The rise and fall of anatomy
BMJ 2005; 331 doi: https://doi.org/10.1136/sbmj.0509332 (Published 01 September 2005) Cite this as: BMJ 2005;331:0509332- Kaji Sritharan, vascular research fellow1
- 1London
Medical students these days “don't know their elbow from their anus.” Tongue in cheek or fact? On today's medical school curriculum anatomy is a shadow of its former self, competing for teaching time with subjects such as genetics, public health, and communication skills. As the information revolution in medicine gathers greater momentum, and newer approaches to teaching such as earlier clinical exposure, systems based teaching, problem based learning are trialled, will anatomy be further marginalised perhaps even to extinction?
“Anatomy may be falling—but it is not supine yet!” Robin Williamson, dean of the Royal Society of Medicine, reassured us. Speaking at a conference revealingly titled “The Rise and Fall of Anatomy” at the Royal Society of Medicine, he warned of “the dangerous trend to demote anatomy.”
Fuelling the change
Competition
With pressure on the undergraduate timetable to incorporate other subjects “anatomy has become a casualty,” said Williamson.
Changing emphasis
In addition, medical schools increasingly rely on grant funding as a means of generating income to expand research infrastructure. Research is profitable, but sadly teaching and therefore anatomy are not.12
A crisis in recruitment
To compound matters, there is a shortage of academics qualified and willing to teach gross anatomy.2 Poor recognition and lack of incentives are part of the reason. Moreover, when experienced teaching anatomists retire, their successors are often hired on the strength of their research and not on their ability to teach.2
The General Medical Council has a lot to answer for
Cost, health and safety, and uninformed educationalists are other factors blamed for anatomy's decline, but Robert Whitaker, assistant clinical anatomist at the University of Cambridge, highlighted “the enormous role the GMC has played. …
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