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医学教育中的解剖学:本科医学生的认知。

Anatomy in medical education: perceptions of undergraduate medical students.

机构信息

Department of HPB and Transplant Surgery, St James's University Hospital NHS Trust, Leeds Teaching Hospitals, Beckett Street, Leeds LS9 7TF, United Kingdom.

出版信息

Ann Anat. 2013 Oct;195(5):409-14. doi: 10.1016/j.aanat.2013.03.005. Epub 2013 Apr 12.

Abstract

AIM

The best method to teach anatomy is widely debated. A shift away from cadaveric dissection in UK medical schools towards newer approaches has taken place without adequate evaluation of their suitability. The impact of this on future anatomical and surgical competencies is unclear. We assessed student perceptions to different methods of anatomy teaching.

METHODS

All 2nd year students at Leeds School of Medicine were invited to complete a matrix-grid questionnaire. Participants were asked to score six methods of anatomy teaching (dissection; prosection; lectures; models; PC software packages; living & radiological anatomy) using a 5-point Likert-type scale on the ability to achieve nine learning objectives. Kruskal-Wallis and Mann-Whitney analyses suitable for non-parametric data were used to evaluate differences in scores between teaching methods.

RESULTS

170 students (71%) responded to the survey. Overall, dissection was the single highest scored method, followed by prosection. Newer approaches such as models, computer software packages and living & radiological anatomy scored comparatively worse. The most suitable method for achieving individual learning objectives was variable with dissection perceived as most suitable for four out of nine objectives.

CONCLUSIONS

Cadaveric dissection is a favourable approach for achieving important learning objectives in the field of anatomy. Further evaluation of teaching methods is required prior to changes being made in the curricula of UK medical schools.

摘要

目的

教授解剖学的最佳方法存在广泛争议。英国医学院校逐渐从尸体解剖转向新的方法,而没有充分评估其适用性。这对未来的解剖学和外科手术能力的影响尚不清楚。我们评估了学生对不同解剖学教学方法的看法。

方法

利兹医学院的所有二年级学生都被邀请填写一份矩阵网格问卷。参与者被要求使用 5 分李克特量表对六种解剖学教学方法(解剖、切片、讲座、模型、PC 软件包、活体和放射解剖学)进行评分,以实现九个学习目标。适合非参数数据的克鲁斯卡尔-沃利斯和曼-惠特尼分析用于评估教学方法之间评分的差异。

结果

170 名学生(71%)对调查做出了回应。总体而言,解剖是评分最高的单一方法,其次是切片。较新的方法,如模型、计算机软件包和活体及放射解剖学,评分相对较低。最适合实现个别学习目标的方法因目标而异,解剖被认为最适合九个目标中的四个。

结论

尸体解剖是解剖学领域实现重要学习目标的有利方法。在英国医学院校课程发生变化之前,需要进一步评估教学方法。

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