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Tıp Eğitiminde Kadavra ve Kadavra Temini Hakkında Tıp Öğrencilerinin Görüşleri

Year 2024, Volume: 4 Issue: 3, 1 - 11, 31.12.2024

Abstract

Amaç: Anatomi eğitiminde farklı öğrenme yöntemleri kullanılmasına rağmen, kadavranın dünya genelinde tıp eğitiminde tartışmasız önemli bir yeri bulunmaktadır. Kadavralarla anatomi eğitiminin önemine rağmen, birçok tıp fakültesinde yeterli kadavra bulunmamaktadır. Bu çalışmanın amacı, öğrencilerin kadavra ve kadavra temini konusundaki farkındalıklarını ve tutumlarını araştırmaktır.

Gereç ve Yöntemler: Anket, 2023 yılında Tıp Fakültesi Dönem II ve Dönem III öğrencilerine dijital ortam üzerinden ulaştırılmıştır. Çalışmaya katılan 140 öğrenciye eğitim döneminin sonunda on altı sorudan oluşan bir anket uygulanmıştır.

Bulgular: Tıp fakültesi öğrencilerinin neredeyse tamamı (%91) anatomi eğitimine kadavranın mutlaka olması gerektiğini düşünmektedir. Öğrencilerin çoğu, kadavralarla çalışırken duygusal olarak etkilenmediklerini, kaygı ve korku gibi olumsuz duygular yaşamadıklarını belirtmiştir. Kadavralarla çalışırken kadınlar erkeklerden anlamlı olarak daha fazla empati kurabilmektedir (p<0,05). Öğrencilerin %46'sı kadavra temin yollarını bilmektedir. Öğrencilerin %43'ü çalıştıkları kadavranın hangi şekilde temin edildiğini bilmenin önemli olduğunu belirtmiştir. Çalışmamızda sahipsiz bedenlerin anatomi eğitiminde kullanılmasını etik açıdan doğru bulan %36,eğitim açısından doğru bulan %67 oranından öğrenci bulunmaktadır. Öğrencilerin beden bağışı için kendilerini, aile üyelerini veya çevrelerini teşvik etmeye istekli olmadıkları sonucuna varılmıştır.

Sonuç: Bu anketin sonuçları, tıp öğrencilerinin kadavra ve kadavra teminiyle ilgili farkındalıklarını artırmayı amaçlayan eğitim programlarının uygulanmasına katkıda bulunacak bilgiler sağlayabilir.

