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2018 | 77 | 2 |

Tytuł artykułu

Does simulation-based training facilitate the integration of human anatomy with surgery? A report of a novel Surgical Anatomy Course

Warianty tytułu

Języki publikacji



Background: Knowledge of gross anatomy, as a basic core subject, is fundamental for medical students and essential to medical practitioners, particularly for those intending a surgical career. However, both medical students and clinical teachers have found a significant gap in teaching basic sciences and the transition into clinical skills. The authors present a Surgical Anatomy Course developed to teach the anatomical basis of surgical procedures with particular emphasis on laparoscopic skills while incorporating medical simulation. Materials and methods: An evaluation of the students’ satisfaction of the Surgical Anatomy Course was completed using a mix of multiple choice and open-ended questions, and a six-point Likert Scale. Questions were asked about the students’ perceived improvement in surgical and laparoscopic skills. Manual skills were assessed using a laparoscopic simulator. Results: Both evaluation of the course structure and the general impression of the course were positive. Most students believed the course should be an integral part of a modern curriculum. The course supported the traditional surgical classes and improved anatomical knowledge and strengthened students’ confidentiality and facilitated understanding and taking surgical rotations. Conclusions: A medical course combining the practical learning of anatomy and surgical-based approaches will bring out the best from the students. Medical students positively evaluated the Surgical Anatomy Course as useful and beneficial regarding understanding anatomical structure and relationship necessary for further surgical education. (Folia Morphol 2018; 77, 2: 279–285)

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Opis fizyczny



  • Chair of Human Anatomy, Department of Didactics and Medical Simulation, Medical University of Lublin, Jaczewskiego 4, 20–094 Lublin, Poland
  • Chair of Human Anatomy, Department of Didactics and Medical Simulation, Medical University of Lublin, Jaczewskiego 4, 20–094 Lublin, Poland
  • Chair of Human Anatomy, Department of Didactics and Medical Simulation, Medical University of Lublin, Jaczewskiego 4, 20–094 Lublin, Poland
  • Department of General, Oncological, and Minimally Invasive Surgery, 1st Military Clinical Hospital with the Outpatient Clinic, Lublin, Poland
  • Chair and Department of Human Anatomy, Medical University of Lublin, Lublin, Poland
  • Chair and Department of Human Anatomy, Medical University of Lublin, Lublin, Poland


