Anatomy is an essential component of clinical anesthesiology. The use of simulated patients and alternative materials, including embalmed human bodies, have become increasingly common during resident physician training due to the deemphasis on anatomical education during undergraduate medical training. In this report, the need for a more extensive review of relevant anatomy for the practice of anesthesiology was addressed by the design, evaluation, and dissemination of a human dissection course for procedural training of anesthesiology residents. The course utilized “freedom art” embalmed human bodies that allowed trainees to perform ultrasound-based regional and neuraxial techniques followed by detailed dissections of critical anatomy. One hundred and four residents participated in workshops and small group discussions and were evaluated using pre- and post-course assessments. A variety of clinical techniques were performed on the bodies, including regional blocks and neuraxial catheter placement. Insertion of peripheral/neuraxial catheters was successful, with dissections demonstrating the expected placement. Assessment scores improved following the course (pre-course mean 52.7%, standard deviation (σ) 13.1%; post-course mean 72.2%, σ 11.6%; t-test p < 0.0001) and feedback highlighted the usefulness and clinical relevance of course content. The ability to correlate ultrasound imaging with subsequent dissections of the “blocked” area and visualization of dye staining was extremely relevant for spatial understanding of the anatomy relevant for the clinical practice of these techniques. This manuscript demonstrates successful implementation of a comprehensive course for anesthesiology resident physicians to address gaps in undergraduate anatomical education and suggests that broader adoption of dissection courses may be beneficial for training anesthesiologists.

中文翻译：

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麻醉科住院医师培训的人体解剖可增强解剖知识和临床技能

解剖学是临床麻醉学的重要组成部分。由于本科医学培训期间不重视解剖学教育，在住院医师培训期间使用模拟患者和替代材料（包括防腐人体）变得越来越普遍。在本报告中，通过设计、评估和传播用于麻醉科住院医师程序培训的人体解剖课程，解决了对麻醉学实践相关解剖学进行更广泛审查的需要。该课程利用“自由艺术”防腐人体，允许学员执行基于超声的区域和神经轴技术，然后对关键解剖结构进行详细解剖。一百零四名住院医生参加了研讨会和小组讨论，并通过课前和课后评估进行了评估。对尸体进行了各种临床技术，包括区域阻滞和椎管内导管放置。外周/椎管内导管的插入成功，解剖显示了预期的位置。课程结束后评估分数有所提高（课程前平均值 52.7%，标准差 ( σ ) 13.1%；课程后平均值 72.2%，σ 11.6%；t检验p  < 0.0001），反馈强调了课程的实用性和临床相关性内容。将超声成像与随后“阻塞”区域的解剖和染料染色的可视化相关联的能力对于与这些技术的临床实践相关的解剖结构的空间理解极其相关。本手稿展示了麻醉科住院医师综合课程的成功实施，以解决本科解剖学教育中的差距，并表明更广泛地采用解剖课程可能有利于培训麻醉师。