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An effective and novel method for teaching applied facial anatomy and related procedural skills to esthetic physicians

Authors Kumar N, Rahman E, Adds PJ

Received 31 July 2018

Accepted for publication 10 November 2018

Published 6 December 2018 Volume 2018:9 Pages 905—913

DOI https://doi.org/10.2147/AMEP.S181874

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Ms Justinn Cochran

Peer reviewer comments 5

Editor who approved publication: Dr Anwarul Azim Majumder


Narendra Kumar,1 Eqram Rahman,2 Philip J Adds2

1Postgraduate Medical Institute, Faculty of Medical Science, Anglia Ruskin University, Chelmsford, UK; 2Department of Anatomical Sciences, Institute of Medical and Biomedical Education, St. George’s University of London, London, UK

Background: An understanding of facial anatomy is crucial for the safe practice of nonsurgical facial esthetic procedures. Contextual learning, aided with instructional design, enhances the trainees’ overall learning experience and retention, and makes a positive impact on the performance of procedural skills. The present study aimed to develop a teaching approach based on Bloom’s taxonomy involving cognitive, affective, and psychomotor learning domains.
Materials and methods: The practicability of Assess & Aware, Demonstrate, Decode, Act & Accomplish, Perform, Teach & Test (ADDAPT), a new approach to teaching applied facial anatomy and procedural skills to esthetic physicians in a large group setting, was evaluated in this study. Study participants were from two cohorts (n=124) who underwent 2 days of applied anatomy training in Singapore. Pre- and post-course multiple choice questions and objective structured practical examination were conducted to measure the effectiveness and applicability of the teaching model. Expert raters, table demonstrators, and participants rated the steps involved in the ADDAPT model on an 11-point Likert scale.
Results: Pre- and post-course evaluation mean scores for multiple choice questions were 17.32 (SD ±3.36) and 22.61 (SD ±1.77) and for objective structured practical examination were 24.53 (SD ±4.63) and 43.57 (SD ±5.35), respectively (P<0.001). Inter-rater agreement, expressed as the intraclass correlation coefficient, was 0.91 (95% CI: 0.62–0.98) for expert raters and 0.90 (95% CI: 0.78–0.97) for table demonstrators, which reflects the real strength of sound educational practice. The trainees well accepted the model and found the sessions intellectually stimulating. Trainees’ feedback stated that the learning experience was enhanced by the repeated observation and constructive feedback provided by the tutors.
Conclusion: The ADDAPT model is practical to instruct a large group of trainees in clinical anatomy and procedural skill training. This approach to instructional design may be feasible and transferable to other areas of psychomotor skill training in medical education.

Keywords: facial anatomy, anatomy teaching model, anatomy knowledge, pre- and posttest, OSPE, Bloom’s taxonomy, instructional design

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