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Kim DH, Bae JH. Perceptions of Clinical Dentists on the Content and Methods of Gross Anatomy Education in Dentistry. Clin Anat 2025; 38:480-495. [PMID: 40055147 DOI: 10.1002/ca.24265] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2024] [Revised: 01/12/2025] [Accepted: 02/04/2025] [Indexed: 04/19/2025]
Abstract
Gross anatomy deals with the structure of the human body, and knowledge in this field is essential for dental staff so they can examine, diagnose, and treat patients accurately. In this study, clinical dentists were surveyed to obtain their opinions on the content and methods of gross anatomy education required for prospective dental staff and to identify differences in their perceptions in relation to their general characteristics. The study ultimately enrolled and analyzed 182 participants. The content of gross anatomy education was first divided into the whole body and the head and neck, each region being subdivided into local body parts (14 items) and detailed anatomical structures (22 items). The questions relating to gross anatomy education methods consisted of eight detailed items. Each item was quantified using a 5-point Likert scale. When the clinical dentists' opinions on the degree to which anatomy knowledge by body parts is necessary for work performance were assessed, the head received the highest score among the 14 parts (4.73 ± 0.58). In the head and neck region, the temporomandibular joint received the highest score (4.83 ± 0.55). Among gross anatomy education methods, practice using medical images such as radiographs received the highest score (4.52 ± 0.62). These results can help trainers select the content and methods of gross anatomy education needed for future dental clinical workers, strengthening their capabilities by providing knowledge that will be practically helpful in clinical work.
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Affiliation(s)
- Da-Hye Kim
- Department of Dental Hygiene, College of Bio-Health Convergence, Dongseo University, Busan, South Korea
| | - Jung-Hee Bae
- Department of Dental Hygiene, College of Health and Health Care, Namseoul University, Cheonan, South Korea
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2
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Syed Abd Halim SA, Yusoff MSB, Yaman MN, Roslan NS, Tengku Muda TFM, Ramli RR, Kadir F, Hadie SNH. Elements of Core Anatomy Competency in a Preclinical Undergraduate Medical Program: A Best Evidence in Medical Education (BEME) Scoping Review: BEME Review No. 92. MEDICAL TEACHER 2025:1-20. [PMID: 40167130 DOI: 10.1080/0142159x.2025.2478876] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/09/2024] [Accepted: 03/10/2025] [Indexed: 04/02/2025]
Abstract
PURPOSE Acquiring comprehensive anatomy-related competencies is essential for safe clinical practice, yet evidence on defining core competencies remains limited. This scoping review systematically maps the essential elements of anatomy-related competencies for safe clinical practice, retrieved from published literature, to be adapted into the preclinical undergraduate medical curriculum. METHOD Addressing the research question-What constitutes the core elements of anatomy-related competency for safe clinical practice in preclinical undergraduate medical curricula?-the review adhered to the Joanna Briggs Institute scoping review framework. Employing a rigorous three-step search strategy across three electronic databases (EBSCOhost, PubMed, Google Scholar, and Scopus), two independent reviewers screened abstracts and full-text studies for inclusion. Extracted data encompassed bibliographic details, study characteristics, and potential elements of anatomy competency, analyzed using a tool developed iteratively by the research team. RESULTS The identified competency elements were classified into five domains: cognitive, psychomotor, affective, professional behavior, and personal skill competencies. Within each domain, subdomains elucidate specific elements crucial for students to master for proficiency in anatomy. CONCLUSIONS This review outlines essential anatomy competencies for safe clinical practice, categorizing them into domains and subdomains to strengthen the curriculum. It also provides educators with key competencies for seamless integration into teaching, enhancing anatomy education.
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Affiliation(s)
- Syarifah Aisyah Syed Abd Halim
- Department of Medical Education, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia
- Department of Anatomy, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Cheras, Malaysia
| | - Muhamad Saiful Bahri Yusoff
- Department of Medical Education, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia
| | - Mohamad Nurman Yaman
- Department of Medical Education, Faculty of Medicine, Universiti Kebangsaan Malaysia, Kuala Lumpur, Cheras, Malaysia
| | - Nurhanis Syazni Roslan
- Department of Medical Education, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia
| | - Tg Fatimah Murniwati Tengku Muda
- Anatomy Unit, School of Basic Medical Sciences, Faculty of Medicine, Universiti Sultan Zainal Abidin, Medical Campus, Kuala Terengganu, Terengganu, Malaysia
| | - Ramiza Ramza Ramli
- Department of Otorhinolaryngology, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia
| | - Fairrul Kadir
- Department of Emergency Department, Faculty of Medicine and Health Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
| | - Siti Nurma Hanim Hadie
- Department of Anatomy, School of Medical Sciences, Health Campus, Universiti Sains Malaysia, Kota Bharu, Kelantan, Malaysia
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Karaca Bozdağ Z, Çandır BN, Macunluoğlu AC, Gürses İA. Is dissection or prosection equal in dental anatomy education? Clin Anat 2025; 38:324-333. [PMID: 39558872 DOI: 10.1002/ca.24239] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2024] [Revised: 08/16/2024] [Accepted: 10/17/2024] [Indexed: 11/20/2024]
Abstract
This study aimed to investigate the learning outcomes and opinions about dissection and prosection methods among second-year dental students. Twenty-one dental students participated in the study. Two topographic subjects were selected from the head and neck region. Theoretical and practical pre-tests for the first subject were presented. After the theoretical lecture, the students were randomly divided into dissection and prosection groups and a practical lesson was presented. A post-test was then applied. On another day, the same steps were repeated for the second topographic topic, reversing the practice groups. A feedback questionnaire was supplied to the students at the end of the study. The questions in the first part of the feedback survey were scored using a 5-point Likert scale, and the open-ended questions in the second part were scored by creating a six-step latent thematic analysis - main themes and sub-themes. Post-test scores were higher in both subjects (p < 0.001). While there was no difference between the pre- and post-test student scores on practical questions in the first subject, the post-test practical scores were higher in the second subject (p = 0.044). There was no significant difference between the dissection and prosection groups for either subject (p > 0.05). Most of the students (n = 18, 85.71%) stated that both methods were necessary for anatomy education. Some of them (n = 12, 57.41%) found prosection more useful and some (n = 5, 23.81%) found dissection more useful. In response to the answers to the open-ended questions, four main themes were created and the results related to these main themes were collected in sub-themes. This study shows that the preferred method of cadaveric education, whether dissection or prosection, has a positive effect on both students' emotions and learning outcomes. Institutions can use both methods in a balanced way when designing anatomy curricula in dental schools.
