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卵巢子宫切除术模型练习对兽医专业最后一年学生首次活体动物卵巢子宫切除术手术时间的影响

The Effect of an Ovariohysterectomy Model Practice on Surgical Times for Final-Year Veterinary Students' First Live-Animal Ovariohysterectomies.

作者信息

Annandale Annett, Scheepers Elrien, Fosgate Geoffrey T

机构信息

Faculty of Veterinary Science, University of Pretoria.

Department of Production Animal Studies, Faculty of Veterinary Science, University of Pretoria.

出版信息

J Vet Med Educ. 2020 Feb;47(1):44-55. doi: 10.3138/jvme.1217-181r1. Epub 2019 Apr 22.

Abstract

This study evaluated whether one supervised simulated ovariohysterectomy (OVH) using a locally developed canine OVH model, decreased surgical time for final-year veterinary students' first live-animal OVH. We also investigated student perceptions of the model as a teaching aid. Final-year veterinary students were exposed to an OVH model (Group M, = 48) and compared to students without the exposure (Group C, = 58). Both groups were instructed similarly on performing an OVH using a lecture, student notes, a video, and a demonstration OVH performed by a veterinary surgeon. Students in Group M then performed an OVH on the model before performing a live-animal OVH. Students in Group C had no exposure to the OVH model before performing a live-animal OVH. Surgical time data were analyzed using linear regression. Students in Group M completed a questionnaire on the OVH model after performing their first live-animal OVH. The OVH model exposure reduced students' first canine live-animal OVH surgery time ( = .009) for students without prior OVH experience. All students ( = 48) enjoyed performing the procedure on the mode; students practicing an OVH on the model felt more confident (92%) and less stressed (73%) when performing their first live-animal OVH. Results suggest that the canine OVH model may be helpful as a clinical training tool and we concluded that the OVH model was effective at decreasing students' first OVH surgical time.

摘要

本研究评估了使用本地开发的犬类卵巢子宫切除术(OVH)模型进行一次监督下的模拟OVH,是否能减少兽医专业最后一年学生首次活体动物OVH的手术时间。我们还调查了学生对该模型作为教学辅助工具的看法。将兽医专业最后一年的学生分为接触OVH模型组(M组,n = 48),并与未接触该模型的学生(C组,n = 58)进行比较。两组学生都通过讲座、学生笔记、视频以及兽医外科医生进行的示范OVH,以相似的方式接受关于进行OVH的指导。然后,M组的学生在进行活体动物OVH之前先在模型上进行OVH。C组的学生在进行活体动物OVH之前没有接触过OVH模型。使用线性回归分析手术时间数据。M组的学生在完成首次活体动物OVH后填写了一份关于OVH模型的问卷。对于没有OVH经验的学生,接触OVH模型减少了他们首次犬类活体动物OVH的手术时间(P = 0.009)。所有学生(n = 48)都喜欢在模型上进行该操作;在模型上练习OVH的学生在进行首次活体动物OVH时感觉更有信心(92%)且压力更小(73%)。结果表明,犬类OVH模型作为临床训练工具可能会有所帮助,我们得出结论,OVH模型在减少学生首次OVH手术时间方面是有效的。

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