Kim Jeffrey, Rinke Elliott J, Matusicky Michelle E, Millward Laurie M
J Vet Med Educ. 2022 Oct;49(5):560-567. doi: 10.3138/jvme-2020-0128. Epub 2021 Aug 2.
Outreach medicine is used to improve students' medical, technical, behavioral, and communication training among health professional schools; it is also used in veterinary schools, but little has been described on its educational impacts among pre-clinical veterinary students. Aiming to train practice-ready graduates, we established a monthly nonprofit vaccine clinic serving low-income clients to provide pre-clinical veterinary students with a realistic experiential learning environment. We developed surveys to assess the educational impacts of outreach medicine on pre-clinical veterinary student and client education. We received 101 student surveys, 26 educator (i.e., veterinarians and registered veterinary technicians) surveys, and 96 client surveys. Veterinarians, students, and technicians reported that students improved in important veterinary skills such as client communication, subcutaneous injection, patient handling, and physical examination. They also reported improved confidence in students' clinical decision making. Veterinarians valued the vaccine clinic as a favorable educational tool to teach behavior assessment and low-stress handling, and they highlighted that experiential learning via the vaccine clinic provided students with a clinical experience representative of most veterinarian practices (i.e., small animal general practitioner). Clients reported that the clinic's students and veterinarians greatly improved their knowledge of their pets' care and vaccines-notably, their knowledge of rabies and leptospirosis improved. Outreach medicine in the form of a vaccine clinic creates valuable experiential learning opportunities that increase veterinary student preparedness and complement didactic, laboratory, and case-based teaching.
外展医学用于改善健康专业院校学生的医学、技术、行为和沟通方面的培训;它也用于兽医学院,但关于其对临床前兽医学生的教育影响的描述很少。为了培养具备实践能力的毕业生,我们设立了一个每月一次的非营利性疫苗诊所,为低收入客户服务,为临床前兽医学生提供一个真实的体验式学习环境。我们开发了调查问卷,以评估外展医学对临床前兽医学生和客户教育的影响。我们收到了101份学生调查问卷、26份教育工作者(即兽医和注册兽医技术员)调查问卷以及96份客户调查问卷。兽医、学生和技术员报告称,学生在客户沟通、皮下注射、动物处理和体格检查等重要兽医技能方面有所提高。他们还报告说,学生在临床决策方面的信心有所增强。兽医们认为疫苗诊所是教授行为评估和低压力处理的良好教育工具,他们强调通过疫苗诊所进行的体验式学习为学生提供了代表大多数兽医实践(即小动物全科医生)的临床经验。客户报告说,诊所的学生和兽医极大地提高了他们对宠物护理和疫苗的知识——值得注意的是,他们对狂犬病和钩端螺旋体病的知识有所提高。以疫苗诊所形式开展的外展医学创造了宝贵的体验式学习机会,增加了兽医学生的准备程度,并补充了理论、实验室和基于案例的教学。