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Affiliation(s)
- Zekiye Karaca Bozdağ
- Department of Anatomy, Faculty of Medicine, Istanbul YeniYuzyil University, Istanbul, Turkey
| | - Buse Naz Çandır
- Department of Anatomy, Faculty of Medicine, Istanbul YeniYuzyil University, Istanbul, Turkey
| | - Aslı Ceren Macunluoğlu
- Department of Biostatistics, Institute of Health Sciences, Uludag University, Bursa, Turkey
| | - İlke Ali Gürses
- Department of Anatomy, School of Medicine, Koç University, Istanbul, Turkey
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Field J, Vital S, Dixon J, Murphy D, Davies J. The Graduating European Dentist Curriculum Framework: A 7-Year Review. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2025; 29:155-161. [PMID: 39563643 PMCID: PMC11729984 DOI: 10.1111/eje.13058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/17/2024] [Revised: 10/21/2024] [Accepted: 11/07/2024] [Indexed: 11/21/2024]
Affiliation(s)
| | - Sibylle Vital
- UFR Odontology, AP‐HPUniversite Paris CiteParisFrance
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Crowther GJ, VanHeel VL, Gradwell SD, Self CJ, Rompolski KL. General skills amidst the details: alternative learning objectives and a framework of competencies for human anatomy. ADVANCES IN PHYSIOLOGY EDUCATION 2024; 48:799-807. [PMID: 39143901 PMCID: PMC11684873 DOI: 10.1152/advan.00076.2024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/03/2024] [Revised: 07/01/2024] [Accepted: 08/13/2024] [Indexed: 08/16/2024]
Abstract
The field of anatomy is often seen by nonanatomists as concerned primarily with the tasks of locating, naming, and describing structures; these tasks, in turn, are often assumed to require only lower-order cognitive skills (LOCSs), i.e., the Knowledge or Comprehension levels of Bloom's taxonomy. Many nonanatomists may thus believe that studying anatomy does not develop transferable higher-order cognitive skills. Published lists of anatomy learning objectives (LOs) might reinforce this view by focusing attention on numerous details of specific structures and regions. To explore this issue further, we have analyzed the structure of published peer-reviewed LOs by characterizing their organization (single-tiered or multi-tiered), inclusion of function, use of action verbs, and dependence on or independence of context. Our results suggest that previously published LO lists, despite their value, may not fully showcase opportunities for students to develop higher-order skills. In the hope of stimulating further discussion and scholarship, we present here a two-tiered framework of human anatomy competencies, i.e., generalizable skills beyond straightforward recognition and memorization. This framework, which is intended to be both student-facing and faculty-facing, illustrates how anatomy courses may be reframed as opportunities to think critically and develop sophisticated, professionally relevant skills.NEW & NOTEWORTHY Although skilled anatomists know that anatomy is much more than memorization, nonanatomists are often unsure how to emphasize general skills and problem-solving in their teaching of the subject. Here we show how a multi-tiered approach to defining and assessing learning objectives (LOs) can reframe anatomy courses as more than long lists of structures to remember.
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Affiliation(s)
- Gregory J Crowther
- Life Sciences Department, Everett Community College, Everett, Washington, United States
- Division of Biological Sciences, University of Washington Bothell, Bothell, Washington, United States
| | - Victoria L VanHeel
- Life Sciences Department, Everett Community College, Everett, Washington, United States
| | - Sasha D Gradwell
- Life Sciences Department, Everett Community College, Everett, Washington, United States
| | - Casey J Self
- Department of Biology, University of Washington, Seattle, Washington, United States
| | - Krista L Rompolski
- School of Rehabilitation Sciences, Moravian University, Bethlehem, Pennsylvania, United States
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Finn GM. Bygone binaries: Considering inclusion in anatomy education. J Anat 2024; 245:512-513. [PMID: 38837754 PMCID: PMC11306757 DOI: 10.1111/joa.14059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/24/2024] [Accepted: 04/24/2024] [Indexed: 06/07/2024] Open
Affiliation(s)
- Gabrielle M Finn
- School of Medical Sciences, University of Manchester, Manchester, UK
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Iqbal A, Zhao Z, van Klaveren W, Elbashir M, Moxon A, Houghton J, Kerss J, Jones N, Marino KR, Power J, Roberts H, Cooke R, Astill S, Nykjaer C, Vishnubala D. Creating a postgraduate syllabus for a team care diploma examination: a Delphi study. BMJ Open Sport Exerc Med 2024; 10:e002008. [PMID: 39286317 PMCID: PMC11404180 DOI: 10.1136/bmjsem-2024-002008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/11/2024] [Indexed: 09/19/2024] Open
Abstract
Objectives There is no agreed standard assessment of the minimum knowledge and skills that are required to provide healthcare to participants in individual or team sports. This study aims to develop a syllabus for the Faculty of Sport and Exercise Medicine (FSEM) Team Care Diploma examination. This will provide a recognised assessment of the minimum required skills and knowledge for healthcare professionals providing care in an individual and team sport environment. Methods A modified Delphi approach was used. A syllabus was developed by a purposeful selection of members of the FSEM, all of whom have significant team care experience. This was then reviewed by the Delphi expert panel who were team care practitioners with at least 5 years of experience. A two-round Delphi approach was used to develop a consensus. Results The expert panel consisted of 50 individuals, with 46 (92%) completing both rounds. Of the 447 learning objectives (LOs) proposed; 430 (96%) were accepted outright, 17 (4%) were rejected and four new LOs were introduced based on expert panel feedback. The final syllabus contained 434 LOs across 6 modules (clinical governance, safe and effective practice, interdisciplinary teamwork, specific athlete groups, specific health conditions and duties of the medical team). Conclusion This standardised syllabus will be used as the basis for the new FSEM Team Care Diploma examination which will aim to provide world-leading standardised assessment of the minimum skills and knowledge required for healthcare professionals across the multidisciplinary team providing care in individual and team sport.
