Invited Commentary

Commentary on "Back to Anatomy: Improving Landmarking Accuracy of Clinical Procedures Using a Novel Approach to Procedural Teaching"

Authors: Kam A. Newman, MD

Abstract

The importance of human gross anatomy as part of the core curriculum of medical school cannot be overstated. The knowledge of human anatomy and its clinical application has fundamental effects on all branches of medicine, and obviously there is a need for an advanced learning modality to provide adequate anatomical knowledge. The article by Zeller and colleagues in this issue of the Southern Medical Journal outlines the challenges of achieving such technical knowledge as a component of graduate medical education (GME) in internal medicine residency programs.1 Specifically, this article highlights the difficulty in the GME environment of relating human anatomy that is specifically pertinent to the procedures of bone marrow biopsy and aspiration (BMBA). Indeed, there exists no overarching consensus on the most effective method for teaching BMBA. Each training institution has its own policy depending upon available resources and technologies.

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References

1. Zeller M, Cristancho S, Mangel J, et al. Back to anatomy: improving landmarking accuracy of clinical procedures using a novel approach to procedural teaching. South Med J 2015;108:310-31.
 
2. Kaur M, Singh Rana AP, Kapoor S, et al. Diagnostic value of bone marrow aspiration and biopsy in routine hematology practice. J Clin Diagn Res 2014;8:FC13-FC16.
 
3. Fend F, Tzankov A, Bink K, et al. Modern techniques for the diagnostic evaluation of the trephine bone marrow biopsy: methodological aspects and applications. Prog Histochem Cytochem 2008;42:203-252.
 
4. Bain BJ. Bone marrow biopsy morbidity and mortality. Br J Haematol 2003;121:949-951.
 
5. Hjortholm N, Jaddini E, Haaaburda K, et al. Strategies of pain reduction during the bone marrow biopsy. Ann Hematol 2013;92:145-149.