Anxiety of first cadaver demonstration in medical, dentistry and pharmacy faculty students
Tóm tắt
Anatomy is the fundamental of medical and health professional education. Anatomic dissection enables the examination of the organs in the human cadavers systematically and topographically. The aim of this study was to determine the effect of the first cadaver demonstration and the anxiety of medical, dental and pharmacy students. A questionnaire was distributed to 486 students in the same academic year (2009–2010) at Ege University. The review of anxiety reveals the circumstances such as exhaustion, stress, depression, anxiety, destructive life, deterioration of mental or physical quality or asthenia (over-fatigue), professionally having a serious effect on the students. 486 (85.3 %) students in total participated in this research carried out as based on voluntariness as 338 (93.9 %) students from the medical faculty, 78 (70.9 %) students from the faculty of dentistry and 70 (70 %) students from the faculty of pharmacy. A medium level of anxiety was detected in the students in their first encounter with the cadaver. The state anxiety score (SAS) average taken by all the students who took part in the research is 42.6 ± 5.60 and trait anxiety score average is 46.6 ± 5.0. No discrepancy was detected among the faculties with respect to anxiety score. While the SASs of the male students were higher than the girls, the trait anxiety scores of the girl students were detected to be higher than male students. While the characteristics and the cultural life of our society force the male students into stronger behavioral patterns, they may actually increase their anxiety level in distressed conditions. The fact that trait anxiety is high in both sexes, particularly in female students can be explained by the patient responsibility and the work load undertaken in the professions in the medical field as early as the period of education. Before the students’ applied lessons with the cadavers start, a preparatory session must be planned for this education to decrease the anxiety level by sharing their sensations, feelings and perceptions related to the demonstration.
Tài liệu tham khảo
Abu-Hijelh MF, Hamdi NA, Moqattash ST, Harris PF, Heseltine GFD (1997) Attitudes and reactions of Arab medical students to the dissecting room. Clin Anat 10:272–278
Ajani RS, Oladapo O (2011) Attitudes and perception of medical and dental preclinical undergraduates in a Nigerian medical school towards cadaveric dissection. Afr J Med Sci 40(2):139–146
Arráez-Aybar LA, Casado-Morales MI, Castaño-Collado G (2004) Anxiety and dissection of the human cadaver: an unsolvable relationship? Anat Rec B New Anat 279(1):16–23
Arráez-Aybar LA, Castaño-Collado G, Casado-Morales MI (2008) Dissection as a modulator of emotional attitudes and reactions of future health professionals. Med Educ 42(6):563–567
Arráez-Aybar LA, Castaño-Collado G, Casado-Morales MI (2010) Relevance of human anatomy in daily clinical practice. Ann Anat 19:341–348
Azer S, Eizenberg N (2007) Do we need dissection in an integrated problem-based learning medical course? Perceptions of first- and second-year students. Surg Radiol Anat 29:173–180
Bataineh ZM, Hijazi TA, Hijleh Abu (2006) Attitudes and reactions of Jordanian medical students to the dissecting room. Surg Radiol Anat 28:416–421
Biasutto SN, Caussa LI, del Rio LEC (2006) Teaching anatomy: cadavers vs. computers? Ann Anat 188:187–190
Bockers A, Jerg-Bretzke L, Lamp C, Brinkmann A, Traue HC, Bockers TM (2010) The gross anatomy course: an analysis of its importance. Anat Sci Educ 3(1):3–11
Boeckers A, Brinkmann A, Jerg-Bretzke L, Lamp C, Traue HC, Boeckers TM (2010) How can we deal with mental distress in the dissection room? An evaluation of the need for psychological support. Ann Anat 192(6):366–372
Cahill KC, Ettarh RR (2008) Student attitudes to whole body donation are influenced by dissection. Anat Sci Educ 1(5):212–216
Cahill KC, Ettarh RR (2009) Attitudes to anatomy dissection in an Irish medical school. Clin Anat 22:386–391
Casado MI, Castano G, Arraez Aybar (2011) Audiovisual material as educational innovation strategy to reduce anxiety response in students of human anatomy. Adv Health Sci Educ Theory Prac. doi:10.1007/s10459-011-9307-2
Choi Ah-Rin A, Tamblyn R, Stringer MD (2008) Electronic resources for surgical anatomy. ANZ J Surg 78:1082–1091
Dyrbye LN, Shanafelt TD (2011) Commentary: medical student distress: a call to action. Acad Med 86(7):801–803
Evans EJ, Fitzgibbon GH (2005) The dissecting room: reactions of first year medical students. Clin Anat 5(4):311–320
