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兽医课程中神经病学学习目标的制定:第一部分:本科生。

Development of learning objectives for neurology in a veterinary curriculum: part I: undergraduates.

机构信息

Department of Small Animal Medicine and Surgery, University of Veterinary Medicine Hannover, Hannover, Germany.

Department of Clinical Science and Services, Royal Veterinary College, University of London, London, UK.

出版信息

BMC Vet Res. 2015 Jan 13;11:2. doi: 10.1186/s12917-014-0315-3.

Abstract

BACKGROUND

With an increasing caseload of veterinary neurology patients in first opinion practice, there is a requirement to establish relevant learning objectives for veterinary neurology encompassing knowledge, skills and attitudes for veterinary undergraduate students in Europe. With help of experts in veterinary neurology from the European College of Veterinary Neurology (ECVN) and the European Society of Veterinary Neurology (ESVN) a survey of veterinary neurologic learning objectives using a modified Delphi method was conducted. The first phase comprised the development of a draft job description and learning objectives by a working group established by the ECVN. In the second phase, a quantitative questionnaire (multiple choice, Likert scale and free text) covering 140 learning objectives and subdivided into 8 categories was sent to 341 ESVN and ECVN members and a return rate of 62% (n = 213/341) was achieved.

RESULTS

Of these 140 learning objectives ECVN Diplomates and ESVN members considered 42 (30%) objectives as not necessary for standard clinical veterinary neurology training, 94 (67%) were graded to be learned at a beginner level and 4 (3%) at an advanced level. The following objectives were interpreted as the most important day one skills: interpret laboratory tests, perform a neurological examination and establish a neuroanatomical localization. In this survey the three most important diseases of the central nervous system included epilepsy, intervertebral disc disease and inflammatory diseases. The three most important diseases of the peripheral nervous system included polyradiculoneuritis, myasthenia gravis and toxic neuropathies.

CONCLUSIONS

The results of this study should help to reform the veterinary curriculum regarding neurology and may reduce the phenomenon of "Neurophobia".

摘要

背景

随着兽医神经学患者在第一意见实践中的病例不断增加,需要为欧洲的兽医本科学生制定涵盖兽医神经学知识、技能和态度的相关学习目标。在欧洲兽医神经学院(ECVN)和欧洲兽医神经学会(ESVN)的兽医神经学专家的帮助下,采用改良德尔菲法对兽医神经学习目标进行了调查。第一阶段包括由 ECVN 设立的工作组制定一份兽医神经学工作描述和学习目标草案。在第二阶段,向 341 名 ESVN 和 ECVN 成员发送了一份涵盖 140 个学习目标并分为 8 类的定量问卷(多项选择、李克特量表和自由文本),回复率为 62%(n=213/341)。

结果

在这 140 个学习目标中,ECVN 毕业生和 ESVN 成员认为 42 个(30%)目标对于标准的临床兽医神经学培训是不必要的,94 个(67%)被评为初学者水平,4 个(3%)为高级水平。以下目标被解释为第一天最重要的技能:解释实验室测试、进行神经学检查和建立神经解剖定位。在这项调查中,中枢神经系统最重要的三种疾病包括癫痫、椎间盘疾病和炎症性疾病。周围神经系统最重要的三种疾病包括多发性神经炎、重症肌无力和中毒性神经病。

结论

这项研究的结果应该有助于改革兽医神经学课程,并可能减少“神经恐惧症”现象。

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