PERCEPTIONS OF CADAVERIC DISSECTION IN ANATOMY TEACHING
Abstract
Background: Anatomy professors world over are lamenting about medical students’ lack of interest indissections and its diminishing utilisation in medical studies. The objective of our study was to find outthe reasons why some of the Pakistani medical students were avoiding dissections. Method: Weconducted this study in 5 medical colleges of Pakistan from Dec 2010–Oct 2011. Questionnaires wereprepared and administered to more than 500 Pakistani medical students, at least 6 months after theirfirst cadaver dissecting session. Mostly 1st and 2nd year medical students participated in this study.Result: Around 43% students have actually performed dissections in some form, whereas around 57%had never touched the cadaver. Further evaluation of these results revealed that out of 57% of students,45% avoided dissection due to bad smell of formaldehyde, 37% due to moral/ethical grounds, 22% dueto low motivation and respect of human body, 19.4% due to anxiety, 18.6% due to religious reason,16% due to fear, asthma and emotional reaction, 9.4% due to toxic chemical, 8.6% due to laziness and7% due to nightmares. Conclusion: In spite of availability of required number of cadavers in all 5medical colleges and a clear realisation amongst the students that dissecting cadaver is an effective wayof learning anatomy; majority of students were not very keen and had therefore not performeddissection even once.Keywords: Anatomy, dissection, cadaver, questionnaire, medical student, formaldehydeReferences
Flores BGM. What the dissection meaning for medical students.
Int J Morphol 2006;24(4):575–80.
Elizondo-Omaña RE, Guzmán-López S, García-Rodríguez Mde
L. Dissection as a teaching tool: past, present and future. Anat
Rec B New Anat 2005;285(1);11–5.
Lempp HK. Perceptions of dissection by students in one medical
school: beyond learning about anatomy. A qualitative study. Med
Educ 2005;39(3):318–25.
McLachlan JC, Bligh J, Bradley P, Searle J. Teaching anatomy
without cadavers. Med Educ 2004;38(4):418–24.
Raftery AT. Anatomy teaching in the UK, Surgery
;25(1):1–2.
Winkelmann A. Anatomical dissection as a teaching method in
medical school: a review of the evidence. Med Educ
;41(1):15–22.
Winkelmann A, Hendrix S, Kiessling C. What do students
actually do during a dissection course? First steps towards
understanding a complex learning experience. Academic
Medicine 2007;82:989–95.
J Ayub Med Coll Abbottabad 2011;23(3)
http://www.ayubmed.edu.pk/JAMC/23-3/Saima.pdf
Charlton R, Dovey SM, Jones DG, Blunt A. Effects of cadaver
dissection on the attitudes of medical students. Med Educ
;28:290–5.
Hafferty FW. Cadaver stories and the emotional socialization of
medical students. J Health Soc Behav 1988;29:344–56.
Hancock D, Williams M, Taylor A, Dawson B, Impact of
cadaver dissection on medical students. NZ J Psychol
;33(1):17–25.
Rajkumar A, Das BK, Sangma GT, U, Singh YI. Attitudes and
views of first year medical students towards cadaver dissection in
anatomy learning. Calicut Med J 2008;6(4):e2.
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):272–8.
Sachedina A. Dissecting Human Dead Bodies for Medical
Purposes. Ethics of Profession, Medicine. In: Islamic Biomedical
Ethics, Principles and Applications. New York: Oxford
University Press; 2009.
Sakamoto T, Miyake M. Health effects of formaldehyde, as an
indoor air pollutant Kaibogaku Zasshi 2010;85(1):35–41. [Article
in Japanese]
Collins JP. Modern approaches to teaching and learning
anatomy. BMJ 2008;337:1310.
Dotinga R. Med Schools Cut Out Cadavers. University of
California at Los Angeles. Med-Tech: Health 2003.
http://www.wired.com/medtech/health/news/2003/05/58733
Biasutto S N, Caussa L I, Criado L E. Teaching anatomy:
Cadavers vs computers. Ann Anat 2006;188:187–90.
Pabst R. Anatomy curriculum for medical students: what can be
learned for future curricula from evaluations and questionnaires
completed by students, anatomists and clinicians in different
countries? Ann Anat 2009;191:541–6.
Older J. Anatomy: a must for teaching the next generation.
Surgeon 2004;2(2):79–90.
