The symptoms and stress experienced by medical students in anatomy dissection halls

Chia, Terkuma; Oyeniran, Oluwatosin Imoleayo; Ajagbe, Abayomi Oyeyemi; Onigbinde, Oluwanisola Akanji; Oraebosi, Michael Ikechukwu

doi:10.1016/j.jtumed.2020.01.001

Cited by 31 publications

(31 citation statements)

References 30 publications

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“…The Covid‐19 pandemic has been associated with some adverse psychological impacts on everyone globally, health workers or not (Aylie et al, 2020; Olaseni et al, 2020; Valeria et al, 2020). For the body handler, there is also the additional stress associated with body handling due to the higher risk of exposure (Dempster et al, 2006; Chia et al, 2020). Hence, those who handle dead bodies during the pandemic are at higher risk of psychological effects, including fear of being infected (Overmeire and Bilsen, 2020).…”

Section: Discussionmentioning

confidence: 99%

Covid‐19: Emerging Considerations for Body Sourcing and Handling. A Perspective View from Nigeria

Okafor

Chia

2021

Anatomical Sciences Ed

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The current Coronavirus disease (Covid‐19) pandemic has spread to about 220 countries of the world and has resulted in a significant number of deaths globally. Infections are still on the rise, and the impact on the global death rate could be devastating. There are fears over the likely impact of a large number of deaths on body sourcing and handling of cadavers for teaching and research. Historically, epidemics come with several challenges and have often led to some level of negligence of ethical practices and health and safety regulations associated with body sourcing and handling. The authors highlighted some emerging problems in this article, focusing on Africa and Nigeria in particular. These problems include a higher risk of coronavirus exposure for body handlers, shortage of cadavers for teaching and learning, a lack of standard regulations leading to unethical body sourcing and handling, and a lack of monitoring and collaboration needed for a well‐coordinated Covid‐19 pandemic response strategy. If these issues are ignored, the previous gains made in anatomical ethical practices may be destroyed. Some useful recommendations for policymaking geared toward prevention or curtailing these emerging issues have been instilled in this article.

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Section: Discussionmentioning

confidence: 99%

Covid‐19: Emerging Considerations for Body Sourcing and Handling. A Perspective View from Nigeria

Okafor

Chia

2021

Anatomical Sciences Ed

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“…It appears such a preparation helped them to prepare for cadaver exposure and lessened the psychological burden. It is very important to pay attention to these even though they affect a small proportion and often die away with repeated cadaver exposure [ 8 , 20 , 32 , 34 , 35 ].…”

Section: Discussionmentioning

confidence: 99%

Cultivation of humanistic values in medical education through anatomy pedagogy and gratitude ceremony for body donors

et al. 2020

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Background One of the most important objectives of modern medical education is to empower medical students to become humanistic clinicians. Human anatomy plays a crucial role in this mission by using cadavers to cause reflections on death, dying, illness, and the role of medical practitioners in humanistic care. The objective of this study was to introduce, describe, and evaluate the impact of a ceremony in honor of the body donors on ethical and humanistic attitudes of medical students. Methods We used a phenomenological research approach to explore and understand the lived experiences of the anatomy teachers as they teach anatomy in the context of humanism and ethics. A separate survey of third-year medical students was carried out to understand their perceptions of changes in themselves, respect for donors and donor families, and their relationship with patients. Data were collected in two phases: a desktop review of teaching materials followed by in-depth interviews of the main anatomy teachers followed by a self-administered, 5-item Likert scaled questionnaire given to students. Results In the present article, we describe the rituals conducted in honor of body donors at our School of Medicine. We also describe the lived experiences of anatomy teachers as they work on improving humanistic education quality through the introduction of the concept of “silent mentor” which refers to a cadaver that quietly allows medical students to learn from it. In turn, a ceremony in honor of body donors who have altruistically donated their bodies so that learning anatomy through dissection would be possible is also introduced. A survey of the impact of the ceremony in honor of body donors on medical students revealed positive responses in terms of promoting studying anatomy (3.96 Vs 3.95) as well as reflections on own death (4.44 Vs 4.35), the life of body donors (4.07 Vs 4.04), and how to humanely view future patients and their significant others (4.32 Vs 4.24) relative to those that did not attend the ceremony (5-item Likert scale). The majority of the students that attended the ceremony also indicated that it had a positive impact on their future doctor-patient relationship, thinking about the possibility of donating their body for teaching as well as about medical ethics. Most of them also think that attending the ceremony helped reduce their anxiety, fear, and disgust of seeing corpses or dissecting and 90% insisted that memorial ceremonies should continue being conducted at Zhongshan Medical School. Conclusion The combination of the anatomy component of the basic medical curriculum and gratitude ceremonies as well as activities to promote body bequeathal programs might help to accomplish the goal of cultivating high-quality medical students and professionals for the future. The long-term benefits would be a medical graduate who exudes empathy, relates well with patients and their significant others, leading to a productive doctor-patient relationship.

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“…Complaints of formaldehyde odor also built a barrier to the learning process. Chia et al (2020), on the other hand, suggest that student progressively develop resilience to face cadaver learningwhich gradually becomes an important educational tool.…”

Section: Discussionmentioning

confidence: 99%

“…While well-succeeded exposure to controlled stimulus could promote a rich repertoire of adaptive coping responses (Cabib et al, 2020;dos Santos Boni et al, 2018), abrupt and uncontrolled stimuli could affecting cognitive and memory functioning. In this context, professors have a positive or negative impact on how students will cope (Chia, Oyeniran, Ajagbe, Onigbinde, & Oraebosi, 2020). Ideally, tutors should be able to identify signs and symptoms of stress in order to establish strategies to minimize negative effects.…”

Section: Introductionmentioning

confidence: 99%

Identification of stress signs before practical exams in human anatomy

Pereira

Paulino

Franco

et al. 2020

RSD

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The teaching-learning process is challenging in human anatomy. In this process, practical exams are necessary to enable a proper evaluation of the students. Students’ performance, on the other hand, reflects not only their knowledge but also their individual reactions to exams. Objective: This study aimed to identify signs and symptoms of stress in undergraduate students before practical exams in human anatomy. Methods: The sample consisted of 93 students (48 females and 45 males, mean age = 20.33 years) enrolled in medical and dental courses at undergraduate level. Blood rate, heart rate and oxygen saturation were assessed 30 minutes before the practical exams. Lipp´s Inventory of Stress Symptoms for Adults (LSSI) was used. Results: Statistically significant differences (p < 0.05) was observed for the systolic blood pressure between females (117.76  11.82 mmHg) and males (120.66  10.09 mmHg). Diastolic rate, respiratory rate and oxygen saturation were similar between sex groups (p > 0.05). A higher report of signs and symptoms of stress was detected in females (p < 0.05) for each of the stress stages described by LSSI, namely alarm, resistance and exhaustion. Medical and dental undergraduate students manifested signs and symptoms of stress before practical exams in human anatomy. The outcomes were more evident in females.

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The symptoms and stress experienced by medical students in anatomy dissection halls

Cited by 31 publications

References 30 publications

Covid‐19: Emerging Considerations for Body Sourcing and Handling. A Perspective View from Nigeria

Covid‐19: Emerging Considerations for Body Sourcing and Handling. A Perspective View from Nigeria

Cultivation of humanistic values in medical education through anatomy pedagogy and gratitude ceremony for body donors

Identification of stress signs before practical exams in human anatomy

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