"I just realized that something happened to me today" - An innovative educational approach to support students in dealing with the dissection course, death and dying.

BACKGROUND AND AIM: The dissection course is an essential part of preclinical medical education. At the Medical Faculty of Duesseldorf, a required elective course has been developed over three semesters with the aim of encouraging students to reflect on their experiences in the dissection course and offering them support in dealing with aspects of death and dying. The aim of this paper is to present this educational approach and the student evaluations. METHODS AND RESULTS: The educational concept follows a peer group approach and is comprised of several components spanning three semesters: introductory lectures, tours of the dissection hall and clinical wards, an online diary, and reflection groups. Quantitative and qualitative evaluation has shown that students rate the course positively as to its benefits and workload. While all of the components should be retained, students do wish more time to visit sites and engage with professionals in connection with death and dying. DISCUSSION: This strategy could serve as a cornerstone for longitudinal training to promote adequate coverage of topics such as death and dying. The course has a reasonable cost-benefit ratio. When transferring it to another setting, a gratification system should be considered.

Human Dissection in Medical Education: More than Just Anatomy.

The dissection course is an essential component of the medical curriculum. Nonetheless, the time expenditure and intensity of supervising the students in this course has been diminishing since the 1970s. That endangers not only the transmission of fundamental knowledge of anatomy. It also concerns key concepts such as establishing values, the concept of humans, and physician competencies, because medical education must be seen not merely as fact-directed instruction but instead should be connected with a mission for professional acculturation.

Interprofessional education as part of becoming a doctor or physiotherapist in a competency-based curriculum.

INTRODUCTION: Interprofessional learning is a critical pre-requisite for future interprofessional work. Structural adaptations in education offer possibilities to introduce new concepts. Rheumatic and musculoskeletal diseases (RMD) are both prevented and treated by physicians and physiotherapists but the development of interprofessional roles is seldom part of curricula. PROJECT DESCRIPTION: A complex, longitudinal interprofessional educational approach for future doctors and physiotherapists was designed and implanted at various stages (anatomy, physical examination, pathology, therapy). Most segments of the RMD curriculum are now based on interprofessional classes. Student satisfaction with learning is continually and comparatively evaluated. Learning success is assessed with practical and written exams. RESULTS: Interprofessional teaching was first introduced in 2013 for 420 first-year and 360 fourth-year medical students, along with 40 first- and third-year physiotherapy majors. The satisfaction with teaching and learning is high and distinctly above average for all teaching areas (satisfaction RMD rated as 2.4; average for all is 3.3). The percentage of those who pass the final exam is 94%. 100% of the students surveyed support the continuation of this interprofessional unit. CONCLUSION: Interprofessional teaching of RMD can be successfully implemented for future physicians and physiotherapists at different learning levels.

Psychosocial aspects of donation and the dissection course: An extra-curricular program with the objective of assisting students confront issues surrounding gross anatomy lab.

BACKGROUND AND AIM: The dissection course is an essential part of preclinical medical education. At the Medical Faculty of Duesseldorf, an education concept has been developed with the aim, to reflect with students their experiences and to support them in dealing with the donor and preparation. The aim of this paper is to present the concept. METHOD: The education concept had a peer group approach. It comprised a lecture, a small group seminar and an online diary as core element. Finally, the concept was evaluated. RESULTS: Approximately one sixth of students made use of the online diary. Selected entries are presented here. Also, one sixth of students took part in the evaluation. They rated the activity as helpful to prepare for the dissection course. DISCUSSION: The education concept could be a corner stone of a longitudinal training to promote the adequate encounter with topics such as dying and death.

Evolutionary pets: offspring numbers reveal speciation process in domesticated chickens.

