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Journal recommended guidelines for systematic review and meta-analyses 期刊推荐的系统综述和荟萃分析指南。
IF 5.2 2区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-26 DOI: 10.1002/ase.2500
Adam B. Wilson, Boon Huat Bay, Jessica N. Byram, Melissa A. Carroll, Gabrielle M. Finn, Niels Hammer, Sabine Hildebrandt, Claudia Krebs, Jonathan J. Wisco, Jason M. Organ

Systematic reviews and meta-analyses aggregate research findings across studies and populations, making them a valuable form of research evidence. Over the past decade, studies in medical education using these methods have increased by 630%. However, many manuscripts are not publication-ready due to inadequate planning and insufficient analyses. These guidelines aim to improve the clarity and comprehensiveness of reporting methodologies and outcomes, ensuring high quality and comparability. They align with existing standards like PRISMA, providing examples and best practices. Adhering to these guidelines is crucial for publication consideration in Anatomical Sciences Education.

系统综述和荟萃分析汇总了不同研究和人群的研究结果,是一种宝贵的研究证据形式。在过去十年中,使用这些方法进行的医学教育研究增加了 630%。然而,由于计划不周和分析不足,许多手稿并不适合发表。这些指南旨在提高报告方法和结果的清晰度和全面性,确保高质量和可比性。它们与 PRISMA 等现有标准保持一致,提供了范例和最佳实践。遵守这些指南对《解剖科学教育》的发表至关重要。
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引用次数: 0
Does dissection influence weight bias among doctor of physical therapy students? 解剖是否会影响物理治疗博士学生的体重偏差?
IF 5.2 2区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-22 DOI: 10.1002/ase.2497
Krista Rompolski, Michael A. Pascoe

Anatomy with human dissection may help to develop respect for the human body and professionalism; however, dissection may worsen students' attitudes about body weight and adiposity. The purpose of this study was to measure weight bias among Doctor of Physical Therapy (DPT) students enrolled in gross anatomy and determine if, and how the experience of dissection impacts weight bias. Ninety-seven DPT students (70 University of Colorado [CU], 27 Moravian University [MU]) were invited to complete a survey during the first and final weeks of their anatomy course. The survey included demographic items, two measures of weight bias—the Modified Weight Bias Internalized Scale (M-WBIS) and the Attitudes Towards Obese Persons (ATOP) Scale—and open-ended questions for the students who participated in dissection (CU students) that explored attitudes about body weight and adiposity. At baseline, there were no significant differences (p > 0.202) in ATOP, M-WBIS, or BMI between the two universities. The mean scores on both the ATOP and M-WBIS indicated a moderate degree of both internalized and externalized weight bias. There were no significant changes in ATOP (p = 0.566) or M-WBIS scores (p = 0.428). BMI had a low correlation with initial M-WBIS scores ( = 0.294, p = 0.038) and a high correlation with change scores in CU students ( = 0.530, p = 0.011). Future studies should utilize the same measures of weight bias in other healthcare trainees to facilitate comparison and incorporate larger populations of DPT students.

解剖人体有助于培养对人体的尊重和专业精神;但是,解剖可能会恶化学生对体重和脂肪的态度。本研究的目的是测量修读大体解剖学的物理治疗博士(DPT)学生的体重偏差,并确定解剖经历是否以及如何影响体重偏差。97 名 DPT 学生(70 名科罗拉多大学 [CU],27 名摩拉维亚大学 [MU])应邀在解剖课程的第一周和最后一周完成了一项调查。调查内容包括人口统计学项目、两种体重偏差测量方法--修正体重偏差内化量表(M-WBIS)和对肥胖者的态度量表(ATOP)--以及针对参加解剖的学生(科大学生)的开放式问题,这些问题探讨了他们对体重和肥胖的态度。基线时,两所大学在 ATOP、M-WBIS 或 BMI 方面没有明显差异(p > 0.202)。ATOP和M-WBIS的平均分都表明,学生存在中度的内化和外化体重偏差。ATOP (p = 0.566) 或 M-WBIS 分数 (p = 0.428) 均无明显变化。体重指数与初始 M-WBIS 分数的相关性较低(⍴ = 0.294,p = 0.038),而与中大学生的变化分数的相关性较高(⍴ = 0.530,p = 0.011)。未来的研究应在其他医疗保健学员中使用相同的体重偏差测量方法,以便于比较,并纳入更多的 DPT 学生群体。
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引用次数: 0
ChatGPT versus a customized AI chatbot (Anatbuddy) for anatomy education: A comparative pilot study 用于解剖学教育的 ChatGPT 与定制的人工智能聊天机器人(Anatbuddy):对比试验研究
IF 5.2 2区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-21 DOI: 10.1002/ase.2502
Gautham Arun, Vivek Perumal, Francis Paul John Bato Urias, Yan En Ler, Bryan Wen Tao Tan, Ranganath Vallabhajosyula, Emmanuel Tan, Olivia Ng, Kian Bee Ng, Sreenivasulu Reddy Mogali

