How about an anatomy elective? Making a case for utilizing spaced repetition and longitudinal integration of anatomy in medical curricula | BMC Medical Education

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How about an anatomy elective? Making a case for utilizing spaced repetition and longitudinal integration of anatomy in medical curricula | BMC Medical Education
  • Aberle S, Warner P, Lachman N, Pawlina W, Angstman E, Grande J. Critical thinking and integration of anatomy knowledge through longitudinal patient-based virtual scenarios in a first-year gross anatomy course. FASEB J. 2011;25(S1):494.494-494.494. https://doi.org/10.1096/fasebj.25.1_supplement.494.4.

    Article 

    Google Scholar 

  • Andolsek KM. One small step for step 1. Acad Med. 2019;94(3):309–13. https://doi.org/10.1097/acm.0000000000002560.

    Article 

    Google Scholar 

  • Arantes M, Andrade JP, Barbosa J, Ferreira MA. Curricular changes: the impact on medical students knowledge of neuroanatomy. BMC Med Educ. 2020;20(1):20. https://doi.org/10.1186/s12909-019-1907-1.

    Article 

    Google Scholar 

  • Banda SS. Students’ and doctors’ performance in an anatomy knowledge test: a comparison between traditional and clinical anatomy. Med J Zambia. 2007;34(3).

  • Bagley CH, Gillott E, Gunasekera A. Undergraduate anatomy teaching: are we failing a generation of future surgeons? The Bulletin of the Royal College of Surgeons of England. 2011;93(1):26–8. https://doi.org/10.1308/147363511×545456.

    Article 

    Google Scholar 

  • Bell SK, Krupat E, Fazio SB, Roberts DH, Schwartzstein RM. Longitudinal pedagogy: a successful response to the fragmentation of the third-year medical student clerkship experience. Acad Med. 2008;83(5):467–75. https://doi.org/10.1097/ACM.0b013e31816bdad5.

    Article 

    Google Scholar 

  • Benjamin AS, Tullis J. What makes distributed practice effective? Cogn Psychol. 2010;61(3):228–47. https://doi.org/10.1016/j.cogpsych.2010.05.004.

    Article 

    Google Scholar 

  • Bergman EM. Dissecting anatomy education in the medical curriculum. [Doctoral Thesis, Maastricht University]. Datawyse / Universitaire Pers Maastricht; 2014. https://doi.org/10.26481/dis.20140630eb.

  • Brooks WS, Woodley KTCP, Jackson JR, Hoesley CJ. Integration of gross anatomy in an organ system-based medical curriculum: Strategies and challenges. Anat Sci Educ. 2015;8(3):266–74. https://doi.org/10.1002/ase.1483.

    Article 

    Google Scholar 

  • Butler A. Repeated testing produces superior transfer of learning relative to repeated studying. J Exp Psychol Learn Mem Cogn. 2010;36:1118–33. https://doi.org/10.1037/a0019902.

    Article 

    Google Scholar 

  • Carpenter SK, Cepeda NJ, Rohrer D, Kang SHK, Pashler H. Using spacing to enhance diverse forms of learning: Review of recent research and implications for instruction. Educ Psychol Rev. 2012;24(3):369–78. https://doi.org/10.1007/s10648-012-9205-z.

    Article 

    Google Scholar 

  • Carpenter SK, Pashler H, Wixted JT, Vul E. The effects of tests on learning and forgetting. Mem Cognit. 2008;36(2):438–48. https://doi.org/10.3758/MC.36.2.438.

    Article 

    Google Scholar 

  • Cepeda NJ, Pashler H, Vul E, Wixted JT, Rohrer D. Distributed practice in verbal recall tasks: a review and quantitative synthesis. Psychol Bull. 2006;132(3):354–80. https://doi.org/10.1037/0033-2909.132.3.354.

    Article 

    Google Scholar 

  • Chang Chan AY, Stapper CPM, Bleys RLAW, van Leeuwen M, Ten Cate O. Are we facing the end of gross anatomy teaching as we have known it for centuries? Adv Med Educ Pract. 2022;13:1243–50. https://doi.org/10.2147/AMEP.S378149.

    Article 

    Google Scholar 

  • Chew C, O’Dwyer PJ, Young D, Gracie JA. Radiology teaching improves Anatomy scores for medical students. Br J Radiol. 2020;93(1114): 20200463. https://doi.org/10.1259/bjr.20200463.

