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本科医学生1个月与3个月局部解剖学学习时长对学习成果的比较。

A comparison of 1- versus 3-month regional anatomy exposure on learning outcomes of undergraduate medical students.

作者信息

Antipova Veronica, Siwetz Martin, Engelhardt Maren, Fellner Franz A, Manhal Simone, Niedermair Julian F, Ondruschka Benjamin, Pietras Sandra M, Poilliot Amélie J, Pretterklieber Michael L, Wimmer-Röll Monika, Wree Andreas, Hammer Niels

机构信息

Division of Macroscopic and Clinical Anatomy, Gottfried Schatz Research Center, Medical University of Graz, Graz, Austria.

Institute of Anatomy and Cell Biology, Johannes Kepler University, Linz, Austria.

出版信息

Clin Anat. 2025 Apr;38(3):239-248. doi: 10.1002/ca.24206. Epub 2024 Aug 5.

Abstract

Regional anatomy teaching forms a cornerstone of undergraduate medical education. Owing to an increase in teaching and learning content throughout the medical curriculum in recent years, contact hours and overall course durations in anatomy are under review worldwide. This study aimed to assess whether shortening the course content duration impacts learning gain and the ability to identify anatomical structures correctly. Undergraduate medical students of the Johannes Kepler University Linz (JKU; n = 310) and at the Medical University of Graz (MUG; n = 156) participating in regional anatomy courses were included. Whole body regional anatomy courses, including hands-on dissection and accompanying lectures, were delivered over one or three months. Course content and examination mode were kept consistent, while the duration of knowledge delivery was one or three months, respectively. Objective structured practical examinations (OSPE) were then carried out on prosections for the neck, thorax, and abdomen. 3-month course exposure resulted in significantly higher OSPE scores for the neck (49 vs. 37%), thorax (65 vs. 54%), and abdomen (65 vs. 45%), respectively. Further evaluation of the utility of different embalming types yielded higher 3-month scores in the neck and thorax regions with Thiel-embalmed tissues and thorax and abdomen regions in ethanol-glycerin-embalmed tissues. Course exposure over a more extended period, like three months, appears to be highly beneficial.

摘要

局部解剖学教学是本科医学教育的基石。近年来,由于医学课程教学内容不断增加,全球范围内解剖学的授课时长和课程总时长都在重新评估。本研究旨在评估缩短课程内容时长是否会影响学习收获以及正确识别解剖结构的能力。纳入了林茨约翰内斯·开普勒大学(JKU;n = 310)和格拉茨医科大学(MUG;n = 156)参加局部解剖学课程的本科医学生。全身局部解剖学课程,包括实践解剖和配套讲座,分别在1个月或3个月内完成。课程内容和考试模式保持一致,而知识传授时长分别为1个月或3个月。然后对颈部、胸部和腹部的标本进行客观结构化实践考试(OSPE)。3个月的课程学习在颈部(49%对37%)、胸部(65%对54%)和腹部(65%对45%)的OSPE成绩上分别显著更高。对不同防腐类型效用的进一步评估显示,在颈部和胸部区域,使用蒂尔氏防腐组织的3个月成绩更高,在胸部和腹部区域,使用乙醇 - 甘油防腐组织的成绩更高。更长时间的课程学习,比如3个月,似乎非常有益。

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