Large Language Models (LLMs) have the potential to improve education by personalizing learning. However, ChatGPT-generated content has been criticized for sometimes producing false, biased, and/or hallucinatory information. To evaluate AI's ability to return clear and accurate anatomy information, this study generated a custom interactive and intelligent chatbot (Anatbuddy) through an Open AI Application Programming Interface (API) that enables seamless AI-driven interactions within a secured cloud infrastructure. Anatbuddy was programmed through a Retrieval Augmented Generation (RAG) method to provide context-aware responses to user queries based on a predetermined knowledge base. To compare their outputs, various queries (i.e., prompts) on thoracic anatomy (n = 18) were fed into Anatbuddy and ChatGPT 3.5. A panel comprising three experienced anatomists evaluated both tools' responses for factual accuracy, relevance, completeness, coherence, and fluency on a 5-point Likert scale. These ratings were reviewed by a third party blinded to the study, who revised and finalized scores as needed. Anatbuddy's factual accuracy (mean ± SD = 4.78/5.00 ± 0.43; median = 5.00) was rated significantly higher (U = 84, p = 0.01) than ChatGPT's accuracy (4.11 ± 0.83; median = 4.00). No statistically significant differences were detected between the chatbots for the other variables. Given ChatGPT's current content knowledge limitations, we strongly recommend the anatomy profession develop a custom AI chatbot for anatomy education utilizing a carefully curated knowledge base to ensure accuracy. Further research is needed to determine students' acceptance of custom chatbots for anatomy education and their influence on learning experiences and outcomes.

大型语言模型(LLM)具有通过个性化学习来改善教育的潜力。然而,ChatGPT 生成的内容因有时会产生虚假、有偏见和/或幻觉信息而受到批评。为了评估人工智能返回清晰准确的解剖信息的能力,本研究通过开放式人工智能应用编程接口(API)生成了一个定制的交互式智能聊天机器人(Anatbuddy)。Anatbuddy是通过检索增强生成(RAG)方法编程的,可根据预先确定的知识库为用户查询提供上下文感知响应。为了比较它们的输出结果,向 Anatbuddy 和 ChatGPT 3.5 输入了有关胸部解剖的各种查询(即提示)(n = 18)。由三位经验丰富的解剖学家组成的小组以 5 分制李克特量表对两款工具的回答进行了评估,包括事实准确性、相关性、完整性、连贯性和流畅性。这些评分由对研究保密的第三方进行审核,并根据需要修改和最终确定分数。Anatbuddy 的事实准确度(平均值 ± SD = 4.78/5.00 ± 0.43;中位数 = 5.00)显著高于 ChatGPT 的准确度(U = 84,P = 0.01)(4.11 ± 0.83;中位数 = 4.00)。在其他变量方面,聊天机器人之间没有发现明显的统计学差异。鉴于 ChatGPT 目前在内容知识方面的局限性,我们强烈建议解剖学专业开发一种定制的人工智能聊天机器人,用于解剖学教育,利用精心策划的知识库确保准确性。还需要进一步研究,以确定学生对解剖学教育定制聊天机器人的接受程度及其对学习体验和结果的影响。
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引用次数: 0
Creating new embryological models for teaching cardiac development in embryology 为胚胎学中的心脏发育教学创建新的胚胎学模型。
IF 5.2 2区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-21 DOI: 10.1002/ase.2505
Geoffery D. Fernquist, Karen E. Samonds

