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现代医学课程中的解剖学。

Anatomy in a modern medical curriculum.

作者信息

Turney B W

机构信息

Weatherall Institute of Molecular Medicine, University of Oxford, John Radcliffe Hospital, Oxford, UK.

出版信息

Ann R Coll Surg Engl. 2007 Mar;89(2):104-7. doi: 10.1308/003588407X168244.

DOI:10.1308/003588407X168244
PMID:17346399
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1964553/
Abstract

Anatomy in undergraduate education has been in decline for many years. Some suggest that it has fallen below a safe level. Balances between detail and safety, and assimilation and application of anatomy have yet to be established as the methods of teaching undergo another metamorphosis. For doctors, the human body is the focus of investigation and intervention on a daily basis; for this reason, the study of anatomy in some form will continue to be essential to safe medical practice. It is necessary for core knowledge of anatomy to be assimilated by all doctors in order to practice and communicate safely. It may be true that most doctors do not need to dissect a cadaver or study a prosection in order to practice, but if it can improve their understanding of what they do and why they do it, this surely has to be of benefit both for the safety of the patient and satisfaction of the doctor as a professional. Integration of newer teaching modalities and modern technology will encourage interest and retention of anatomical knowledge and its clinical relevance. Anatomy has a promising future in postgraduate specialist and surgical training. Detailed knowledge should be integrated into specialist training when it is clinically relevant allowing specialists of the future to practice safely and accurately and also to provide a strong base for future clinical developments.

摘要

本科教育中的解剖学教学多年来一直在走下坡路。有人认为其已降至安全水平以下。随着教学方法经历又一次变革,解剖学教学在细节与安全、知识吸收与应用之间的平衡仍有待确立。对于医生而言,人体是他们日常进行检查和干预的核心;因此,某种形式的解剖学研究对于安全的医疗实践依然至关重要。所有医生都必须掌握解剖学的核心知识,以便安全地开展医疗实践和交流。或许大多数医生在行医时确实无需解剖尸体或研究断层标本,但倘若这能增进他们对自身工作内容及目的的理解,那么这无疑对患者安全和医生作为专业人员的满意度都有益处。整合更新的教学模式和现代技术将激发对解剖学知识及其临床相关性的兴趣并促进记忆。解剖学在研究生专科和外科培训中前景广阔。当详细的解剖学知识具有临床相关性时,应将其融入专科培训,使未来的专科医生能够安全、准确地行医,并为未来的临床发展奠定坚实基础。

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本文引用的文献

1
Survey of clinicians' attitudes to the anatomical teaching and knowledge of medical students.临床医生对医学生解剖学教学及知识的态度调查。
Clin Anat. 2005 Jul;18(5):380-4. doi: 10.1002/ca.20101.
2
Do students have sufficient knowledge of clinical anatomy?学生对临床解剖学有足够的了解吗?
Med Educ. 2005 Mar;39(3):326-32. doi: 10.1111/j.1365-2929.2005.02096.x.
3
Perceptions of dissection by students in one medical school: beyond learning about anatomy. A qualitative study.一所医学院校学生对解剖的认知:超越解剖学学习。一项定性研究。
Med Educ. 2005 Mar;39(3):318-25. doi: 10.1111/j.1365-2929.2005.02095.x.
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Anatomy: a must for teaching the next generation.解剖学:培养下一代的必备学科。
Surgeon. 2004 Apr;2(2):79-90. doi: 10.1016/s1479-666x(04)80050-7.
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Teaching anatomy in the digital world.在数字世界中教授解剖学。
N Engl J Med. 2004 Sep 23;351(13):1279-81. doi: 10.1056/NEJMp048100.
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The impact of curricular change on medical students' knowledge of anatomy.课程变革对医学生解剖学知识的影响。
Med Educ. 2003 Nov;37(11):954-61. doi: 10.1046/j.1365-2923.2003.01670.x.
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Attitudes of medical and dental students to dissection.医学和牙科专业学生对解剖的态度。
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Anatomy 1999-2000: the curriculum, who teaches it and how?解剖学1999 - 2000:课程设置、授课人员及授课方式
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