Skip to main content

Promoting Active Learning in the Gross Anatomy Laboratory

  • Chapter
  • First Online:
Teaching Anatomy

Abstract

Active learning aims to engage learners in higher-order cognitive tasks such as problem-solving, knowledge application, analysis, synthesis, and evaluation. It is an umbrella term encompassing a wide range of instructional methods with a rich theoretical underpinning. The gross anatomy laboratory, a small-group, highly interactive learning environment, offers rich opportunities for implementing such methods. The few examples discussed are as follows: (1) dissection classes triggered by clinical problems artificially created on the cadavers, to stimulate knowledge application and problem-solving; (2) a cloud-based mobile platform for peer teaching during dissection classes; and (3) a task-based prosection class, wherein students need to complete tasks based on learning materials organized into stations. To further promote student engagement, teachers can adopt the one-minute preceptor framework in interacting with students in order to foster student ownership of a problem and to provide appropriate feedback, even if the preceptorial encounters are brief.

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

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Prince M. Does active learning work? A review of the research. J Eng Educ. 2004;93(3):223–31.

    Article  Google Scholar 

  2. Hung D, Tan SC, Koh TS. Engaged learning: making learning an authentic experience. In: Hung D, Khine MS, editors. Engaged learning with emerging technologies. Dordrecht: Springer; 2006. p. 29–48.

    Chapter  Google Scholar 

  3. Bonwell C, Eison J. Active learning: creating excitement in the classroom. ASHE-ERIC higher education report No. 1. Washington, DC: The George Washington University, School of Education and Human Development; 1991.

    Google Scholar 

  4. Freeman S, Eddy SL, McDonough M, Smith MK, Okoroafor N, Jordt H, Wenderoth MP. Active learning increases student performance in science, engineering, and mathematics. Proc Natl Acad Sci U S A. 2014;111(23):8410–5.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  5. Murdoch B, Guy PW. Active learning in small and large classes. Acc Educ. 2002;11(3):271–82.

    Article  Google Scholar 

  6. Hess GF. Principle 3 good practice encourages active learning. J Legal Educ. 1999;49(3):401–17.

    Google Scholar 

  7. Drake R. Anatomy education in a changing medical curriculum. Anat Rec. 1998;253:28–31.

    Article  CAS  PubMed  Google Scholar 

  8. Miller SA, Perrotti W, Silverthorn DU, Dalley AF, Rarey KE. From college to clinic: reasoning over memorization is key for understanding anatomy. Anat Rec. 2002;269:69–80.

    Article  PubMed  Google Scholar 

  9. McLachlan JC, Patten D. Anatomy teaching: ghosts of the past, present and future. Med Educ. 2006;40:243–53.

    Article  PubMed  Google Scholar 

  10. Bruner JS. The act of discovery. Harvard Educ Rev. 1961;31:21–32.

    Google Scholar 

  11. Piaget J. The child’s conception of the world. Littlefield, Adams and Company: Patterson; 1963.

    Google Scholar 

  12. Vygotsky LS. Mind in society: the development of higher psychological processes. Cambridge, MA: Harvard University Press; 1980.

    Book  Google Scholar 

  13. Doise W, Mugny G, Perret-Clermont AN. Social interaction and the development of cognitive operations. Eur J Soc Psychol. 1975;5(3):367–83.

    Article  Google Scholar 

  14. Lave J. Cognition in practice: mind, mathematics and culture in everyday life. New York: Cambridge University Press; 1988.

    Book  Google Scholar 

  15. Salomon G. Distributed cognitions: psychological and educational considerations. Cambridge: Cambridge University Press; 1997.

    Google Scholar 

  16. Johnson DW, Johnson RT. An educational psychology success story: social interdependence theory and cooperative learning. Educ Res. 2009;38(5):365–79.

    Article  Google Scholar 

  17. Piaget J. Part I: cognitive development in children: Piaget development and learning. J Res Sci Teach. 1964;2(3):176–86.

    Article  Google Scholar 

  18. Atkinson J. An introduction to motivation. Princeton: Van Nostrand; 1964.

    Google Scholar 

  19. Bandura A. Social learning theory of aggression. J Commun. 1978;28(3):12–29.

    Article  CAS  PubMed  Google Scholar 

  20. Kolb D. Towards an applied theory of experiential learning. London: John Wiley; 1975.

    Google Scholar 

  21. Cornwall M. Students as teachers: peer teaching in higher education. Amsterdam: University of Amsterdam; 1979.

    Google Scholar 

  22. Gardner H. Developing the spectrum of human intelligences. Harvard Educ Rev. 1987;57(2):187–93.

    Article  Google Scholar 

  23. Flavell JH. Metacognitive aspects of problem solving. In: Resnick LR, editor. The nature of intelligence. Hillsdale: Erlbaum; 1976. p. 231–5.

    Google Scholar 

  24. Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977;84(2):191–215.

