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尸体解剖临床实践的价值:从眼与眶部解剖课程中学到的经验教训

The Value of Clinical Practice in Cadaveric Dissection: Lessons Learned From a Course in Eye and Orbital Anatomy.

作者信息

Schulz Christopher

机构信息

Department of Anatomy, Brighton and Sussex Medical School, Brighton, United Kingdom; Eye Unit, Salisbury District Hospital, Salisbury, United Kingdom.

出版信息

J Surg Educ. 2017 Mar-Apr;74(2):333-340. doi: 10.1016/j.jsurg.2016.09.010. Epub 2016 Oct 19.

Abstract

OBJECTIVE

To test the hypothesis that there is greater benefit in a dissection-based anatomy course among those participants with clinical experience in the relevant field, and those without.

DESIGN

A retrospective comparative study.

SETTING

Brighton and Sussex Medical School Anatomy Department: an educational facility that provides undergraduate and postgraduate anatomy teaching using cadaveric specimens.

PARTICIPANTS

All attendees (n = 40) to a postgraduate course in eye and orbital anatomy completed course evaluation forms. The course has been attended by delegates from around the country, with experience ranging from that of final year medical students to clinical fellows who have completed their specialist training in ophthalmology.

RESULTS

Those participants who were practicing ophthalmology tended to be older than those who were not, with a greater amount of time spent on prior learning. Participants scored both the prosection-led and dissection-led sessions highly, with a mean combined evaluation of 8.9 (out of 10) for dissection-led learning and 9.2 for prosection-led learning. Prosection-led learning was regarded equally by those participants currently practicing in ophthalmology, and those who are not. In contrast, dissection-led learning was scored higher by those participants who were practicing ophthalmology (9.4), when compared with those not in ophthalmic practice (8.5; p = 0.018).

CONCLUSIONS

The present study supports the hypothesis that the benefits of cadaveric dissection could be maximized during postgraduate surgical training. This has important implications given the trend away from cadaveric dissection in the undergraduate curriculum.

摘要

目的

验证这一假设,即在相关领域有临床经验的参与者和没有临床经验的参与者中,基于解剖的解剖学课程带来的益处更大。

设计

一项回顾性比较研究。

地点

布莱顿和萨塞克斯医学院解剖学系:一个使用尸体标本提供本科和研究生解剖学教学的教育机构。

参与者

所有参加眼部和眼眶解剖学研究生课程的学员(n = 40)填写了课程评估表。该课程的学员来自全国各地,经验范围从医学专业最后一年的学生到已完成眼科专科培训的临床研究员。

结果

从事眼科工作的参与者往往比未从事眼科工作的参与者年龄更大,之前用于学习的时间也更多。参与者对以预解剖为主和以解剖为主的课程评价都很高,以解剖为主的学习的平均综合评分为8.9(满分10分),以预解剖为主的学习的平均综合评分为9.2。目前从事眼科工作的参与者和未从事眼科工作的参与者对以预解剖为主的学习评价相当。相比之下,从事眼科工作的参与者对以解剖为主的学习的评分(9.4)高于未从事眼科工作的参与者(8.5;p = 0.018)。

结论

本研究支持这一假设,即在研究生外科培训期间,尸体解剖的益处可以最大化。鉴于本科课程中尸体解剖减少的趋势,这具有重要意义。

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