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从尸体到临床:通过早期整合超声技术变革一年级解剖学教育。

From Cadaver to Clinic: Transforming First-Year Anatomy Education Through Early Ultrasound Integration.

作者信息

Sehgal Garima, Aggarwal Nikhil

机构信息

Anatomy, King George's Medical University, Lucknow, IND.

Anatomy, Army College of Medical Sciences, New Delhi, IND.

出版信息

Cureus. 2025 Jun 30;17(6):e87013. doi: 10.7759/cureus.87013. eCollection 2025 Jun.

DOI:10.7759/cureus.87013
PMID:40741567
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12308449/
Abstract

Anatomy forms the foundational pillar of medical education, traditionally taught through cadaveric dissection. However, in light of evolving clinical demands and advancements in imaging technology, there is a growing need to enrich preclinical teaching methods. This article advocates for the structured integration of ultrasound into the first-year anatomy curriculum, in alignment with the National Medical Commission's competency-based framework, which emphasizes early clinical exposure and hands-on learning. While cadaveric dissection cultivates spatial orientation and tactile skills, it lacks the dynamic representation of physiological processes essential in modern diagnostic practice. Ultrasound bridges this gap by offering real-time, radiation-free visualization of living anatomy, enabling students to correlate theoretical knowledge with functional observations such as cardiac motion, vascular flow, and visceral organ activity. For students, this integration fosters improved spatial understanding, early diagnostic reasoning, and enhanced retention through experiential learning. For example, visualizing the pulsating vessels on a color Doppler or the dynamic movement of abdominal organs during sonographic sessions makes anatomical learning more engaging and clinically meaningful. Such exposure equips students with foundational skills in image acquisition and interpretation, preparing them for future clinical encounters from their formative years. For educators, ultrasound promotes active learning strategies and interdepartmental collaboration, encouraging innovation in teaching methodologies. It also complements didactic lectures and dissection sessions, creating a hybrid model that strengthens knowledge transfer and long-term retention. From a healthcare perspective, early ultrasound training helps develop clinicians who are better prepared to identify normal and pathological findings, particularly in primary care and resource-limited settings. This aligns with the vision of producing Indian medical graduates capable of serving as first-contact physicians in the community. Furthermore, literature evidence, including systematic reviews, demonstrates improved academic performance, diagnostic confidence, and clinical preparedness among students trained with ultrasound-enhanced curricula. In conclusion, incorporating ultrasound into first-year anatomy education is not merely an enhancement but a necessary evolution. It addresses limitations of traditional methods, meets regulatory mandates, and directly benefits students, educators, and the healthcare system. This integrated approach ensures medical graduates are equipped with both foundational anatomical knowledge and the clinical competencies required in contemporary practice.

摘要

解剖学是医学教育的基础支柱,传统上是通过尸体解剖来教授的。然而,鉴于临床需求的不断演变和成像技术的进步,丰富临床前教学方法的需求日益增长。本文主张将超声结构化地融入一年级解剖学课程,这与国家医学委员会基于能力的框架相一致,该框架强调早期临床接触和实践学习。虽然尸体解剖培养了空间定向和触觉技能,但它缺乏现代诊断实践中至关重要的生理过程的动态呈现。超声通过提供实时、无辐射的活体解剖可视化来弥补这一差距,使学生能够将理论知识与诸如心脏运动、血管流动和内脏器官活动等功能观察联系起来。对学生来说,这种整合通过体验式学习促进了空间理解的提高、早期诊断推理能力以及记忆力的增强。例如,在彩色多普勒上可视化搏动的血管或在超声检查期间观察腹部器官的动态运动,使解剖学学习更具吸引力且具有临床意义。这种接触使学生具备图像采集和解读的基础技能,从其形成阶段就为未来的临床接触做好准备。对教育工作者而言,超声促进了主动学习策略和跨部门合作,鼓励教学方法的创新。它还补充了理论讲座和解剖课程,创建了一种混合模式来加强知识传递和长期记忆。从医疗保健角度来看,早期超声培训有助于培养临床医生,使其更有能力识别正常和病理发现,特别是在初级保健和资源有限的环境中。这与培养能够在社区担任首诊医生的印度医学毕业生的愿景相一致。此外包括系统评价在内的文献证据表明,接受超声强化课程培训的学生在学业成绩、诊断信心和临床准备方面都有所提高。总之将超声纳入一年级解剖学教育不仅仅是一种改进,更是一种必要的演变。它解决了传统方法的局限性,符合监管要求,并直接使学生、教育工作者和医疗保健系统受益。这种综合方法确保医学毕业生具备当代实践所需的基础解剖学知识和临床能力。

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本文引用的文献

1
Point-of-Care Ultrasonography in Internal Medicine: Limitations and Pitfalls for Novice Users.内科即时超声检查:新手使用者的局限性与陷阱
Cureus. 2023 Aug 17;15(8):e43655. doi: 10.7759/cureus.43655. eCollection 2023 Aug.
2
Ultrasound Curricula in Undergraduate Medical Education: A Scoping Review.本科医学教育中的超声课程:一项范围综述
J Ultrasound Med. 2018 Jan;37(1):69-82. doi: 10.1002/jum.14333. Epub 2017 Jul 27.
3
Point-of-care ultrasonography.即时超声检查
N Engl J Med. 2011 Feb 24;364(8):749-57. doi: 10.1056/NEJMra0909487.
4
Does ultrasound training boost Year 1 medical student competence and confidence when learning abdominal examination?超声培训能否提高一年级医学生在学习腹部检查时的能力和信心?
Med Educ. 2007 Sep;41(9):843-8. doi: 10.1111/j.1365-2923.2007.02848.x. Epub 2007 Aug 13.