Medical students' initial experiences of the dissection room and interaction with body donors: A qualitative study of professional identity formation, educational benefits, and the experience of Pasifika students.

anatomy education body donor cultural perspectives dissection room ethics medical education professional identity formation threshold concept

Journal

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

Informations de publication

Date de publication:
02 Sep 2024
Historique:
revised: 01 08 2024
received: 06 12 2023
accepted: 09 08 2024
medline: 3 9 2024
pubmed: 3 9 2024
entrez: 3 9 2024
Statut: aheadofprint

Résumé

The first experience of medical students in the dissecting room (DR) likely influences professional identity formation (PIF). Sparse data exist exploring how exposure to the DR and body donors without undertaking dissection influences PIF, or how culture may influence this experience. This qualitative study explored students' first, non-dissection DR experience to determine how this contributes to PIF, including the impact of culture through a Pasifika-student lens. It also explored student perspectives on what learning opportunities are unique to this experience. Medical students with no prior DR experience were recruited and then interviewed after initial engagement with the DR and body donors. Questions included participant experiences, cultural perspectives, and how the DR differed from other teaching experiences. Interviews were recorded, transcribed, and analyzed thematically. Twenty students were interviewed (mean age 22 years, 12 females; 8 Pasifika) resulting in 520 min of audio recording (mean 26 min). Four primary themes were identified: professional identity formation, educational elements, death and spirituality, and cultural perspectives. Three subthemes including student experiences, behaviors, and environment were developed within each theme. Findings indicate development of PIF likely occurs from a single engagement with body donors without undertaking dissection, including recognition of professional role. Culture can play an important role for students, with several Pasifika students viewing the DR as a "cultural purgatory". Unique learning experiences are identified, such as cultural awareness around behaviors with the dead. The experience is an educational "threshold concept" where students likely undergo substantial developments in PIF, and educational initiatives to support students are outlined.

Identifiants

pubmed: 39223772
doi: 10.1002/ase.2504
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024 The Author(s). Anatomical Sciences Education published by Wiley Periodicals LLC on behalf of American Association for Anatomy.

