TEACHING OF ANATOMY: DISSECTING DISSECTION IN VETERINARY AND MEDICAL EDUCATION FROM A HISTORICAL PERSPECTIVE THROUGH TO TODAY
DOI:
https://doi.org/10.26873/SVR-2167-2024Keywords:
anatomy, dissection, methodology, syllabus, technologyAbstract
As veterinary and human medicine education evolves, instructors can now incorporate a range of innovative anatomy tools, from low-fidelity models to high-fidelity simulators, 3D printing, dissection software, and augmented/virtual reality. However, cadaveric dissection in line with ethical animal use, guided by the 4Rs: replacement, reduction, refinement, and responsibility; still remains an important and critical teaching strategy. Dissection is the methodical isolation of the various parts of the cadaver to study their physical characteristics (colour, consistency, weight, dimensions, shape), location, and structure, as well as their irrigation and innervation. It enables a deeper understanding of anatomical structures through practical work. As a synonym of anatomy, dissection remains the main method to study, understand and research the body in veterinary and human medicine education. Students learn the key skills and core knowledge necessary for subsequent clinical work, including clinical examination, necropsies, and surgery. They also acquire the manual dexterity, pre-surgical techniques, and confidence vital for their future work. This paper investigates the advantages and disadvantages of using dissection and explores the contemporary, and often complimentary, methods used to teach anatomy. We should clarify that this discussion is about the dissection of cadavers (including the associated ethical considerations), rather than the largely outdated practice of vivisection…
Poučevanje anatomije: seciranje potrebe po sekciji v veterinarskem in medicinskem izobraževanju z zgodovinskega vidika do danes
Z razvojem izobraževanja na področju veterinarske in humane medicine imajo asistenti in profesorji anatomije na voljo vedno več inovativnih orodij za poučevanje anatomije, od osnovnih modelov in naprednih simulatorjev do 3D-tiska, programske opreme za virtualno sekcijo ter navidezno in obogateno resničnost. Kljub tem napredkom pa disekcija kadavrov – izvedena v skladu z načeli etične uporabe živali, ki jih opredeljuje načelo 4R: zamenjava, zmanjšanje, izboljšanje in odgovornost – ostaja ključna in nepogrešljiva metoda poučevanja. Disekcija omogoča metodično preučevanje struktur telesa, vključno s preučevanjem njegovih fizičnih lastnosti, kot so barva, konsistenca, teža, mere, oblika in lokacija. Poleg tega razkriva njegovo strukturo, ožiljenost in inervacijo ter s tem omogoča poglobljeno razumevanje anatomskih struktur skozi praktično delo. Ta praktični pristop študentom ponuja poglobljeno razumevane anatomskih značilnosti in razvija veščine, ki so nujne za nadaljnje klinično delo, skupaj s preiskavami, obdukcijami in kirurškimi posegi. Poleg tega disekcija prispeva k razvoju ročnih spretnosti, predkirurških tehnik in samozavesti, ki so bistvene za prihodnjo poklicno pot študentov. Članek analizira prednosti in izzive disekcije ter raziskuje sodobne, pogosto neinvazivne alternative za poučevanje anatomije. Pomembno je poudariti, da se razprava osredotoča na seciranje kadavrov in s tem povezane etične vidike, ne pa na vivisekcijo, ki je v današnjem času že večinoma opuščena praksa…
Ključne besede: anatomija; disekcija; metodologija; učni načrt; tehnologija
References
