Hill Lawrence N, Smeak Daniel D, Lord Linda K
Department of Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, OH 43221, USA.
J Am Vet Med Assoc. 2012 Jun 1;240(11):1345-54. doi: 10.2460/javma.240.11.1345.
To identify a list of core surgical skills and determine the frequency of use and proficiency in performance of these skills expected of entry-level veterinarians by general practitioners.
Mail-based survey.
750 general practitioners randomly chosen from the AVMA membership database.
Survey respondents rated the proficiency and frequency of use expected of entry-level veterinarians in regard to 26 surgical skills. Demographic information (gender; graduation year; practice type, geographic location, and setting; number of veterinarians in practice; number of surgical procedures performed per week; and number of new graduates mentored in the past 5 years) of respondents was obtained.
387 (52%) general practitioners responded to the survey. Greater than 60% of respondents expected new graduates to have high proficiency and require minimal supervision for 21 of 26 skills. Greater than 60% of respondents assigned 6 of the skills a low expected frequency of use rating. Orthopedic skills, creation of square knots by use of a 1-handed tie technique, and use of electrosurgical and laser instruments received some of the lowest ratings.
Core surgical skills were identified. Results indicated a broad consensus among general practitioners independent of demographic characteristics. Results may aid veterinary colleges in identification of the surgical skills that are most important to include in surgical curricula and for which new graduates should attain proficiency according to general practitioners.
确定一系列核心外科手术技能,并确定全科医生期望入门级兽医掌握这些技能的使用频率和熟练程度。
基于邮件的调查。
从美国兽医协会会员数据库中随机选取750名全科医生。
调查对象对入门级兽医在26项手术技能方面的熟练程度和使用频率进行评分。获取了调查对象的人口统计学信息(性别、毕业年份、执业类型、地理位置和环境、诊所中的兽医数量、每周进行的外科手术数量以及过去5年指导的新毕业生数量)。
387名(52%)全科医生回复了调查。超过60%的受访者期望新毕业生对26项技能中的21项具备高熟练程度且只需极少监督。超过60%的受访者对其中6项技能的使用频率预期评分较低。骨科技能、单手打结法打方结以及使用电外科和激光器械的评分最低。
确定了核心外科手术技能。结果表明全科医生之间存在广泛共识,且不受人口统计学特征影响。这些结果可能有助于兽医学院确定外科课程中最重要的手术技能,以及新毕业生应根据全科医生的要求达到熟练掌握的技能。