GARLA: Integrating Traditional and Modern Methodologies in Anatomy Education

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GARLA: Integrating Traditional and Modern Methodologies in Anatomy Education S. Wish-Baratz 1

&

B. Jones 2,3 & L. C. Navracruz 4,5 & A. Rowland-Seymour 5 & K. A. Herrmann 2,6

# International Association of Medical Science Educators 2020

Abstract GARLA is an anatomy curriculum that combines dissection with applied anatomy. A two-week intensive dissection Boot-Camp is followed by a tripartite curriculum consisting of Gross Anatomy using a mixed reality headset, radiology, and physical exam/ ultrasound skills. Student feedback has generally been positive. Keywords Anatomy . Radiology . Medical education . HoloAnatomy . Curriculum design . Curriculum

Historically anatomy has been taught to medical students via cadaveric dissection. With advances in technology, cadaveric dissection has been supplemented to include methodologies that apply anatomy to modalities used in clinical practice such as imaging and physical diagnosis [1]. We created a curriculum deemed GARLA (an acronym for Gross Anatomy, Radiology, and Living Anatomy) that teaches anatomy through a combined experience of cadaveric dissection, HoloAnatomy, a mixed reality application, radiology, and living anatomy including physical diagnosis techniques and point-of-care ultrasound on specific anatomical topics. The curriculum aims to bring anatomy to life for students during * S. Wish-Baratz [email protected] 1

Department of Anatomy, Case Western Reserve University School of Medicine, Cleveland, OH, USA

2

Case Western Reserve University School of Medicine, Cleveland, OH, USA

3

Department of Emergency Medicine, MetroHealth Medical Center, Cleveland, OH, USA

4

Center for Community Health Integration, Division of General Medical Sciences and Department of Family Medicine and Community Health, Case Western Reserve University School of Medicine, Cleveland, OH, USA

5

Center for Medical Education, Foundations of Clinical Medicine, Case Western Reserve University School of Medicine, Cleveland, OH, USA

6

Department of Radiology, University Hospitals Cleveland Medical Center, Cleveland, OH, USA

their pre-clinical years. Although the notion of integrating these topics is neither new nor unique [2], the present curriculum teaches these elements contemporaneously. To create GARLA, the time allotted for anatomy, which formerly consisted of lectures and dissection, was restructured into a two-week (40 h) dissection Boot-Camp followed by a series of small group hands-on teaching sessions combining HoloAnatomy, Radiology, and Living Anatomy (54 h). Lecture time was replaced by the Boot-Camp and all didactic material was offered to students electronically through the learning management platform in the form of video-recorded lectures. The curriculum was piloted with the class of 2022 and fully implemented with the class of 2023. The role of the Boot-Camp is to provide an overview human anatomic outline and expose students to the many lessons cadaveric dissection provides. Students spend four hours/day four days/week dissecting thorax, abdomen, upper lim