JADE 6th edition | Page 18

18 | JADE ROSALYN A JURJUS ET AL. how societies thought about, evaluated, and understood the moral legitimacy of dissection and of scientific and medical procedures, from performing abortions to engaging in stem cell research and genetic engineering (Morag et al., 2005; Santoro et al., 2009). The US medical education system, over the years, has responded robustly to such concerns. According to Koening et al., (2010), in the early 1990’s only three U.S. medical schools taught courses on religious and spiritual issues.  By 2006   it had increased to over 70% of schools and by 2010 90% of U.S. medical schools either had courses or content on spirituality and health (Koening et al., 2010). However, some medical schools remained skeptical about the relevance of this subject matter despite the fact that reliable studies suggested that 80% of Americans believed in the healing power of God or prayer to improve the course of an illness (Pachalski, et al., 2014). As reported by Barnard et al 1995, introducing spirituality and religious themes into the curriculum could foster the respect of medical students for the individuality of the patient in his or her cultural context and increase awareness of values and faith as resources for dealing with illness, suffering, and death including the dissected cadaver (Barnard et al., 1995). Social forces of culture and religion can bring people together for cooperative success or can divide people for persecution and suffering. Culture defines the social forces within a community, influencing the conventions of behavior. On the other hand, religion defines how the community members interpret their role in the universe. With this teaching based on local culture, different religions rise out of different cultures. Similarly, when members of one religion convert members of a foreign culture, often the resulting religion in that area is affected by the lost culture. This interrelationship affects our behavior and attitudes to a great extent. Along these lines, inductive ethnographic research was conducted in the gross anatomy laboratory to explore reactions of students to human dissection focusing on anxiety, tension, discomfort and coping. Such studies stressed the importance of communication between faculty and students and among students during dissection and the ability of enhancing reconciliation between illness, dying, and death in a medical school anatomy laboratory (William, 1992; Kotzé and Mole, 2013). Many researchers sought to elucidate the differences in student perception of cadaveric dissection in the hope of identifying students who may experience it differently due to emotional impact, mental stress and cultural views (Sukol, 1995; Slotnick, 2001; Boeckers et al., 2010), or determining features that might be predictive of future doctor-patient relationships (Shalev and Nathan, 1985). In a study conducted in Spain, only a small percentage of medical students showed persistent negative reactions, mainly anxiety, in viewing (or using) cadaveric material,