West Midlands Deanery, Birmingham, United Kingdom.
Anat Sci Educ. 2010 Jul-Aug;3(4):184-90. doi: 10.1002/ase.165.
Today's medical students are faced with numerous learning needs. Continuously developing curricula have reduced time for basic science subjects such as anatomy. This study aimed to determine the students' views on the relevance of anatomy teaching, anatomical knowledge, and the effect these have on their career choices. A Likert scale questionnaire was distributed to second year medical students [response rate 91% (n = 292/320)]. The same questionnaire was subsequently distributed to the cohort three years later when they were final year students [response rate 37% (n = 146/392)]. Students in both the cohorts of study agreed strongly that clinically correlated anatomical teaching was relevant to clinical practice (92% and 86% of second and final year respondents, respectively) and helped them during their clinical placements (73% and 92%, respectively). Only 28% of the second year and 31% of the final year students agreed that their anatomy teaching prepared them to interpret clinical images (P = 0.269). Only 14% of the final year students felt confident in their knowledge of anatomy. Of the final year students, 30% felt that they had enough opportunity to scrub in the operating room. Nearly half of those students who would consider surgery as a career (19%) think that they will eventually become surgeons (11%). This data suggests that modern anatomy curriculum should focus on clinical correlations and clinical image interpretation. Students would value more opportunities to participate in surgeries. Vertical integration of anatomy teaching throughout the full medical course may be useful.
当今的医学生面临着众多的学习需求。不断发展的课程减少了基础科学学科(如解剖学)的学习时间。本研究旨在确定学生对解剖教学的相关性、解剖知识以及这些知识对他们职业选择的影响的看法。我们向二年级医学生发放了一份李克特量表问卷(应答率为 91%(n=292/320))。三年后,当他们成为最后一年的学生时,我们向同一批学生发放了相同的问卷(应答率为 37%(n=146/392))。两个年级的学生都强烈认为与临床相关的解剖教学与临床实践相关(分别有 92%和 86%的二年级和最后一年的学生同意),并在他们的临床实习中对他们有帮助(分别为 73%和 92%)。只有 28%的二年级学生和 31%的最后一年学生同意他们的解剖教学使他们能够解释临床图像(P=0.269)。只有 14%的最后一年学生对自己的解剖知识有信心。在最后一年的学生中,30%的人觉得他们有足够的机会在手术室刷手。将近一半的考虑从事外科工作的学生(19%)认为他们最终将成为外科医生(11%)。这些数据表明,现代解剖学课程应侧重于临床相关性和临床图像解读。学生们将重视更多参与手术的机会。在整个医学课程中垂直整合解剖学教学可能会有所帮助。