Embryology is an essential component to understanding human anatomy. It requires an in-depth understanding of 3D knowledge but is primarily taught with 2-dimensional resources. In particular, the development of the human heart is a complex process and difficult to understand using traditional teaching methods. We present here a series of heart embryology models created to supplement embryology education and aid students in understanding this complex process. Using Polydoh moldable plastic, models representing six different critical steps in heart formation are described, including: the fusing of the heart tubes (days 21–23), beginning of the cardiac loop (early day 23), fully formed cardiac loop (late day 23), four-week heart, formation of the endocardial cushions and septi (late fourth week), and heart with fully formed septi with functioning foramen ovale (sixth week). These models not only improve embryology education but also the understanding of heart pathologies. This method provides an affordable option for embryology education and provides students with learning tools that assist with the comprehension of the development of a complex organ.

胚胎学是了解人体解剖学的重要组成部分。它需要深入了解三维知识,但主要是利用二维资源进行教学。特别是,人类心脏的发育是一个复杂的过程,用传统的教学方法很难理解。我们在此介绍一系列心脏胚胎学模型,以补充胚胎学教学,帮助学生理解这一复杂过程。使用 Polydoh 可塑塑料制作的模型代表了心脏形成过程中的六个不同关键步骤,包括:心管融合(第 21-23 天)、心环开始形成(第 23 天早期)、心环完全形成(第 23 天晚期)、四周心脏、心内膜垫和隔膜形成(第四周晚期),以及隔膜完全形成并伴有卵圆孔功能的心脏(第六周)。这些模型不仅提高了胚胎学教育水平,还加深了对心脏病理的理解。这种方法为胚胎学教育提供了一种经济实惠的选择,并为学生提供了有助于理解复杂器官发育的学习工具。
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引用次数: 0
Gaze cueing improves pattern recognition of histology learners 凝视提示提高了组织学学习者的模式识别能力。
IF 5.2 2区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-12 DOI: 10.1002/ase.2498
Michelle Bellstedt, Adrian Holtrup, Nils Otto, Markus Berndt, Aline Doreen Scherff, Cihan Papan, Anita Robitzsch, Markus Missler, Dogus Darici

Experts perceive and evaluate domain-specific visual information with high accuracy. In doing so, they exhibit eye movements referred to as “expert gaze” to rapidly focus on task-relevant areas. Using eye tracking, it is possible to record these implicit gaze patterns and present them to histology novice learners during training. This article presents a comprehensive evaluation of such expert gaze cueing on pattern recognition of medical students in histology. For this purpose, 53 students were randomized into two groups over eight histology sessions. The control group was presented with an instructional histology video featuring voice commentary. The gaze cueing group was presented the same video, but with an additional overlay of a live recording of the expert's eye movements. Afterward, students' pattern recognition was assessed through 20 image-based tasks (5 retention, 15 transfer) and their cognitive load with the Paas scale. Results showed that gaze cueing significantly outperformed the control group (p = 0.007; d = 0.40). This effect was evident for both, retention (p = 0.003) and transfer tasks (p = 0.046), and generalized across different histological contexts. The cognitive load was similar in both groups. In conclusion, gaze cueing helps histology novice learners to develop their pattern recognition skills, offering a promising method for histology education. Histology educators could benefit from this instructional strategy to provide new forms of attentional guidance to learners in visually complex learning environments.

