Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia.
Melbourne Clinical School, The University of Notre Dame, Melbourne, Victoria, Australia.
ANZ J Surg. 2021 May;91(5):832-836. doi: 10.1111/ans.16680. Epub 2021 Mar 18.
Contention exists amongst anatomists, clinicians and surgeons about how much anatomical knowledge medical students need, although what is taught should be aligned with current surgical practice. The aim of this study was to explore the scope of recent advances in applied anatomy as highlighted in the ANZ Journal of Surgery in each of the surgical specialties.
The 2018 volume of the ANZ Journal of Surgery was narrowed to 254 articles by applying the search term 'anatomy'. The main topic was extracted from each paper. The content of the paper was assessed for 'novel description' or 'novel application' of anatomical knowledge and classified accordingly.
Most papers with an anatomical focus were from general surgery, which focused on surgical techniques, outcomes and management. Vascular surgery had the highest percentage of papers with a novel description and application of anatomy. Although cardiothoracic and paediatric surgery had no papers with a novel description of anatomy, novel applications of anatomy were a focus in each speciality.
The trend towards novel applications of anatomical knowledge in all surgical specialties should encourage medical schools to shape their anatomy curricula in tandem with such advances as they evolve. The high proportion of novel applications and descriptions of anatomy in general surgery indicates continued growth as a benchmark of anatomical understanding. Vascular surgery's proportion of novel application and description of anatomy may change the way students will learn vascular anatomy to incorporate endovascular, radiologically based approaches.
尽管所教授的内容应与当前的外科实践保持一致，但解剖学家、临床医生和外科医生对医学生需要多少解剖学知识存在争议。本研究旨在探讨 ANZ 杂志在外科各专业中强调的应用解剖学最新进展的范围。
通过应用搜索词“解剖学”，将 2018 年的 ANZ 杂志卷缩小到 254 篇文章。从每篇论文中提取主要主题。根据解剖学知识的“新描述”或“新应用”评估论文的内容，并进行相应分类。
大多数以解剖学为重点的论文来自普通外科，重点是手术技术、结果和管理。血管外科学术论文中有解剖学新描述和应用的比例最高。尽管心胸外科和儿科外科学术论文中没有新的解剖学描述，但解剖学的新应用是每个专业的重点。
所有外科专业中对解剖学新知识的新应用趋势应鼓励医学院校随着这些进展的发展，调整他们的解剖学课程。普通外科学术论文中新颖的解剖学应用和描述比例较高，表明其作为解剖学理解基准的持续增长。血管外科学术论文中新颖的解剖学应用和描述比例可能会改变学生学习血管解剖学的方式，以纳入血管内、放射学为基础的方法。
