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RESUMEN: Las percepciones físico-emocionales han comprobado connotaciones en la formación y futuro profesional. Se planteó analizar la evidencia sobre los instrumentos de medición para evaluar las percepciones físico-emocionales en estudiantes de Anatomía en medicina, estructurando una evisión sistemática en la que se consultaron estudios observacionales de 2010 a 2020 en las bases de datos Scopus, Ovid, PubMed, Science Direct, Google Scholar, Web of Science y ProQuest, con términos de búsqueda validados. El proceso de selección de estudios se sintetizó en diagrama de flujo. La extracción de datos y evaluación de la calidad se hizo por tres revisores independientes mediante escalas del National Institutes of Health de Estados Unidos; siendo valorada la concordancia entre revisores con el coeficiente kappa Fleiss. Se incluyeron 28 estudios diferenciados en instrumentos de medida validados (n 16) y estudios que usaron otros instrumentos de recolección (n 12). Los tipos de validación más frecuentes fueron consistencia interna, Alfa de Cronbach y constructo, análisis factorial. Se dispone de un número aceptable de instrumentos que evalúan el tema, se requieren nuevos estudios que aporten evidencia en el rigor en los procesos de medición con adaptación transcultural y de diferentes tipos de validación de instrumentos.
SUMMARY: Physical-emotional perceptions have proven connotations in training and professional future. To analyze the evidence on the measurement instruments to evaluate the physical-emotional perceptions in students of Anatomy in medicine. Systematic review in which observational studies from 2010 to 2020 were consulted in the Scopus, Ovid, PubMed, Science Direct, Google Scholar, Web of Science and ProQuest databases, with validated search terms. The study selection process was synthesized in a flow chart. Data extraction and quality assessment were done by three independent reviewers using scales from the National Institutes of Health in the United States; The agreement between reviewers was assessed with the Fleiss kappa coefficient. 28 differentiated studies were included in validated measurement instruments (n 16) and studies that used other collection instruments (n 12). The most frequent types of validation were internal consistency, Cronbach's alpha and construct, factor analysis. There is an acceptable number of instruments that evaluate the subject, new studies are required that provide evidence of the rigor in the measurement processes with cross-cultural adaptation and of different types of instrument validation.
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Humanos , Percepção , Estudantes de Medicina/psicologia , Anatomia/educação , Dissecação/psicologia , Educação Médica , EmoçõesRESUMO
This study aims to determine the effects of formaldehyde exposure on self-reported symptoms of respiratory-eye mucosa and integumentary system during anatomy practices among Korean medical students. Data were collected using the web-based survey. Study subjects in 1st and 2nd grade medical student, and having anatomy dissection in medical college and medical graduate school. A total of 463 students from the 14 medical college and medical graduate school participated in this study. The results show that 261 (56.4%) of the participants responded feeling discomfort above moderate at anatomy dissection. After anatomy dissection, 104 (43.2%) students responded aggravating the symptom allergic rhinitis, xerophthalmia and so on. 209 (95.0%) of them responded the new symptom's appearance. In the result of multiple logistic regression, women (OR: 2.000, 95% CI: 1.169~3.421) and the students with feeling discomfort (OR: 3.190, 95% CI: 1.807~5.632) were more likely to increase the risk of pre-existing respiratory · eye mucosal system symptom's aggravation than the counter parts. For pre-existing integumentary system symptom's aggravation, risk is significantly higher in elder age group (OR: 2.612, 95% CI: 1.187~5.750) and with disapproval protective equipments (OR: 2.217, 1.006~4.885). In case of new symptom's appearance, people with feeling discomfort above moderate (OR: 5.097, 95% CI: 1.075~24.160) in respiratory · eye mucosal system were more likely to increase the risk of new symptom's appearance. And for integumentary system, risk was higher in people with feeling discomfort (OR: 1.921, 95% CI: 1.218~3.031), in woman (OR: 1.711, 1.090~2.686) and without enough protective equipments preparation (OR: 1.953, 1.189~3.210). This study confirms the protective equipments for minimizing exposure from chemicals for cytological fixation (e,g formaldehyde) is not worn enough and students in anatomy dissection experience discomfort and disease after anatomy dissection. Therefore, this study indicates that the safe guideline in anatomy dissection should be enhanced and institutional strategy to protect student's right of health should be provided.
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Feminino , Humanos , Formaldeído , Tegumento Comum , Modelos Logísticos , Mucosa , Rinite Alérgica , Estudantes de Medicina , XeroftalmiaRESUMO
Introduction: With the advancement of technology and development of new teaching and training methods, the role of age old teaching methods like anatomy dissection is being increasingly debated. Many western universities have increased the curriculum space for these new teaching methods, at the cost of dissection. There are no data from India on perceptions and utility of anatomy dissection from the student’s perspective. The current study is aimed to assess the student preferences regarding the learning methods of human anatomy and to analyze the perceptions of the medical students on human anatomy dissection Materials and methods: The study was a cross sectional study of 480 randomly selected medical students, conducted across six medical institutions in Tamil Nadu. The sampling method used was multistage simple random sampling. Results: Out of 480, 463 students consented to participate in the study, with a response rate of 96.45%. The mean age of the participants was 17.79 (±0.83) years. Males constituted 49.02% of the study population. Dissection was ranked as the most preferred method by 244 (52.7%) of the students, followed by computer assisted learning 65 (14.0%) and Demonstration (9.7%). Strong positive agreement was displayed by the students for items describing that dissection may help in dealing with P. G. Anandhi, V. N. Alagavenkatesan, Venkateshwara Yadav, Shanmugam. Is Anatomy Dissection still relevant in this digital age? - The perceptions of first year medical students: A cross sectional study. IAIM, 2016; 3(7): 260-266. Page 261 patients comfortably in future (51.40%) and dissection makes them feel different and special from other peers (64.14%). Conclusions: Human anatomy dissection is still the preferred method of anatomy learning among the medical students. Human touch, perceptions and aura associated in the family members and friends in other specialties are the most important factors fostering positive attitude towards dissection.
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During a routine dissection in the Anatomy dissection hall, a unilateral muscle was observed on the left thoracic wall present superficial to pectoralis major muscle. The name of this muscle was Rectus Sternalis muscle and the history of the development of the rectus sternalis muscle provided with interesting explanations by different authors and even in the Anatomy textbooks. Since this muscle was found for the first time in five years by dissecting 70 cadavers, it is considered as a very rare anomaly. The description of rectus sternalis muscle might provide useful details for clinicians exploring the pectoral region.
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In the traditional cadaver dissection course, it is hard to demonstrate dissection skills to all the medical students because of limitations such as the high ratio of students to instructors and the lack of facilities. To overcome these limitations, we developed a digital anatomy dissection course. Through this system, it was possible to perform effective instruction of anatomic dissection. This method could provide the appropriate teaching in a short period of time. Furthermore, students can review the dissection course on digital files saved on a CD-ROM. Clinical cadaveric workshops can be provided by this method not only for students but also for continuing medical education for clinicians.
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Humanos , Cadáver , CD-ROM , Educação Médica Continuada , Estudantes de MedicinaRESUMO
The principal change proposed in the teaching of gross anatomy is the inclusion of prosection as a part of the teaching program in coordination with dissection, demonstrations and study of anatomical and x-ray platesGreater emphasis on surface anatomy is also recommendedAs regards cadaver dissection, two suggestions are discussed: 1. Curtailment of the exposure of insignificant details to make dissection less time-consuming and to focus the attention of the dissector to the more important parts and structures2. Early dissection of the extremities to forestall excessive dehydration and hardening of these parts of the body. (Summary)