Vol 9, No 2 (2024)
Review article
Published online: 2024-06-28

open access

Page views 11
Article views/downloads 6
Get Citation

Connect on Social Media

Connect on Social Media

Adapting to change: a systematic review of anatomy education methods during the COVID-19 pandemic

Amr Maani1234, Adam Brachet5, Jakub Rusek1, Jacek Baj1
DOI: 10.5603/mrj.100107
Medical Research Journal 2024;9(2):215-226.

Abstract

The COVID-19 pandemic has significantly altered the dynamics of medical education, particularly in the
domain of anatomy teaching. This systematic review investigates the modifications implemented in anatomy
education during the pandemic, emphasizing the shift from traditional pedagogical methods to online and
virtual modalities. A comprehensive search across databases such as PubMed, Embase, Scopus, and
Web of Science identified 10 studies that met the inclusion criteria. These studies collectively underscore
the rapid transition to online platforms for conducting lectures, tutorials, and practical anatomy sessions.
Despite challenges related to diminished hands-on experiences and concerns about student engagement,
the integration of digital tools like virtual dissection software, 3D anatomical models, and Zoom-based
flipped classroom sessions has demonstrated potential in maintaining the continuity of anatomy education.
Notably, student feedback has highlighted both the benefits, such as flexible learning schedules, and the
drawbacks, including internet connectivity issues and reduced practical exposure. This review highlights
the need for further research to assess the long-term effectiveness of online teaching methodologies and
their impact on students’ clinical skills and professional development. Additionally, the perspectives of
both students and faculty suggest that a blended approach combining online and face-to-face instruction
could be viable path forward in post-pandemic anatomy education.

