Wojciech Pawlina

Wojciech Pawlina
Mayo Foundation for Medical Education and Research | MMS · Department of Anatomy

MD

About

198
Publications
33,283
Reads
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5,559
Citations
Citations since 2017
31 Research Items
2995 Citations
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20172018201920202021202220230100200300400500600
20172018201920202021202220230100200300400500600
Additional affiliations
January 2005 - January 2016
Mayo Foundation for Medical Education and Research
Position
  • Chair

Publications

Publications (198)
Article
Many people would be aware of the famous oil painting ‘Anatomy of Dr Nicholaes Tulp’ (which can be viewed at the Royal Picture Gallery Mauritshuis in the Hague, The Netherlands), by Rembrandt van Rijn. It was commissioned for the Amsterdam Guild of Surgeons in 1632 (Ingham, 2010). Dr Tulp, a practicing physician and surgeon, was at that time appoin...
Article
The clinical use of ultrasound has dramatically increased, necessitating early ultrasound education and the development of new tools in ultrasound training and assessment. The goal of this study was to devise a novel low‐resource examination that tested the anatomical knowledge and technical skill of early undergraduate medical students in a gross...
Article
Anatomy educators are focused on designing and developing learning and teaching approaches that provide for the most effective learning experience, lead to measurable learning gain and prepare students for the next phase of their learning journey and career track. The eagerness of educators to evaluate and challenge approaches and pedagogy has seen...
Article
As 2020 is over, it seems fitting to start this editorial by reflecting on what can only be described as a seismic shift in how anatomy educators and students learning anatomy have been affected by the global Covid‐19 pandemic. As the pandemic spread across the world, it has imposed social, educational and physical changes on all of us at a pace an...
Chapter
The World Wide Web, online course material, electronic databases, and e-books present a unique challenge to traditionally approached curriculum delivery. With the millennial student in mind, teaching focus is no longer on how knowledge should be transferred but on how knowledge should be managed. The challenge for traditional anatomy courses now li...
Chapter
Anatomy is a foundation within the training of many healthcare specialties. The role of anatomy in the curriculum, however, covers much more than the basics of structure and function of cells and organs. Anatomy can provide for the development of other nontraditional discipline-independent skills, competencies and attributes. These additional human...
Chapter
Quality improvement and patient safety remain at the forefront of healthcare delivery. Literature highlights the importance of nontechnical skills in healthcare and reinforces that improvement in their use requires practice and repetition. Studies in surgical environment show that nontechnical skills are linked to surgical skills (technical skills)...
Article
Advanced post‐graduate medical education for health care professionals is constantly evolving. Understanding facial anatomy and especially its vascular system is crucial when performing soft tissue filler injections to avoid adverse events including tissue loss or irreversible blindness. Standard anatomical resources often fall short of elucidating...
Article
“All hands on deck, we need to move everything online as quickly as possible”. This is the message that has been ringing out across universities worldwide over the last couple of months as the Covid‐19 pandemic has taken hold. Anatomists have responded to this call enthusiastically and creatively, ensuring that their students have resources availab...
Book
The field of anatomy is dynamic and fertile. The rapid advances in technology in the past few years have produced exciting opportunities in the teaching of gross anatomy such as 3D printing, virtual reality, augmented reality, digital anatomy models, portable ultrasound, and more. Pedagogical innovations such as gamification and the flipped classro...
Article
Go is an ancient board game in which two players, by placing “stones” on a square grid, aim to surround more territory than the opponent. It was a pivotal moment in the history of humankind when AlphaGo Master, a computer program developed by DeepMind Technologies from UK, defeated professional Go player Ke Jie in three games of Go during the 2017...
Article
Full-text available
Background: Ultrasound education has been provided to students in medical schools within and beyond the United States. A formal experiment with use of personal handheld ultrasound equipment by all first-year medical students has not been reported. Employing insonation (an application of ultrasound) at the personal leisure by medical school freshme...
Article
Objectives Local anesthetic injection into the interspace between the popliteal artery and the posterior capsule of the knee (IPACK) has the potential to provide motor‐sparing analgesia to the posterior knee after total knee arthroplasty. The primary objective of this cadaveric study was to evaluate injectate spread to relevant anatomic structures...
Article
This article explores the assessment of professionalism within a cohort of medical students during a sequential 13‐week medical school histology and anatomy course. Across seven data points, students were asked to identify a professionalism role model from amongst their peers and to score Likert‐structured rationales for their decision. Based on de...
Article
In the current healthcare environment, team-based models in the teaching and practice of medicine have become more a norm than a preference. Renewed focus on team-based practice discloses the effect that poorly functioning teams may have on successful outcomes in team-based delivery of patient care. Team incompetence compromises learning and work p...
Article
Objectives: To identify any anatomic barriers to local anesthetic spread between the sciatic nerve (SN) and the posterior femoral cutaneous nerve (PFCN) at the level of the infragluteal crease and to describe a potential technique for an ultrasound (US)-guided subgluteal PFCN block in a cadaveric model. Methods: Bilateral US-guided subgluteal in...
