兽医专业学生基本外科技能的保留。

Veterinary surgery : VS Pub Date : 2022-11-01 Epub Date: 2022-09-18 DOI:10.1111/vsu.13891
Julie A Hunt, Robert S Gilley, Dawn Spangler, Tiffany Pulliam, Stacy Anderson
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引用次数: 2

摘要

目的:量化兽医专业学生在实习5个月后对外科技能的保留情况。研究设计:前瞻性纵向描述性研究。样本人群:方便样本为兽医二年级学生(n = 57)。方法:2021年春季,学生在4个临床技能实验室的一个模型上练习卵巢子宫切除术(OVH)。学生们使用一个经过验证的22项标准来评估他们在模型上的OVH表现。未达到预期的学生在两周后重新进行了评估。所有学生都有5个月的时间,包括暑假,没有技能练习。在秋季,学生们再次被评估对他们的模特进行OVH。学生们在暑假前后的科目分数和通过率进行了比较。结果:学生在秋季保留测试中的得分(中位数= 43)低于春季评估(中位数= 56,P)。结论:无论学生最初表现的质量如何,在没有练习的5个月后,学生在执行OVH所需的手术技能方面出现了衰退。临床意义:兽医教育者应强调持续实践以保持技能的重要性,并应考虑在模型复习课程中帮助学生重新获得技能,以提高长时间休息后手术技能的保留。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Retention of basic surgical skills in veterinary students.

Objective: To quantify veterinary students' retention of surgical skills after a 5-month period without practice.

Study design: Prospective longitudinal descriptive study.

Sample population: Convenience sample of second year veterinary students (n = 57).

Methods: Students practiced ovariohysterectomy (OVH) on a model during 4 clinical skills laboratories during spring 2021. Students were assessed performing OVH on their model using a validated 22-item rubric. Students not meeting expectations repeated their assessment 2 weeks later. All students had a 5-month period, including summer break, without skills practice. Students were again assessed performing OVH on their model in the fall. Students' rubric scores and pass rates were compared before and after summer break.

Results: Students scored lower on their retention test in fall (median = 43) than at the spring assessment (median = 56, P < .001). No difference was detected between lower and higher performing students. Five students (9%) did not meet expectations on their first assessment; more students (17/57, 30%) failed to meet expectations on their retention test (P = .004).

Conclusion: Students experienced a decay in the surgical skills required to perform OVH after a 5-month period without practice, regardless of the quality of their initial performance.

Clinical significance: Veterinary educators should emphasize the importance of continual practice to maintain skills and should consider assisting students in regaining skills during review sessions on models to improve surgical skill retention after a prolonged break.

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