Article available in PDF format

View PDF Download PDF file

References

  1. Bao W. COVID-19 and online teaching in higher education: A case study of Peking University. Hum Behav Emerg Technol. 2020; 2(2): 113–115.
  2. Dost S, Hossain A, Shehab M, et al. Perceptions of medical students towards online teaching during the COVID-19 pandemic: a national cross-sectional survey of 2721 UK medical students. BMJ Open. 2020; 10(11): e042378.
  3. Estai M, Bunt S. Best teaching practices in anatomy education: A critical review. Annals of Anatomy - Anatomischer Anzeiger. 2016; 208: 151–157.
  4. Longhurst GJ, Stone DM, Dulohery K, et al. Strength, Weakness, Opportunity, Threat (SWOT) analysis of the adaptations to anatomical education in the United Kingdom and Republic of Ireland in response to the Covid-19 pandemic. Anat Sci Educ. 2020; 13(3): 301–311.
  5. Patra A, Asghar A, Chaudhary P, et al. Integration of innovative educational technologies in anatomy teaching: new normal in anatomy education. Surg Radiol Anat. 2022; 44(1): 25–32.
  6. Evans D, Bay B, Wilson T, et al. Going virtual to support anatomy education: a STOPGAP in the midst of the Covid‐19 pandemic. Anatomical Sciences Education. 2020; 13(3): 279–283.
  7. Potu BK, Atwa H, Nasr El-Din WA, et al. Learning anatomy before and during COVID-19 pandemic: Students' perceptions and exam performance. Morphologie. 2022; 106(354): 188–194.
  8. Maani A, Forma A, Brachet A, et al. The future of morphological science education: learning and teaching anatomy in the wake of the COVID-19 pandemic. Int J Environ Res Public Health. 2023; 20(7).
  9. Cheng X, Chan LKi, Pan SQ, et al. Gross anatomy education in china during the Covid-19 pandemic: a national survey. Anat Sci Educ. 2021; 14(1): 8–18.
  10. Harmon DJ, Attardi SM, Barremkala M, et al. An analysis of anatomy education before and during Covid-19: may-august 2020. Anat Sci Educ. 2021; 14(2): 132–147.
  11. Longhurst GJ, Stone DM, Dulohery K, et al. Strength, Weakness, Opportunity, Threat (SWOT) analysis of the adaptations to anatomical education in the United Kingdom and Republic of Ireland in response to the Covid-19 pandemic. Anat Sci Educ. 2020; 13(3): 301–311.
  12. Pather N, Blyth P, Chapman JA, et al. Forced disruption of anatomy education in Australia and New Zealand: an acute response to the Covid-19 pandemic. Anat Sci Educ. 2020; 13(3): 284–300.
  13. Yoo H, Kim D, Lee YM, et al. Adaptations in anatomy education during COVID-19. J Korean Med Sci. 2021; 36(1): e13.
  14. Cuschieri S, Calleja Agius J. Spotlight on the shift to remote anatomical teaching during Covid-19 pandemic: perspectives and experiences from the University of Malta. Anat Sci Educ. 2020; 13(6): 671–679.
  15. Sadeesh T, Prabavathy G, Ganapathy A. Evaluation of undergraduate medical students' preference to human anatomy practical assessment methodology: a comparison between online and traditional methods. Surg Radiol Anat. 2021; 43(4): 531–535.
  16. Srivastava S, Jacob J, Charles AS, et al. Emergency remote learning in anatomy during the COVID-19 pandemic: A study evaluating academic factors contributing to anxiety among first year medical students. Med J Armed Forces India. 2021; 77(Suppl 1): S90–S98.
  17. Roy H, Ray K, Saha S, et al. A Study on Students’ Perceptions for Online Zoom-app based Flipped Class Sessions on Anatomy Organised during the Lockdown Period of COVID-19 Epoch. J Clin Diagn Res. 2020; 14(6): AC01–AC04.
  18. Roy H, Ray K, Saha S, et al. Faculties' perception on anatomy teaching and assessment during the COVID-19 pandemic. J Clin Diagn Res. 2020; 14(6): AC05–AC08.
  19. Lim E, Oh V, Koh DR, et al. The Challenges of “Continuing Medical Education” in a Pandemic Era. Annals of the Academy of Medicine, Singapore. 2009; 38(8): 724–726.
  20. Lim M. Educating despite the Covid-19 outbreak: Lessons from Singapore. Times Higher Education. 2020; 20: March.
  21. McMenamin PG, McLachlan J, Wilson A, et al. Do we really need cadavers anymore to learn anatomy in undergraduate medicine? Med Teach. 2018; 40(10): 1020–1029.
  22. Mathiowetz V, Yu CH, Quake-Rapp C. Comparison of a gross anatomy laboratory to online anatomy software for teaching anatomy. Anat Sci Educ. 2016; 9(1): 52–59.
  23. Doubleday EG, O'Loughlin VD, Doubleday AF. The virtual anatomy laboratory: usability testing to improve an online learning resource for anatomy education. Anat Sci Educ. 2011; 4(6): 318–326.
  24. Attardi SM, Choi S, Barnett J, et al. Mixed methods student evaluation of an online systemic human anatomy course with laboratory. Anat Sci Educ. 2016; 9(3): 272–285.
  25. Ravi KS. Dead body management in times of covid-19 and its potential impact on the availability of cadavers for medical education in India. Anat Sci Educ. 2020; 13(3): 316–317.
  26. Trelease RB. From chalkboard, slides, and paper to e-learning: How computing technologies have transformed anatomical sciences education. Anat Sci Educ. 2016; 9(6): 583–602.
  27. Ghosh SK. Cadaveric dissection as an educational tool for anatomical sciences in the 21st century. Anat Sci Educ. 2017; 10(3): 286–299.
  28. Selcuk İ, Ulkir M, Kose C, et al. Improving the efficacy of cadaveric demonstrations for undergraduate anatomy education. Anatomy. 2019; 13(3): 200–204.
  29. Warner JH, Rizzolo LJ. Anatomical instruction and training for professionalism from the 19th to the 21st centuries. Clin Anat. 2006; 19(5): 403–414.
  30. McLachlan JC, Bligh J, Bradley P, et al. Teaching anatomy without cadavers. Med Educ. 2004; 38(4): 418–424.
  31. Gregory SR, Cole TR. MSJAMA. The changing role of dissection in medical education. JAMA. 2002; 287(9): 1180–1181.
  32. Sugand K, Abrahams P, Khurana A. The anatomy of anatomy: a review for its modernization. Anat Sci Educ. 2010; 3(2): 83–93.
  33. Smith CF, Martinez-Álvarez C, McHanwell S. The context of learning anatomy: does it make a difference? J Anat. 2014; 224(3): 270–278.
  34. Rizzolo LJ, Stewart WB. Should we continue teaching anatomy by dissection when ...? Anat Rec B New Anat. 2006; 289(6): 215–218.
  35. Smith CF, Mathias HS. Medical students' approaches to learning anatomy: students' experiences and relations to the learning environment. Clin Anat. 2010; 23(1): 106–114.
  36. Estai M, Bunt S. Best teaching practices in anatomy education: A critical review. Ann Anat. 2016; 208: 151–157.
  37. Palmer EG, Reddy RK, Laughey W. Teaching professionalism to medical students using dissection-based anatomy education: a practical guide. Med Sci Educ. 2021; 31(1): 203–213.
  38. Isaacs AN, Nisly S, Walton A. Student-generated e-learning for clinical education. Clin Teach. 2017; 14(2): 129–133.
  39. Srinivasan DK. Medical students' perceptions and an anatomy teacher's personal experience using an e-Learning platform for tutorials during the Covid-19 crisis. Anat Sci Edu. 2020; 4(2): 112–116.
  40. Motola I, Devine LA, Chung HS, et al. Simulation in healthcare education: a best evidence practical guide. AMEE Guide No. 82. Med Teach. 2013; 35(10): e1511–e1530.
  41. Baillie S, Decloedt A, Londgren MF. Designing flipped classrooms to enhance learning in the clinical skills laboratory. J Vet Med Educ. 2022; 49(6): 699–704.
  42. Shin M, Prasad A, Sabo G, et al. Anatomy education in US Medical Schools: before, during, and beyond COVID-19. BMC Med Educ. 2022; 22(1): 103.
  43. Dillenbourg P. The evolution of research on digital education. Int J Artif Intell Educ. 2016; 26(2): 544–560.
  44. Isaza-Restrepo A, Gómez MT, Cifuentes G, et al. The virtual patient as a learning tool: a mixed quantitative qualitative study. BMC Med Educ. 2018; 18(1): 297.
  45. Drake RL. A retrospective and prospective view of medical education in the United States. Anatomical Sciences Education. 2002; 35(2): 82–89.
  46. Goubar T, Larach J, Hindmarch J, et al. A pragmatic approach to effective anatomy teaching and learning to medical students: a ten-year experience using evidence-based principles. MedEdPublish (2016). 2021; 10: 147.
  47. Bolla SR, Saffar RA. Anatomy teaching in Saudi medical colleges- is there necessity of the national core syllabus of anatomy. Anat Cell Biol. 2022; 55(3): 367–372.
  48. Evans DJR, Pawlina W. Effects of Covid-19: the need to assess the real value of anatomy education. Anat Sci Educ. 2021; 14(2): 129–131.
  49. 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.
  50. Nicholson DT, Chalk C, Funnell WR, et al. Can virtual reality improve anatomy education? A randomised controlled study of a computer-generated three-dimensional anatomical ear model. Med Educ. 2006; 40(11): 1081–1087.
  51. Ganguly PK. Teaching and learning of anatomy in the 21st century: direction and the strategies. The Open Medical Education Journal. 2010; 3(1).