Pavlides Stavros, Lynch Alex, Snowden Khalid, Leissinger Mary
Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida Small Animal Hospital, Gainesville, FL.
Department of Clinical Sciences, North Carolina State University, Raleigh, NC.
J Vet Emerg Crit Care (San Antonio). 2020 Mar;30(2):165-169. doi: 10.1111/vec.12938. Epub 2020 Feb 20.
Determine whether an emergency medicine-focused clinical pathology training course improved the proficiency of house officers.
Prospective blinded study.
Veterinary academic center.
House officers enrolled in programs other than clinical pathology.
A 4-hour curriculum was provided by a board-certified specialist in veterinary clinical pathology.
A focused clinical pathology lecture course derived from historical teaching materials was delivered. A pre- and post-course multiple choice question examination was taken by the enrolled house officers, as well as a survey regarding their confidence level pre- and post-course utilizing a novel 5-point scoring system, ranging from 1 (very low confidence) to 5 (very high). A total of 21 house officers completed the study, 5 of which attended didactic lectures, 13 utilized an online learning platform, and 3 used a combination of both. There was a significant improvement in all house officers' post-training course examination results compared to pre-course results (pre-course examination score: mean 49% ±12; post-course examination score: mean 72.5% ± 15.7; P < 0.0001). There was a significant difference in pre- and post-course examination scores for each of the 3 topic areas: hematology (pre-course: mean 47% ±16; post-course: mean 71% ± 15.8; P ≤ 0.0001); urinalysis (pre-course: mean 65.7% ± 12.5; post-course: mean 87.6% ± 22.1; P = 0.0004); and fluid analysis (pre-course: mean 37.1% ± 14.1; post-course: mean 60.5% ± 15; P ≤ 0.0001). There was also a significant increase in the house officers' confidence score in overall clinical pathology skills (pre-course: mean 2.2 ± 1.5; post-course: 3.6±1.4; P = 0.0005).
This study identified that a 4-hour clinical pathology training course relevant to small animal emergency medicine improved the knowledge and confidence of nonclinical pathology house officers. A similar training course may prove helpful in the future to improve the proficiency of emergency veterinarians.
确定以急诊医学为重点的临床病理学培训课程是否提高了住院医师的专业水平。
前瞻性盲法研究。
兽医学术中心。
参加临床病理学以外课程的住院医师。
由一名获得兽医临床病理学委员会认证的专家提供为期4小时的课程。
提供了一门基于历史教材的重点临床病理学讲座课程。参与研究的住院医师在课程前后分别进行了多项选择题考试，并使用一种新的5分制评分系统进行了关于他们课程前后信心水平的调查，评分范围从1（非常低的信心）到5（非常高）。共有21名住院医师完成了研究，其中5人参加了理论讲座，13人使用了在线学习平台，3人同时使用了这两种方式。与课程前相比，所有住院医师培训后的考试成绩有显著提高（课程前考试成绩：平均49%±12；课程后考试成绩：平均72.5%±15.7；P<0.0001）。3个主题领域各自的课程前后考试成绩存在显著差异：血液学（课程前：平均47%±16；课程后：平均71%±15.8；P≤0.0001）；尿液分析（课程前：平均65.7%±12.5；课程后：平均87.6%±22.1；P=0.0004）；以及液体分析（课程前：平均37.1%±14.1；课程后：平均60.5%±15；P≤0.0001）。住院医师在整体临床病理学技能方面的信心得分也有显著提高（课程前：平均2.2±1.5；课程后：3.6±1.4；P=0.0005）。
本研究发现，一门与小动物急诊医学相关的4小时临床病理学培训课程提高了非临床病理学住院医师的知识水平和信心。类似的培训课程未来可能有助于提高急诊兽医的专业水平。