Références

Habicht JL, Kiessling C, Winkelmann A. Bodies for anatomy education in medical schools: an overview of the sources of cadavers worldwide. Acad Med. 2018;93(9):1293–1300.
Varner C, Dixon L, Simons MC. The past, present, and future: a discussion of cadaver use in medical and veterinary education. Front Vet Sci. 2021;10(8):720740.
Abrams MP, Eckert T, Topping D, Daly KD. Reflective writing on the cadaveric dissection experience: an effective tool to assess the impact of dissection on learning of anatomy, humanism, empathy, well‐being, and professional identity formation in medical students. Anat Sci Educ. 2021;14(5):658–665.
Cruess SR, Cruess RL, Steinert Y. Supporting the development of a professional identity: general principles. Med Teach. 2019;41(6):641–649.
Hafferty FW. Stories and the emotional socialization of medical students. J Health Soc Behav. 1988;29(4):344–356.
Netterstrøm I, Kayser L. Learning to be a doctor while learning anatomy! Anat Sci Educ. 2008;1(4):154–158.
Cruess RL, Cruess SR, Boudreau JD, Snell L, Steinert Y. Reframing medical education to support professional identity formation. Acad Med. 2014;89(11):1446–1451.
Wittich CM, Pawlina W, Drake RL, Szostek JH, Reed DA, Lachman N, et al. Validation of a method for measuring medical students' critical reflections on professionalism in gross anatomy. Anat Sci Educ. 2013;6(4):232–238.
Parker R, Hodierne L, Anderson ES, Davies RS, Elloy M. Academic ability and teamworking in medical students. Clin Teach. 2019;16(3):209–213.
Shields RK, Pizzimenti MA, Dudley‐Javoroski S, Schwinn DA. Fostering interprofessional teamwork in an academic medical center: near‐peer education for students during gross medical anatomy. Anat Sci Educ. 2015;8(4):331–337.
Abe K, Niwa M, Fujisaki K, Suzuki Y. Associations between emotional intelligence, empathy and personality in Japanese medical students. BMC Med Educ. 2018;18:1–9.
Batt‐Rawden SA, Chisolm MS, Anton B, Flickinger TE. Teaching empathy to medical students: an updated, systematic review. Acad Med. 2013;88(8):1171–1177.
Evans DJ, Pawlina W, Lachman N. Human skills for human [istic] anatomy: an emphasis on nontraditional discipline‐independent skills. Anat Sci Educ. 2018;11(3):221–224.
Flack NA, Nicholson HD. What do medical students learn from dissection? Anat Sci Educ. 2018;11(4):325–335.
Simmenroth‐Nayda A, Weiss C, Fischer T, Himmel W. Do communication training programs improve students' communication skills?—a follow‐up study. BMC Res Notes. 2012 Dec;5(1):1–9.
Hafferty FW, Finn GM. The hidden curriculum and anatomy education. In: Chan LK, Pawlina W, editors. Teaching anatomy: a practical guide. 1st ed. New York: Springer International Publishing; 2015. p. 339–349.
Alvord LA. Medical school accommodations for religious and cultural practices. AMA J Ethics. 2013;15(3):198–201.
Hussein I, Dany M, Forbes W, Thompson M, Jurjus A. Perceptions of human cadaver dissection by medical students: a highly valued experience. Ital J Anat Embryol. 2015;120:162–171.
Helmich E, Yeh HM, Kalet A, Al‐Eraky M. Becoming a doctor in different cultures: toward a cross‐cultural approach to supporting professional identity formation in medicine. Acad Med. 2017;92(1):58–62.
Martyn H, Barrett A, Broughton J, Trotman P, Nicholson HD. Exploring a medical rite of passage: a clearing of the way ceremony for the dissection room. Focus Health Prof Educ. 2013;15(1):43–53.
Korf HW, Wicht H, Snipes RL, Timmermans JP, Paulsen F, Rune G, et al. The dissection course—necessary and indispensable for teaching anatomy to medical students. Ann Anat. 2008;190(1):16–22.
Memon I. Cadaver dissection is obsolete in medical training! A misinterpreted notion. Med Princ Pract. 2018;27(3):201–210.
McLachlan JC. New path for teaching anatomy: living anatomy and medical imaging vs. dissection. Anat Rec. 2004 Nov;281B:4–5.
