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Purpose: Clinically-oriented anatomy education has been proposed as an effective strategy in anatomy curricula. We aimed to explore the level of extent the literature supports the fact that case-based learning (CBL) can play a significant role in anatomy education. Materials and methods: We searched PubMed, Scopus, Education Resources Information Center (ERIC), and Cochrane database to find articles with the purpose to explore the educational outcomes of case-based anatomy learning. We extracted from each paper authors, type of study (comparative or not), number of participants, level of outcome according to the Kirkpatrick hierarchy, outcomes of CBL concerning the acquisition of anatomical knowledge, and the participants’ perceived enjoyment, motivation, and aid to anatomy learning. Results: Nine articles were included. Three of them evaluated the acquisition of anatomical knowledge, while six papers evaluated the participants’ perceptions. All studies showed positive outcomes regarding the students’ anatomy examination performances, reported confidence, enjoyment, motivation, and ability of CBL to facilitate anatomy learning. Conclusion: Although the existing research has mainly evaluated students’ perceptions, the outcomes of CBL in anatomy education encourage more extensive use of this method in anatomy curricula. Further research is expected to shed more light on the role that CBL can play in modern anatomy education and to clarify if it can replace or supplement didactic teaching.

This project has been developed for many years in the Human Anatomy courses. Its good outcomes have been confirmed by years of evidence of excellent results obtained through the learning of Human Anatomy. This method of teaching and learning as one allows students who are taking Human Anatomy classes to receive practical training in small groups and transmit it to their colleagues in the practical training established in the Medical degree. Table Leaders feel rewarded as they learn to speak in public, regularly transmitting the knowledge obtained, and by having to be up to date with their studies. These are all aspects that help, not only the Table Leaders process of learning, but also that of their colleagues, who see closely and carefully anatomical details that help them understand the subject. This method of supporting practical training is always under the supervision of the teacher who develops the practical classes. These Leaders used to pass the test without additional problems. Thus the note was significantly increased versus the class colleagues.

Background A sound knowledge of human anatomy is a major requirement for being a good physician or a practicing surgeon. Despite digitalization and modernization of education sector, traditional cadaveric dissection still occupies the leadership of anatomy education. It is becoming an untold truth that no modern technologies such as virtual dissection or 3D model printing could replace cadaveric dissection in its way of teaching students. Methods Recent research studies on modern anatomical teaching methods for medical and non-medical students and their influences are reviewed. Results Despite new technologies, traditional cadaveric dissection helps students to acquire more practical knowledge and still occupies prior position on its way.

