Abstract
Background: The use of unclaimed bodies for anatomical dissection has been the main method of instruction at most Nigerian medical institutions. The dearth of cadavers and increasing numbers of medical school has prompted the need for body donation for teaching and research. This study aimed at assessing the disposition of anatomists towards body donation in Nigeria.
Methods: A survey was conducted at the Anatomical Society of Nigeria (ASN) 2019 conference held at University of Calabar, Cross River state Nigeria in November 2019 to test two hypotheses: Anatomists approve of the donation of their own bodies for medical education and research; Disposition towards body dissection and donation are not dependent upon incentives, gender or upon the extent of teaching experience. Responses to questionnaires were analysed qualitatively.
Results: Our findings showed that Anatomists disposition towards body donation are dependent upon gender, teaching experience, culture, religion, doubts about honor and dignity maintained in the dissection halls while performing dissections. Among one hundred anatomists that responded to the survey; Males (77.8%) were more receptive to the concept of body donation. Most teachers (61%) said they were unwilling to donate their bodies, and 39% said they would donate their entire bodies.
Conclusion: Our study highlighted the issue of unwillingness to donate bodies amongst anatomist. We therefore strongly recommend awareness campaign for body donation and sensitization of handlers of cadavers about dignity and respect of the donated body.
Keywords: Body Donation, Education, Cadavers
References
- Leeson, Thomas S.; Leeson, C. Roland. Histology (Fourth ed.). W. B. Saunders Company. 1981;p. 600. ISBN 978-0721657042.
- Aziz MA, McKenzie JC, Wilson JS, Cowie RJ, Ayeni SA, Dunn BK. The human cadaver in the age of biomedical informatics. Anat Rec. 2002;269: 20–32.
- Ismail Memon “Cadaver Dissection Is Obsolete in Medical Training! A Misinterpreted Notion”Med Princ Pract. 2018 ; 27(3): 201–210.
- Saltarelli AJ, Roseth CJ, Saltarelli WA. Human cadavers Vs. multimedia simulation: A study of degree holders learning in anatomy. Anat Sci Educ. 2014;7: 331–339. pmid:24415563
- Rizzolo LJ, Stewart WB. Should we continue teaching anatomy by dissection when…? Anat Rec B New Anat. 2006;289: 215–218. pmid:17109419
- Garment A, Lederer S, Rogers N, Boult L. Let the dead teach the living: The rise of body bequeathal in 20th-century America. Acad Med. 2007;82:10001005.
- Bajor G, Likus W, Kuszewski P, Kostro K, Łoś A, Kłakus P (2015) “Mortui Vivos Docent” or Who Gives His Body to Science? The Analysis of the Personal Questionnaires of Polish Donors in the Conscious Body Donation Program. PLoS ONE 10(3): e0121061.
- Khadija Qamar, Amina Ahmad, Abid Ashar” Comparison of learning anatomy with cadaveric dissection and plastic models by medical student” Pak Armed Forces Med J 2014; 64 (2): 219-24.
- Gangata H. A proposed worldwide classification system for ways of sourcing of anatomical cadavers that is progressive towards the use of donated anatomical cadavers. Edorium J Anat Embryo. 2015;2:20-26.
- International Federation of Associations of Anatomists (IFAA). Recommendations of good practice for the donation and study of human bodies and tissues for anatomical examination. January 2012:45. Plexus: Newsletter of the IFAA.
- Habicht JL, Kiessling C, Winkelmann A. Bodies for Anatomy Education in Medical Schools: An Overview of the Sources of Cadavers Worldwide. Acad Med. 2018;93(9):1293–1300.
- Anyanwu EG, Obikili EN, Agu AU. The dissection room experience: A factor in the choice of organ and whole body donation—A Nigerian survey. Anat Sci Educ. 2014;7:5663.
- Malu A O. Universities and medical education in Nigeria.Niger Med J 2010;51:84-8.
- Saha A, Sarkar A, Mandal S. Body donation after death:”the mental setup of educated people”. J Clin Diagn Res. 2015;9:AC05-09.
- Alexander, M. Marten, E.Stewart, S. Serafin, and G.ˇStrkalj, “Attitudes of Australian chiropractic degree holders toward whole body donation: a cross-sectional study,” Anatomical Sciences Education,vol.7,no.2,pp.117–123,2014.
- A. Rokade and A. P. Gaikawad, “Body donation in India: social awareness, willingness, and associated factors,” Anatomical Sciences Education, vol.5,no.2, pp.83–89,2012.
- M Aitreyee KAr, Dip An KAr BhAu MiK, Chin MAyA KAr” Body and Organ Donation: Perception among Medical Degree holders and Medical Health Professionals in a Tertiary Care Centre” International Journal of Anatomy, Radiology and Surgery. 2017 Oct, Vol-6(4): AO42-AO47.
- Ongeti, “Pedagogical value of dissection anatomy in Kenya,” Singapore Medical Journal, vol.53, no.11, pp.712–714,2012.
- Akinola, O.B.,. Formal body bequest programme in Nigerian medical schools: when do we start? Anat. Sci. Educ.2011; 4, 239–242.
- Philip Maseghe Mwachaka, Pamela Mandela, and Hassan Saidi “Repeated Exposure to Dissection Does Not Influence Students’ Attitudes towards Human Body Donation for Anatomy Teaching: Hindawi Publishing Corporation Anatomy Research International Volume 2016, Article ID 9251049, 5 pages.
Corresponding Author
Dr Ozioko Uche Sebastine
Department of Anatomy, College of Medicine, Enugu State University of Science and Technology, Enugu State, Nigeria