Pelvis Anatomy Tutorial Using Radiological Images

Abstract

IntroductionImproving integration between basic science and clinical application is essential in medical education. Anatomy courses can do this by focusing on medical imaging interpretation. Most imaging textbooks rely on structural identification, which novice learners often struggle to apply to the health care environment, particularly in complex regions like the pelvis, which is multifaceted and differs substantially between sexes. To address this deficit, this resource extends our imaging-based tutorial series.MethodsThis tutorial was a self-administered PowerPoint incorporating X-ray, computed tomography, and magnetic resonance imaging, which are all often used for the pelvic region, as well as self-quizzing and clinical applications. Using repeated-measures, control/experimental design, the tutorial was evaluated as a review tool for 57 Australian medical students in preclerkship years. Participants were evaluated by a rating self-efficacy scale, knowledge-based testing (multiple-choice, short-answer, and identification questions), and feedback to open-ended questions.ResultsResults indicate that the tutorial significantly improved direct knowledge (p = .006), as the experimental group's posttutorial scores for direct questions were superior by 21% on average. Significant improvements occurred specifically for direct short-answer and indirect image-identification questions.DiscussionThese results suggest the tutorial is an effective review tool. While previous tutorials were evaluated as adjunct tools, this tutorial was evaluated post–anatomy teaching with similar results. Students improved in direct and applied anatomy following tutorial exposure. This suggests that the tutorial series comprises valuable review and supplementary materials. None of our tutorials have been evaluated as a sole mechanism for teaching anatomy or imaging.

A Novel Approach to Gross Dissection of the Human Pelvis and Perineum

“…Over the past twenty-five years, incremental improvements to the dissection and understanding of the pelvis and perineum have been developed (Steinke et al, 2010;Detloff et al, 2016). In addition, a variety of supplemental teaching materials including pelvic models and three-dimensional and standard imaging modalities have been utilized in a effort to improve the understanding of pelvic and perineal anatomy (Venuti et al, 2004;Sergovich et al, 2010;Kraima et al, 2013;Advolodkina and Chahine, 2017;Marsland et al, 2018). By comparison, the EBP approach represents a significant shift in how the pelvis and perineum is dissected and perceived by students.…”

“…Additional approaches to the dissection of the pelvis and perineum have been proposed including the dislocation of the sacroiliac joint to open the pelvic cavity and a midline cut through the pelvis designed to maintain intact internal organs (Steinke et al, 2010;Detloff et al, 2016). In addition, gross dissection of the pelvis and perineum is often supplemented, or replaced with, prosected, or plastinated specimens, anatomic models or simulators, radiological images, and virtual/online anatomic resources (Venuti et al, 2004;Sergovich et al, 2010;Kraima et al, 2013;Advolodkina and Chahine, 2017;Marsland et al, 2018). As a result, dissection of the pelvis and perineum can be labor-intensive and time-consuming, suggesting the need for a modified approach, especially when considered in the context of curricular constraints.…”

Learning Head and Neck Anatomy Through a Radiological Imaging Platform

“…Additionally, the platform appeared to be effective based on prior tutorial series evaluations. [10][11][12][13][14] The head and neck anatomy tutorial began with foundational radiology principles before progressing to an overview of head and neck anatomy, with tutorial progression built around the anatomy and function of the cranial nerves. The anatomical areas of head and neck anatomy covered included the skull, introductory neuroanatomy, major organs (including the eye, ear, nose and sinuses, and salivary glands), and the cervical spine, muscles, fascia, and vessels of the neck.…”

“…9 Previous tutorials in this series have combined a digital anatomy education platform with radiological imaging aimed at novice anatomy learners, predominantly preclinical students who have covered abdominal, thoracic, upper limb, lower limb, and pelvic anatomy. [10][11][12][13][14] These tutorials can enhance learner outcomes when used as supplementary anatomy instruction. [10][11][12][13][14] The current project focused on developing a similar tutorial concentrating on the anatomy of the head and neck, a broad anatomical region.…”

“…[10][11][12][13][14] These tutorials can enhance learner outcomes when used as supplementary anatomy instruction. [10][11][12][13][14] The current project focused on developing a similar tutorial concentrating on the anatomy of the head and neck, a broad anatomical region. Imaging modalities used in this tutorial include computer tomography (CT), magnetic resonance imaging (MRI), and radiographs.…”