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Not enough bodies

BMJ 2008; 336 doi: https://doi.org/10.1136/sbmj.0801004 (Published 01 January 2008) Cite this as: BMJ 2008;336:0801004
  1. Daniel Stott, third year medical student and journalist1
  1. 1St George's Medical School, University of London

Medical school dissections have been hit by recent shortages. Daniel Stott reports

It's a medical school tradition. At the start of the course you were presented with somebody who would help you learn, and whom you'd get to know well. You might even meet his or her family. These days that person is more likely to be a personal tutor than your own cadaver. Group prosections and supervised anatomical demonstrations might be threatened because of the shortage of bodies.

Some London medical schools report that they get just over half the bodies that they need. Imperial College's anatomy department needed 67 cadavers for the academic year starting this September. They received 38. King's College London needed 61 and got 48. St George's wanted 50, but received just 33.

Louise Evans works at the London Anatomy Office, the organisation responsible for allocating cadavers to medical schools in the south east of England. She admits there is a problem—but not a crisis.

The rule of law

According to Evans, one of the ongoing problems that UK anatomy departments face is that expressions of interest from people about donation do not necessarily translate into bodies on the table. Universities are legally bound not to accept bodies who have had a diagnosis of dementia at the time of death because of the theoretical risk of Creutzfeldt-Jakob disease infection—a requirement that has been in place since the 1990s.

Regulations regarding consent laid out in the Human Tissue Act 2004, which came into force in September 2006, stipulate that witnessed written permission has to be given before a person's body can be used by university anatomy departments. “The declaration has to specifically state the body can be used in education and research,” says Evans, “It's no longer enough for a person's relatives to say something such as the deceased wanted …

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