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Emotional preparedness for human body donor dissection in premedical education: A pilot program evaluation. 医学预科教育中人体捐献解剖的情感准备:试点项目评估。
IF 5.2 2区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-07-04 DOI: 10.1002/ase.2477
Mange Manyama, Matthew A Carey, Padmakumari Sarada, Rachid Bendriss

Dissection of bodies provided by donors continues to be utilized as a critical part of medical education. It also represents a rite of passage that socializes students to prepare them for the stress that comes with working in a clinical environment as a medical professional. Just as proper guidance in acquiring technical skills is critical in anatomy education, there is an important need for proper emotional guidance throughout the human dissection process. A pilot curriculum was developed by an interdisciplinary faculty team to emotionally prepare students for their first visit to the anatomy laboratory. Students were first-year foundation premedical students who had expressed an interest in visiting the laboratory. Pre- and post-visit surveys were conducted to explore students' emotional responses to a first visit to the anatomy laboratory and their utilization of coping strategies. The survey findings show an overwhelming favorable feeling in anticipation of the human gross anatomy laboratory visit. About 20% of the students experienced anxiety at the anticipation of the laboratory visit, but only 5.3% experienced anxiety during the visit. The decrease in the number of students experiencing anxiety may be attributed to the interventions introduced before and during the visit. Talking with a close friend was the main coping strategy utilized by 63% of students experiencing fear or anxiety during and after the laboratory visit. The findings from this program evaluation provide a better understanding of student emotional preparedness and utilization of coping strategies, which may help prepare and guide future students for the dissection experience.

解剖捐献者提供的尸体仍然是医学教育的重要组成部分。它还代表着一种成人仪式,使学生们社会化,为他们在临床环境中工作时作为一名医学专业人员所面临的压力做好准备。在解剖学教育中,正确引导学生掌握技术技能至关重要,同样,在整个人体解剖过程中,也非常需要正确的情感引导。一个跨学科教师团队开发了一个试点课程,为学生第一次参观解剖实验室做好情感准备。学生都是医学预科一年级的学生,他们都表示有兴趣参观实验室。我们进行了参观前和参观后的调查,以探究学生对首次参观解剖实验室的情绪反应以及他们对应对策略的运用。调查结果显示,绝大多数学生对参观人体大体解剖实验室抱有好感。约 20% 的学生在期待参观实验室时感到焦虑,但只有 5.3% 的学生在参观过程中感到焦虑。焦虑学生人数的减少可能归因于参观前和参观过程中采取的干预措施。63% 的学生在参观实验室期间和之后感到恐惧或焦虑,他们的主要应对策略是与亲密的朋友交谈。该项目评估的结果让我们更好地了解了学生的情绪准备情况和应对策略的使用情况,这可能有助于帮助和指导未来的学生为解剖体验做好准备。
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引用次数: 0
Learning in context: Undergraduate students' knowledge and the content retention of anatomy between discipline-specific and integrated course approaches. 在情境中学习:本科生对解剖学知识的掌握以及特定学科和综合课程方法之间的内容保持。
IF 5.2 2区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-07-03 DOI: 10.1002/ase.2469
Jessica A Adams, Bryan M Dewsbury, Joshua R Tanzer

Undergraduate introductory human anatomy and human physiology courses are either taught as discipline-specific or integrated anatomy and physiology (A&P) sequences. An institution underwent a curricular revision to change the course approach from discipline-specific Human Anatomy and Human Physiology to an integrated A&P I and II sequence, allowing the unique opportunity to explore the potential role of contextual learning in academic achievement and content retention. Mediation and moderation analysis was used to evaluate lecture examinations, laboratory practical examinations, and anatomical content retention between the different course approaches. Undergraduate students in the integrated A&P I course approach performed significantly better on lecture assessments and had a higher anatomy content retention rate at the end of the year than students enrolled in the standalone Human Anatomy course. The lecture examination averages between Human Physiology and A&P II (the second course in the sequence), as well as the anatomy laboratory practical examinations, were not significantly different between discipline-specific and integrated course approaches. The results suggest contextual learning-providing physiological context to anatomical structures-increases the anatomical content retention and academic achievement overall.

