The study techniques of Asian, American, and European medical students during gross anatomy and neuroanatomy courses in Poland.

BACKGROUND: Past research in medical education has addressed the study of gross anatomy, including the most effective learning techniques, comparing the use of cadavers, dissection, anatomy atlases, and multimedia tools. The aim of this study was to demonstrate similarities and differences among American, Asian, and European medical students (MS) regarding different study methods and to see how these methods affected their clinical skills. METHODS: To analyze the varying study methods of European, American, and Asian MS in our program and in order to elucidate any ethnic and cultural differences a survey was conducted. A total of 705 international MS, from the Polish (PD), American (AD), and Taiwanese (TD) divisions, were asked to voluntarily participate in the questionnaire. Students were asked the following questions: which methods they used to study anatomy, and which of the methods they believed were most efficient for comprehension, memorization, and review. The questions were based on a 5-point Likert scale, where 5 was 'strongly agree', and 1 was 'strongly disagree'. RESULTS: The PD and AD preferred the use of dissections and prosected specimens to study anatomy. The TD showed less interest in studying from prosected specimens, but did acknowledge that this method was more effective than using atlases, plastic models, or CD-ROMs. Multimedia tools were mainly used for radiological anatomy and review and also for correctly typing proper names of structures using exact anatomical terminology. CONCLUSION: The findings highlight the differences in study techniques among students from different ethnic backgrounds. The study approaches used in order to accomplish learning objectives was affected by cultural norms that influenced each student group. These differences may be rooted in technological, religious, and language barriers, which can shape the way MS approach learning.

Ludwik Maurycy Hirschfeld (1814-1876).

It is rare to encounter exceptional individuals such as Ludwik Maurycy Hirschfeld. He was born into poverty and early on discovered his passion for medicine, particularly anatomy. His life is a testament to what pure human determination can achieve. He overcame societal and financial obstacles, ultimately becoming a physician, anatomist, and scientist. In 1834, Hirshfeld left Poland for France. His first exposure to medical anatomy came while under the direction of the great anatomist Professor Bourgery at Ecole Pratique de Médicine. In 1848, he earned his degree in medicine and published his work "Des injections capillaires." He coupled his love of anatomy with teaching and research. Hirschfeld's skills, as a dissector, enabled him to prepare specimens for illustration, which produced some of the anatomy atlases of modern times. "The Descriptive Anatomy of the Human Body" is one of his most influential works. Dr. Hirschfeld pioneered the initial illustrations of the meninges of brain. There are many anatomical structures named after him, including Hirschfeld's nerves and anastomoses. Hirshfeld remained as a professor until 1875. His death in 1876 was a great loss to the scientific community. His scientific accomplishments were astounding but he should also be remembered as a great humanitarian, an individual who offered medical treatment to the poor, and who strived to instill in his students a passion for anatomy.

Quantitative evaluation of aortic arch development using digital-image analysis.

This study was performed on 80 spontaneously aborted human fetuses of a gestational period of between 17 and 27 weeks. The procedure was based on latex filled arteries, which were preserved in formalin, and then later dissected. Data collection was accomplished using digital imaging. The specific measurements of the aortic arch diameter, length and volume were obtained using a computer program, written solely for the purpose of this study. Results indicated that the collected figures correlated with the fetal age through 3 sets of 4-week intervals. Diameter and length of the aortic arch varied from 2.5 to 4.1 mm and from 6.7 to 10.3 mm, respectively. Both parameters showed statistically significant (p<0.05) linear growth and differences between age groups. The volumetric growth of the aortic arch followed a square root function with its values ranging from 35.7 to 136.8 mm3, which were also statistically significant (p < 0.05). The diameter of the aortic isthmus was measured and compared to the diameters of the ascending and descending aorta thus allowing an estimation ratio between those parameters. Concluding analyses suggest that the aortic isthmus becomes narrower during fetal development.

Digital-image analysis of the aortic arch's development and its variations.

The study was performed on 103 human foetuses (58 female, 45 male) spontaneously aborted at between 14 and 30 weeks of gestation. The arteries were filled with latex, preserved in formalin and then dissected under the microscope and digitalised using a camera system. The following measurements were taken with the use of special computer software: the external diameter, the length and the volume of the arch of the aorta. The increase in diameter and length in relation to age corresponded to a linear function with values ranging from 1.77 mm to 4.09 mm for the diameter and from 4.94 mm to 13.31 mm for the length. The increase in volume corresponded to a square root function with values ranging from 13.42 mm3 to 173.96 mm3. Analysis of arch of the aorta variations revealed 11 cases of a common trunk for the brachiocephalic trunk and the left common carotid artery and 7 cases with the left vertebral artery arising directly from the arch of the aorta. In 2 cases the brachiocephalic trunk was absent, the right subclavian artery branching directly from the arch of the aorta at the level of the left subclavian artery or from the descending aorta just below the arterial duct ostium.