Department of Anatomy, School of Medical Sciences, Faculty of Medicine, The University of New South Wales, Sydney, New South Wales, Australia.
Department of Chiropractic, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, New South Wales, Australia.
Anat Sci Educ. 2022 Jul;15(4):663-670. doi: 10.1002/ase.2117. Epub 2021 Oct 25.
Anatomy is a key knowledge area in chiropractic and is formally offered in the undergraduate component of chiropractic education. There is the potential for loss of anatomy knowledge before the opportunity to apply it in a clinical setting. This study aimed to determine whether chiropractic clinicians retain a level of anatomy knowledge comparable to that of chiropractic students and to compare chiropractors' self-rating of their anatomical knowledge against an objective knowledge assessment tool. A previously validated multiple-choice test was utilized to measure retention of limb musculoskeletal (MSK) knowledge in Australian chiropractors. One hundred and one registered chiropractors completed the questionnaire and responses were scored, analyzed, and compared to scores attained by undergraduate and postgraduate chiropractic students who had previously completed the same questionnaire. The results indicated that practitioners retained their anatomy knowledge, with a significantly higher total mean score than the undergraduate group [total mean score = 36.5% (±SD 13.6%); P < 0.01] but not significantly different to the postgraduate group [total mean score = 52.2% (±SD 14.1%); P = 0.74]. There was a weak positive correlation between chiropractors' self-rated knowledge and test performance scores indicating the effectiveness of this Australian chiropractic group in self-assessing their anatomy knowledge. This study found that Australian chiropractors' knowledge of MSK anatomy was retained during the transition from university to clinical practice and they accurately evaluated their own test performance.
解剖学是脊骨神经医学的一个关键知识领域，在脊骨神经医学的本科教育部分中正式开设。在有机会将解剖学知识应用于临床环境之前，有可能会失去解剖学知识。本研究旨在确定脊骨神经医学临床医生是否保留了与脊骨神经医学学生相当的解剖学知识水平，并将脊骨神经医学医生对自己解剖学知识的自我评估与客观的知识评估工具进行比较。使用先前经过验证的多项选择题测试来衡量澳大利亚脊骨神经医学医生对四肢肌肉骨骼（MSK）知识的保留程度。101 名注册脊骨神经医学医生完成了问卷调查，对回答进行了评分、分析，并与以前完成过相同问卷的本科和研究生脊骨神经医学学生的分数进行了比较。结果表明，从业者保留了他们的解剖学知识，总平均分明显高于本科生组[总平均分=36.5%（±SD 13.6%）；P<0.01]，但与研究生组无显著差异[总平均分=52.2%（±SD 14.1%）；P=0.74]。脊骨神经医学医生自我评估的知识与测试表现得分之间存在微弱的正相关，表明澳大利亚这组脊骨神经医学医生在自我评估解剖学知识方面的有效性。本研究发现，澳大利亚脊骨神经医学医生对 MSK 解剖学的知识在从大学到临床实践的过渡过程中得到了保留，并且他们准确地评估了自己的测试表现。
