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解剖学教育在加强卢旺达医疗保健方面的作用。

The role of anatomy education in strengthening healthcare in Rwanda.

作者信息

Darius Benimana, Auverdin Shema, Jonathan Igiraneza Divin, Pacifique Ndayishimiye, Chifra Ishimwe Ange, Fabrice Niyibikora, Moise Tuyishime, Dieudonne Nezerwa, Salomon Izere

机构信息

Department of General Medicine and Surgery College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.

出版信息

Ann Med Surg (Lond). 2025 Apr 10;87(6):3537-3541. doi: 10.1097/MS9.0000000000003287. eCollection 2025 Jun.

DOI:10.1097/MS9.0000000000003287
PMID:40486549
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12140706/
Abstract

BACKGROUND

Anatomy education is a cornerstone in medical training, providing foundational knowledge essential for effective diagnosis, treatment, and surgical precision. Since its introduction in Rwandan medical education in 1970, significant strides have been made, including the adoption of cadaver-based learning and modern technological tools. Despite these advancements, challenges such as limited resources, high student-to-staff ratios, and insufficient engagement in anatomy learning persist, hindering optimal healthcare delivery.

OBJECTIVE

This review evaluates the role of improved anatomy education in strengthening the Rwandan healthcare system and highlights strategies for enhancing its impact.

METHODOLOGY

A narrative review approach was adopted, utilizing secondary data from peer-reviewed journals accessed through PubMed, Google Scholar, Embase, Scopus, WHO databases, and other sources. Articles published in English within the last 5 years were included to ensure relevance and accuracy.

RESULTS

Anatomy education in Rwanda has evolved significantly, with the integration of cadaver dissection, radiological anatomy, and electronic tools into medical training curricula. However, the lack of sufficient cadavers, modern teaching facilities, and resources continues to impede progress. Evidence suggests that innovative teaching strategies and mentorship can foster greater interest in surgical fields among medical students, addressing critical gaps in the healthcare workforce.

CONCLUSION

Strengthening anatomy education is pivotal to enhancing individual competencies and addressing workforce shortages in Rwanda's healthcare system. Continuous investment in resources, innovative teaching methods, and active student engagement are essential for building a skilled healthcare workforce capable of meeting the nation's health demands.

摘要

背景

解剖学教育是医学培训的基石,为有效诊断、治疗及手术精准度提供必不可少的基础知识。自1970年引入卢旺达医学教育以来,已取得显著进展,包括采用基于尸体的学习和现代技术工具。尽管有这些进步,但资源有限、学生与教职员工比例高以及解剖学学习参与度不足等挑战依然存在,阻碍了最佳医疗服务的提供。

目的

本综述评估改进解剖学教育在加强卢旺达医疗系统中的作用,并强调增强其影响力的策略。

方法

采用叙述性综述方法,利用通过PubMed、谷歌学术、Embase、Scopus、世界卫生组织数据库及其他来源获取的同行评审期刊中的二手数据。纳入过去5年内以英文发表的文章以确保相关性和准确性。

结果

卢旺达的解剖学教育有了显著发展,尸体解剖、放射解剖学和电子工具已融入医学培训课程。然而,缺乏足够的尸体、现代教学设施和资源继续阻碍进展。有证据表明,创新教学策略和指导可提高医学生对外科领域的兴趣,弥补医疗劳动力中的关键缺口。

结论

加强解剖学教育对于提高个人能力和解决卢旺达医疗系统劳动力短缺问题至关重要。持续投资于资源、创新教学方法和学生积极参与,对于建立一支能够满足国家健康需求的熟练医疗劳动力队伍至关重要。

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本文引用的文献

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Role of Living Anatomy in Medical Education: A Narrative Review.活体解剖在医学教育中的作用:叙事性综述
J Pharm Bioallied Sci. 2023 Jul;15(Suppl 2):S843-S845. doi: 10.4103/jpbs.jpbs_235_23. Epub 2023 Jul 11.
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Revolutionising health care: Exploring the latest advances in medical sciences.变革医疗保健:探索医学科学的最新进展。
J Glob Health. 2023 Aug 4;13:03042. doi: 10.7189/jogh.13.03042.
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Clinicians' and Students' Perceptions and Attitudes Regarding the Anatomical Knowledge of Medical Students.临床医生和学生对医学生解剖学知识的认知与态度
Adv Med Educ Pract. 2022 Oct 4;13:1251-1259. doi: 10.2147/AMEP.S370447. eCollection 2022.
4
Evolving anatomy education strategies for surgical residents: A scoping review.外科住院医师解剖学教育策略的发展:范围综述。
Am J Surg. 2022 Aug;224(2):681-693. doi: 10.1016/j.amjsurg.2022.02.005. Epub 2022 Feb 9.
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Perception and Attitude of Medical Students towards Cadaveric Dissection in Anatomical Science Education.医学生对解剖学教育中尸体解剖的认知和态度。
Ethiop J Health Sci. 2021 Jul;31(4):867-874. doi: 10.4314/ejhs.v31i4.22.
6
A new stage of surgical treatment: super minimally invasive surgery.外科治疗的新阶段:超微创手术。
Chin Med J (Engl). 2022 Jan 5;135(1):1-3. doi: 10.1097/CM9.0000000000001534.
7
Modernising Anatomy Teaching: Which Resources Do Students Rely On?现代化解剖学教学:学生依赖哪些资源?
J Med Educ Curric Dev. 2020 Nov 2;7:2382120520955156. doi: 10.1177/2382120520955156. eCollection 2020 Jan-Dec.
8
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Adv Med Educ Pract. 2020 Nov 3;11:825-832. doi: 10.2147/AMEP.S274298. eCollection 2020.
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Confronting the Challenges of Anatomy Education in a Competency-Based Medical Curriculum During Normal and Unprecedented Times (COVID-19 Pandemic): Pedagogical Framework Development and Implementation.在正常及特殊时期(新冠疫情期间)应对基于能力的医学课程中解剖学教育的挑战:教学框架的开发与实施
JMIR Med Educ. 2020 Oct 7;6(2):e21701. doi: 10.2196/21701.
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"Bedside Anatomy": A Tool to Contextualize Learning and Introduce Surgical Careers."床旁解剖": 一种将学习内容情境化并介绍外科职业的工具。
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