References

  • Habicht JL., Kiessling C., Winkelmann A. bodies for anatomy education in medical schools: an overview of the sources of cadavers worldwide. Acad Med 2018; 93(9):1293-300. Doi: 10.1097/acm.0000000000002227.
  • Souza AD., Kotian SR., Pandey AK., Rao P., Kalthur SG. Cadaver as a first teacher: a module to learn the ethics and values of cadaveric dissection. J Taibah Univ Med Sci 2020; 15(2):94-101. Doi: 10.1016/j.jtumed.2020.03.002.
  • McLachlan JC., Bligh J., Bradley P., Searle J. Teaching anatomy without cadavers. Med Educ 2004; 38(4):418-24. Doi: 10.1046/j.1365-2923.2004.01795.x.
  • Ellis H. Teaching in the dissecting room. Clin Anat 2001; 14(2):149-51. Doi: 10.1002/1098-2353(200103)14:2<149::AID-CA1023>3.0.CO;2-U.
  • McMenamin P., McLachlan J., Wilson A., et al. Do we really need cadavers anymore to learn anatomy in undergraduate medicine? Med Teach 2018; 40(10):1020-9. Doi: 10.1080/0142159X.2018.1485884.
  • Atmadja DS., Untoro E. The usage of the voluntary cadaver in education of medicine through silent mentor program. Indones J Leg Forensic Sci 2012; 2:282179.
  • Bahşi İ., Topal Z., Çetkin M., et al. Evaluation of attitudes and opinions of medical faculty students against the use of cadaver in anatomy education and investigation of the factors affecting their emotional responses related thereto. Surg Radiol Anat 2021; 43:481-7. Doi: 10.1007/s00276-020-02567-8.
  • Kotzé SH., Mole CG., Greyling LM. The translucent cadaver: an evaluation of the use of full body digital x-ray images and drawings in surface anatomy education. Anat Sci Educ 2012; 5(5):287-94. Doi: 10.1002/ase.1277.
  • Chang HJ., Kim HJ., Rhyu IJ., Lee Y-M., Uhm C-S. Emotional experiences of medical students during cadaver dissection and the role of memorial ceremonies: a qualitative study. BMC Med Educ 2018; 18(1):1-7. Doi: 10.1186/s12909-018-1358-0.
  • Agnihotri G., Sagoo MG. Reactions of first year Indian medical students to the dissection hall experience. Natl J Integrated Res Med 2010; 1(4):4-9.
  • Marks Jr S., Bertman S., Penney J. Human anatomy: a foundation for education about death and dying in medicine. Clin Anat 1997; 10(2):118-22. Doi: 10.1002/(SICI)1098-2353(1997)10:2<118::AID-CA8>3.0.CO;2-R.
  • Riederer BM. Body donations today and tomorrow: What is best practice and why? Clin Anat 2016; 29(1):11-8. Doi:10.1002/ca.22641.
  • Abbasi Asl J., Nikzad H., Taherian A., et al. Cultural acceptability and personal willingness of Iranian students toward cadaveric donation. Anat Sci Educ 2017; 10(2):120-6. Doi: 10.1002/ase.1634.
  • Kozai T. History of collecting cadavers in Japan. Kaibogaku Zasshi 2007; 82(1):33-6.
  • Garment A., Lederer S., Rogers N., Boult L. Let the dead teach the living: the rise of body bequeathal in 20th-century America. Acad Med 2007; 82(10):1000-5. Doi: 10.1097/ACM.0b013e318149e986.
  • Gangata H., Ntaba P., Akol P., Louw G. The reliance on unclaimed cadavers for anatomical teaching by medical schools in Africa. Anat Sci Educ 2010; 3(4):174-83. Doi:10.1002/ase.157.
  • Gurses IA., Coskun O., Ozturk A. Current status of cadaver sources in Turkey and a wake-up call for Turkish anatomists. Anat Sci Educ 2018; 11(2):155-65. Doi: 10.1002/ase.1713.
  • Pirri C., Stecco C., Porzionato A., et al. Forensic implications of anatomical education and surgical training with cadavers. Front Surg 2021; 8:641581. Doi: 10.3389/fsurg.2021.641581.
  • Varner C., Dixon L., Simons MC. The past, present, and future: a discussion of cadaver use in medical and veterinary education. Front Vet Sci 2021; 8:720740. Doi: 10.3389/fvets.2021.720740.
  • Rokade SA., Gaikawad AP. Body donation in India: social awareness, willingness, and associated factors. Anat Sci Educ 2012; 5(2):83-9. Doi: 10.1002/ase.1263.
  • Saha A., Sarkar A., Mandal S. Body donation after death: The mental setup of educated people. J Clin Diagn Res 2015; 9(6):AC05. Doi: 10.7860/JCDR/2015/12246.6011.
  • Cho MJ., Hwang Y-i. Students' perception of anatomy education at a Korean medical college with respect to time and contents. Anat Cell Biol 2013; 46(2):157-62. Doi: 10.5115/acb.2013.46.2.157.
  • Ciliberti R., Gulino M. A Survey on the knowledge and attitudes of Italian medical students toward body donation: ethical and scientific considerations. J Clin Med 2018; 7(7):168. Doi: 10.3390/jcm7070168.
  • Snelling J., Sahai A., Ellis H. Attitudes of medical and dental students to dissection. Clin Anat 2003; 16(2):165-72. Doi: 10.1002/ca.10113.
  • Mulu A., Tegabu D. Medical students’ attitudinal changes towards cadaver dissection: a longitudinal study. Ethiop J Health Sci 2012; 22(1):51-8.
  • Lamdin R., Weller J., Kerse N. Orientation to dissection: assisting students through the transition. Clin Anat. 2012; 25(2):235-40. Doi: 10.1002/ca.21244.
  • Kotzé SH., Mole CG. Talking about death: implementing peer discussion as a coping mechanism to overcome fears about dissection, death, and dying. Anat Sci Educ. 2013; 6(3):191-8. Doi: 10.1002/ase.1332.
  • Greene SJ., Rosen L. Sharing personal information about anatomical body donors: what first-year medical students want to know and how it affects emotional responses to dissection. Clin Anat 2019; 32(8):1019-32. Doi: 10.1002/ca.23389.
  • Ganapathy A., Joy P., Rout S., Gaikwad M. The attitude of medical students toward voluntary body donation: a single institute survey and narrative review of global trends. Cureus 2023; 15(6):e40775. Doi: 10.7759/cureus.40775.
  • Mwachaka PM., Mandela P., Saidi H. Repeated exposure to dissection does not influence students' attitudes towards human body donation for anatomy teaching. Anat Res Int 2016; 9251049. Doi: 10.1155/2016/9251049.
  • Jones DG., Whitaker MI. Anatomy's use of unclaimed bodies: reasons against continued dependence on an ethically dubious practice. Clin Anat 2012; 25(2):246-54. Doi: 10.1002/ca.21223.
  • Cahill KC., Ettarh RR. Student attitudes to whole body donation are influenced by dissection. Anat Sci Educ 2008; 1(5):212-16. Doi: 10.1002/ase.42.
  • Anyanwu EG., Obikili EN., Agu AU. The dissection room experience: A factor in the choice of organ and whole body donation—A Nigerian survey. Anat Sci Educ 2014; 7(1):56-63. Doi: 10.1002/ase.1370.
  • Gebert JT., Zhang M. Fewer medical students are open to body donation after dissecting human cadavers. Med Educ. 2023;57(4):369-78. Doi: 10.1111/medu.14948.
  • Singh P., Phuyal N., Khadka S., Gurung M. Knowledge of medical students and faculties of a medical college towards human body and organ donation: a descriptive cross-sectional study. JNMA J Nepal Med Assoc 2021; 59(234):141-5. Doi: 10.31729/jnma.6200
  • Boduc E., Allahverdi TD. Medical students' views on cadaver and organ donation. Transplant Proc 2022; 54(8):2057-62. Doi:10.1016/j.transproceed.2022.08.021.

