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利益相关者对新毕业兽医执行各种诊断和外科手术能力的期望。

Stakeholder expectations regarding the ability of new veterinary graduates to perform various diagnostic and surgical procedures.

作者信息

Cary Julie A, Farnsworth Chelsea H, Gay John, Carroll Hillary S

出版信息

J Am Vet Med Assoc. 2017 Jul 15;251(2):172-184. doi: 10.2460/javma.251.2.172.

Abstract

OBJECTIVE To assess stakeholders' expectations regarding new veterinary graduates' ability to perform various diagnostic and surgical procedures. DESIGN Cross-sectional survey. SAMPLE Veterinary students, recent graduates, clinical veterinary college faculty, and general practitioners at or from AVMA Council on Education-accredited colleges of veterinary medicine in the United States and Caribbean. PROCEDURES Respondents rated how proficient they expected new graduates, on their first day of practice, to be in 8 diagnostic procedures and the degree of independence they expected of new graduates in 8 surgical procedures. RESULTS Response rate was 9% (235/2,500) for practitioners, 12% (151/1,275) for faculty members, 14% (70/500) for recent graduates, and 15% (1,731/11,474) for students. All 4 respondent subgroups expected that new graduates would be able to adequately perform a fine-needle aspirate of a subcutaneous mass (96% to 98% expected new graduates to be able to adequately perform this procedure) and a cystocentesis (93% to 97% expected new graduates to be able to adequately perform this procedure). The greatest variability in responses was noted for performing hand ties, ultrasound-guided liver biopsy, and arthrocentesis. Most respondents expected new graduates to be able to independently perform a canine castration (82% to 94% expecting independence), feline subcutaneous mass removal (66% to 75% expecting independence), and canine ovariohysterectomy (65% to 89% expecting independence). CONCLUSIONS AND CLINICAL RELEVANCE Results revealed a diversity of opinion regarding expected proficiency for new graduates performing various diagnostic and surgical procedures. Findings may help colleges of veterinary medicine refine their curricula by providing end points for student training.

摘要

目的 评估利益相关者对新毕业兽医执行各种诊断和外科手术能力的期望。 设计 横断面调查。 样本 美国和加勒比地区美国兽医医学协会教育委员会认可的兽医学院的兽医学生、应届毕业生、临床兽医学院教师和全科医生。 程序 受访者对他们期望新毕业生在执业第一天在8种诊断程序中的熟练程度以及他们期望新毕业生在8种外科手术中的独立程度进行评分。 结果 从业者的回复率为9%(235/2500),教师为12%(151/1275),应届毕业生为14%(70/500),学生为15%(1731/11474)。所有4个受访者亚组都期望新毕业生能够充分进行皮下肿块的细针穿刺抽吸(96%至98%的人期望新毕业生能够充分进行此操作)和膀胱穿刺术(93%至97%的人期望新毕业生能够充分进行此操作)。在进行手工打结、超声引导下肝活检和关节穿刺术方面,回复的差异最大。大多数受访者期望新毕业生能够独立进行犬去势手术(82%至94%的人期望其独立)、猫皮下肿块切除术(66%至75%的人期望其独立)和犬卵巢子宫切除术(65%至89%的人期望其独立)。 结论及临床意义 结果显示,对于新毕业生执行各种诊断和外科手术的预期熟练程度存在多种意见。研究结果可能有助于兽医学院通过为学生培训提供终点来完善其课程。

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