Evolving Anatomy Education: Bridging Dissection, Traditional Methods, and Technological Innovation for Clinical Excellence
Abstract
1. Methods
2. Introduction
3. Historical Perspective
3.1. Origins and Development
3.2. Evolution in Medical Schools
3.3. Traditional Teaching Methods
4. Current State of Anatomy Education
4.1. Challenges in Modern Anatomy Education
4.2. Innovative Teaching Methods
4.3. Integration with Clinical Practice
5. The Future of Anatomy Education
Conclusions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- Ferrari, R. Writing narrative style literature reviews. Med. Writ. 2015, 24, 230–235. [Google Scholar] [CrossRef]
- Arráez-Aybar, L.; Sánchez-Montesinos, I.; Mirapeix, R.; Mompeo-Corredera, B.; Sañudo-Tejero, J. Relevance of human anatomy in daily clinical practice. Ann. Anat. 2010, 192, 341–348. [Google Scholar] [CrossRef]
- Singh, R.; Shane Tubbs, R.; Gupta, K.; Singh, M.; Jones, D.G.; Kumar, R. Is the decline of human anatomy hazardous to medical education/profession?—A review. Surg. Radiol. Anat. 2015, 37, 1257–1265. [Google Scholar] [CrossRef]
- Reverón, R.R. Herophilus and Erasistratus, pioneers of human anatomical dissection. Vesalius Acta Int. Hist. Med. 2014, 20, 55–58. [Google Scholar]
- Roguin, A.L.; Roguin, A.; Roguin, N. Historical Advancements and Evolution in Understanding Human Anatomy and Pathology: The Contribution of the Middle Ages. Adv. Anat. Pathol. 2021, 28, 171–177. [Google Scholar] [CrossRef]
- Ghosh, S.K. The evolution of epistemological methodologies in anatomy: From antiquity to modern times. Anat. Rec. 2022, 305, 803–817. [Google Scholar] [CrossRef]
- Ghosh, S.K. Cadaveric dissection as an educational tool for anatomical sciences in the 21st century. Anat. Sci. Educ. 2017, 10, 286–299. [Google Scholar] [CrossRef]
- Arráez-Aybar, L. Enseñanza de Anatomía Humana y Profesionalismo. Educ. Méd. 2023, 24, 1–2. [Google Scholar] [CrossRef]
- Ghosh, S.K. Focus on evidence-based anatomy in contemporary anatomy education: Arguments in favor of a pragmatic approach. Clin. Anat. 2023, 36, 1040–1045. [Google Scholar] [CrossRef]
- Yammine, K. Evidence-based anatomy. Clin. Anat. 2014, 27, 847–852. [Google Scholar] [CrossRef]
- Jacob, T.G. History of teaching anatomy in India: From ancient to modern times. Anat. Sci. Educ. 2013, 6, 351–358. [Google Scholar] [CrossRef] [PubMed]
- Arráez-Aybar, L.; Bueno-López, J.; Raio, N. Toledo School of Translators and their influence on anatomical terminology. Ann. Anat. 2015, 198, 21–33. [Google Scholar] [CrossRef] [PubMed]
- Ghosh, S.K. Human cadaveric dissection: A historical account from ancient Greece to the modern era. Anat. Cell Biol. 2015, 48, 153–169. [Google Scholar] [CrossRef]
- Barcia-Goyanes, J.J. El mito de Vesalio; Universitat de València: Valencia, Spain, 1994; 214p. [Google Scholar]
- Nutton, V. Andreas Vesalius and His Fabrica, 1537–1564: Changing the World of Anatomy; Springer Nature: Berlin/Heidelberg, Germany, 2024. [Google Scholar]
- Arráez-Aybar, L.-A.; Reblet, C.; Bueno-López, J.L. Juan Valverde de Amusco: Pioneering the transfer of post-Vesalian anatomy. Anatomia 2023, 2, 450–471. [Google Scholar] [CrossRef]
- Comer, A.R. The evolving ethics of anatomy: Dissecting an unethical past in order to prepare for a future of ethical anatomical practice. Anat. Rec. 2022, 305, 818–826. [Google Scholar] [CrossRef]
- Arráez-Aybar, L.-A.; Fuentes-Redondo, T.; Bueno-López, J.-L.; Romero-Reverón, R. Jean Cruveilhier (1791–1874), a Predecessor of Evidence-Based Medicine. Anatomia 2023, 2, 206–221. [Google Scholar] [CrossRef]
