Lachman, Nirusha

Near‐peer teachers continue to be a significant driving force behind curricular changes that provide anatomy instruction to meet the needs of students in the current learning environment. Near‐peer teaching assistants (TAs) are important contributors in the facilitation of Mayo Clinic School of Medicine, anatomy course. The team‐based design of this course incorporates various approaches to team oriented activities, including introduction to radiology and ultrasound education and whole body dissections. TAs are equally involved in delivery of briefing sessions, prosections, guidance of student dissections, and review sessions. While students acknowledge educational benefits of learning anatomy through dissection, many still experience challenges in effectively using combined classical resources such as dissection manuals, textbooks, atlases, and various computer‐assisted tools. To enhance student competency in dissection as well as to maintain curricular alignment between clinically oriented course content and dissection goals often different than what is presented in dissection manuals or commercially available videos, TAs dissected a cadaver and created short videos. Videos outlined necessary steps for the assigned dissection, identified challenging aspects of dissection procedure, and provided review of clinically relevant anatomic structures. Videos were filmed daily by TAs using commercially available iPads or iPhones and edited using iMovie software. All videos were uploaded to Blackboard curriculum management system the day before dissection and remained accessible to students throughout the course. The objective of this study was to determine medical student satisfaction and utilization of near‐peer created teaching videos for preparation and guidance of laboratory dissection. A total of 28 videos were created that ran from approximately 2 to 13 min in duration. Viewing data for the videos was tracked on the server and a survey was distributed to the students after the final examination (IRB protocol #17‐009090). Response rate was 91% (48 of 53 students responded to the survey). The survey used a five‐point Likert scale in which 1 = strongly disagree and 5 = strongly agree. In general, students found the videos useful in their preparation for laboratory dissection. They agreed that they frequently used the videos to prepare for the assigned dissection (4.74) and they felt that videos improved their efficiency (4.73) and confidence (4.45) in the laboratory. Additionally, 47% of students ranked the videos as their primary resource for dissection preparation. Near‐peer created videos provide an inexpensive and effective alternative to commercially available products. In addition, these videos allow facilitators to relate course specific material with dissection goals, advance self‐directed learning, and help students overcome the challenge of potential cognitive overload from the need to consult too many references within a short timeframe of the dissection laboratory. This abstract is from the Experimental Biology 2018 Meeting. There is no full text article associated with this abstract published in The FASEB Journal .

Significant increase in literature regarding “residents as teachers” highlights the importance of providing opportunities and implementing guidelines for continuing medical education and professional growth. Structured teaching assistant (TA) experiences are not uncommon. Programs, both nationally and internationally, have implemented and continue to provide established opportunities for under‐ and post‐ graduate students to develop teaching skills. However, due to the nature of undergraduate medical curricula, there is neither sufficient time nor an abundance of opportunity for medical students to develop teaching skills. The TA program at Mayo Clinic incorporates learning through apprenticeship and mentoring during a 7‐week anatomy block. This study explores the impact of the TA experience and the effectiveness of its facilitation by faculty mentors. Structured questionnaires obtained feedback regarding improvement in teaching and communication skills, as well as, experiences in curriculum development and educational research. Preliminary data revealed that teaching opportunities, mentoring from course faculty, and exposure to educational research and curriculum development improved the TA's ability to teach and fostered an increased interest in teaching. Medical student TA's perceive learning through apprenticeship and mentoring as an effective way to learn how to teach. Grant Funding Source : Department of Anatomy

Anatomy programs that incorporate dissection of donated human tissue often hold ceremonies of gratitude and reflection for body donors. The content of these ceremonies often include learners’ reflections on mortality, respect, altruism, and personal growth told through various humanities modalities. The task of planning is usually faculty‐ and student‐led with participation from other health care students. Objective information on current memorial ceremonies for body donors in anatomy programs in the United States appears to be lacking. The number of programs in the United States that currently plan these ceremonies and information on trends in programs undertaking such remain unknown. Anatomy program directors throughout the United States were issued a brief, voluntary, thirteen‐item questionnaire on memorial ceremonies held at each institution. Qualitative data regarding the number of anatomy programs which hold their own memorial ceremonies, the content of such ceremonies, how they are planned, level of confidentiality maintained, and the types of participants who attend these events will be presented. This information may serve as a guide to institutions considering initiating a ceremony of their own. Grant Funding Source : Department of Anatomy

