Effect of surgical simulator training on student and live animal outcomes in a feline ovariohysterectomy teaching laboratory.

IF 1.3 2区农林科学 Q2 VETERINARY SCIENCES

Veterinary Surgery Pub Date : 2024-08-01 Epub Date: 2023-11-01 DOI:10.1111/vsu.14044

Ali M Aly, Galina M Hayes, Jordyn Marie Boesch, Nicole Buote, Jodi Korich

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引用次数: 0

Abstract

Objective: To evaluate the effect of training with a high-fidelity surgical simulator on outcomes of live animals and students participating in a feline ovariohysterectomy teaching laboratory.

Study design: Nonrandomized controlled trial.

Sample population: Cats (n = 186) and students (n = 146).

Methods: Live animals were paired with student surgeons. Outcomes for animals and students were evaluated over two consecutive years before (year 1: NO SIM) and after (year 2: SIM) the introduction of a graded student teaching laboratory conducted on a high fidelity surgical simulator. Live animal surgical times and postoperative pain scores using the Glasgow Composite Measure Pain Scale - Feline acute pain scale as well as self-declared student confidence were assessed and the scores of the two groups were compared.

Results: The duration of the live animal surgical procedure was on average 6 min shorter in the SIM group (p = .04). A pain score triggering intervention (> = 5/20) occurred less frequently in the SIM group (n = 1/82) than in the NO-SIM (n = 16/104) group (p < .01). Similarly, rescue analgesia was administered less frequently (4/82 vs 16/104, p = .03) in the SIM group. Student confidence prior to the live animal procedure was higher (median = 7/10 [IQR = 6-8]) in the SIM group than in the NO-SIM group (median = 6/10 [IQR = 4-7]) (p < .01).

Conclusion: Surgical simulator training prior to live animal procedures improves live animal outcomes and student confidence.

Clinical significance: Surgical simulator competency should be considered a prerequisite to participation in live animal teaching laboratories. This would improve both animal welfare and the student experience.

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猫卵巢子宫切除术教学实验室中模拟手术训练对学生和活体动物结果的影响。

目的：评估高保真手术模拟器训练对活体动物和参与猫卵巢子宫切除术教学实验室的学生结果的影响。研究设计：非随机对照试验。样本种群：猫（n= 186）和学生（n= 方法：将活体动物与实习外科医生配对。在引入在高保真手术模拟器上进行的分级学生教学实验室之前（第一年：无SIM）和之后（第二年：SIM），连续两年对动物和学生的结果进行评估。使用格拉斯哥综合测量疼痛量表-猫科动物急性疼痛量表以及自我声明的学生信心评估活体动物手术次数和术后疼痛评分，并比较两组的评分。结果：活体动物手术的持续时间平均为6 SIM组中的min较短（p = .04）。疼痛评分触发干预（> = 5/20）在SIM组中发生的频率较低（n = 1/82）比NO-SIM（n = 16/104）组（p 结论：活体动物手术前的手术模拟器训练可以提高活体动物的效果和学生的信心。临床意义：手术模拟器能力应被视为参与活体动物教学实验室的先决条件。这将改善动物福利和学生体验。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Veterinary Surgery 农林科学-兽医学

CiteScore

3.40

自引率

22.20%

发文量

162

审稿时长

8-16 weeks

期刊介绍： Veterinary Surgery, the official publication of the American College of Veterinary Surgeons and European College of Veterinary Surgeons, is a source of up-to-date coverage of surgical and anesthetic management of animals, addressing significant problems in veterinary surgery with relevant case histories and observations. It contains original, peer-reviewed articles that cover developments in veterinary surgery, and presents the most current review of the field, with timely articles on surgical techniques, diagnostic aims, care of infections, and advances in knowledge of metabolism as it affects the surgical patient. The journal places new developments in perspective, encompassing new concepts and peer commentary to help better understand and evaluate the surgical patient.