Opinions of Medical Students about Cadavers and Cadaver Procurement in Medical Education

Year 2024, Volume: 4 Issue: 3, 1 - 11, 31.12.2024

Abstract

Objective: Although various learning methods are used in anatomy education, cadavers remain unquestionably important in medical education worldwide. Many medical schools face shortages of cadavers. The aim of this study was to investigate students' awareness of and attitudes toward cadavers and the process of cadaver procurement.

Materials and Methods: The survey was distributed to second- and third-year students at the Faculty of Medicine via digital media in 2023. A sixteen-question survey was administered to 140 students who participated in the study at the end of the academic period.

Results: Almost all medical students (91%) believed that cadavers should be included in anatomy education. Most students reported that they were not emotionally affected while working with cadavers and did not experience negative emotions such as anxiety or fear. When working with cadavers, women showed significantly more empathy than men (p<0.05). Forty-six percent of students knew how to obtain cadavers, while 43% stated that it was important to know how the cadaver they worked with was obtained. In our study, 36% of students found it ethically acceptable to use abandoned bodies in anatomy education, and 67% found it acceptable from an educational perspective. It was concluded that students were not willing to encourage themselves, their family members, or their acquaintances to donate bodies.

Conclusion: The results of this survey may provide information that will contribute to further research and the implementation of educational programs aimed at increasing medical students’ awareness of cadavers and cadaver procurement.

