Application and Relevancy of Anatomy Curriculum in the Clinical Years: A Malaysian University Experience

R. Sakaran, Noor Azzizah Omar, Normaliza Omar, S. Sanip, Ku Mastura Ku Mohd Noor, Mohd Hairulhisyam Ngatiman, Nadeeya ‘Ayn Umaisara Mohamad Nor, Sharifa Abdul Aziz
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Abstract

Human anatomy is one of the fundamental subjects in medical and health education. In recent years, anatomy teaching in Universiti Sains Islam Malaysia (USIM) has undergone a major transition from a highly detailed, didactic method to student-centred pedagogy and clinical correlations. Hence, this study aimed to assess the perception of the anatomy curriculum amongst USIM clinical students and to evaluate the clinicians’ cognisance of their students’ anatomical knowledge and application. A cross-sectional study was conducted on 232 clinical students (fourth-, fifth- and final-year) and 32 clinicians from various disciplines with the validated questionnaires. Descriptive analysis was performed to analyse the findings regarding students’ and clinicians’ perceptions. The majority of the students agreed that the anatomy curriculum was adequately covered in the pre-clinical years except for the imaging and clinical correlation classes. In terms of the teaching method, most of the students perceived that the tutorials (99.2%), practical sessions (98.7%), lectures (97.4%) and problembased learning (PBL) (96.1%) were the best approaches in understanding anatomy comprehensively. Results also indicated that the practical sessions (99.1%), lectures (94.8%), tutorials (94.8%) and PBL (93.9%) were the best methods in retaining anatomy knowledge. Besides, 62.9% of students strongly agreed that objective structured practical examination (OSPE) was the most helpful assessment for their anatomical knowledge retention. The majority of the clinicians perceived their clinical year students had a satisfactory level of anatomical knowledge (n = 21, 65.6%) and also believed that the anatomical correlation classes were essential for their disciplines. Students recognised the value of the current teaching methodology for their knowledge retention and comprehension. However, both clinicians and students felt there were limited opportunities for clinical application during teaching and learning. It is therefore imperative to implement appropriate restructuring to the current anatomy curriculum to address students’ needs and preferences for their future medical practice.
解剖学课程在临床年的应用与相关性:马来西亚大学的经验
人体解剖学是医学健康教育的基础学科之一。近年来,马来西亚理科大学(USIM)的解剖学教学经历了从高度详细的教学方法到以学生为中心的教学法和临床相关性的重大转变。因此,本研究旨在评估USIM临床学生对解剖学课程的认知,并评估临床医生对其学生解剖学知识和应用的认知。对232名临床专业学生(四年级、五年级和最后一年级)和32名来自不同学科的临床医生进行了横断面研究。进行描述性分析,分析有关学生和临床医生的看法的发现。大多数学生认为,除了影像学和临床相关课程外,解剖学课程在临床预科课程中已经得到了充分的涵盖。在教学方法方面,大多数学生认为辅导课(99.2%)、实践课(98.7%)、讲座(97.4%)和基于问题的学习(96.1%)是全面理解解剖学的最佳途径。实习(99.1%)、讲座(94.8%)、辅导课(94.8%)和PBL(93.9%)是记忆解剖学知识的最佳方法。62.9%的学生强烈认同客观结构化实践考试(OSPE)是对解剖学知识记忆最有帮助的考核方式。大多数临床医生认为其临床一年级学生的解剖学知识水平令人满意(n = 21, 65.6%),并认为解剖学相关课程对其学科至关重要。学生们认识到当前的教学方法对他们知识的保留和理解的价值。然而,临床医生和学生都认为在教学和学习中临床应用的机会有限。因此,必须对当前的解剖学课程进行适当的重组,以满足学生对未来医疗实践的需求和偏好。
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