empowering effective instruction across bilingual school ... · ted talk – how do we heal...

75
Vision: Every child in every district receives the instruction that they need and deserve…every day. Empowering Effective Instruction Across Bilingual School Models: A Collective Data-based Decision Making Process English Learners Alliance Conference, March 10, 2016 Nicole Kaye, Oregon Response to Instruction & Intervention Liliana Jimenez, Fern Hill Elementary, Forest Grove SD Amy Harlow, Fern Hill Elementary, Forest Grove SD

Upload: others

Post on 17-Jul-2020

1 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

Vision: Every child in every district receives the instruction that they need and

deserve…every day.

Empowering Effective Instruction

Across Bilingual School Models: A Collective Data-based

Decision Making Process

English Learners Alliance Conference, March 10, 2016

Nicole Kaye, Oregon Response to Instruction & Intervention

Liliana Jimenez, Fern Hill Elementary, Forest Grove SD

Amy Harlow, Fern Hill Elementary, Forest Grove SD

Page 2: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

• In this session, you will:

– Learn about a collective data-based

decision making process to support for ALL

students (100% Meetings)

– See a case example of enhancing the

process to match to the needs of bilingual

students in a Native Language Literacy

School in Oregon

– Have an opportunity for Q & A

Session Overview

Page 3: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

Nicole

• Oregon RTIIi project

Implementation Coach

• PhD in School Psychology –

University of Oregon

• Literacy interventionist

experience pre K-12

• International school settings

(Costa Rica & Ecuador)

Page 4: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

Liliana • Title One Teacher at Fern Hill

Elementary School in Forest

Grove, Oregon

• English Language Teacher for 5

years in Colombia

• Spanish Teacher for 3 years in

Oregon

• Bilingual Teacher for 15 years in

Forest Grove, Oregon

• Reading Interventionist for 2

years in Forest Grove, Oregon

Page 5: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

Amy

• ELD teacher at Fern

Hill Elementary

School for 9 years.

• Title One Teacher

and Intervention

Specialist at Fern Hill

Elementary for 9

Years

• Spanish-English core

literacy teacher

Page 6: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

• Determine if the grade level is benefiting

from core instruction

AND

• Refine core instruction to better meet

the needs of ALL students at the grade

level.

Purpose: 100% Data Meetings

Page 7: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

Meetings Purpose Students Data

100% Meetings Review effectiveness of tiered systems of support and make adjustments

ALL Screening (CBM), Attendance, ODRs, SBAC

Group Intervention Review Meetings (20% Meetings)

To make changes for students in interventions

Some students

Progress monitoring (CBM)

Individual Problem Solving Meetings

To further intensify interventions for those in need

Few Students Progress Monitoring (CBM)

RTI Team Structures

Page 8: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

Trying to make good decisions for our students can feel like this…

Page 9: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

Trying to make good decisions for our students can feel like this…

Page 10: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

100% Meeting Process

Page 11: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

Problem Solving Across Levels of Support

11

What is the

problem?

Why is the problem

occurring?

What are we going to do about the

problem?

How is it

working? Tier 1:

100% Meetings

Tier 2/3:

20% Meetings

Tier 3: Individual Problem Solving

Meetings

ALL STUDENTS

FEW STUDENTS

SOME STUDENTS

Page 12: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

Framework to identify, analyze & address

needs at all levels

Why Problem Solving?

• Consistent

• Efficient

• Effective

• Sustainable

Page 13: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

Why do we look at whole grade level core instruction for 100%

meetings?

50%

25%

25%

85%

10%

5%

vs

Is this a whole grade level need or a some students

need?

Page 14: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

ALL Oregon Districts OAKS 2013-14

42% 67%

Meets

Page 15: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

ALL Oregon Districts OAKS 2013-14

76% 47%

Meets

Page 16: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

100% Meeting General Features

When: 2-3 times per year (following

collection of your schoolwide

screening data)

Who: Principal

Literacy Specialist/Title I

Counselor

Grade level team

Could include SPED, ELL, School

Psychologist, Paraprofessionals

Page 17: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

100% Meeting General Features

What: Use schoolwide screening

data to answer questions

about core instruction

Outcomes: Identify which of the 5 Big

Ideas need additional focus

AND develop a plan (with a

goal) for improving grade

level achievement

Page 18: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

A problem is defined as a discrepancy

between:

Step 1: Problem Identification

18

Where we are

Where we want to be Problem

Definition Using Data/Evidence

Page 19: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

Do your teachers “trust the data?

