Is the dissection of cadavers a necessary part of medical education?
BMJ 2025; 388 doi: https://doi.org/10.1136/bmj.q2829 (Published 18 March 2025) Cite this as: BMJ 2025;388:q2829Linked Opinion
Medical students should be better prepared for observing postmortem examinations
Linked Editorial
Skeletons in the closet: towards the dignified disposal of all human bones acquired for medical education
- Roshni Shastri, fourth year medical student1,
- Crispin Wiles, assistant professor of clinical anatomy and imaging1,
- Oliver Sweeney, fourth year medical student2,
- Lucy Easton, fourth year medical student2,
- Steven Jacques, associate professor, head of anatomy, and HTA designated individual2
- 1University of Warwick, UK
- 2University of Leicester, UK
- Correspondence to: R Shastri roshni.shastri{at}warwick.ac.uk; O Sweeney oliver.sweeney{at}doctors.org.uk
Cadaveric dissection has its place, but modern undergraduate medical teaching has moved on—Roshni Shastri and Crispin Wiles
Traditionally, cadaveric dissection has been central to anatomy, and its historical significance in medical education is undeniable. But as curriculums evolve, its role, particularly in undergraduate education, can be increasingly questioned.
We believe that high quality anatomy education depends not on any single type of approach to learning (such as dissection) but on thoughtful and educationally principled curricular design. This requires meaningful learning outcomes that are supported by a range of educational resources that will support learners in achieving them. Prosected or plastinated specimens, 3D models, surface anatomy training, and interactive tools can all be used effectively to provide inclusive, time- and cost-efficient alternatives to dissection.
Cadaveric dissection poses three main challenges. First, cadaveric dissection is resource heavy, requiring specialised laboratories, embalming chemicals such as formaldehyde, and rigorous safety protocols.1 Institutions often lack the financial and spatial resources to maintain dissection labs, leading many to shift to prosection, where students observe pre-dissected specimens.2
Second, dissection (as opposed to prosection) is also time intensive, detracting from other aspects of increasingly packed medical curriculums. Although dissection is often romanticised for its perceived “hands-on” value, studies have shown that students spend disproportionate time identifying structures hidden under fat or connective tissue rather …
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