Use of Web-Based, High Definition Autopsy Videos To Improve Resident Training and Medical Student Teaching
DS McClintock, JB Bakst, JB Taxy. University of Chicago Medical Center, Chicago, IL
Background: With the decline of national autopsy rates over past years, pathology residency programs are faced with fewer available autopsies for resident training and ACGME requirements. Further, low numbers make medical student exposure to autopsy increasingly difficult, with most graduating medical students having limited or no autopsy experience. The lack of autopsy exposure for medical students and pathology residents diminishes and compromises the autopsy as an effective teaching tool and performance indicator for both clinical services and pathology departments. Consequently, physicians without autopsy experience as medical students are unlikely to seek its use during their practice years.
Design: To help increase hospital and medical school awareness of the autopsy, a pilot project was initiated to provide an online autopsy tutorial using high-definition (HD) digital videos and narrated presentations. An HD camcorder was used to record three full autopsies that were edited into multiple 1-3 minute, de-identified video segments. Audio voiceovers for the videos were created separately and added during the editing process. Screen recording software was used to create narrated web videos of PowerPoint presentations. The completed videos were placed on a password protected, institutional intranet server as well as being directly accessible on workstations in the autopsy suite.
Results: High-definition, exceptional quality videos were created for basic autopsy techniques starting from the organ block evisceration (Rokitansky method) and include dissection of individual organ systems. Pathology dependent variations on dissection technique were documented where possible. Narrated presentations were created detailing the indications for autopsy and pre- and post-dissection procedures. In addition to making these videos available for all clinical services in the hospital, they will be incorporated into the pathology curriculum for 2nd year medical students in January 2010.
Conclusions: The educational value of autopsy is not disputed but widely underutilized. The use of high-definition digital videos, in combination with pre-recorded procedural presentations, has potential to increase awareness of the autopsy as an important educational vehicle and clinical performance indicator. As the autopsy rate continues to decline, the use of high-definition videos as a visual aide for both medical students and residents may become an ever more important teaching tool in the training of future physicians.
Tuesday, March 23, 2010 9:30 AM
Poster Session III # 107, Tuesday Morning