Qualitative Exploration of the Hidden Curriculum in Communicating Dog Breed Stereotypes During Veterinary Clinical Training

R. M. Caddiell, M. Gruen, B. Lascelles, April A. Kedrowicz
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Abstract

Cultural transmission of breed-specific beliefs about canine pain sensitivity occurs during veterinary education and training. However, breed-specific beliefs held by veterinarians do not align well with experimental measures of pain observed across dog breeds and are unlikely to be helpful in clinical decision making. The aim of the present study was to gain a deeper understanding of how dog breed pain stereotypes are developed and/or reinforced during clinical veterinary training. Non-participant, unobtrusive observations were conducted for a single clinical rotation block across three specialties. Field notes with contextual details were maintained and later transcribed and expanded using personal reflection. A thematic analysis revealed the following three themes: confusion and mixed messages related to instruction about pain; rotation microcultures and norms related to pain; and breed specific messages related to pain identification and treatment decisions. As students processed their social interactions, we suggest that they may have internalized breed stereotypes and used these to inform their perceptions about patient pain. This information will help facilitate the development of training to enhance veterinary medical education and promote best practices for pain identification and management in canine patients.
兽医临床培训期间传播犬种定型观念的隐性课程定性探索
在兽医教育和培训过程中,关于犬类疼痛敏感性的特定犬种信念会在文化中传播。然而,兽医持有的犬种特异性信念与在实验中观察到的不同犬种的疼痛测量结果并不一致,因此不太可能有助于临床决策。本研究旨在深入了解临床兽医培训期间如何形成和/或强化犬种疼痛刻板印象。研究人员在三个专科的一个临床轮转区进行了非参与性、无干扰的观察。我们保留了包含背景细节的现场笔记,随后进行了转录,并通过个人反思进行了扩展。主题分析揭示了以下三个主题:与疼痛指导相关的困惑和混合信息;与疼痛相关的轮转微文化和规范;与疼痛识别和治疗决策相关的品种特定信息。在学生处理他们的社会交往过程中,我们发现他们可能已经内化了对犬种的刻板印象,并将这些印象用于指导他们对患者疼痛的认知。这些信息将有助于促进培训的发展,以加强兽医医学教育,并促进犬类患者疼痛识别和管理的最佳实践。
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