AACA. LaGrange: American Association of Clinical Anatomists, 2024. https://clinical-anatomy.org/ (15. 12. 2024)
Bay NS, Bay BH. Greek anatomist herophilus: the father of anatomy. Anat Cell Biol 2010; 43(4): 2803. doi: 10.5115/acb.2010.43.4.280
Brown B, Adhikari S, Marx J, Lander L, Todd GL. Introduction of ultrasound into gross anatomy curriculum: perceptions of medical students. J Emerg Med 2012; 43(6): 1098102. doi: 10.1016/j.jemermed.2012.01.041
Cavalcanti de AMA, Martins C. History of liver anatomy: Mesopotamian liver clay models. HPB (Oxford) 2013; 15(4): 3223. doi: 10.1111/j.1477-2574.2012.00555.x
Clement SM, Ubben TA, Yates DT. Cadaveric prosections prepared by qualified instructional staff were more efficient and effective teaching modalities for veterinary gross anatomy than in-class dissections by students. J Vet Med Educ 2024; 51(5): 593609. doi: 10.3138/jvme-2024-0031
Fitzpatrick CM, Kolesari GL, Brasel KJ. Teaching anatomy with surgeons' tools: use of the laparoscope in clinical anatomy. Clin Anat 2001; 14(5): 34953. doi: 10.1002/ca.1062
Ganz JC. Chapter four - Hippocrates (ca 460 BC to ca 370 BC). In: Ganz JC, ed. Progress in brain research. Amsterdam: Elsevier, 2024; 284: 3148. doi: 10.1016/bs.pbr.2024.02.004
Ganz JC. Chapter seven - Rome-Galen (129 to ca. 216). In: Ganz JC, ed. Progress in brain research. Amsterdam: Elsevier, 2024; 284: 6586. doi: 10.1016/bs.pbr.2024.02.007
Ghosh SK. Human cadaveric dissection: a historical account from ancient Greece to the modern era. Anat Cell Biol 2015; 48(3): 15369. doi: 10.5115/acb.2015.48.3.153
Gummery E, Cobb KA, Mossop LH, Cobb MA. Student perceptions of veterinary anatomy practical classes: a longitudinal study. J Vet Med Educ 2018; 45(2): 16376. doi: 10.3138/jvme.0816-132r1
Huitt TW, Killins A, Brooks WS. Team-based learning in the gross anatomy laboratory improves academic performance and students' attitudes toward teamwork. Anat Sci Educ 2015; 8(2): 95103. doi: 10.1002/ase.1460
Ivanusic J, Cowie B, Barrington M. Undergraduate student perceptions of the use of ultrasonography in the study of "living anatomy". Anat Sci Educ 2010. 3(6): 31822. doi: 10.1002/ase.180
Jeyapalan JN, James V, Gardner DS, Lothion-Roy JH, Mongan NP, Rutland, CS. Impact of COVID-19 on student attainment and pedagogical needs when undertaking independent scientific research. Anatom Histol Embryol 2023; 52(1): 93100. doi: 10.1111/ahe.12842
Kubale V, Cousins E, Bailey C, El-Gendy SAA, Rutland CS. Introductory chapter: veterinary anatomy and physiology. In: Sian Rutland K, eds. Veterinary anatomy and physiology. Rijeka: IntechOpen, 2019. doi: 10.5772/intechopen.82412
Little WB, Artemiou E, Conan A, Sparks C. Computer assisted learning: assessment of the Veterinary Virtual Anatomy Education Software IVALA™. Vet Sci 2018; 5(2): 58. doi: 10.3390/vetsci5020058
Little WB, Artemiou E, Fuentealba C, Conan A, Sparks C. Veterinary students and faculty partner in developing a virtual three-dimensional (3d) interactive touch screen canine anatomy table. Med Sci Educ 2019; 29(1): 22331. doi: 10.1007/s40670-018-00675-0
Loew FM, Cohen BJ. Chapter 1 - Laboratory animal medicine: historical erspectives. In: J. G. Fox, eds. Laboratory Animal Medicine. 2nd ed. Burlington: Academic Press, 2002; 117. doi: 10.1016/B978-012263951-7/50004-1
Loukas M, Hanna M, Alsaiegh N, Shoja MM, Tubbs RS. Clinical anatomy as practiced by ancient Egyptians. Clin Anat 2011; 24(4): 40915. doi: 10.1002/ca.21155
Magee R. Art macabre: resurrectionists and anatomists. ANZ J Surg 2001; 71(6): 37780.
