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Observations on the inconsistency of dermatome maps and its effect on knowledge and confidence in clinical students.
Authors
Andreoli
Anthoney
+41 more
Barr
Brodal
Congreve
Davis
Downs
Drake
Drake
Falconer
Finn
Foerster
Hamilton
Hamilton
Heimer
Herringham
Heylings
Hollinshead
Keegan
Kooloos
Kopf-Maier
Ladak
Last
Lee
Leeper-Woodford
Lockhart
Lumley
Mathers
McMinn
Mitchell
Moore
Moore
Moore
Moses
Murphy
Putz
Romanes
Sadler
Smith
Sobotta
Steinmann
Tortora
Woodburne
Publication date
1 March 2018
Publisher
Clin Anat
Doi
Cite
Abstract
Dermatomes are an important component of medical curricula and clinical practice. In addition to the intrinsic complexity of dermatome maps, their discrepancies in the literature make their learning among students even more difficult. These discrepancies are particularly evident in the lower deltoid ("regimental badge" area) and upper back. The aims of our study were firstly to identify and compare published versions of the dermatome map focusing on depictions of the "regimental badge" area and upper back, secondly to assess the perceived confidence and knowledge of dermatomes among medical students, and finally to create and introduce a simplified dermatome map. For the first part of the study, depictions of dermatome maps that included the "regimental badge" area and upper back in webpages and books were compared. For the second part, a dermatome exercise was given to 177 medical students who were asked to draw and label the dermatomes on blank figures. A total of 45 sources depicting dermatomes of the "regimental badge" area and upper back were included in the study and showed significant discrepancies in both areas. In the dermatome exercise, the mean perceived confidence was 3.64 ± 1.58 (scale 1-10). Based on our pre-set assessment criteria, upper limb, lower limb, nipple, umbilicus, and perineum dermatomes were labeled correctly by 57.1%, 43.5%, 52.6%, 60%, and 75.7% students, respectively. In light of our results, we propose a map of autonomous regions of clinically relevant dermatomes that can be used instead of whole dermatome maps for teaching purposes. Clin. Anat. 31:293-300, 2018. © 2017 Wiley Periodicals, Inc
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info:doi/10.1002%2Fca.23031
Last time updated on 04/11/2020
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Apollo (Cambridge)
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oai:www.repository.cam.ac.uk:1...
Last time updated on 23/01/2018