Abstract
Anatomical dissection is a cause of distress for many medical students. Explicit pedagogical strategies are important in reducing student distress and supporting their personal development. A systematic review of PubMed, Ovid, PsycINFO, and Web of Science databases was conducted to examine quantitative data regarding medical school interventions to reduce the negative psychological and moral impact of anatomical dissection on medical students. Of 1189 unique abstracts, 14 papers met screening criteria. Student distress decreased with the use of educational audiovisual materials and graded exposure to donor bodies. Educational lectures, memorial ceremonies, and utilization of background music had mixed results.
Similar content being viewed by others
References
McLachlan JC, Patten D. Anatomy teaching: ghosts of the past, present and future. Med Educ. 2006;40(3):243–53. https://doi.org/10.1111/j.1365-2929.2006.02401.x.
Palmer EG, Reddy RK, Laughey W. Teaching professionalism to medical students using dissection-based anatomy education: a practical guide. Med Sci Educ. 2020;2021(31):203–13. https://doi.org/10.1007/s40670-020-01137-2/Published.
Dyrbye LN, Thomas MR, Shanafelt TD. Systematic Review of depression, anxiety, and other indicators of psychological distress among U.S. and Canadian medical students. 2006. Available: http://journals.lww.com/academicmedicine.
Moffat KJ, McConnachie A, Ross S, Morrison JM. First year medical student stress and coping in a problem-based learning medical curriculum. Med Educ. 2004;38(5):482–91. https://doi.org/10.1046/j.1365-2929.2004.01814.x.
Schwenk TL, Davis L, Wimsatt LA. Depression, stigma, and suicidal ideation in medical students. J Am Med Assoc. 2010;304(11):1181–90. Available: https://jamanetwork.com/.
Rotenstein LS, et al. Prevalence of depression, depressive symptoms, and suicidal ideation among medical students a systematic review and meta-analysis. JAMA - J Am Med Assoc. 2016;316(21):2214–36. https://doi.org/10.1001/jama.2016.17324.
Boeckers A, Brinkmann A, Jerg-Bretzke L, Lamp C, Traue HC, Boeckers TM. How can we deal with mental distress in the dissection room?—An evaluation of the need for psychological support. Annals of Anatomy - Anatomischer Anzeiger. 2010;192(6):366–72. https://doi.org/10.1016/J.AANAT.2010.08.002.
Page MJ, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ Publishing Group. 2021;372. https://doi.org/10.1136/bmj.n71.
National Heart, Lung and Blood Institute. Study quality assessment tools. national heart, lung, and blood institute. 2021. https://www.nhlbi.nih.gov/health-topics/study-quality-assessment-tools. (accessed 30 Jul 2021).
Arráez-Aybar LA, Casado-Morales MI, Castaño-Collado G. Anxiety and dissection of the human cadaver: an unsolvable relationship? Anat Rec B New Anat. 2004;279(1):16–23. https://doi.org/10.1002/ar.b.20022.
Casado MI, Castaño G, Arráez-Aybar LA. Audiovisual material as educational innovation strategy to reduce anxiety response in students of human anatomy. Adv Health Sci Educ. 2012;17(3):431–40. https://doi.org/10.1007/s10459-011-9307-2.
Dosani F, Neuberger L. Anatomy and humanity: examining the effects of a short documentary film and first anatomy laboratory experience on medical students. Anat Sci Educ. 2016;9(1):28–39. https://doi.org/10.1002/ase.1532.
Iaconisi J, Hasselblatt F, Mayer B, Schoen M, Böckers TM, Böckers A. Effects of an educational film about body donors on students’ empathy and anxiety levels in gross anatomy. Anat Sci Educ. 2019;12(4):386–98. https://doi.org/10.1002/ase.1880.
Attardi SM, Gould DJ, Pratt RL, Roach VA. YouTube-based course orientation videos delivered prior to matriculation fail to alleviate medical student anxiety about anatomy. Anat Sci Educ. 2021. https://doi.org/10.1002/ase.2107.
González-Pinilla J et al. Does education about death and dying decrease stress generated in the dissection room? ¿Disminuye el Estrés Generado en la Sala de Disección la Formación sobre la Muerte y el Moribundo? 2020.
Saylam C, Coskunol H. Orientation lesson in anatomy education. Surg Radiol Anat. 2005;27(1):74–7. https://doi.org/10.1007/s00276-004-0285-4.
Javadnia F, Hashemitabar M, Kalantarmahdavi SR, Nahid K. How to decrease the emotional impact of cadaver dissection in medical students. J Med Educ. 2006;22(2):200–3. Available: www.pjms.com.pk.
Böckers A, Baader C, Fassnacht UK, Öchsner W, Böckers TM. Reduction of mental distress in the dissection course by introducing the body donor experience through anatomical demonstrations of organ systems. Anat Sci Educ. 2012;5(6):321–9. https://doi.org/10.1002/ase.1292.
Houwink AP, Kurup AN, Kollars JP, Kral Kollars CA, Carmichael SW, Pawlina W. Help of third-year medical students decreases first-year medical students’ negative psychological reactions on the first day of gross anatomy dissection. Clin Anat. 2004;7(4):328–33. https://doi.org/10.1002/ca.10218.
Chiou RJ, Tsai PF, Han DY. Effects of a ‘silent mentor’ initiation ceremony and dissection on medical students’ humanity and learning. BMC Res Notes. 2017;10(1). https://doi.org/10.1186/s13104-017-2809-0.
Crow SM, O’Donoghue D, Vannatta JB, Thompson BM. Meeting the family: promoting humanism in gross anatomy. Teach Learn Med. 2012;24(1):49–54. https://doi.org/10.1080/10401334.2012.641487.
Anyanwu EG. Background music in the dissection laboratory: impact on stress associated with the dissection experience. Adv Physiol Educ. 2015;39(1):96–101. https://doi.org/10.1152/advan.00057.2014.
Bellier A, Secheresse T, Stoeckle A, Dols AM, Chaffanjon PC. Impact of background music on medical student anxiety and performance during anatomical dissections: a cluster randomized interventional trial. Anat Sci Educ. 2020;13(4):427–35. https://doi.org/10.1002/ase.1918.
Goss AL, Viswanathan VB, DeLisser HM. Not just a specimen: a qualitative study of emotion, morality, and professionalism in one medical school gross anatomy laboratory. Anat Sci Educ. 2019;12(4):349–59. https://doi.org/10.1002/ase.1868.
Hafferty FW. Into the valley: death and the socialization of medical students. 1991.
Kissler MJ, Saxton B, Nuila R, Balmer DF. Professional formation in the gross anatomy lab and narrative medicine: an exploration. Acad Med. 2016;91(6):772–7. https://doi.org/10.1097/ACM.0000000000001093. Lippincott Williams and Wilkins.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Competing Interest
The authors declare no competing interests.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Practice Points
• Anatomical dissection may be a cause of moral distress for medical students and is an opportunity for personal development.
• Graded exposure techniques, including the use of prosected specimens, consistently decrease student distress.
• Video materials, live presentations, initiation ceremonies, and background music have varied effects on medical student distress.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Qatanani, A.M., Fishman, O., Khamar, D. et al. Personal Preparation of Medical Students for the Human Dissection Experience: A Systematic Review. Med.Sci.Educ. 33, 1271–1281 (2023). https://doi.org/10.1007/s40670-023-01868-y
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40670-023-01868-y