Physician Associate Students' Experience of Anatomy Dissection.

cadaver dissection coping strategies educational methodology gross anatomy education physician associate education teaching of anatomy

Journal

Anatomical sciences education
ISSN: 1935-9780
Titre abrégé: Anat Sci Educ
Pays: United States
ID NLM: 101392205

Informations de publication

Date de publication:
Jan 2021
Historique:
received: 15 08 2019
revised: 15 05 2020
accepted: 16 05 2020
pubmed: 27 5 2020
medline: 16 10 2021
entrez: 27 5 2020
Statut: ppublish

Résumé

The role of physician assistant/associate (PA) has expanded from its inception in the United States over 50 years ago, to European countries including Ireland. While there is an increasing body of evidence exploring the role and training of PAs in clinical settings, there is a scarcity of research exploring PA students' perspectives in relation to their experience of anatomy dissection, or how these experiences may contribute to the development of their core professional identity. Students in the first two cohorts of PA Program at the Royal College of Surgeons in Ireland program were invited to interviews which solicited them to reflect and report on their own experiences of anatomical dissection during their course. Participants' responses were analyzed using a thematic inductive approach; common themes and patterns were organized into a hierarchical structure, which generated the final framework of themes. Ten participants took part in the study; only one had previous personal experience of dissection, while two further participants had some familiarity with prosected specimens. The first theme concerned the participants' expectation of anatomical dissection, with sub-themes of preconceptions, smell, and emotions. The second theme involves discussion of coping strategies that the participants used, including talking, viewing the cadaver as their first patient, and naming (or not naming) the cadaver. The third theme includes how the participants' talked about respect and compassion in the dissection room, development of team working skills, and awareness of bereavement and organ donation. A number of recommendations were also made for the experience and orientation of future students in such a program.

Identifiants

pubmed: 32452170
doi: 10.1002/ase.1984
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

52-61

Subventions

Organisme : Royal College of Surgeons in Ireland

Informations de copyright

© 2020 American Association for Anatomy.

