX(r) Discussion [mailto:[hidden email]] On Behalf Of Doyle, Jennifer
Sent: Wednesday, January 25, 2012 12:40 PM
To: [hidden email]
Subject: Advice

Good afternoon--

I have a database of test scores on 10 different clinical scenarios/cases;  with an unequal number of test takers in each arm (50 faculty answers;  247 student answers.

Which test would best determine whether the differences in scores between faculty/students was significant for each of the scenarios? Thanks for your advice--

Jennifer

Jennifer Doyle, M.A.
Lecturer on Surgery, Harvard Medical School
Director of Surgical Education
Massachusetts General Hospital
55 Parkman Street - WAC 455Q
Boston, MA 02114
Phone:  617-643-8731
Fax:       617-724-0405
[hidden email]


I'm not an outlier; I just haven't found my distribution yet! -- Ronan M. Conroy, Lecturer in Biostatistics, Royal College of Surgeons of Ireland

Believe those who are seeking the truth, Doubt those who find it. -- Andre Gide

 The information transmitted in this email is intended only for the person or entity to which it is addressed. It may contain privileged or confidential material. Any review, retransmission, dissemination, or other use of this information by other than the intended recipient is prohibited. If you receive this email in error, please contact the sender and delete the material from any computer.



The information in this e-mail is intended only for the person to whom it is
addressed. If you believe this e-mail was sent to you in error and the e-mail
contains patient information, please contact the Partners Compliance HelpLine at
http://www.partners.org/complianceline . If the e-mail was sent to you in error
but does not contain patient information, please contact the sender and properly
dispose of the e-mail.
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Re: Advice

Art Kendall
In reply to this post by Doyle, Jennifer
Does each respondent have test scores on each of the 10 scenarios? Or are there different groups for each scenario?

Are the students matched to the faculty members?

What questions are you trying to answer?
Art Kendall
Social Research Consultants

On 1/25/2012 12:40 PM, Doyle, Jennifer wrote:
Advice

Good afternoon--

I have a database of test scores on 10 different clinical scenarios/cases;  with an unequal number of test takers in each arm (50 faculty answers;  247 student answers.

Which test would best determine whether the differences in scores between faculty/students was significant for each of the scenarios? Thanks for your advice--

Jennifer

Jennifer Doyle, M.A.
Lecturer on Surgery, Harvard Medical School
Director of Surgical Education
Massachusetts General Hospital
55 Parkman Street - WAC 455Q
Boston, MA 02114
Phone:  617-643-8731
Fax:       617-724-0405
[hidden email]


I'm not an outlier; I just haven't found my distribution yet! -- Ronan M. Conroy, Lecturer in Biostatistics, Royal College of Surgeons of Ireland

Believe those who are seeking the truth, Doubt those who find it. -- Andre Gide

 The information transmitted in this email is intended only for the person or entity to which it is addressed. It may contain privileged or confidential material. Any review, retransmission, dissemination, or other use of this information by other than the intended recipient is prohibited. If you receive this email in error, please contact the sender and delete the material from any computer.



The information in this e-mail is intended only for the person to whom it is
addressed. If you believe this e-mail was sent to you in error and the e-mail
contains patient information, please contact the Partners Compliance HelpLine at
http://www.partners.org/complianceline . If the e-mail was sent to you in error
but does not contain patient information, please contact the sender and properly
dispose of the e-mail.
===================== To manage your subscription to SPSSX-L, send a message to [hidden email] (not to SPSSX-L), with no body text except the command. To leave the list, send the command SIGNOFF SPSSX-L For a list of commands to manage subscriptions, send the command INFO REFCARD
Art Kendall
Social Research Consultants
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Re: Advice

Art Kendall
How fine grained are your dependent variables?

