Zhang Ji-Feng, Zilundu Prince Last Mudenda, Zhou Lihua, Guo Guo-Qing
Department of Anatomy, Basic Medical College, Jinan University, Guangzhou, China.
Department of Human Anatomy, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, Guangdong, China.
J Surg Educ. 2020 Sep-Oct;77(5):1113-1120. doi: 10.1016/j.jsurg.2020.03.016. Epub 2020 May 21.
Anatomy is fundamental to the practice of medicine and surgery. Anatomy is also increasingly being taught by basic medical scientists or postclinical practice surgeons, thereby potentially detaching it from ongoing clinical realities.
To evaluate whether supplementing regional anatomy teaching using surgeons enhances medical students' mastery of anatomical knowledge and how it impacts their choice of a future career.
This was a descriptive study.
An integrated tuition model in which basic regional anatomy was supplemented with clinical correlates taught by surgeons was devised and implemented at Jinan University Medical School.
Soon after the third-year medical students finished dissecting each region (e.g., head and neck, limbs, etc.) of the human body, the surgeons from relevant specialties and sub-specialties were invited to give clinical application lectures. A self-administered questionnaire was used to evaluate all the students' perceptions of the integrated teaching model, perceived mastery of anatomical knowledge and determinants of future career choice.
More than half of the students believe that regional anatomy is more closely related to surgery than systemic anatomy. Over 70% of the students have a positive attitude towards this teaching model where surgeons supplement regional anatomy with clinical correlates, and 98% of the students are in favor of integrating human body structural knowledge into clinical problems to learn anatomy. In addition, 78% of the students believe that the surgeons' participation in the teaching of regional anatomy helps them better understand human body structures and their clinical significance. However, some of their responses point towards the clinical correlate disconnection from the basic anatomy content. Furthermore, the majority of the students plan to become clinical doctors. After studying regional anatomy, the proportion of students who elected to be surgeons decreased slightly. However, the number of students who affirmatively planned to become surgeons in the future increased slightly, and 90% of these students were able to specify a chosen and preferred subspecialty of surgery.
Surgeons' involvement in regional anatomy is of major benefit to students in understanding the human anatomy and its clinical significance, as well as positively impact on the decision to pursue a career in surgery.
解剖学是医学和外科手术实践的基础。解剖学现在越来越多地由基础医学科学家或临床后实践外科医生教授,因此有可能使其与当前的临床实际脱节。
评估由外科医生补充局部解剖学教学是否能提高医学生对解剖学知识的掌握程度,以及这如何影响他们未来的职业选择。
这是一项描述性研究。
在暨南大学医学院设计并实施了一种综合教学模式,即通过外科医生讲授临床相关知识来补充基础局部解剖学。
三年级医学生完成人体每个区域(如头颈部、四肢等)的解剖后不久,邀请相关专科和亚专科的外科医生进行临床应用讲座。使用一份自填式问卷来评估所有学生对综合教学模式的看法、对解剖学知识的掌握程度以及未来职业选择的决定因素。
超过一半的学生认为局部解剖学比系统解剖学与外科手术的关系更密切。超过70%的学生对这种由外科医生用临床相关知识补充局部解剖学的教学模式持积极态度,98%的学生赞成将人体结构知识融入临床问题来学习解剖学。此外,78%的学生认为外科医生参与局部解剖学教学有助于他们更好地理解人体结构及其临床意义。然而,他们的一些回答指出临床相关知识与基础解剖学内容存在脱节。此外,大多数学生计划成为临床医生。学习局部解剖学后,选择成为外科医生的学生比例略有下降。然而,未来肯定计划成为外科医生的学生数量略有增加,其中90%的学生能够明确说出所选且偏爱的外科亚专科。
外科医生参与局部解剖学教学对学生理解人体解剖学及其临床意义有很大益处,并且对从事外科职业的决定有积极影响。