Innovations in Medical Education in Gastrointestinal Surgery Using Interactive Anatomical Tables
https://doi.org/10.22416/1382-4376-2024-1348-3547-1
Abstract
The introduction of digital technologies into the learning process for medical university students represents a new paradigm in medical education since high level of criteria for assessing the quality of learning of a medical student require the application of modern technologies in training fundamental disciplines and, in particular, anatomy. Thanks to virtual technologies, conditions are created for modeling and integrating the student into conditions close to real ones, which increases the interest and involvement of students in the educational process and, as a result, a subjective improvement in the process of assimilation of the material. Traditional education based on dissection materials cannot fully provide for the massive training of students, as biological materials cannot be restored or preserved and are quickly damaged. 3D models are devoid of these limitations.
Aim: to evaluate the effectiveness of digital dissection in the educational trajectory of clinical anatomy using interactive anatomical tables and the need of students for the active use of these aids.
Materials and methods. Four groups of students were formed: three groups were studying the material using various anatomical tables and one group used the traditional method. To control the effectiveness of the educational process, before the start of training, entrance testing was conducted in all groups. At the end of classes on individual topics, participants completed exit testing, as well as a questionnaire.
Results. The analysis of learning outcomes shows a significantly higher level of absorption of the material among students in groups where 3D anatomical models were used during classes. This indicates that students’ subjective experience of the learning process has improved due to their increased involvement in the class and their interest in innovative teaching methods.
Conclusion. We plan to study learning outcomes in more detail to identify any differences in the formation of general and professional competencies among students. This information will help us make informed decisions about the widespread use of anatomical models in educational practice.
About the Authors
A. D. KashtanovRussian Federation
Artem D. Kashtanov — Physician, Research Intern of the Department of Anesthesiology and Resuscitation, N.V. Sklifosovsky Institute of Clinical Medicine.
119991, Moscow, Abrikosovsky lane. 2
E. O. Stetsyk
Russian Federation
Egor O. Stetsik — Student at the Faculty of Medicine.
191015, Saint Petersburg, Kirochnaya str., 41
S. S. Dydykin
Russian Federation
Sergey S. Dydykin — Dr. Sci. (Med.), Professor, Head of the Department of Operative Surgery and Topographic Anatomy, N.V. Sklifosovsky Institute of Clinical Medicine.
119992, Moscow, Rossolimo str., 15/13, build. 1
O. V. Kytko
Russian Federation
Olesya V. Kytko — Cand. Sci. (Med.), Associate Professor of the Department of Operative Surgery and Topographic Anatomy, N.V. Sklifosovsky Institute of Clinical Medicine.
119992, Moscow, Rossolimo str., 15/13, build. 1
E. M. Trunin
Russian Federation
Evgeniy M. Trunin — Dr. Sci. (Med.), Professor, Head of the Department of Operative and Clinical Surgery with Topographic Anatomy named after S.A. Simbirtsev.
191015, Saint Petersburg, Kirochnaya str., 41
O. Yu. Aleshkina
Russian Federation
Olga Yu. Aleshkina — Dr. Sci. (Med.), Professor, Head of the Department of Human Anatomy, V.I. Razumovsky Saratov State Medical University.
410012, Saratov, Bolshaya Kazachya str., 112
A. N. Lavrentieva
Russian Federation
Anastasia N. Lavrentyeva — Student of the Faculty of Medicine.
191015, Saint Petersburg, Kirochnaya str., 41
A. N. Andreeva
Russian Federation
Anastasiia N. Andreeva — Student of the Faculty of Medicine.
191015, Saint Petersburg, Kirochnaya str., 41
D. S. Alekseeva
Russian Federation
Daria S. Alekseeva — Student of the Faculty of Medicine.
191015, Saint Petersburg, Kirochnaya str., 41
A. A. Muratova
Russian Federation
Alexandra A. Muratova — Student of the Faculty of Medicine.
191015, Saint Petersburg, Kirochnaya str., 41
A. Yu. Kharina
Russian Federation
Anastasia Yu. Kharina — Student of the Faculty of Medicine.
191015, Saint Petersburg, Kirochnaya str., 41
V. V. Tatarkin
Russian Federation
Vladislav V. Tatarkin — Cand. Sci. (Med.), Associate Professor of the Department of Operative and Clinical Surgery with Topographic Anatomy named after S.A. Simbirtsev.
191015, Saint Petersburg, Kirochnaya str., 41
A. S. Sokolova
Russian Federation
Anna S. Sokolova — Cand. Sci. (Med.), Teaching Assistant at the Department of Operative and Clinical Surgery with Topographic Anatomy named after S.A. Simbirtsev.