    Article  CAS  PubMed  Google Scholar 

  25. Zimmerman J. A social cognitive view of self-regulated academic learning. J Educ Psychol. 1989;81(3):329–39.

    Article  Google Scholar 

  26. Dewey J. Experience and education. New York: Touchstone; 1938.

    Google Scholar 

  27. Dweck CS. Motivational processes affecting learning. Am Psychol. 1986;41(10):1040–8.

    Article  Google Scholar 

  28. Locke EA, Latham GP. A theory of goal setting and task performance. Englewood Cliffs: Prentice-Hall; 1990.

    Google Scholar 

  29. Ryan RM, Deci EL. Self-determination theory and the facilitation of intrinsic motivation, social development, and Well-being. Am Psychol. 2000;55(1):68–78.

    Article  CAS  PubMed  Google Scholar 

  30. Barrows HS. Problem-based learning applied to medical education. Springfield: Southern Illinois University Press; 2000.

    Google Scholar 

  31. Bergman EM. Teaching and learning anatomy in a PBL curriculum. In: Chan LK, Pawlina W, editors. Teaching anatomy: a practical guide. Cham: Springer; 2015.

    Google Scholar 

  32. Michaelsen LK, Sweet M. The essential elements of team-based learning. New Dir Teach Learn. 2008;116:7–27.

    Article  Google Scholar 

  33. Melovitz-Vasan C, Pinhal-Enfield G, DeFouw DO, Vasan N. Team-based learning: an effective pedagogical strategy to teach anatomy. In: Chan LK, Pawlina W, editors. Teaching anatomy: a practical guide. Cham: Springer; 2015.

    Google Scholar 

  34. McLean SF. Case-based learning and its application in medical and health-care fields: a review of worldwide literature. J Med Educ Curric Dev. 2016;3:JMECD.S20377.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Thistlethwaite JE. Learning and teaching anatomy through case-based learning. In: Chan LK, Pawlina W, editors. Teaching anatomy: a practical guide. Cham: Springer; 2015.

    Google Scholar 

  36. Berkhout JJ, Helmich E, Teunissen PW, van der Vleuten CPM, Jaarsma ADC. Context matters when striving to promote active and lifelong learning in medical education. Med Educ. 2018;52(1):34–44.

    Article  PubMed  Google Scholar 

  37. Thistlethwaite JE. Interprofessional education: implications and development for medical education. Educación Médica. 2015;16(1):68–73.

    Article  Google Scholar 

  38. Barr H, Low H. Introducing interprofessional education. Centre for the Advancement of Interprofessional Education: Fareham; 2013.

    Book  Google Scholar 

  39. O'Halloran C, Hean S, Humphris D, Macleod-Clark J. Developing common learning: the new generation project undergraduate curriculum model. J Interprof Care. 2006;20(1):12–28.

    Article  CAS  PubMed  Google Scholar 

  40. Pawlina W, Drake R. Interprofessional education: first steps. Anat Sci Educ. 2015;8(4):289–90.

    Article  PubMed  Google Scholar 

  41. Lachman N, Pawlina W. Drawing from a culture of active learning: student-initiated peer education. Clin Anat. 2016;29:428–9.

    Article  PubMed  Google Scholar 

  42. Cooper KM, Ashley M, Brownell SE. Using expectancy value theory as a framework to reduce student resistance to active learning: a proof of concept. J Microbiol Biol Educ. 2017;18(2):18.2.32.

    PubMed  PubMed Central  Google Scholar 

  43. Rizzolo LJ, Stewart WB, O’Brien M, Haims A, Rando W, Abrahams J, et al. Design principles for developing an efficient clinical anatomy course. Med Teach. 2006;28:142–51.

    Article  PubMed  Google Scholar 

  44. Rizzolo LJ, Rando WC, O'Brien MK, Haims AH, Abrahams JJ, Stewart WB. Design, implementation, and evaluation of an innovative anatomy course. Anat Sci Educ. 2010;3(3):109–20.

    PubMed  Google Scholar 

  45. Huitt TW, Killins A, Brooks WS. Team-based learning in the gross anatomy laboratory improves academic performance and students' attitudes toward teamwork. Anat Sci Educ. 2015;8(2):95–103.

    Article  PubMed  Google Scholar 

  46. Fleagle TR, Borcherding NC, Harris J, Hoffmann DS. Application of flipped classroom pedagogy to the human gross anatomy laboratory: student preferences and learning outcomes. Anat Sci Educ. 2018;11(4):385–96.

    Article  PubMed  Google Scholar 

  47. Mamede S, Schmidt HG. The structure of reflective practice in medicine. Med Educ. 2004;38:1302–6.

    Article  PubMed  Google Scholar 

  48. Mann K, Gordon J, MacLeod A. Reflection and reflective practice in health professions education: a systematic review. Adv in Health Sci Educ. 2009;14:595–621.

    Article  Google Scholar 

  49. Moon J. Reflection in learning and professional development. London: Kogan Page; 1999.

    Google Scholar 

  50. Evans DJR, Cuffe T. Near-peer teaching in anatomy: an approach for deeper learning. Anat Sci Educ. 2009;2(5):227–33.

    Article  PubMed  Google Scholar 

  51. Duran CEP, Bahena EN, Rodriguez MDG, Baca GJ, Uresti AS, Elizondo-Omana RE, et al. Near-peer teaching in an anatomy course with a low faculty-to-student ratio. Anat Sci Educ. 2012;5(3):171–6.