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Affiliation(s)
- Adil Iqbal
- University of Leeds Faculty of Biological Sciences, Leeds, UK
| | - Zhi Zhao
- University of Leeds Faculty of Biological Sciences, Leeds, UK
| | | | | | - Adam Moxon
- Healthcare Professionals Education Unit, Hull York Medical School, Hull, UK
| | - Jonathan Houghton
- Faculty of Sport And Exercise Medicine, Edinburgh, UK
- Fortius Clinic, London, UK
| | - Jim Kerss
- Faculty of Sport And Exercise Medicine, Edinburgh, UK
- UK Sports Institute, Manchester, UK
| | - Natasha Jones
- Faculty of Sport And Exercise Medicine, Edinburgh, UK
- British Association of Sport and Exercise Medicine, Doncaster, UK
| | - Katherine Rose Marino
- British Association of Sport and Exercise Medicine, Doncaster, UK
- Keele University, Newcastle-under-Lyme, UK
| | - Jonathan Power
- University of Leeds Faculty of Biological Sciences, Leeds, UK
- Yorkshire Sports Medicine Clinic, York, UK
| | | | | | - Sarah Astill
- University of Leeds Faculty of Biological Sciences, Leeds, UK
| | - Camilla Nykjaer
- University of Leeds Faculty of Biological Sciences, Leeds, UK
| | - Dane Vishnubala
- University of Leeds Faculty of Biological Sciences, Leeds, UK
- University of Derby College of Science and Engineering, Derby, UK
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Buhlheller G, Steinborn A, Brunk I. Evaluation of the (clinical) relevance of gross anatomical teaching for dental students and practicing oral surgeons in Berlin. Ann Anat 2024; 254:152237. [PMID: 38417483 DOI: 10.1016/j.aanat.2024.152237] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2023] [Revised: 02/06/2024] [Accepted: 02/20/2024] [Indexed: 03/01/2024]
Abstract
Knowledge of human anatomy is an important scientific basis for every dentist, and the adequacy of its provision by anatomy faculties is therefore constantly being adapted. Students' motivation to comprehend knowledge is a fundamental prerequisite and has been shown to increase when the relevance of the subject is clear. This study examines dental students' perceptions of the relevance of the anatomy curriculum, with particular reference to clinical practice and the dissection course, in conjunction with the perceptions of surgically specialized dentists. The distinctions between the participating groups concerning their perceived relevance are being discussed particularly regarding their applicability to improve the anatomical education of dental students. The overall aim is to find and highlight aspects of the clinical use of anatomical knowledge towards students, which they are unable to apprehend yet. A questionnaire consisting of information on demographics and professional competence as well as a Likert-style section was administered to dental students at Charité Universitätsmedizin in 2019/2020 (n = 322, 84.96%) and a modified version with congruent questions was administered retrospectively to oral surgeons practicing in Berlin in 2020 (n = 81, 63.3%). A Wilcoxon rank-sum test was used to examine differences in responses between the cohorts. Demographic data and professional competence were correlated with the participants' ratings of the given statements using Spearman's rank correlation coefficient. Both groups of respondents expressed a high level of appreciation of the overall relevance of anatomical knowledge, valued the teaching of all human anatomy for dental education, and recognized the relevance of anatomical knowledge for clinical practice. The importance of the dissection course was also rated relatively high by both groups of respondents. The overall appreciation of anatomical knowledge was more prevalent among oral surgeons. There were few correlations between demographics in our findings, showing slightly higher motivation in female students and a growing appreciation of anatomical knowledge as students qualification progressed. The demographics and post-qualification experience of the participating oral surgeons did not influence their perceptions. The results of this survey suggest that there is potential to increase the motivation of dental students to learn anatomy by emphasizing clinical relevance, as perceived by experienced practitioners, during the anatomy curriculum.
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Affiliation(s)
- Gerald Buhlheller
- Institut für Integrative Neuroanatomie, Charité-Universitätsmedizin Berlin, Berlin, Germany
| | - Anna Steinborn
- Institut für Integrative Neuroanatomie, Charité-Universitätsmedizin Berlin, Berlin, Germany.
| | - Irene Brunk
- Institut für Integrative Neuroanatomie, Charité-Universitätsmedizin Berlin, Berlin, Germany
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Patera E, Khamuani MP. Animated PowerPoint Videos: An Underutilized Anatomy Educational Tool? MEDICAL SCIENCE EDUCATOR 2024; 34:477-483. [PMID: 38686152 PMCID: PMC11055829 DOI: 10.1007/s40670-024-02007-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 02/14/2024] [Indexed: 05/02/2024]
Abstract
The subject of anatomy is an integral component of medical and dental education which are constantly evolving. Hence, educators continuously attempt to take advantage of technological advancements to create resources that will improve students' higher cognitive skills. This article describes the creation of an e-learning resource in the form of an animated PowerPoint video that was designed based on evidence-based principles and educational theories to introduce the concept of tooth anatomy. Additionally, it outlines how this resource can be potentially integrated into a broader educational system as well as encourage anatomy and medical educators to use less complex technological equipment to create accessible educational resources.
