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解剖视频为何不应取代兽医大体解剖课程中的尸体解剖:一项比较研究的结果

Why dissection videos should not replace cadaver prosections in the gross veterinary anatomy curriculum: results from a comparative study.

作者信息

Theoret Christine Laura, Carmel Eric-Norman, Bernier Sonia

机构信息

Département de biomédecine vétérinaire, Faculté de médecine vétérinaire, Université de Montréal, Canada.

出版信息

J Vet Med Educ. 2007 Spring;34(2):151-6. doi: 10.3138/jvme.34.2.151.

Abstract

The goal of our study was to evaluate the impact of a tool intended to eliminate large-animal cadavers from the anatomy laboratory, in view of their prohibitive cost and the logistic difficulties they pose. We sought to determine whether a commented video of the bovine abdominal cavity could effectively replace a prosection of this region. The hypothesis was that students receiving video instruction would achieve lower scores on a post-instructional exam than those benefiting from a commented cadaver prosection. A commented video of the bovine abdominal cavity was compared to a prosection covering identical material. Seventy-five first-year students, having received no prior instruction on the region of interest, were divided into two groups of equivalent knowledge: group A received prosection instruction (N = 38) and group B, video instruction (N = 37). Following instruction, students completed a test on a cadaver, requiring that they correctly match 15 labeled structures with a list of 40 possible answers. Statistical analysis consisted of a repeated-measures linear model with group (A vs. B) as a between-subject factor and time (pre- vs post-test) as a within-subject factor, with significance at p < or = 0.05. Students in group A achieved mean scores of 9.21 +/- 0.31, while those in group B scored 7.65 +/- 0.31. Although both groups significantly improved following instruction, there was a statistically significant difference in the post-instruction scores between groups A and B (p = 0.0007), in favor of the prosection group. The major comment in favor of cadaver prosection pertained to the sensory experience; in favor of video instruction, students stressed accessibility to the pedagogical material for autonomous learning and revision as well as superior viewing compared to the setup adopted for prosections. In conclusion, while our data suggest that cadaver prosections are superior to video demonstrations, it is apparent that students can learn bovine abdominal anatomy by both methods. Future investigations on the subject of alternative teaching methods are warranted.

摘要

鉴于大型动物尸体成本高昂且带来后勤保障方面的困难,我们研究的目的是评估一种旨在将其从解剖实验室中消除的工具的影响。我们试图确定牛腹腔的带注释视频是否能有效替代该区域的实物解剖。假设是接受视频教学的学生在教学后的考试中得分会低于受益于带注释尸体解剖的学生。将牛腹腔的带注释视频与涵盖相同内容的实物解剖进行比较。75名此前未接受过感兴趣区域相关教学的一年级学生被分为两组,知识水平相当:A组接受实物解剖教学(N = 38),B组接受视频教学(N = 37)。教学结束后,学生们在一具尸体上完成了一项测试,要求他们将15个标注结构与40个可能答案的列表正确匹配。统计分析采用重复测量线性模型,以组(A组与B组)作为组间因素,时间(测试前与测试后)作为组内因素,显著性水平为p≤0.05。A组学生的平均成绩为9.21±0.31,而B组学生的成绩为7.65±0.31。尽管两组在教学后都有显著提高,但A组和B组教学后的成绩在统计学上有显著差异(p = 0.0007),实物解剖组更具优势。支持尸体解剖的主要观点涉及感官体验;支持视频教学的学生强调教学材料便于自主学习和复习,且与实物解剖采用的设置相比观看效果更佳。总之,虽然我们的数据表明尸体解剖优于视频演示,但显然两种方法学生都能学习牛腹腔解剖学知识。有必要对替代教学方法这一主题进行未来的研究。

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