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分享有关解剖学遗体捐献者的个人信息:一年级医学生想知道什么,以及它如何影响对解剖的情感反应。

Sharing personal information about anatomical body donors: What first-year medical students want to know and how it affects emotional responses to dissection.

机构信息

Department of Pathology and Anatomy, Morehouse School of Medicine, Atlanta, Georgia.

Office of Medical Student Education, Larner College of Medicine at the University of Vermont, Burlington, Vermont.

出版信息

Clin Anat. 2019 Nov;32(8):1019-1032. doi: 10.1002/ca.23389. Epub 2019 May 3.

Abstract

Among educators who teach in the human anatomy laboratory, there has been lively debate about sharing information about anatomical donors. One consideration in this debate is concern about the emotional effect of personalizing donors on the students. The purpose of this study was to evaluate student responses to being exposed to donor information (DI). Three cohorts of first-year medical students (n = 284) were surveyed at four time points throughout the year. Surveys queried students about positive and negative responses to working in the laboratory, wanting to know specific DI, and if knowing this DI would/did affect their responses to working with donors. Analyses examined the relationships between desire to know DI and indices of the following: positive response index (PRI), negative response index (NRI), avoid-approach index (AAI), and compassion-respect index. Across all surveys, a majority of respondents wanted to know some form of DI. At all time points, a majority of respondents felt that knowing all types of DI would increase their positive responses to working with donors. A greater PRI and AAI tended to be associated with wanting to know more personal DI (e.g., names and personal histories). A greater NRI tended to be associated with anticipating that learning personal DI would increase their negative responses before entering the laboratory, which did not persist after dissection began. These data suggest that for a majority of students, knowing personal DI increases their positive response and does not elicit negative responses to dissection or working with anatomical donors. Clin. Anat. 32:1019-1032, 2019. © 2019 Wiley Periodicals, Inc.

摘要

在教授人体解剖学实验室的教育工作者中,关于分享解剖学捐献者信息的问题一直存在激烈的争论。这场争论的一个考虑因素是担心将捐献者个性化会对学生产生情感影响。本研究的目的是评估学生对接触捐献者信息(DI)的反应。在一年中的四个时间点,对三个一年级医学生队列(n=284)进行了调查。调查询问了学生对在实验室工作的积极和消极反应、是否想了解特定的 DI,以及了解这些 DI 是否会/已经影响他们对与捐献者合作的反应。分析检验了对 DI 知识的渴望与以下指标之间的关系:积极反应指数(PRI)、消极反应指数(NRI)、回避-接近指数(AAI)和同情-尊重指数。在所有调查中,大多数受访者都希望了解某种形式的 DI。在所有时间点,大多数受访者都认为了解所有类型的 DI 都会增加他们对与捐献者合作的积极反应。更大的 PRI 和 AAI 往往与更想了解更多个人 DI(例如,姓名和个人历史)相关。更大的 NRI 往往与预期学习个人 DI 会增加他们在进入实验室之前的负面反应相关,但这种反应在解剖开始后并没有持续。这些数据表明,对于大多数学生来说,了解个人 DI 会增加他们的积极反应,而不会对解剖或与解剖学捐献者合作产生负面反应。临床解剖学 32:1019-1032, 2019. Wiley Periodicals, Inc.

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