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Affiliation(s)
- Eleni Patera
- Section of Anatomy, St George’s University of London, London, UK
| | - Munesh Pal Khamuani
- Postgraduate Program in Medical Education, University of Nottingham, Queen’s Medical Centre, Nottingham, UK
- School of Medicine, Faculty of Health Sciences and Wellbeing, University of Sunderland, Sunderland, UK
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Gummery E, Singh M, Channon SB. Establishing a veterinary anatomy core syllabus through a modified Delphi process. J Anat 2024; 244:184-201. [PMID: 37664883 PMCID: PMC10734647 DOI: 10.1111/joa.13948] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2023] [Revised: 08/09/2023] [Accepted: 08/11/2023] [Indexed: 09/05/2023] Open
Abstract
Anatomy forms a key component of veterinary curricula, but, in the context of an evolving profession, curricula are adapting and changing accordingly. There is a lack of guidance for educators regarding the levels of anatomical knowledge required for a graduate to be considered safe or competent. A formal review of veterinary anatomy learning outcomes (LOs) is therefore timely to support curriculum development in this rapidly evolving field. This study aimed to create a set of LOs which reflect the recommended core requirements for a new graduate veterinarian. A consensus approach using a modified Delphi method was used. The Delphi panel consisted of 23 experienced and active veterinary anatomy educators from veterinary schools within the UK and Ireland. The process had four stages: (1) Research team review, pre-screening and modification of a list of existing LOs (adapted from the Core Regional Anatomy Syllabus) which then formed the initial set of outcomes sent for review; (2) Delphi Round 1; (3) Delphi Round 2; (4) Post-Delphi final screening and review. Qualitative data outlining the rationale for modification and rejection of LOs were analysed via content analysis. 167 LOs were initially presented to the Delphi panel in Round 1. 64 of those were accepted, 79 recommended for modification and 23 rejected. 122 LOs were presented to the Delphi panel in Round 2. Of these, 86 outcomes were accepted, 10 modified and 26 rejected. 160 LOs were ultimately accepted and form the Veterinary Anatomy Core Syllabus. Key themes arising from analysis include the removal of unnecessary detail and increased focus on the relevance of competencies required of a new veterinary graduate. The syllabus presented may be used by curriculum planners, teachers and students within veterinary education worldwide.
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Affiliation(s)
- Erica Gummery
- School of Veterinary Medicine and ScienceUniversity of NottinghamSutton BonningtonUK
| | - Miren Singh
- Department of Comparative Biomedical SciencesRoyal Veterinary College, University of LondonLondonUK
| | - Sarah B. Channon
- Department of Comparative Biomedical SciencesRoyal Veterinary College, University of LondonLondonUK
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11
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Hira S, Dahl EJ, Maharjan K, Geisler JH. Further assessment of the clinical relevance of anatomical structures through PubMed and other measures. Clin Anat 2023; 36:1027-1039. [PMID: 37477195 DOI: 10.1002/ca.24095] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2023] [Accepted: 07/06/2023] [Indexed: 07/22/2023]
Abstract
A previous paper has demonstrated a statistically significant moderate correlation between the number of citations obtained from PubMed and a Delphi study for 251 anatomical structures of the Head and Neck region, suggesting that clinical significance is a major driver of research involving anatomical structures. This raises the possibility that these ranks could be an objective measure of clinical relevance of individual anatomical structures. In the present study, we revisited the rankings of the PubMed results from the previous paper and compared it with a Delphi study for 450 musculoskeletal structures. PubMed ranks were derived using different search parameters; a PubMed search with quotations yielded a moderate, statistically significant correlation coefficient of 0.639 with the musculoskeletal dataset. Additionally, we developed a Python tool, PDF Term Search, to calculate the frequency of anatomical terms in four authoritative textbooks, and these frequencies exhibited moderate significant correlations ranging (0.549-0.646) with our PubMed-derived ranks. We further explored strategies to improve the accuracy of our PubMed results by addressing limitations identified in the previous paper. We refined the syntax of search queries for 500 anatomical structures, resulting in marked improvement in the correlation coefficients with the musculoskeletal dataset, demonstrating clear avenues for future iterations of PubMed-derived ranks. We also created a spreadsheet of 2181 anatomical structures ranked using PubMed, published Delphi studies, and authoritative texts, providing a resource for anatomical educators who are adjusting their curricula to better train future healthcare practitioners.
