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A Handbook for Teaching and Learning in Higher Education Enhancing academic and Practice

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440 ❘<br />

<strong>Teach<strong>in</strong>g</strong> <strong>in</strong> the discipl<strong>in</strong>es<br />

student-led approach to anatomy learn<strong>in</strong>g is supplemented with expert-led<br />

tutorials that are cl<strong>in</strong>ically relevant <strong>and</strong> <strong>in</strong>volve tasks to promote active learn<strong>in</strong>g.<br />

They <strong>in</strong>corporate liv<strong>in</strong>g models, radiological imag<strong>in</strong>g <strong>and</strong> virtual teach<strong>in</strong>g tools.<br />

This approach develops an appreciation of gross anatomy from the outside<br />

(surface anatomy) <strong>in</strong>wards, aided by visual observation, body projection,<br />

palpation <strong>and</strong> auscultation. The <strong>in</strong>novative use of body projections (anatomical<br />

images projected on to the surface of a human body that may be taken<br />

sequentially, as <strong>in</strong> dissection, through the underly<strong>in</strong>g layers of the body), body<br />

pa<strong>in</strong>t<strong>in</strong>g <strong>and</strong> digital surface anatomy atlases helps the students construct a 3D<br />

picture from the surface <strong>in</strong>wards.<br />

Why do we do it?<br />

Our approach was motivated by three ma<strong>in</strong> factors: (1) a desire to place the<br />

learn<strong>in</strong>g <strong>in</strong> a patient-centred context; (2) a concern that dist<strong>in</strong>ct pre-cl<strong>in</strong>ical/<br />

cl<strong>in</strong>ical phases to the programme could make it difficult to ensure that anatomy<br />

is learnt <strong>in</strong> a way that is cl<strong>in</strong>ically relevant <strong>and</strong> could be applied directly <strong>in</strong> medical<br />

practice; (3) the recent technological developments enable the learn<strong>in</strong>g of<br />

anatomy to be more authentic to modern cl<strong>in</strong>ical practice.<br />

The feedback so far<br />

Students appear to enjoy the expert-led tutorials <strong>and</strong> learn<strong>in</strong>g anatomy <strong>in</strong> a<br />

cl<strong>in</strong>ical context. Some express anxiety about their anatomy knowledge but the<br />

evidence from assessment confirms that anatomy learn<strong>in</strong>g <strong>in</strong>creases steadily<br />

across the five-year programme. Our evaluation of the approach is ongo<strong>in</strong>g but<br />

the early signs are encourag<strong>in</strong>g.<br />

(Dr Karen Mattick, Mr James Oldham, Dr Tudor Ch<strong>in</strong>nah, Dr Russell Davies,<br />

Dr David Bristow, Pen<strong>in</strong>sula Medical School)<br />

ASSESSMENT<br />

The assessment challenge is to use appropriate methods, follow<strong>in</strong>g the basic guidel<strong>in</strong>es<br />

of assessment (see Chapter 10, <strong>and</strong> Crosby, 2002). Assessment should be valid, reliable,<br />

fair, feasible, defendable <strong>and</strong> well conceived from the perspective of impact on learn<strong>in</strong>g.<br />

Interrogat<strong>in</strong>g practice<br />

List the types of assessment with which you are familiar. For each type<br />

consider if it assesses know<strong>in</strong>g, th<strong>in</strong>k<strong>in</strong>g, technical skills, attitudes <strong>and</strong>/or<br />

behaviour.

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