Références

Al-Sabah FY. 2013. An interactive anatomy dissection DVD. Dublin, Ireland: Royal College of Surgeons in Ireland. Master of Science Dissertation. 178 p.
Arráez-Aybar L-A, Bueno-López JL, Moxham BJ. 2014. Anatomists' views on human body dissection and donation: An international survey. Ann Anat 196:376-386.
Azer SA, Eizenberg N. 2007. Do we need dissection in an integrated problem-based learning medical course? Perceptions of first- and second-year students. Surg Radiol Anat 29:173-180.
Balta JY, O’Keeffe GW, Supple B. 2019. Utilizing the scholarship of teaching and learning to design an anatomy pedagogy course. Eur J Anat 23:233-240.
Ballweg RM, Hooker RS. 2017. Observations on the global spread of physician assistant education. J Physician Assist Educ 28:S75-S80.
Bamber AR, Quince TA, Barclay SIG, Clark JDA, Siklos PWL, Wood DF. 2014. Medical student attitudes to the autopsy and its utility in medical education: A brief qualitative study at one UK medical school. Anat Sci Educ 7:87-96.
Bati AH, Ozer MA, Govsa F, Pinar Y. 2013. Anxiety of first cadaver demonstration in medical, dentistry and pharmacy faculty students. Surg Radiol Anat 35:419-426.
Byrne E, Brugha R, Clarke E, Lavelle A, McGarvey A. 2015. Peer interviewing in medical education research: Experiences and perceptions of student interviewers and interviewees. BMC Res Notes 8:513.
Cahill DR, Leonard RJ, Weiglein AH, von Lüdinghausen M. 2002. Unrecognized values of dissection considered. Surg Radiol Anat 24:137-139.
Cohen N. 2019. Is it just semantics? Medical students and their ‘first patients’. J Med Ethics 45:411-414.
Cohen L, Mannion L, Morrison K. 2011. Research Methods in Education. 7th Ed. Abingdon, Oxon, UK: Routledge. 784 p.
Dinsmore CE, Daugherty S, Zeitz HJ. 2001. Student responses to the gross anatomy laboratory in a medical curriculum. Clin Anat 14:231-236.
Dosani F, Neuberger L. 2016. Anatomy and humanity: Examining the effects of a short documentary film and first anatomy laboratory experience on medical students. Anat Sci Educ 9:28-39.
Drake RL, McBride JM, Lachman N, Pawlina W. 2009. Medical education in the anatomical sciences: The winds of change continue to blow. Anat Sci Educ 2:253-259.
Druce M, Johnson MH. 1994. Human dissection and attitudes of preclinical students to death and bereavement. Clin Anat 7:42-49.
Dyer GS, Thorndike ME. 2000. Quidne mortui vivos docent? The evolving purpose of human dissection in medical education. Acad Med 75:969-979.
Elliott V. 2018. Thinking about the coding process in qualitative data analysis. Qualitat Rep 23:2850-2861.
Ellis H. 2001. Teaching in the dissecting room. Clin Anat 14:149-151.
Escobar-Poni B, Poni ES. 2006. The role of gross anatomy in promoting professionalism: A neglected opportunity! Clin Anat 19:461-467.
FICEM. 2012. Federative International Committee for Ethics and Medical Humanities of the International Federation of Associations of Anatomists (IFAA). Recommendations of good practice for the donation and study of human bodies and tissues for anatomical examination. Plexus 2012:4-5.
Fortunato JT, Hankin MH, Wasserman JA. 2018. Qualitative analysis reveals complex patterns of medical student experiences in the first dissection. Med Sci Educ 28:359-365.
Hegmann T. 2013. Snapshot of anatomy teaching in physician assistant education. J Physician Assist Educ 24:19-21.
Helman C. 1991. The dissection room. In: Helman C (Editor). Body Myths. 1st Ed. London, UK: Chatto and Windus. p 114-123.
Henry L, Hooker RS, Statler M. 2002. Physician assistant students and their cadavers: Narratives on the gross anatomy experience. J Physician Assist Educ 13:17-23.
Hildebrandt S. 2016. Thoughts on practical core elements of an ethical anatomical education. Clin Anat 29:37-45.
Holland JC, Pawlikowska T. 2019. Undergraduate medical students' usage and perceptions of anatomical case-based learning: Comparison of facilitated small group discussions and eLearning resources. Anat Sci Educ 12:245-256.
Hooker RS. 2002. Physician assistant student gross anatomy costs. J Physician Assist Educ 13:39.
