Skip to main content

Advertisement

Log in

Is the decline of human anatomy hazardous to medical education/profession?—A review

  • Teaching Anatomy
  • Published:
Surgical and Radiologic Anatomy Aims and scope Submit manuscript

Abstract

Purpose

The continuous decrease in teaching time, the artificially created scarcity of competent anatomical faculties and a reduced allocation of resources have brought about the decline of anatomy in medical education. As a result of this, anatomical knowledge and the standard of medical education have fallen with consequences including safety in clinical practice. The aim of the present study is to analyze this declining phase of anatomy and its impact on medical education and to consider corrective measures.

Methods

This article expresses comparative viewpoints based on a review of the literature.

Results

Anatomy enables doctors to master the language of medical science so they can communicate with patients, the public and fellow doctors and diagnose and treat diseases successfully in all medical fields. No medical specialist or expert can master their field without adequate knowledge of human anatomy. The shrinkage of anatomical schedules, inadequate faculties and declining allocation of resources is therefore unfortunate. These factors produce stress in both student and faculty creating gaps in anatomical knowledge that means insufficient skill is developed to practice medicine safely.

Conclusion

This decline is hazardous not only to the medical profession but also to society. Reforms consisting of balanced rescheduling of medical curricula and optimum resource allocation have been proposed to improve the standard of education of doctors.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Anon J (2005) The rise and fall of anatomy. BMJ Career Focus 330:255–256

    Google Scholar 

  2. Azer SA, 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

    Article  PubMed  Google Scholar 

  3. Böckers A, Jerg-Bretzke L, Lamp C, Brinkmann A, Traue HC, Böckers TM (2010) The gross anatomy course: an analysis of its importance. Anat Sci Educ 3:3–11

    PubMed  Google Scholar 

  4. Cottam WW (1999) Adequacy of medical school gross anatomy education as perceived by certain postgraduate residency programs and anatomy course directors. Clin Anat 12:55–65

    Article  CAS  PubMed  Google Scholar 

  5. Cotter JR, Cohan CS (2010) The timing, format and role of anatomical sciences in medical education. JIAMSE 20:3

    Google Scholar 

  6. Department of Health (1997) Planning the Medical Workforce. Medical Workforce Standing Advisory Committee: Third Report, December 1997. London: department of Health

  7. Drake RL, Lowrie DJ Jr, Prewitt CM (2002) Survey of gross anatomy, microscopic anatomy, neuroscience, and embryology courses in medical school curricula in the United States. Anat Rec 269:118–122

    Article  PubMed  Google Scholar 

  8. Educational affairs committee, American association of clinical anatomists (1996) A clinical anatomy curriculum for the medical student of the 21st century: gross anatomy. Clin Anat 9:71–99

    Article  Google Scholar 

  9. Ellis H (2002) Medico-legal litigation and its links with surgical anatomy. Surgery 20:i–ii

    Google Scholar 

  10. Fitzgerald JE, White MJ, Tang SW, Maxwell-Armstrong CA, James DK (2008) Are we teaching sufficient anatomy at medical school? The opinions of newly qualified doctors. Clin Anat 21(7):718–724

    Article  CAS  PubMed  Google Scholar 

  11. Heylings DJA (2002) Anatomy 1999–2000: the curriculum who teaches it and how? Med Educ 36:702–710

    Article  CAS  PubMed  Google Scholar 

  12. Hubbell DS, Byers PH, Mckeown PP (1996) Instruction in the operating room. Clin Anat 9:405–407

    Article  CAS  PubMed  Google Scholar 

  13. Jones DG, Dias GJ, Mercer S, Zhang M, Nicholson HD (2002) Clinical anatomy research in a research-driven anatomy department. Clin Anat 15:228–232

    Article  PubMed  Google Scholar 

  14. Kaufman MH (1997) Anatomy training for surgeons—a personal viewpoint. J R Coll Surg Edinb 42:215–216

    CAS  PubMed  Google Scholar 

  15. Kulkarni Jyoti P (2014) Importance of cadaver dissection—a brief review report. SMU Med J 1(2):128–131

    Google Scholar 

  16. Lempp HK (2005) Perceptions of dissection by students in one medical school: beyond learning about anatomy. A qualitative study. Med Educ 39:318–325

