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性别会影响局部解剖学解剖课程中的学习、认知和记忆吗?

Does gender influence learning, perceptions and retention in regional anatomy dissection courses?

作者信息

Antipova Veronica, Siwetz Martin, Fellner Franz A, Manhal Simone, Niedermair Julian F, Ondruschka Benjamin, Poilliot Amélie J, 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, Auenbruggerplatz 25, 8036, Graz, Austria.

Central Radiology Institute, Johannes Kepler University Hospital, Linz, Austria.

出版信息

Anat Sci Int. 2025 Apr 5. doi: 10.1007/s12565-025-00834-5.

Abstract

Medical educators should understand the differences within the medical student population, including gender. Research on gender effects on learning and skill acquisition has yielded contradictory results, particularly in anatomy learning among undergraduate medical students. While various dissection course settings have been evaluated, gender-specific differences have largely been overlooked. This study examined gender differences in several aspects of anatomy education. First, the ability of undergraduate medical students to identify anatomical structures was assessed to determine gender differences in learning gains. Second, learning outcomes were compared between a 3-month and a 1-month regional anatomy course, with attention to gender. Third, knowledge retention was evaluated at 6- and 12-month follow-ups. Finally, student perceptions of different embalming methods for anatomy learning were assessed with a focus on gender. Minor differences were observed between genders across different regions in learning gains. Scores from the 3-month course were higher than those from the 1-month course, regardless of gender, particularly for the neck, thorax, and abdomen. A significant knowledge gain was noted in abdominal anatomy at the 6- and 12-month follow-up: scores improved by 56% in females and by 68% in males. The comparison of Thiel- versus ethanol-based embalming revealed gender differences regarding tissue pliability and the utility of tissues for achieving learning objectives. In conclusion, subtle differences appear to exist between female and male students in terms of perceptions and learning outcomes in gross anatomy dissection courses. These findings will be useful in developing new curricula for undergraduate medical students, taking into account gender differences in the context of regional anatomy dissection courses.

摘要

医学教育工作者应该了解医学生群体内部的差异,包括性别差异。关于性别对学习和技能获取的影响的研究得出了相互矛盾的结果,尤其是在本科医学生的解剖学学习方面。虽然已经对各种解剖课程设置进行了评估,但性别差异在很大程度上被忽视了。本研究考察了解剖学教育几个方面的性别差异。首先,评估本科医学生识别解剖结构的能力,以确定学习收获方面的性别差异。其次,比较了为期3个月和1个月的局部解剖学课程的学习成果,并关注性别因素。第三,在6个月和12个月的随访中评估知识保留情况。最后,以性别为重点,评估了学生对不同解剖学学习防腐方法的看法。在不同区域的学习收获方面,不同性别之间观察到了细微差异。无论性别如何,3个月课程的分数都高于1个月课程的分数,尤其是在颈部、胸部和腹部。在6个月和12个月的随访中,腹部解剖学知识有显著提高:女性分数提高了56%,男性提高了68%。基于噻尔(Thiel)法与乙醇法的防腐处理比较显示,在组织柔韧性以及组织对实现学习目标的效用方面存在性别差异。总之,在大体解剖学解剖课程的认知和学习成果方面,男女学生之间似乎存在细微差异。考虑到局部解剖学解剖课程背景下的性别差异,这些发现将有助于为本科医学生开发新的课程。

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