Hooker RS, Cawley JF. 2003. Physician Assistants in American Medicine. 2nd Ed. St. Louis, MO: Churchill Livingstone. 348 p.
Hooker RS, Hogan K, Leeker E. 2007. The globalization of the physician assistant profession. J Physician Assist Educ 18:76-85.
Hussein IH, Dany M, Forbes W, Barremkala M, Thompson BJ, Jurjus A. 2015. Perceptions of human cadaver dissection by medical students: A highly valued experience. Ital J Anat Embryol 120:162-171.
Iaconisi J, Hasselblatt F, Mayer B, Schoen M, Böckers TM, Böckers A. 2019. Effects of an educational film about body donors on students' empathy and anxiety levels in gross anatomy. Anat Sci Educ 12:386-398.
Isbell JA, Makeeva V, Caruthers K, Brooks WS. 2016. The impact of team-based learning (TBL) on physician assistant students' academic performance in gross anatomy. J Physician Assist Educ 27:126-130.
Jones PE. 2007. Physician assistant education in the United States. Acad Med 82:882-887.
Jones DG, King MR. 2017. Maintaining the anonymity of cadavers in medical education: Historic relic or educational and ethical necessity? Anat Sci Educ 10:87-97.
Joyce P, Arnett R, Hill A, Hooker RS. 2018. Patient willingness to be seen by a physician associate in Ireland. Int J Healthcare 4:41-50.
Joyce P, Woodmansee D, Hooker RS, Hill ADK. 2019. Introducing the physician associate role in Ireland: Evaluation of a hospital based pilot project. J Hosp Admin 8:50-60.
Kissler MJ, Saxton B, Nuila R, Balmer DF. 2016. Professional formation in the gross anatomy lab and narrative medicine: An exploration. Acad Med 91:772-777.
Korf HW, Wicht H, Snipes RL, Timmermans JP, Paulsen F, Rune G, Baumgart-Vogt E. 2008. The dissection course-Necessary and indispensable for teaching anatomy to medical students. Ann Anat 190:16-22.
Latman NS, Lanier R. 2001. Gross anatomy course content and teaching methodology in allied health: Clinicians' experiences and recommendations. Clin Anat 14:152-157.
Lempp HK. 2005. Perceptions of dissection by students in one medical school: Beyond learning about anatomy. A qualitative study. Med Educ 39:318-325.
Losco CD, Grant WD, Armson A, Meyer AJ, Walker BF. 2017. Effective methods of teaching and learning in anatomy as a basic science: A BEME systematic review: BEME guide no. 44. Med Teach 39:234-243.
McBride JM, Drake RL. 2011. Student-directed fresh tissue anatomy course for physician assistants. Anat Sci Educ 4:264-268.
McBride JM, Drake RL. 2018. National survey on anatomical sciences in medical education. Anat Sci Educ 11:7-14.
Mc Garvey MA, Farrell T, Conroy RM, Kandiah S, Monkhouse WS. 2001. Dissection: A positive experience. Clin Anat 14:227-230.
Mc Garvey A, Hickey A, Conroy R. 2015. The anatomy room: A positive learning experience for nursing students. Nurse Educ Today 35:245-250.
McLachlan JC, Bligh J, Bradley P, Searle J. 2004. Teaching anatomy without cadavers. Med Educ 38:418-424.
Morgan PA, Hooker RS. 2010. Choice of specialties among physician assistants in the United States. Health Aff (Millwood) 29:887-892.
Morris VB, Corrigan D, Sealy U, Kokaram A, O'Dea M, Lee TC. 2016. Anatomy from the outside in: A new on-line surface anatomy guide. J Anat 228:24-25.
Moxham BJ, Moxham SA. 2007. The relationships between attitudes, course aims and teaching methods for the teaching of gross anatomy in the medical curriculum. Eur J Anat 11:S19-S30.
PAEA. 2018a. Physician Assistant Education Association. Curriculum Report 2: Didactic. By the Numbers: Data from the 2016 Didactic Curriculum Survey. 1st Ed. Washington, DC: Physician Assistant Education Association. 35 p. URL: https://paeaonline.org/wp-content/uploads/2018/01/CR2_2018.pdf [accessed 7 February 2020].
PAEA. 2018b. Physician Assistant Education Association. Faculty & Directors Report 3. By the Numbers: Data from the 2017 Faculty & Directors Survey. 1st Ed. Washington, DC: Physician Assistant Education Association. 59 p. URL: https://paeaonline.org/wp-content/uploads/2020/03/FacultyDirectors3_2018_Final_updated033020.pdf [accessed 7 February 2020].