McLachlan JC, Bligh J, Bradley P, Searle J. Teaching anatomy without cadavers. Med Educ 2004; 38(4): 41824. doi: 10.1046/j.1365-2923.2004.01795.x
Memon I. Cadaver dissection is obsolete in medical training! a misinterpreted notion. Med Princip Pract 2018; 27(3): 20110. doi: 10.1159/000488320
Messbarger R. The lady anatomist: the life and work of anna morandi manzolini. Chicago: University of Chicago Press, 2010.
Papa V, Varotto E, Vaccarezza M, Ballestriero R, Tafuri D, Galassi FM. The teaching of anatomy throughout the centuries: from Herophilus to plastination and beyond. Medicina Histor 2019; 3(2): 6977.
Patel KM, Moxham BJ. Attitudes of professional anatomists to curricular change. Clin Anat 2006; 19(2): 13241. doi: 10.1002/ca.20249
Previdelli RL, Boardman E, Frill M, Frean S, Channon SB. Supporting collaborative dissection through the development of an online wiki positively impacts the learning of veterinary anatomy. Anat Sci Educ 2024; 17(1): 88101. doi: 10.1002/ase.2324
Rajeh NA, Badroun LE, Alqarni AK, et al. Cadaver dissection: a positive experience among Saudi female medical students. J Taibah Univ Med Sci 2017; 12(3): 26872. doi: 10.1016/j.jtumed.2016.07.005
Rath G., Garg K. Inception of cadaver dissection and its relevance in present day scenario of medical education. J Indian Med Assoc 2006; 104(6): 3313.
Rizzolo LJ, Stewart WB. Should we continue teaching anatomy by dissection when ...? Anat Rec B New Anat 2006; 289(6): 2158. doi: 10.1002/ar.b.20117
Ryan MT, Baird AW, Mulholland CW, Irwin JA. Practical classes: a platform for deep learning? Overall context in the first-year veterinary curriculum. J Vet Med Educ 2009; 36(2): 1805. doi: 10.3138/jvme.36.2.180
Smith CF, Freeman SK, Heylings D, Finn GM, Davies DC. Anatomy education for medical students in the United Kingdom and Republic of Ireland in 2019: a 20-year follow-up. Anat Sci Educ 2022; 15(6): 9931006. doi: 10.1002/ase.2126
Stringer MD, Lyall P. Design, implementation, and evaluation of a postgraduate Diploma in Surgical Anatomy. Anat Sci Educ 2012; 5(1): 4854. doi: 10.1002/ase.1253
Taheri-Targhi S, Gjedde A, Araj-Khodaei M, et al. Avicenna (980–1037 CE) and his early description and classification of dementia. J Alzheimer Disease 2019, 71(4): 10938. doi: 10.3233/JAD-190345
Theoret CL, Carmel EN. Bernier S. Why dissection videos should not replace cadaver prosections in the gross veterinary anatomy curriculum: results from a comparative study. J Vet Med Educ 2007; 34(2): 1516. doi: 10.3138/jvme.34.2.151
Varner C, Dixon L, Simons MC. The past, present, and future: a discussion of cadaver use in medical and veterinary education. Front Vet Sci 2021; 8: 720740. doi: 10.3389/fvets.2021.720740
von Staden H. The discovery of the body: human dissection and its cultural contexts in ancient Greece. Yale J Biol Med 1992; 65(3): 22341.
Warner JH, Rizzolo LJ. Anatomical instruction and training for professionalism from the 19th to the 21st centuries. Clin Anat 2006; 19(5): 40314. doi: 10.1002/ca.20290
WAVA. Oslo: World Association of Veterinary Anatomists, 2024. https://www.wava-amav.org/. (15. 12. 2024)
Wysiadecki G, Varga I, Klejbor I, et al. The most ancient sources of anatomic knowledge. Transl Res Anat 2024; 35: 100295. doi: 10.1016/j.tria.2024.100295
Zarrintan S, Tubbs RS, Najjarian F, Aslanabadi S, Shahnaee A , Abu Al-Qasim Al-Zahrawi (936-1013 CE), icon of medieval surgery. Ann Vasc Surg 2020; 69: 43740. doi: 10.1016/j.avsg.2020.07.012
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