- Romero-Reverón, R.; Arraez-Aybar, L. Henry W. Gray and Henry V. Carter: United and separated by a human anatomy textbook. Belize J. Med. 2025, 14, 1831–1897. [Google Scholar] [CrossRef]
- Flexner, A. Medical Education in the United States and Canada Bulletin Number Four (The Flexner Report); The Carnegie Foundation for the Advancement of Teaching: New York, NY, USA, 1910. [Google Scholar]
- Biasutto, S.; Caussa, L.; Criado del Río, L. Teaching anatomy: Cadavers vs. computers? Ann. Anat. 2006, 188, 187–190. [Google Scholar] [CrossRef] [PubMed]
- Beresheim, A.C. Historical and Modern Human Dissection Practices for Anatomy Education. In Coming of Age: Ethics and Biological Anthropology in the 21st Century; Archaeopress, Archaeopress Access Archaeology: Oxfordshire, UK, 2024; p. 178. [Google Scholar]
- Arráez-Aybar, L.; García-Mata, R.; Murillo-González, J.; de-la-Cuadra-Blanco, C.; Gómez-Martínez, A.; Bueno-López, J. Physicians’ viewpoints on faculty anatomists and dissection of human bodies in the undergraduate medical studies. Ann. Anat.-Anat. Anz. 2021, 238, 151786. [Google Scholar] [CrossRef]
- Estai, M.; Bunt, S. Best teaching practices in anatomy education: A critical review. Ann. Anat. 2016, 208, 151–157. [Google Scholar] [CrossRef]
- Arráez-Aybar, L.; Bueno-López, J.; Moxham, B. Anatomists’ views on human body dissection and donation: An international survey. Ann. Anat. 2014, 196, 376–386. [Google Scholar] [CrossRef] [PubMed]
- Arráez-Aybar, L.; Biasutto, S.; Amer, M.; García-Mata, R.; Bueno-López, J. Latin American Anatomists’ views on human body dissection and donation. Ann. Anat. 2023, 246, 152037. [Google Scholar] [CrossRef]
- Ghosh, S.K. The practice of ethics in the context of human dissection: Setting standards for future physicians. Ann. Anat. 2020, 232, 151577. [Google Scholar] [CrossRef]
- Du, Y.; Cai, X.; Zheng, Y.; Long, A.; Zhang, M.; Chen, M.; Zhang, W.; Zhu, J.; Guo, J.; Yang, C. Research advances and trends in anatomy from 2013 to 2023: A visual analysis based on CiteSpace and VOSviewer. Clin. Anat. 2024, 37, 730–745. [Google Scholar] [CrossRef]
- García-Robles, P.; Cortés-Pérez, I.; Nieto-Escámez, F.A.; García-López, H.; Obrero-Gaitán, E.; Osuna-Pérez, M.C. Immersive virtual reality and augmented reality in anatomy education: A systematic review and Meta-Analysis. Anat. Sci. Educ. 2024, 17, 514–528. [Google Scholar] [CrossRef] [PubMed]
- Graziani, G.C.; Bocchi, M.; Gouvêa-e-Silva, L.F.; Fornaziero, C.C.; Fernandes, E.V. Technologies for Studying and Teaching Human Anatomy: Implications in Academic Education. Med. Sci. Educ. 2024, 34, 1203–1214. [Google Scholar] [CrossRef] [PubMed]
- Lee, J.W.Y.; Ong, D.W.; Soh, R.C.C.; Rao, J.P.; Bello, F. Exploring student acceptance of learning technologies in anatomy education: A mixed-method approach. Clin. Anat. 2025, 38, 334–346. [Google Scholar] [CrossRef]
- Iwanaga, J.; Loukas, M.; Dumont, A.S.; Tubbs, R.S. A review of anatomy education during and after the COVID-19 pandemic: Revisiting traditional and modern methods to achieve future innovation. Clin. Anat. 2021, 34, 108–114. [Google Scholar] [CrossRef]
- Maldonado-Bautista, E.; García-de-Pereda-Notario, C.M.; Martínez-Sanz, E.; García-Gómez, S.; Murillo-González, J.A.; Barrio-Asensio, C.; Virto-Ruiz, L.; García-Serradilla, M.; Mérida-Velasco, J.R.; Arráez-Aybar, L.A. Adaptaciones de la Enseñanza Anatómica Durante el COVID-19 en la Universidad Complutense de Madrid. Evaluación de los Estudiantes. Int. J. Morphol. 2023, 41, 838–844. [Google Scholar] [CrossRef]
