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From "The Australian"
http://www.news.com.au/story/0,10117,19039542-421,00.html
Doctors fail basic anatomy
May 06, 2006
TEACHING of basic anatomy in Australia's medical schools is so inadequate that students are increasingly unable to locate important body parts - and in some cases even confuse one vital organ with another.
Senior doctors claim teaching hours for anatomy have been slashed by 80 per cent in some medical schools to make way for "touchy-feely" subjects such as "cultural sensitivity", communication and ethics. The time devoted to other basic sciences - including biochemistry, physiology and pathology - has also been reduced.
Several senior consultants have told The Weekend Australian they have been "horrified" to encounter final-year medical students who do not know where the prostate gland is, or what a healthy liver feels like.
When asked by a cardiac surgeon during a live operation to identify a part of the heart that he was pointing to, one group of final-year students thought it was the patient's liver.
A coalition of senior doctors appealed this week to the federal Government to step in, claiming public safety was at stake and that national benchmarks for teaching the basic medical sciences were urgently needed.
The Australian Doctors Fund lodged a 70-page submission with the federal Department of Education, Science and Training this week, listing arguments from more than two dozen professors, consultants and medical academics for a rethink on medical education.
The document warned of a "rising chorus of concern across the medical profession" that students were not getting "exposure to the necessary amount of training in anatomy" and other key sciences.
The heads of Australia's medical schools fiercely contest the criticisms, saying there has been an "explosion" of medical knowledge that doctors need to know, in fields such as genetics and new drugs, and that other areas have to be cut to accommodate the newer topics. They also strenuously deny that they are turning out inadequately trained doctors.
But many students are also unhappy about core science training. One group of students wrote anonymously to two noted academics last year, saying they were "sick of being asked, 'Didn't you study anatomy?"' by consultants amazed by the gaps in their knowledge.
"How can we learn if we are not taught the basics?" they wrote.
One of the two recipients of the letter, Barry Oakes, a former anatomy teacher at Monash University, said part of the problem was the "fads and trends" now current in medical education, and that students were "not taught where the body parts are - they are not even taught the organisation of the nervous system".
"We will be turning out Dr Deaths out of our own medical schools," he said. "They (doctors) won't be competent to manage patients ... it's just appalling.
"It's part of the new educational dictums - 'don't put any stress on them (students) ... it doesn't matter if they don't know anything'."
Associate Professor Oakes plans to provide voluntary anatomy lessons for Monash students.
Michael Gardner, 22, a fifth-year medical student at Monash, said that when he posted this fact on a student discussion board last year, 60 out of the 200 students in the year expressed interest in attending.
"I think probably the old curriculum had too much emphasis on anatomy, but the new course has probably swung a little bit too far in the other direction," he said.
"If you are assessing (a patient) who has had a stroke, if you do not have a good knowledge of the different parts of the brain, it can be difficult to assess which parts have been compromised and what treatment is warranted."
The criticisms of teaching methods are fiercely contested by the heads of Australia's 17 medical schools. Lindon Wing, chairman of the Committee of Deans of Australian Medical Schools, dismissed the examples of student ignorance as anecdotal and said the attacks stemmed from a "clash of cultures" within the profession.
"It's the difference between people who have been brought up (through medical school) in a certain way, and want it to stay that way, and the people who are leading a revolution," Professor Wing said. "I have never seen any evidence ... in any of our disciplines that would show we are deficient."
Ed Byrne, dean of medical, nursing and health sciences at Monash University, said his university's teaching was "superb" and said a redesigned medical course would graduate its first doctors this year.
Although the amount of anatomy teaching had been cut from "several hundred" hours a few years ago to about 100 hours now, this had been matched by many new and better methods for teaching the subject.
"We now teach anatomy in a more sophisticated way, using electronic models, images such as X-rays and MRIs (magnetic resonance imaging)," Professor Byrne said. "The fact that we have to reduce some of the things we taught in the past to make way for new areas of knowledge is a worldwide tendency."
Nick Lee, 22, is a fourth-year medical student at the University of NSW, and was part of the university's last intake before the course was remodelled.
