Photo : Tracey Nearmy . |
The circulatory system , by Joseph Maclise ( 1815-1891 ). |
More and more , we are looking into the histological or cellular or molecular level of the structures , but from an anatomical point of view , we are looking at different and newer variations . |
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We don ’ t know , for example , how |
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environmental changes change our |
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body — not just the physiology of it , |
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but how do we adapt ? |
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We need students to have knowledge |
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of the anatomy of the body and |
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to have confidence in understanding |
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the big picture , and then being able |
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to be inquiring and look at the details |
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as it becomes more and more relevant |
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, depending on which field they |
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go into . |
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AD : Last question . Professor Fogg , you ’ ve appeared in a couple of BBC documentaries about dissection . What ’ s the public reaction when you tell people you ’ re a clinical anatomist ? |
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Professor Fogg : Actually , it depends where you are in the world . |
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In the UK , where I worked for quite a |
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while , that would just get everyone |
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talking . |
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People would be there at the pub |
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and someone would put their pint |
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down and sit with you and not let |
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you leave for an hour with questions . |
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Whereas in Australia , if you mention |
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it , people might go , ‘ Oh , that ’ s a |
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bit gross ’ and sort of back away a lit- |
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Associate Professor Krisztina Valter-Kocsi . |
tle bit .
But I think in general , most people
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are really , genuinely enthusiastic |
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about it . |
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your hand on your patient ’ s body , so you need to know what is under |
I think the haptic part of doing the dissection , that ’ s very important |
creation of those resources and keep them up to date . |
anatomy , but to preserve it for the teaching of history and ethics . Their |
When we have things like open days , people from every background |
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your hand . |
— that they are actually touching the |
Sometimes , the most impactful |
study in this context continues . |
and every age group have a genuine |
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And that only happens if you |
cadaver and exploring . |
way of learning will be to come to |
They provided an A4 information |
interest and curiosity about it . |
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know your anatomy . |
We do use VR and other technol- |
an anatomy facility and work with |
letter [ under advice known as The |
I think anatomy is a great way of |
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I think it is a bad philosophy |
ogies , and we also use plastic models |
a Body Donor , and sometimes the |
Vienna Protocol ] to put in the front |
engaging with people . |
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to think that surgeons are differ- |
and plasticine . So nothing is superior |
most impactful way will be to sit at |
cover of copies of this book , so that |
You can talk about health prob- |
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ent from GPs — all doctors need to |
to something else . |
your home and do it online . |
the history is known before use . |
lems more pointedly , and you can |
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know anatomy .
I point out to my students that surgeons probably have the easier way , because they open up the patient and they look , as opposed to a GP who cannot do that .
GPs need to identify and diagnose something without actually seeing it , just by knowing what they are expecting to feel in different areas of the body .
AD : Dissecting cadavers , given the religious history , has been a controversial issue in the past .
But it is being debated again because of the shortage of bodies available for dissection .
Can learning be done through 3D digital models or is dissection still important ?
Professor Valter-Kocsi : Absolutely , dissection is still important . So if you learn about a body on TV , would that be enough ? If you are putting on a headset and you look at the body , and you see it , and turn it
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But we have to remember , the dissection doesn ’ t just teach the anatomy . It is for communication , it is for empathy — students start to feel that we are talking about the patient .
They are inquiring , they are experimenting , and they are finding new things . And to see that excitement in the classroom when they find something new is just really great .
Professor Fogg : I ’ m very pro Body Donors — but as appropriate .
If the resources and the timing are right , I think dissection using a Body Donor is the most deep and powerful learning experience , because it ’ s multifaceted .
But the best digital resources also have extensive advantages , not least because they can be made available to everyone remotely .
However , to get the best versions of them , you need Body Donors to actually create those digital resources .
If we want the models to be more personalised and diverse and real-
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AD : In recent years there ’ s been widespread ethical debate about the continued use of anatomical illustrations from the Pernkopf atlas , the textbook that was linked to Nazi atrocities . What do you think ?
Professor Fogg : The Pernkopf atlas is an iconic and challenging body of work that was done over about 30 years — it is probably the greatest anatomical illustrative work ever produced — but the central part of it was done during the Third Reich .
There ’ s been a lot of scholarly work done on it , especially in the last 20 years . Limited availability of records makes it difficult to determine which individual person is depicted in each image , but the number of executed political prisoners and resisters of the regime accepted by Pernkopf suggests that they are likely to have been used .
The key international group led by the custodians of this work , the
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I have copies of this book that were given to me years and years ago and our library has a couple of copies , so we have inserted this information letter in all of them . The images are not used in anatomy teaching .
These works are important — they are remnants of a very distressing time in our discipline ’ s history , and they should be discussed in terms of the ethics .
Most anatomy programs now include significant discussion about body donation and how the Donors get there , why we respect them and how best we can demonstrate that respect .
Some will take a historical look as well and include discussions of works like this .
AD : You ’ ve talked about the revolution brought by improvements in medical imaging . What are the frontiers of anatomy research ?
Professor Valter-Kocsi : There is growing understanding about the
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broach other subjects , like ethics and humanity , and death is a really big one that we ’ re able to talk about a bit more freely , because there is this linkage of curiosity .
Associate Professor Quentin Fogg is president of the Australian and New Zealand Association of Clinical Anatomists ( ANZACA ), and associate professor of clinical anatomy in the department of anatomy and physiology at the University of Melbourne .
Associate Professor Krisztina Valter- Kocsi , vice-president of ANZACA , is head of the anatomy discipline and chair of medical science at the school of medicine and psychology at the Australian National University , Canberra .
ANZACA warmly welcomes clinicians with an interest in anatomy to join the association .
It is hosting the world congress of the International Federation of Associations of Anatomists in Melbourne in 2026 — all interested clinicians are invited to attend .
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around but can ’ t feel the organs or skin , is that enough ? |
istic , then we need the anatomists and the Body Donors to guide the |
University of Vienna , does not recommend use of the book for teaching |
body structures and how these structures evolved and how they function . |
See anzaca . org for more information . |