Since Darwin, the nature of the relationship between evolution and domestication has been debated. Evolution offers different mechanisms of selection that lead to adaptation and may end in the origin of new species as defined by the biological species concept. Domestication has given rise to numerous breeds in almost every domesticated species, including chickens. At the same time, so-called artificial selection seems to exclude mechanisms of sexual selection by the animals themselves. We want to forward the question to the animal itself: With whom do you reproduce successfully? This study focused on the sexual behavior of the domestic chicken Gallus gallus f.dom., particularly the White Crested Polish breed. Experiments on mate choice and the observation of fertilization and hatching rates of mixed-breeding groups revealed breed-specific preferences. In breeding groups containing White Crested Polish and a comparative breed, more purebred chicks hatched than hybrids (number of eggs collected: 1059). Mating was possible in equal shares, but in relation to the number of eggs collected, purebred offspring (62.75% ± 7.10%, M ± SE) hatched to a greater extend compared to hybrid offspring (28.75% ± 15.32%, M ± SE). These data demonstrate that the mechanism of sexual selection is still present in domestic chicken breeds, which includes the alteration of gene frequencies typical for domestication and evolutionary speciation. Due to selection and mate choice we state that breeding in principle can generate new species. Therefore, we see domestication as an evolutionary process that integrates human interests of animal breeding with innate mate choice by the animal.

Asymmetry of different brain structures in homing pigeons with and without navigational experience.

Homing pigeons (Columba livia f.d.) are well-known for their homing abilities, and their brains seem to be functionally adapted to homing as exemplified, e.g. by their larger hippocampi and olfactory bulbs. Their hippocampus size is influenced by navigational experience, and, as in other birds, functional specialisation of the left and right hemispheres ('lateralisation') occurs in homing pigeons. To show in what way lateralisation is reflected in brain structure volume, and whether some lateralisation or asymmetry in homing pigeons is caused by experience, we compared brains of homing pigeons with and without navigational experience referring to this. Fourteen homing pigeons were raised under identical constraints. After fledging, seven of them were allowed to fly around the loft and participated successfully in races. The other seven stayed permanently in the loft and thus did not share the navigational experiences of the first group. After reaching sexual maturity, all individuals were killed and morphometric analyses were carried out to measure the volumes of five basic brain parts and eight telencephalic brain parts. Measurements of telencephalic brain parts and optic tectum were done separately for the left and right hemispheres. The comparison of left/right quotients of both groups reveal that pigeons with navigational experience show a smaller left mesopallium in comparison with the right mesopallium and pigeons without navigational experience a larger left mesopallium in comparison with the right one. Additionally, there are significant differences between left and right brain subdivisions within the two pigeon groups, namely a larger left hyperpallium apicale in both pigeon groups and a larger right nidopallium, left hippocampus and right optic tectum in pigeons with navigational experience. Pigeons without navigational experience did not show more significant differences between their left and right brain subdivisions. The results of our study confirm that the brain of homing pigeons is an example for mosaic evolution and indicates that lateralisation is correlated with individual life history (experience) and not exclusively based on heritable traits.

Tool-making New Caledonian crows have large associative brain areas.

Animals with a high rate of innovative and associative-based behavior usually have large brains. New Caledonian (NC) crows stand out due to their tool manufacture, their generalized problem-solving abilities and an extremely high degree of encephalization. It is generally assumed that this increased brain size is due to the ability to process, associate and memorize diverse stimuli, thereby enhancing the propensity to invent new and complex behaviors in adaptive ways. However, this premise lacks firm empirical support since encephalization could also result from an increase of only perceptual and/or motor areas. Here, we compared the brain structures of NC crows with those of carrion crows, jays and sparrows. The brains of NC crows were characterized by a relatively large mesopallium, striatopallidal complex, septum and tegmentum. These structures mostly deal with association and motor-learning. This supports the hypothesis that the evolution of innovative or complex behavior requires a brain composition that increases the ability to associate and memorize diverse stimuli in order to execute complex motor output. Since apes show a similar correlation of cerebral growth and cognitive abilities, the evolution of advanced cognitive skills appears to have evolved independently in birds and mammals but with a similar neural orchestration.

Homing pigeons as a model for the influence of experience on brain composition-including considerations on evolutionary theory.

The brain of homing pigeons seems to be functionally adapted to homing with e.g., larger hippocampi and olfactory bulbs. Furthermore, functional lateralization occurs as well in homing pigeons. Recently, the investigation of the influence of navigational experience on brain composition and lateralization revealed larger hippocampi in homing pigeons with navigational experience compared to inexperienced homing pigeons. Additionally, there are several brain structures in homing pigeons that show a volumetrical lateralization, whereas homing pigeons with navigational experience show a more lateralized brain than pigeons without navigational experience. This gives more insights in the neuronal basis of orientation and brain development in general but demonstrates as well its complexity. Plasticity and lateralization are much more correlated with individual life history than assumed up to date and have to be more considered in comparative research of evolution.

