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The Place of Anatomy in Medical Education; Guide Supplement: practical application: Teaching Anatomy through the Principles of Modern Medical Education.


Authors: Abu-Hijleh M, Chakravarty M, N. Latif , M. Osman, A.-H. Salem, R. Fadel & A. Dharap.
Abstract: Adequate knowledge of anatomy, with strong emphasis on ‘understanding’ rather than ‘knowing’, and the acquisition of essential anatomical skills such as the power of observation, identification and interpretational abilities, are considered crucial for effective
and safe clinical practice (Abu-Hijleh et al 1995; Boon et al 2002; Heylings 2002). The recent review paper by Louw et al. (2009) addressed these important features in teaching anatomy through the principles governing modern medical education. We present here one example of how such principles could be practically applied. The College of Medicine and Medical Sciences (CMMS) at the Arabian Gulf University (AGU) has followed a problem-based, student-centered, community-oriented curriculum since its inception in 1982. The six-year curriculum is organised into three phases: premedical (one year), pre-clerkship (three years), and clerkship (two years). While the subject of anatomy is covered sequentially during all three phases of the curriculum, the bulk of it is taught in the pre-clerkship as an integrated component of problem-based, organ-system units involving basic medical and clinical sciences (Abu-Hijleh et al 2004). Until 2002, the Department of Anatomy at AGU carried out its teaching-learning activities mostly through needs-based interactive sessions, where students scheduled appointments in small groups or individually with two designated faculty members, enabling them to focus on difficulties encountered in learning. An appointment lasted for 30-45 minutes and students could decide the topic or demonstration needed to discuss or see in relation to
the learning objectives that emerged during small group (PBL) tutorials. The visual nature of anatomy instruction created a continuous demand on faculty for demonstrations in gross anatomy and histology. While these activities took place during each unit, the manner in which they were presented was somewhat random and often lacked order or standardisation. This fact, compounded by a steady increase in the number of medical students admitted
over the years, led to the realisation that a different strategy of supporting anatomy learning was necessary. A standardised learning activity called ‘Structured Problem-Related Anatomy Demonstrations’ (SPRAD) was proposed and implemented for the first time in 2002, to replace the previous system of individualized teaching activities (Abu-Hijleh et al 2005).
Published in: Medical Teacher;32(7):604-606
URL: http://www.amee.org/documents/Guide%20Supplement%2041.2%20-%20Practical%20Application.pdf
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