The University of Chicago Pritzker School of Medicine, Division of Biological Sciences, Chicago, llinois; Department of Organismal Biology and Anatomy, the University of Chicago, Chicago, Illinois.
Anat Sci Educ. 2014 Jul-Aug;7(4):251-61. doi: 10.1002/ase.1401. Epub 2013 Sep 10.
Pre-clinical anatomy curricula must provide medical students with the knowledge needed in a variety of medical and surgical specialties. But do physicians within specialties agree about what anatomical knowledge is most important in their practices? And, what is the common core of anatomical knowledge deemed essential by physicians in different specialties? Answers to these questions would be useful in designing pre-clinical anatomy courses. The primary aim of this study was to assess the importance of a human gross anatomy course by soliciting the opinions of physicians from a range of specialties. We surveyed 93 physicians to determine the importance of specific anatomical topics in their own practices. Their responses were analyzed to assess variation in intra- and inter-departmental attitudes toward the importance of anatomy. Nearly all of the topics taught in the course were deemed important by the clinicians as a group, but respondents showed little agreement on the rank order of importance of anatomical topics. Overall, only medical imaging received high importance by nearly all respondents, and lower importance was attached to embryology and lymphatic anatomy. Our survey data, however, also suggested distinct hierarchies in the importance assigned to anatomical topics within specialties. Given that physicians view the importance of anatomy differently, we suggest that students revisit anatomy through a vertically integrated curriculum tailored to provide specialty-specific anatomical training to advanced students based on their areas of clinical interest. Integration of medical imaging into pre-clinical anatomy courses, already underway in many medical schools, is of high clinical relevance.
临床前解剖课程必须为医学生提供各种医学和外科专业所需的知识。但是，不同专业的医生是否都认为在他们的实践中哪些解剖知识是最重要的？不同专业的医生认为哪些解剖知识是必不可少的，这些知识是否有共同的核心？这些问题的答案对于设计临床前解剖课程是有用的。本研究的主要目的是通过征求来自不同专业的医生的意见来评估人体大体解剖课程的重要性。我们调查了 93 名医生，以确定特定解剖主题在他们自己的实践中的重要性。分析他们的回答以评估解剖学重要性的内部和部门间态度的差异。几乎所有在课程中教授的主题都被临床医生认为是重要的，但受访者对解剖主题的重要性排序几乎没有达成一致意见。总体而言，只有医学影像学几乎得到了所有受访者的高度重视，而胚胎学和淋巴解剖学的重要性较低。然而，我们的调查数据还表明，在特定专业内，对解剖主题的重视程度存在明显的层次结构。鉴于医生对解剖学的重要性有不同的看法，我们建议学生通过垂直整合课程重新学习解剖学，该课程根据学生的临床兴趣，为高级学生提供特定专业的解剖学培训。医学影像学已经整合到许多医学院的临床前解剖课程中，这具有很高的临床相关性。