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Affiliation(s)
- Sarika Hira
- New York Institute of Technology College of Osteopathic Medicine, Old Westbury, New York, USA
| | - Eric J Dahl
- New York Institute of Technology College of Osteopathic Medicine, Old Westbury, New York, USA
| | - Kasmika Maharjan
- New York Institute of Technology College of Osteopathic Medicine, Old Westbury, New York, USA
| | - Jonathan H Geisler
- New York Institute of Technology College of Osteopathic Medicine, Old Westbury, New York, USA
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12
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Cui D, Moxham BJ. A core syllabus for histology within the medical curriculum - The cardiovascular and lymphoid systems, the respiratory and digestive systems, and the integument. Clin Anat 2023; 36:915-925. [PMID: 37194679 DOI: 10.1002/ca.24063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2023] [Revised: 05/05/2023] [Accepted: 05/06/2023] [Indexed: 05/18/2023]
Abstract
Medical courses worldwide are undergoing significant curricular changes, including the teaching and learning of histology. In order to set international standards for the anatomical sciences, the International Federation of Associations of Anatomists (IFAA) is developing core anatomical syllabuses by means of Delphi panels. Already published is a core syllabus for the teaching of the cell and the basic tissues within medicine. Here, we record the deliberations of an IFAA Delphi panel commissioned to develop core subject matter for the teaching within a medical histology course of the cardiovascular and lymphatic circulatory system, the lymphoid, respiratory, and digestive systems, and the integument. The Delphi panel was comprised of academics from multiple countries who were required to review relevant histological topics/items by evaluating each topic as being either "Essential," "Important," "Acceptable," or "Not required." Topics that were rated by over 60% of the panelists as being "Essential" are reported in this paper as being core topics for the teaching of medical histology. Also reported are topics that, while not reaching the threshold for being designated as core material, may be recommended or not required within the curriculum.
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Affiliation(s)
- Dongmei Cui
- Department of Neurobiology & Anatomical Sciences, University of Mississippi Medical Center, Jackson, Mississippi, USA
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13
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Field J, Dixon J, Davies J, Quinn B, Murphy D, Vital S, Paganelli C, Akota I, Gerber G, Roger-Leroi V, Manzanares-Cespedes MC, Tubert-Jeannin S. O-Health-Edu: A vision for oral health professional education in Europe. EUROPEAN JOURNAL OF DENTAL EDUCATION : OFFICIAL JOURNAL OF THE ASSOCIATION FOR DENTAL EDUCATION IN EUROPE 2023; 27:382-387. [PMID: 35661367 DOI: 10.1111/eje.12819] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/08/2022] [Revised: 05/03/2022] [Accepted: 05/09/2022] [Indexed: 06/15/2023]
Abstract
This consensus paper reports on the process of developing a renewed vision for Oral Health Professional (OHP) education across Europe, and forms part of a larger EU-funded collaborative Erasmus+ project, "O-Health-Edu." The vision aligns with the World Health Organisation milestones (2016) and resolutions (2021), and EU4Health programme (2020) objectives - and projects 20 years into the future, to 2040. This longitudinal vision takes a multi-stakeholder perspective to deliver OHP education that acts in the best interests of both students and patients, and sits within the context of a wider strategy for general health. Included, it is an infographic to help communicate the vision to various stakeholders of OHP education.
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Affiliation(s)
| | | | | | | | - Denis Murphy
- Association for Dental Education in Europe, Dublin, Ireland
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14
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Gangata H, Porter S, Artz N, Major K. A proposed anatomy syllabus for entry-level physiotherapists in the United Kingdom: A modified Delphi methodology by physiotherapists who teach anatomy. Clin Anat 2023; 36:503-526. [PMID: 36601718 DOI: 10.1002/ca.24001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2021] [Revised: 11/24/2022] [Accepted: 12/23/2022] [Indexed: 01/06/2023]
Abstract
The ever-increasing scope of physiotherapy practice is raising questions on what anatomical knowledge and skills ought to be taught within qualifying physiotherapy degree programmes in the United Kingdom (UK). The aim of the study was to create core anatomical knowledge and skills learning objectives to inform knowledge and skills for entry-level physiotherapists in the UK. A two phased modified Delphi methodology created a consensual anatomy curriculum. A Research-Team-Expert-Panel of four physiotherapists who teach anatomy proposed Anatomy Learning Objectives (Anat-LOs) and accompanying clinical rationales relevant for newly qualified entry-level physiotherapists. A Teacher-Expert-Panel of nine physiotherapists who taught anatomy to physiotherapy students in the UK reviewed Anat-LOs in two consecutive Delphi Rounds, and rated and commented on each Anat-LO. After each Delphi Round, the Research-Team-Expert-Panel reviewed the ratings and comments from the Teacher-Expert-Panel and banked Anat-LOs that passed the 85% acceptance threshold. There were 182 banked Anat-LOs that spanned all eight areas: Introductory Concepts, Principles and Basic Histology; Head and Neck; Thorax; Abdomen, Pelvis and Perineum; Upper Limb; Lower Limb; Spine; and Neuroanatomy regions/systems. The Anat-LOs develop both anatomical knowledge and key anatomical skills, such as palpation and conducting manual tests on model patients. A first ever core anatomy curriculum for entry-level physiotherapists has been created for entry-level physiotherapists, typically Band-5 NHS physiotherapists, and takes an integrated learning approach. The anatomy curriculum brings clarity to students, teachers, clinical supervisors and future employers on the expected anatomical standards for entry-level physiotherapists.
