Should the public participate in preparing cadavers for students?

The Wall Street Journal’s Health Blog carries an interesting piece about a program at Indiana University–Northwest that allows volunteers from the general public to participate in preparing cadavers for first year medical students.

This is a brilliant idea for several reasons:

  1. One persistent problem facing physicians is the extremely low health literacy of most patients.  Simply put, “health literacy” refers to how well patients can comprehend what their doctors are telling them, evaluate that information and make an informed decision.  Health literacy is becoming increasingly important as patients are challenged more and more to be savvy consumers of health services.  Understanding the different options presented by a physician and making a choice that fits a patient’s health goals, personal beliefs and financial means rests solely on that patient’s health literacy.  By participating in activities that teach individuals from the general public about basic anatomy you increase their health literacy (and likely that of their friends and family).
  2. This program demystifies a part of medical training.  If we want patients to participate in medical decisions and become partners with us in their health care, then they need to have a better understanding of how we are trained.  Understanding medical education can give a patient insights into a physicians perspective and how they approach medical problems.  Allowing members of the public to participate in anatomy lab–a fundamental experience for all medical students–helps them see through a physician’s eyes.  Walking into an anatomy lab and working with a cadaver is something that must be experienced, it can’t effectively be described.
  3. As the article describes, this could become a useful tool for recruiting more people to become anatomists.  Budget cuts may be the final word on anatomy labs with cadavers, but it seems the dwindling number of anatomy professors may beat shrinking budgets to the punch.  The simple fact is we need more trained anatomists to teach medical students and other health professionals.
  4. Preparing cadavers for the medical students is a valuable service.  It allows the students to focus on the underlying anatomy and potential pathologies.
  5. Anatomy is cool and should be shared with as many people as possible.

Granted, having 47 people spend a couple of days in the anatomy lab will only have a marginal impact on health literacy and provides only a small glimpse into the long process of becoming a doctor.  But, if every medical school setup similar programs and actively enrolled interested members from the community (not other health professional students), such a program could have a dramatic impact.

Josh Herigon is a medical student who blogs a Number Needed to Treat.

Submit a guest post and be heard.

email

  • http://www.aneurysmsupport.com/ Mike

    While I would personally be fascinated to watch a surgery or even a dissection I am not certain that this program would be useful. I suspect that it would attract a rather odd group of people those who, well, those who have a screw loose. Perhaps with the right screening program to weed out the oddballs you could find suitable people but, as the author points out, the numbers of those educated would be low.

  • Stephanie

    As a second career adult preparing for a career in medicine, I think this is a wonderful idea. Anatomy is an amazing subject and field of medicine that all need to know about. Allowing the public to interact and see what they are made of and experiencing what medical students are exposed to could possibly bring more people into medicine who develop an interest in anatomy. For me, I would love a career as a gross anatomy instructor or forensic pathologist, if we had a program like this in my state of North Carolina, I would definitely be the first in line to sign up.

  • http://www.pacificpsych.com/ pacificpsych

    Egads. Not sure if this is a joke…

    People who like to mess around with corpses when they don’t have to are what we in psychiatry call “not right in the head”. I can imagine it’s good preparation for Filling Up The Basement with Edibles.

    Creepy!

    • http://www.aneurysmsupport.com/ Mike

      I agree pacificpsych. In engineering we would say that these people need to go back to the screw factory for a re-thread. I agree that Anatomy is an interesting subject and something we all need to know a bit about, but this is not the way to teach it.

      Were such a program implemented, I would suspect that the police would take a very close look at anyone who volunteered. Perhaps even poke around in their crawlspaces and basements.

  • Finn

    You’re both being ridiculous. Should we also check the crawlspaces of people who enjoyed dissection in high school biology for the bodies of dead animals? One can be interested enough in human anatomy and how doctors are trained to want to volunteer for such a program without being a serial killer. Admittedly, most people will be grossed out by the thought, but not everyone has a weak stomach. DSM-IV to the contrary, every deviation from social norms is not a mental illness.

    • http://www.aneurysmsupport.com/ Mike

      Finn, I agree with you there certainly are people who would follow this out of pure intellectual interest. As I mentioned in my original post, I myself, out of simple academic curiosity, would be fascinated to watch a surgery or dissection. I am not by any means calling everyone who would volunteer for this a potential serial killer. Yet, the world has some strange people and to simply open a program of this nature up to anyone who wants to participate would, in my opinion, likely attract some oddballs. If you think for one minute that is not true you are dangerously naive.

    • gzuckier

      “Should we also check the crawlspaces of people who enjoyed dissection in high school biology for the bodies of dead animals?”

      Oh, yes. Definitely yes. Still only a small fraction of the study population, but definitely highly enriched vs the general population.

  • minutemoon

    The basic idea is a good one. How it is implemented — that’s the key. The more we can get the general public to understand how doctors think — the better. Why isn’t there more combined training of doctors and nurses? Early in their training, Why can’t they take more classes together? Not just the medical/scientific classes but the humanities. In fact, doctors in training should take humanities classes that are a mix of all kinds of students — not just other doctors. Maybe that’s being done already. How about medical ethics classes that bring in non medical people with doctors and nurses?
    But, a significant number of people just want to get in and out of the hospital or clinic. They don’t want to know too much about what’s going on — just enough to make informed decisions. You won’t get many people willing to go so far as to help prepare cadavers for medical students and observe this kind of procedure. But the basic idea of involving the public more in the process of a medical education is a good one.

Trending