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交替解剖对解剖学学习的影响。

Effects of alternate dissection on anatomy learning.

作者信息

Kim Do-Hwan, Shin Dong Hoon, Hwang Young-Il

机构信息

Department of Medical Education, Eulji University School of Medicine, Daejeon, Korea.

Department of Anatomy and Cell Biology, Seoul National University College of Medicine, Seoul, Korea.

出版信息

Anat Cell Biol. 2019 Mar;52(1):69-75. doi: 10.5115/acb.2019.52.1.69. Epub 2019 Mar 29.

DOI:10.5115/acb.2019.52.1.69
PMID:30984454
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6449586/
Abstract

To address the problems associated with crowding in dissection laboratory, especially for dissections of the head and neck region, we adopted an alternate dissection strategy and explored its effects on student learning, and student perceptions of the approach. The alternate dissection approach was first introduced at our institution for dissection of the head and neck region in 2014, and was expanded to encompass the extremities in 2016. A survey on student perceptions of this new strategy was conducted at the end of anatomical courses held from 2014 to 2016, and practical and written examination scores from 2013 to 2016 were analyzed. The results showed that student perceptions were largely positive and became increasingly so each year. However, there was still some anxiety among the students regarding regions that they did not dissect themselves. Despite this, the alternate dissection strategy did not influence practical examination scores, with the exception of a transient decrease in 2014, i.e., the first year of implementation. Moreover, written examination scores improved both for the extremities and the head and neck regions in 2016. The alternate dissection strategy described herein solved the crowding problem in the dissection laboratory at our institution and had no negative effects on student learning outcomes. Therefore, this type of approach can be used to improve efficiency in dissection laboratories.

摘要

为解决解剖实验室拥挤相关问题,尤其是头颈部区域的解剖,我们采用了一种替代解剖策略,并探讨了其对学生学习以及学生对该方法看法的影响。这种替代解剖方法于2014年在我们学校首次用于头颈部区域的解剖,并于2016年扩展到四肢。在2014年至2016年解剖课程结束时,对学生对这一新策略的看法进行了调查,并分析了2013年至2016年的实践考试和笔试成绩。结果表明,学生的看法大多是积极的,且逐年变得更加积极。然而,学生对于自己未亲自解剖的区域仍存在一些焦虑。尽管如此,除了2014年(即实施的第一年)出现短暂下降外,替代解剖策略并未影响实践考试成绩。此外,2016年四肢以及头颈部区域的笔试成绩均有所提高。本文所述的替代解剖策略解决了我们学校解剖实验室的拥挤问题,且对学生的学习成果没有负面影响。因此,这种方法可用于提高解剖实验室的效率。

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本文引用的文献

1
Improving gross anatomy learning using reciprocal peer teaching.使用相互同伴教学法提高大体解剖学学习效果。
BMC Med Educ. 2016 Mar 22;16:95. doi: 10.1186/s12909-016-0617-1.
2
Understanding the current anatomical competence landscape: Comparing perceptions of program directors, residents, and fourth-year medical students.了解当前的解剖学能力状况:比较项目主任、住院医师和四年级医学生的看法。
Anat Sci Educ. 2016 Jul 8;9(4):307-18. doi: 10.1002/ase.1578. Epub 2015 Dec 3.
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Dissection and dissection-associated required experiences improve student performance in gross anatomy: Differences among quartiles.解剖及与解剖相关的必备经验可提高学生在大体解剖学方面的表现:四分位数之间的差异。
Anat Sci Educ. 2016 May 6;9(3):238-46. doi: 10.1002/ase.1574. Epub 2015 Nov 4.
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Anat Sci Educ. 2016 Mar-Apr;9(2):203-8. doi: 10.1002/ase.1560. Epub 2015 Jul 24.
5
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Anat Sci Educ. 2016 Mar-Apr;9(2):132-42. doi: 10.1002/ase.1543. Epub 2015 Jun 9.
6
Outcomes of a rotational dissection system in gross anatomy.旋转解剖系统在大体解剖学中的应用结果。
Anat Sci Educ. 2015 Sep-Oct;8(5):438-44. doi: 10.1002/ase.1497. Epub 2014 Oct 30.
7
Teaching anatomy in the XXI century: new aspects and pitfalls.21世纪的解剖学教学:新问题与陷阱
ScientificWorldJournal. 2013 Nov 7;2013:310348. doi: 10.1155/2013/310348.
8
Students' perception of anatomy education at a Korean medical college with respect to time and contents.韩国某医学院学生对解剖学教育在时间和内容方面的认知。
Anat Cell Biol. 2013 Jun;46(2):157-62. doi: 10.5115/acb.2013.46.2.157. Epub 2013 Jun 30.
9
A preliminary study of the impact of a handover cognitive aid on clinical reasoning and information transfer.交接认知辅助工具对临床推理和信息传递影响的初步研究。
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