191015, Saint Petersburg, Kirochnaya str., 41
V. N. Filatov
Russian Federation
Vladimir N. Filatov — Dr. Sci. (Med.), Professor, Head of the Department of Public Health, Economics and Healthcare Management.
191015, Saint Petersburg, Kirochnaya str., 41
I. L. Samodova
Russian Federation
Inna L. Samodova — Cand. Sci. (Med.), Associate Professor of the Department of Public Health, Economics and Healthcare Management.
191015, Saint Petersburg, Kirochnaya str., 41
E. A. Makeeva
Russian Federation
Ekaterina A. Makeeva — Cand. Sci. (Med.), Associate Professor of the Department of Human Anatomy.
105275, Moscow, Borisa Zhigulenkova str., 23
E. S. Pekeldina
Russian Federation
Evgenia S. Pekeldina — Senior Lecturer at the Department of Human Anatomy, V.I. Pokrovsky Scientific and Educational Institute of Fundamental Medicine.
105275, Moscow, Borisa Zhigulenkova str., 23.
M. Yu. Kapitonova
Malaysia
Marina Yu. Kapitonova — Dr. Sci. (Med.), Professor, Universiti Malaysia Sarawak.
Datuk Mohammad Musa, 94300, Kota Samarahan, Sarawak
T. S. Bikbaeva
Russian Federation
Tatiana S. Bikbaeva — Cand. Sci. (Med.), Associate Professor of the Department of Human Anatomy.
410012, Saratov, Bolshaya Kazachya str., 112
I. A. Polkovova
Russian Federation
Irina A. Polkovova — Cand. Sci. (Med.), Associate Professor of the Department of Mobilization Training of Health Care and Disaster Medicine.
410012, Saratov, Bolshaya Kazachya str., 112
B. A. Volel
Russian Federation
Beatrice A. Volel — Dr. Sci. (Med.), Professor of the Department of Psychiatry and Psychosomatics, Director of the N.V. Sklifosovsky Institute of Clinical Medicine.
119992, Moscow, Rossolimo str., 11, build. 2
T. M. Litvinova
Russian Federation
Tatyana M. Litvinova — Cand. Sci. (Pharm.), Docent, ViceRector for Academic Affairs.
119435, Moscow, Bolshaya Pirogovskaya str., 2, build. 4
E. N. Dudnik
Russian Federation
Elena N. Dudnik — Cand. Sci. (Biol.), Associate Professor of the Department of Normal Physiology, N.V. Sklifosovsky Institute of Clinical Medicine.
125009, Moscow, Mokhovaya str., 11, build. 4
N. V. Kireeva
Russian Federation
Natalia V. Kireeva — Cand. Sci. (Med.), Associate Professor of the Department of Outpatient Therapy, N.V. Sklifosovsky Institute of Clinical Medicine.
119333, Moscow, Fotiyevoy str., 10
K. V. Ivashkin
Russian Federation
Konstantin V. Ivashkin — Dr. Sci. (Med.), Professor of the Department of Propaedeutics of Internal Diseases, Gastroenterology and Hepatology of the N.V. Sklifosovsky Institute of Clinical Medicine.
119435, Moscow, Pogodinskaya str., 1, build. 1
Yu. L. Vasil’ev
Russian Federation
Yuriy L. Vasil’ev — Dr. Sci. (Med.), Professor of the Department of Operative Surgery and Topographic Anatomy of the N.V. Sklifosovsky Institute of Clinical Medicine.