    Article 

    Google Scholar 

  • Chew C, O’Dwyer PJ, Sandilands E. Radiology for medical students: do we teach enough? A national study. Br J Radiol. 2021;94(1119): 20201308. https://doi.org/10.1259/bjr.20201308.

    Article 

    Google Scholar 

  • Davis CP, Pinedo T. The challenges of teaching anatomy and physiology laboratory online in the time of COVID-19. J Microbiol Biol Educat. 2021;22(1). https://doi.org/10.1128/jmbe.v22i1.2605.

  • Dmytriw AA, Mok PS, Gorelik N, Kavanaugh J, Brown P. Radiology in the undergraduate medical curriculum: too little, too late? Medical Science Educator. 2015;25(3):223–7. https://doi.org/10.1007/s40670-015-0130-x.

    Article 

    Google Scholar 

  • Drake RL. A retrospective and prospective look at medical education in the United States: trends shaping anatomical sciences education. J Anat. 2013;224(3):256–60. https://doi.org/10.1111/joa.12054.

    Article 

    Google Scholar 

  • Dunlosky J, Rawson KA, Marsh EJ, Nathan MJ, Willingham DT. Improving students’ learning with effective learning techniques: promising directions from cognitive and educational psychology. Psychological Science in the Public Interest. 2013;14(1):4–58. https://doi.org/10.1177/1529100612453266.

    Article 

    Google Scholar 

  • Ebbinghaus H. Memory: a contribution to experimental psychology. Ann Neurosci. 2013;20(4):155–6. Original work published 1885.

    Article 

    Google Scholar 

  • Federation of State Medical Boards and National Board of Medical Examiners. Step 1 content outline and specifications. USMLE; n.d. Retrieved Mar 1, 2025, from https://www.usmle.org/prepare-your-exam/step-1-materials/step-1-content-outline-and-specifications.

  • Fitzgerald JEF, White MJ, Tang SW, Maxwell-Armstrong CA, James DK. Are we teaching sufficient anatomy at medical school? The opinions of newly qualified doctors. Clin Anat. 2008;21(7):718–24. https://doi.org/10.1002/ca.20662.

    Article 

    Google Scholar 

  • Flick U, editor. The SAGE Handbook of Qualitative Data Analysis. London: SAGE Publications Ltd; 2014. https://doi.org/10.4135/9781446282243.

  • Hartwig MK, Dunlosky J. Study strategies of college students: are self-testing and scheduling related to achievement? Psychon Bull Rev. 2012;19(1):126–34. https://doi.org/10.3758/s13423-011-0181-y.

    Article 

    Google Scholar 

  • Hortsch M, Mangrulkar RS. When students struggle with gross anatomy and histology: a strategy for monitoring, reviewing, and promoting student academic success in an integrated preclinical medical curriculum. Anat Sci Educ. 2015;8(5):478–83. https://doi.org/10.1002/ase.1519.

    Article 

    Google Scholar 

  • Hołda MK, Stefura T, Koziej M, Skomarovska O, Jasińska KA, Sałabun W, Klimek-Piotrowska W. Alarming decline in recognition of anatomical structures amongst medical students and physicians. Annals of Anatomy – Anatomischer Anzeiger. 2019;221:48–56. https://doi.org/10.1016/j.aanat.2018.09.004.

    Article 

    Google Scholar 

  • Kang SHK. Spaced repetition promotes efficient and effective learning: policy implications for instruction. Policy Insights Behav Brain Sci. 2016;3(1):12–9. https://doi.org/10.1177/2372732215624708.

    Article 

    Google Scholar 

  • Kang SHK, McDermott KB, Roediger Iii HL. Test format and corrective feedback modify the effect of testing on long-term retention. Eur J Cogn Psychol. 2007;19(4–5):528–58. https://doi.org/10.1080/09541440601056620.

    Article 

    Google Scholar 

  • Karpicke JD, Roediger HL. Repeated retrieval during learning is the key to long-term retention. J Mem Lang. 2007;57(2):151–62. https://doi.org/10.1016/j.jml.2006.09.004.

