Engelskirchen Simon, Ehlers Jan, Kirk Ansgar T, Tipold Andrea, Dilly Marc
Simon Engelskirchen, Stiftung Tierärztliche Hochschule Hannover, Clinical Skills Lab, Bischofsholer Damm 15, Gebäude 116, 30173 Hannover, E-Mail:
Tierarztl Prax Ausg K Kleintiere Heimtiere. 2017 Sep 20;45(5). doi: 10.15654/TPK-110097.
During five and a half years of studying veterinary medicine, students should in addition to theoretical knowledge acquire sufficient practical skills. Considering animal welfare and ethical aspects, opportunities for hands-on learning on living animals are limited because of the high annual number of students. The first German veterinary clinical-skills lab, established in 2013 at the University for Veterinary Medicine Hannover, Foundation (TiHo), offers opportunities for all students to learn, train and repeat clinical skills on simulators and models as frequently as they would like, until they feel sufficiently confident to transfer these skills to living animals. This study describes the establishment of clinical-skills lab training within the students' practical education, using the example of the small-animal clinic of the TiHo.
Two groups of students were compared: without skills lab training (control group K) and with skills lab training (intervention group I). At the end of both the training and a subsequent 10-week clinical rotation in different sections of the clinic, an objective structured clinical examination (OSCE) was performed, testing the students' practical skills at 15 stations. An additional multiple-choice test was performed before and after the clinical rotation to evaluate the increased theoretical knowledge.
Students of group I achieved significantly (p ≤ 0.05) better results in eight of the 15 tested skills. The multiple-choice test revealed a significant (p ≤ 0.05) gain of theoretical knowledge in both groups without any differences between the groups. Students displayed a high degree of acceptance of the skills lab training.
Using simulators and models in veterinary education is an efficient teaching concept, and should be used continually and integrated in the curriculum.
在五年半的兽医学学习过程中,学生除了要掌握理论知识外,还应获得足够的实践技能。考虑到动物福利和伦理方面,由于每年学生数量众多,在活体动物上进行实践学习的机会有限。德国首个兽医临床技能实验室于2013年在汉诺威兽医大学(蒂霍)成立(基金会),为所有学生提供了在模拟器和模型上学习、训练和反复练习临床技能的机会,学生可以根据自身意愿进行多次练习,直到他们有足够的信心将这些技能应用于活体动物。本研究以蒂霍小动物诊所为例,描述了在学生实践教育中临床技能实验室培训的建立情况。
比较两组学生:未接受技能实验室培训的学生(对照组K)和接受技能实验室培训的学生(干预组I)。在培训结束时以及随后在诊所不同科室进行的为期10周的临床轮转结束时,进行了客观结构化临床考试(OSCE),在15个站点测试学生的实践技能。在临床轮转前后还进行了一次多项选择题测试,以评估理论知识的增加情况。
在15项测试技能中的8项上,I组学生取得了显著更好的成绩(p≤0.05)。多项选择题测试显示两组学生的理论知识都有显著增加(p≤0.05),且两组之间没有差异。学生对技能实验室培训的接受程度很高。
在兽医教育中使用模拟器和模型是一种有效的教学理念,应持续使用并纳入课程体系。