Anatomical knowledge is essential for health professionals, although this discipline presents low performances in relation to the teaching and learning process. Thus, this research aimed to propose the use of collaborative learning as a tool to aid anatomy learning. The method was applied in the form of monitoring for students of the Nutrition and Nursing courses at the Federal University of Tocantins (UFT), campus of Palmas-TO. The students were divided into two groups, A and B, one group was responsible for addressing the theoretical content and the other for explaining and conducting the practical content, with rotation of these assignments. The effectiveness of the method was assessed by means of a questionnaire that used the Likert scale and analysis of the students' performance, through the notes diary of the discipline. To synthesize the results, the Tukey test was applied. It was observed that 95% of the participants after participating in the methodology stated that they had obtained a positive evolution in relation to the learning of human anatomy and recommended the application of the method in other disciplines. As the group of students participating in the collaborative methodology presented results above the average and the group of non-participating students, with HSD (Honestly Significant Difference) of 5%. In view of the great challenges faced in the teaching of anatomy, the encouragement to perform monitoring in a collaborative way can be a tool to assist in teaching strategies. El conocimiento anatómico es fundamental para los profesionales de la salud, aunque esta disciplina presenta bajos rendimientos en relación al proceso de enseñanza y aprendizaje. Por lo tanto, esta investigación tuvo como objetivo proponer el uso del aprendizaje colaborativo como una herramienta para ayudar al aprendizaje de la anatomía. El método se aplicó en forma de seguimiento a estudiantes de los cursos de Nutrición y Enfermería de la Universidad Federal de Tocantins (UFT), campus de Palmas-TO. Los alumnos se dividieron en dos grupos, A y B, un grupo se encargaba de abordar los contenidos teóricos y el otro de explicar y conducir los contenidos prácticos, con rotación de estos trabajos. La efectividad del método se evaluó mediante un cuestionario que utilizó la escala Likert y el análisis del desempeño de los estudiantes, a través del diario de apuntes de la disciplina. Para sintetizar los resultados se aplicó la prueba de Tukey. Se observó que el 95% de los participantes luego de participar en la metodología manifestaron haber obtenido una evolución positiva en relación al aprendizaje de la anatomía humana y recomendaron la aplicación del método en otras disciplinas. Como el grupo de estudiantes participantes en la metodología colaborativa presentó resultados por encima de la media y el grupo de estudiantes no participantes, con HSD (Honestly Significant Difference) del 5%. En vista de los grandes desafíos que enfrenta la enseñanza de anatomía, el estímulo para realizar el monitoreo de manera colaborativa puede ser una herramienta para ayudar en las estrategias de enseñanza. Os conhecimentos anatômicos são imprescindíveis para o profissional da área de saúde, não obstante essa disciplina apresenta baixos desempenhos em relação ao processo de ensino e aprendizagem. Com isso esta pesquisa teve por objetivo propor o uso da aprendizagem colaborativa como ferramenta de auxílio ao aprendizado de anatomia. O método foi aplicado na forma de monitorias para os discentes dos cursos de Nutrição e Enfermagem da Universidade Federal do Tocantins (UFT), campus de Palmas-TO. Os discentes foram divididos em dois grupos, A e B, um grupo era responsável por abordar o conteúdo teórico e o outro pela explanação e condução do conteúdo prático, havendo rodízio destas atribuições. A eficácia do método foi avaliada por meio de questionário que empregou a escala de Likert e análise do rendimento dos discentes, através do diário de notas da disciplina. Para síntese dos resultados foi aplicado o Teste de Tukey. Observou-se que 95% dos participantes após a participação da metodologia afirmaram ter obtitido uma evolução positiva em relação ao aprendizado da anatomia humana e recomendaram a aplicação do método em outras disciplinas. Tendo o grupo de discentes participantes da metodologia colaborativa apresentado resultados superiores à média e ao grupo de discentes não participantes, com HSD (Diferença Honestamente Significativa) de 5%. Diante dos grandes desafios enfrentados no ensino de anatomia, o estímulo para execução da monitoria na forma colaborativa pode ser uma ferramenta para auxiliar nas estratégias de ensino.

The perception of body ownership creates a sense of embodiment, which can be a powerful learning tool. Embodied learning can occur by watching an individual's body movement and also via human-computer interactions, such as virtual reality (VR) and augmented reality (AR). In this article, we designed and implemented a novel virtual body-ownership AR/VR tool for human anatomy-the human muscular arm avatar (HMAA). HMAA utilizes embodiment-based body ownership to explore the human hand/forearm musculature. The HMAA was trialed with medical students to explore the extent to which it could be used to aid student learning. The key findings of the usability study suggest that 98% (N = 100) of students found the tool extremely useful; 83% reported that the tool allowed them to engage with the learning materials, peers, and content effectively. Also, 10% of students mentioned that the HMAA fostered an embodied learning experience. This triggered an intentional exploration of instances suggesting embodiment in the data. HMAA is believed to have allowed individuals to visualize and conceptualize abstract ideas that would have been otherwise challenging using static models. The outcomes of this article indicate the significant potential of body-ownership-based self-learning tools for anatomy. However, further studies using learning outcomes are needed to investigate the potential advantages of body-ownership-based tools compared to current learning techniques., University of Otago Teaching Development Grant

