The whole body donation program at the university of Bologna: A report based on the experience of one of the oldest university in Western world

Ann Anat. 2021 Mar:234:151660. doi: 10.1016/j.aanat.2020.151660. Epub 2020 Dec 17.

Abstract

Human body dissection is fundamental in medical education, as it allows future physicians to learn about the body's morphology in three dimensions, to recognize anatomical variations and to develop and increase the essential qualities of respect, compassion and empathy for patients. It is equally important in clinical training as it allows surgeons to improve their manual dexterity and practical skills and to test innovative surgical techniques and devices. In Italy prior to 2020, body acquisition and use for study and research purposes were regulated by a generic set of old directives and national decrees which dealt only marginally with these issues. However, in 2013, a whole body donation program was officially set up at the Institute of Human Anatomy of the University of Bologna. Completely free and voluntary informed consent has always been regarded as a core prerequisite and, since its inception, the program exclusively accepted bequeathed bodies. On February 10, 2020, a specific law governing the disposition of post mortem human body and tissues for study, training and scientific research purposes was definitively enacted. The present work traces the University of Bologna's experience leading to the whole body donation program and the brand new dissecting room. It describes the program of Bologna as an example of "good practice" in body donation, aimed at ensuring education and clinical training by means of both traditional gross anatomy and innovative technology. Moreover, it analyzes the results achieved in terms of increased donor enrollment and improved teaching/training quality and the strengths of this program in light of the provisions enshrined in the new law.

Keywords: Body donation program; Ethics; Gross anatomy teaching; Human body dissection; Informed consent; Surgical training; Technology.

MeSH terms

  • Anatomy* / education
  • Cadaver
  • Dissection
  • Human Body*
  • Humans
  • Tissue Donors
  • Universities
  • Western World