McLachlan JC, Bligh J, Bradley P, Searle J. Teaching anatomy without cadavers. Med Educ. 2004;38(4):418–424.
Wilson AB, Miller CH, Klein BA, Taylor MA, Goodwin M, Boyle EK, et al. A meta‐analysis of anatomy laboratory pedagogies. Clin Anat. 2018;31(1):122–133.
Killam LA. Research terminology simplified: paradigms, axiology, ontology, epistemology and methodology. Sudbury, ON: Author; 2013.
Brown ME, Coker O, Heybourne A, Finn GM. Exploring the hidden curriculum's impact on medical students: professionalism, identity formation and the need for transparency. Med Sci Educ. 2020;30:1107–1121.
Holmes AG. Researcher positionality—a consideration of its influence and place in qualitative research—a new researcher guide. Shanlax Int J Educ. 2020;8(4):1–10.
Braun V, Clarke V. Thematic analysis. In: Cooper H, Camic PM, Long DL, Panter AT, Rindskopf D, Sher KJ, editors. APA Handbook of Research Methods in Psychology, vol. 2. Research Designs: Quantitative, Qualitative, Neuropsychological, and Biological. Washington DC: American Psychological Association; 2012. p. 57–71.
Barry CA, Britten N, Barber N, Bradley C, Stevenson F. Using reflexivity to optimize teamwork in qualitative research. Qual Health Res. 1999;9(1):26–44.
Time WS, Samalia L, Wibowo E. Anatomical sciences education needs to promote academic excellence of ethnic minority students – Evidence from Pasifika students at the University of Otago. Anat Sci Educ. 2023;16(6):1011–13.
PRN Films, Trotman, Trotman and Nicholson. Donated to science. 2011. Available from: https://www.kanopy.com/en/product/86676
Malterud K, Siersma VD, Guassora AD. Sample size in qualitative interview studies: guided by information power. Qual Health Res. 2016;26(13):1753–1760.
Wheeldon J, Faubert J. Framing experience: concept maps, mind maps, and data collection in qualitative research. Int J Qual Methods. 2009;8(3):68–83.
Goss AL, Viswanathan VB, DeLisser HM. Not just a specimen: a qualitative study of emotion, morality, and professionalism in one medical school gross anatomy laboratory. Anat Sci Educ. 2019;12(4):349–359.
Hartmann CA, Hutchinson EF, Kramer B. Anatomy: an opportunity for South African health science students to discuss their emotional responses to human remains in the laboratory. Educ Sci. 2022;12(6):367.
Tschernig T, Schlaud M, Pabst R. Emotional reactions of medical students to dissecting human bodies: a conceptual approach and its evaluation. Anat Rec. 2000;261(1):11–13.
Weir EC, Carline TE. Reactions of first‐year podiatry students to cadaver dissection. Med Teach. 1997;19(4):311–313.
Bahşi İ, Topal Z, Çetkin M, Orhan M, Kervancıoğlu P, Odabaşıoğlu ME, et al. Evaluation of attitudes and opinions of medical faculty students against the use of cadaver in anatomy education and investigation of the factors affecting their emotional responses related thereto. Surg Radiol Anat. 2021;43:481–487.
Bob MH, Popescu CA, Armean MS, Suciu SM, Buzoianu AD. Ethical views, attitudes and reactions of Romanian medical students to the dissecting room. Med‐Surg J. 2014;118(4):1078–1085.
Cahill KC, Ettarh RR. Attitudes to anatomy dissection in an Irish medical school. Clin Anat. 2009;22(3):386–391.
Chang HJ, Kim HJ, Rhyu IJ, Lee YM, Uhm CS. Emotional experiences of medical students during cadaver dissection and the role of memorial ceremonies: a qualitative study. BMC Med Educ. 2018;18(1):1–7.
Jeyakumar A, Dissanayake B, Dissabandara L. Dissection in the modern medical curriculum: an exploration into student perception and adaptions for the future. Anat Sci Educ. 2020;13(3):366–380.
Romo Barrientos C, José Criado‐Álvarez J, González‐González J, Ubeda‐Bañon I, Saiz‐Sanchez D, Flores‐Cuadrado A, et al. Anxiety among medical students when faced with the practice of anatomical dissection. Anat Sci Educ. 2019;12(3):300–309.
