Anatomical knowledge retention in third‐year medical students prior to obstetrics and gynecology and surgery rotations
- 3 March 2014
- journal article
- research article
- Published by Wiley in Anatomical Sciences Education
- Vol. 7 (6), 461-468
- https://doi.org/10.1002/ase.1441
Abstract
Surgical anatomy is taught early in medical school training. The literature shows that many physicians, especially surgical specialists, think that anatomical knowledge of medical students is inadequate and nesting of anatomical sciences later in the clinical curriculum may be necessary. Quantitative data concerning this perception of an anatomical knowledge deficit are lacking, as are specifics as to what content should be reinforced. This study identifies baseline areas of strength and weakness in the surgical anatomy knowledge of medical students entering surgical rotations. Third-year medical students completed a 20–25-question test at the beginning of the General Surgery and Obstetrics and Gynecology rotations. Knowledge of inguinal anatomy (45.3%), orientation in abdominal cavity (38.8%), colon (27.7%), and esophageal varices (12.8%) was poor. The numbers in parentheses are the percentage of questions answered correctly per topic. In comparing those scores to matched test items from this cohort as first-year students in the anatomy course, the drop in retention overall was very significant (P = 0.009) from 86.9 to 51.5%. Students also scored lower in questions relating to pelvic organs (46.7%), urogenital development (54.0%), pulmonary development (17.8%), and pregnancy (17.8%). These data showed that indeed, knowledge of surgical anatomy is poor for medical students entering surgical clerkships. These data collected will be utilized to create interactive learning modules, aimed at improving clinically relevant anatomical knowledge retention. These modules, which will be available to students during their inpatient surgical rotations, connect basic anatomy principles to clinical cases, with the ultimate goal of closing the anatomical knowledge gap. Anat Sci Educ 7: 461–468. © 2014 American Association of Anatomists.Keywords
Funding Information
- George Washington University Office of the Vice Provost for Teaching and Learning
This publication has 24 references indexed in Scilit:
- Development of knowledge in basic sciences: a comparison of two medical curriculaMedical Education, 2012
- Perceptions of anatomy: Critical components in the clinical settingAnatomical Sciences Education, 2012
- Building the body: Active learning laboratories that emphasize practical aspects of anatomy and integration with radiologyAnatomical Sciences Education, 2010
- The anatomy of learning anatomyAdvances in Health Sciences Education, 2009
- Retention of Basic Science Information by Senior Medical StudentsAcademic Medicine, 2008
- A Unique, Innovative, and Clinically Oriented Approach to Anatomy EducationAcademic Medicine, 2007
- Medical students' learning of anatomy: memorisation, understanding and visualisationMedical Education, 2007
- Do students have sufficient knowledge of clinical anatomy?Medical Education, 2005
- Dissection in learning and teaching gross anatomy: Rebuttal to McLachlanThe Anatomical Record Part B: The New Anatomist, 2004