本科生的人体解剖学和人体生理学入门课程要么是以特定学科的方式教授,要么是以综合解剖学和生理学(A&P)序列的方式教授。某院校进行了一次课程修订,将课程方法从特定学科的人体解剖学和人体生理学改为综合的 A&P I 和 II 序列,从而为探索情境学习在学业成绩和内容保持方面的潜在作用提供了难得的机会。我们采用了中介和调节分析法来评估不同课程方法之间的讲课考试、实验室实践考试和解剖学内容保持率。与学习独立的人体解剖学课程的学生相比,学习综合 A&P I 课程的本科生在授课考核中的表现明显更好,在学年结束时的解剖学内容保留率也更高。人体生理学和 A&P II(序列中的第二门课程)之间的讲课考试平均分,以及解剖实验室实践考试平均分,在学科特定课程教学法和综合课程教学法之间没有显著差异。结果表明,情境学习--为解剖结构提供生理背景--提高了解剖学内容的保持率和整体学业成绩。
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引用次数: 0
Leveraging technology to improve access to medical education in anatomy and physiology in resource-limited settings: A mixed methods study. 利用技术改善资源有限环境中解剖学和生理学医学教育的可及性:混合方法研究。
IF 5.2 2区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-07-02 DOI: 10.1002/ase.2474
Andres Leonardo Mora Carpio, Rafael Romero-Reveron, Milagros Vasquez, Jose Antonio Bonilla Castillo, Lucía Gaitán Concepción, Romina Pano Carrera, Diego Liévanos Díaz, Benjamín Galván Menéndez Conde, Miryam Montbrun, Anabel Espinoza-Luna, Joan Kreiger, John Lucian Davis, Carolyn Rochester, Andres Martin

This study assesses the acceptability, appropriateness, feasibility, and efficacy of a novel asynchronous video-based intervention for teaching respiratory physiology and anatomy to medical students in resource-limited settings. A series of short video lectures on pleural anatomy, pulmonary physiology, and pathophysiology was created using Lightboard and screen capture technology. These were uploaded to YouTube and Google Drive and made available to 1st-3rd year medical students at two Latin American universities for 1 week. Employing a parallel-convergent mixed methods design, we conducted surveys, focus groups, interviews, and pre/post testing for qualitative and quantitative data. Thematic Analysis was used to analyze qualitative data and McNemar's test for quantitative analysis. Seventy-six students participated. The videos' short format, interactivity, and Lightboard style were highly valued for their flexibility, time efficiency, and educational impact. Students recognized their clinical relevance and trusted their content, suggesting potential applicability in similar settings. Despite infrastructure and connectivity challenges, the use of flexible streaming and downloadable options facilitated learning. Survey results indicated high levels of feasibility (99%), appropriateness (95%), and acceptability (95%), with significant knowledge gains observed (37% correct pre-test answers vs. 56% post-test, p < 0.0001). Our findings demonstrate high acceptability, appropriateness, feasibility, and efficacy of a targeted asynchronous education centered on short-format videos in resource-limited settings, enabling robust learning despite local barriers. Flexible access is key for overcoming localized barriers. Taking an adaptive, learner-centered approach to content creation and delivery to address constraints was pivotal to success. Our modular videos could serve as versatile models for flexible education in resource-constrained settings.

