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临床有用的解剖结构是什么?我们应该在何时教授这些内容?

What anatomy is clinically useful and when should we be teaching it?

机构信息

Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, United Kingdom.

Institute of Naval Medicine, Royal Navy, Hampshire, United Kingdom.

出版信息

Anat Sci Educ. 2016 Oct;9(5):468-75. doi: 10.1002/ase.1596. Epub 2016 Feb 5.

DOI:10.1002/ase.1596
PMID:26849285
Abstract

Anatomy teaching, once thought of as being the cornerstone of medical education, has undergone much change in the recent years. There is now growing concern for falling standards in medical graduates' anatomical knowledge, coupled with a reduction in teaching time and appropriately qualified teaching staff. With limited contact hours available to teach this important discipline, it is essential to consider what anatomy is taught within the medical curriculum to ensure it is fit for clinical practice. The views of medical students, junior doctors, and consultants were obtained from the University of Nottingham and the Trent Deanery in Nottingham, United Kingdom, to establish what core anatomical knowledge they feel medical students should study and assimilate during preclinical training. All participants felt strongly that medical students should be adept at interpreting modern diagnostic images before entering their clinical placement or specialty. Respondents proposed more teaching emphasis should be placed on specific anatomical areas (including lymphatic drainage and dermatome innervation) and illustrated other areas where less detailed teaching was appropriate. Recommendations from our study highlight a need for greater clinical emphasis in anatomy teaching during preclinical years. To successfully achieve this, it is essential that clinicians become integrally involved in the design and delivery of future medical undergraduate anatomy courses. Anat Sci Educ 9: 468-475. © 2016 American Association of Anatomists.

摘要

解剖教学曾被视为医学教育的基石,近年来发生了很大变化。人们越来越关注医学毕业生解剖知识水平下降,加上教学时间减少和合格师资减少。由于教授这门重要学科的可用接触时间有限,因此必须考虑在医学课程中教授哪些解剖学内容,以确保其适合临床实践。英国诺丁汉大学和特伦特教务区的医学生、初级医生和顾问的观点被纳入研究,以确定他们认为医学生在临床前培训期间应该学习和吸收哪些核心解剖学知识。所有参与者都强烈认为,医学生在进入临床实习或专业之前,应该能够熟练解读现代诊断图像。受访者提出,应该更加重视特定解剖区域(包括淋巴引流和皮节神经支配)的教学,并说明了其他一些不太详细的教学是合适的领域。我们的研究建议强调在临床前阶段的解剖教学中更加注重临床教学。要成功实现这一目标,临床医生必须全面参与未来医学本科解剖课程的设计和实施。Anat Sci Educ 9: 468-475. © 2016 美国解剖学家协会。

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