Article
Quality of healthcare delivery is dependent on collaboration between professional disciplines. Integrating opportunities for interprofessional learning in health science education programs prepares future clinicians to function as effective members of a multi-disciplinary care team. This study aimed to create a modified team-based learning (TBL) en...
Article
Objectives: To determine the ability to sonographically identify the posterior cutaneous nerve of the forearm (PCNF) and its distal epicondylar branches using sonographically guided perineural injections in an unembalmed cadaveric model. Methods: A single experienced operator used a 12-3-MHz linear array transducer to identify the PCNF and its d...
Article
Introduction: Recent publications in the dermatologic surgery literature have sparked a re-emergence of interest in anatomy relevant for the Mohs surgeon necessitating a re-visit of under-appreciated concepts, regarding the topography of the face and its visceral contents from a surgically relevant perspective. This paper presents a pre-operative...
Article
Objective: To examine the relationship between reflection, gender, residency choice, word count, and academic achievement among medical students. Methods: A modified version of the Reflection Evaluation for Learners' Enhanced Competencies Tool (REFLECT) was developed and used for this study (Cronbach's alpha of 0.86 with an intraclass correlatio...
Chapter
Anatomy is a foundation within the training of many healthcare specialties. The role of anatomy in the curriculum, however, covers much more than the basics of structure and function of cells and organs. Anatomy can provide for the development of other nontraditional discipline-independent skills, competencies and attributes. These additional eleme...
Chapter
Quality improvement and patient safety remain at the forefront of healthcare delivery. Literature highlights the importance of nontechnical skills in health care and reinforces that improvement in their use requires practice and repetition. Studies in surgical environment show that nontechnical skills are linked to surgical skills (technical skills...
Chapter
The World Wide Web, online course material, electronic databases, and e-books present a unique challenge to traditionally approached curriculum delivery. With the Millennial student in mind teaching focus is no longer on how knowledge should be transferred, but how knowledge should be managed. The challenge for traditional anatomy courses now lies...
Article
Introduction: In the anatomy laboratory, skill remains a critical component to unlocking the true value of learning from cadaveric dissection. However, there is little if any room for provision of instruction in proper dissection technique. We describe how near-peer instructors designed a supplemental learning activity to enhance the dissection ex...
Article
The foundation upon which surgical residents are trained to work comprises more than just critical cognitive, clinical, and technical skill. In an environment where the synchronous application of expertise is vital to patient outcomes, the expectation for optimal functioning within a multidisciplinary team is extremely high. Studies have shown that...
Article
Emotional intelligence (EI) has been associated with increased academic achievement, but its impact on medical education is relatively unexplored. This study sought to evaluate change in EI, performance outcomes, and team cohesion within a team-based medical school anatomy course. Forty-two medical students completed a pre-course and post-course Sc...
Article
Medicine is increasingly focused on team-based practice as interprofessional cooperation leads to better patient care. Thus, it is necessary to teach teamwork and collaboration with other health care professionals in undergraduate medical education to ensure that trainees entering the workforce are prepared to work in teams. Gross anatomy provides...
Article
To describe and validate a practical technique for sonographically guided ACL injections. Prospective, cadaveric laboratory investigation. Procedural skills laboratory in a tertiary medical center. 10 unembalmed, cadaveric mid-thigh-knee-ankle foot specimens (5 left knees and 5 right knees; 5 male and 5 female) from 10 donors ages 76 to 93 years (m...
Article
Background: Single-stage breast reconstruction following skin-sparing or nipple-sparing mastectomy with free deep inferior epigastric perforator (DIEP) flap usually does not require a large skin paddle. Most of the flap skin paddle is removed, and the flap is placed under native, conserved skin to provide adequate volume to the reconstructed breas...
Article
Background: Common dermatologic procedures performed on the forehead may injure the supraorbital nerve (SON) leading to adverse outcomes. Objective: To describe SON anatomic course and cutaneous depth. Materials and methods: Sixteen cadaver specimens were dissected. Results: The supraorbital nerve originated 2.63 ± 0.27 (range, 2.1-3.5) cm f...
Article
There is increasingly a call for clinical relevance in the teaching of the biomedical sciences within all health care programs. This presupposes that there is an understanding of what is “core” material within the curriculum. To date, the anatomical sciences have been poorly served by the development of core syllabuses, although there have been com...
Article
Curricular changes continue at United States medical schools and directors of gross anatomy, microscopic anatomy, neuroscience/neuroanatomy, and embryology courses continue to adjust and modify their offerings. Developing and supplying data related to current trends in anatomical sciences education is important if informed decisions are going to be...
Article
Medical professionalism is a multifaceted paradigm and is an essential component of medical education. Gross anatomy is a laboratory to teach professionalism, and promoting critical reflection in medical students is a prerequisite to furthering professionalism. The aim of this study was to determine if professionalism case discussions during a Gros...
Article