Introduction. During the COVID-19 pandemic-induced lockdown, the selection of simple and authentic online material among plethora of web content is difficult for both students and teachers. This forces students and teachers to explore various avenues of learning. The objective of this research was to evaluate free open-access anatomy e-learning resources in accordance with required standard learning outcomes for medical students. Methods. During February 2021, an extensive search for online modules for learning anatomy across six Massive Open Online Courses, including edX, Coursera, Udemy, Khan Academy, Canvas and FutureLearn, along with Google and YouTube was conducted. Courses or modules on e-learning platforms, YouTube channels, standalone videos, anatomy atlases, 3D models were considered as learning resources and evaluated. Online materials were classified as structured learning resources if they had a defined syllabus, time duration and instructional design. Resources lacking these characteristics were considered as unstructured ones. Results. Twenty structured learning courses were identified on the Udemy (6 courses), Coursera (3 courses), edX (2 courses), FutureLearn and Khan academy platforms. Learning resources available through Swayam Prabha were aligned with the defined syllabus and video lectures. The content hosted within Clinical Anatomy, Medvizz and Kenhub was eye-catching. Thirty-two YouTube channels offering standalone learning material were identified. Seven resource materials, other than YouTube channels, offered anatomy learning material in the form of charts and tables. Four websites noted to have 3D interactive learning content regarding gross anatomy. Conclusions. During the pandemic-induced lockdown, the list presented in the study may act as guide in selection of the simplest and best materials for those teaching and learning anatomy in medical undergraduate courses. However, in most cases, there is no alignment with standard learning outcomes as defined by medical education regulatory authorities.

Recent changes to anatomy education across UK medical schools are thought to be contributing towards a lower proficiency in anatomical expertise amongst students. The introduction of alternative learning methods may help to overcome this. Prosections and 3D online anatomy resources are both used as alternative methods for learning anatomy, but it is not clear which of these methods provides a better outcome. The aim of this study was to compare students' learning of the anatomy of the hand and forearm using a functional Thiel prosection or a 3D online resource to see which method was associated with a better outcome on an anatomy quiz. The secondary aim was to see which of these methods was preferred by students. A cohort of 37 medical students at the University of Dundee participated in this crossover study. Group A learnt about the anterior compartment of the hand and forearm using the prosection followed by taking an appropriate quiz. They then used the 3D online resource to learn about the posterior compartment before again completing a relevant quiz. Group B carried out the study in reverse, using the prosection to learn about the posterior compartment and the 3D online resource to learn about the anterior compartment, each followed by completing the relevant quiz. All participants then completed a questionnaire about each of the learning methods. The results showed no significant difference in quiz performance after using the Thiel prosection compared to using the 3D online resource (p>0.05). Feedback from questionnaires suggested that the majority of participants preferred using the prosection to learn functional anatomy. Limitations of this study include the small sample size and the type of assessment method used. The results of this study were inconclusive and further studies are required to determine which resource is a better tool for learning anatomy.