Is the case with missing data the same one for each scenario?
Art Kendall
Social Research Consultants

On 1/25/2012 1:52 PM, Doyle, Jennifer wrote:
Advice
Yes, each has a score on each of the ten questions -- I just sent the Ns, though, which I think are too small, at least in the faculty group.  We're trying to determine whether faculty & learners differ significantly on each of the scenarios -- maybe need to do global test? Thanks! Jennifer
 

Jennifer Doyle, M.A.
Lecturer on Surgery, Harvard Medical School
Director of Surgical Education
Massachusetts General Hospital
55 Parkman Street - WAC 455Q
Boston, MA 02114
Phone:  617-643-8731
Fax:       617-724-0405
[hidden email]


I'm not an outlier; I just haven't found my distribution yet! -- Ronan M. Conroy, Lecturer in Biostatistics, Royal College of Surgeons of Ireland

Believe those who are seeking the truth, Doubt those who find it. -- Andre Gide

 The information transmitted in this email is intended only for the person or entity to which it is addressed. It may contain privileged or confidential material. Any review, retransmission, dissemination, or other use of this information by other than the intended recipient is prohibited. If you receive this email in error, please contact the sender and delete the material from any computer.

 


From: Art Kendall [[hidden email]]
Sent: Wednesday, January 25, 2012 1:46 PM
To: Doyle, Jennifer
Cc: [hidden email]
Subject: Re: [SPSSX-L] Advice

Does each respondent have test scores on each of the 10 scenarios? Or are there different groups for each scenario?

Are the students matched to the faculty members?

What questions are you trying to answer?
Art Kendall
Social Research Consultants

On 1/25/2012 12:40 PM, Doyle, Jennifer wrote:

Good afternoon--

I have a database of test scores on 10 different clinical scenarios/cases;  with an unequal number of test takers in each arm (50 faculty answers;  247 student answers.

Which test would best determine whether the differences in scores between faculty/students was significant for each of the scenarios? Thanks for your advice--

Jennifer

Jennifer Doyle, M.A.
Lecturer on Surgery, Harvard Medical School
Director of Surgical Education
Massachusetts General Hospital
55 Parkman Street - WAC 455Q
Boston, MA 02114
Phone:  617-643-8731
Fax:       617-724-0405
[hidden email]


I'm not an outlier; I just haven't found my distribution yet! -- Ronan M. Conroy, Lecturer in Biostatistics, Royal College of Surgeons of Ireland

Believe those who are seeking the truth, Doubt those who find it. -- Andre Gide

 The information transmitted in this email is intended only for the person or entity to which it is addressed. It may contain privileged or confidential material. Any review, retransmission, dissemination, or other use of this information by other than the intended recipient is prohibited. If you receive this email in error, please contact the sender and delete the material from any computer.



The information in this e-mail is intended only for the person to whom it is
addressed. If you believe this e-mail was sent to you in error and the e-mail
contains patient information, please contact the Partners Compliance HelpLine at
http://www.partners.org/complianceline . If the e-mail was sent to you in error
but does not contain patient information, please contact the sender and properly
dispose of the e-mail.
===================== To manage your subscription to SPSSX-L, send a message to [hidden email] (not to SPSSX-L), with no body text except the command. To leave the list, send the command SIGNOFF SPSSX-L For a list of commands to manage subscriptions, send the command INFO REFCARD
Art Kendall
Social Research Consultants
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Re: Advice

Doyle, Jennifer
Advice

Does this help?  

 

 

Case Processing Summary

$B!! (B

Scenario

LEVEL?

(Attending=0, resident=1)

Cases

$B!! (B

Valid

Missing

Total

$B!! (B

N

Percent

N

Percent

N

Percent

ESTIMATED TIME (MINS)

dimension1

1.00

dimension2

0

6

100.0%

0

.0%

6

100.0%

1

24

96.0%

1

4.0%

25

100.0%

2.00

dimension2

0

5

100.0%

0

.0%

5

100.0%

1

25

100.0%

0

.0%

25

100.0%

3.00

dimension2

0

5

100.0%

0

.0%

5

100.0%

1

24

96.0%

1

4.0%

25

100.0%

4.00

dimension2

0

6

100.0%

0

.0%

6

100.0%

1

25

100.0%

0

.0%

25

100.0%

5.00

dimension2

0

4

100.0%

0

.0%

4

100.0%

1

24

100.0%

0

.0%

24

100.0%

6.00

dimension2

0

5

100.0%

0

.0%

5

100.0%

1

25

100.0%

0

.0%

25

100.0%

7.00

dimension2

0

4

100.0%

0

.0%

4

100.0%

1

25

100.0%

0

.0%

25

100.0%

8.00

dimension2

0

5

100.0%

0

.0%

5

100.0%

1

25

100.0%

0

.0%

25

100.0%

9.00

dimension2

0

5

100.0%

0

.0%

5

100.0%

1

25

100.0%

0

.0%

25

100.0%

10.00

dimension2

0

5

100.0%

0

.0%

5

100.0%

1

25

100.0%

0

.0%

25

100.0%

Jennifer Doyle, M.A.
Lecturer on Surgery, Harvard Medical School
Director of Surgical Education
Massachusetts General Hospital
55 Parkman Street - WAC 455Q
Boston, MA 02114
Phone:  617-643-8731
Fax:       617-724-0405
[hidden email]