专家能高精度地感知和评估特定领域的视觉信息。在此过程中,他们会表现出被称为 "专家凝视 "的眼球运动,以迅速聚焦到与任务相关的区域。利用眼动跟踪技术,可以记录这些内隐注视模式,并在培训期间将其呈现给组学新手学习者。本文全面评估了这种专家凝视提示对医学生组织学模式识别的影响。为此,53 名学生在八节组织学课程中被随机分为两组。对照组播放组织学教学视频,并配有语音解说。注视提示组播放的是同样的视频,但附加了专家眼球运动的现场录音。之后,通过 20 个基于图像的任务(5 个保持任务和 15 个转移任务)评估了学生的模式识别能力,并使用 Paas 量表评估了他们的认知负荷。结果显示,注视提示组的成绩明显优于对照组(p = 0.007; d = 0.40)。这种效应在保留任务(p = 0.003)和转移任务(p = 0.046)中都很明显,并且在不同的组织学情境中都有普遍性。两组的认知负荷相似。总之,凝视提示可以帮助组织学新手学习者提高模式识别能力,为组织学教育提供了一种很有前途的方法。组织学教育工作者可以从这种教学策略中获益,在视觉复杂的学习环境中为学习者提供新形式的注意引导。
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引用次数: 0
Perspectives of a non-medically and a medically qualified early career anatomy academic on facilitating case-based learning sessions for undergraduate medical students 一位非医学专业和一位医学专业的早期解剖学者对促进医学本科生病例学习课程的看法。
IF 5.2 2区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-01 DOI: 10.1002/ase.2493
Eleni Patera, Mustafa Mohammedyiya Adwan

Case-based learning (CBL) is a student-centered pedagogy where medical students are given a real-world clinical problem. At St George's University of London (SGUL), anatomy academics can volunteer to facilitate CBL sessions for pre-clinical undergraduate medical students. The major benefits of facilitating CBL sessions from the perspective of a non-medically qualified early career anatomy academic (ECAA) include exposure to clinical cases that help the academic develop an understanding over key clinical cases at the context of clinical anatomy and other disciplines including physiology, pathology, and pharmacology. Furthermore, facilitating CBL sessions assists in the acquisition of basic knowledge over history taking, the conduction of clinical examinations, the investigations performed for the diagnosis of a condition as well as how it is managed. The major benefits of facilitating CBL sessions from the perspective of a medically qualified ECAA include staying in touch with the clinical aspect of medicine and becoming familiar with the country's healthcare system and its professional standards. Perceived benefits shared by both the non-medically and medically qualified ECAA include the opportunity to become familiar with the structure and key elements of the pre-clinical medical curriculum as well as gain experience in facilitating small group teaching sessions. Overall, facilitating CBL sessions can help non-medically and medically qualified ECAAs in different contexts that may help them with their individual career goals, can encourage collaborative discussions between clinical and non-clinical anatomy academics as well as help bridge the gap between the anatomy teaching approaches employed by non-medically qualified and medically qualified anatomy academics.

病例学习(CBL)是一种以学生为中心的教学法,医学生在学习过程中会遇到实际的临床问题。在伦敦圣乔治大学(SGUL),解剖学学者可以自愿为临床前医学本科生提供 CBL 课程。从非医学资格的早期职业解剖学者(ECAA)的角度来看,协助 CBL 课程的主要好处包括接触临床病例,帮助学者在临床解剖学和其他学科(包括生理学、病理学和药理学)的背景下理解关键的临床病例。此外,促进 CBL 课程有助于掌握病史采集、临床检查、疾病诊断检查以及如何处理疾病等方面的基本知识。从具有医学资格的非洲经委会成员的角度来看,协助社区学习课程的主要益处包括保持与医学临床方面的联系,熟悉本国的医疗保健系统及其专业标准。非医学专业和医学专业的 ECAA 都认为,主持 CBL 课程的好处包括有机会熟悉临床前医学课程的结构和关键要素,以及获得主持小组教学课程的经验。总之,促进CBL课程可以帮助非医学专业和医学专业的ECAA在不同的环境中实现他们的个人职业目标,可以鼓励临床和非临床解剖学者之间的合作讨论,以及帮助弥合非医学专业和医学专业解剖学者所采用的解剖教学方法之间的差距。
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引用次数: 0
Correction to "The rise of ChatGPT: Exploring its potential in medical education". 更正 "ChatGPT 的兴起:探索其在医学教育中的潜力"。
IF 5.2 2区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-08-01 DOI: 10.1002/ase.2496
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引用次数: 0
Anatomy outreach: A conceptual model of shared purposes and processes 解剖外联:共同目的和过程的概念模型。
IF 5.2 2区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-07-31 DOI: 10.1002/ase.2478
Angelique N. Dueñas, Paul A. Tiffin, Gabrielle M. Finn