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Affiliation(s)
- Hope Gangata
- Faculty of Health and Life Sciences, University of Exeter, Exeter, UK
| | - Stuart Porter
- School of Health and Society, University of Salford, Manchester, UK
| | - Neil Artz
- School of Health and Social Care, University of Gloucestershire, Gloucester, UK
| | - Kim Major
- School of Allied Health Professions, Keele University, Keele, UK
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15
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Woodley SJ, Green RA, Webb AL. A core musculoskeletal anatomy syllabus for undergraduate physical therapy student education. Clin Anat 2023; 36:190-223. [PMID: 36177764 DOI: 10.1002/ca.23953] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2022] [Revised: 09/08/2022] [Accepted: 09/17/2022] [Indexed: 11/09/2022]
Abstract
Knowledge of musculoskeletal anatomy is fundamental to physical therapy education. Although detailed anatomy syllabi have been developed for medical and other health professional students, none are available for training physical therapists. Therefore, the aim of this project was to produce a core musculoskeletal anatomy syllabus specific to physical therapy students, utilizing a modified Delphi approach. An international Delphi panel (n = 53) composed of anatomists and clinicians involved in physical therapy education considered a total of 2193 anatomical items arranged in four categories (musculoskeletal concepts; vertebral column; pectoral girdle and upper limb; pelvic girdle and lower limb). Using specific criteria, items were rated on the basis of whether they were considered essential knowledge for a competent physical therapy student, and were categorized as core, recommended, not recommended or not core. Of the 2193 items, 1700 (77.5%) were rated as core or recommended. For musculoskeletal concepts, 70% (233/332) of items were categorized as core/recommended. Approximately 80% of items in the other three categories were considered core/recommended-vertebral column (355/440), pectoral girdle and upper limb (513/657), and pelvic girdle and lower limb (599/764). This project presents a detailed musculoskeletal anatomy syllabus which may be used within a physical therapy curriculum. A key difference compared to published musculoskeletal anatomy syllabi for medical students is that a greater number of items are considered core/recommended (approximately 80% vs. 50%). These findings will now be considered and deliberated in accordance with the International Federation of Associations of Anatomists modified Delphi approach.
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Affiliation(s)
- Stephanie J Woodley
- Department of Anatomy, School of Biomedical Sciences, University of Otago, Dunedin, New Zealand
| | - Rodney A Green
- La Trobe Rural Health School, La Trobe University, Bendigo, Australia
| | - Alexandra L Webb
- Medical School, College of Health and Medicine, Australian National University, Canberra, Australia
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16
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Dahl EJ, Hira S, Geisler JH. Quantifying research on anatomical structures, a potential new metric for assessing clinical relevance. Clin Anat 2023; 36:92-101. [PMID: 35832011 DOI: 10.1002/ca.23930] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Revised: 07/07/2022] [Accepted: 07/07/2022] [Indexed: 12/14/2022]
Abstract
Human anatomy remains an integral part of medical education, and recent studies have documented an emerging consensus on the key anatomical learning objectives for physicians and other health professionals in training, both at the graduate and postgraduate levels. Despite this progress, less attention has been given to assessing the clinical relevance of individual anatomical structures, and which structures students should master to achieve these learning objectives. In this study we hypothesized that published research involving individual anatomical structures is largely driven by the clinical relevance of these structures, and that tabulating the number of such publications can provide an up-to-date, evolving metric of clinical relevance. To test this hypothesis, we developed a semi-automated search routine that uses the PubMed database to quantify the publication frequency of anatomical structures and compared that to a previous study that assessed the importance of structures of the head and neck using the Delphi method, a formal procedure of generating expert consensus. Using our new approach, we were able to rank the research intensity of 2182 anatomical structures included in Grant's Dissector, a widely used textbook for anatomical dissection. Furthermore, a sample of these PubMed-derived ranks had a highly significant, positive correlation with ranks derived from a consensus of experts. Similar results were obtained when PubMed searches were restricted to journals that focus on applying knowledge in a clinical setting. Our study provides a potential new tool for anatomical educators who are aligning their basic science curricula with the clinical knowledge expected of medical graduates.
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Affiliation(s)
- Eric J Dahl
- New York Institute of Technology College of Osteopathic Medicine, Northern Boulevard, Old Westbury, New York, USA
| | - Sarika Hira
- New York Institute of Technology College of Osteopathic Medicine, Northern Boulevard, Old Westbury, New York, USA
| | - Jonathan H Geisler
- New York Institute of Technology College of Osteopathic Medicine, Northern Boulevard, Old Westbury, New York, USA
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17
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Tsai PF, Han DY. Exploring factors influencing dental students’ negative emotions during a gross anatomy laboratory in Taiwan. J Dent Sci 2022; 18:681-688. [PMID: 37021266 PMCID: PMC10068364 DOI: 10.1016/j.jds.2022.10.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2022] [Revised: 10/11/2022] [Indexed: 11/08/2022] Open
Abstract
Background/purpose Negative emotions of medical students during a gross anatomy laboratory are documented in the field of medical education, but those of dental students are relatively less reported in the literature. The purpose of the present study was to explore negative emotions of dental students during the gross anatomy laboratory and possible influential factors. Materials and methods Basic demographic variables, gross anatomy learning attitudes, and/or life attitudes were collected at five time points among year 2 dental students (n = 49) at a medical university in northern Taiwan. Multi-hierarchical regression analyses were executed to explore possible factors that led to negative emotions. Results Students who were older, had more-positive attitudes towards life, and had more-positive attitudes towards the anatomy laboratory tended to have weaker negative emotions when they first faced the cadavers. Having a tendency to care about and help people and having a grateful attitude also significantly predicted weaker negative emotions at the middle and end of the semester, respectively. Conclusion Negative emotions of younger dental students who first encounter a cadaver should be of concern. Striving to improve students' positive attitudes toward life, positive attitudes toward the gross anatomy laboratory, willingness to care about and help people, and an overall grateful attitude may help reduce negative emotions during the gross anatomy laboratory. At an institutional level, integrating educational activities that reduce negative emotions toward cadavers by dental students is highly recommended.
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Affiliation(s)
- Po-Fang Tsai
- Graduate Institute of Humanities in Medicine, College of Humanities and Social Sciences, Taipei Medical University, Taipei, Taiwan
- Department of Education and Humanities in Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
| | - Der-Yan Han
- Department of Education and Humanities in Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan
- Section of Liberal Arts, Center for General Education, Taipei Medical University, Taipei, Taiwan
- Corresponding author. Section of Liberal Arts, Center for General Education, Taipei Medical University, 250 Wu-Xing St., Xinyi District, Taipei 11031, Taiwan.
