Academic autopsies in Brazil - a national survey

Felipe-Silva, Aloísio; Ishigai, Márcia Marcelino de Souza; Mauad, Thaís

doi:10.1590/1806-9282.60.02.012

Cited by 5 publications

(5 citation statements)

References 13 publications

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“…In non-governmental teaching hospital lacking autopsy facilities, the medical students are taken to government hospitals on rotation to witness the procedure, or it is demonstrated on a CD-ROM. However, the literature indicates that there are students who obtain a medical degree without witnessing a single autopsy, 2,5,7 and there are no clear guidelines on medical students witnessing autopsies during their forensic medicine placements. 8…”

Section: Discussionmentioning

confidence: 99%

“…11 In all such cases, pathological autopsies could help the practitioner to find the exact cause of death. However, despite the demonstrated relevance of autopsies, there has been a dramatic decline in the rate of hospital autopsies in recent years, 2,14,15 which is a cause for concern. The majority of students answered negatively when asked about their choice of specialising in the field of forensic medicine.…”

Section: Discussionmentioning

confidence: 99%

“…It promotes a better understanding of the anatomy and pathology of organs, death and its causes, and related medico-legal issues. 2 Medical students who witness autopsy benefit not only by experiencing anatomy and pathology first hand, but also by correlating with clinical pathology. 2 Students also learn about ethical and legal issues relating to death and about certifying the causes of death.…”

Section: Introductionmentioning

confidence: 99%

“…2 Medical students who witness autopsy benefit not only by experiencing anatomy and pathology first hand, but also by correlating with clinical pathology. 2 Students also learn about ethical and legal issues relating to death and about certifying the causes of death. Attending autopsies can expose students to the emotive aspects of the end of life, as well as helping them to identify issues that may prevent further loss of human lives.…”

Section: Introductionmentioning

confidence: 99%

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Perceptions of medical students towards autopsy teaching and its significance

et al. 2019

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The importance of autopsies in medical education is multidimensional. In accordance with the existing medical curriculum in India, forensic medicine is a subject taken up during the second year of the MBBS, and undergraduate students of medicine are expected to witness a minimum of 10 autopsies during the third to fifth semesters. This research analyses the perceptions of medical students towards medico-legal autopsy teaching and its significance at one medical institution in India. A total of 450 MBBS students participated in the study and submitted their responses to the predesigned semi-structured 20-point questionnaire on autopsy viewing and its relevance in general. The obtained data were analysed statistically using SPSS software. More than 75% of students agreed that they could appreciate the actual morphology and pathological changes in the human organs. There was a positive response from 54.9% students, who affirmed that autopsy helped refresh and improve their knowledge of human anatomy. More than 60% students agreed to have gained understanding of clinical–pathological correlations and became acquainted with death certification. The majority of the students (53.6%) agreed that autopsy postings made them mentally and emotionally stronger. The present study provides useful evidence regarding the perceptions of medical students towards autopsy teaching, and intends to highlight the utility of autopsies in enhancing the knowledge of medical students and its significance in the medical education curriculum.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Perceptions of medical students towards autopsy teaching and its significance

et al. 2019

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“…The mean hospital autopsy rate in 2013 in the UK was 0.69% of hospital deaths, and the autopsy rate in Germany is now below 10% . In France, the rate of autopsy in hospitals is also decreasing, while in Brazil, the median autopsy rate has fallen from 19.3% in 2003 to 10.6% in 2008 ( P = 0.07) . According to the Japan Council for Quality Health Care, the autopsy rate of 397 hospitals, which were tested by the hospital usability test in 2012, was 4.0%…”

Section: Introductionmentioning

confidence: 99%

Pathological analysis of cadavers for educational dissection by using postmortem imaging

Noriki

Iino

Kinoshita

et al. 2019

Pathology International

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This study was performed primarily to clarify whether pathological analysis of cadavers for anatomical dissection is possible using postmortem imaging (PMI), and whether this is worthwhile. A total of 33 cadavers that underwent systematic anatomical dissection at our medical school also underwent PMI. Fixative solution was injected into the corpus 3–4 days after death. PMI was then performed using an 8‐slice multi‐detector CT scanner 3 months before dissection. Before dissection, a conference was held to discuss the findings of the PMI. First, two radiologists read the postmortem images without any medical information and deduced the immediate cause of death. Then, the anatomy instructor revealed the medical information available. Based on this information, the radiologist, anatomy instructor, and pathologists suggested candidate sampling sites for pathological examination. On the last day of the dissection period, the pathologists resected the sample tissues and processed them for pathological examination. In 12 of 33 cases, the presumed causes of death could be determined based on PMI alone, and revision of the cause of death described in the death certificate was considered in five (15.2%) cases, based on PMI and pathological analysis. This article presents a novel method of pathological analysis of cadavers for anatomical dissection using PMI without disturbing the anatomy education of medical students.

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