Anatomy outreach is a well-documented practice by many academic institutions, defined here as when anatomy-related services are provided to external communities. However, most of the current literature on this topic is largely descriptive, focusing on the ‘what’ of anatomy-related outreach, rather than the generalizable ‘why’ or ‘how’. There exists no shared conceptual model of what anatomy outreach tries to achieve from the perspective of ‘outreachers’, and how anatomists support these goals. Thus, this study aimed to explore the comprehension of anatomy outreach as a social phenomenon in the anatomy education community. This qualitative research used constructivist grounded theory to explore the perspectives of anatomists with experience facilitating anatomy outreach. A total of 18 participants completed semi-structured interviews. Analysis resulted in the construction of nine broad categories of themes relating to anatomy outreach: types of outreach, specific activities, goals of outreach, subject benefit (why anatomy?), enablers, challenges, appraisal, motivators/drivers, and community perspectives from the immediate anatomy community and wider field (Science, Technology, Engineering, and Mathematics (STEM) and health professions education (HPE)). These results were constructed into a conceptual model of anatomy outreach. The findings suggest that anatomists view the subject matter as a socially connecting experience that can engage a wide variety of individuals. The multimodal nature of anatomy, combined with teaching expertise, lends well to productive outreach. Most ‘outreachers’ do not have a strong understanding of the impact of their activities, however, and operate on a level of optimism that activities will support diversity, belonging, and health/anatomical literacy.

解剖学推广是许多学术机构的一种有据可查的做法,在此定义为向外部社区提供与解剖学相关的服务。然而,目前有关这一主题的文献大多是描述性的,侧重于与解剖学相关的外展活动 "是什么",而不是具有普遍意义的 "为什么 "或 "如何"。从 "外展者 "的角度来看,解剖学外展试图实现什么目标,以及解剖学家如何支持这些目标,目前还没有一个共同的概念模型。因此,本研究旨在探索解剖学教育界对解剖学外展这一社会现象的理解。这项定性研究采用建构主义基础理论来探讨具有促进解剖外展经验的解剖学家的观点。共有 18 位参与者完成了半结构化访谈。通过分析,构建了九大类与解剖学外展相关的主题:外展类型、具体活动、外展目标、主题益处(为什么是解剖学?这些结果被构建成一个解剖学推广的概念模型。研究结果表明,解剖学家认为该学科是一种社会联系体验,可以吸引各种各样的人。解剖学的多模态性质与教学专长相结合,为富有成效的外联工作提供了良好条件。然而,大多数 "外展人员 "并不十分了解其活动的影响,他们只是乐观地认为这些活动将支持多样性、归属感和健康/解剖学素养。
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引用次数: 0
Changes in high school students attitudes toward health sciences following a hands-on outreach STEM program 高中生在参加科学、技术、工程与数学(STEM)实践拓展项目后对健康科学的态度发生了变化。
IF 5.2 2区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-07-31 DOI: 10.1002/ase.2494
Maia Masamoto BS, Courtney Stevens PhD, Lucas Ettinger PhD

Despite attempts to diversify healthcare workplaces and education, racial and ethnic minorities (REM) remain underrepresented in these fields. This study investigated changes in high school students' health science interest following a single exposure, hands-on anatomy laboratory visit. One hundred and eighty-eight high school students participated in a single day, one-hour visit to a human anatomy laboratory on a university campus. Participants engaged in hands-on activities centered around both human and animal specimens led by university mentors. Using a modified Science Technology Engineering and Mathematics—Career Interest Survey (STEM-CIS) questionnaire, health science STEM interest was calculated before and after the visits and compared using a paired t-test (α = 0.05). A 2 × 2 ANOVA (α = 0.05) was run on pre-to-post-visit interest score differences with factors of Race (White/REM) and Gender (Male/Female) to determine if race/ethnicity and/or gender moderated the gains observed. Overall, health science STEM interest increased significantly from pre- to post-visit (p < 0.001), and these gains were greater in REM students (p < 0.05) but did not differ as a function of gender. These findings indicate that a single visit to an anatomy laboratory with hands-on activities can be used as a tool to engage high school aged students in STEM and may be particularly beneficial for racial/ethnic minority students, potentially influencing health science STEM interest.