References

  • Habicht JL., Kiessling C., Winkelmann A. bodies for anatomy education in medical schools: an overview of the sources of cadavers worldwide. Acad Med 2018; 93(9):1293-300. Doi: 10.1097/acm.0000000000002227.
  • Souza AD., Kotian SR., Pandey AK., Rao P., Kalthur SG. Cadaver as a first teacher: a module to learn the ethics and values of cadaveric dissection. J Taibah Univ Med Sci 2020; 15(2):94-101. Doi: 10.1016/j.jtumed.2020.03.002.
  • McLachlan JC., Bligh J., Bradley P., Searle J. Teaching anatomy without cadavers. Med Educ 2004; 38(4):418-24. Doi: 10.1046/j.1365-2923.2004.01795.x.
  • Ellis H. Teaching in the dissecting room. Clin Anat 2001; 14(2):149-51. Doi: 10.1002/1098-2353(200103)14:2<149::AID-CA1023>3.0.CO;2-U.
  • McMenamin P., McLachlan J., Wilson A., et al. Do we really need cadavers anymore to learn anatomy in undergraduate medicine? Med Teach 2018; 40(10):1020-9. Doi: 10.1080/0142159X.2018.1485884.
  • Atmadja DS., Untoro E. The usage of the voluntary cadaver in education of medicine through silent mentor program. Indones J Leg Forensic Sci 2012; 2:282179.
  • Bahşi İ., Topal Z., Çetkin M., et al. Evaluation of attitudes and opinions of medical faculty students against the use of cadaver in anatomy education and investigation of the factors affecting their emotional responses related thereto. Surg Radiol Anat 2021; 43:481-7. Doi: 10.1007/s00276-020-02567-8.
  • Kotzé SH., Mole CG., Greyling LM. The translucent cadaver: an evaluation of the use of full body digital x-ray images and drawings in surface anatomy education. Anat Sci Educ 2012; 5(5):287-94. Doi: 10.1002/ase.1277.
  • Chang HJ., Kim HJ., Rhyu IJ., Lee Y-M., Uhm C-S. Emotional experiences of medical students during cadaver dissection and the role of memorial ceremonies: a qualitative study. BMC Med Educ 2018; 18(1):1-7. Doi: 10.1186/s12909-018-1358-0.
  • Agnihotri G., Sagoo MG. Reactions of first year Indian medical students to the dissection hall experience. Natl J Integrated Res Med 2010; 1(4):4-9.
  • Marks Jr S., Bertman S., Penney J. Human anatomy: a foundation for education about death and dying in medicine. Clin Anat 1997; 10(2):118-22. Doi: 10.1002/(SICI)1098-2353(1997)10:2<118::AID-CA8>3.0.CO;2-R.
  • Riederer BM. Body donations today and tomorrow: What is best practice and why? Clin Anat 2016; 29(1):11-8. Doi:10.1002/ca.22641.
  • Abbasi Asl J., Nikzad H., Taherian A., et al. Cultural acceptability and personal willingness of Iranian students toward cadaveric donation. Anat Sci Educ 2017; 10(2):120-6. Doi: 10.1002/ase.1634.
  • Kozai T. History of collecting cadavers in Japan. Kaibogaku Zasshi 2007; 82(1):33-6.
  • Garment A., Lederer S., Rogers N., Boult L. Let the dead teach the living: the rise of body bequeathal in 20th-century America. Acad Med 2007; 82(10):1000-5. Doi: 10.1097/ACM.0b013e318149e986.
  • Gangata H., Ntaba P., Akol P., Louw G. The reliance on unclaimed cadavers for anatomical teaching by medical schools in Africa. Anat Sci Educ 2010; 3(4):174-83. Doi:10.1002/ase.157.
  • Gurses IA., Coskun O., Ozturk A. Current status of cadaver sources in Turkey and a wake-up call for Turkish anatomists. Anat Sci Educ 2018; 11(2):155-65. Doi: 10.1002/ase.1713.
  • Pirri C., Stecco C., Porzionato A., et al. Forensic implications of anatomical education and surgical training with cadavers. Front Surg 2021; 8:641581. Doi: 10.3389/fsurg.2021.641581.
  • Varner C., Dixon L., Simons MC. The past, present, and future: a discussion of cadaver use in medical and veterinary education. Front Vet Sci 2021; 8:720740. Doi: 10.3389/fvets.2021.720740.
  • Rokade SA., Gaikawad AP. Body donation in India: social awareness, willingness, and associated factors. Anat Sci Educ 2012; 5(2):83-9. Doi: 10.1002/ase.1263.
  • Saha A., Sarkar A., Mandal S. Body donation after death: The mental setup of educated people. J Clin Diagn Res 2015; 9(6):AC05. Doi: 10.7860/JCDR/2015/12246.6011.
  • Cho MJ., Hwang Y-i. Students' perception of anatomy education at a Korean medical college with respect to time and contents. Anat Cell Biol 2013; 46(2):157-62. Doi: 10.5115/acb.2013.46.2.157.
  • Ciliberti R., Gulino M. A Survey on the knowledge and attitudes of Italian medical students toward body donation: ethical and scientific considerations. J Clin Med 2018; 7(7):168. Doi: 10.3390/jcm7070168.
  • Snelling J., Sahai A., Ellis H. Attitudes of medical and dental students to dissection. Clin Anat 2003; 16(2):165-72. Doi: 10.1002/ca.10113.
  • Mulu A., Tegabu D. Medical students’ attitudinal changes towards cadaver dissection: a longitudinal study. Ethiop J Health Sci 2012; 22(1):51-8.
  • Lamdin R., Weller J., Kerse N. Orientation to dissection: assisting students through the transition. Clin Anat. 2012; 25(2):235-40. Doi: 10.1002/ca.21244.
  • Kotzé SH., Mole CG. Talking about death: implementing peer discussion as a coping mechanism to overcome fears about dissection, death, and dying. Anat Sci Educ. 2013; 6(3):191-8. Doi: 10.1002/ase.1332.
  • Greene SJ., Rosen L. Sharing personal information about anatomical body donors: what first-year medical students want to know and how it affects emotional responses to dissection. Clin Anat 2019; 32(8):1019-32. Doi: 10.1002/ca.23389.
  • Ganapathy A., Joy P., Rout S., Gaikwad M. The attitude of medical students toward voluntary body donation: a single institute survey and narrative review of global trends. Cureus 2023; 15(6):e40775. Doi: 10.7759/cureus.40775.
  • Mwachaka PM., Mandela P., Saidi H. Repeated exposure to dissection does not influence students' attitudes towards human body donation for anatomy teaching. Anat Res Int 2016; 9251049. Doi: 10.1155/2016/9251049.
  • Jones DG., Whitaker MI. Anatomy's use of unclaimed bodies: reasons against continued dependence on an ethically dubious practice. Clin Anat 2012; 25(2):246-54. Doi: 10.1002/ca.21223.
  • Cahill KC., Ettarh RR. Student attitudes to whole body donation are influenced by dissection. Anat Sci Educ 2008; 1(5):212-16. Doi: 10.1002/ase.42.
  • Anyanwu EG., Obikili EN., Agu AU. The dissection room experience: A factor in the choice of organ and whole body donation—A Nigerian survey. Anat Sci Educ 2014; 7(1):56-63. Doi: 10.1002/ase.1370.
  • Gebert JT., Zhang M. Fewer medical students are open to body donation after dissecting human cadavers. Med Educ. 2023;57(4):369-78. Doi: 10.1111/medu.14948.
  • Singh P., Phuyal N., Khadka S., Gurung M. Knowledge of medical students and faculties of a medical college towards human body and organ donation: a descriptive cross-sectional study. JNMA J Nepal Med Assoc 2021; 59(234):141-5. Doi: 10.31729/jnma.6200
  • Boduc E., Allahverdi TD. Medical students' views on cadaver and organ donation. Transplant Proc 2022; 54(8):2057-62. Doi:10.1016/j.transproceed.2022.08.021.
There are 36 citations in total.