- Porta-Miller, E.M.; Brueckner-Collins, J. A Mixed-Methods Investigation of First-Year Medical Students’ Professionalism Competency Development over the Gross Anatomy Course. Med. Sci. Educ. 2025, 35, 389–402. [Google Scholar] [CrossRef]
- Xiao, J. Improving student learning and performance through a continuous flipped anatomy teaching model. Anat. Sci. Educ. 2024, 17, 219–226. [Google Scholar] [CrossRef] [PubMed]
- Yao, Q.; Zhu, P.; Yu, X.; Cheng, Y.; Cui, W.; Liu, Q. The Effectiveness of the Student-Centered Flipped Classroom Approach in Medical Anatomy Teaching: A Quasi-Experimental Study. Clin. Anat. 2025, 28, 496–504. [Google Scholar] [CrossRef]
- Gordon, M.; Daniel, M.; Ajiboye, A.; Uraiby, H.; Xu, N.Y.; Bartlett, R.; Hanson, J.; Haas, M.; Spadafore, M.; Grafton-Clarke, C. A scoping review of artificial intelligence in medical education: BEME Guide No. 84. Med. Teach. 2024, 46, 446–470. [Google Scholar] [CrossRef]
- Lazarus, M.D.; Truong, M.; Douglas, P.; Selwyn, N. Artificial intelligence and clinical anatomical education: Promises and perils. Anat. Sci. Educ. 2024, 17, 249–262. [Google Scholar] [CrossRef]
- Hildebrandt, S.; Cornwall, J.; Champney, T.H. More Than Body Parts: A New Ethos of Anatomy Education. Acad. Med. 2024. [Google Scholar] [CrossRef] [PubMed]
- McDaniel, K.G.; Brown, T.; Radford, C.C.; McDermott, C.H.; van Houten, T.; Katz, M.E.; Stearns, D.A.; Hildebrandt, S. Anatomy as a model environment for acquiring professional competencies in medicine: Experiences at Harvard Medical School. Anat. Sci. Educ. 2021, 14, 241–251. [Google Scholar] [CrossRef] [PubMed]
- Margenfeld, F.; Zendehdel, A.; Tamborrini, G.; Müller-Gerbl, M. The advantages of utilizing different ultrasound imaging techniques on joints of human cadavers in the teaching of anatomy–A scoping review. Ann. Anat.-Anat. Anz. 2024, 251, 152179. [Google Scholar] [CrossRef]
- Arráez-Aybar, L.-A.; Arias-Diaz, J.; Paredes, S.D.; Zuluaga-Arias, P.; Chevalier, M.; Salobrar-Garcia, E.; Collado, L.; Hurtado, O.; Fernández-Mateos, P. Self-perception of the acquisition of transferable competencies by the participants in a research congress for undergraduate students: A cross-sectional study. Heliyon 2024, 10, e27283. [Google Scholar] [CrossRef]
- Sinha, A.; Thirunavukarasu, A.J.; Bonshahi, A.; Brassett, C. Impact of Anatomical Research Projects for Medical Students: A Cross-Sectional Survey of Academic and Professional Skills, Clinical Aspirations and Appreciation of Anatomy. Clin. Anat. 2025, 38, 347–354. [Google Scholar] [CrossRef]
- Pawlina, W. Not “How Should I Learn?” or “How Should I Act?” but,“Who Shall I Become?”: A Précis on the Roots of Early Professional Identity Formation in the Anatomy Course; Wiley Online Library: Hoboken, NJ, USA, 2019; pp. 465–467. [Google Scholar]
- Evans, D.J.; Pawlina, W. The role of the anatomist in teaching of nontraditional discipline-independent skills. In Teaching Anatomy; Springer: Berlin/Heidelberg, Germany, 2015; pp. 319–329. [Google Scholar]
- Abdellatif, H.; Al Mushaiqri, M.; Albalushi, H.; Al-Zaabi, A.A.; Roychoudhury, S.; Das, S. Teaching, learning and assessing anatomy with artificial intelligence: The road to a better future. Int. J. Environ. Res. Public Health 2022, 19, 14209. [Google Scholar] [CrossRef]
- Saluja, S.; Tigga, S.R. Capabilities and Limitations of ChatGPT in Anatomy Education: An Interaction With ChatGPT. Cureus 2024, 16, e69000. [Google Scholar] [CrossRef] [PubMed]