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18
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BSc RG, Štrkalj G, Prvan T, Pather N. Musculoskeletal anatomy core syllabus for Australian chiropractic programs: A pilot study. THE JOURNAL OF CHIROPRACTIC EDUCATION 2022; 36:117-123. [PMID: 35561322 PMCID: PMC9536235 DOI: 10.7899/jce-21-18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/03/2021] [Revised: 06/29/2021] [Accepted: 09/13/2021] [Indexed: 06/15/2023]
Abstract
OBJECTIVE The aim of this study is to conduct a pilot survey to determine core anatomy content for chiropractic curriculum based on the perception of chiropractors and anatomy educators involved in teaching in an Australian chiropractic program. METHODS A survey of anatomical structures previously used in a medical survey, with similar criteria for synthesizing responses, was used and classified according to whether the respondents rated an item as essential, important, acceptable, or not required in a chiropractic program. The item was scored as core if ≥60% of respondents rated it essential, recommended if 30%-59% rated it essential, not recommended if 20%-29% rated it essential, or not core if <20% rated it essential. RESULTS The respondents rated 81.6% of all musculoskeletal concepts as core and 18.4% as recommended, 88.8% of the vertebral column items as core, and 11.2% of the items as recommended, 69.4% upper limb and pectoral girdle items as core, 23.7% of items as recommended, 5.5% as not recommended and 1.3% as not core items for inclusion, 85.3% of all lower limb and pelvic girdle items as core, 14.4% as recommended and 0.3% not recommended. CONCLUSION Chiropractors and anatomists involved in teaching in an Australian chiropractic program rated most musculoskeletal items as essential for inclusion in a chiropractic teaching program to ensure adequate preparation for safe practice and to promote alignment with the standards of anatomy education delivered into the clinical professions.
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19
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Bolla SR, Saffar RAA. Anatomy teaching in Saudi medical colleges- is there necessity of the national core syllabus of anatomy. Anat Cell Biol 2022; 55:367-372. [PMID: 36068024 PMCID: PMC9519765 DOI: 10.5115/acb.22.041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2022] [Revised: 06/03/2022] [Accepted: 06/22/2022] [Indexed: 11/27/2022] Open
Abstract
Curricular updates in medicine resulted in changes in gross anatomy teaching. We aim to find the trends and methods of gross anatomy teaching in medicine programs in Saudi Arabia. Further, examine whether the data would help to discuss whether a core Anatomy syllabus is required. A survey questionnaire based on the earlier studies, was sent to the anatomy faculty of 25 medical colleges to collect the data on the pedagogic and dissection/laboratory approaches, inclusion of radiological, clinical, surface anatomy sessions, and the total number of hours allocated for anatomy education. A total of 15 responses were received from different medical colleges of which nine provided complete details. A wide variation in the component and mode of delivery of anatomy was observed. The number of hours for the anatomy course ranged from 89 to 388 hours. These data will provide an update on gross anatomy teaching approaches, which will help in making informed decisions in course revisions and adopting the best practices. The variations in anatomy course with short duration raises concern about whether the essential learning outcomes are achieved to prepare a skillful and safe clinician? do we require a core syllabus of Anatomy to be adopted at the national level to achieve the essential learning outcomes? The Anatomical Society, UK has developed core syllabi of Anatomy for undergraduate medical, dental, nursing, and pharmacy students, which can serve as a guide in developing the core syllabus of Anatomy for medicine in Saudi.
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Affiliation(s)
- Srinivasa Rao Bolla
- Department of Biomedical Sciences, School of Medicine, Nazarbayev University, Nur-Sultan City, Kazakhstan
| | - Radi Ali Al Saffar
- Department of Anatomy, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
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20
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Wallace MJ, Zecharia A, Guilding C, Tucker S, McFadzean I. Developing a new undergraduate pharmacology core curriculum: The British Pharmacological Society Delphi Method. Pharmacol Res Perspect 2021; 9:e00832. [PMID: 34346189 PMCID: PMC8334254 DOI: 10.1002/prp2.832] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2021] [Accepted: 06/18/2021] [Indexed: 12/02/2022] Open
Abstract
The British Pharmacological Society (BPS) developed a new core curriculum for undergraduate pharmacology degrees. To do this, a modification of the Delphi Process was used. Initially, a pharmacology educator workshop was hosted to explore the core attributes expected of pharmacology graduates. We then developed these discussions into knowledge, skills, and attitudes statements and sent them, in the form of a questionnaire, to our Expert Group, which included pharmacology professionals from across academia and industry. In an iterative process, the Expert Group were asked to rank each statement according to how much they agreed it was a core graduate attribute. Where there was disagreement, statements were modified according to feedback. After three rounds of questionnaires, we had a draft core curriculum which was then finalized through a discussion workshop with the education community. In this workshop, practical aspects of curriculum implementation were discussed and the potential for the Society to develop resources to support it considered. The revised core curriculum is freely available on the Society website: https://www.bps.ac.uk/media-library-assets/library/undergraduate-pharmacology-core-curriculum. Several examples exist of the curriculum making an impact within and beyond the United Kingdom, where it has been utilized in a quality assurance context, as a tool for curriculum review and also to guide building new programs. Through a series of further expert workshops, the BPS Education and Training committee is currently developing more granular learning outcomes to accompany the core curriculum alongside recommended resources to enable delivery. In addition, this expanded curriculum is also being reviewed and updated to ensure it is fully inclusive and represents the diversity of pharmacology educators and learners worldwide.