Firth J (1986) Levels and sources of stress in medical students. BMJ 292:117–1180
Horne DJ, Tiller JW, Eizenberg N, Tashevska M, Biddle N (1990) Reactions of first-year medical students to their initial encounter with a cadaver in the dissecting room. Acad Med 65(10):645–646
Houwink AP, Kurup AN, Kollars JP, Kollars CAK, Carmichael SW, Pawlina W (2004) Help of third-year medical students decreases first-year medical students’ negative psychological reactions on the first day of gross anatomy dissection. Clin Anat 17:328–333
Johnson JH (2002) Importance of dissection in learning anatomy: personal dissection versus peer teaching. Clin Anat 15:38–44
Korf HW, Wicht H, Snipes RL, Timmermans JP, Paulsen F, Rune G, Baumgart-Vogt E (2008) The dissection course—necessary and indispensable for teaching anatomy to medical students. Ann Anat 190:16–22
McLachlan JC, Patten D (2006) Anatomy teaching: ghosts of the past, present and future. Med Educ 40:243–253
Lee J, Graham AV (2001) Student’s perception of medical school stress and their evaluation of a wellness elective. Med Educ 35(7):652–659
Miller SA, Perrotti W, Silverthorn DU, Dalley AF, Rarey KE (2002) From college to clinic: reasoning over memorization is key for understanding anatomy. Anat Rec (New Anat) 269:69–80
Mitchell R, Batty L (2009) Undergraduate perspectives on the teaching and learning of anatomy. ANZ J Surg 79:118–121
Nnodim JO (1996) Preclinical student reactions to dissection, death, and dying. Clin Anat 9:175–182
Llyod C, Gartrell NK (1981) Sex differences in medical students’ mental health. Am J Psychiatry 138:1346–1351
O’Carroll RE, Whiten S, Jackson D, Sinclair DW (2002) Assessing the emotional impact of cadaver dissection on medical students. Med Educ 36:550–554
Oner N, Le Compte A (1983) Durumluk-Surekli Kaygi Envanteri El Kitabı. Bogazici Universitesi Matbaasi, 1 Baski, İstanbul
Pawlina W, Lachman N (2004) Dissection in learning and teaching gross anatomy: Rebuttal to McLachlan. Anat Rec (Part B: New Anat) 281B:9–11
Plaisant O, Courtois R, Toussaint PJ, Mendelsohn GA, John OP, Delmas V, Moxham BJ (2011) Medical students’ attitudes toward the anatomy dissection room in relation to personality. Anat Sci Educ 4(6):305–310
Swartz WJ (2006) Using gross anatomy to teach and assess professionalism in the first year of medical school. Clin Anat 19(5):437–441
Redwood CJ, Townsend GC (2011) The dead center of the dental curriculum: changing attitudes of dental students during dissections. J Dent Educ 75(10):1333–1344
Reveron RR (2010) Anatomical dissection: a positive experience for Venezuelan first year medical students. Int J Morphol 28(1):213–217
Saylam C, Coskunol H (2005) Orientation lesson in anatomy education. Surg Radiol Anat 27(1):74–77
Saylam C, Mandiracioğlu A, Luleci E, Aktan ZA, Doganer I, Pinar YA (2000) Reactions and attitudes of medical students to cadaver dissections. Med J Ege Uni 10(1):11–13
Sergentanis TN, Papadodima SA, Evaggelakos CI, Mytilinaios DG, Goutas ND, Spilliopoulou CA (2010) Students’ physical and psychological reactions to forensic dissection: are there risk factors ? Anat Sci Educ 3:287–294
Shaida AM, Wong C, Ellis H (1993) The dissecting room student’s attitudes. Clin Anat 6(4):259 (abstract)
Spielberger CD, Gorsuch RL, Lushene RE (1970) Manuel for state–trait anxiety inventory. California: consulting psychologist press—downloaded from https://webfiles.uci.edu/dstokols/PPD151-2011/State-Trait%20Anxiety.pdf
Snelling J, Sahai A, Ellis H (2003) Attitudes of medical and dental students to dissection. Clin Anat 16:165–172
Sugand K, Abrahams P, Khurana A (2010) The anatomy of anatomy: a review for its modernization. Anat Sci Educ 3:83–93
Swartz WJ (2006) Using gross anatomy to teach and assess professionalism in the first year of medical school. Clin Anat 19(5):437–441
Tooth D, Tongue K, McManus C (1989) Anxiety and study methods in preclinical students: causal relation to examination performance. Med Educ 23:416–421
Tschernig T, Schlaud M, Pabst R (2000) Emotional reactions of medical students to dissecting human bodies: a conceptual approach and its evaluation. Anat Rec (New Anat) 261:11–13
Tunay S, Soygut G (2009) Turk universite ogrencileri uzerinde endise siddeti olcegi’nin guvenirlik ve gecerligi. Turk Psikiyatri Dergisi 20(1):68–74
Zurada A, Gielecki J, Osman N, Tubbs RS, Loukas M, Zurada-Zielinska A, Bedi N, Nowak D (2011) The study techniques of Asian, American, and European medical students during gross anatomy and neuroanatomy courses in Poland. Surg Radiol Anat 33:161–169
