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无删减,无转折:新冠疫情期间,基于混合解剖模型的大体解剖学习让医学生满意度提升。

No cuts, no buts: Satisfaction of first-year medical students with a hybrid prosection-based model for learning gross anatomy during the Covid-19 pandemic.

机构信息

New York Institute of Technology College of Osteopathic Medicine, Old Westbury, New York, USA.

Department of Anatomy, New York Institute of Technology College of Osteopathic Medicine, Old Westbury, New York, USA.

出版信息

Anat Sci Educ. 2022 Aug;15(5):827-838. doi: 10.1002/ase.2205. Epub 2022 Jul 12.

DOI:10.1002/ase.2205
PMID:35726438
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9350165/
Abstract

Few realized the extent of disruption that the Covid-19 global pandemic would impose upon higher anatomical education. While many institutions were obliged to adopt a fully-remote online model, the New York Institute of Technology College of Osteopathic Medicine strove to develop a curriculum that would allow medical students to receive an in-person anatomy education. A hybrid model that emphasized learning from prosected cadavers and self-study stations was implemented, with the remainder of the students' time directed toward studying at home. Through an anonymous survey aimed at gleaning student satisfaction, this study demonstrates that this hybrid prosection-based anatomy course aligned with student preferences both assuming no health risk (64.6% agreed) and given the current risk of contracting Covid-19 (78.5% agreed). Generally, students felt that their education was equal to that of previous years (Likert scale = 3.24 ± 1.05), fostered an appreciation for anatomy (4.56 ± 0.59), promoted teamwork (4.13 ± 0.85), and prepared them for practical examinations (4.18 ± 0.74). Linear mixed-effect models demonstrated that specific differences in results could be attributed to students' preconceived preferences toward student-led dissections and to past medical training. Importantly, most students "disagree" (1.97 ± 1.00) that they were concerned about the risk of exposure to Covid-19 during in-person anatomy laboratory sessions. Areas requiring improvement were identified by the model, including the provision of access to the cadavers outside of the regularly scheduled laboratory times (3.89 ± 1.08). These findings should be utilized when designing future gross anatomy courses in response to the "new normal".

摘要

很少有人意识到,Covid-19 全球大流行将对高级解剖学教育造成多大的破坏。虽然许多机构都被迫采用完全远程在线模式,但纽约理工学院骨科医学院努力制定了一项课程,使医学生能够接受面对面的解剖学教育。实施了一种混合模式,强调从解剖标本和自学站学习,其余学生时间则用于在家学习。通过一项旨在收集学生满意度的匿名调查,本研究表明,这种基于混合解剖的课程符合学生的偏好,假设没有健康风险(64.6%的人同意),并且考虑到目前感染 Covid-19 的风险(78.5%的人同意)。一般来说,学生们认为他们的教育与前几年相当(李克特量表=3.24±1.05),培养了对解剖学的欣赏(4.56±0.59),促进了团队合作(4.13±0.85),并为他们准备了实践考试(4.18±0.74)。线性混合效应模型表明,结果的具体差异可以归因于学生对学生主导解剖的先入为主的偏好以及过去的医学培训。重要的是,大多数学生“不同意”(1.97±1.00)他们担心在面对面的解剖实验室课程中接触新冠病毒的风险。模型确定了需要改进的领域,包括在定期安排的实验室时间之外提供接触尸体的机会(3.89±1.08)。在设计未来的大体解剖课程时,应考虑这些发现,以应对“新常态”。

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One year of anatomy teaching and learning in the outbreak: Has the Covid-19 pandemic marked the end of a century-old practice? A systematic review.疫情期间的一年解剖教学:Covid-19 大流行是否标志着一个世纪实践的终结?系统评价。
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Anat Sci Educ. 2021 Sep;14(5):536-551. doi: 10.1002/ase.2121. Epub 2021 Sep 3.
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Pre-clinical remote undergraduate medical education during the COVID-19 pandemic: a survey study.COVID-19 大流行期间的临床前远程本科医学教育:一项调查研究。
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Adaptations in Anatomy Education during COVID-19.新冠疫情期间解剖学教育的适应性调整。
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