Program in Physical Therapy, College of Physicians and Surgeons, Columbia University, New York, New York.
Departments of Physical Therapy and Occupational Therapy, School of Health Sciences, Touro College, Bay Shore, New York.
Anat Sci Educ. 2019 Sep;12(5):468-477. doi: 10.1002/ase.1833. Epub 2018 Nov 19.
The most effective method to teach gross anatomy is largely unknown. This study examined two teaching methods utilized in a physical therapy and occupational therapy gross anatomy course, (1) alternating dissection with peer teaching every other laboratory session and (2) faculty demonstrations during laboratory sessions. Student (n = 57) subgroup (A or B) academic performance was determined using written, laboratory practical, and palpation practical examinations. Subgroup A performed significantly better on laboratory practical examination questions pertaining to dissected, in comparison to peer-taught structures (67.1% vs. 60.2%, P = 0.008). Subgroup B performed significantly better on laboratory practical examination questions pertaining to peer-taught, in comparison to dissected structures (64.1% vs. 57.9%, P = 0.001). When Subgroup A was compared to Subgroup B, there were no statistically significant differences on laboratory practical examination question types, whether the subgroup learned the structure through dissection or peer teaching. Based on within and between subgroup comparisons, faculty demonstrations had no effect on written, laboratory practical, or palpation practical examination scores. Although limited, data suggest that the student roles when alternating dissection with peer teaching every other laboratory session appear to be equally effective for learning gross anatomy. The benefits of this method include decreased student/faculty ratio in laboratory sessions and increased time for independent study. Faculty demonstrations during laboratory sessions do not seem to improve student academic performance.
目前,教授大体解剖学最有效的方法尚未明确。本研究检验了物理治疗和职业治疗大体解剖学课程中使用的两种教学方法,(1)隔次实验室课程交替进行解剖和同伴教学,(2)在实验室课程期间由教师进行演示。学生(n=57)亚组(A 或 B)的学业成绩是通过书面、实验室实践和触诊实践考试来确定的。与同伴教学的结构相比,亚组 A 在与解剖结构相关的实验室实践考试问题上的表现明显更好(67.1%对 60.2%,P=0.008)。与解剖结构相比,亚组 B 在与同伴教学的结构相关的实验室实践考试问题上的表现明显更好(64.1%对 57.9%,P=0.001)。当将亚组 A 与亚组 B 进行比较时,无论小组是通过解剖还是同伴教学来学习结构,在实验室实践考试问题类型上均无统计学差异。根据组内和组间比较,教师演示对书面、实验室实践和触诊实践考试成绩均无影响。尽管数据有限,但数据表明,在隔次实验室课程中交替进行解剖和同伴教学时,学生的角色似乎对学习大体解剖学同样有效。这种方法的好处包括减少实验室课程中学生与教师的比例,以及增加独立学习的时间。在实验室课程期间进行教师演示似乎并不能提高学生的学业成绩。