Many anatomy programs that incorporate dissection of donated human bodies hold memorial ceremonies of gratitude towards body donors. The content of these ceremonies may include learners' reflections on mortality, respect, altruism, and personal growth told through various humanities modalities. The task of planning is usually student- and faculty-l...
Article
Anatomy learned by active exploration through dissection has many proven benefits including improvement of anatomic knowledge. Decreased laboratory time may affect the quality of dissection and ultimately lower student performance in anatomy translating to lower knowledge acquisition. The aim of this study was to determine whether the quality of st...
Article
Teaching is an increasingly recognized responsibility of the resident physician. Residents, however, often assume teaching responsibilities without adequate preparation. Consequently, many medical schools have implemented student-as-teacher (SAT) programs that provide near-peer teaching opportunities to senior medical students. Near-peer teaching i...
Conference Paper
Full-text available
Purpose: Single stage procedures in breast reconstruction following skin sparing or nipple sparing mastectomy with free DIEP flap usually do not require a large skin paddle. The majority of the flap is thus de-epithelialized and placed under the native conserved skin1. We hypothesized that the conservation of an intact dermis and it subdermal plexu...
Article
Objectives: The primary purpose of this investigation was to document the ability of high-resolution sonography to accurately identify the first branch of the lateral plantar nerve (FBLPN) using sonographically guided perineural injections in an unembalmed cadaveric model. Methods: single experienced operator completed sonographically guided per...
Article
Objectives: To determine the distribution of sonographically guided deep plantar fascia injections in an unembalmed cadaveric model. Methods: A single experienced operator completed 10 sonographically guided deep plantar fascia injections in 10 unembalmed cadaveric specimens (5 right and 5 left) obtained from 6 donors (2 male and 4 female) aged...
Article
Full-text available
An exploratory study to better understand the "networked" life of the medical school as a learning environment. In a recent academic year, the authors gathered data during two six-week blocks of a sequential histology and anatomy course at a U.S. medical college. An eight-item questionnaire captured different dimensions of student interactions. The...
Article
Improving professional attitudes and behaviors requires critical self reflection. Research on reflection is necessary to understand professionalism among medical students. The aims of this prospective validation study at the Mayo Medical School and Cleveland Clinic Lerner College of Medicine were: (1) to develop and validate a new instrument for me...
Article
Cystic adventitial disease (CAD) is a rare condition in which cyst is found within a vessel, typically producing symptoms of vascular compromise. Most commonly located in the popliteal artery near the knee, it has been reported in arteries and veins throughout the body. Its pathogenesis has been poorly understood and various surgical approaches hav...
Article
Full-text available
Anatomy instruction has evolved over the past two decades as many medical schools have undergone various types of curricular reform. To provide empirical evidence about whether or not curricular changes impact the acquisition and retention of anatomy knowledge, this study investigated the effect of variation in gross anatomy course hours, curricula...
Article
Full-text available
Background: Significant increase in the literature regarding "residents as teachers" highlights the importance of providing opportunities and implementing guidelines for continuing medical education and professional growth. While most medical students are enthusiastic about their future role as resident-educators, both students and residents feel...
Article
There is little research to date regarding the effectiveness of longitudinal case-based assignments in the education of first year medical students. Such assignments were recently added to the curriculum of the Anatomy and Pathology courses at Mayo Medical School in order to increase students’ understanding of the clinical relevance of information...
Article
Checklists have been widely used in the aviation industry ever since aircraft operations became more complex than any single pilot could reasonably remember. More recently, checklists have found their way into medicine, where cognitive function can be compromised by stress and fatigue. The use of checklists in medical education has rarely been repo...
Article
The first sonographic description of an anomalous peroneal tendon variant is presented. The sonologist or sonographer may then erroneously conclude that the tendon had inserted into the peroneus brevis and misdiagnose a peroneus brevis split tear. Multiple other peroneal tendon variations have been described arising from the peroneus brevis, perone...
Article
To describe the anatomy of pelvic autonomic nerves as it applies to nerve-sparing radical hysterectomy, and the technique, feasibility, and results of robotic nerve-sparing radical hysterectomy. Prospective evaluation of 6 patients undergoing robotic nerve-sparing radical hysterectomy (type C1) for cervical cancer Stage IB (1B1 in 3 and 1B2 in 3 pa...
Article
"Convocation of Thanks" is the annual ceremony commemorating the gift of body donation to the Mayo Clinic Bequest program in the Department of Anatomy, College of Medicine, Mayo Clinic in Rochester, MN. For 26 years, this ceremony of gratitude has given students, researchers, faculty, and family members an opportunity to reflect on the immeasurable...
Article
To describe a technique for sonographically guided acromioclavicular joint (ACJ) injections and compare its accuracy to palpation-guided injections in a cadaveric model. Prospective laboratory investigation. Procedural skills laboratory at a tertiary medical center. A single experienced operator completed 10 sonographically guided and 10 palpation-...

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