PAEA. 2019a. Physician Assistant Education Association. Program Report 34. By the Numbers: Data from the 2018 Program Survey. 1st Ed. Washington, DC: Physician Assistant Education Association. 54 p. URL: https://paeaonline.org/wp-content/uploads/2019/10/program-report-34-20191002.pdf [accessed 7 February 2020].
PAEA. 2019b. Physician Assistant Education Association. Curriculum Report 4: Prerequisites. By the Numbers: Data from the 2018 Prerequisite Curriculum Survey. 1st Ed. Washington, DC: Physician Assistant Education Association. 52 p. URL: https://paeaonline.org/wp-content/uploads/2019/12/cr4-report-20191210.pdf [accessed 7 February 2020].
Patel KM, Moxham BJ. 2006. Attitudes of professional anatomists to curricular change. Clin Anat 19:132-141.
Patel KM, Moxham BJ. 2008. The relationships between learning outcomes and methods of teaching anatomy as perceived by professional anatomists. Clin Anat 21:182-189.
Patel SB, Mauro D, Fenn J, Sharkey DR, Jones C. 2015. Is dissection the only way to learn anatomy? Thoughts from students at a non-dissecting based medical school. Persp Med Educ 4:259-260.
Precht MC, Bennett CC, Cope JM. 2017. Quantifying cadaver use in physician assistant anatomy education. J Physician Assist Educ 28:182-188.
Priyadharshini NA, Dinesh Kumar V, Rajprasath R, Rema D. 2019. Relevance of learning anatomy to clinical practice: Perceptive of medical students, interns, and clinicians. Nat J Clin Anat 8:32-37.
Quince TA, Barclay SIG, Spear M, Parker RA, Wood DF. 2011. Student attitudes toward cadaveric dissection at a UK medical school. Anat Sci Educ 4:200-207.
Raftery AT. 2007. Anatomy teaching in the UK. Surgery (Oxford) 25:1-2.
Rizzolo LJ, Stewart WB. 2006. Should we continue teaching anatomy by dissection when…? Anat Rec 289:215-218.
Rizzolo LJ, Rando WC, O'Brien MK, Garino A, Stewart WB. 2011. Effectiveness of a shortened, clinically engaged anatomy course for physician assistant students. Anat Sci Educ 4:64-70.
Robbins BD, Tomaka A, Innus C, Patterson J, Styn G. 2008-2009. Lessons from the dead: The experiences of undergraduates working with cadavers. Omega (Westport) 58:177-192.
Robson C, McCartan K. 2016. Real World Research. 4th Ed. Chichester, UK: John Wiley & Sons Ltd. 560 p.
Romo Barrientos C, José Criado-Álvarez J, González-González J, Ubeda-Bañon I, Saiz-Sanchez D, Flores-Cuadrado A, Luis Martín-Conty J, Viñuela A, Martinez-Marcos A, Mohedano-Moriano A. 2019. Anxiety among medical students when faced with the practice of anatomical dissection. Anat Sci Educ 12:300-309.
Segal DA. 1988. A patient so dead: American medical students and their cadavers. Anthropol Q 61:17-25.
Silverman D. 2017. Doing Qualitative Research: A Practical Handbook. 5th Ed. London UK: SAGE Publications Ltd. 488 p.
Singh K, Bharatha A, Sa B, Adams OP, Majumder MA. 2019. Teaching anatomy using an active and engaging learning strategy. BMC Med Educ 19:149.
Sugand K, Abrahams P, Khurana A. 2010. The anatomy of anatomy: A review for its modernization. Anat Sci Educ 3:83-93.
Swartz WJ. 2006. Using gross anatomy to teach and assess professionalism in the first year of medical school. Clin Anat 19:437-441.
Tavakol M, Sandars J. 2014. Quantitative and qualitative methods in medical education research: AMEE Guide No 90: Part II. Med Teach 36:838-848.
Williams AD, Greenwald EE, Soricelli RL, DePace DM. 2014. Medical students' reactions to anatomic dissection and the phenomenon of cadaver naming. Anat Sci Educ 7:169-180.
Yaqinuddin A, Zafar M, Ikram MF, Ganguly P. 2013. What is an objective structured practical examination in anatomy? Anat Sci Educ 6:125-133.

Auteurs

Jane C Holland (JC)

Department of Anatomy, Royal College of Surgeons in Ireland, Dublin, Ireland.

Róisín Ní Dhónaill (R)

Department of Oncology, Beaumont Hospital, Dublin, Ireland.

Maeve Clarke (M)

Department of Oncology, Beaumont Hospital, Dublin, Ireland.

Pauline Joyce (P)

Physician Associate Program, Royal College of Surgeons in Ireland, Dublin, Ireland.

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