La importancia del conocimiento anatómico para la interpretación de las imágenes diagnósticas es reconocida y aceptada. El desarrollo tecnológico basado en tomografía axial computada y resonancia magnética nuclear han incrementado los requerimientos. En nuestra Facultad, el curso de Anatomía incluye la identificación de estructuras anatómicas normales. Intentamos demostrar los resultados a largo plazo de este cambio curricular. Este estudio consideró dos grupos: A) 274 estudiantes de primer año, B) 100 médicos recientemente graduados. Ambos grupos fueron evaluados con un cuestionario sobre las mismas tomografía axial computada y resonancia magnética nuclear. En el grupo A, el 13% de los estudiantes respondió correctamente, mientras que nadie lo hizo así en el grupo B. Dos por ciento del grupo A dieron respuestas erróneas a todas las preguntas, mientras que ascendió al 26% en el grupo B. El promedio de respuestas correctas fue de 60% en el grupo A y de 45% en el B. El grupo B se subdividió en B1) aquellos graduados que estudiaron anatomía con imágenes diagnósticas y B2) quienes no lo hicieron. Las respuestas correctas del grupo B1 fue 66% y del grupo B2, 40%. Estos resultados muestran la significación del conocimiento anatómico para la identificación de las diferentes estructuras en imágenes diagnósticas. Mientras los estudiantes desarrollaban el curso de Anatomía la identificación fue más sencilla, y resultó más compleja cuando transcurrió el tiempo. Sin embargo, los resultados fueron mejores en aquellos graduados que cursaron con identificación de estructuras anatómicas en imágenes diagnósticas que en aquellos que no lo hicieron. The importance of anatomical knowledge for the comprehensive understanding of the diagnostic images is well known and accepted. Development of new techniques, based on computerized tomography and magnetic resonance have increased the requisite core knowledge. In our Faculty, the course of Anatomy includes the identification of normal anatomical structures in diagnostic images. We intend to demonstrate the long-term results provided by this curricular change. This study considered the following two groups: A) 274 first year medical students, B) 100 recently graduated physicians. Both groups were evaluated on their comprehension of computed tomography and magnetic resonance. In group A, 13% of the students answered all questions correctly; while 0% did in group B. Two per cent of the people in group A incorrectly answered all the questions; this percentage rose to 26% in group B. The average of correct answers in group A was 60%, while it was 45% in group B. Group B was further subdivided into B1) those graduates that studied anatomy with diagnostic images and B2) those who did not. Group B1 answered correctly on 66% of questions and group B2’s correct responses were at 40%.These results showed the significance of anatomical knowledge necessary to identify the different structures in diagnostic images. Students scored better on this evaluation instrument when they were taking Anatomy, as compared to graduates who were further removed from the content. However, results were better for those graduates that had taken an anatomy course identifying the anatomical structures in the diagnostic images, than those who did not.

Part 2: Innovative Practices with Learning Technologies; International audience; The Technology Acceptance Model (TAM) was the basis of this study to investigate students’ acceptance of a haptic learning resource in anatomy education. Based on the two main elements, perceived ease of use and perceived usefulness of TAM, this study used additional elements such as gender, prior experiences with similar resources, learning preference modes, and enrolled undergraduate courses to investigate students’ learning achievement and acceptance. No significant differences were found between genders or enrolled courses in the acceptance of the system in terms of ‘ease of use’ and ‘usefulness’ of the system. Students with previous experience with 3D were more favourable to a haptic device, this was statistically significant (p = .025) for “would use” and they also scored higher on the associated quiz (p = .050, Mann-Whitney U test).

Historically, cadavers have been used for the study of anatomy. Nowadays, the territorial and legal limitations of this approach have led to the introduction of alternative teaching methods such as the use of practical exercise consisting of dissection and observation of animal organs. The aim of this study was to evaluate the use of practical training on animal organs compared with the traditional method of anatomy teaching, based on the dissection of human cadavers. In this study, we seek to demonstrate the usefulness of practical exercise on animal organs. This practical training was held a week after the series of lectures, thus leaving time for the students to learn and understand the topics discussed. Immediately after the lecture, all of the students completed a preliminary test to assess the immediate effect of the lecture. Immediately before the practical exercise, both control and experimental groups completed a second test to assess the effectiveness of personal study. Immediately after practical training, a third test was completed by the experimental group and the control group (no practical activity on animal organs) to highlight the added value of hands-on practice in addition to the lecture. Data obtained from statistical analysis showed a p

