牛子宫脱垂减少模型及用于兽医学生教学和低风险评估的有效性证据。

IF 1.1 3区 农林科学 Q3 EDUCATION, SCIENTIFIC DISCIPLINES
Lynda M J Miller, Clare M Scully, Victoria Morris, Hannah Bonnema, Natalie Trantham, Julie A Hunt
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引用次数: 0

摘要

牛子宫脱垂是一种常见但紧急的情况,通常发生在产犊前后。如果不进行治疗,它会导致组织损伤、感染、出血和死亡。教兽医学生进行子宫脱垂减少历来依赖于足够的临床病例负荷需要的程序。本研究旨在开发和收集硅胶牛子宫脱垂减少模型和相关评分标准的验证证据,以便在不需要活体动物的情况下进行手术实践。本研究采用了一个由内容证据(专家意见)、内部结构证据(由标题产生的分数的信度)和与其他变量的关系证据(培训水平、新手与专家的比较)组成的验证框架。兽医学生(n = 37,新手)和兽医(n = 11,专家)在模型上进行这一过程,同时进行录像。然后,所有参与者都完成了一份关于该模型的调查。兽医的调查结果表明,该模型充分代表了任务,适合于教学和评估兽医学生在程序中的技能(内容证据)。该量表产生的分数有一个边际的Cronbach's alpha值(0.607),这表明该量表可能适用于低风险评估,但需要额外的项目或修改,以提高可靠性,并适用于高风险评估(内部结构证据)。最后,专家取得了比新手更高的总评分(与其他变量的关系证据)。本研究证明了牛子宫脱垂模型的内容证据和与其他变量证据的关系,表明其对这一重要临床技能的教学有用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Validity Evidence for a Bovine Uterine Prolapse Reduction Model and Rubric for Use in Teaching and Low-Stakes Assessment of Veterinary Students.

Bovine uterine prolapse is a common but emergent condition typically arising in the time surrounding calving. Without treatment, it can result in tissue trauma, infection, hemorrhage, and death. Teaching veterinary students to perform uterine prolapse reduction has historically been dependent upon adequate clinical caseload requiring the procedure. This study sought to develop and collect validation evidence for a silicone bovine uterine prolapse reduction model and associated scoring rubric to enable procedural practice without the presentation of live animals requiring the procedure. This study utilized a validation framework consisting of content evidence (expert opinion), internal structure evidence (reliability of scores produced by the rubric), and relationship with other variables evidence (level of training, novice-to-expert comparison). Veterinary students (n = 37, novices) and veterinarians (n = 11, experts) performed the procedure on the model while being video recorded. All participants then completed a survey about the model. Veterinarians' survey results indicated that the model adequately represented the task and was suitable for teaching and assessing veterinary students' skill in the procedure (content evidence). Scores produced by the rubric had a marginal Cronbach's alpha (.607), suggesting that the rubric may be adequate for low-stakes assessment but would require additional items or modification in order to improve reliability and be suitable for high-stakes assessment (internal structure evidence). Finally, experts achieved higher total rubric scores than novices did (relationship with other variables evidence). This study demonstrated content evidence and relationship with other variables evidence for the bovine uterine prolapse model, indicating its usefulness for teaching this important clinical skill.

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来源期刊
CiteScore
2.20
自引率
30.00%
发文量
113
审稿时长
>36 weeks
期刊介绍: The Journal of Veterinary Medical Education (JVME) is the peer-reviewed scholarly journal of the Association of American Veterinary Medical Colleges (AAVMC). As an internationally distributed journal, JVME provides a forum for the exchange of ideas, research, and discoveries about veterinary medical education. This exchange benefits veterinary faculty, students, and the veterinary profession as a whole by preparing veterinarians to better perform their professional activities and to meet the needs of society. The journal’s areas of focus include best practices and educational methods in veterinary education; recruitment, training, and mentoring of students at all levels of education, including undergraduate, graduate, veterinary technology, and continuing education; clinical instruction and assessment; institutional policy; and other challenges and issues faced by veterinary educators domestically and internationally. Veterinary faculty of all countries are encouraged to participate as contributors, reviewers, and institutional representatives.
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