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Affiliation(s)
- Melisa J. Wallace
- Swansea University Medical SchoolInstitute of Life ScienceSwansea UniversitySwanseaUK
| | | | - Clare Guilding
- School of Medical EducationFaculty of Medical SciencesNewcastle UniversityNewcastle Upon TyneUK
| | - Steven Tucker
- School of MedicineMedical Science and NutritionUniversity of AberdeenAberdeenUK
| | - Ian McFadzean
- Faculty of Life Sciences and MedicineKings College LondonLondonUK
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21
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Carroll MA, Tracy-Bee M, McKenzie A. Call for Consistency: the Need to Establish Gross Anatomy Learning Objectives for the Entry-Level Physical Therapist. MEDICAL SCIENCE EDUCATOR 2021; 31:1193-1197. [PMID: 34457963 PMCID: PMC8368694 DOI: 10.1007/s40670-021-01294-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 04/13/2021] [Indexed: 05/04/2023]
Abstract
A need currently exists for the establishment of anatomy learning objectives for physical therapist education programs. Developing recommended anatomy objectives to serve as a curricular guide may foster more consistent student outcomes while preserving instructional autonomy. These objectives could serve as a vital resource when making decisions during curricular reform or prioritizing and emphasizing the curriculum's anatomic content. We advocate for collaboration amongst anatomy faculty and clinicians to create specific and measurable anatomy learning objectives for the entry-level physical therapist. It is essential that the objectives be peer-reviewed and that they reflect a global consensus.
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Affiliation(s)
- Melissa A. Carroll
- Division of Healthcare Professions, Doctor of Physical Therapy Program, DeSales University, 2755 Station Avenue, Center Valley, Pennsylvania, PA 18034-9568 USA
| | - Mary Tracy-Bee
- Biology Department, University of Detroit Mercy, Detroit, MI 48221 USA
- Department of Physical Therapy, Oakland University, Rochester, MI 48309 USA
| | - Alison McKenzie
- Department of Physical Therapy, Chapman University, Irvine, CA 92618 USA
- Department of Neurology, University of California, Irvine, CA 92617 USA
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22
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Cui D, Moxham BJ. A core syllabus for histology within the medical curriculum-The cell and basic tissues. Clin Anat 2021; 34:483-495. [PMID: 33449424 DOI: 10.1002/ca.23720] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2020] [Revised: 01/09/2021] [Accepted: 01/09/2021] [Indexed: 11/09/2022]
Abstract
The International Federation of Associations of Anatomists (IFAA) are developing core syllabuses for the anatomical sciences by means of Delphi panels. In this article, we provide the core subject matter for the teaching of the cell and of basic tissues within a medical histology course. The goal is to set an international standard providing guidelines for such a core syllabus. The Delphi panel, composed of members across multiple countries, required two rounds to evaluate 257 relevant items/topics approved by the IFAA. Based on the perception of the core knowledge of histology, the items were to be rated by each member of the Delphi panel as being "Essential," "Important," "Acceptable," or "Not required." Topics that were rated by over 60% of the panelists as being "Essential" and "Important" are provided in this article and are recommended for the teaching of medical histology.
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Affiliation(s)
- Dongmei Cui
- Department of Neurobiology & Anatomical Sciences, University of Mississippi Medical Center, Jackson, Mississippi, USA
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23
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Brassett C, Cosker T, Davies DC, Dockery P, Gillingwater TH, Lee TC, Milz S, Parson SH, Quondamatteo F, Wilkinson T. COVID-19 and anatomy: Stimulus and initial response. J Anat 2020; 237:393-403. [PMID: 32628795 PMCID: PMC7361297 DOI: 10.1111/joa.13274] [Citation(s) in RCA: 60] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2020] [Revised: 06/16/2020] [Accepted: 06/16/2020] [Indexed: 12/13/2022] Open
Abstract
The outbreak of COVID-19, resulting from widespread transmission of the SARS-CoV-2 virus, represents one of the foremost current challenges to societies across the globe, with few areas of life remaining untouched. Here, we detail the immediate impact that COVID-19 has had on the teaching and practice of anatomy, providing specific examples of the varied responses from several UK, Irish and German universities and medical schools. Alongside significant issues for, and suspension of, body donation programmes, the widespread closure of university campuses has led to challenges in delivering anatomy education via online methods, a particular problem for a practical, experience-based subject such as anatomy. We discuss the short-term consequences of COVID-19 for body donation programmes and anatomical education, and highlight issues and challenges that will need to be addressed in the medium to long term in order to restore anatomy education and practice throughout the world.
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Affiliation(s)
- Cecilia Brassett
- Department of PhysiologyDevelopment and NeuroscienceUniversity of CambridgeCambridgeUK
| | - Thomas Cosker
- Department of Physiology, Anatomy and GeneticsUniversity of OxfordOxfordUK
| | - D. Ceri Davies
- Human Anatomy UnitDepartment of Surgery and CancerImperial College LondonLondonUK
| | - Peter Dockery
- Department of AnatomySchool of MedicineNational University of Ireland GalwayGalwayIreland
| | | | - T. Clive Lee
- Department of Anatomy and Regenerative MedicineRoyal College of Surgeons, IrelandUniversity of Medicine and Health SciencesDublin 2Ireland
| | - Stefan Milz
- Anatomische AnstaltLudwig‐Maximilians‐Universität MünchenMunichGermany
| | - Simon H. Parson
- Department of AnatomySuttie CentreSchool of MedicineMedical Sciences and NutritionUniversity of AberdeenAberdeenUK
| | | | - Tracey Wilkinson
- Centre for Anatomy and Human IdentificationSchool of Science and EngineeringUniversity of DundeeDundeeUK
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