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尸体解剖成为过去式了吗?顾问医生、研究员和住院医生的见解。

Cadaveric Dissection a Thing of the Past? The Insight of Consultants, Fellows, and Residents.

作者信息

Ghazanfar Haider, Rashid Sannah, Hussain Ashraf, Ghazanfar Madiha, Ghazanfar Ali, Javaid Arshad

机构信息

Internal Medicine, Shifa College of Medicine, Islamabad, PAK.

Pediatrics, Shifa College of Medicine, Islamabad, PAK.

出版信息

Cureus. 2018 Apr 3;10(4):e2418. doi: 10.7759/cureus.2418.

Abstract

Objective The objective of our study was to determine whether cadaveric dissection is a necessity in medical education. Another purpose of our study was to assess the attitude and perception of consultants, residents, and fellows about cadaveric dissection and whether it helped them in their medical practices. Method We performed an analytical cross-sectional study among consultants, fellows, and residents of different specialty areas practicing in Punjab. A self-constructed questionnaire compromising of 41 items was used to assess the perception of doctors about cadaveric dissection and other alternative anatomy teaching methods. Consultants, fellows, and residents who were in clinical practice for more than six months were included in the study. Results Out of the total sample size of 842, 44.7% were female medical doctors and 55.3 % were male medical doctors. Cadaveric dissection was thought to be the most effective method for teaching anatomy by 27.9% of the doctors. Mean cadaveric dissection, prosection and didactic teaching components were scored significantly higher by doctors in surgery and allied fields (p<0.001). Doctors in the surgical and allied field were 0.55 times less likely to think that cadaveric dissection was unethical as compared to doctors working in medicine and allied fields (p<0.001). Conclusion Dissection is still considered by several doctors as a valuable source of learning anatomy. However, the future of teaching anatomy does not depend on any single method. It is, in fact, the right combination of all available resources and using them in an interactive way that maximizes outcomes.

摘要

目的 我们研究的目的是确定尸体解剖在医学教育中是否必要。我们研究的另一个目的是评估顾问医生、住院医生和专科住院医生对尸体解剖的态度和看法,以及它是否对他们的医疗实践有帮助。方法 我们对旁遮普邦不同专业领域的顾问医生、专科住院医生和住院医生进行了一项分析性横断面研究。使用一份由41项内容组成的自行编制的问卷来评估医生对尸体解剖和其他替代解剖教学方法的看法。纳入研究的是临床实践超过六个月的顾问医生、专科住院医生和住院医生。结果 在842名总样本中,44.7%为女医生,55.3%为男医生。27.9%的医生认为尸体解剖是解剖学教学最有效的方法。外科及相关领域的医生对尸体解剖、预解剖和讲授式教学部分的评分显著更高(p<0.001)。与从事医学及相关领域的医生相比,外科及相关领域的医生认为尸体解剖不道德的可能性要低0.55倍(p<0.001)。结论 一些医生仍然认为解剖是学习解剖学的宝贵来源。然而,解剖学教学的未来并不取决于任何单一方法。事实上,是所有可用资源的正确组合并以互动方式使用它们才能使结果最大化。

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