本研究评估了一种基于异步视频的新型干预方法的可接受性、适宜性、可行性和有效性,该方法用于在资源有限的环境中向医科学生传授呼吸生理和解剖知识。我们使用 Lightboard 和屏幕捕捉技术制作了一系列有关胸膜解剖学、肺生理学和病理生理学的视频短片。这些视频被上传到 YouTube 和 Google Drive,供拉丁美洲两所大学的 1-3 年级医学生观看,为期一周。我们采用平行-收敛混合方法设计,对定性和定量数据进行了调查、焦点小组、访谈和前后测试。定性数据采用主题分析法,定量分析采用 McNemar 检验法。共有 76 名学生参与。视频的简短形式、互动性和 Lightboard 风格因其灵活性、时间效率和教育效果而受到高度评价。学生们认可其临床相关性并信任其内容,这表明其在类似环境中具有潜在的适用性。尽管存在基础设施和连接方面的挑战,但灵活的流媒体和可下载选项的使用促进了学习。调查结果显示,可行性(99%)、适宜性(95%)和可接受性(95%)均达到了很高的水平,学生的知识水平也有显著提高(测试前的正确率为 37%,测试后为 56%,P<0.05)。
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引用次数: 0
Relationship between the relative timing of prosection and dissection experiences and laboratory examination performance in a gross anatomy course. 大体解剖学课程中,解剖和解剖经验的相对时间与实验室考试成绩之间的关系。
IF 5.2 2区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-07-02 DOI: 10.1002/ase.2479
Jason F Martin, Andrea Linton, Andrew C Garrett, Damon W Mango, Paulina M Svec, Christianne Magee

Reduced hours of instruction are reported within the gross anatomy education literature. Anatomy instruction continues to be challenged with motivating and inspiring learners to value the contribution of gross anatomy knowledge to their career development alongside increased organizational demands for efficiency and effectiveness. To address these demands, this retrospective study sought to understand how the relative timing and amount of gross anatomy instruction were related to examination performance. Undergraduate and graduate students between 2018 and 2022 were assigned to three cohorts determined by enrollment in prosection-based anatomy only (n = 334), concurrent enrollment in prosection- and dissection-based anatomy in the same semester (n = 67), or consecutive enrollment in the courses one year apart (n = 43). Concurrent students had higher prosection-based anatomy examination scores than prosection-only and consecutive students. Consecutively, enrolled students outperformed concurrently enrolled students on the first two dissection examinations but showed no performance differences on the third and fourth dissection examinations. While the results on the timing and presentation of anatomical instruction were inconclusive, the results do support increased instructional time using both prosection and dissection modalities concurrently to improve performance on identification-based gross anatomy examinations.

大体解剖学教育文献中报告了教学时数减少的情况。解剖学教学仍然面临着激励和鼓舞学员重视解剖学知识对其职业发展的贡献,以及组织对效率和效果的更高要求等挑战。为了满足这些要求,这项回顾性研究试图了解大体解剖学教学的相对时间和数量与考试成绩的关系。2018年至2022年期间的本科生和研究生被分配到三个组群中,这三个组群分别由只选修解剖学课程(n = 334)、在同一学期同时选修解剖学课程和解剖学课程(n = 67)或连续选修相隔一年的课程(n = 43)决定。同时注册的学生的解剖学考试成绩高于只注册解剖学和连续注册的学生。连续注册的学生在前两次解剖考试中的成绩优于同时注册的学生,但在第三次和第四次解剖考试中没有表现出差异。虽然关于解剖教学的时间和演示方式的结果并不确定,但结果确实支持增加同时使用临摹和解剖两种方式的教学时间,以提高以识别为基础的大体解剖学考试成绩。
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引用次数: 0
Open-source large language models in medical education: Balancing promise and challenges. 医学教育中的开源大型语言模型:平衡承诺与挑战。
IF 5.2 2区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-06-28 DOI: 10.1002/ase.2484
Partha Pratim Ray
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引用次数: 0
Bodies in the anatomy laboratory: A note on terminology. 解剖实验室中的尸体:术语说明。
IF 5.2 2区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-06-24 DOI: 10.1002/ase.2411
Goran Štrkalj
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引用次数: 0
Impact of the educational setting on the teaching and learning of the equine distal limb ultrasonography. 教学环境对马远端肢体超声波检查教学的影响。
IF 7.3 2区 教育学 Q1 Medicine Pub Date : 2024-06-18 DOI: 10.1002/ase.2475
Pollyanna Stremel Romeiro, Saulo Henrique Weber, Edson José Justino, Pedro Vicente Michelotto