119992, Moscow, Rossolimo str., 15/13, build. 1
References
1. Bhat G.M., Bhat I.H., Shahdad S., Rashid S., Khan M.A., Patloo A.A. Analysis of feasibility and acceptability of an e-learning module in anatomy. Anat Sci Educ. 2022;15(2):376–91. DOI: 10.1002/ase.2096
2. Guy R., Byrne B., Dobos M. Optional anatomy and physiology e-learning resources: Student access, learning approaches, and academic outcomes. Adv Physiol Educ. 2018;42(1):43–9. DOI: 10.1152/advan.00007.2017
3. Ivanova N.V., Murashov O.V., Prokof’ev M.S. Use of “Anatomage table” in the study of variant anatomy. Vestnik of Novgorod State University. 2020;4(120):13–6. (In Russ.). DOI: 10.34680/2076-8052.2020.4(120).13-16
4. Iskakova M.K., Erezhepova G.N. Using the Pirogov interactive ta ble in teaching dental. Actual Problems of Theoreti cal and Clinical Medicine. 2022;4:51–5. (In Russ.). DOI: 10.24412/2790-1289-2022-4-5155
5. Abarca-Olivas J., González-López P., Fernández-Cornejo V., Verdú-Martínez I., Martorell-Llobregat C., Baldoncini M., et al. 3D stereoscopic view in neurosurgical anatomy: Compilation of basic methods. World Neurosurg. 2022;163:e593–609. DOI: 10.1016/j.wneu.2022.04.036
6. Vasil’ev Y.L., Dydykin S.S., Kashtanov A.D., Molotok E.V., Lyakisheva A.A., Kytko O.V., et al. A comparative analysis of lecturers’ satisfaction with Anatomage and Pirogov virtual dissection tables during clinical and topographic anatomy courses in Russian universities. Anat Sci Educ. 2023;16(2):196–208. DOI: 10.1002/ase.2248
7. Vasil’ev Yu.L., Ivanov A.A., Smi lyk I.M., Kashtanov A.D., Kytko O.V. Dissection courses as a way to change the paradigm of modern comprehensive dental education. Clinical Stomatology. 2021;24(2):130–4. (In Russ.). DOI: 10.37988/1811-153X_2021_2_130
8. Ghosh S.K. Cadaveric dissection as an educational tool for anatomical sciences in the 21st century. Anat Sci Educ. 2017;10(3):286–99. DOI: 10.1002/ase.1649
9. Lochner L., Wieser H., Waldboth S., Mischo-Kelling M. Combining traditional anatomy lectures with e-learning activities: How do students perceive their learning experience? Int J Med Educ. 2016;7:69–74. DOI: 10.5116/ijme.56b5.0369
10. Khan J., Baatjes K.J., Layman-Lemphane J.I., Correia J. Online anatomy education during the COVID-19 pandemic: Opinions of medical, speech therapy, and BSc Anatomy students. Anat Sci Educ. 2023;16(5):892–906. DOI: 10.1002/ase.2271
11. Saurabh M.K., Patel T., Bhabhor P., Patel P., Kumar S. Students’ perception on online teaching and learning during COVID-19 pandemic in medical education. Maedica (Bucur). 2021;16(3):439–44. DOI: 10.26574/maedica.2021.16.3.439
12. Yin S., Cai X., Wang Z., Zhang Y., Luo S., Ma J. Impact of gamification elements on user satisfaction in health and fitness applications: A comprehensive approach based on the Kano model. Comput Human Behav. 2022;128:107106. DOI: 10.1016/j.chb.2021.107106
13. van Gaalen A.E.J., Brouwer J., Schönrock-Adema J., Bouwkamp-Timmer T., Jaarsma A.D.C., Georgiadis J.R. Gamification of health professions education: A systematic review. Adv Health Sci Educ Theory Pract. 2021;26(2):683–711. DOI: 10.1007/s10459-020-10000-3
14. Ruiz J.G., Mintzer M.J., Leipzig R.M. The impact of E-learning in medical education. Acad Med. 2006;81(3):207– 12. DOI: 10.1097/00001888-200603000-00002
15. Alasmari W.A. Medical students’ feedback of applying the virtual dissection table (Anatomage) in learning anatomy: A cross-sectional descriptive study. Adv Med Educ Pract. 2021;12:1303–7. DOI: 10.2147/AMEP.S324520
16. Royer D.F., Kessler R., Stowell J.R. Evaluation of an innovative hands-on anatomy-centered ultrasound curriculum to supplement graduate gross anatomy education. Anat Sci Educ. 2017;10(4):348–62. DOI: 10.1002/ase.1670
17. Abdulrahman K.A.B., Jumaa M.I., Hanafy S.M., Elkordy E.A., Arafa M.A., Ahmad T., et al. Students’ perceptions and attitudes after exposure to three different instructional strategies in applied anatomy. Adv Med Educ Pract. 2021;12:607–12. DOI: 10.2147/AMEP.S310147
18. Jason D., Trammell A., Grant T. Informationists and nurse educators partner to integrate a virtual dissection table into a nursing curriculum. Med Ref Serv Q. 2021;40(4):437– 47. DOI: 10.1080/02763869.2021.1987812
19. Shi D., Walline J.H., Liu J., Yu X., Xu J., Song P.P., et al. An exploratory study of Sectra Table visualization improves the effectiveness of emergency bedside echocardiography training. J Ultrasound Med. 2019;38(2):363–70. DOI: 10.1002/JUM.14696
20. Kavvadia E.M., Katsoula I., Angelis S., Filippou D., Kavvadia E.M., Katsoula I., et al. The Anatomage table: A promising alternative in anatomy education. Cureus. 2023;15(8):e43047. DOI: 10.7759/cureus.43047
21. Shevchenko Yu.A., Kitaev V.M. Pirogov’s “Ice anatomy” — a prototype of modern radiological imaging. Pirogov Russian Journal of Surgery. 2010;9:4–8. (In Russ.).
