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对外行人解剖学知识及其对大体解剖学在医学中临床重要性态度的评估。

An assessment of the anatomical knowledge of laypersons and their attitudes towards the clinical importance of gross anatomy in medicine.

作者信息

Moxham Bernard John, Hennon Helen, Lignier Baptiste, Plaisant Odile

机构信息

Cardiff School of Biosciences, Cardiff University, Museum Avenue, Cardiff CF10 3AX, United Kingdom.

Cardiff School of Biosciences, Cardiff University, Museum Avenue, Cardiff CF10 3AX, United Kingdom.

出版信息

Ann Anat. 2016 Nov;208:194-203. doi: 10.1016/j.aanat.2016.06.001. Epub 2016 Jun 20.

DOI:10.1016/j.aanat.2016.06.001
PMID:27339302
Abstract

If it is accepted that increasingly we live within a consumerist society then axiomatically 'ownership' of medical training does not belong to political authorities (whether governmental or medical), nor to the medical profession, nor indeed to the teachers, educationalists and even the students but to the laypersons in society who are patients or potential patients (viz. the clients/recipients of medical care). As yet, however, there has been no attempt to evaluate how much anatomy laypersons know and what their attitudes are towards the importance of anatomy in medicine. By means of a questionnaire, we have conducted a survey of laypersons' attitudes to anatomy in the U.K. and France. Results suggest that, regardless of gender, age, socioeconomic groupings, level of education, or in the presence of some cultural differences between the U.K. and France, laypersons have a reasonable understanding and knowledge of gross anatomy (being weakest on understanding function) and have strong beliefs that gross anatomy is crucial for medical education, holding the view that the medical profession's esteem would be diminished if anatomy were not a significant part of the medical curriculum and if human cadaveric material was not employed in medical training. Thus, laypersons' perceptions about the importance of gross anatomy should be factored into the organisation of medical training, not just to provide important information and skills for future medical/surgical practitioners, but also to help maintain the esteem of the medical profession.

摘要

如果人们承认我们越来越生活在一个消费主义社会中,那么不言而喻,医学培训的“所有权”并不属于政治当局(无论是政府还是医学界),也不属于医学专业,甚至不属于教师、教育工作者乃至学生,而是属于社会中的外行人士,即患者或潜在患者(也就是医疗服务的客户/接受者)。然而,到目前为止,还没有人尝试评估外行人士对解剖学了解多少,以及他们对解剖学在医学中的重要性持何种态度。通过问卷调查,我们对英国和法国外行人士对解剖学的态度进行了调查。结果表明,无论性别、年龄、社会经济群体、教育水平如何,也无论英国和法国之间存在一些文化差异,外行人士对大体解剖学都有合理的理解和认识(在理解功能方面最为薄弱),并且坚信大体解剖学对医学教育至关重要,认为如果解剖学不是医学课程的重要组成部分,且医学培训中不使用人体尸体材料,那么医学专业的威望将会降低。因此,在医学培训的组织中应考虑外行人士对大体解剖学重要性的看法,这不仅是为了给未来的医学/外科从业者提供重要信息和技能,也是为了帮助维持医学专业的威望。

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