The segmental-based approach during anatomy coursework presents better results than the systems-based approach

Abstract Traditionally, there are two pedagogical approaches to teaching human anatomy. The first is the systems-based approach (study of body systems – bones, muscles, organs – separately) gross anatomy courses and the second is the segmental-based approach (study of body segments – upper and lower...

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Main Authors: Thalles Guilarducci Costa, Mario Hebling Campos, Ana Claudia Ferreira Barros, Marilia Santos Andrade, Rodrigo Luiz Vancini, Ricardo Borges Viana, Thomas Rosemann, Katja Weiss, Beat Knechtle, Claudio Andre Barbosa de Lira
Format: Article
Language:English
Published: BMC 2024-12-01
Series:BMC Medical Education
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Online Access:https://doi.org/10.1186/s12909-024-06541-5
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author Thalles Guilarducci Costa
Mario Hebling Campos
Ana Claudia Ferreira Barros
Marilia Santos Andrade
Rodrigo Luiz Vancini
Ricardo Borges Viana
Thomas Rosemann
Katja Weiss
Beat Knechtle
Claudio Andre Barbosa de Lira
author_facet Thalles Guilarducci Costa
Mario Hebling Campos
Ana Claudia Ferreira Barros
Marilia Santos Andrade
Rodrigo Luiz Vancini
Ricardo Borges Viana
Thomas Rosemann
Katja Weiss
Beat Knechtle
Claudio Andre Barbosa de Lira
author_sort Thalles Guilarducci Costa
collection DOAJ
description Abstract Traditionally, there are two pedagogical approaches to teaching human anatomy. The first is the systems-based approach (study of body systems – bones, muscles, organs – separately) gross anatomy courses and the second is the segmental-based approach (study of body segments – upper and lower limbs and trunk – separately); both are highly recommended. However, to the best of our knowledge, less is known about academic performance comparing the two approaches. Thus, in this study, we evaluate undergraduate students’ academic performance in human anatomy courses using systems- or segmental approaches, also, evaluate attendance, the impact of missing class on performance, the course evaluations (specific to the professor) and the student perceptions of the different coursework. The final grade and class attendance of 141 undergraduate students, from the sports and exercise science program, undertaking the anatomy course, were evaluated. Seventy students participated in the systems-based gross human anatomy approach (SYS), and 71 students participated in the segmental-based gross human anatomy approach (SEG). Students in SEG (median [interquartile range (IQR]: 7.3 [2.0]) performed better academically, with higher final grades (U = 1,804.5, p = 0.005; rB = 0.274 [95% confidence interval (CI): 0.09–0.44]; medium effect) than SYS (median [IQR]: 6.6 [1.6]). SEG had higher class attendance (median [IQR]: 60 [8]) than SYS (median [IQR]: 60 [7]; U = 1,919.5, p = 0.015; rB = 0.228 [95%CI: 0.040–0.399]; small effect). Students in SEG rated the professor’s performance more highly than SYS (U = 78.0, p = 0.001; rB = 0.616 [95%CI: 0.332–0.797]; large effect). The segmental-based gross human anatomy approach leads to better academic performance and higher attendance in the gross anatomy course than SYS.
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spelling doaj-art-2179a6f61ba1493c8b392f30c914483e2025-08-20T02:43:33ZengBMCBMC Medical Education1472-69202024-12-012411910.1186/s12909-024-06541-5The segmental-based approach during anatomy coursework presents better results than the systems-based approachThalles Guilarducci Costa0Mario Hebling Campos1Ana Claudia Ferreira Barros2Marilia Santos Andrade3Rodrigo Luiz Vancini4Ricardo Borges Viana5Thomas Rosemann6Katja Weiss7Beat Knechtle8Claudio Andre Barbosa de Lira9Faculdade de Educação Física e Dança, Universidade Federal de GoiásFaculdade de Educação Física e Dança, Universidade Federal de GoiásFaculdade de Educação Física e Dança, Universidade Federal de GoiásDepartamento de Fisiologia, Universidade Federal de São PauloCentro de Educação Física e Desportos, Universidade Federal do Espírito SantoInstituto de Educação Física e Esportes, Universidade Federal do CearáInstitute of Primary Care, University of ZurichInstitute of Primary Care, University of ZurichInstitute of Primary Care, University of ZurichFaculdade de Educação Física e Dança, Universidade Federal de GoiásAbstract Traditionally, there are two pedagogical approaches to teaching human anatomy. The first is the systems-based approach (study of body systems – bones, muscles, organs – separately) gross anatomy courses and the second is the segmental-based approach (study of body segments – upper and lower limbs and trunk – separately); both are highly recommended. However, to the best of our knowledge, less is known about academic performance comparing the two approaches. Thus, in this study, we evaluate undergraduate students’ academic performance in human anatomy courses using systems- or segmental approaches, also, evaluate attendance, the impact of missing class on performance, the course evaluations (specific to the professor) and the student perceptions of the different coursework. The final grade and class attendance of 141 undergraduate students, from the sports and exercise science program, undertaking the anatomy course, were evaluated. Seventy students participated in the systems-based gross human anatomy approach (SYS), and 71 students participated in the segmental-based gross human anatomy approach (SEG). Students in SEG (median [interquartile range (IQR]: 7.3 [2.0]) performed better academically, with higher final grades (U = 1,804.5, p = 0.005; rB = 0.274 [95% confidence interval (CI): 0.09–0.44]; medium effect) than SYS (median [IQR]: 6.6 [1.6]). SEG had higher class attendance (median [IQR]: 60 [8]) than SYS (median [IQR]: 60 [7]; U = 1,919.5, p = 0.015; rB = 0.228 [95%CI: 0.040–0.399]; small effect). Students in SEG rated the professor’s performance more highly than SYS (U = 78.0, p = 0.001; rB = 0.616 [95%CI: 0.332–0.797]; large effect). The segmental-based gross human anatomy approach leads to better academic performance and higher attendance in the gross anatomy course than SYS.https://doi.org/10.1186/s12909-024-06541-5Education methodologyAnatomy and medical educationHuman anatomyAnatomy teaching
spellingShingle Thalles Guilarducci Costa
Mario Hebling Campos
Ana Claudia Ferreira Barros
Marilia Santos Andrade
Rodrigo Luiz Vancini
Ricardo Borges Viana
Thomas Rosemann
Katja Weiss
Beat Knechtle
Claudio Andre Barbosa de Lira
The segmental-based approach during anatomy coursework presents better results than the systems-based approach
BMC Medical Education
Education methodology
Anatomy and medical education
Human anatomy
Anatomy teaching
title The segmental-based approach during anatomy coursework presents better results than the systems-based approach
title_full The segmental-based approach during anatomy coursework presents better results than the systems-based approach
title_fullStr The segmental-based approach during anatomy coursework presents better results than the systems-based approach
title_full_unstemmed The segmental-based approach during anatomy coursework presents better results than the systems-based approach
title_short The segmental-based approach during anatomy coursework presents better results than the systems-based approach
title_sort segmental based approach during anatomy coursework presents better results than the systems based approach
topic Education methodology
Anatomy and medical education
Human anatomy
Anatomy teaching
url https://doi.org/10.1186/s12909-024-06541-5
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