How clearly are you currently defining “problems” in your school? Do you primarily

rely on the data?

1. Problem Identification

“I think…” “I feel like…” “I believe…”

“Our data/evidence indicates…”

VS.

Page 20: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

25%

25%

50%

*Is the grade level where we want them to be?

5%

15%

At least 80%

Where we are Where we want to be

*Is it a whole grade

level need or a some

kids need?

Page 21: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

* What is the grade

level’s priority skill

need(s)?

– Comprehension

– Vocabulary

– Fluency

– Phonics

– Phonemic

Awareness

2. Problem Analysis

Why is the problem

happening?

Page 22: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

Vo

cabu

lary

Phonemic Awareness

Phonics (Alphabetic Principle)

Oral Reading Accuracy & Fluency

Literacy Skills: English

Read

ing C

om

preh

ensio

n

Foundational Skills

Page 23: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

5 Big Ideas Percentage of Students at Benchmark

Comprehension

Vocabulary

Fluency

Phonics

Phonemic Awareness

What is the priority skill need?

85%

60%

65%

75%

57%

We want the priority skill to be close to 80% (at

least)

Page 24: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

*How should we

address the priority

skill need(s)?

• Make common

agreements

3. Plan Identification

Page 25: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

The water….

25

I C

Focus on “the

water”-

• Instruction

• Curriculum

• Environment

Page 26: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

*Make common agreements around: Curriculum

Instruction

Environment

(We can control these things)

And provide professional learning opportunities to allow staff to implement these

agreements

3. Plan Identification:

Page 27: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

Instruction: Curriculum:

Environment: Learner:

Focus on the ICE

27

How you teach What you teach

Where you teach Who you teach

Page 28: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

• Model lessons by coach or peer

• Peer lesson observation

• Video a master teacher

• In school experts training at staff meetings

• Instructional highlights at staff meetings

• Include paraprofessionals

What professional development do teachers need to implement the plan?

Page 29: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

100% Mtg Agreements

Page 30: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

• How do we ensure that we implement our plan?

– Make it public

– Revisit the agreements at regular PLC/PLT/SAT times

– Principal walkthroughs

4: Plan Implementation & Evaluation

Page 31: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

25%

25%

50%

4: Plan Evaluation Next Benchmarking Period

70%

18%

12%

Where we were Where we are now

Page 32: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

Support for all students

Adapted from Anthony Muhammad, PhD

Page 33: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

Atul Gawande Ted Talk – How do we heal

medicine?

“We need a system”

Page 34: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

Atul Gawande Ted Talk – How do we heal

medicine?

Page 35: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

Fidelity

Common

Instructional

Strategies

Active

Engagement

Common

curriculum needs Environmental

Strategies

Improving Your Core

Page 36: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

Vision: Every child in every district receives the instruction that they need and

deserve…every day.

An example from

Fern Hill Elementary

The 100% meeting process in a bilingual school:

Page 37: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

• L1: native, foundational, or strongest

language

• L2: secondary and/or weaker, language

• Bilingual Models:

– Dual Language

– Two-way immersion (TWI)

– Native language literacy

Helpful Definitions

Page 38: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

• 2 English-only schools

• 2 Dual Language Schools

• 2 Native Language Literacy schools

Forest Grove SD (K – 4)

Page 39: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

• Forest Grove, OR

• 356 students

• Grades k-4

• Native Language

Literacy Model (K-3)

• 59% of students are

ELL

Fern Hill Elementary

• 80% of students are Hispanic/Latino

• We are currently considered a 100%

poverty school

Page 40: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

• Good data in both English and Spanish

• How to separate the data but still keep

everyone working together

• Having all the materials designed for both

English and Spanish

Obstacles

Page 41: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

Originally all of us felt isolated by the differences in our programs

Page 42: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

So we found a way to all work together with the same goals

Page 43: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

Data AND Thinking Required

Page 44: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

100% Mtg at Fern Hill

Page 45: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

The Problem Solving Process The “Improving the Core” Process

45

Improved

Student

Achievement

2. Problem

Analysis

1. Problem

Identification

3. Plan

Development

4. Plan

Implementation

& Evaluation

What is the

problem?

