Creze Maud, Ghosh Sanjib Kumar
Department of Radiology, Hôpital Bicêtre, Université Paris-Saclay, Assistance-Publique des Hôpitaux de Paris, Le Kremlin Bicêtre, France.
Department of Anatomy, All India Institute of Medical Sciences, Patna, India.
Anat Sci Educ. 2025 Apr;18(4):386-405. doi: 10.1002/ase.70018. Epub 2025 Mar 12.
Adherence to the highest ethical standards is mandatory while handling precious human tissues received through the altruistic act of body donation. In 2019, misconduct at the Body Donation Center in Paris led to its closure. This adversely affected the hands-on human dissection sessions within the anatomy education program at Université Paris-Saclay. Consequently, the anatomy education program needed to be modified to bridge the gap between theoretical anatomy knowledge and its reinforcement by hands-on human dissection. Anatomy educators at Université Paris-Saclay designed an "illustrator-anatomist-clinician" triad-based pedagogical model, which was incorporated as a core component of an elective module for third-year medical students. This model involves a combination of live illustration, dissection-demonstration, and clinical correlation of anatomical details of selected regions of the human body. An illustrator presents and interprets anatomical detail as the anatomist reveals these structures in a stepwise dissection approach, and a clinician completes the triad by presenting clinical cases relevant to the respective anatomical region with their surgical and radiological details. The present study aims to describe the structure, implementation, and outcome of this triad-based pedagogical model. It may be applicable to other anatomy education programs that face access problems to hands-on human dissection for various reasons and demonstrate its feasibility as a resource when human dissection is not available.
在处理通过遗体捐赠这一利他行为获得的珍贵人体组织时，必须遵守最高的道德标准。2019年，巴黎遗体捐赠中心的不当行为导致其关闭。这对巴黎萨克雷大学解剖学教育项目中的人体解剖实践课程产生了不利影响。因此，解剖学教育项目需要进行修改，以弥合理论解剖学知识与通过人体解剖实践强化知识之间的差距。巴黎萨克雷大学的解剖学教育工作者设计了一种基于“绘图师 - 解剖学家 - 临床医生”三元组的教学模式，并将其纳入三年级医学生选修模块的核心组成部分。该模式包括现场绘图、解剖演示以及人体特定区域解剖细节的临床关联。绘图师展示并解读解剖细节，解剖学家以逐步解剖的方式揭示这些结构，临床医生则通过呈现与相应解剖区域相关的临床病例及其手术和放射学细节来完善这个三元组。本研究旨在描述这种基于三元组的教学模式的结构、实施情况和成果。它可能适用于因各种原因在人体解剖实践方面面临获取问题的其他解剖学教育项目，并证明在无法进行人体解剖时作为一种资源的可行性。