尽管人们试图使医疗保健工作场所和教育多样化,但少数种族和少数族裔(REM)在这些领域的代表性仍然不足。本研究调查了高中生在参观解剖实验室后对健康科学兴趣的变化。188 名高中生参加了为期一天、每次一小时的大学校园人体解剖实验室参观活动。在大学导师的带领下,参与者围绕人体和动物标本开展了动手实践活动。使用修改后的科学、技术、工程和数学职业兴趣调查(STEM-CIS)问卷,计算了参观前后学生对健康科学、STEM 的兴趣,并使用配对 t 检验(α = 0.05)进行比较。对访问前后的兴趣得分差异进行了 2 × 2 方差分析(α = 0.05),并考虑了种族(白人/女性)和性别(男性/女性)因素,以确定种族/民族和/或性别是否会调节所观察到的收益。总体而言,从探访前到探访后,人们对健康科学、STEM 的兴趣明显增加(p
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引用次数: 0
Students with prior anatomy experience start out stronger in medical school gross anatomy 有解剖经验的学生在医学院学习大体解剖学时会更有优势。
IF 5.2 2区 教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Pub Date : 2024-07-29 DOI: 10.1002/ase.2495
Marlene D. Louro, Grace Meegan, Lauren R. Rudin, Michael C. Granatosky, Nathan E. Thompson

Gross anatomy is a crucial course in medical school; it sets the foundation for future coursework and is highly valued by clinicians. While both medical students and faculty recognize the importance of pre-medical school anatomy experience, few medical schools require it as a prerequisite. Consequently, medical school gross anatomy courses have a diverse range of prior anatomy experience among students. Prior studies have shown mixed results regarding the impact of pre-medical school anatomy experience on medical school gross anatomy performance, often using final exam scores as the metric of analysis. In this study, we investigated the relationship between pre-medical school anatomy experience and medical school gross anatomy performance among students at New York Institute of Technology, College of Osteopathic Medicine. We surveyed students from all four matriculated years and analyzed their individual anatomy laboratory exam scores and final anatomy laboratory course scores. We found that students with prior anatomy experience performed significantly better on the first anatomy laboratory exam, leading to an overall positive effect on their final anatomy laboratory score. However, this advantage seemed to diminish in subsequent exams, suggesting that students without prior experience rapidly adjusted to the course challenges. Students with prior anatomy experience felt more prepared for the anatomy course, reported lower stress levels, and believed they had an advantage over peers without prior experience. Our study highlights the importance of pre-medical school anatomy experience, particularly for early performance in the anatomy course.

大体解剖学是医学院的一门重要课程;它为今后的课程学习奠定了基础,并受到临床医生的高度重视。虽然医学生和教师都认识到医学院前解剖学经验的重要性,但很少有医学院要求将其作为先修课程。因此,医学院的大体解剖学课程在学生之前的解剖学经验方面存在差异。之前的研究显示,医学院预修解剖学经验对医学院大体解剖学成绩的影响结果不一,通常使用期末考试成绩作为分析指标。在本研究中,我们调查了纽约理工学院骨科医学院学生的医学院预科解剖经验与医学院大体解剖成绩之间的关系。我们对所有四个预科年级的学生进行了调查,并分析了他们的个人解剖实验考试成绩和最终解剖实验课程成绩。我们发现,有过解剖经验的学生在第一次解剖学实验考试中的成绩明显更好,这对他们最终的解剖学实验成绩产生了整体上的积极影响。然而,这种优势似乎在随后的考试中逐渐减弱,这表明没有先前经验的学生很快就适应了课程的挑战。有过解剖学经验的学生认为自己为解剖学课程做了更充分的准备,报告的压力水平较低,并认为自己比没有经验的同学更有优势。我们的研究强调了医学院预科解剖学经验的重要性,尤其是对于解剖学课程的早期表现。
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引用次数: 0
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Anatomical Sciences Education
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