Educators could learn a thing or two from the craft of medicine, even medicine practiced on television. Doctors on the popular television series
ER, for example, are not surprised to learn that mortality rates are higher at County General Hospital than at Pleasant Valley Community Hospital. Doctors at County see a lot more drug abusers, gunshot victims, obese diabetics, alcoholics, and the homeless, not to mention heart attacks, strokes, and concussions. Pleasant Valley might see more lawn mower and hockey injuries, to go along with heart and cancer problems. Its patients arrive in better overall health, have regular check-ups, and better insurance coverage. These factors make a difference—a huge difference—in outcomes between the two hospitals.
It is easy to see how the characteristics of the patient population plays a huge role in determining results. Yet policymakers and commentators tend to ignore the parallels between large, public, urban hospitals and their counterparts in the field of education: large, public, urban high schools. Little allowance is made for the make-up of the high school student body or the “pre-existing” conditions that make a Chicago high school very different from, say, the esteemed New Trier high school in nearby Winnetka. Instead, many of the big Chicago schools have been labeled as “dropout factories” and ordered to reform. The break-up of big city schools into “small learning communities” has created a new industry, driven by consultants and foundation incentives. The Obama administration now expects states and districts to turn around the lowest-performing, bottom 5 percent of their schools, which in the case of high schools means those with drop-out rates of 50 percent or more.