- Al-Rubaie, A. From Cadavers to Codes: The Evolution of Anatomy Education Through Digital Technologies. Med. Sci. Educ. 2024, 35, 1101–1109. [Google Scholar] [CrossRef] [PubMed]
- Joseph, T.S.; Gowrie, S.; Montalbano, M.J.; Bandelow, S.; Clunes, M.; Dumont, A.S.; Iwanaga, J.; Tubbs, R.S.; Loukas, M. The Roles of Artificial Intelligence in Teaching Anatomy: A Systematic Review. Clin. Anat. 2025. [Google Scholar] [CrossRef] [PubMed]
- Salimi, S.; Asgari, Z.; Mohammadnejad, A.; Teimazi, A.; Bakhtiari, M. Efficacy of virtual reality and augmented reality in anatomy education: A systematic review and meta-analysis. Anat. Sci. Educ. 2024, 17, 1668–1685. [Google Scholar] [CrossRef]
- Starszak, K.; Karaś, R.; Skalski, A.; Czarnecka-Chrebelska, K.; Lepich, T.; Bajor, G. Advances in anatomy education: The role of virtual anatomy tables, immersive techniques, and 3D printing—A systematic review. Folia Morphol. 2025. [Google Scholar] [CrossRef]
- Williams, A.; Sun, Z.; Vaccarezza, M. Comparison of augmented reality with other teaching methods in learning anatomy: A systematic review. Clin. Anat. 2025, 38, 168–185. [Google Scholar] [CrossRef]
- Bölek, K.A.; De Jong, G.; Henssen, D. The effectiveness of the use of augmented reality in anatomy education: A systematic review and meta-analysis. Sci. Rep. 2021, 11, 15292. [Google Scholar] [CrossRef]
- Li, Q.; Duan, H.; Zhou, X.; Sun, X.; Tao, L.; Lu, X. The use of metaverse in medical education: A systematic review. Clin. Med. 2025, 25, 100315. [Google Scholar] [CrossRef]
- Cale, A.S. The Anatomy Room: A simple thought experiment to explain the basics, limitations, and bioethical concerns of generative artificial intelligence (AI). Anat. Sci. Educ. 2024, 17, 912–914. [Google Scholar] [CrossRef]
- So, S.; Patel, R.M.; Orebaugh, S.L. Ultrasound imaging in medical student education: Impact on learning anatomy and physical diagnosis. Anat. Sci. Educ. 2017, 10, 176–189. [Google Scholar] [CrossRef]
- Weimer, J.; Ruppert, J.; Vieth, T.; Weinmann-Menke, J.; Buggenhagen, H.; Künzel, J.; Rink, M.; Lorenz, L.; Merkel, D.; Ille, C. Effects of undergraduate ultrasound education on cross-sectional image understanding and visual-spatial ability-a prospective study. BMC Med. Educ. 2024, 24, 619. [Google Scholar] [CrossRef] [PubMed]
- Al-Redouan, A.; Dudin, A.; Urbanek, A.J.; Olsson, E.; Kachlik, D. Visible Human Project based applications can prompt integrating cross-sectional anatomy into the medical school curriculum when combined with radiological modalities: A three-year cross-sectional observational study. Ann. Anat.-Anat. Anz. 2025, 257, 152357. [Google Scholar] [CrossRef] [PubMed]
- Meyer, H.L.; Einloft, J.; Bedenbender, S.; Russ, P.; Schlicker, N.; Ganser, A.; Hirsch, M.C.; Görg, C.; Grgic, I. Impact and reception of point-of-care ultrasound training across medical education levels. BMC Med. Educ. 2025, 25, 255. [Google Scholar] [CrossRef]
- Mat Nawi, N.F.; Hanim Hadie, S.N. Interprofessional Anatomy Education: Its Significance, Challenges and Recommendations. Educ. Med. J. 2024, 16, 165–176. [Google Scholar] [CrossRef]
- Quach, S.; Sinha, S.; Todd, A.; Palombella, A.; Rockarts, J.; Wojkowski, S.; Wainman, B.; Mezil, Y. Dissecting through the decade: A 10-year cross-sectional analysis of interprofessional experiences in the anatomy lab. J. Interprof. Care 2024, 38, 836–845. [Google Scholar] [CrossRef]
- Kulkarni, V. Implications of Evidence-Based Anatomy. Natl. J. Clin. Anat. 2023, 12, 63–65. [Google Scholar] [CrossRef]
- Fives, C.; Lone, M.; Nolan, Y.M. Motivation and learning methods of anatomy: Associations with mental well-being. Clin. Anat. 2022, 35, 26–39. [Google Scholar] [CrossRef] [PubMed]