    Article  PubMed  Google Scholar 

  52. Alvarez S, Schultz JH. Professional and personal competency development in near-peer tutors of gross anatomy: a longitudinal mixed-methods study. Anat Sci Educ. 2019;12(2):129–37.

    Article  PubMed  Google Scholar 

  53. Han ER, Chung EK, Nam KI. Peer-assisted learning in a gross anatomy dissection course. PLoS One. 2015;10(11):e0142988.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  54. Manyama M, Stafford R, Mazyala E, Lukanima A, Magele N, Kidenya BR, et al. Improving gross anatomy learning using reciprocal peer teaching. BMC Med Educ. 2016;16:95.

    Article  PubMed  PubMed Central  Google Scholar 

  55. Shroff RH, Ting F, Lam WH. Development and validation of an instrument to measure students’ perceptions of technology–enabled active learning. Aust J Educ Technol. 2019;35(4):109–27.

    Google Scholar 

  56. Cornwall J. The diverse utility of wet prosections and plastinated specimens in teaching gross anatomy in New Zealand. Anat Sci Educ. 2011;4:269–74.

    Article  PubMed  Google Scholar 

  57. Kooloos JG, de Waal Malefijt MC, Ruiter DJ, Vorstenbosch MA. Loosely-guided, self-directed learning versus strictly-guided, station-based learning in gross anatomy laboratory sessions. Anat Sci Educ. 2012;5(6):340–6.

    Article  PubMed  Google Scholar 

  58. Willis J. A framework for task-based learning. Longman handbooks for language teachers. London: Longman; 1996.

    Google Scholar 

  59. Channon SB, Davis RC, Goode NT, May SA. What makes a 'good group'? Exploring the characteristics and performance of undergraduate student groups. Adv Health Sci Educ Theory Pract. 2017;22(1):17–41.

    Article  CAS  PubMed  Google Scholar 

  60. Phillips NM, Duke MM, Weerasuriya R. Questioning skills of clinical facilitators supporting undergraduate nursing students. J Clin Nurs. 2017;26(23–24):4344–52.

    Article  PubMed  Google Scholar 

  61. Chan LK, Wiseman J. The use of the one-minute preceptor as a teaching tool in the gross-anatomy laboratory. Anat Sci Educ. 2011;4(4):235–8.

    Article  PubMed  Google Scholar 

  62. Wheelan SA. Group size, group development, and group productivity. Small Gr Res. 2009;40(2):247–62.

    Article  Google Scholar 

  63. Biggs J, Tang C. Teaching for quality learning at university: what the student does. 3rd ed. Berkshire: The Society for Research into Higher Education and Open University Press; 2007.

    Google Scholar 

  64. Neher JO, Gordon KC, Meyer B, Stevens N. A five-step "microskills" model of clinical teaching. J Am Board Fam Med. 1992;5:419–24.

    CAS  Google Scholar 

  65. Ferenchick G, Simpson D, Blackman J, DaRosa D, Dunnington G. Strategies for efficient and effective teaching in the ambulatory care setting. Acad Med. 1997;72:277–80.

    Article  CAS  PubMed  Google Scholar 

  66. Chan LK, Sharma N. Effects of training experienced teachers in the use of the one-minute preceptor technique in the gross anatomy laboratory. Anat Sci Educ. 2014;7(2):124–9.

    Article  PubMed  Google Scholar 

  67. Chan LK, Yang J, Irby D. Application of the one-minute preceptor technique by novice teachers in the gross anatomy laboratory. Anat Sci Educ. 2015;8(6):539–46.

    Article  PubMed  Google Scholar 

  68. Neher JO, Stevens NG. The one minute preceptor: shaping the teaching conversation. Fam Med. 2003;35:391–3.

    PubMed  Google Scholar 

  69. Andersen J, Nussbaum J, Pecchioni L, Grant JA. Interaction skills in instructional settings. In: Vangelisti AL, Daly JA, Friedrich GW, editors. Teaching communication: theory, research, and methods. 2nd ed. Mahwah: Lawrence Erlbaum Associates; 1999. p. 359–74.

    Google Scholar 

Download references

Acknowledgments

Parts of the work described in this chapter is supported by the Technology-Enriched Learning Initiative and the iClass team of The University of Hong Kong and also by the project entitled “Developing Active Learning Pedagogies and Mobile Applications in University STEM Education” (PolyU2/T&L/16-19), which is funded by the University Grants Committee of the Hong Kong Special Administrative Region with additional support from the Hong Kong Polytechnic University.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Lap Ki Chan .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Chan, L.K., Shroff, R.H., Yang, J., Cecot, T. (2020). Promoting Active Learning in the Gross Anatomy Laboratory. In: Chan, L.K., Pawlina, W. (eds) Teaching Anatomy. Springer, Cham. https://doi.org/10.1007/978-3-030-43283-6_26

Download citation

Publish with us

Policies and ethics