I'm not an outlier; I just haven't found my distribution yet! -- Ronan M. Conroy, Lecturer in Biostatistics, Royal College of Surgeons of Ireland

Believe those who are seeking the truth, Doubt those who find it. -- Andre Gide

 The information transmitted in this email is intended only for the person or entity to which it is addressed. It may contain privileged or confidential material. Any review, retransmission, dissemination, or other use of this information by other than the intended recipient is prohibited. If you receive this email in error, please contact the sender and delete the material from any computer.

 


From: Art Kendall [mailto:[hidden email]]
Sent: Wednesday, January 25, 2012 2:02 PM
To: Doyle, Jennifer; SPSSX-L post
Subject: Re: [SPSSX-L] Advice

How fine grained are your dependent variables?

Is the case with missing data the same one for each scenario?
Art Kendall
Social Research Consultants

On 1/25/2012 1:52 PM, Doyle, Jennifer wrote:
Yes, each has a score on each of the ten questions -- I just sent the Ns, though, which I think are too small, at least in the faculty group.  We're trying to determine whether faculty & learners differ significantly on each of the scenarios -- maybe need to do global test? Thanks! Jennifer
 

Jennifer Doyle, M.A.
Lecturer on Surgery, Harvard Medical School
Director of Surgical Education
Massachusetts General Hospital
55 Parkman Street - WAC 455Q
Boston, MA 02114
Phone:  617-643-8731
Fax:       617-724-0405
[hidden email]


I'm not an outlier; I just haven't found my distribution yet! -- Ronan M. Conroy, Lecturer in Biostatistics, Royal College of Surgeons of Ireland

Believe those who are seeking the truth, Doubt those who find it. -- Andre Gide

 The information transmitted in this email is intended only for the person or entity to which it is addressed. It may contain privileged or confidential material. Any review, retransmission, dissemination, or other use of this information by other than the intended recipient is prohibited. If you receive this email in error, please contact the sender and delete the material from any computer.

 


From: Art Kendall [[hidden email]]
Sent: Wednesday, January 25, 2012 1:46 PM
To: Doyle, Jennifer
Cc: [hidden email]
Subject: Re: [SPSSX-L] Advice

Does each respondent have test scores on each of the 10 scenarios? Or are there different groups for each scenario?

Are the students matched to the faculty members?

What questions are you trying to answer?
Art Kendall
Social Research Consultants

On 1/25/2012 12:40 PM, Doyle, Jennifer wrote:

Good afternoon--

I have a database of test scores on 10 different clinical scenarios/cases;  with an unequal number of test takers in each arm (50 faculty answers;  247 student answers.

Which test would best determine whether the differences in scores between faculty/students was significant for each of the scenarios? Thanks for your advice--

Jennifer

Jennifer Doyle, M.A.
Lecturer on Surgery, Harvard Medical School
Director of Surgical Education
Massachusetts General Hospital
55 Parkman Street - WAC 455Q
Boston, MA 02114
Phone:  617-643-8731
Fax:       617-724-0405
[hidden email]


I'm not an outlier; I just haven't found my distribution yet! -- Ronan M. Conroy, Lecturer in Biostatistics, Royal College of Surgeons of Ireland

Believe those who are seeking the truth, Doubt those who find it. -- Andre Gide

 The information transmitted in this email is intended only for the person or entity to which it is addressed. It may contain privileged or confidential material. Any review, retransmission, dissemination, or other use of this information by other than the intended recipient is prohibited. If you receive this email in error, please contact the sender and delete the material from any computer.



