Australian Doctor 11th Oct Issue | Page 49

49 anatomy research ?
ausdoc . com . au 11 OCTOBER 2024

49 anatomy research ?

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 .
We don ’ t know , for example , how
environmental changes change our
body — not just the physiology of it ,
but how do we adapt ?
We need students to have knowledge
of the anatomy of the body and
to have confidence in understanding
the big picture , and then being able
to be inquiring and look at the details
as it becomes more and more relevant
, depending on which field they
go into .
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 ?
Professor Fogg : Actually , it depends where you are in the world .
In the UK , where I worked for quite a
while , that would just get everyone
talking .
People would be there at the pub
and someone would put their pint
down and sit with you and not let
you leave for an hour with questions .
Whereas in Australia , if you mention
it , people might go , ‘ Oh , that ’ s a
bit gross ’ and sort of back away a lit-
Associate Professor Krisztina Valter-Kocsi .
tle bit .
But I think in general , most people
are really , genuinely enthusiastic
about it .
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
your hand .
— that they are actually touching the
Sometimes , the most impactful
study in this context continues .
and every age group have a genuine
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 .
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
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 .
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-
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
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
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-
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
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
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 .
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 .