To ease the complex task of anatomy learning, there exist many ways to represent and structure anatomy : illustrations, books, cadaver dissections and 3d models. However, it is difficult to understand and analyse anatomy motion, which is essential for medicine students. We present the "Living Book of Anatomy" (LBA), an original and innovative tool to learn anatomy. For a specific user, we superimpose a 3d anatomical model (skin, skeleton, muscles and visceras) onto the user’s color map and we animate it following the user’s movements. We present a real-time mirror-like augmented reality (AR) system. A Kinect is used to capturebody motions.The first innovation of our work is the identification of the user’s body measurements to register our 3d anatomical model. We propose two different methods to register anatomy.The first one is real-time and use affine transformations attached to rigid positioned on each joint given by the Kinect body tracking skeleton in order to deform the 3d anatomical model using skinning to fit the user’s measurements.The second method needs a few minutes to register the anatomy and is divided in 3 parts : skin deformation (using Kinect body tracking skeleton and the Kinect partial point cloud), with it and strict anatomical rules we register the skeleton. Lastly we deformm the soft tissues to completly fill the space inbetween the registered skeleton and skin.Secondly, we want to capture realistically and in real-time the user’s motion. To do that we need to reproduce anatomical structure motion but it is a complex task due to the noisy and often partial Kinect data. We propose here the use of anatomical rules concerning body articulations (angular limits and degrees of freedom) to constraint Kinect captured motion in order to obtain/gain plausible motions. a kalman filter is used to smooth the obtaiined motion capture.Lastly, to embed visual style and interaction, we use a full body reproduction to show general knowledge on human anatomy and its differents joints. We also use a lower-limb as structure of interest to higlight specific anatomical phenomenon, as muscular activity.All these tools have been integrated in a working system detailed in this thesis.We validated our tool/system by presenting it as a live demo during different conferences and through user studies done with students and professionnals from different backgrounds, La complexité de l’anatomie fait de son apprentissage une tâche difficile. Au fil des années, différents supports de connaissances ont vu le jour dans le but de représenter et structurer l’anatomie : des dessins au tableau, aux livres d’anatomie, en passant par l’étape incontournable de la dissection, et des travaux pratiques sur maquettes 3d. Il est néanmoins difficile d’appréhenderla dimension dynamique de l’anatomie avec les outils d’apprentissage conventionnels ; connaissance qui est pourtant essentielle à la formation des médecins. A travers ces travaux de thèse nous proposons un système original et innovant pour l’apprentissage de l’anatomie intitulé « Living Book of Anatomy » (LBA). L’idée étant, pour un utilisateur donné, de superposer à sa propre image une maquette anatomique 3d (peau, squelette, muscles et viscères) et del’animer en mimant les mouvements de celui-ci. Nous parlons ici d’une application temps-réel de type « miroir augmenté ». Nous utilisons la Kinect comme capteur de mouvement.Le premier défi à relever est l’identification de caractéristiques morphologiques qui nous permettront de recaler notre maquette anatomique 3d sur l’utilisateur. Nous proposons ici deux technologies interchangeables en fonction des besoins. La première méthode, temps-réel, est basée sur l’utilisation de transformations affines attachées entre les repères positionnés à chaque articulation du squelette donné par la Kinect pour déformer la maquette 3d à l’aide de poids de skinning prédéfinis. La seconde méthode, plus couteuse en temps (de l’ordre de quelques minutes), se découpe en trois parties : dans un premier temps nous déformons la peau à l’aide de la position des articulations du squelette d’animation Kinect et du nuage de pointpartiel de l’utilisateur ; à partir de cela et de règles anatomiques strictes nous déformons le squelette ; pour finir nous déformons les tissus mous pour qu’ils comblent l’espace entre le squelette et la peau. Le second défi concerne la capture réaliste et temps-réel des mouvements utilisateurs. Reproduire le comportement des structures anatomiques est une tâche complexe due aux informations Kinect souvent partielles et très bruitées. Nous proposons ici l’utilisation de règles anatomiques concernant les articulations du corps (axes de rotation et butées articulaires) pour contraindre les mouvements donnés par la Kinect et obtenir des mouvements réalistes. Pour obtenir des mouvements fluides nous nous proposons d’utiliser des filtrages, notamment le filtre de Kalman. Le dernier défi concerne la dominante de retour visuel et d’interaction.Lors de ces travaux nous nous sommes tout particulièrement intéressés à un renducorps complet pour montrer le fonctionnement général du corps humain et de ces différentes articulations. Nous avons également choisi le membre inférieur comme structure anatomique d’intérêt avec pour but la mise en avant de phénomènes anatomiques spécifiques, comme l’activité musculaire.Les différents éléments ont été intégrés dans un système opérationnel présenté en détails dans ce manuscrit de thèse. Grâce à des expérimentations - avec des étudiants et des professionnels de différents domaines - et la présentation de ces travaux sous forme de démonstrations lors de différents congrès, nous avons validé cet outil

