Get Permission Singh, Rathore, Trivedi, Sharma, and Pandey: Model preparation: A novel implement for teaching & learning anatomy and its perception on undergraduate medical students at AIIMS Raipur


Introduction

Recently, health sciences are exploring the field for researchers to improve the knowledge and correlate advanced technologies in the health field.1,2 Basic medical sciences should adopt their curriculum and methodology according to need. Pre-clinical subjects are a pillar of medical sciences. Among them, anatomy is considered for morphological sciences and divided into macro anatomy, microanatomy, and developmental anatomy.

In 1980s’, the duration for basic sciences of 1st-year medical students was enough i.e., one and a half years. After that curriculum time reduced to one year, these days, medical universities again diminished teaching hours for basic sciences as well as anatomy. In some Institutes, cadaveric based anatomy and dissection are no longer taught, and they are replaced by software-based imagine anatomy like- Anatomage.3 Many anatomists believed these types of changes deteriorate the efficiency of learning and teaching in medical education.4,5 However, embryology deals with microscopic structures based on indirect observation. In human embryology classes, usually artificial models are used to explain different phases of growth and development of the embryo. They help to understand the 3D structure of embryo. These commercialized models are highly expensive. Therefore some anatomists suggested to replace it by handmade models constructed by first year students during their classes.6,7

Medical Universities are peculiar for the number of teaching hours, but they do not specify about quality and distribution of divisions. Earlier, lectures were a primary mode of teaching. However, nowadays, the role of problem-based learning that correlates clinical cases with basic sciences are in focus. Dissection based cadaveric studies and microscopic studies are well enough to understand gross anatomy and microanatomy, respectively. After seeing all perspectives, we decided to conduct an embryology based model making competition among 1st-year medical students. The goal of the competition was to motivate the students for better cognition and apprehension.

Materials and Methods

The present study was performed in the Department of Anatomy, AII India Institute of Medical science, Raipur (C.G). This study consists of first year MBBS Students who completed their 80% anatomy syllabus. They were divided into groups of 10 students during practical classes. Total of 10 groups formed, and each group contained ten students. Each group had a mentor to guide them. They were advised to use textbooks, the internet, and already prepared models. The materials used to make models were papers, cardboard, plaster of Paris, sand, clay, sawdust, thermocol, waste cloths, etc. Each group instructed to make two models that completed in one-week duration under skilled supervision. After one week, 20 prepared models displayed for competition. Three medical professors of other Department judged the event. The judgment based on knowledge of students related to developmental anatomy as well as clarity of models. 

After completing the embryology model preparation competition, we did a questionnaire based feedback from students without mentioning their identity. The aim was to analyse the impact of model-based competition on students.

Results

The analysis indicated that most of the students responded the same for maximum questions except question no 1, 5, and 7 [Figure 1] The questionnaire analysis indicated various materials used to make models apart from given options. Maximum students (78%) felt its fruitfulness in favour of 3-dimensional orientation as well as they enjoyed a lot to prepare these models. Time allotted (7 days) was enough for it; at the same time, 29% of students reported the disturbance of their routine activity [Figure 2].

Figure 1
https://typeset-prod-media-server.s3.amazonaws.com/article_uploads/acc77128-5075-4e51-88e4-6a5d7aca2af5/image/3d5a3ce9-f1b6-4c34-83c0-3597a821e5bc-uimage.png

Figure 2
https://typeset-prod-media-server.s3.amazonaws.com/article_uploads/acc77128-5075-4e51-88e4-6a5d7aca2af5/image/8b0fb651-7acd-41ad-ac0e-c631e85d4ac0-u123.png

Figure 3
https://typeset-prod-media-server.s3.amazonaws.com/article_uploads/acc77128-5075-4e51-88e4-6a5d7aca2af5/image/3b1ddc8e-d601-455b-9024-156ae14d2bd8-u123.png

These days everyone is familiar with the use of social websites, and 60% of students uploaded their pictures of prepared models in it. The purpose was to share the knowledge with their friends of different medical institutes as well 25% agreed that it was for fun and publicity only [Figure 3]. 77% of students accepted to prepare this type of models in the future if time allowed [Figure 2]. During model preparation, students committed that they thoroughly studied textbooks for the betterment of proper preparation.