Anatomy learned by active exploration in the dissection laboratory has been shown to be beneficial in improving anatomic knowledge, promoting self‐reflection, teamwork, and professionalism. Decreased dissection time may affect the quality of dissection and ultimately retention of gross anatomy knowledge. This could translate to lower student performance in the anatomy course. The purpose of this study was to determine whether evaluating the quality of students’ dissection has an effect on practical examinations performance, mid and end‐course evaluations. Quality of dissections for each team enrolled in a gross anatomy course at Mayo Medical School was evaluated bi‐weekly. Each member of the dissection team received the same score which was calculated towards 5% of their final grade. Dissections were evaluated using a five‐point rubric that incorporates measures for determining whether students had met laboratory learning objectives. Assessment of anatomic knowledge was based on laboratory practical exam scores recorded at intervals throughout the course and achievements on daily audience response system quizzes. Increase in quality of dissection was associated with improvement in practical exams. Teams that received lower dissection scores had lower scores on practical exams. Our results imply that students who achieve daily dissection goals, perform better on the practical examinations. Grant Funding Source : Department of Anatomy

Effective communication of medical information by doctors to patients has been found to be positively related to patient satisfaction. In the United States ACGME requires doctors in training to meet the competency of effective communication across many socioeconomic and cultural backgrounds. One of the main contributors to ineffective patient communication is inaccurate perception by the doctor about the extent of a patient's medical knowledge. This study seeks to elucidate medical student perceptions of patients’ knowledge of anatomy based on patient age, sex, occupation, education level and race. It also seeks to understand which of these matter most in guiding students’ assumptions. Patients were asked to complete a questionnaire, created in collaboration with the Mayo Clinic Patient Education Center, which included a multiple choice anatomy quiz and demographic information. First year medical students who had just completed their gross anatomy course were given the same anatomy quiz and a survey that included the demographic profiles of the patients. They were then asked to predict how well the patients scored. Student perceptions of patient knowledge were compared to the actual scores. Pending the results of this study, we anticipate that medical students will over‐estimate patients’ anatomical knowledge. This project was funded by the Department of Anatomy, Mayo Clinic, Rochester, MN.

Emotional intelligence (EI), the ability to perceive and respond to emotions, has been shown to increase academic achievement and team performance. Studies to support this association exist largely in the business world, but its impact in medical education is relatively unexplored. The purpose of this study was to determine whether emotional intelligence correlates with individual or team academic performance in the anatomy course. This study hypothesizes that individuals or teams with higher emotional intelligence will score higher in the course and that team‐based learning will increase emotional intelligence scores. Medical students were asked to complete the Self‐report Emotions Intelligence Test (SSEIT) at the beginning and the end of the 7‐ week anatomy course. Average EI scores for each team were compared to final course grades as well as cumulative daily quiz grades. Individual EI scores were also compared to individual grades, and change in EI scores over the course was assessed. Preliminary analysis of initial EI scores vs. averaged quiz scores at the midpoint of the course does not appear to show significant correlations. Final results, to be analyzed at the end of the course, may hold stronger predictive value in determining association between EI and team performance. This research is supported by the Department of Anatomy at the Mayo Clinic, Rochester, MN. Grant Funding Source : Department of Anatomy, Mayo Clinic

