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Are We Facing the End of Gross Anatomy Teaching as We Have Known It for Centuries?

机译:我们是否正面临几个世纪以来所知道的大体解剖学教学的终结?

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摘要

The status of anatomy education in undergraduate medical education has dramatically changed over the course of the past century. From the most important and time-consuming component of the preclinical program, anatomy education has reduced in size and status, and yielded in curricular space to accommodate other disciplines and topics. Meanwhile, radiology has become more prominent, as a means to visualize anatomy, not only in clinical care but also in education. For this perspective paper, the authors, all with backgrounds in anatomy, radiology and/or medical education, conducted structured conversations with several academic colleagues with similar backgrounds, reviewed pertinent literature and analyzed the causes of the historical decline of a knowledge domain of medical education, that nevertheless is widely considered essential for medical students and graduates. After this analysis, the authors propose four ways forward. These directions include systematic peer teaching and development of anatomy education as a scholarly domain, further vertical integration with postgraduate medical education, full integration with radiology education, and capitalizing on educational technology. Schools in several industrialized countries have made steps in these directions, which can be further strengthened. In less affluent countries, and in countries with curricula strongly determined by tradition, these steps are less easy to make. To respond to changes in global health and health care, combined with the inevitable technological progress, and international mobility, we believe all schools will move in these directions, slower or faster.
机译:解剖学教育在本科医学教育中的地位在过去一个世纪中发生了巨大变化。从临床前计划中最重要和最耗时的部分开始,解剖学教育的规模和地位已经缩小,并在课程空间方面有所提高,以适应其他学科和主题。与此同时,放射学作为一种可视化解剖学的手段,不仅在临床护理中,而且在教育中也变得更加突出。在这篇透视论文中,具有解剖学、放射学和/或医学教育背景的作者与几位具有相似背景的学术同事进行了结构化的对话,回顾了相关文献并分析了医学教育知识领域历史衰落的原因,但人们普遍认为该知识领域对医学生和毕业生至关重要。在此分析之后,作者提出了四种前进方式。这些方向包括系统的同伴教学和将解剖学教育发展为学术领域,进一步与研究生医学教育垂直整合,与放射学教育完全整合,以及利用教育技术。一些工业化国家的学校已经朝着这些方向迈出了步伐,这些措施可以进一步加强。在不太富裕的国家,以及在课程设置受传统严重决定的国家,这些步骤不太容易实现。为了应对全球健康和医疗保健的变化,再加上不可避免的技术进步和国际流动性,我们相信所有学校都会朝着这些方向发展,或慢或快。

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