Morgan Helen, Zeller John, Hughes David T, Dooley-Hash Suzanne, Klein Katherine, Caty Rachel, Santen Sally
Department of Obstetrics and Gynecology, University of Michigan Medical School, 1500 E. Medical Center Dr., L4000 Von Voigtlander Women's Hospital, Ann Arbor, MI, 48109, USA.
Department of Learning Health Sciences, University of Michigan Medical School, Ann Arbor, MI, 48109, USA.
Surg Radiol Anat. 2017 Jan;39(1):95-101. doi: 10.1007/s00276-016-1713-y. Epub 2016 Jun 15.
A strong foundation in anatomical knowledge is essential for physicians in all fields. Despite this established importance, anatomy continues to be primarily taught only during the pre-clinical years of medical school. Senior medical students have more mature clinical reasoning and analytical skills; therefore, advanced anatomy courses have great potential to integrate basic and clinical sciences to better prepare senior medical students for residency.
At our institution, five electives have been implemented that integrate anatomical education in clinical contexts in the fields of emergency medicine, musculoskeletal medicine, radiology, surgery, and obstetrics and gynecology. These 4-week courses are all offered in the spring of the final year of medical school. The course curricula, content, and evaluation data are described for each of the courses.
The five electives have been extremely popular at our institution, and all have been consistently filled each year by students entering diverse disciplines. Course evaluations have been positive and students specifically note how these courses allow them the opportunity to integrate basic anatomical knowledge into clinical contexts. Students have marked improvement in anatomical knowledge after completion of these electives.
Advanced anatomy courses that integrate anatomical education with clinical reasoning are important curricular innovations that are popular with students and lead to important improvements in anatomical knowledge. Anatomists can lead the charge for better integration of basic sciences into senior medical school curricula.
扎实的解剖学知识基础对所有领域的医生来说都至关重要。尽管其重要性已得到公认，但解剖学仍主要在医学院校的临床前阶段进行教授。高年级医学生具备更成熟的临床推理和分析能力；因此，高级解剖学课程有很大潜力将基础科学与临床科学相结合，从而更好地让高年级医学生为住院医师实习做好准备。
在我们院校，已开设了五门选修课，将解剖学教育融入急诊医学、肌肉骨骼医学、放射学、外科学以及妇产科等领域的临床情境中。这些为期4周的课程均在医学院最后一年的春季开设。文中描述了每门课程的课程设置、内容及评估数据。
这五门选修课在我们院校极受欢迎，每年都有来自不同学科的学生选报。课程评估结果良好，学生们特别提到这些课程让他们有机会将基础解剖学知识融入临床情境。完成这些选修课后，学生的解剖学知识有显著提高。
将解剖学教育与临床推理相结合的高级解剖学课程是重要的课程创新，深受学生欢迎，并能显著提高解剖学知识水平。解剖学家可以率先推动基础科学更好地融入医学院高年级课程。
