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Anatomy integration: Effective change or change of affect?
Rebecca S Hartley1, Gary A Smith2, Martina J Rosenberg3
1Department of Cell Biology and Physiology, University of New Mexico School of Medicine, Health Sciences Center, Albuquerque, New Mexico.
Anatomical Sciences Education
|February 15, 2018
Summary
Integrating anatomy into medical school organ system blocks improved initial knowledge acquisition but did not sustain long-term learning or professional identity formation compared to traditional anatomy courses.
Area of Science:
- Medical Education
- Anatomy Education
- Curriculum Development
Background:
- Anatomy is foundational for physicians, impacting clinical practice and professional identity.
- A medical school dissolved its standalone anatomy course, integrating it into organ system blocks.
- This integration aimed to address curriculum gaps and enhance learning context.
Purpose of the Study:
- To compare the cognitive and affective learning outcomes of teaching anatomy in context versus an independent course.
- To evaluate the impact of curriculum changes on medical students' anatomical knowledge, confidence, and attitudes.
Main Methods:
- A prospective study comparing two medical student cohorts.
- Utilized a pre, post, and follow-up design with content assessments, confidence probes, and attitude surveys.
- Focus groups informed the survey development.
Main Results:
- Both integrated and traditional curricula led to mastery of anatomical knowledge and student confidence.
- Initial content acquisition was higher in the integrated curriculum but not sustained over time.
- Students in the integrated curriculum showed less connection to clinical application and professional identity formation.
Conclusions:
- While integrated anatomy learning initially boosts knowledge, it may not foster the same level of clinical relevance and professional identity as traditional courses.
- Further research is needed to assess long-term effects and inform future curriculum adjustments.
- Curricular changes impact student perceptions of anatomy's role in medical practice.
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