Arráez‐Aybar LA, Casado‐Morales MI, Castaño‐Collado G. Anxiety and dissection of the human cadaver: an unsolvable relationship? Anat Rec. 2004;279(1):16–23.
Bati AH, Ozer MA, Govsa F, Pinar Y. Anxiety of first cadaver demonstration in medical, dentistry and pharmacy faculty students. Surg Radiol Anat. 2013;35:419–426.
Nnodim JO. Preclinical student reactions to dissection, death, and dying. Clin Anat. 1996;9(3):175–182.
Lempp HK. Perceptions of dissection by students in one medical school: beyond learning about anatomy. A qualitative study. Med Educ. 2005;39(3):318–325.
Robbins BD, Tomaka A, Innus C, Patterson J, Styn G. Lessons from the dead: the experiences of undergraduates working with cadavers. Omega. 2009;58(3):177–192.
Evans EJ, Fitzgibbon GH. The dissecting room: reactions of first year medical students. Clin Anat. 1992;5(4):311–320.
Chia TI, Oyeniran OI, Ajagbe AO, Onigbinde OA, Oraebosi MI. The symptoms and stress experienced by medical students in anatomy dissection halls. J Taibah Univ Med Sci. 2020;15(1):8–13.
Bohl M, Bosch P, Hildebrandt S. Medical students' perceptions of the body donor as a “first patient” or “teacher”: a pilot study. Anat Sci Educ. 2011;4(4):208–213.
Chiou RJ, Tsai PF, Han DY. Effects of a “silent mentor” initiation ceremony and dissection on medical students' humanity and learning. BMC Res Notes. 2017;10:1–7.
Winkelmann A, Güldner FH. Cadavers as teachers: the dissecting room experience in Thailand. BMJ. 2004;329(7480):1455–1457.
Coulehan JL, Williams PC, Landis D, Naser C. The first patient: reflections and stories about the anatomy cadaver. Teach Learn Med. 1995;7(1):61–66.
Souza AD, Kotian SR, Pandey AK, Rao P, Kalthur SG. Cadaver as a first teacher: a module to learn the ethics and values of cadaveric dissection. J Taibah Univ Med Sci. 2020;15(2):94–101.
Stephens GC, Sarkar M, Lazarus MD. ‘I was uncertain, but I was acting on it’: a longitudinal qualitative study of medical students' responses to uncertainty. Med Educ. 2023 Nov 14;58:869–879. https://doi.org/10.1111/medu.15269
Azer SA, Eizenberg N. Do we need dissection in an integrated problem‐based learning medical course? Perceptions of first‐and second‐year students. Surg Radiol Anat. 2007;29:173–180.
Dissabandara LO, Nirthanan SN, Khoo TK, Tedman R. Role of cadaveric dissections in modern medical curricula: a study on student perceptions. Anat Cell Biol. 2015;48(3):205–212.
Böckers A, Jerg‐Bretzke L, Lamp C, Brinkmann A, Traue HC, Böckers TM. The gross anatomy course: an analysis of its importance. Anat Sci Educ. 2010;3(1):3–11.
Land R, Rattray J, Vivian P. Learning in the liminal space: a semiotic approach to threshold concepts. High Educ. 2014;67:199–217.
Mattingly C. Moral laboratories: family peril and the struggle for a good life. Oakland, CA: University of California Press; 2014.
Holden M, Buck E, Clark M, Szauter K, Trumble J. Professional identity formation in medical education: the convergence of multiple domains. HEC Forum. 2012;24:245–255.
Jarvis‐Selinger S, Pratt DD, Regehr G. Competency is not enough: integrating identity formation into the medical education discourse. Acad Med. 2012;87:1185–1191.
Lönn A, Weurlander M, Seeberger A, Hult H, Thornberg R, Wernerson A. The impact of emotionally challenging situations on medical students' professional identity formation. Adv Health Sci Educ. 2023;28(5):1557–1578.
Bernhardt V, Rothkötter HJ, Kasten E. Psychological stress in first year medical students in response to the dissection of a human corpse. GMS Z Ned Ausbild. 2012;29(1):Doc12.
Lee YH, Lee YM, Kwon S, Park SH, Lee YH, Lee YM, et al. Reactions of first‐year medical students to cadaver dissection and their perception on learning methods in anatomy. Korean J Med Educ. 2011;23(4):275–283.