The information in this e-mail is intended only for the person to whom it is
addressed. If you believe this e-mail was sent to you in error and the e-mail
contains patient information, please contact the Partners Compliance HelpLine at
http://www.partners.org/complianceline . If the e-mail was sent to you in error
but does not contain patient information, please contact the sender and properly
dispose of the e-mail.
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Re: Advice - Follow-up

Rich Ulrich
In reply to this post by Doyle, Jennifer
More clarification, please.

If I understand the table of data, you have about 5 faculty ratings
(4 to 6) and 25 (24 or 25) student ratings on each of 10 scenarios. 
Is that correct?

Unless you have (what seems unlikely) 50 *different* faculty
members, and 247 *different* students, your suggestion of an
overall t-test is wrong.  Proper testing will have to account for
each set of ratings done by each person. 

An unbalanced ANOVA across scenes, identifying IDs, would
test whether the Attendings regularly scored higher or lower
than the Residents.  That would not examine whether Residents
might be more varying in their responses.

Art also asked, "What hypotheses are you interested in?"

--
Rich Ulrich


Date: Wed, 25 Jan 2012 13:43:04 -0500
From: [hidden email]
Subject: Re: Advice - Follow-up
To: [hidden email]

Advice
This is what an exploration of the data shows -- I'd thought I could do ANOVA to test differences between faculty & learners on each scenario - but my sense is that the numbers are too small to do anything more than a global t-test? Am I on the mark?  Thanks! Jennifer
[snip, table; previous]
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Re: Advice - Follow-up

Doyle, Jennifer
Advice
Yes -- correct -- our hypothesis is that the faculty will consistently be significantly different (across all scenarios) than learners.....
Can I legitimately do an "unbalanced" ANOVA with such few faculty? Thanks --jennifer
 

Jennifer Doyle, M.A.
Lecturer on Surgery, Harvard Medical School
Director of Surgical Education
Massachusetts General Hospital
55 Parkman Street - WAC 455Q
Boston, MA 02114
Phone:  617-643-8731
Fax:       617-724-0405
[hidden email]


I'm not an outlier; I just haven't found my distribution yet! -- Ronan M. Conroy, Lecturer in Biostatistics, Royal College of Surgeons of Ireland

Believe those who are seeking the truth, Doubt those who find it. -- Andre Gide

 The information transmitted in this email is intended only for the person or entity to which it is addressed. It may contain privileged or confidential material. Any review, retransmission, dissemination, or other use of this information by other than the intended recipient is prohibited. If you receive this email in error, please contact the sender and delete the material from any computer.

 


From: SPSSX(r) Discussion [mailto:[hidden email]] On Behalf Of Rich Ulrich
Sent: Wednesday, January 25, 2012 2:18 PM
To: [hidden email]
Subject: Re: Advice - Follow-up

More clarification, please.

If I understand the table of data, you have about 5 faculty ratings
(4 to 6) and 25 (24 or 25) student ratings on each of 10 scenarios. 
Is that correct?

Unless you have (what seems unlikely) 50 *different* faculty
members, and 247 *different* students, your suggestion of an
overall t-test is wrong.  Proper testing will have to account for
each set of ratings done by each person. 

An unbalanced ANOVA across scenes, identifying IDs, would
test whether the Attendings regularly scored higher or lower
than the Residents.  That would not examine whether Residents
might be more varying in their responses.

Art also asked, "What hypotheses are you interested in?"

--
Rich Ulrich


Date: Wed, 25 Jan 2012 13:43:04 -0500
From: [hidden email]
Subject: Re: Advice - Follow-up
To: [hidden email]

This is what an exploration of the data shows -- I'd thought I could do ANOVA to test differences between faculty & learners on each scenario - but my sense is that the numbers are too small to do anything more than a global t-test? Am I on the mark?  Thanks! Jennifer
[snip, table; previous]


The information in this e-mail is intended only for the person to whom it is
addressed. If you believe this e-mail was sent to you in error and the e-mail
contains patient information, please contact the Partners Compliance HelpLine at
http://www.partners.org/complianceline . If the e-mail was sent to you in error
but does not contain patient information, please contact the sender and properly
dispose of the e-mail.
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Re: Advice - Follow-up

Rich Ulrich
To be more clear than I was -- I was referring to a design
that is basically repeated measures,  Scenes (10) by Group (2);
and it needs to be analyzed with IDs specified, since IDs are not
balanced.  (Presumably, each ID had several ratings.)

