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医学生法医学中强制尸体解剖教学的必要性。

The need for mandatory autopsy teaching in Forensic Medicine for medical students.

作者信息

Abdullah Nurul Kharmila, Ahmad Nur Arina, Ramli Shalinawati Binti, Razak Nadiawati Abdul

机构信息

Universiti Sains Islam Malaysia, Forensic Medicine Unit, Nilai, Negeri Sembilan, Malaysia.

National Defence University of Malaysia (NDUM), Faculty of Medicine and Defence Health, Forensic Medicine Unit, Sungai Besi, Kuala Lumpur, Malaysia.

出版信息

Autops Case Rep. 2024 Aug 6;14:e2024509. doi: 10.4322/acr.2024.509. eCollection 2024.

DOI:10.4322/acr.2024.509
PMID:39176103
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11340820/
Abstract

The effectiveness of the autopsy as an educational tool in forensic medicine courses has been widely acknowledged, and medical students were expected to attend regularly. Nevertheless, the use of autopsies for teaching has dramatically declined in recent years and worldwide despite their high-value benefits. This study aims to understand the importance and relevance of attending autopsies during forensic teaching sessions and identify any challenges that may impede attendance. A self-administered online questionnaire that assesses the knowledge, attitudes, and practices related to autopsies attendance was distributed to fourth-year medical students at the National Defence University of Malaysia and Universiti Sains Islam Malaysia. A total of 99 respondents were involved in this study. Our findings indicate that most respondents (over 85%) demonstrated good knowledge of forensic medicine. Pearson's statistical test revealed a significant correlation between the knowledge and students' attitudes toward autopsy. This study demonstrates the need to strategically integrate autopsy attendance into medical curricula to encourage constructive attitudes and practices among medical students. Students gain the most benefits from frequently attending autopsies. Passionate educators can conduct preparatory sessions to set expectations and address concerns, encourage students to process their experiences, and reinforce learning outcomes in the mortuary setting. Mandatory autopsy teaching should be integrated into the curriculum to ensure medical students have the necessary skills and knowledge to become competent doctors.

摘要

尸检作为法医学课程中的一种教学工具,其有效性已得到广泛认可,医学院学生应定期参加。然而,尽管尸检具有很高的价值,但近年来在全球范围内,用于教学的尸检数量急剧下降。本研究旨在了解在法医教学课程中参加尸检的重要性和相关性,并确定可能阻碍学生参加的任何挑战。我们向马来西亚国防大学和马来西亚伊斯兰理科大学的四年级医学生发放了一份自我管理的在线问卷,该问卷评估了与参加尸检相关的知识、态度和行为。共有99名受访者参与了这项研究。我们的研究结果表明,大多数受访者(超过85%)对法医学有良好的了解。皮尔逊统计检验显示,知识与学生对尸检的态度之间存在显著相关性。本研究表明,有必要将参加尸检策略性地纳入医学课程,以鼓励医学生形成建设性的态度和行为。学生通过频繁参加尸检获得的益处最大。热情的教育工作者可以开展准备课程,设定期望并解决学生的担忧,鼓励学生梳理他们的经历,并在停尸房环境中强化学习成果。应将强制性尸检教学纳入课程,以确保医学生具备成为合格医生所需的技能和知识。

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1
The need for mandatory autopsy teaching in Forensic Medicine for medical students.医学生法医学中强制尸体解剖教学的必要性。
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2
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本文引用的文献

1
Education and training in forensic medicine in United Kingdom: Fit for purpose?英国法医学的教育与培训:是否契合目的?
Med Sci Law. 2021 Jan;61(1_suppl):5-6. doi: 10.1177/0025802420967544.
2
The clinico-pathological conference, based upon Giovanni Battista Morgagni's legacy, remains of fundamental importance even in the era of the vanishing autopsy.基于乔瓦尼·巴蒂斯塔·莫尔加尼的遗产而举办的临床病理讨论会,即便在尸体解剖逐渐减少的时代,依然具有至关重要的意义。
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Medical student attitudes to the autopsy and its utility in medical education: a brief qualitative study at one UK medical school.医学生对尸检的态度及其在医学教育中的作用:英国一所医学院的一项简要定性研究。
Anat Sci Educ. 2014 Mar-Apr;7(2):87-96. doi: 10.1002/ase.1384. Epub 2013 Jul 22.
4
Modernization of an anatomy class: From conceptualization to implementation. A case for integrated multimodal-multidisciplinary teaching.解剖学课程的现代化:从概念化到实施。一体化多模态多学科教学的案例。
Anat Sci Educ. 2012 Nov-Dec;5(6):354-66. doi: 10.1002/ase.1296. Epub 2012 Jun 21.
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A web-based e-learning programme for training external post-mortem examination in curricular medical education.基于网络的电子学习课程,用于在课程医学教育中对外尸体检查进行培训。
Int J Legal Med. 2011 Nov;125(6):857-61. doi: 10.1007/s00414-011-0613-2. Epub 2011 Sep 8.
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Teaching post-mortem external examination in undergraduate medical education--the formal and the informal curriculum.本科医学教育中尸体外部检查教学——正式和非正式课程。
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Students' physical and psychological reactions to forensic dissection: Are there risk factors?学生对法医解剖的身心反应:是否存在风险因素?
Anat Sci Educ. 2010 Nov-Dec;3(6):287-94. doi: 10.1002/ase.182.
8
The Breakfast Club: case study of a teaching-autopsy curriculum.《早餐俱乐部》:一个教学尸检课程的案例研究。
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10
Death of the teaching autopsy.教学尸检的消亡。
BMJ. 2003 Oct 4;327(7418):802-3. doi: 10.1136/bmj.327.7418.802.