A Comparison of Three Methods of Teaching Skin Self-Examinations

Skin self-examinations are essential for the early identification and treatment of skin cancers. However, little is known about the most effective methods for teaching skin cancer detection and skin self-examination. This study compared three skin cancer education methods that are commonly used in the primary care setting: viewing a videotape, reading brochures, and one-on-one instruction from a nurse practitioner. One hundred forty-three young adults were randomly assigned to one of the four conditions (educational intervention or wait list) and completed measures of skin cancer knowledge, ability to visually discriminate cancerous versus noncancerous skin growths, and behavioral ability to perform a skin self-examination immediately (Time 1) and 3 weeks (Time 2) after the educational intervention. Results showed that participants across all educational interventions had significantly higher skin cancer knowledge compared to those in the wait-list control group, and these knowledge scores were maintained for 3 weeks. Participants in the brochure condition scored significantly higher than participants in all other conditions on an observational measure of skin self-examination. Demographic variables, such as gender and ethnicity, were not found to be related to performance on any of the dependent measures. These findings provide preliminary evidence that knowledge of skin cancer may be enhanced through a variety of educational techniques and that written materials (e.g., brochures) may represent the minimal intervention level necessary for teaching adults how to perform thorough skin self-examinations.     

Reinventing the University: From Institutions to Communities of Higher Education

This article responds to three questions: What if the primary mission of the university is to (i) nourish the intellect, (ii) commit to the sacredness of all life, and (iii) foster spirituality? Responses examine multiple forms of literacy, instruction that is ecologically valid and thus oriented toward the unity of knowledge, and teaching as a moral activity. The suggestion here is that meaningful reform will emphasize education of the whole person in relation to the physical, symbolic, and social environments. Curricula focused on forms of representation, modes of treatment, and syntactic structure, adaptive understandings, constructed meanings, critical thinking, real problems, connected knowing, creativity, inspiration, service learning, and the development of declarative procedural and poetic knowledge are discussed.     

The elderly and high technology medicine: A case for individualized,autonomous allocation

The issues involved in decision making about the aggressiveness of future medical care for older persons are explored. They are related to population trends, the heterogeneity of older persons and a variety of factors involved in individual preferences. Case studies are presented to illustrate these points, as well as a review of pertinent literature. The argument is offered that, considering these many factors, a system of flexible, individualized care by informed patient preference, is more rational than the rationing of technological services by age.     

‘We’ve shared a lifetime with one another’: using reflective visual/verbal journals to develop graduate student relationships

The success of graduate students relies on factors beyond mere cognitive ability, with fostering peer and professional relationships as definitive influences on achievement. Research shows that positive faculty/student relationships are a significant factor in the success of graduate students and that art-making is an effective way to encourage the reflective thinking needed to nurture these relationships. In this article, we examine the relationship between arts informed pedagogy, specifically the use of a visual/verbal journal, and the formation of graduate relationships. The majority of the students in this collaborative inquiry entered their doctoral program at the same time the research class began and all engaged in an artfully imagined introduction to qualitative research course.     

The ‘tyranny of time’: getting to the heart of the impact of educational cuts on the provision of guidance counselling in Ireland

The Irish Education Act (Government of Ireland 1998) stipulates that each young person in secondary school in Ireland is entitled to access ‘appropriate’ guidance. It has been argued that this very right has been eroded since Budget 2012, where resource re-allocations in guidance counselling are obstructing the requirement for schools to implement this section of the Act. This qualitative study explored the effects of ‘educational cutbacks’ from the perspective of guidance counsellors. Findings from interviews with guidance counsellors, suggest that the effects of such cutbacks in guidance counselling are far-reaching and ultimately students are the one’s losing out. The paper proposes that there is a need to reinstate guidance counselling hours to allow guidance counsellors provide a comprehensive service to young people – which they are entitled to.