Saberski Ean R, Orenstein Sean B, Matheson Dale, Novitsky Yuri W
University of Connecticut School of Medicine, Farmington, Connecticut, USA.
Am Surg. 2015 Jan;81(1):96-100.
Medical curricula are continually evolving and increasing clinical relevance. Gross anatomy educators have tested innovations to improve the clinical potency of anatomic dissection and found that clinical correlations are an effective method to accomplish this goal. Recently, surgical educators defined a role for laparoscopy in teaching anatomy. We aimed to expand this role by using surgical educators to create clinical correlates between gross anatomy and clinical surgery. We held supplements to traditional anatomy open dissection for medical students, including viewing prerecorded operative footage and live laparoscopic dissection performed on cadavers. The main outcome measures were assessed through pre- and postsession surveys. Greater than 75 per cent of students found the demonstrations highly valuable, and students perceived a significant increase in their understanding of abdominopelvic anatomy (P < 0.01). Additionally, 62 per cent of students with previous interest in surgery and 10 per cent of students without previous interest in surgery reported increased interest in pursuing surgical careers. Our demonstrations advance the use of minimally invasive surgical technology to teach gross anatomy. Live laparoscopic demonstrations augment traditional anatomic instruction by reinforcing the clinical relevance of abdominopelvic anatomy. Additionally, laparoscopic demonstrations generate interest in surgery that would otherwise be absent in the preclinical years.
医学课程在不断发展，且临床相关性日益增强。大体解剖学教育工作者已对创新方法进行了测试，以提高解剖 dissection 的临床效用，并发现临床关联是实现这一目标的有效方法。最近，外科教育工作者确定了腹腔镜检查在解剖学教学中的作用。我们旨在通过利用外科教育工作者在大体解剖学和临床手术之间建立临床关联来扩大这一作用。我们为医学生举办了传统解剖开放性 dissection 的补充课程，包括观看预先录制的手术视频和在尸体上进行的实时腹腔镜 dissection。主要结果指标通过课前和课后调查进行评估。超过 75% 的学生认为这些演示非常有价值，并且学生们感觉他们对腹盆腔解剖学的理解有了显著提高（P < 0.01）。此外，62% 以前对手术感兴趣的学生和 10% 以前对手术不感兴趣的学生表示对从事外科职业的兴趣增加了。我们的演示推进了使用微创外科技术来教授大体解剖学。实时腹腔镜演示通过强化腹盆腔解剖学的临床相关性，增强了传统的解剖学教学。此外，腹腔镜演示激发了在临床前阶段原本不存在的对手术的兴趣。