Neurobiology of the homing pigeon--a review.

Homing pigeons are well known as good homers, and the knowledge of principal parameters determining their homing behaviour and the neurological basis for this have been elucidated in the last decades. Several orientation mechanisms and parameters-sun compass, earth's magnetic field, olfactory cues, visual cues-are known to be involved in homing behaviour, whereas there are still controversial discussions about their detailed function and their importance. This paper attempts to review and summarise the present knowledge about pigeon homing by describing the known orientation mechanisms and factors, including their pros and cons. Additionally, behavioural features like motivation, experience, and track preferences are discussed. All behaviour has its origin in the brain and the neuronal basis of homing and the neuroanatomical particularities of homing pigeons are a main topic of this review. Homing pigeons have larger brains in comparison to other non-homing pigeon breeds and particularly show increased size of the hippocampus. This underlines our hypothesis that there is a relationship between hippocampus size and spatial ability. The role of the hippocampus in homing and its plasticity in response to navigational experience are discussed in support of this hypothesis.

Navigational experience affects hippocampus size in homing pigeons.

Homing (racing) pigeons (Columba livia f.d.) are well-known for their homing abilities, which are thought to be based on a genetic predisposition, multimodal learning and spatial cognition. On average, the hippocampus, a forebrain structure that processes spatial information, is larger in homing pigeons compared to other non-homing pigeon breeds or their wild ancestor, the rock dove. Here we show that this characteristic hippocampus volume is dependent on flying and navigational experience. Twenty homing pigeons originating from the same breeding stock were raised in the same loft under identical constraints. After fledging, 10 of them were allowed to fly around the loft, gain navigational experience and participate successfully in races. The other 10 stayed permanently in the loft and thus did not share the navigational skill experienced by the first group. After reaching sexual maturity, individuals of both groups were sacrificed and morphometric analyses were carried out to measure the volumes of total brain, telencephalon, hippocampus and 12 other brain structures. Individuals with experience in flying and navigation had an 11.2% larger hippocampus relative to the telencephalon compared to non-experienced individuals (p = 0.028). This effect is not seen in any of the other measured brain subdivisions. Given that plasticity in hippocampal volume has a genetic component, our results confirm that there is also an experience component, and that has certain implications for navigational ability. Evidently, experience is a precondition to full hippocampal development.

Breed-specific companions--inter-individual distances reflect isolating mechanisms within domesticated chickens (Gallus gallus f.d.).

White Crested Polish (WCP) chickens are an interesting breed because of skull anatomy (crest), brain size and composition. This makes them attractive to investigate processes of selection that could parallel a step towards speciation in terms of ethological isolation. Lohmann Brown Classic (BL) and Red Leghorn (RL) were selected as comparative breeds to detect whether WCPs flock together as shown by shorter inter-individual distances within WCP than across breeds. WCP and BL were observed in the first year whereas RL served as comparative breed to WCP in the second year. Eggs of both breeds of each year were incubated at the same time, and chicks hatched and were raised together. Three young hens of each breed were randomly chosen and observed weekly in an open field situation for 20 min between the first and 31st week of life. Intra-breed distances differed significantly from those distances measured across breeds. Results demonstrate breed-specific flocking within observed breeds. This flocking behaviour may reflect breed-specific social and sexual preferences. Our observations indicate that domestic breeds may represent an ethological entity. Selective processes controlled by human intervention as given in domestication may therefore to be set in parallel to evolutionary processes.

Unusual brain composition in Crested Ducks (Anas platyrhynchos f.d.)--including its effect on behavior and genetic transmission.

Crested Ducks (CR) occasionally show intracranial fat bodies. Additionally, behavioral abnormalities such as motor incoordination can be observed. Here, it is shown that a behavioral test helps to identify CR that have a problematical fat body. The ducks were put on their backs, and the time required for them to stand up was measured. Ten CR exhibited suboptimal motor coordination. The appropriateness of this test has been proved in a special breeding program. To investigate the influence of fat bodies on brain composition, an allometrical comparison of 26 CR brains with those of three uncrested duck breeds was done. The fat bodies of CR varied from 0.3% to 41% of total brain volume, but two CR did not show a fat body. CR with motor incoordination show significantly larger fat bodies and require significantly more time in the test than "normal" CR. Total brain volume was significantly larger in CR, but brain volume minus fat body was significantly smaller compared to reference breeds. Cerebellum, apical hyperpallium, tegmentum and olfactory bulb are significantly reduced in CR. Obviously the behavioral deficits cannot be explained by the existence of a fat body, but they could be explained by functionally suboptimal cerebella and tegmenta. Fat body size seems to be a decisive factor. The relationship between fat body and reduced structures is discussed. By breeding with test-selected ducks the hatching rate increased and the number of ducklings with malformations or motor incoordination decreased.

