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尸体解剖在医学培训中已经过时了!这是一个被误解的观念。

Cadaver Dissection Is Obsolete in Medical Training! A Misinterpreted Notion.

出版信息

Med Princ Pract. 2018;27(3):201-210. doi: 10.1159/000488320. Epub 2018 Mar 12.

Abstract

Cadaver dissection (CD) is considered a tool for studying the structural details of the human body. Lately, conflicting opinions regarding the utility of this modality in medical training have been published in medical literature. This review of the literature examines the status of anatomy teaching with CD in traditional, modern, and postgraduate medical training across the world. Literature published in the En-glish language on topics related to CD in the past 3 decades was scrutinized using different search engines. About 200 full texts were reviewed. We describe how medical schools have continued to include CD in anatomy teaching in the traditional or modified form. Medical schools that stopped or decreased CD have learnt from their experiences, and have restarted it in modified forms by integrating it vertically with medical training. In addition, CD activities have increased in postgraduate anatomy courses, surgery training, and voluntary/optional CD programs. CD, when integrated vertically, still has a part to play in medical training in modified ways. This overview may help curriculum designers to place CD in medical curricula and training programs in a justified manner.

摘要

尸体解剖(CD)被认为是研究人体结构细节的一种工具。最近,医学文献中发表了一些关于这种模式在医学培训中的效用的相互矛盾的观点。本文综述了全球传统、现代和研究生医学培训中 CD 在解剖教学中的地位。使用不同的搜索引擎对过去 30 年中在英语方面发表的与 CD 相关的文献进行了审查。共查阅了约 200 篇全文。我们描述了医学院校如何继续以传统或改良的形式将 CD 纳入解剖教学。停止或减少 CD 的医学院校从经验中吸取了教训,并通过与医学培训垂直整合,以改良的形式重新开始了 CD。此外,尸体解剖活动在研究生解剖课程、外科培训以及自愿/选修的 CD 课程中有所增加。垂直整合后,CD 仍然以改良的方式在医学培训中发挥作用。这一综述可能有助于课程设计者以合理的方式将 CD 纳入医学课程和培训计划。

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