Details

Primary Language English
Subjects Anatomy
Journal Section Research Articles
Authors

Huma Kacar 0000-0003-4804-3678

Ozan Turamanlar 0000-0002-0785-483X

Publication Date December 31, 2024
Submission Date August 6, 2024
Acceptance Date October 3, 2024
Published in Issue Year 2024 Volume: 4 Issue: 3

Cite

APA Kacar, H., & Turamanlar, O. (2024). Opinions of Medical Students about Cadavers and Cadaver Procurement in Medical Education. Güncel Tıbbi Araştırmaları Dergisi, 4(3), 1-11. https://doi.org/10.52818/cjmr.1528664
AMA Kacar H, Turamanlar O. Opinions of Medical Students about Cadavers and Cadaver Procurement in Medical Education. CJMR. December 2024;4(3):1-11. doi:10.52818/cjmr.1528664
Chicago Kacar, Huma, and Ozan Turamanlar. “Opinions of Medical Students about Cadavers and Cadaver Procurement in Medical Education”. Güncel Tıbbi Araştırmaları Dergisi 4, no. 3 (December 2024): 1-11. https://doi.org/10.52818/cjmr.1528664.
EndNote Kacar H, Turamanlar O (December 1, 2024) Opinions of Medical Students about Cadavers and Cadaver Procurement in Medical Education. Güncel Tıbbi Araştırmaları Dergisi 4 3 1–11.
IEEE H. Kacar and O. Turamanlar, “Opinions of Medical Students about Cadavers and Cadaver Procurement in Medical Education”, CJMR, vol. 4, no. 3, pp. 1–11, 2024, doi: 10.52818/cjmr.1528664.
ISNAD Kacar, Huma - Turamanlar, Ozan. “Opinions of Medical Students about Cadavers and Cadaver Procurement in Medical Education”. Güncel Tıbbi Araştırmaları Dergisi 4/3 (December 2024), 1-11. https://doi.org/10.52818/cjmr.1528664.
JAMA Kacar H, Turamanlar O. Opinions of Medical Students about Cadavers and Cadaver Procurement in Medical Education. CJMR. 2024;4:1–11.
MLA Kacar, Huma and Ozan Turamanlar. “Opinions of Medical Students about Cadavers and Cadaver Procurement in Medical Education”. Güncel Tıbbi Araştırmaları Dergisi, vol. 4, no. 3, 2024, pp. 1-11, doi:10.52818/cjmr.1528664.
Vancouver Kacar H, Turamanlar O. Opinions of Medical Students about Cadavers and Cadaver Procurement in Medical Education. CJMR. 2024;4(3):1-11.