J Vet Med Educ. 2022 Aug;49(4):473-483. doi: 10.3138/jvme-2020-0123. Epub 2021 Jun 2.
Veterinary ultrasonography is a complex, advanced skill requiring repetitive exposure and supervision to gain competence. Consequently, newly graduated veterinarians are underprepared and lack the resources to achieve basic ultrasound proficiency upon graduation. Ultrasound simulation has been proposed as an adjunct educational tool for teaching entry-level ultrasound skills to student veterinarians. The objectives of this multicentric prospective observational cohort study were to describe the development of a novel ultrasound training model, establish model construct and face validity, and seek participant feedback. The model was constructed using three-dimensional silicone shapes embedded in ballistics gel within a glass container. A novice cohort of 15 veterinary students and 14 expert participants were prospectively enrolled in the study. Each cohort underwent training and assessment phases using a simulation model. Participants were asked to (a) determine shape location, (b) identify shape type using a shape bank, and (c) measure shape axes using the caliper tool. Time for each phase was recorded. Anonymous post-participation survey feedback was obtained. For most shapes (4/6), experts performed significantly better than novices in identifying shape type and location. Generally, no significant difference was found in mean axis shape measurements between cohorts or compared to the true mean axis measurements. No significant difference was found in scan time for either phase. This study's results support the validation of this ultrasound simulation model and may demonstrate early evidence for its use as a training tool in the veterinary curriculum to teach entry-level ultrasound skills.
兽医超声检查是一项复杂的高级技能,需要反复暴露于超声环境并接受监督,以获得能力。因此,刚毕业的兽医准备不足,缺乏在毕业后达到基本超声水平的资源。超声模拟已被提议作为一种辅助教育工具,用于向学生兽医教授入门级超声技能。这项多中心前瞻性观察队列研究的目的是描述一种新的超声培训模型的开发,建立模型的结构和表面有效性,并寻求参与者的反馈。该模型使用嵌入在玻璃容器内的弹道凝胶中的三维硅树脂形状构建而成。一组 15 名兽医学生和 14 名专家参与者被前瞻性地纳入研究。每个队列都使用模拟模型进行培训和评估阶段。参与者被要求 (a) 确定形状位置,(b) 使用形状库识别形状类型,以及 (c) 使用卡尺工具测量形状轴。记录每个阶段的时间。获得了匿名的参与后调查反馈。对于大多数形状(4/6),专家在识别形状类型和位置方面的表现明显优于新手。通常,在轴形状测量的平均值方面,队列之间或与真实平均值之间没有发现显著差异。两个阶段的扫描时间都没有发现显著差异。本研究的结果支持该超声模拟模型的验证,并可能为其在兽医课程中用作教授入门级超声技能的培训工具提供早期证据。