Stephens GC, Rees CE, Lazarus MD. How does donor dissection influence medical students' perceptions of ethics? A cross‐sectional and longitudinal qualitative study. Anat Sci Educ. 2019 Jul;12(4):332–348.
Trede F, Macklin R, Bridges D. Professional identity development: a review of the higher education literature. Stud High Educ. 2012;37(3):365–384.
Nemiroff S, Blanco I, Burton W, Fishman A, Joo P, Meholli M, et al. Moral injury and the hidden curriculum in medical school: comparing the experiences of students underrepresented in medicine (URMs) and non‐URMs. Adv Health Sci Educ. 2024;29(2):371–387.
Smye V, Josewski V, Kendall E. Cultural safety: an overview. First Nations, Inuit and Métis Advisory Committee. 2010;6(1):28.
Massie JP, Cho DY, Kneib CJ, Sousa JD, Morrison SD, Friedrich JB. A picture of modern medicine: race and visual representation in medical literature. J Natl Med Assoc. 2021;113(1):88–94.
Nadelson L, McGuire S, Davis K, Farid A, Hardy K, Hsu Y, et al. Am I a STEM professional? Documenting STEM student professional identity development. Stud High Educ. 2017;42(4):701–720.
Ernst M. Changing Christianity in Oceania: a regional overview. Arch Sci Soc Relig. 2012;157:29–45.
Nicholson HD, Barrett T, Martyn H. The effect of a “clearing of the way” ceremony on students' attitudes to dissection. FASEB J. 2011;25(497):495.
Pacific Aotearoa Status Report: A snapshot. Ministry for Pacific peoples. 2020. Available from https://www.mpp.govt.nz/publications‐resources/reports/
Van Meijl TV. Māori‐Pasifika relations: a problematic paradox? J NZ Pac Stud. 2014;2(2):157–172.
Agnihotri G, Sagoo MG. Reactions of first year Indian medical students to the dissection hall experience. NJIRM. 2010;1(4):4–9.
Arráez‐Aybar LA, Biasutto S, Amer MA, García‐Mata R, Bueno‐López JL. Latin American Anatomists' views on human body dissection and donation. Ann Anat. 2023;246:152037.
Karau PB, Wamachi A, Ndede K, Mwamisi J, Ndege P. Perception to cadaver dissection and views on anatomy as a subject between two pioneer cohorts in a Kenyan medical school. Anat J Afr. 2014;3:318–323.
Russa AD, Mligiliche NL. Inspiring Tanzanian medical students into the profession: appraisal of cadaveric dissection stress and coping strategies. Ital J Anat Embryol. 2014;119(3):268.
Abu‐Hijleh MF, Hamdi NA, Moqattash ST, Harris PF, Heseltine GF. Attitudes and reactions of Arab medical students to the dissecting room. Clin Anat. 1997;10(4):272–278.
Olukotun O, Mkandawire‐Vahlmu L, Kreuziger SB, Dressel A, Wesp L, Sima C, et al. Preparing culturally safe student nurses: an analysis of undergraduate cultural diversity course reflections. J Prof Nurs. 2018;34(4):245–252.
Ghosh SK. The evolution of epistemological methodologies in anatomy: from antiquity to modern times. Anat Rec. 2022;305(4):803–817.
Abrishami D. The need for cultural competency in health care. Radiol Technol. 2018;89(5):441–448.
Brach C, Fraserirector I. Can cultural competency reduce racial and ethnic health disparities? A review and conceptual model. Med Care Res Rev. 2000 Nov;57(1_suppl):181–217.
Crandall SJ, George G, Marion GS, Davis S. Applying theory to the design of cultural competency training for medical students: a case study. Acad Med. 2003;78(6):588–594.
Brown SJ, Power N, Bowmar A, Foster S. Student engagement in a human anatomy and physiology course: a New Zealand perspective. Adv Physiol Educ. 2018;42(4):636–643.
Forrest D, George S, Stewart V, Dutta N, McConville K, Pope L, et al. Cultural diversity and inclusion in UK medical schools. Clin Teach. 2022;19(3):213–220.
Theodore R, Taumoepeau M, Tustin K, Gollop M, Unasa C, Kokaua J, et al. Pacific university graduates in New Zealand: what helps and hinders completion. AlterNative. 2018;14(2):138–146.
Jones DG. Reassessing the importance of dissection: a critique and elaboration. Clin Anat. 1997;10(2):123–127.
