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使用新型猫卵巢子宫切除术外科训练模型练习后兽医学生的信心

Veterinary Student Confidence after Practicing with a New Surgical Training Model for Feline Ovariohysterectomy.

作者信息

Badman Märit, Tullberg Marja, Höglund Odd V, Hagman Ragnvi

出版信息

J Vet Med Educ. 2016 Winter;43(4):427-433. doi: 10.3138/jvme.1015-165R2. Epub 2016 Aug 3.

DOI:10.3138/jvme.1015-165R2
PMID:27487110
Abstract

Lack of confidence and self-efficacy are the main causes of negative emotions experienced by veterinary students when performing surgery. A surgical training model (STM) was developed to test the hypothesis that practical training on an STM before performing live surgery would enhance the students' confidence. In addition, low-cost and easily accessible materials were used for the construction. In the STM, neodymium magnets that were detached if too much traction was applied were used to ensure careful tissue handling during ligation of the ovarian pedicles and cervix. A pilot study was performed to evaluate veterinary undergraduate students' confidence when using the STM before performing their first live feline ovariohysterectomy (OHE) as lead surgeon. The results showed that the students rated their confidence level higher after performing feline OHE if they had practiced with the STM before surgery. Voluntary written comments revealed that live surgery as a learning situation could have a very negative emotional impact on some students.

摘要

缺乏信心和自我效能感是兽医专业学生在进行手术时产生负面情绪的主要原因。开发了一种手术训练模型(STM)来检验以下假设:在进行活体手术前,在STM上进行实践训练会增强学生的信心。此外,构建过程中使用了低成本且易于获取的材料。在STM中,使用了如果施加过多牵引力就会分离的钕磁铁,以确保在结扎卵巢蒂和子宫颈时小心处理组织。进行了一项试点研究,以评估兽医专业本科生在作为主刀医生进行首次活体猫卵巢子宫切除术(OHE)之前使用STM时的信心。结果表明,如果学生在手术前使用STM进行了练习,那么在进行猫OHE后,他们对自己信心水平的评分更高。自愿撰写的评论显示,作为一种学习情境的活体手术可能会对一些学生产生非常负面的情绪影响。

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