- Greene, S.J.; Rosen, L. Tracking medical student emotionality in relation to whole body dissection and donation. Clin. Anat. 2021, 34, 128–142. [Google Scholar] [CrossRef]
- Abrams, M.P.; Eckert, T.; Topping, D.; Daly, K.D. Reflective writing on the cadaveric dissection experience: An effective tool to assess the impact of dissection on learning of anatomy, humanism, empathy, well-being, and professional identity formation in medical students. Anat. Sci. Educ. 2021, 14, 658–665. [Google Scholar] [CrossRef]
- Ong, C.X.; Foo, Y.Y.; Compton, S. The impact of human cadaveric dissection on professional identity formation in medical students. BMC Med. Educ. 2023, 23, 970. [Google Scholar] [CrossRef]
Year | Author/Study | Traditional Method | Digital/Innovative Method | Key Findings |
---|---|---|---|---|
2006 | Biasutto et al. [21] | Cadaveric dissection | compares anatomy teaching using cadavers, computer resources, or both. | Learning with cadavers alone is better than using only computers, but combining both methods yields the best outcomes. Therefore, using cadavers alongside technology is the most effective way to teach anatomy |
2010 | Arráez-Aybar et al. [2] | Clinical anatomy practice | N/A | Highlights the ongoing relevance of anatomy in clinical practice. |
2015 | Singh et al. [3] | Cadavers, dissection | N/A | Warns about the risks of reducing traditional anatomy training in clinical settings. |
2016 | Estai & Bunt [24] | Dissection, physical models | General digital tools | Recommends a multimodal and critical approach to anatomy education. |
2017 | Ghosh [7] | Cadaveric dissection | N/A | Confirms dissection as irreplaceable for spatial understanding and ethical formation. |
2021 | Arráez-Aybar et al. [23] | Physician opinions on dissection | N/A | Shows that physicians highly value dissection for their training. |
2022 | Comer [17] | Dissection and historical practices | Ethical reflection on digital practices | Explores the ethical context of past practices and their influence today. |
2023 | Ghosh [9] | Anatomical evidence | Integration of digital methods based on evidence | Proposes evidence-based anatomy as the optimal hybrid approach. |
2023 | Arráez-Aybar et al. [25,26] | Dissection surveys | N/A | Demonstrates the positive perception of dissection among anatomists. |
2024 | García-Robles et al. [29]; Graziani et al. [30] | N/A | Virtual reality (VR), augmented reality (AR) | Systematic review on VR/AR in anatomy; shows high effectiveness. |
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. |
© 2025 by the author. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Arráez-Aybar, L.A. Evolving Anatomy Education: Bridging Dissection, Traditional Methods, and Technological Innovation for Clinical Excellence. Anatomia 2025, 4, 9. https://doi.org/10.3390/anatomia4020009
Arráez-Aybar LA. Evolving Anatomy Education: Bridging Dissection, Traditional Methods, and Technological Innovation for Clinical Excellence. Anatomia. 2025; 4(2):9. https://doi.org/10.3390/anatomia4020009
Chicago/Turabian StyleArráez-Aybar, Luis Alfonso. 2025. "Evolving Anatomy Education: Bridging Dissection, Traditional Methods, and Technological Innovation for Clinical Excellence" Anatomia 4, no. 2: 9. https://doi.org/10.3390/anatomia4020009
APA StyleArráez-Aybar, L. A. (2025). Evolving Anatomy Education: Bridging Dissection, Traditional Methods, and Technological Innovation for Clinical Excellence. Anatomia, 4(2), 9. https://doi.org/10.3390/anatomia4020009