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医学预科解剖学经历与学生在医学大体解剖学中的表现。

Premedical anatomy experience and student performance in medical gross anatomy.

作者信息

Kondrashov Peter, McDaniel Dalton J, Jordan Rebecca M

机构信息

Department of Anatomy, Kirksville College of Osteopathic Medicine, A.T. Still University, Kirksville, Missouri.

General Surgery, Geisinger Health System, Danville, Pennsylvania.

出版信息

Clin Anat. 2017 Apr;30(3):303-311. doi: 10.1002/ca.22846. Epub 2017 Mar 9.

Abstract

Gross anatomy is considered one of the most important basic science courses in medical education, yet few medical schools require its completion prior to matriculation. The effect of taking anatomy courses before entering medical school on performance in medical gross anatomy has been previously studied with inconsistent results. The effect of premedical anatomy coursework on performance in medical gross anatomy, overall medical school grade point average (GPA), and Comprehensive Osteopathic Medical Licensing Examination Level 1 (COMLEX 1) score was evaluated in 456 first-year osteopathic medical students along with a survey on its perceived benefits on success in medical gross anatomy course. No significant differences were found in gross anatomy grade, GPA, or COMLEX 1 score between students with premedical anatomy coursework and those without. However, significant differences and higher scores were observed in students who had taken three or more undergraduate anatomy courses including at least one with cadaveric laboratory. There was significantly lower perceived benefit for academic success in the medical gross anatomy course (P<.001) from those students who had taken premedical anatomy courses (5.9 of 10) compared with those who had not (8.2 of 10). Results suggest that requiring any anatomy course as a prerequisite for medical school would not have significant effect on student performance in the medical gross anatomy course. However, requiring more specific anatomy coursework including taking three or more undergraduate anatomy courses, one with cadaveric laboratory component, may result in higher medical gross anatomy grades, medical school GPA, and COMLEX 1 scores. Clin. Anat. 30:303-311, 2017. © 2017 Wiley Periodicals, Inc.

摘要

大体解剖学被认为是医学教育中最重要的基础科学课程之一,但很少有医学院校要求学生在入学前完成该课程。此前曾对进入医学院之前修读解剖学课程对医学大体解剖学成绩的影响进行过研究,结果并不一致。本研究评估了456名一年级整骨医学学生的医学预科解剖学课程作业对医学大体解剖学成绩、医学院校总体平均绩点(GPA)以及综合整骨医学执照考试一级(COMLEX 1)分数的影响,并就其对医学大体解剖学课程成功的感知益处进行了一项调查。有医学预科解剖学课程作业的学生和没有该课程作业的学生在大体解剖学成绩、GPA或COMLEX 1分数上未发现显著差异。然而,在修读过三门或更多本科解剖学课程(包括至少一门有尸体实验室课程)的学生中观察到了显著差异和更高的分数。与未修读过医学预科解剖学课程的学生(10分中的8.2分)相比,修读过该课程的学生认为其对医学大体解剖学课程学业成功的益处显著更低(10分中的5.9分,P<0.001)。结果表明,将任何解剖学课程作为医学院校的先决条件对学生在医学大体解剖学课程中的表现不会有显著影响。然而,要求更具体的解剖学课程作业,包括修读三门或更多本科解剖学课程,其中一门有尸体实验室部分,可能会导致更高的医学大体解剖学成绩、医学院校GPA和COMLEX 1分数。《临床解剖学》30:303 - 311, 2017。© 2017威利期刊公司

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