A state in the Midwest region of the United States passed legislation that ties the advancement of students in the third grade to achieving a level of proficiency on a required state assessment in English. The legislation also ties high school graduation to achieving a level of proficiency on a series of required state assessments in English, mathematics, science, and social studies. The research conducted was intended to examine the extent that the state's accountability and assessment system and high-stakes tests impact teachers' pedagogy, school curriculum, and instructional methods in an urban high poverty elementary school located in the Midwest region of the United States. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.]