    Article  PubMed  Google Scholar 

  17. Leong SK (1999) Back to basics. Clin Anat 12:422–426

    Article  CAS  PubMed  Google Scholar 

  18. Lockwood AM, Roberts AM (2007) The anatomy demonstrator of the future: an examination of the role of the medically-qualified anatomy demonstrator in the context of tomorrow’s doctors and modernizing medical careers. Clin Anat 20:455–459

    Article  CAS  PubMed  Google Scholar 

  19. McKeown PP, Heylings DJ, Stevenson M, McKelvey KJ, Nixon JR, McCluskey DR (2003) The impact of curricular change on medical students’ knowledge of anatomy. Med Educ 37:954–961

    Article  CAS  PubMed  Google Scholar 

  20. McLachlan JC (2004) New path for teaching anatomy: living anatomy and medical imaging vs. dissection. Anat Rec B New Anat 281:4–5

    Article  PubMed  Google Scholar 

  21. Moxham BJ, Plaisant O (2007) Perception of medical students towards the clinical relevance of anatomy. Clin Anat 20:560–564

    Article  CAS  PubMed  Google Scholar 

  22. Netterstrøm I, Kayser L (2008) Learning to be a doctor while learning anatomy! Anat Sci Educ 1:154–158

    Article  PubMed  Google Scholar 

  23. Older J (2004) Anatomy: a must for teaching the next generation. Surgeon 2:79–90

    Article  CAS  PubMed  Google Scholar 

  24. Pabst R, Rothkotter HJ (1997) Retrospective evaluation of under-graduate medical education by doctors at the end of their residency time in hospitals: consequences for the anatomical curriculum. Anat Rec 249:431–434

    Article  CAS  PubMed  Google Scholar 

  25. Pandya Sunil K. (2001) Anatomy—Cinderella in the medical curriculum, a handbook of department of anatomy Seth G.S Medical College PP 1–3

  26. Patel KM, Moxham BJ (2006) Attitudes of professional anatomists to curricular change. Clin Anat 19:132–141

    Article  CAS  PubMed  Google Scholar 

  27. Plaisant O, Cabanis EA, Delmas V (2004) Going back to dissection in a medical curriculum: the paradigm of Necker-Enfants Malades. Surg Radiol Anat 26:504–511

    Article  CAS  PubMed  Google Scholar 

  28. Prince KJ, Scherpbier AJ, van Mameren H, Drukker J, van der Vleuten CP (2005) Do students have sufficient knowledge of clinical anatomy? Med Educ 39:326–332

    Article  PubMed  Google Scholar 

  29. Raftery AT (2006) Anatomy teaching in the UK. Surgery 25:1–2

    Google Scholar 

  30. Shaffer K (2004) Teaching anatomy in the digital world. N Engl J Med 351:1279–1282

    Article  CAS  PubMed  Google Scholar 

  31. Snelling J, Sahai A, Ellis H (2003) Attitudes of medical and dental students to dissection. Clin Anat 16:165–172

    Article  CAS  PubMed  Google Scholar 

  32. Spielmann PM, Oliver CW (2005) The carpal bones: a basic test of medical students’ and junior doctors’ knowledge of anatomy. Surgeon 3:257–259

    Article  CAS  PubMed  Google Scholar 

  33. Tubbs RS, Sorenson EP, Sharma A, Benninger B, Norton N, Loukas M, Moxham BJ (2014) The development of a core syllabus for the teaching of head and neck anatomy to medical students. Clin Anat 27:321–330

    Article  PubMed  Google Scholar 

  34. Turney BW (2007) Anatomy in a modern medical curriculum. Ann RColl Surg Engl 89:104–107

    Article  CAS  Google Scholar 

  35. Turney BW, Gill J, Morris JF (2001) Surgical trainees as anatomy demonstrators: revisite d. Ann R Coll Surg Engl (Suppl) 83:193–195

    Google Scholar 

  36. Waterston SW, Stewart IJ (2005) Survey of clinicians’ attitudes tothe anatomical teaching and knowledge of medical students. ClinAnat 18:380–384

    CAS  Google Scholar 

  37. Willms JI, Schneiderman H, Algranati PS (1994) Physical diagnosis: bedside evaluation of diagnosis and function. Williams and Wilkins, Baltimore, MD

    Google Scholar 

Download references

Conflict of interest

There is no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Rajani Singh.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Singh, R., Shane Tubbs, R., Gupta, K. et al. Is the decline of human anatomy hazardous to medical education/profession?—A review. Surg Radiol Anat 37, 1257–1265 (2015). https://doi.org/10.1007/s00276-015-1507-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00276-015-1507-7

Keywords

Navigation