The effects of a course in cadaver dissection on resident knowledge of pelvic anatomy: an experimental study.
OBJECTIVE
To determine whether a course in cadaver dissection can significantly increase resident knowledge of pelvic anatomy beyond that of current educational practices.


METHODS
Thirteen first- and second-year residents were randomly assigned to a cadaver dissection course (seven) or a control group (six). The dissection group performed dissections with instruction, using a dissection guide designed specifically for the course. The control group received study references on pelvic anatomy and protected study time. Each participant took a practical and written examination at the beginning and end of the study.


RESULTS
The two groups did not differ statistically in their scores on the pre-test. Both groups improved on the post-test, but the dissection group scored nearly 50% higher on the test than did the controls. The two groups differed significantly on the post-test, adjusted for pre-test performance (P < .01). In their evaluation of the course, participants from the dissection group emphasized its educational value and urged that it be offered to residents as a regular part of their training.


CONCLUSIONS
Dissection of a human cadaver provides a valuable experience, allowing participants to gain a greater understanding of surgical anatomy and surgical procedures in a no-risk, unhurried setting. Residents who participated in a cadaver dissection course designed specifically for their needs showed a statistically significant increase in knowledge compared with those without this experience. Both objectively and subjectively, a cadaver dissection course is an excellent tool for instructing gynecology residents.
Gordinier
M E
ME
Women & Infants Hospital, Brown University School of Medicine, Providence, Rhode Island, USA.
Granai
C O
CO
Jackson
N D
ND
Metheny
W P
WP
D002102:Cadaver; D004210:Dissection; D004521:Educational Measurement; D005069:Evaluation Studies as Topic; D005260:Female; D006176:Gynecology / Q000193:education*; D006801:Humans; D007396:Internship and Residency; D010388:Pelvis / Q000033:anatomy & histology