Why is the

problem

occurring?

What are we

going to do

about the

problem?

How is it

working?

Page 46: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

Improved

Student

Achievement

1. Problem

Identification

What is the

problem?

Step 1: Problem Identification

46

Page 47: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

Screenshot of agenda: Step 1

Page 48: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

The Problem Solving Process

48

Improved

Student

Achievement

2. Problem

Analysis

1. Problem

Identification

Why is the

problem

occurring?

Page 49: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

Problem Analysis

Page 50: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

The Spanish resources and tools we

developed were the same FORMAT (as the

English version) but with different (Spanish)

CONTENT

Supplementing the Resources

Page 51: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

Vo

cabu

lary

Phonemic Awareness

Phonics (Alphabetic Principle)

Oral Reading Accuracy & Fluency

Literacy Skills: English

Read

ing C

om

preh

ensio

n

Foundational Skills

Page 52: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

Vo

cabu

lario

Conciencia fonémica

Fonética (Principio alfabético)

Lectura oral Fluidez y precisión

Literacy Skills: Spanish

Co

mp

rensió

n

Foundational Skills

Page 53: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

CCSS English

Page 54: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

Spanish Common Instructional Needs

Page 55: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

Step 3: Plan Development

55

Improved

Student

Achievement

2. Problem

Analysis

1. Problem

Identification

3. Plan

Development

What are we

going to do

about the

problem?

Page 56: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

Instruction: Curriculum:

Environment: Learner:

Focus on the ICE

56

How you teach What you teach

Where you teach Who you teach

Page 57: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

Plan Identification: ICE

Page 58: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

Instructional Strategies

Page 59: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

How we keep students involved

• Oral Responses

• Written Responses

• Action Responses

How should we increase our active

engagement of the priority skill need?

Common Active Engagement Strategies

Page 60: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

Common Active

Engagement Strategies

Page 61: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

100% Meeting Agreements

Page 62: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

• Ongoing, embedded training by master

teacher Anita Archer

• Enhancing Core Phonics instruction (ECRI

templates)

• Model lessons by Specialists

• Peer lesson observation

• Training at staff meetings

• Expert training for Instructional Assistants

How we built instructional

expertise at Fern Hill

Page 63: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

Step 4: Plan Implementation & Evaluation

63

Improved

Student

Achievement

2. Problem

Analysis

1. Problem

Identification

3. Plan

Development

4. Plan

Implementation

& Evaluation

How is it

working?

Page 64: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

Make it public

Page 65: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

51%

27%

22%

4: Plan Evaluation Next Benchmarking Period

44%

27%

29%

Where we were Where we are now

Page 66: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

4: Plan Evaluation Next Benchmarking Period

Spanish

English

Page 67: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

• Expertise

• Data

• Protocols

• Resources

• Collaborative action

planning meetings

• Add pieces to make

it fit our situation

Lessons Learned: the Right Tools

Page 68: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

• Moved from

isolation to

collaboration

• Culture of

continuous

instruction

improvement

• ALL students are

ALL OUR students

Lessons Learned: Culture of Collaboration

Page 69: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

• Funding allocated to serving a vision:

– Teaming structures

– Professional development and building

expertise across the system

– Alignment

– Support

Lessons Learned: Leadership is Key

Page 70: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

• If you wait until you are 100% ready, you will never begin

• Let your data and the needs of your students guide you

• If you need it and it does not exist create

Lessons Learned: the Change Process

Page 71: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

It WORKS and our students DESERVE it!

Page 72: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

Our Goal: Student Success

Page 73: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

Q & A

Page 74: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity

• Amy Harlow (Title One Teacher)

[email protected]

• Liliana Jimenez (Title One Teacher)

[email protected]

• Nicole Kaye

(Oregon RTIIi project Implementation Coach)

[email protected]

Contact us

Page 75: Empowering Effective Instruction Across Bilingual School ... · Ted Talk – How do we heal medicine? “We need a system” Atul Gawande Ted Talk – How do we heal medicine? Fidelity