  • 1. Arráez-Aybar LA, Castaño-Collado G, Casado-Morales MI. Dissection as a modulator of emotional attitudes and reactions of future health professionals. Med Educ. 2008; 42(6): 563–571, doi: 10.1111/j.1365-2923.2008.03079.x, indexed in Pubmed: 18452515.
  • 2. Bond WF, Deitrick LM, Arnold DC, et al. Using simulation to instruct emergency medicine residents in cognitive forcing strategies. Acad Med. 2004; 79(5): 438–446, indexed in Pubmed: 15107283.
  • 3. Banga FR, Truijens SEM, Fransen AF, et al. The impact of transmural multiprofessional simulation-based obstetric team training on perinatal outcome and quality of care in the Netherlands. BMC Med Educ. 2014; 14: 175, doi: 10.1186/1472-6920-14-175, indexed in Pubmed: 25145317.
  • 4. Brown B, Adhikari S, Marx J, et al. Introduction of ultrasound into gross anatomy curriculum: perceptions of medical students. J Emerg Med. 2012; 43(6): 1098–1102, doi: 10.1016/j.jemermed.2012.01.041, indexed in Pubmed: 22459597.
  • 5. Cahill KC, Ettarh RR. Attitudes to anatomy dissection in an Irish medical school. Clin Anat. 2009; 22(3): 386–391, doi: 10.1002/ca.20777, indexed in Pubmed: 19280654.
  • 6. Carr J, Deal AM, Dehmer J, et al. Who teaches basic procedural skills: student experience versus faculty opinion. J Surg Res. 2012; 177(2): 196–200, doi: 10.1016/j.jss.2012.05.084, indexed in Pubmed: 22818085.
  • 7. Cant RP, Cooper SJ. Simulation in the Internet age: the place of web-based simulation in nursing education. An integrative review. Nurse Educ Today. 2014; 34(12): 1435–1442, doi: 10.1016/j.nedt.2014.08.001, indexed in Pubmed: 25156144.
  • 8. Cohen AR, Lohani S, Manjila S, et al. Virtual reality simulation: basic concepts and use in endoscopic neurosurgery training. Childs Nerv Syst. 2013; 29(8): 1235–1244, doi: 10.1007/s00381-013-2139-z, indexed in Pubmed: 23702736.
  • 9. Craig S, Tait N, Boers D, et al. Review of anatomy education in Australian and New Zealand medical schools. ANZ J Surg. 2010; 80(4): 212–216, doi: 10.1111/j.1445-2197.2010.05241.x, indexed in Pubmed: 20575945.
  • 10. Dieckmann P, Molin Friis S, Lippert A, et al. The art and science of debriefing in simulation: Ideal and practice. Med Teach. 2009; 31(7): e287–e294, indexed in Pubmed: 19811136.
  • 11. Estai M, Bunt S. Best teaching practices in anatomy education: A critical review. Ann Anat. 2016; 208: 151–157, doi: 10.1016/j.aanat.2016.02.010, indexed in Pubmed: 26996541.
  • 12. Fransen AF, van de Ven J, Merién AER, et al. Effect of obstetric team training on team performance and medical technical skills: a randomised controlled trial. Br J Obstet Gynaecol. 2012; 119(11): 1387–1393, doi: 10.1111/j.1471-0528.2012.03436.x, indexed in Pubmed: 22882714.
  • 13. Fitzpatrick CM, Kolesari GL, Brasel KJ. Teaching anatomy with surgeons’ tools: use of the laparoscope in clinical anatomy. Clin Anat. 2001; 14(5): 349–353, doi: 10.1002/ca.1062, indexed in Pubmed: 11754223.
  • 14. Grogan EL, Stiles RA, France DJ, et al. The impact of aviation-based teamwork training on the attitudes of health-care professionals. J Am Coll Surg. 2004; 199(6): 843–848, doi: 10.1016/j.jamcollsurg.2004.08.021, indexed in Pubmed: 15555963.
  • 15. Harden RM, Crosby JR. The good teacher is more than a lecturer: The twelves roles of the teacher. AMEE Education Guide. 2000. No: 20.
  • 16. Janczukowicz J. Medical education in Poland. Med Teach. 2013; 35(7): 537–543, doi: 10.3109/0142159X.2013.789133, indexed in Pubmed: 23631409.
  • 17. Kirkpatrick D. Evaluating training programmes; the four levels. San Francisco, CA: Berrett-Kochler Publishers. 1994.
  • 18. Marks SC. Information technology, medical education, and anatomy for the twenty-first century. Clin Anat. 1996; 9(5): 343–348, doi: 10.1002/(SICI)1098-2353(1996)9:5<343::AID-CA8>3.0.CO;2-D, indexed in Pubmed: 8842542.
  • 19. MUL.Teaching methods preferences of students of MUL. Department of Education Quality Assessment. 2014.
  • 20. Mileder LP, Urlesberger B, Szyld EG, et al. Simulation-based neonatal and infant resuscitation teaching: a systematic review of randomized controlled trials. Klin Padiatr. 2014; 226(5): 259–267, doi: 10.1055/s-0034-1372621, indexed in Pubmed: 25153910.
  • 21. Mitesh Sharma M, Macafee D, Horgan AF. Basic laparoscopic skills training using fresh frozen cadaver: a randomized controlled trial. Am J Surg. 2013; 206(1): 23–31, doi: 10.1016/j.amjsurg.2012.10.037, indexed in Pubmed: 23623462.
  • 22. Netterstrøm I, Kayser L. Learning to be a doctor while learning anatomy! Anat Sci Educ. 2008; 1(4): 154–158, doi: 10.1002/ase.31, indexed in Pubmed: 19177402.
  • 23. Nnodim JO. Learning human anatomy: by dissection or from prosections? Medical Education. 1990; 24(4): 389–395, doi: 10.1111/j.1365-2923.1990.tb02456.x.
  • 24. Peck D, Skandalakis JE. The anatomy of teaching and the teaching of anatomy. Am Surg. 2004; 70(4): 366–368, indexed in Pubmed: 15098794.
  • 25. Staśkiewicz GJ, Walczak E, Torres K, et al. What do clinicians think of the anatomical knowledge of medical students? Results of a survey. Folia Morphol. 2007; 66(2): 138–142, indexed in Pubmed: 17594673.
  • 26. Tshibwabwa ET, Groves HM. Integration of ultrasound in the education programme in anatomy. Med Educ. 2005; 39(11): 1148, doi: 10.1111/j.1365-2929.2005.02288.x, indexed in Pubmed: 16262819.
  • 27. Torres K, Torres A, Pietrzyk L, et al. Simulation techniques in the anatomy curriculum: review of literature. Folia Morphol. 2014; 73(1): 1–6, doi: 10.5603/FM.2014.0001, indexed in Pubmed: 24590516.
  • 28. Waterston SW, Stewart IJ. Survey of clinicians’ attitudes to the anatomical teaching and knowledge of medical students. Clin Anat. 2005; 18(5): 380–384, doi: 10.1002/ca.20101, indexed in Pubmed: 15971223.
  • 29. Yammine K. The current status of anatomy knowledge: where are we now? Where do we need to go and how do we get there? Teach Learn Med. 2014; 26(2): 184–188, doi: 10.1080/10401334.2014.883985, indexed in Pubmed: 24702556.

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