Parker LM. Anatomical dissection: why are we cutting it out? Dissection in undergraduate teaching. ANZ J Surg. 2002;72(12):910–912.
Cornwall J, English S. Death, education, and rite of passage: the powerful role of the hidden and informal curriculum in teaching anatomy using donated human bodies in health professional programmes. Abstracts of SAANZ Conference; 2021 November. Canterbury, New Zealand: Sociological Association of Aotearoa New Zealand; 2021. p. 24–26.
Robbins BD. Confronting the cadaver: the denial of death in modern medicine. Janus Head. 2011;12(2):131–140.
Land R, Meyer JH. The scalpel and the ‘mask’: threshold concepts and surgical education. Surgical education: theorising an emerging domain. Berlin: Springer Science & Business Media; 2011. p. 91–106.
King C, Felten P. Threshold concepts in educational development: an introduction. J Fac Dev. 2012;26(3):5–7.
Land R, Rattray J. Guest editorial‐special issue: threshold concepts and conceptual difficulty. Pract Evid Scholarch Teach Learn High Educ. 2017;12(2):63–80.
Carroll MA, McKenzie A, Tracy‐Bee M. Movement system theory and anatomical competence: threshold concepts for physical therapist anatomy education. Anat Sci Educ. 2022;15:420–430.
Ferriby AC. Threshold concepts in undergraduate medical education for understanding the structure and function of the human body for the practice of medicine: student perspectives. Thesis, University of Mississippi; 2022.
Smith CF, Martinez‐Álvarez C, McHanwell S. The context of learning anatomy: does it make a difference? J Anat. 2014;224(3):270–278.
Meyer JH, Land R. Threshold concepts and troublesome knowledge (1): linkages to ways of thinking and practising within the disciplines. In: Rust C, editor. Improving student learning: ten years on. 1st ed. Oxford: Oxford Centre for Staff and Learning Development; 2003. p. 412–424.
Barradell S, Peseta T. Putting threshold concepts to work in health sciences: insights for curriculum design from a qualitative research synthesis. Teach High Educ. 2017;22:349–372.
Monrouxe LV. Theoretical insights into the nature and nurture of professional identities. Teach Med Prof. 2016;2:37–53.
Walker G. A cognitive approach to threshold concepts. High Educ. 2013;65(2):247–263.
Meyer JH, Land R. Threshold concepts and troublesome knowledge (1): Linkages to ways of thinking and practising within the disciplines. In: Rust C, editor. Improving Student Learning: Ten Years On. 1st ed. Oxford, UK: Oxford Centre for Staff and Learning Development; 2003. p. 412–424.
Penney JC. Reactions of medical students to dissection. Acad Med. 1985;60(1):58–60.
Bourguet CC, Whittier WL, Taslitz N. Survey of the educational roles of the faculty of anatomy departments. Clin Anat. 1997;10(4):264–271.
McGarvey A, Hickey A, Conroy R. The anatomy room: a positive learning experience for nursing students. Nurse Educ Today. 2015;35(1):245–250.
Ghosh SK. Cadaveric dissection as an educational tool for anatomical sciences in the 21st century. Anat Sci Educ. 2017;10(3):286–299.
Böckers A. Preparing students emotionally for the human dissection experience. In: Chan LK, Pawlina W, editors. Teaching anatomy: a practical guide. 1st ed. New York: Springer International Publishing; 2015. p. 195–202.
Iaconisi J, Hasselblatt F, Mayer B, Schoen M, Böckers TM, Böckers A. Effects of an educational film about body donors on students' empathy and anxiety levels in gross anatomy. Anat Sci Educ. 2019;12(4):386–398.
Bellier A, Secheresse T, Stoeckle A, Dols AM, Chaffanjon PC. Impact of background music on medical student anxiety and performance during anatomical dissections: a cluster randomized interventional trial. Anat Sci Educ. 2020;13(4):427–435.
Hildebrandt S. Thoughts on practical core elements of an ethical anatomical education. Clin Anat. 2016;29(1):37–45.