The use of immersive methodologies is a trend in the educational environment, but their outcomes in the teaching-learning process need to be better understood. This study aimed to assess the impact of the educational environment on learning equine distal limb ultrasonography, comparing immersive classroom, traditional classroom, and virtual classroom. A total of 153 veterinary medicine students from the first to the third semester participated in this study. The students were divided into four groups: traditional (n = 22), immersive (n = 100), online (n = 31), and traditional-immersive (n = 15). The students completed a questionnaire before and immediately after the class. The online group had a lower average gain in correct answers compared to the others (p < 0.01). Regarding student perception, it was observed that the virtual group had the lowest satisfaction score (p < 0.001), and students in the immersive and online environments were more satisfied with the resources used compared to the traditional classroom (p = 0.01). Concluding, in the present study students showed a greater interest in environments associated with technology, and that in-person modalities resulted in significantly superior learning outcomes compared to online ones.

使用沉浸式教学法是教育环境中的一种趋势,但其在教学过程中的结果需要更好地理解。本研究旨在通过比较沉浸式课堂、传统课堂和虚拟课堂,评估教育环境对学习马远端肢体超声造影术的影响。共有 153 名第一至第三学期的兽医专业学生参与了本研究。学生被分为四组:传统组(22 人)、沉浸组(100 人)、在线组(31 人)和传统-沉浸组(15 人)。学生们在课前和课后立即填写了一份问卷。与其他小组相比,在线小组的平均正确率较低(p
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引用次数: 0
Early practice makes histology masters: The use of a formative assessment quiz to prepare histology learners for a high-stakes final examination. 早期实践造就组织学大师:利用形成性评估测验帮助组织学学习者为高风险的期末考试做好准备。
IF 7.3 2区 教育学 Q1 Medicine Pub Date : 2024-06-12 DOI: 10.1002/ase.2472
Suzy McTaggart, Michael Hortsch

Assessment of learners in the anatomical sciences is a complex task as it not only tests students' fact knowledge, but also the analysis of visual information. Sometimes, novice histology learners must acquire image recognition skills of microscopic structures in a short time frame. This paper describes a strategy of offering first year dental students at the University of Michigan a short, non-grade contributing, formative assessment quiz in order to better prepare them for a high-stakes, final summative histology examination. Data collected over 7 years indicate that students, who made use of this formative assessment opportunity, performed significantly better in their summative examination than students, who did not. Especially early practice quiz users profited most. Students, who used the practice quiz until they achieved a perfect score, also had statistically higher final examination scores. Students, who did not use the practice quiz, had a significantly lower cumulative D1-year Grade Point Average (D1-GPA) than students, who did, indicating that academically weaker students often underuse supporting learning resources. In general, scores from the Dental Admission Test (DAT) were weak predictors of learning success in the DENT 510 histology course. In contrast, the D1-GPA values had a medium strength positive correlation with final histology examination scores. The major problem that was encountered with this practice quiz strategy was that many students waited until close to the day of the final examination before taking advantage of this feedback opportunity, thereby reducing its potential benefit for improving their overall learning strategy for histology.