If your table does not reveal some coding errors, there are at
least 6 different faculty members, though there are usually only
5 ratings.  You did not confirm that the same 25 students did all
25 Resident ratings.  If there were a lot more raters than that,
the analysis could have difficulties from sparseness. 

I think you would set this up using MIXED, specifying that IDs
are collected within Group; but I don't have the syntax. 

It is certainly "legitimate" to do an analysis with small N, even
when that analysis lacks power.  But 50 ratings across 5 or 6
raters is not especially "few", in the general universe of studies.

--
Rich Ulrich


Date: Wed, 25 Jan 2012 14:25:14 -0500
From: [hidden email]
Subject: Re: Advice - Follow-up
To: [hidden email]

Advice
Yes -- correct -- our hypothesis is that the faculty will consistently be significantly different (across all scenarios) than learners.....
Can I legitimately do an "unbalanced" ANOVA with such few faculty? Thanks --jennifer
[snip, previous]
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Re: Advice - Follow-up

Ryan
I'm going to go out on a limb here, as I'm still not terribly clear about the design. Assuming I understand, here are some preliminary thoughts...

First and foremost, in order to employ the MIXED procedure, the dataset needs to be structured in vertical format as follows:

ID  Group Scenario  Rating
---------------------------
1     1       1     missing**
1     1       2      score**
.     .       .        .
.     .       .        . 
1     1      10      score
2     1       1      score
2     1       2      score
.     .       .        .
.     .       .        . 
2     1      10      score
25    1       1     missing
25    1       2      score
.     .       .        .
.     .       .        .   
25    1      10      score
1     2       1      score
1     2       2      score
.     .       .        . 
.     .       .        .
1     2      10      score  
2     2       1      score
2     2       2      score
.     .       .        .
.     .       .        . 
2     2      10      score
6     2       1     missing
6     2       2      score
.                      .
.                      . 
6     2      10      score
---------------------------

where

ID = Subject identification variable which starts at 1 for each Group
Group = Grouping indicator variable (1=Student, 2=Faculty member)
Scenario = Scenario indicator variable (1 through 10 Scenarios)
Rating = Scenario Ratings
**missing = missing response data
**score = valid response data

Although I have never tried the code below, I think it should test for group differences in mean ratings while estimating group-specific variance components. In other words, the model assumes within-subject correlation, which is permitted  to differ across groups. Hope that makes sense.

mixed Rating by Group  
  /fixed=Group
  /method=reml
  /print=solution
  /random=Group | subject(ID) covtype(diag).

It should be noted that the estimated variance components will be biased given the small sample sizes, especially the variance component for the faculty group. As I think about this study, I question whether my proposed code is the optimal approach. Anyway, no time to think about it further right now. 

If someone thinks I've misunderstood a fundamental issue, please write back and I will try to adjust the MIXED code accordingly to help the OP.

Ryan

On Wed, Jan 25, 2012 at 2:49 PM, Rich Ulrich <[hidden email]> wrote:
To be more clear than I was -- I was referring to a design
that is basically repeated measures,  Scenes (10) by Group (2);
and it needs to be analyzed with IDs specified, since IDs are not
balanced.  (Presumably, each ID had several ratings.)

If your table does not reveal some coding errors, there are at
least 6 different faculty members, though there are usually only
5 ratings.  You did not confirm that the same 25 students did all
25 Resident ratings.  If there were a lot more raters than that,
the analysis could have difficulties from sparseness. 

I think you would set this up using MIXED, specifying that IDs
are collected within Group; but I don't have the syntax. 

It is certainly "legitimate" to do an analysis with small N, even
when that analysis lacks power.  But 50 ratings across 5 or 6
raters is not especially "few", in the general universe of studies.

--
Rich Ulrich


Date: Wed, 25 Jan 2012 14:25:14 -0500

From: [hidden email]
Subject: Re: Advice - Follow-up
To: [hidden email]

Yes -- correct -- our hypothesis is that the faculty will consistently be significantly different (across all scenarios) than learners.....
Can I legitimately do an "unbalanced" ANOVA with such few faculty? Thanks --jennifer
[snip, previous]