Elarbi Mustafa M, Ragle Claude A, Fransson Boel A, Farnsworth Kelly D
J Am Vet Med Assoc. 2018 Jul 1;253(1):92-100. doi: 10.2460/javma.253.1.92.
OBJECTIVE To develop and validate a simulation model for laparoscopic ovariectomy in standing horses. DESIGN Prospective cohort study. SAMPLE 15 third-year veterinary students and 4 equine surgeons with experience in laparoscopy. PROCEDURES A simulation model that mimicked laparoscopic ovariectomy in standing horses was developed. Face validity of the model was determined with a questionnaire completed by the equine surgeons. Construct validity was determined by comparing performance scores (based on time to completion and accuracy completing various operative tasks) for simulated laparoscopic ovariectomy performed in the model for the students with scores for the equine surgeons. Concurrent validity was assessed by comparing performance scores with scores obtained with the validated McGill Inanimate System for Training and Evaluation of Laparoscopic Skills (MISTELS). RESULTS Questionnaire responses indicated that the simulation model replicated the operative experience to a high degree (face validity). Performance scores for simulated laparoscopic ovariectomy performed in the model were significantly different between the students and the equine surgeons (construct validity). Performance scores for the simulation model were significantly correlated with scores for the MISTELS (concurrent validity). CONCLUSIONS AND CLINICAL RELEVANCE Results suggested that the simulation model had face, construct, and concurrent validity, suggesting that it may be useful when training students to perform laparoscopic ovariectomy in standing horses.
目的 开发并验证一种用于站立位马匹腹腔镜卵巢切除术的模拟模型。 设计 前瞻性队列研究。 样本 15 名三年级兽医学生和 4 名有腹腔镜手术经验的马科动物外科医生。 程序 开发了一种模拟站立位马匹腹腔镜卵巢切除术的模拟模型。通过马科动物外科医生填写的问卷确定模型的表面效度。通过比较模型中为学生进行的模拟腹腔镜卵巢切除术的表现分数(基于完成时间和完成各种手术任务的准确性)与马科动物外科医生的分数来确定结构效度。通过将表现分数与使用经过验证的麦吉尔腹腔镜技能训练和评估无生命系统(MISTELS)获得的分数进行比较来评估同时效度。 结果 问卷回复表明模拟模型高度复制了手术体验(表面效度)。学生和马科动物外科医生在模型中进行的模拟腹腔镜卵巢切除术的表现分数有显著差异(结构效度)。模拟模型的表现分数与 MISTELS 的分数显著相关(同时效度)。 结论及临床意义 结果表明该模拟模型具有表面效度、结构效度和同时效度,表明在训练学生进行站立位马匹腹腔镜卵巢切除术时可能有用。