NEW YORK For hundreds of years, physicians have been dissecting the dead to learn about the inner workings of the human body.
While the subject matter itself hasn't changed much, the study of anatomy has been steadily advancing both in terms of the tools available to clinicians and the ways in which educators and students approach the material. Yet amidst these changes, there's no replacement for the hands-on experience of the anatomy lab, physicians say.
Many people think the purpose of the anatomy lab is for students to simply learn the nomenclature for the parts of the body, said Todd Olson, an anatomist at Albert Einstein College of Medicine in New York. This is certainly part of the purpose "anatomy is the foundation for the language of medicine: the language health-care professionals use for communicating about patients," Olson said. But it's not the only reason. [Image Gallery: The Oddities of Human Anatomy]
One of the most valuable aspects of the anatomy lab experience is gaining an appreciation of human variability, Olson said. "I've been teaching and studying anatomy for over 40 years, and I've never seen a live or dead person that looks like an anatomy book, because every picture in an anatomy book identifies the 'average' condition," he said. "But none of us are 100 percent average." These differences include those between the old and young, between men and women, and from person to person.
Whereas the anatomy lab remains a cornerstone of medical education, other parts of medical teaching have changed in recent years. As the amount of medical knowledge grows for instance, with vast advances in medical imaging medical curriculums must grow to keep pace, which ultimately means less time for each concept. Many medical schools have reduced the amount of time spent in the anatomy lab, and some even provide predissected cadavers (called prosections) so students don't have to spend time doing it themselves.
Technology plays an increasing role in the lab these days, too. At NYU School of Medicine, for example, students use a digital 3D software program called the BioDigital Human as a complement to their manual dissections. Technology can be helpful in anatomy education, Olson said, but its not going to replace dissection. "Dissection is something that is very real. It is happening to the remains of a once-human being, it is not something that is easily replicated on a computer screen." [Ready for Med School? Test Your Body Smarts]
Also in recent years, anatomy educators have pushed to focus on only the most clinically relevant aspects of anatomy what doctors will use in the real world. Rather than having medical students learn every structure in the human body, it's more important they learn about how different parts relate to medical conditions, Olson said. The American Association of Clinical Anatomists, of which Olson was the past president, was founded in order "to bring together anatomy educators around the country who are part of this revolution in how anatomy is presented to health-care professionals," he said.
Hands-on clinical experience
At most medical schools, students take an introductory gross anatomy course in their first year. But at Einstein College of Medicine, some students return to the lab several years later, during their medical residency. Einstein runs an anatomy lab for residents in the physical rehabilitation program of nearby Montefiore Hospital a kind of refresher course, as well as a chance for residents to augment their clinical experience.
"I think more and more schools and hospitals are realizing that they want to add this kind of additional education for residents," course director Sherry Downie, a professor of clinical anatomy and structural biology at Einstein, told LiveScience.
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Why the Anatomy Lab Remains a Fixture of Medicine
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