Lim Kah Heng Alexander, Loo Zhou Yaw, Goldie Stephen J, Adams Justin W, McMenamin Paul G
Centre for Human Anatomy Education, Department of Anatomy and Developmental Biology, School of Biomedical Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton, Victoria, Australia.
Department of Medicine, Central Clinical School, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton Campus, Victoria, Australia.
Anat Sci Educ. 2016 May 6;9(3):213-21. doi: 10.1002/ase.1573. Epub 2015 Oct 15.
Three-dimensional (3D) printing is an emerging technology capable of readily producing accurate anatomical models, however, evidence for the use of 3D prints in medical education remains limited. A study was performed to assess their effectiveness against cadaveric materials for learning external cardiac anatomy. A double blind randomized controlled trial was undertaken on undergraduate medical students without prior formal cardiac anatomy teaching. Following a pre-test examining baseline external cardiac anatomy knowledge, participants were randomly assigned to three groups who underwent self-directed learning sessions using either cadaveric materials, 3D prints, or a combination of cadaveric materials/3D prints (combined materials). Participants were then subjected to a post-test written by a third party. Fifty-two participants completed the trial; 18 using cadaveric materials, 16 using 3D models, and 18 using combined materials. Age and time since completion of high school were equally distributed between groups. Pre-test scores were not significantly different (P = 0.231), however, post-test scores were significantly higher for 3D prints group compared to the cadaveric materials or combined materials groups (mean of 60.83% vs. 44.81% and 44.62%, P = 0.010, adjusted P = 0.012). A significant improvement in test scores was detected for the 3D prints group (P = 0.003) but not for the other two groups. The finding of this pilot study suggests that use of 3D prints do not disadvantage students relative to cadaveric materials; maximally, results suggest that 3D may confer certain benefits to anatomy learning and supports their use and ongoing evaluation as supplements to cadaver-based curriculums. Anat Sci Educ 9: 213-221. © 2015 American Association of Anatomists.
三维(3D)打印是一种能够轻松制作精确解剖模型的新兴技术,然而,3D打印在医学教育中的应用证据仍然有限。本研究旨在评估其在学习心脏外部解剖结构方面相对于尸体材料的有效性。对未接受过正规心脏解剖学教学的本科医学生进行了一项双盲随机对照试验。在进行了一项检查基线心脏外部解剖学知识的预测试后,参与者被随机分为三组,分别使用尸体材料、3D打印模型或尸体材料/3D打印模型组合(组合材料)进行自主学习。然后,参与者接受由第三方编写的后测试。52名参与者完成了试验;18人使用尸体材料,16人使用3D模型,18人使用组合材料。各组之间的年龄和高中毕业后的时间分布均衡。预测试分数无显著差异(P = 0.231),然而,3D打印模型组的后测试分数显著高于尸体材料组或组合材料组(平均分别为60.83%、44.81%和44.62%,P = 0.010,校正后P = 0.012)。3D打印模型组的测试分数有显著提高(P = 0.003),而其他两组则没有。这项初步研究的结果表明,相对于尸体材料,使用3D打印模型不会对学生产生不利影响;最多,结果表明3D打印模型可能为解剖学学习带来某些益处,并支持将其作为基于尸体的课程的补充进行使用和持续评估。《解剖科学教育》9:213 - 221。© 2015美国解剖学家协会。