    Article 

    Google Scholar 

  • Kulasegaram KM, Martimianakis MA, Mylopoulos M, Whitehead CR, Woods NN. Cognition before curriculum: rethinking the integration of basic science and clinical learning. Acad Med. 2013;88(10):1578–85. https://doi.org/10.1097/ACM.0b013e3182a45def.

    Article 

    Google Scholar 

  • Landoll RR, Bennion LD, Maggio LA. Understanding excellence: a qualitative analysis of high-performing learner study strategies. Medical Science Educator. 2021;31(3):1101–8. https://doi.org/10.1007/s40670-021-01279-x.

    Article 

    Google Scholar 

  • Lewis Katz School of Medicine at Temple University. Academic calendar: academic year 2023–2024. 2024. Retrieved June 8, 2024, from https://medicine.temple.edu/sites/medicine/files/Academic%20Calendar%20AY%202023-24.final_.pdf.

  • Mayer RE. Rote versus meaningful learning. Theory Into Practice. 2002;41(4):226–32. https://doi.org/10.1207/s15430421tip4104_4.

    Article 

    Google Scholar 

  • McBride JM, Drake RL. Longitudinal cohort study on medical student retention of anatomical knowledge in an integrated problem-based learning curriculum. Med Teach. 2016;38(12):1209–13. https://doi.org/10.1080/0142159X.2016.1210113.

    Article 

    Google Scholar 

  • McKeown PP, Heylings D, Stevenson M, McKelvey K, Nixon J, McCluskey RD. The impact of curricular change on medical students’ knowledge of anatomy. Med Educ. 2003;37(11):954–61. https://doi.org/10.1046/j.1365-2923.2003.01670.x.

    Article 

    Google Scholar 

  • Moscova M, Bryce DA, Sindhusake D, Young N. Integration of medical imaging including ultrasound into a new clinical anatomy curriculum. Anat Sci Educ. 2015;8(3):205–20. https://doi.org/10.1002/ase.1481.

    Article 

    Google Scholar 

  • Nathaniel TI, Goodwin RL, Fowler L, McPhail B, Black AC Jr. An adaptive blended learning model for the implementation of an integrated medical neuroscience course during the Covid-19 pandemic. Anat Sci Educ. 2021;14(6):699–710. https://doi.org/10.1002/ase.2097.

    Article 

    Google Scholar 

  • Neumeier M, Narnaware YR. Evaluating knowledge loss over multiple retention intervals can identify deficiencies and inform curricular development. Anat Sci Educ. 2024;17(2):337–42. https://doi.org/10.1002/ase.2354.

    Article 

    Google Scholar 

  • Orsbon CP, Kaiser RS, Ross CF. Physician opinions about an anatomy core curriculum: a case for medical imaging and vertical integration. Anat Sci Educ. 2013;7(4):251–61. https://doi.org/10.1002/ase.1401.

    Article 

    Google Scholar 

  • Peterson CA, Tucker RP. Medical gross anatomy as a predictor of performance on the USMLE step 1. The Anatomical Record Part B: The New Anatomist. 2005;283B(1):5–8. https://doi.org/10.1002/ar.b.20054.

    Article 

    Google Scholar 

  • Raikos A, Smith JD. Anatomical variations: how do surgical and radiology training programs teach and assess them in their training curricula? Clin Anat. 2015;28(6):717–24. https://doi.org/10.1002/ca.22560.

    Article 

    Google Scholar 

  • Sadler TJ, Zhang T, Taylor HL, Brassett C. The role of radiology in anatomy teaching in UK medical schools: a national survey. Clin Radiol. 2018;73(2):185–90. https://doi.org/10.1016/j.crad.2017.08.008.

    Article 

    Google Scholar 

  • Saeed M, Ahmed L, AbdAlla E, et al. Retention of gross and clinical anatomy knowledge among medical graduates in Sudan: a comparative study. BMC Med Educ. 2025;25:227. https://doi.org/10.1186/s12909-025-06832-5.

    Article 

    Google Scholar 

  • Shin M, Prasad A, Sabo G, Macnow ASR, Sheth NP, Cross MB, Premkumar A. Anatomy education in US Medical Schools: before, during, and beyond COVID-19. BMC Med Educ. 2022;22(1):103. https://doi.org/10.1186/s12909-022-03177-1.

    Article 

    Google Scholar 

  • Singh R, Yadav N, Pandey M, Jones D. Is inadequate anatomical knowledge on the part of physicians hazardous for successful clinical practice? Surg Radiol Anat. 2022;44. https://doi.org/10.1007/s00276-021-02875-7.