Rizzolo LJ. Human dissection: an approach to interweaving the traditional and humanistic goals of medical education. Anat Rec. 2002;269:242–248.
Warner JH, Rizzolo LJ. Anatomical instruction and training for professionalism from the 19th to the 21st centuries. Clin Anat. 2006;19(5):403–414.
Kim DT, Applewhite MK, Shelton W. Professional identity formation in medical education: some virtue‐based insights. Teach Learn Med. 2024;36(3):399–409.
Byram JN, Van Nuland SE, Harrell KM, Mussell JC, Cornwall J. Educator perspectives on non‐technical, discipline‐independent skill acquisition: an international, qualitative study. Anat Sci Educ. 2023;16(6):1102–1117.
Maltagliati AJ, Paree JH, McIntosh KL, Moynahan KF, Vanderah TW. Development and evaluation of a pre‐clerkship spiral curriculum: data from three medical school classes. Med Educ Online. 2023;28(1):2167258.
Marks SC Jr, Bertman SL, Penney JC. Human anatomy: a foundation for education about death and dying in medicine. Clin Anat. 1997;10(2):118–122.
Kumar Ghosh S, Kumar A. Building professionalism in human dissection room as a component of hidden curriculum delivery: a systematic review of good practices. Anat Sci Educ. 2019;12(2):210–221.
Wainman B, Cornwall J. Body donation after medically assisted death: an emerging consideration for body donation programs. Anat Sci Educ. 2019;12(4):417–424.
Champney TH. A bioethos for bodies: respecting a priceless resource. Anat Sci Educ. 2019;12(4):432–434.
Jones DG. Anatomy and ethics: an exploration of some ethical dimensions of contemporary anatomy. Clin Anat. 1998;11(2):100–105.
Cornwall J, Hildebrandt S, Champney T, Goodman K. Ethical concerns surrounding artificial intelligence in anatomy education: should AI human body simulations replace donors in the dissection room? Anat Sci Educ. 2023;17:937–943. https://doi.org/10.1002/ase.2335
Dyer GS, Thorndike ME. Quidne mortui vivos docent? The evolving purpose of human dissection in medical education. Acad Med. 2000;75(10):969–979.
Elizondo‐Omaña RE, Guzmán‐López S, De Los Angeles García‐Rodríguez M. Dissection as a teaching tool: past, present, and future. Anat Rec. 2005;285B:11–15.
Mitchell R, Batty L. Undergraduate perspectives on the teaching and learning of anatomy. ANZ J Surg. 2009;79(3):118–121.
Horne DJ, Tiller JW, Eizenberg N, Tashevska M, Biddle N. Reactions of first‐year medical students to their initial encounter with a cadaver in the dissecting room. Acad Med. 1990;65(10):645–646.
Druce M, Johnson MH. Human dissection and attitudes of preclinical students to death and bereavement. Clin Anat. 1994;7(1):42–49.
Drake RL, McBride JM, Lachman N, Pawlina W. Medical education in the anatomical sciences: the winds of change continue to blow. Anat Sci Educ. 2009;2(6):253–259.
McBride JM, Drake RL. National survey on anatomical sciences in medical education. Anat Sci Educ. 2018;11(1):7–14.
Turney BW. Anatomy in a modern medical curriculum. Ann R Coll Surg Engl. 2007;89(2):104–107.
Al‐Eraky MM, Donkers J, Wajid G, Van Merrienboer JJ. Faculty development for learning and teaching of medical professionalism. Med Teach. 2015;37(sup1):S40–S46.
Shugaba AI, Usman YM, Shimwen FJ, Uzokwe CB, Shinku F, Rabiu AM, et al. Attitude of Jos University medical students to their initial encounter with cadavers in the dissecting room. J Exp Clin Anat. 2015;14(2):101–104.

Auteurs

Jacob Madgwick (J)

Centre for Early Learning in Medicine, Otago Medical School, University of Otago, Dunedin, New Zealand.

Lynley Anderson (L)

Bioethics Centre, University of Otago, Dunedin, New Zealand.

Jon Cornwall (J)

Centre for Early Learning in Medicine, Otago Medical School, University of Otago, Dunedin, New Zealand.
Bioethics Centre, University of Otago, Dunedin, New Zealand.

Classifications MeSH