"I prefer the old method because that prepares us before we enter the hospitals," he said.
http://www.news.com.au/story/0,10117,19039542-421,00.html
Doctors fail basic anatomy
May 06, 2006
TEACHING of basic anatomy in Australia's medical schools is so inadequate that students are increasingly unable to locate important body parts - and in some cases even confuse one vital organ with another.
Senior doctors claim teaching hours for anatomy have been slashed by 80 per cent in some medical schools to make way for "touchy-feely" subjects such as "cultural sensitivity", communication and ethics. The time devoted to other basic sciences - including biochemistry, physiology and pathology - has also been reduced.
Several senior consultants have told The Weekend Australian they have been "horrified" to encounter final-year medical students who do not know where the prostate gland is, or what a healthy liver feels like.
When asked by a cardiac surgeon during a live operation to identify a part of the heart that he was pointing to, one group of final-year students thought it was the patient's liver.
A coalition of senior doctors appealed this week to the federal Government to step in, claiming public safety was at stake and that national benchmarks for teaching the basic medical sciences were urgently needed.
The Australian Doctors Fund lodged a 70-page submission with the federal Department of Education, Science and Training this week, listing arguments from more than two dozen professors, consultants and medical academics for a rethink on medical education.
The document warned of a "rising chorus of concern across the medical profession" that students were not getting "exposure to the necessary amount of training in anatomy" and other key sciences.
The heads of Australia's medical schools fiercely contest the criticisms, saying there has been an "explosion" of medical knowledge that doctors need to know, in fields such as genetics and new drugs, and that other areas have to be cut to accommodate the newer topics. They also strenuously deny that they are turning out inadequately trained doctors.
But many students are also unhappy about core science training. One group of students wrote anonymously to two noted academics last year, saying they were "sick of being asked, 'Didn't you study anatomy?"' by consultants amazed by the gaps in their knowledge.
"How can we learn if we are not taught the basics?" they wrote.
One of the two recipients of the letter, Barry Oakes, a former anatomy teacher at Monash University, said part of the problem was the "fads and trends" now current in medical education, and that students were "not taught where the body parts are - they are not even taught the organisation of the nervous system".
"We will be turning out Dr Deaths out of our own medical schools," he said. "They (doctors) won't be competent to manage patients ... it's just appalling.
"It's part of the new educational dictums - 'don't put any stress on them (students) ... it doesn't matter if they don't know anything'."
Associate Professor Oakes plans to provide voluntary anatomy lessons for Monash students.
Michael Gardner, 22, a fifth-year medical student at Monash, said that when he posted this fact on a student discussion board last year, 60 out of the 200 students in the year expressed interest in attending.
"I think probably the old curriculum had too much emphasis on anatomy, but the new course has probably swung a little bit too far in the other direction," he said.
"If you are assessing (a patient) who has had a stroke, if you do not have a good knowledge of the different parts of the brain, it can be difficult to assess which parts have been compromised and what treatment is warranted."
The criticisms of teaching methods are fiercely contested by the heads of Australia's 17 medical schools. Lindon Wing, chairman of the Committee of Deans of Australian Medical Schools, dismissed the examples of student ignorance as anecdotal and said the attacks stemmed from a "clash of cultures" within the profession.
"It's the difference between people who have been brought up (through medical school) in a certain way, and want it to stay that way, and the people who are leading a revolution," Professor Wing said. "I have never seen any evidence ... in any of our disciplines that would show we are deficient."
Ed Byrne, dean of medical, nursing and health sciences at Monash University, said his university's teaching was "superb" and said a redesigned medical course would graduate its first doctors this year.
Although the amount of anatomy teaching had been cut from "several hundred" hours a few years ago to about 100 hours now, this had been matched by many new and better methods for teaching the subject.
"We now teach anatomy in a more sophisticated way, using electronic models, images such as X-rays and MRIs (magnetic resonance imaging)," Professor Byrne said. "The fact that we have to reduce some of the things we taught in the past to make way for new areas of knowledge is a worldwide tendency."
Nick Lee, 22, is a fourth-year medical student at the University of NSW, and was part of the university's last intake before the course was remodelled.
"I prefer the old method because that prepares us before we enter the hospitals," he said.
