Perception of medical students towards the clinical relevance of anatomy

Perception of medical students towards the clinical relevance of anatomy
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DOI:
10.1002/ca.20453
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发表时间:
2007-07-01
期刊:
影响因子:
2.4
通讯作者:
Plaisant, O.
Plaisant, O.
中科院分区:
医学4区
文献类型:
--
作者:
Moxham, B. J.;Plaisant, O.

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最近世界范围内医学课程的发展经常导致人体解剖学教学的大幅削减。事实上,一些人认为大体(地形)解剖学在医生的初始培训中具有夸大的重要性。因此,在减少事实内容的医学课程中,解剖学的价值经常被大大削弱。然而,到目前为止,还没有客观的研究,以感知解剖学与临床医学的相关性,旨在量化医学生的态度。根据Thurstone和Chave(《态度的测量:一种心理物理学方法和一些对教会态度测量量表的实验》)的信条设计的态度分析问卷的回答。芝加哥,伊利诺斯州:芝加哥大学出版社,1951年),我们调查了卡迪夫和巴黎医科学生对大体解剖对临床医学重要性的看法。这是在他们学习的早期阶段(当他们刚被大学录取并即将开始解剖学课程时),在完成解剖学课程后立即进行的,以及后来在医学学习的最后一年进行的。结果表明,即使在可能存在地缘政治和文化背景的地方,医学课程各个阶段的学生与专业解剖学家都认为解剖学对他们的临床研究是一门非常重要的学科。因此,与那些对解剖学在本科医学课程中的目的和价值持怀疑态度的人的无法量化的信念相反,学生们自己似乎并不认同这种信念。
Recent developments worldwide in medical curricula have often led to major cuts in the teaching of human anatomy. Indeed, it is perceived by some that gross (topographical) anatomy has an exaggerated importance in the initial training of doctors. The value of anatomy consequently has frequently been considerably diminished within medical curricula that have reduced factual content. To date, however, there have been no objective studies into the perceived relevance of anatomy to clinical medicine that have aimed to quantify the attitudes of medical students. On the basis of responses to an attitude analysis questionnaire devised according to the precepts of Thurstone and Chave (The Measurement of Attitude: A Psychophysical Method and Some Experiments with a Scale for Measuring Attitude Toward the Church. Chicago, IL: University of Chicago Press, 1951), we investigated the perception of medical students at Cardiff and Paris towards the importance of gross anatomy to clinical medicine. This was undertaken during the early stages of their studies (when they were newly-admitted to university and were about to commence anatomy courses), immediately after finishing their anatomy courses, and later in the final year of medical studies. The results suggest that, even where there might be geopolitical and cultural backgrounds, students at all stages of their medical course share with professional anatomists the view that anatomy is a very important subject for their clinical studies. Thus, contrary to the unquantified beliefs of those who are sceptical about the purpose and value of anatomy in an undergraduate medical curriculum, the students themselves do not appear to share such beliefs.