  • Smith CF, Freeman SK, Heylings D, Finn GM, Davies DC. Anatomy education for medical students in the United Kingdom and Republic of Ireland in 2019: A 20-year follow-up. Anat Sci Educ. 2022;15(6):993–1006. https://doi.org/10.1002/ase.2126.

    Article 

    Google Scholar 

  • Smolen P, Zhang Y, Byrne JH. The right time to learn: mechanisms and optimization of spaced learning. Nat Rev Neurosci. 2016;17(2):77–88. https://doi.org/10.1038/nrn.2015.18.

    Article 

    Google Scholar 

  • Soderstrom NC, Bjork RA. Testing facilitates the regulation of subsequent study time. J Mem Lang. 2014;73:99–115. https://doi.org/10.1016/j.jml.2014.03.003.

    Article 

    Google Scholar 

  • Stake RE. Multiple Case Study Analysis. New York: The Guilford Press; 2006

  • Sweller J. Cognitive load during problem solving: Effects on learning. Cogn Sci. 1988;12(2):257–85. https://doi.org/10.1207/s15516709cog1202_4.

    Article 

    Google Scholar 

  • Tabibian B, Upadhyay U, De A, Zarezade A, Schölkopf B, Gomez-Rodriguez M. Enhancing human learning via spaced repetition optimization. Proceedings of the National Academy of Sciences. 2019;116(10):3988–93. https://doi.org/10.1073/pnas.1815156116.

    Article 

    Google Scholar 

  • Tackett S, Jeyaraju M, Moore J, Hudder A, Yingling S, Park YS, Grichanik M. Student well-being during dedicated preparation for USMLE step 1 and COMLEX level 1 exams. BMC Med Educ. 2022;22(1):16. https://doi.org/10.1186/s12909-021-03055-2.

    Article 

    Google Scholar 

  • Timmermans S, Tavory I. Data analysis in qualitative research: theorizing with abductive analysis. University of Chicago Press; 2022.

    Google Scholar 

  • Toppino TC, Gerbier E. Chapter four – about practice: repetition, spacing, and abstraction. In: Ross BH, editor. Psychology of learning and motivation, vol. 60. Academic Press; 2014. p. 113–189. https://doi.org/10.1016/B978-0-12-800090-8.00004-4.

  • Ullah M, Bodrogi A, Cristea O, Johnson M, McAlister V. Learning surgically oriented anatomy in a student-run extracurricular club: an education through recreation initiative. Anat Sci Educ. 2012;5:165–70. https://doi.org/10.1002/ase.1273.

    Article 

    Google Scholar 

  • Vazquez R, Riesco JM, Carretero J. Reflections and challenges in the teaching of human anatomy at the beginning of the 21st century. Eur J Anat. 2005;9:111–5.

    Google Scholar 

  • Whelan A, Leddy JJ, Ramnanan CJ. Benefits of extracurricular participation in dissection in a prosection-based medical anatomy program. Anat Sci Educ. 2017;11(3):294–302. https://doi.org/10.1002/ase.1724.

    Article 

    Google Scholar 

  • Wilder C, Kilgore L, Fritzel A, Larson K. Improving medical student anatomy knowledge and confidence for the breast surgical oncology rotation. Healthcare. 2023;11: 709. https://doi.org/10.3390/healthcare11050709.

    Article 

    Google Scholar 

  • Williams SM, Pereira-Reyes XL, Korndorffer ML. Student learning of radiological anatomy through team-based learning modules: early successes and qualitative analysis. Medical science educator. 2019;29(4):1233–8. https://doi.org/10.1007/s40670-019-00835-w.

    Article 

    Google Scholar 

  • Zhan L, Guo D, Chen G, Yang J. Effects of repetition learning on associative recognition over time: role of the hippocampus and prefrontal cortex. Front Hum Neurosci. 2018;12: 277. https://doi.org/10.3389/fnhum.2018.00277.

    Article 

    Google Scholar 

  • Zill SN. Rethinking gross anatomy in a compressed time frame: clinical symptoms, not case studies, as the basis for introductory instruction. Clin Anat. 2021;34(1):57–70. https://doi.org/10.1002/ca.23645.

    Article 

    Google Scholar 

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