Medicine
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This repository contains the published and unpublished research of the Faculty of Medicine by the staff members of the faculty
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Item Teaching Anatomy in a unique setting: innovative methods to overcome challenges(Faculty of Medicine, University of Kelaniya, Sri Lanka, 2016) Weerasundera, B.BACKGROUND: Teaching of Anatomy at the Northern Territory Medical Programme (NTMP) of Flinders University, Australia is by retaining traditional methods as well as modern techniques using the latest technology to overcome the disadvantages of distant learning. It occurs in the first two years of the medical curriculum. It is provided by lectures via video conferencing from Flinders University in Adelaide and practicals, dissections and other teaching sessions conducted in Darwin. Incorporating such remote as well as on-site teaching presents numerous challenges, requiring constant review and modification to ensure quality of training. In the dissection component, students are expected to dissect a cadaver during their first two years of learning. After evaluating student feedback, changes were introduced to the teaching methods used in this process over three years. OBJECTIVES: This study aims to assess the effectiveness of, changes introduced to the teaching methods in Anatomy in the Northern Territory Medical Programme (NTMP) of Flinders University, Australia METHODS: Changes were made in consultation with the Body Donation Programme of University of Adelaide, Audio Visual Unit of the NTMP and the curriculum committee of the University of Flinders. They included the incorporation of novel teaching methods and introducing changes to the timing of the dissection programme. Performances in Anatomy of the three batches of students at examinations and their feedback were analysed to determine the effect of these changes RESULTS: It revealed improved performances and a higher level of student satisfaction. CONCLUSIONS: Feedback from students and their performance at examinations suggest that the changes had an overall positive impact. Constant monitoring and review of teaching methods is of significant value.Item Anatomy of the gall bladder in Sri Lankan population : a warning to the laparoscopic surgeon.(Sri Lanka Medical Association, 1998) Samarasekera, D.N.; Welgama, U.INTRODUCTION : Minimally invasive surgery has advanced rapidly to involve resection of almost all abdominal organs. Out of all these procedures, laparoscopic cholccystectomy has become the operation of choice for the removel of gall bladder and has stood the test of time. AIM : Since we started laparoscopic cholecystectomy procedure in our unit, this study was designed to document the possible variations that we may encounter in the Sri Lankan population. MATERIAL AND METHODS : Seventy five fresh non selected adult cadavers (within 24 hours of death) were dissected, Exclusion criteria were those with crush injuries to the liver and previous hcpato-biliary surgery. Findings were documented according to a standard proforma. FINDINGS : Normal anatomy was seen in 22 ( 29.3%) bodies. Documented abnormalities given in the text books were seen in 45 (60% ). Eight (10.6%) new abnormalities were detected in our study GB - 0, cystic duct - 5, cystic artery - 7). CONCLUSIONS : Altogether nearly seventy percent of the cadavers showed developmental anomalies. Therefore a thorough knowledge of all these anomalies is essential for the surgeon performing laparoscopic cholecystectomy to avoid iatrogenic injury.