Aims: Designing a new approach for learning gross anatomy to improve students′ motivation to study anatomy and to enable them to learn independently through case discussion. Materials and Methods: The study included newly registered students in the first academic year. The total number of students was 165, who were divided by alphabetical order into 15 groups of 11 students. Each group was led by one faculty member and each faculty member lead 3 groups. Each group met twice a week for 2 weeks to discuss one case related to the upper limb anatomy. Students took pre- and posttests and completed an opinion questionnaire about the case discussions. Results: The pretest score shows that 20% of the students received grades of 60% or above and that 80% received grades less than 60%. The posttest showed that 45% of the students received grades of 60% or above and that 55% received grades less than 60%. There was a significant difference between the pre- and posttest for grades 60% (P = 0.0023). In addition, 17% of students achieved the same results (less than 60%) in both the pre- and posttests. The questionnaire revealed that all students stated that the discussion method was useful in their learning process, helped them to increase their motivation to study anatomy (85%), know the usefulness of studying anatomy (84%), and understand the problems (91%). Conclusions: The implementation of the case discussion in teaching anatomy can increase the students′ understanding and motivate them to learn.

Introduction: Embalmed cadavers are the primary tool for teaching anatomy. However, difficulties are encountered due to changed color/texture of organs, hardening of tissues, and smell of formaldehyde. To overcome these difficulties, dissections on a fresh human body were shown to the 1st year MBBS students, and their perception was noted. Materials and Methods: After taking universal precautionary measures, postmortem dissections were shown to students on voluntary donated bodies in the dissection hall, in addition to the traditional teaching on embalmed cadavers. Feedback was taken from students and faculty regarding the utility of these sessions. Results: Better appreciation of texture, orientation, location, and relations of organs in fresh body, integration of teaching, awareness of the process and laws related to body donations were the outcomes of the study. However, the smell and sight of blood was felt to be nauseating by some students, and some students were worried about the spread of infectious diseases. Conclusions: Visualizing single fresh body dissection during 1st year professional MBBS is recommended either on medicolegal autopsy or on voluntarily-donated bodies.

International audience; The complexity of human anatomy makes learning and understanding it a difficult task.We present the Living Book of Anatomy (LBA) project, an augmented reality system for teaching anatomy. Using a Kinect, we superimpose our 3d highly-detailed anatomical model onto the user's color map and we animate it. By showing our work, we hope to have interesting feedback from Emerging Technologies attendees.See more at http://lba.inrialpes.fr/

International audience; We propose a framework to investigate a new way to learn musculoskeletal anatomical kinetics using interactive motion capture and visualization. It can be used to facilitate the learning of anatomy by medicine and sports students, and for the general public to discover human anatomy in action. We illustrate our approach using the example of knee flexion and extension by visualizing the knee muscle activation prediction with agonist and antagonist co-contraction. Muscle activation data for specified movements is first measured during a preliminary phase. The user is then tracked in real time, and its motion is analyzed to recognize the motion being performed. This is used to efficiently evaluate muscle activation by interpolating the activation data stored in tables. The visual feedback consists of a user-specific 3D avatar created by deforming a reference model and animated using the tracking. Muscle activation is visualized using colored lines of action or 3D meshes. This work was made possible by the collaboration of three complementary labs specialized in computer-aided medical intervention, computer graphics and biomechanics.

Education of anatomy is a challenging but crucial element in educating medical professionals, but also for general education of pupils. Our research group has previously developed a prototype of an Augmented Reality (AR) magic mirror which allows intuitive visualization of realistic anatomical information on the user. However, the current overlay is imprecise as the magic mirror depends on the skeleton output from Kinect. These imprecisions affect the quality of education and learning. Hence, together with clinicians we have defined bone landmarks which users can touch easily on their body while standing in front of the sensor. We demonstrate that these landmarks allow the proper deformation of medical data within the magic mirror and onto the human body, resulting in a more precise augmentation. Refereed/Peer-reviewed