对解剖科学学习者的评估是一项复杂的任务,因为它不仅要测试学生的事实知识,还要测试他们对视觉信息的分析能力。有时,组织学新手必须在短时间内掌握显微结构的图像识别技能。本文介绍了密歇根大学为口腔医学一年级学生提供简短、不影响成绩的形成性评估测验的策略,目的是让他们为高风险、终结性的组织学考试做好准备。七年来收集的数据表明,利用这一形成性评估机会的学生在期末考试中的表现明显优于没有利用这一机会的学生。尤其是早期使用练习测验的学生获益最多。据统计,使用练习测验直到取得满分的学生的期末考试成绩也较高。未使用练习测验的学生的 D1 年累计平均学分绩点(D1-GPA)明显低于使用练习测验的学生,这表明学业成绩较差的学生往往没有充分利用辅助学习资源。总的来说,牙科入学考试(DAT)的分数对DENT 510组织学课程学习成功与否的预测作用较弱。相比之下,D1-GPA值与最终的组织学考试成绩呈中等强度的正相关。这种练习测验策略遇到的主要问题是,许多学生一直等到临近期末考试那天才利用这个反馈机会,从而降低了其在改进组织学整体学习策略方面的潜在益处。
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引用次数: 0
Virtual sketching-based dental anatomy module improves learners' abilities to use computer-aided design to create dental restorations and prostheses. 基于虚拟草图的牙科解剖模块提高了学习者使用计算机辅助设计制作牙科修复体和假牙的能力。
IF 7.3 2区 教育学 Q1 Medicine Pub Date : 2024-06-09 DOI: 10.1002/ase.2468
MengWei Pang, XueLu Tong, XiaoHan Zhao, JiaWu Wan, HuBin Yin, Na Yu, ChaoYi Ma, WeiYi Zhang, YiHan Xu, YingQi Ren, ManYu Xiong, WeiJie Kong, ZeXin Luo, LanXin Yang, FaBing Tan, Yi Li, XiaoMing Fu, YuanDing Huang, Jinlin Song, Sheng Yang, Ping Ji

Dental anatomy education for dental technology students should be developed in alignment with digital dental laboratory practices. We hypothesized that a virtually assisted sketching-based dental anatomy teaching module could improve students' acquisition of skills essential for digital restoration design. The second-year dental technology curriculum included a novel virtual technology-assisted sketching-based module for dental anatomy education. Pre- and post-course assessments evaluated students' skill sets and knowledge bases. Computer-aided design (CAD) scores were analyzed after one year to assess how the skills students developed through this module impacted their subsequent CAD performance. Participants who undertook the dental sketching-based teaching module demonstrated significantly improved theoretical knowledge of dental anatomy, dental aesthetic perception, and spatial reasoning skills. A partial least squares structural equation model indicated that the positive effects of this module on subsequent CAD performance were indirectly mediated by dental aesthetic perception, spatial reasoning, and practice time. A virtually assisted sketching-based dental anatomy teaching module significantly improved students' acquisition of skills and knowledge and positively mediated dental technology students' CAD performance.

针对牙科技术专业学生的牙科解剖学教育应与数字化牙科技工室的实践相结合。我们假设,基于虚拟辅助素描的牙科解剖学教学模块可以提高学生对数字化修复设计所需技能的掌握。二年级的牙科技术课程包括一个基于虚拟技术辅助素描的新型牙科解剖教学模块。课前和课后评估对学生的技能组合和知识基础进行了评估。一年后,对计算机辅助设计(CAD)成绩进行了分析,以评估学生通过该模块掌握的技能如何影响其后续的 CAD 成绩。参加牙科素描教学模块的学员在牙科解剖理论知识、牙科美学感知和空间推理能力方面都有显著提高。偏最小二乘法结构方程模型表明,该模块对后续 CAD 成绩的积极影响是由牙科美学感知、空间推理和练习时间间接促成的。基于虚拟辅助素描的口腔解剖学教学模块显著提高了学生的技能和知识掌握程度,并对口腔医学技术专业学生的 CAD 成绩产生了积极的中介作用。
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引用次数: 0
Education Abstracts 教育摘要
IF 7.3 2区 教育学 Q1 Medicine Pub Date : 2024-06-04 DOI: 10.1002/ase.2470
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引用次数: 0
期刊
Anatomical Sciences Education
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