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重新思考解剖学:如何应对医学教育发展带来的挑战。

Rethinking Anatomy: How to Overcome Challenges of Medical Education's Evolution.

作者信息

Guimarães Bruno, Dourado Luís, Tsisar Stanislav, Diniz José Miguel, Madeira Maria Dulce, Ferreira Maria Amélia

机构信息

Department of Biomedicine. Unit of Anatomy. Faculdade de Medicina. Universidade do Porto. Porto. Portugal; Department of Public Health, Forensic Sciences and Medical Education. Unit of Medical Education and Simulation. Faculdade de Medicina. Universidade do Porto. Porto. Portugal; Center for Research in Health Technologies and Information Systems. Faculdade de Medicina. Universidade do Porto. Porto. Portugal; Physical and Rehabilitation Medicine Department. Centro Hospitalar de Entre o Douro e Vouga. Santa Maria da Feira. Portugal.

Department of Biomedicine. Unit of Anatomy. Faculdade de Medicina. Universidade do Porto. Porto. Portugal. Department of Public Health, Forensic Sciences and Medical Education. Unit of Medical Education and Simulation. Faculdade de Medicina. Universidade do Porto. Porto. Portugal.

出版信息

Acta Med Port. 2017 Feb 27;30(2):134-140. doi: 10.20344/amp.8404.

Abstract

INTRODUCTION

Due to scientific and technological development, Medical Education has been readjusting its focus and strategies. Medical curriculum has been adopting a vertical integration model, in which basic and clinical sciences coexist during medical instruction. This context favours the introduction of new complementary technology-based pedagogical approaches. Thus, even traditional core sciences of medical curriculum, like Anatomy, are refocusing their teaching/learning paradigm.

MATERIAL AND METHODS

We performed a bibliographic review aiming to reflect on Medical Education's current pedagogical trend, by analysing the advantages of the introduction and diversification of pedagogical approaches in Anatomy Education.

RESULTS

Anatomy Education's status quo is characterized by: less available teaching time, increasing demands from radiology and endoscopy imaging and other invasive and non-invasive medical techniques, increasing number of medical students and other logistical restrains exposed by the current Medical Education scenario. The traditional learning approach, mainly based on cadaveric dissection, is drifting to complementary newer technologies - such as 3D models or 2D/3D digital imaging - to examine the anatomy of the human body. Also, knowledge transfer is taking different channels, as learning management systems, social networks and computer-assisted learning and assessment are assuming relevant roles.

DISCUSSION

The future holds promising approaches for education models. The development of Artificial Intelligence, Virtual Reality and Learning Analytics could provide analytic tools towards a real-time and personalized learning process.

CONCLUSION

A reflection on Anatomy Education, as a comprehensive model, allows us to understand Medical Education's complexity. Therefore, the present Medical Education context favours a blended learning approach, in which multi-modality pedagogical strategies may become the landmark.

摘要

引言

由于科技发展,医学教育一直在调整其重点和策略。医学课程一直采用纵向整合模式,基础科学和临床科学在医学教学过程中并存。这种背景有利于引入新的基于技术的补充教学方法。因此,即使是医学课程中的传统核心科学,如解剖学,也在重新调整其教学/学习模式。

材料与方法

我们进行了一项文献综述,旨在通过分析解剖学教育中教学方法引入和多样化的优势,反思医学教育当前的教学趋势。

结果

解剖学教育的现状特点如下:教学时间减少、放射学和内窥镜成像及其他侵入性和非侵入性医学技术的需求增加、医学生数量增加以及当前医学教育场景所带来的其他后勤限制。传统的学习方法主要基于尸体解剖,正逐渐转向补充性的新技术,如3D模型或2D/3D数字成像,以研究人体解剖结构。此外,知识传递正通过不同渠道进行,因为学习管理系统、社交网络以及计算机辅助学习和评估正发挥着重要作用。

讨论

未来的教育模式有一些很有前景的方法。人工智能、虚拟现实和学习分析的发展可以为实时和个性化学习过程提供分析工具。

结论

对解剖学教育作为一种综合模式进行反思,使我们能够理解医学教育的复杂性。因此,当前的医学教育背景有利于采用混合学习方法,其中多模态教学策略可能成为标志。

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