Duncan J C, Ross M, Rhind S, Clutton E, Shaw D J
Royal (Dick) School of Veterinary Studies & The Roslin Institute, The University of Edinburgh, Easter Bush Campus, Midlothian EH25 9RG, UK.
Centre for Medical Education, The University of Edinburgh, GU304 The Chancellors' Building, 49 Little France Crescent, Edinburgh EH16 4SB, UK.
Vet Rec. 2015 Feb 28;176(9):230. doi: 10.1136/vr.102215. Epub 2014 Dec 1.
Day One Skills (DOS) were introduced by the Royal College of Veterinary Surgeons (RCVS) in 2006 as a guideline for minimum skills required by a veterinary graduate. However, the RCVS anaesthesia DOS are broad and do not specify differences in skills required for different species. The aims of this study were: (1) to determine which anaesthesia skills were considered essential for day one practice by UK-based veterinary practitioners (GPs) and anaesthetists; and (2) to explore current opinions on veterinary undergraduate anaesthesia training. Questionnaires for veterinary GPs (QGPs) and veterinary anaesthetists (QVAs) were developed which asked general information on expectations of anaesthesia skills as well as specific expectations for the common veterinary species. Fifty-five UK-based members of the Association of Veterinary Anaesthetists responded, with a random sample of veterinary practices stratified by UK county generating 234 responses and a convenience sample targeted at more specialist veterinary specialities in the UK generating 161 responses. There was close overall agreement between the two groups of GPs and anaesthetists on essential anaesthesia DOS. However, expectations varied with species-greatest in cats and dogs, lowest in exotics. Many respondents commented that new veterinary graduates lack practical skills and should not be expected to be omnicompetent across all species. In conclusion, anaesthesia undergraduate training should prioritise essential practical DOS.
第一天技能（DOS）由皇家兽医学院（RCVS）于2006年引入，作为兽医毕业生所需最低技能的指导方针。然而，RCVS的麻醉DOS范围广泛，未明确不同物种所需技能的差异。本研究的目的是：（1）确定英国兽医从业者（全科医生）和麻醉师认为第一天实践中哪些麻醉技能至关重要；（2）探讨当前对兽医本科麻醉培训的看法。针对兽医全科医生（QGP）和兽医麻醉师（QVA）设计了问卷，询问了关于麻醉技能期望的一般信息以及对常见兽医物种的具体期望。英国兽医麻醉师协会的55名成员做出了回应，按英国郡县分层的兽医诊所随机样本产生了234份回复，针对英国更专业兽医专科的便利样本产生了161份回复。两组全科医生和麻醉师在基本麻醉DOS方面总体上意见相近。然而，不同物种的期望有所不同——猫和狗的期望最高，外来物种的期望最低。许多受访者表示，新毕业的兽医缺乏实践技能，不应期望他们对所有物种都具备全面能力。总之，麻醉本科培训应优先考虑基本的实践DOS。
