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“Knowing everything and yet nothing about her”. Medical students’ reflections on the experience of the Dissection Room.

Accepted version
Peer-reviewed

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Type

Article

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Authors

Kassam, Chris 
Brasset, Cecilia 

Abstract

Anatomy education by cadaveric dissection teaches medical students not only the formal curriculum in human anatomy, but also a ‘hidden curriculum’ whereby they learn the attitudes, identities and behaviours expected of doctors. While dissection has been investigated as a challenge to and training in emotional regulation, little attention has been paid hitherto to the forms of medical knowledge and identity which students encounter and develop in the dissection room. This study analyses a corpus of 119 tributes written by three consecutive cohorts of first-year medical students at the University of [deleted] to their cadaveric donors. We employ a Foucauldian discourse analysis methodology, seeking to elucidate the features of the subject position, the narrative ‘I’ or ‘we’ of the tributes, and the modes of knowledge which operate between that subject position and its object, the donor. We observe that students find themselves in a transitional state between personal and scientific modes of knowledge of the human, which correspond to different models of the subject position occupied by the student. While in many tributes these modes exist in an uneasy disjunction, others employ creative reflection to suggest new modes of knowledge and identity which may inform ethical practice.

Description

Keywords

medical anthropology, medical education, medical humanities, narrative medicine, philosophy of medicine/health care, Cadaver, Curriculum, Dissection, Education, Medical, Undergraduate, Female, Humans, Students, Medical

Journal Title

Medical Humanities

Conference Name

Journal ISSN

1468-215X
1473-4265

Volume Title

48

Publisher

BMJ

Rights

All rights reserved