22. Fomin N.F. Contribution of N.I. Pirogov to operative surgery and topographi cal anatomy. Bulletin of Pirogov National Medical & Surgical Center. 2020;15(3–1):16–20. (In Russ.). DOI: 10.25881/BPNMSC.2020.94.89.003
23. Dydykin S.S., Kagan I.I. Once again about the important and painful problem (body donation — when?). Russian Journal of Operative Surgery and Clinical Anatomy. 2020;4(3):4–5. (In Russ.). DOI: 10.17116/operhirurg202040314
24. Wang J., Li W., Dun A., Zhong N., Ye Z. 3D visualization technology for learning human anatomy among medical students and residents: A metaand regression analysis. BMC Med Educ. 2024;24(1):461. DOI: 10.1186/s12909024-05403-4
25. Cappellen van Walsum A.V., Henssen D.J.H.A. E-learn ing three-dimensional anatomy of the brainstem: Impact of different microscopy techniques and spatial ability. Anat Sci Educ. 2022;15(2):317–29. DOI: 10.1002/ase.2056
26. Allen L.K., Eagleson R., de Ribaupierre S. Evaluation of an online three-dimensional interactive resource for undergraduate neuroanatomy education. Anat Sci Educ. 2016;9(5):431–9. DOI: 10.1002/ase.1604
27. Jayakumar N., Brunckhorst O., Dasgupta P., Khan M.S., Ahmed K. E-learning in surgical education: A systematic review. J Surg Educ. 2015;72(6):1145–57. DOI: 10.1016/J.JSURG.2015.05.008
28. Van Nuland S.E., Rogers K.A. The anatomy of E-Learning tools: Does software usability influence learning outcomes? Anat Sci Educ. 2016;9(4):378–90. DOI: 10.1002/ase.1589
29. Morichon A., Dannhoff G., Barantin L., Destrieux C., Maldonado I.L. Doing more with less: Realistic stereoscopic three-dimensional anatomical modeling from smartphone photogrammetry. Anat Sci Educ. 2024;17(4):864– 77. DOI: 10.1002/ase.2402
30. Ail G., Freer F., Chan C.S., Jones M., Broad J., Canale G.P., et al. A comparison of virtual reality anatomy models to prosections in station-based anatomy teaching. Anat Sci Educ. 2024;17(4):763–9. DOI: 10.1002/ase.2419
31. Kashtanov A., Molotok E., Yavorovskiy A., Boyar kov A., Vasil'ev Y., Alsaegh A., et al. A comparative cross-sectional study assessing the psycho-emotion al state of intensive care units' physicians and nurs es of COVID-19 hospitals of a Russian metropolis. Int J Environ Res Public Health. 2022;19(3):1828. DOI: 10.3390/ijerph19031828
32. Nikityuk D.B., Kagan I.I., Dydykin S.S., Zadnipryany I.V., Vasil’ev Y.L., Kapitonova M.Y. About the second edition of the International Anatomical Terminology and its Russian equivalent. Russian Journal of Operative Surgery and Clinical Anatomy. 2022;6(3):56–67. (In Russ.). DOI: 10.17116/operhirurg2022603156
33. Seidlein A.H., Bettin H., Franikowski P., Salloch S. Gamified E-learning in medical terminology: The TERMInator tool. BMC Med Educ. 2020;20(1):284. DOI: 10.1186/s12909-020-02204-3
Review
For citations:
Kashtanov A.D., Stetsyk E.O., Dydykin S.S., Kytko O.V., Trunin E.M., Aleshkina O.Yu., Lavrentieva A.N., Andreeva A.N., Alekseeva D.S., Muratova A.A., Kharina A.Yu., Tatarkin V.V., Sokolova A.S., Filatov V.N., Samodova I.L., Makeeva E.A., Pekeldina E.S., Kapitonova M.Yu., Bikbaeva T.S., Polkovova I.A., Volel B.A., Litvinova T.M., Dudnik E.N., Kireeva N.V., Ivashkin K.V., Vasil’ev Yu.L. Innovations in Medical Education in Gastrointestinal Surgery Using Interactive Anatomical Tables. Russian Journal of Gastroenterology, Hepatology, Coloproctology. 2024;34(5):17-31. https://doi.org/10.22416/1382-4376-2024-1348-3547-1