Korean J Phys Anthropol.  2017 Mar;30(1):21-27. 10.11637/kjpa.2017.30.1.21.

The Application and Effectiveness for Medical Procedural Skills through the Use of the Cadaver Model

Affiliations
  • 1Department of Anatomy, Keimyung University School of Medicine, Korea. neuroana@dsmc.or.kr
  • 2Department of Preventive Medicine, Keimyung University School of Medicine, Korea.

Abstract

For this study, medical students, intern physicians, and resident physicians, were surveyed about the application and effectiveness for medical procedure training using cadaver. In this survey, with a target population of 170 individuals, 105 individuals (61.7%) showed positive responses to learning medical procedural using cadaver. Resident physicians group (80.8%) showed relatively positive responses compared to 4(th) year medical students (58.1%) and intern physicians (47.6%); however, this did not account for any significant statistical difference. Regarding the application of cadaver to medical procedural practices, 95 individuals (62.1%) showed positive responses. Resident physicians (74.5%) had the highest percentage of positive responses compared to intern physicians (56.7%) and 4(th) year medical students (56.6%), and there was a significant statistical difference. Suture (15.7%) was ranked first as the most suitable medical procedural to be practiced on cadaver; tracheotomy and intubation came second and third respectively. This research confirmed the application and the effectiveness of cadaver for medical procedural training and the improvement of general medical procedural ability are expected if the cadaver is applied not only to medical schools but also to intern and resident physician training.

Keyword

Cadaver; Medical practice; Survey; Medical education; Medical students

MeSH Terms

Cadaver*
Education, Medical
Health Services Needs and Demand
Humans
Intubation
Learning
Schools, Medical
Students, Medical
Sutures
Tracheotomy

Figure

  • Fig. 1. Survey form entitled as “Survey on the applicability of medical procedural skill education using the cavader model”.

  • Fig. 2. Pie chart for items that are thought to be helpful for medical procedural skill education using the cadaver model.


Reference

References

1. Coulehan JL, Williams PC, Landis D, Naser C. The first patient: reflections and stories about the anatomy cadaver. Teach Learn Med. 1995; 7:61–6.
Article
2. Dinsmore CE, Daugherty S, Zeitz HJ. Student responses to the gross anatomy laboratory in a medical curriculum. Clin Anat. 2001; 14:231–6.
Article
3. Park H. Clinical application of objective structured clinical examination (OSCE). Korean J Med Educ. 2004; 16:13–23.
Article
4. Lee YM, Hwang K, Baik SH, Hong MH, Choi YS, Kim SH. An experience of OSCE for introducing clinical performance assessment to Korean medical licensure examination. Korean J Med Educ. 2001; 13:47–57.
Article
5. Choi SH, Koh SB. Introduction of Objective Structured Clinical Examination (OSCE) to Residency Examination. Korean J Med Educ. 2008; 20:343–9.
Article
6. Kim SW, Lim SY, Mun GH, Shin JS. Introduction of OSCE (objective structured clinical examination) to board licensure examination of plastic surgeons. Korean J Med Educ. 2006; 18:153–60.
Article
7. Sternbach GL, Rosen P. Use of laboratory animals in the teaching of emergency procedures. J Am Coll Emerg Phys. 1977; 6:543–5.
Article
8. Lenhard A, Moallem M, Marrie RA, Becker J, Garland A. An intervention to improve procedure education for internal medicine residents. J Gen Intern Med. 2008; 23:288–93.
Article
9. Olshaker JS, Brown CK, Arthur DC, Tek D. Animal procedure laboratory surveys: use of the animal laboratory to improve physician confidence and ability. J Emerg Med. 1989; 7:593–7.
Article
10. Do HS, Min JH, Hong SW, Han SK, Kim IS, Ryu S, et al. Evaluation of the educational efficacy of a cadaver-based model for teaching a simple suture technique to medical students. J Korean Soc Traumatol. 2006; 19:121–5.
11. Gilbody J, Prasthofer A, Ho K, Costa ML. The use and effectiveness of cadaveric workshops in higher surgical training: a systematic review. Ann R Coll Surg Engl. 2011; 93:347–52.
Article
12. Weaver M, Kyrouac J, Frank S, Rabinovich S. A cadaver workshop to teach medical procedures. Med Educ. 1986; 20:407–9.
Article
13. Lewis CE, Peacock WJ, Tillou A, Hines OJ, Hiatt JR. A novel cadaver-based educational program in general sur-gery training. J Surg Educ. 2012; 69:693–8.
Article
14. Oxentenko AS, Ebbert JO, Ward LE, Pankratz VS, Wood KE. A multidimensional workshop using human cadavers to teach bedside procedures. Teach Learn Med. 2003; 15:127–30.
Article
15. Varga S, Smith J, Minneti M, Carey J, Zakaluzny S, Noguchi T, et al. Central venous catheterization using a perfused human cadaveric model: application to surgical education. J Surg Educ. 2015; 72:28–32.
Article
16. Park H. Clinical skills assessment in Korean medical licensing examination. Korean J Med Educ. 2008; 20:309–12.
Article
17. English DC. Using animals for the training of physicians and surgeons. Theor Med. 1989; 10:43–52.
Article
18. Cheong J. The use of animals in medical education: a question of necessity vs. desirability. Theor Med. 1989; 10:53–7.
Article
19. Scott WC, Coble YD, Eisenbrey AB, Estes EH, Karlan MS, Kennedy WR, et al. Use of animals in medical education. JAMA. 1991; 266:836–7.
Article
20. van der Vlugt TM, Harter PM. Teaching procedural skills to medical students: one institution's experience with an emergency procedures course. Ann Emerg Med. 2002; 40:41–9.
Article
21. Swindle M. Swine as replacements for dogs in the surgical teaching and research laboratory. Lab Anim Sci. 1984; 34:383.
22. Proano L, Jagminas L, Homan CS, Reinert S. Evaluation of a teaching laboratory using a cadaver model for tube tho-racostomy. J Emerg Med. 2002; 23:89–95.
Article
23. Tabas JA, Rosenson J, Price DD, Rohde D, Baird CH, Dhillon N. A comprehensive, unembalmed cadaver-based course in advanced emergency procedures for medical students. Acad Emerg Med. 2005; 12:782–5.
Article
24. Watson RA, Deshon GE, Agee RE. Surgical experience with large animals: important adjunct to residency training in urology. Urology. 1982; 20:154–6.
25. Woods Jr JR, Ansbacher R, Castro RJ, Marshall W, Trabal JF. Animal surgery: an adjunct to training in obstetrics and gynecology. Obstet Gynecol. 1980; 56:373–4.
26. Berkenstadt H, Ziv A, Gafni N, Sidi A. Incorporating sim-ulation-based objective structured clinical examination into the Israeli National Board Examination in Anesthesiology. Anesth Analg. 2006; 102:853–8.
Article
27. Gerrow JD, Murphy HJ, Boyd MA, Scott DA. Concurrent validity of written and OSCE components of the Canadian dental certification examinations. J Dent Educ. 2003; 67:896–901.
Article
28. Sloan DA, Donnelly MB, Schwartz RW, Strodel WE. The Objective Structured Clinical Examination. The new gold standard for evaluating postgraduate clinical performance. Ann Surg. 1995; 222:735.
Article
Full Text Links
  • KJPA
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr