Anatomy education and clinical practice: students’ views
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Abstract
Background and objectives: This study aimed to evaluate students’ perspectives on the relevance of anatomy education to clinical practice throughout their studies at the Faculty of Medicine in Skopje.
Materials and methods: The study was designed as a cross-sectional, questionnaire-based investigation and took place at the Faculty of Medicine in Skopje at the University of “Ss Cyril and Methodius”, R. North Macedonia. The questionnaire form included demographics, five-point Likert items, and open-ended questions. Questionnaire data were collected from volunteer students participants, currently and not currently involved in anatomy education, consisting of 134 first-year and 87 fourth- and fifth-year students during March and April 2024.
Results: Junior students agreed that their anatomy education helped them achieve some important goals for clinical practice, such as adopting and applying medical terminology and the ability to visualize a three-dimensional human body map. Senior students were less convinced that the structures and concepts acquired during anatomy education were relevant to clinical practice, helped them acquire clinical knowledge and skills effectively, and understand the principles of evidence-based medicine. Both junior students and their senior colleagues disagreed that anatomy education succeeded in developing their self-confidence, teamwork, and communication skills.
Conclusions: Both groups of students had similar preferences and suggestions for redesigning anatomy courses to focus on essential elements that are functionally and clinically relevant. This can be achieved through traditional and modern teaching methods, small group work, and the establishment of learning outcomes within clinically relevant contexts.
Keywords: medical educationanatomy educationclinical practicequestionnairesurveymedical faculty
References
- Albanese MA, Mitchell S. Problem-based learning: a review of literature on its outcomes and implementation issues. Acad Med. 1993; 68(1): 52–81.
- Artino AR, La Rochelle JS, Dezee KJ, et al. Developing questionnaires for educational research: AMEE Guide No. 87. Med Teach. 2014; 36(6): 463–474.
- Bergman EM, van der Vleuten CPM, Scherpbier AJ. Why don't they know enough about anatomy? A narrative review. Med Teach. 2011; 33(5): 403–409.
- Biasutto SN, Caussa LI, Criado del Río LE. Teaching anatomy: cadavers vs. computers? Ann Anat. 2006; 188(2): 187–190.
- Braun V, Clarke V. Is thematic analysis used well in health psychology? A critical review of published research, with recommendations for quality practice and reporting. Health Psychol Rev. 2023; 17(4): 695–718.
- Davis CR, Bates AS, Ellis H, et al. Human anatomy: let the students tell us how to teach. Anat Sci Educ. 2014; 7(4): 262–272.
- Dempsey A, Hunt E, Nolan Y, et al. Healthcare students’ awareness of Universal Design for Learning (UDL) in anatomy curricula: An Irish single institution-based study. Transl Res Anat. 2024; 37: 100316.
- Estai M, Bunt S. Best teaching practices in anatomy education: a critical review. Ann Anat. 2016; 208: 151–157.
- Finucane P, Flannery D, McGrath D, et al. Demographic attributes and knowledge acquisition among graduate-entry medical students. Med Teach. 2013; 35(2): 134–138.
- Fitzgerald JEF, White MJ, Tang SW, et al. Are we teaching sufficient anatomy at medical school? The opinions of newly qualified doctors. Clin Anat. 2008; 21(7): 718–724.
- Henry BM, Tomaszewski KA, Walocha JA. Methods of evidence-based anatomy: a guide to conducting systematic reviews and meta-analysis of anatomical studies. Ann Anat. 2016; 205: 16–21.
- Hołda MK, Stefura T, Koziej M, et al. Alarming decline in recognition of anatomical structures amongst medical students and physicians. Ann Anat. 2019; 221: 48–56.
- Kalthur S, Pandey A, Prabhath S. Benefits and pitfalls of learning anatomy using the dissection module in an indian medical school: a millennial Learner's perspective. Transl Res Anat. 2022; 26: 100159.
- Khot Z, Quinlan K, Norman GR, et al. The relative effectiveness of computer-based and traditional resources for education in anatomy. Anat Sci Educ. 2013; 6(4): 211–215.
- Lazarus MD, Chinchilli VM, Leong SL, et al. Perceptions of anatomy: critical components in the clinical setting. Anat Sci Educ. 2012; 5(4): 187–199.
- Moxham BJ, Plaisant O. Perception of medical students towards the clinical relevance of anatomy. Clin Anat. 2007; 20(5): 560–564.
- Orsbon CP, Kaiser RS, Ross CF. Physician opinions about an anatomy core curriculum: a case for medical imaging and vertical integration. Anat Sci Educ. 2014; 7(4): 251–261.
- Punja R, Punja D. Enhancing the effectiveness of teaching neuroanatomy: a comparative study using stained and unstained brain sections to interpret cross sectional neuroanatomy. Transl Res Anat. 2024; 37: 100358.
- Sagoo MG, Vorstenbosch MA, Bazira PJ, et al. Online assessment of applied anatomy knowledge: the effect of images on medical students' performance. Anat Sci Educ. 2021; 14(3): 342–351.
- Sandover S, Jonas-Dwyer D, Marr T. Graduate entry and undergraduate medical students' study approaches, stress levels and ways of coping: a five year longitudinal study. BMC Med Educ. 2015; 15: 5.
- Sbayeh A, Qaedi Choo MA, Quane KA, et al. Relevance of anatomy to medical education and clinical practice: perspectives of medical students, clinicians, and educators. Perspect Med Educ. 2016; 5(6): 338–346.
- Smith CF, Mathias HS. What impact does anatomy education have on clinical practice? Clin Anat. 2011; 24(1): 113–119.
- Stringer MD, Nicholson HD. Modern approaches to teaching and learning anatomy: modern models are already being applied. BMJ. 2008; 337: a1966.
- Tam MD, Hart AR, Williams SM, et al. Evaluation of a computer program ('disect') to consolidate anatomy knowledge: a randomised-controlled trial. Med Teach. 2010; 32(3): e138–e142.
- Tio RA, Schutte B, Meiboom AA, et al. Dutch Working Group of the Interuniversity Progress Test of Medicine. The progress test of medicine: the Dutch experience. Perspect Med Educ. 2016; 5(1): 51–55.
- Turney BW. Anatomy in a modern medical curriculum. Ann R Coll Surg Engl. 2007; 89(2): 104–107.
- Vorstenbosch MA, Klaassen TP, Kooloos JGM, et al. Do images influence assessment in anatomy? Exploring the effect of images on item difficulty and item discrimination. Anat Sci Educ. 2013; 6(1): 29–41.
- Zhang Y, Ji Z, Zhou P, et al. Clinical anatomy teaching: a promising strategy for anatomic education. Heliyon. 2023; 9(3): e13891.
