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<strong>International</strong> <strong>Teacher</strong> <strong>Education</strong> <strong>Conference</strong> <strong>2014</strong><br />

The aim of subject Anatomy is to provide the basic information about anatomical relations of human body,<br />

inner organs and topography of anatomy structures. Students should name parts and structures of the human<br />

body using of precise Anatomical nomenclature. Detailed systematic anatomy and topographical relationships of<br />

organs and structures of the head and neck is substantial for dental students. The basic and general knowledge of<br />

systematic and topographical anatomy of human body below head and neck helps to understand the human body<br />

entirely.<br />

Anatomy is one of the most important and basic courses on medical faculties. Subject anatomy for dental<br />

students is termed as ”General and Oral Anatomy”. It is a compulsory two terms course in 1 st year of Dental<br />

medicine with 7 credits in winter term and 8 in summer one. This course consists of lectures in amount three<br />

teaching hours/week and practical lessons in dissecting room with prosecuted material in amount four teaching<br />

hours/week. Total number of students is approximately 60 in Slovak course and 25 students in English course.<br />

There was a question if students can handle better learning of systemic or regional anatomy. Systemic<br />

anatomy of human body is a traditional approach. It is characterised by description of the organ systems of the<br />

body, all organs and tissues for a particular system without recourse to precise location and the understanding of<br />

relationship between organs or tissues. Regional anatomy is a modern way how to teach anatomy, which<br />

concentrates on locations of organs and tissues, subdivides the regions and describes the relationships between<br />

organs or tissues. The advantages of systemic approach are in seeing the entirety of organs; systemic anatomy<br />

provides the descriptive skills for different types of anatomical structures and thus provides useful tools for<br />

future clinical reasoning. The disadvantages of systemic anatomy is that does not fit well enough with the<br />

requirements for those who are training to become surgeons or radiologists, patient’s signs and symptoms<br />

present are not easily understood not best suited for teaching that involves dissection. On the other hand, the<br />

biggest advantage of regional approach is in the training of surgeons and radiologists to aid in the understanding<br />

of the presentations of signs and symptoms, appreciates structures, 3-dimensionally, structures as they are found<br />

from surface to deep levels. The disadvantage of regional approach is in lack of fit with fully integrated medical<br />

programmes.<br />

In education of dental medicine students was the most time devoted to teaching anatomy of head and neck<br />

included neuroanatomy; for anatomy bellow the neck was intended to spent less time; thorax, abdomen, upper<br />

extremity: there was a need to teach only structures relevant to dental students and the only main structures were<br />

taught from the pelvis and lower extremity. There was created the new anatomy book for dental students which<br />

serve as a guide through the anatomy of the trunk and limbs.<br />

METHODS AND PROCEDURES<br />

Anatomy of head and neck for dental students was taught in as detailed way as it was for students of the<br />

general medicine. Dental students of two groups were used in this experiment. Both began to study anatomy in<br />

the first year of their study. The first group started learning structures of the skull and systemic anatomy of the<br />

head and neck in a detailed way: joints, muscles, vessels and nerves. Following, the anatomy of the central<br />

nervous system, trunk and limbs was taught systemically, but in a reduced manner comparing by general<br />

medicine students. This way of learning was completed for one group of students, while the second group of<br />

students began with regional anatomy of head and neck areas, and then continued by the anatomy of the central<br />

nervous system and the regional anatomy of the limbs and trunk. The curriculum of both groups was the same,<br />

only the way of teaching was different. The first group was taught using only systemic anatomy, while the<br />

second using regional approach. The results on practical and theoretical tests between both groups of dental<br />

students were compared.<br />

There were two written and two practical compulsory assessment control tests that correspond to the<br />

anatomical regions to be evaluated. Each test covers region in a detailed and coherent manner, before tests the<br />

students had lectures and practical reinforcing of each anatomical region. Theoretical test was written during<br />

lecture time, it consists of 100 statements; students have to sign each of them if it is true or false. Practical tests<br />

done on lesson in dissecting room consists of 30 structures in prosected body which students have to recognize.<br />

Additional assessments, e.g. small tests on each lesson, were optional in competency of teachers.<br />

A new textbook of anatomy was specifically designed for dental students to help them to study anatomy of<br />

trunk and limbs (Kluchova et al., <strong>2014</strong>). In this book is limited text in extend which can be demonstrated in the<br />

dissecting room according to a new curriculum for dental students. Anatomy of limbs and pelvis was reduced the<br />

most, as well as the walls of the trunk. Anatomy of organs and systems of the trunk was taught in a different<br />

way. The time originally allocated to anatomy teaching for dental students was cut in one third of previous<br />

teaching material. After the introduction, the descriptive terms were offered to learn. Following, main systems<br />

were described in general: bones and skeletal system, joints, muscular system, cardiovascular and lymphatic<br />

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