At the New York University College of Dentistry, lab conference hours for the review of anatomy in preparation for the National Board Dental Examination Part I (NBDE Part I) were reduced due to an increase in incoming class size in 2015. Tasked with providing students an effective means to review material that could now not be covered in the given lab hours, we identified the online platform Cerego as a way to provide a self‐guided anatomy study tool. Use of Cerego replaced what would otherwise have been 96 faculty hours of instruction.We initially created three anatomy topic modules in Cerego, each of which included a combination of images, identifications, associations, and short text passages. Creation of modules in Cerego was intuitive and straightforward. The platform, with algorithms based on principles of retrieval learning and spaced practice, guides the student through individualized iterations of review in multiple formats, and provides the student with prompts for the most effective timing for return to the material. In addition, both student and instructor have access to fine grained performance analytics.We found that Cerego is well suited to fact memorization, and effective as a means to learn material within the time‐frame of a single semester. However, full mastery using the Cerego program – leading to long‐term retention – is achieved over a more extended period. A survey after the termination of the NBDE Part I course in 2015, as well as informal discussions with students, has indicated high student satisfaction with Cerego as a study tool. In addition, results for the anatomy portion of the board exam demonstrates student success, with NYU Dentistry students as a whole achieving a 97.1–100% first‐time pass rate, and performing at 1.4–2.6 standard deviations above the mean for all dental schools in anatomy in the years 2015–2017. Given the success of our initial Cerego use, we have now incorporated this platform into the Head and Neck Anatomy and Basic Tissues courses within the Department of Basic Science and Craniofacial Biology, and other departments at NYU Dentistry have also adopted the use of this tool.This abstract is from the Experimental Biology 2018 Meeting. There is no full text article associated with this abstract published in The FASEB Journal.
Clerkships are defining experiences for medical students in which students integrate basic science knowledge with clinical information as they gain experience in diagnosing and treating patients in a variety of clinical settings. Among the basic sciences, there is broad agreement that anatomy is foundational for medical practice. Unfortunately, there are longstanding concerns that student knowledge of anatomy is below the expectations of clerkship directors and clinical faculty. Most allopathic medical schools require eight “core” clerkships: internal medicine (IM), pediatrics (PD), general surgery (GS), obstetrics and gynecology (OB), psychiatry (PS), family medicine (FM), neurology (NU), and emergency medicine (EM). A targeted needs assessment was conducted to determine the anatomy considered important for each core clerkship based on the perspective of clinicians teaching in those clerkships. A total of 525 clinical faculty were surveyed at 24 United States allopathic medical schools. Participants rated 97 anatomical structure groups across all body regions on a 1–4 Likert‐type scale (1 = not important, 4 = essential). Non‐parametric ANOVAs determined if differences existed between clerkships. Combining all responses, 91% of anatomical structure groups were classified as essential or more important. Clinicians in FM, EM, and GS rated anatomical structures in most body regions significantly higher than at least one other clerkship (p = 0.006). This study provides an evidence‐base of anatomy content that should be considered important for each core clerkship and may assist in the development and/or revision of preclinical curricula to support the clinical training of medical students.
At the New York University College of Dentistry (NYU Dentistry), we are faced with the challenge of teaching Head and Neck Anatomy to a class of approximately 380 first‐year students. We have developed an innovative anatomy curriculum that has proven effective in facilitating students' learning and long‐term retention of the material and has the added benefit of being time‐ and cost‐efficient. We believe that the main factors in the success of our course are the frequent low‐stakes quizzes, the small group setting, and the use of plastinated specimens in place of wet cadavers.Our anatomy course consists of lectures and laboratory sessions. Students attend 52 hours of lectures in a traditional auditorium setting. All of the lectures are recorded and archived using Mediasite, so that students can review them at their leisure. Students are then divided into 32 small groups consisting of 8 to 14 students. Each group attends 23 lab sessions (110 minutes per session) led by a faculty member. In the labs, students work together to identify anatomical structures on plastinated specimens or bones. The instructor facilitates collaboration amongst the students and leads them in a discussion of cross‐sectional anatomy.Frequent low‐stakes evaluations allow students to monitor their progress in the course. Students take an online 10–30 question quiz before each lab and a 5–10 question quiz at the end of each lab (together these pre‐lab and exit quizzes make up 27.5% of the overall grade). The remainder of the grade in the course is determined by three written multiple‐choice exams and one practical exam. We maintain a website with additional resources students can use, including practice questions, photographs of plastinates, animations, and videos. This year, we have also linked to study sets that we have created using Cerego.We have previously published about the success we had in terms of learning goals and student satisfaction after switching from cadaver dissection to plastinations (Baker et al., 2013). Our curriculum has demonstrated continued success over the last 5 years. Within this time period, on the NBDE Part I, NYU Dentistry students have achieved a mean first‐time pass rate of 99.3% and an average anatomy score of 1.73 standard deviations above the national mean. We would like to share our methods with instructors at other institutions.This abstract is from the Experimental Biology 2018 Meeting. There is no full text article associated with this abstract published in The FASEB Journal.
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