              

Figure 4
https://typeset-prod-media-server.s3.amazonaws.com/article_uploads/acc77128-5075-4e51-88e4-6a5d7aca2af5/image/55fe2129-f249-4764-a301-cb2cd9a5fad2-u123.png

Figure 5
https://typeset-prod-media-server.s3.amazonaws.com/article_uploads/acc77128-5075-4e51-88e4-6a5d7aca2af5/image/f55d9266-c1c2-4d3f-8897-2d3a71aac6b7-uimage.png

Discussion

Earlier students were totally rely on knowledge of teachers and lectures were major mode of learning, while practical knowledge also given by teachers only. So, teachers were assumed as “Absolute Lord of Knowledge” who was the only source of knowledge.8 Recent scientific findings and technological innovations explore a new novelty in the health science field, such as videos, Wikipedia, animated descriptions and other online modalities.9 Presently, self-knowledge and self-reflection helps the learning.10 On that behalf, today teachers also need to access the understanding of students for subjects. For that purpose, aim of this study was to construct models of embryology by the students to facilitate the lacuna of practical part of embryology. After compiling of results of presented study, majority of students admitted the fruitfulness of model making competition. In addition, students worked excellent in group as a team work. Previous studies said that “group learning facilitates not only the acquisition of knowledge but also several other desirable attributes, such as communication, team work, problem solving and information sharing skills, as well as respect for others opinions.11

Approximately 4-5% students have given negative response. Now question arises, what was the reason of it? Being a teacher we have responsibility to search out the problem of these 5% students and to resolve it though number is less. Embryology have its own pros and cons, it deals with microscopic structures that have dynamic changes during development of an embryo.8 In this context, demonstrators have used alternative methodolgies.12 30-40% students have different thought regarding question no. 5&7, they agreed to disturb their daily activity and uploaded models in social media to get publicity only. On that behalf, we analysed the need of some settings of time management for the students during their fundamental classes. Miranda & Barroso, 2004 stated this type of study fill the purpose of supportive education with articulation of knowledge in the community, school and environment.

Present study reflects the need of this type of periodic activity. It helps to maintain two way relations between students and teachers. 

Conclusion

The reason of this study is to motivate the students for fundamental knowledge. The role of teachers is to give proper guide the students. It improves long term memory of basic sciences and act as a pillar to develop skill of clinical.

Source of funding

None.

Conflict of interest

None.

References

1 

D A Cook T J Beckman Reflections on experimental research in medical educationAdv Health Sci Educ Theory Pract201015455464

2 

2. Almeida AH Soares CB . Health education: Analysis of its teaching in undergraduate nursing coursesRev Latino-Am Enfermagem201119614621

3 

S N Biasutto L I Caussa del Rio LEC Lec Del Rio Teaching anatomy? Cadavers vs computerAnn Anat2006188187190

4 

J C Mc Lachlan S Regan de Bere How we teach anatomy without cadaversClin Teach200414952

5 

M F Mota Fr & Aversi Mata T A Ferriera Constructivist pedagogic method used in the teaching of human anatomyInt J Morphol201028369374

6 

T A Aversi-Ferreira D B Lopes S M M Reis T Abreu RAGMF Aversi-Ferreira I Vera Practice of dissection as teaching methodology in anatomy for nursing dissectionBraz J Morphol Sci200926151157

7 

G P Pena J S Andrade-Filho Analogies in medicine: valuable for learning, reasoning, remembering and namingAdv Health Sci Educ Theory Practice201015609619

8 

Lam Freitas Hfd Barroso H G Rodrigues T A Aversi-Ferreira Construction of embryonic models with recycled material for didactic usingBiosci J2008249197

9 

S Regan de Bere K Mattick From anatomical competence to complex capability. The views and experiences of UK tutors on how we should teach anatomy to medical studentsAdv Health Sci Theory Pract201015573585

10 

A B Noronha D Sophia K Machado Formacao Profissional em SaudeRADIS Communicacao FIOCRUZ200231117

11 

M C O De Santi Repensar dos conteudos escolares:os processos de transmissado, aquisicao e construcao dos conhecimentosRev Latino-am Enfermagem19997113114

12 

T A Aversi-Ferreira C A Monteiro F A Maia Apr & Guimaraes M A Cruz Neurophysiology study associated with three-dimensional models constucted during the learningBiosci J20082498103



jats-html.xsl


This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

  • Article highlights
  • Article tables
  • Article images

View Article

PDF File   Full Text Article


Copyright permission

Get article permission for commercial use

Downlaod

PDF File   XML File  


Digital Object Identifier (DOI)

Article DOI

https://doi.org/10.18231/j.ijcap.2019.100


Article Metrics






Article Access statistics

Viewed: 1324

PDF Downloaded: 753