Improved interactive medical and public health education in Japan and Korea.

We have carried out case based comparative studies in Japan, US and Korea with special reference to the medical education programme using standardized patients (SPs). The schools in US we have visited are still in the process further reforming interactive medical education. In Daegu, Korea, five medical schools have jointly started a working group for the betterment of medical education on a regular basis from the year 1999. The emphasis is on cooperative research on standardized patient training and its application. In Japan, the substantial activities for training and implementing SPs were later followed by several citizens who are active in training and providing SPs to medical schools and hospitals in need. In comparison to the established research oriented framework and flexible application of SPs in US and new & dynamic developmental discussions of SPs in Korea, the Japanese reality is a bit behind with less opportunity for research oriented trials.

Self-esteem in children: do goal orientations matter?

BACKGROUND: Although perceived competence has been identified as an essential component of global self-esteem, individual differences in the way competence is conceptualised have been virtually ignored. Achievement goal theory suggests that two conceptions of competence operate in achievement contexts: competence can be conceived as capacity or improvement. These two conceptions are embedded within two goal orientations, namely task and ego orientation. AIMS: The study examined the relationship of goal orientations and perceptions of athletic ability to global self-esteem. SAMPLES: Children (N = 907) attending summer sports camps participated in the study. METHOD: Children completed the Perception of Success Questionnaire and the Self-Esteem Scale and recorded their perceptions of normative athletic ability. RESULTS: High task-oriented children reported significantly higher self-esteem than low task-oriented children. Among high task-oriented boys, those with high perceived ability had higher self-esteem. In addition, high ego-oriented boys had high self-esteem when they perceived themselves as having high ability in relation to their peers. Finally, among low task-oriented girls, those with high perceived ability reported higher self-esteem. CONCLUSIONS: The findings are consistent with the tenets of achievement goal theory that success and failure are subjective psychological states. It is recommended that different conceptions of competence are considered in the study of self-esteem.

Predicting quality of life of students who have left special education high school programs.

A subsample (N = 505) was selected from a nationwide, stratified, probability sample of students with disabilities attending high school in 1985. In-school and out-of-school information about these students was obtained in 1987 and 1990 from school records, school personnel, and parents. Conventional item analysis procedures were used to construct a priori quality-of-life composites (social relationships, employment, and independence) from 17 questionnaire variables. These composites were related to 27 geopolitical, family, demographic, cognitive, disability, and school program variables using three multiple regression analyses, which indicated that the predictors accounted for 23.5% of the variance in social relationships; 25.6%, in independence; and 19.5%, in employment. Results suggest that although quality of life is multidimensional, competence appears to underlie many of its facets.

The development of graphic symbols for medical symptoms to facilitate communication between health care providers and receivers.

Since there are a variety of communication barriers in health care settings in Japan, a study was designed to improve communication by the use of graphic symbols. At the beginning of this study, graphic symbols were developed to correspond to 26 basic symptoms. Seventy-six subjects voluntarily evaluated the comprehensibility of these symbols: nursing students (n = 29), manual sign language interpreters (n = 24), hearing impaired subjects with normal (n = 10), limited (n = 11), and minimal (n = 2) literacy abilities. The comprehension by each respondent of each symbol was compared with that of the authors. On the average, numbers of the matching meanings were 24.9 +/- 1.36 (mean +/- S.D.) for students, 24.5 +/- 1.77 for interpreters, 23.4 +/- 2.22, and 21.5 +/- 3.01 for the first two groups of the hearing impaired. Among the 26 symbols, 10 showed high levels of the matching rates (> 90%) for all groups. These symbols were considered to be effective alternatives to verbal expression. Further refinements of the graphic symbols were suggested to suppress the differences in interpretation of the remainder of the symbols. During this study, colleagues and subjects suggested cognitive strategies to clarify and enhance the meaning of the graphic symbols such as (a) the subtraction of excessive information, (b) the addition of further information, and (c) the simplification of the setting by minimizing social and cultural bias.