Extraordinary large brains in tool-using New Caledonian crows (Corvus moneduloides).

A general correlation exists between brain weight and higher cognitive ability in birds and mammals. In birds this relationship is especially evident in corvids. These animals are well-known for their flexible behavior and problem-solving abilities, and have relatively large brains associated with a pallial enlargement. At the behavioral level, New Caledonian crows stand out amongst corvids because of their impressive object manipulation skills both in the wild and in the laboratory. However, nothing is known about the relative size of their brains. Here we show that NC crows have highly encephalised brains relative to most other birds that have been studied. We compared the relative brain size of five NC crows with combined data for four passerine species (7 European carrion crows, 2 European magpies, 3 European jays and 4 domestic sparrows) and found that NC crows had significantly larger brains. A comparison only with the seven carrion crows also revealed significantly larger brains for NC crows. When compared with brain data for 140 avian species from the literature, the NC crow had one of the highest degrees of encephalisation, exceeding that of the 7 other Corvidae in the data set.

Mosaic evolution and adaptive brain component alteration under domestication seen on the background of evolutionary theory.

Brain sizes and brain component sizes of five domesticated pigeon breeds including homing (racing) pigeons are compared with rock doves (Columba livia) based on an allometric approach to test the influence of domestication on brain and brain component size. Net brain volume, the volumes of cerebellum and telencephalon as a whole are significantly smaller in almost all domestic pigeons. Inside the telencephalon, mesopallium, nidopallium (+ entopallium + arcopallium) and septum are smaller as well. The hippocampus is significantly larger, particularly in homing pigeons. This finding is in contrast to the predictions of the 'regression hypothesis' of brain alteration under domestication. Among the domestic pigeons homing pigeons have significantly larger olfactory bulbs. These data are interpreted as representing a functional adaptation to homing that is based on spatial cognition and sensory integration. We argue that domestication as seen in domestic pigeons is not principally different from evolution in the wild, but represents a heuristic model to understand the evolutionary process in terms of adaptation and optimization.

Do chickens (Gallus gallus f. domestica) decompose visual figures?

To investigate whether learning to discriminate between visual compound stimuli depends on decomposing them into constituting features, hens were first trained to discriminate four features (red, green, horizontal, vertical) from two dimensions (colour, line orientation). After acquisition, hens were trained with compound stimuli made up from these dimensions in two ways: a separable (line on a coloured background) stimulus and an integral one (coloured line). This compound training included a reversal of reinforcement of only one of the two dimensions (half-reversal). After having achieved the compound stimulus discrimination, a second dimensional training identical to the first was performed. Finally, in the second compound training the other dimension was reversed. Two major results were found: (1) an interaction between the dimension reversed and the type of compound stimulus: in compound training with colour reversal, separable compound stimuli were discriminated worse than integral compounds and vice versa in compound training with line orientation reversed. (2) Performance in the second compound training was worse than in the first one. The first result points to a similar mode of processing for separable and integral compounds, whereas the second result shows that the whole stimulus is psychologically superior to its constituting features. Experiment 2 repeated experiment 1 using line orientation stimuli of reversed line and background brightness. Nevertheless, the results were similar to experiment 1. Results are discussed in the framework of a configural exemplar theory of discrimination that assumes the representation of the whole stimulus situation combined with transfer based on a measure of overall similarity.

Discontinuous variability of brain composition among domestic chicken breeds.

In 80 domestic chickens from 8 breeds, the volumes of 12 brain parts were identified as dimensions in a cluster analysis. Based on Euclidean metrics and the Ward algorithm at least 2 groups were found that are congruent with the breeds 'White Crested Polish chicken' and 'Breda', although the breed identity was not a variable used in the cluster analysis. Domestication is interpreted as evolution which includes the possibility of speciation. It is hypothesized that White Crested Polish chickens and Bredas are becoming new species in terms of a biospecies concept.