Contemporary textbooks of anatomy and surface anatomy were evaluated to ascertain whether they were gender-neutral. The evidence of this, and previous studies, suggests that, both in terms of imagery and text, many textbooks lack neutrality. To further investigate such matters, we provided second-year medical students studying at Cardiff University (n = 293) and at the Paris Descartes University (n = 142) during the 2011-2012 academic year with a questionnaire inviting them to address the possibility that social/gender factors hinder the dispassionate representation of anatomy. Ethical approval was obtained from both Cardiff and Paris universities. Eighty-six percent of the students at Cardiff and 39% at Paris Descartes responded and provided data for analysis. The hypothesis tested is that medical students perceive a gender bias that is reflected in the books they read and the tuition they receive. Our findings suggest that, while students recognise the importance of gender issues and do not wish to associate with sexism, most are unaware of the possible negative aspects of sexism within anatomy. In this respect, the findings do not support our hypothesis. Nevertheless, we recommended that teachers of anatomy and authors of anatomy textbooks should be aware of the possibility of adverse effects on professional matters relating to equality and diversity issues.
If it is accepted that increasingly we live within a consumerist society then axiomatically 'ownership' of medical training does not belong to political authorities (whether governmental or medical), nor to the medical profession, nor indeed to the teachers, educationalists and even the students but to the laypersons in society who are patients or potential patients (viz. the clients/recipients of medical care). As yet, however, there has been no attempt to evaluate how much anatomy laypersons know and what their attitudes are towards the importance of anatomy in medicine. By means of a questionnaire, we have conducted a survey of laypersons' attitudes to anatomy in the U.K. and France. Results suggest that, regardless of gender, age, socioeconomic groupings, level of education, or in the presence of some cultural differences between the U.K. and France, laypersons have a reasonable understanding and knowledge of gross anatomy (being weakest on understanding function) and have strong beliefs that gross anatomy is crucial for medical education, holding the view that the medical profession's esteem would be diminished if anatomy were not a significant part of the medical curriculum and if human cadaveric material was not employed in medical training. Thus, laypersons' perceptions about the importance of gross anatomy should be factored into the organisation of medical training, not just to provide important information and skills for future medical/surgical practitioners, but also to help maintain the esteem of the medical profession.
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