For several years, medical schools in the United States have been urged to integrate public health and population science into their curricula. The first‐year Gross Anatomy course at Mayo Clinic serves as a teaching platform for many non‐technical skills that include professionalism, patient communication and near‐peer teaching that aim to meet core ACGME requirements. As part of the standard Gross Anatomy curriculum, students are assessed on a laboratory based learning activity referred to as a “bedside presentation,” where each small group is assigned a clinical condition and asked to present a hypothetical case as it relates to the anatomy and radiology on their cadaver. The objective of this study is to assess whether first‐year medical students’ knowledge of global health disparities and national population health improved after a longitudinal curriculum revision that combined public health concepts with the bedside presentation. Students first learned to examine a major cause of morbidity and/or mortality on a global/population level following which each team was asked to present a hypothetical patient (relating to their assigned cadaver) with an acute condition associated with the disease or behavior that they had researched earlier. Teams focused on associated anatomic and radiographic findings and used full‐body CT scans and corresponding anatomic parts to illustrate the effects of the disease. Pre‐course data indicate that students have a 50% understanding of population health trends. We anticipate that first‐year medical students will have an improved awareness of public health problems globally and in the United States after completing this activity in Gross Anatomy.

The increasing dependence on radiologic diagnostic modalities in clinical practice has necessitated innovative teaching methods that introduce radiology into early medical curriculum. At Mayo Medical School cadaveric CT images are integrated into the first year gross anatomy course. Using post‐preservation, non‐contrast full body CT scans of their cadavers, medical students are able to correlate radiologic images to their dissection specimen. The AquariusNET thin client software used to view the images provides students numerous options for image manipulation including standard and oblique sagittal and coronal images and three‐dimensional renderings. Students are requested to record interesting findings from the imaging studies as part of an autopsy report. They are also provided with daily radiology learning objectives that require them to visualize specific anatomic structures. At the end of the course, students were comfortable accessing the cadaver CT data, correlating gross and CT anatomy and appreciating relationships of anatomic structures. They enjoyed interactions with radiology faculty and were more prepared to evaluate radiologic examinations. Grant Funding Source : Department of Anatomy

Teaching assistants (TA's) are an important resource in facilitation of 1st year courses at Mayo Medical School. Formal student teaching positions are available to 3rd students seeking opportunities to develop and refine peer teaching skills. While the Gross Anatomy course has traditionally utilized TA's as peer teachers the role of the TA has not been formally defined. Student evaluations as well as structured faculty and TA interviews were used to quantitatively assess how well TAs perceived their achievement of those goals compared to student and faculty perception. Expectations of TA's role include peer teaching through formal delivery of briefing sessions, group supervision during laboratory sessions, preparation of prosections, organization of review and informal practical examination sessions. TA's may extend their interaction with students through tutoring and participate in medical education‐based research projects. Furthermore, TA's are role players in assessment of student course performance. TA perception of their ability to meet expectations matched faculty and student perceptions. Student evaluations showed TA's to be one of the most highly rated resources in their teaching and learning and valued TA's for their capacity to relate to them, provide hands‐on clinical applications for basic science concepts, emotional support, time commitment to tutoring and assistance in the laboratory. Grant Funding Source : Mayo Medical School

Despite increase in residency programs including ultrasound training, few medical schools have incorporated it into their curricula. The Gross Anatomy course at Mayo Medical School has introduced ultrasound in the curriculum. Cadaver dissection teaches students static anatomical relationships, but ultrasound offers dynamic display of how those relationships can change with movement. Ultrasound curriculum consists of four 1 hour didactic sessions and five 30 minute hands‐on modules, covering Carpal tunnel, Heart, Abdominal viscera, and Doppler imaging of blood flow. Each module is guided by a checklist of techniques and structures. Students are graded using ARS system, and ultrasound objectives are incorporated into the final exam. This study aimed to assess effectiveness of ultrasound curriculum in a 7 week anatomy course. Students were asked to complete pre‐ and post‐ test surveys that assessed whether ultrasound sessions allowed them to better appreciate living anatomy, learn the basics of operating a portable ultrasound machine, and become more comfortable with medical technology. Pre and post surveys showed that ultrasound helped students appreciate living anatomy, and that they were comfortable with technology. There was an increase in students’ perception of their ability to interpret ultrasound images with a p‐value of 0.000026. Ultrasound was a successful addition to the anatomy curriculum.