Parker Erin, Randall Virginia
School of Medicine Class of 2021, Uniformed Services University of the Health Sciences, Bethesda, MD USA.
Associate Professor of Pediatrics, Uniformed Services University of the Health Sciences, Bethesda, MD USA.
Med Sci Educ. 2020 Nov 10;31(1):147-153. doi: 10.1007/s40670-020-01147-0. eCollection 2021 Feb.
Rapidly advancing technologies have undeniably altered how medical education is taught; the anatomy lab is no exception. With a recent shift away from traditional cadaveric dissection and towards technology-based learning methods, medical educators are left wondering what students learn beyond the basics of anatomy during their course of human dissection. Especially considering the recent dramatic changes to the way medical education is conducted in the new era of a global pandemic, we must ensure students are not missing learning experiences that are critical to their development as future physicians. What are students gaining from cadaveric dissection that they otherwise could not gain from technology-based learning alone? Thematic qualitative analysis was used to review surveys collected from four anatomy classes over a two-year period; line-by-line coding of the surveys was then arranged into themes representative of specific learning experiences gained uniquely from human dissection. These themes demonstrated evidence of professional identity formation, self-reflection, and building teamwork skills; importantly, many students demonstrated a shift in thinking about their cadaver as less of a tool and more of a patient, which allowed them to generalize their experience in lab towards their future careers in medicine. These unique learning experiences cannot be replicated with technology-based learning alone. While cadaveric dissection may play a smaller role in the future of medical education, we must ensure we continue to provide students with learning experiences that are critical to their development as medical providers, especially if these experiences go beyond the anatomy basics.
不可否认,快速发展的技术已经改变了医学教育的教学方式;解剖实验室也不例外。随着最近从传统尸体解剖向基于技术的学习方法的转变,医学教育工作者不禁要问,在人体解剖课程中,学生除了学习解剖学基础知识之外还学到了什么。特别是考虑到在全球大流行的新时代医学教育方式最近发生的巨大变化,我们必须确保学生不会错过对他们未来成为医生至关重要的学习体验。学生从尸体解剖中获得的哪些东西是他们仅通过基于技术的学习无法获得的?采用主题定性分析方法,对两年内从四个解剖学班级收集的调查问卷进行回顾;然后将调查问卷逐行编码,归纳为代表从人体解剖中独特获得的特定学习体验的主题。这些主题表明了专业身份形成、自我反思和团队合作技能培养的证据;重要的是,许多学生表现出思维的转变,即不再把尸体仅仅看作是一种工具,而是更多地看作是一名患者,这使他们能够将实验室中的体验推广到未来的医学职业生涯中。这些独特的学习体验仅靠基于技术的学习是无法复制的。虽然尸体解剖在医学教育的未来可能会发挥较小的作用,但我们必须确保继续为学生提供对他们作为医疗服务提供者的发展至关重要的学习体验,特别是如果这些体验超出了解剖学基础知识的话。