{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T10:52:39Z","timestamp":1791456759921,"version":"4.3.4"},"reference-count":48,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Anatomy"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Persistent gaps in anatomical knowledge among incoming residents have raised concerns about clinical preparedness, especially in surgical and interventional disciplines. Conventional anatomy instruction and limited cadaveric exposure and learning opportunities in medical curricula have prompted calls for innovative, clinically focused anatomical curricular integration in clinical training. This article describes the development, implementation, and impact of a tailored Year 4 Clinical Anatomy Elective in the Department of Clinical Anatomy at Mayo Clinic, designed to reinforce competency in clinically relevant anatomical understanding and support learners' perceived preparedness during transitions to residency. A 4\u2010week elective was designed for fourth\u2010year medical students interested in pursuing a specific residency program. The course was personalized for students' clinical interests and incorporated fresh tissue dissection, simulation, procedural skills training, and imaging using an immersive learning platform. The elective was structured within the experiential learning model using a guided, self\u2010directed format within a multicapability laboratory and instructional environment, grounded in constructivist theory. A 5\u2010year review of elective records and informal thematic analysis of student feedback were conducted. Most participants pursued surgically related specialties, with orthopedic surgery being the most common. Exploratory thematic analysis identified six core themes: Professional Identity Formation, Educational Benefits, Learning Challenges, Connection to Clinical Practice, Patient Care Implications, and Future Preparation and Transferability. These students perceived gains in areas aligned with ACGME milestones: increased confidence, greater preparedness for residency, and improvement in their ability to apply anatomical knowledge in clinical settings. This perception may be indicative of lifelong learning and early educator identity formation. A specialty\u2010specific, clinically integrated anatomy elective may support learners' perceived preparedness for residency, reinforce clinically relevant anatomical understanding, and support the development of educational and professional competencies. Such targeted interventions may help address perceived gaps in anatomical preparedness during the transition to residency and contribute to postgraduate training within a competency\u2010based medical education framework.<\/jats:p>","DOI":"10.1002\/ca.70239","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T10:13:05Z","timestamp":1791454385000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Building Anatomical Knowledge Competency for PGY\u20101 Readiness: Design, Implementation and Learner's Perception of A Year 4 Clinical Anatomy Elective"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4772-1895","authenticated-orcid":false,"given":"Yolanda","family":"Salinas\u2010Alvarez","sequence":"first","affiliation":[{"name":"Department of Clinical Anatomy Mayo Clinic  Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9395-0958","authenticated-orcid":false,"given":"Juan Antonio","family":"Rivera\u2010Perez","sequence":"additional","affiliation":[{"name":"Department of Clinical Anatomy Mayo Clinic  Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0211-5253","authenticated-orcid":false,"given":"Morgan J.","family":"Forston","sequence":"additional","affiliation":[{"name":"Department of Clinical Anatomy Mayo Clinic  Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9995-6154","authenticated-orcid":false,"given":"Nirusha","family":"Lachman","sequence":"additional","affiliation":[{"name":"Department of Clinical Anatomy Mayo Clinic  Rochester Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"key":"e_1_2_8_2_1","volume-title":"Foundational Competencies for Undergraduate Medical Education","author":"AAMC, AACOM, ACGME","year":"2024"},{"key":"e_1_2_8_3_1","volume-title":"The Clinician Educator Milestone Project","author":"Accreditation Council for Graduate Medical Education, Accreditation Council for Continuing Medical Education, Association of American Medical Colleges, and American Association of colleges of Ostheopathic medicine","year":"2022"},{"key":"e_1_2_8_4_1","doi-asserted-by":"crossref","first-page":"1251","DOI":"10.2147\/AMEP.S370447","article-title":"Clinicians' and Students' Perceptions and Attitudes Regarding the Anatomical Knowledge of Medical Students","volume":"13","author":"Almizani M. 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