Departamento de Patología Animal, Instituto Agroalimentario de Aragón (IA2), Universidad de Zaragoza, Facultad de Veterinaria C/Miguel Servet, 50013, Zaragoza, Spain.
Departamento de Anatomía, Embriología y Genética Animal, Instituto Agroalimentario de Aragón (IA2), Universidad de Zaragoza Facultad de Veterinaria C/Miguel Servet, 50013, Zaragoza, Spain.
J Vet Med Educ. 2024 Apr;51(2):240-247. doi: 10.3138/jvme-2023-0010. Epub 2024 Mar 25.
Transrectal palpation (TP) is a basic skill in equine practice. Traditional TP learning methods include instructor-assisted TP in live animals, but this approach presents animal welfare concerns, especially when it needs to be used with large numbers of students. The main objective of this study is to compare two learning methods of TP: traditional methodology with live horses (LH) and alternative methodology using a cadaver with its flanks dissected (CDV). Twenty students with no previous equine TP experience were randomly assigned to two groups: LH ( = 10) and CDV ( = 10). Both groups received initial theoretical training before the LH or CDV session. Learning outcomes of both groups were assessed in a new TP session with live horses. All students were asked about their success in palpating seven intra-abdominal structures and objective ultrasound confirmation (UC) was also performed. Successful perception in palpation and by UC was similar in both LH and CDV students' groups, without significant differences. Anonymous surveys answered by these 20 volunteers and by 126 students enrolled in the regulated course who also received this CDV training showed very positive feedback on the CDV methodology. As a limitation of the study, there were few students in each group and most of the results are based on subjective criteria. Nevertheless, we can conclude that CDV is a useful tool for teaching TP, with good learning results, allowing the instructor to see what the student is touching and avoiding the LH disadvantages. .
直肠触诊（TP）是马科动物临床实践的一项基本技能。传统的 TP 学习方法包括在活体动物身上进行有指导的 TP，但这种方法存在动物福利问题，特别是当需要对大量学生进行培训时。本研究的主要目的是比较两种 TP 学习方法：传统的活体马方法（LH）和使用解剖后的马尸体方法（CDV）。20 名没有马科动物 TP 经验的学生被随机分为两组：LH（ = 10）和 CDV（ = 10）。两组学生在 LH 或 CDV 课程之前都接受了初步的理论培训。然后在新的使用活体马的 TP 课程中评估两组学生的学习结果。所有学生都被要求在七个腹腔结构上进行触诊并通过超声确认（UC），然后评估他们的成功程度。在 LH 和 CDV 学生组中，通过触诊和 UC 成功感知到的结果相似，没有显著差异。20 名志愿者和参加规定课程的 126 名学生（他们也接受了这种 CDV 培训）填写了匿名调查问卷，对 CDV 方法学给予了非常积极的反馈。作为研究的局限性，每组学生人数较少，而且大多数结果都是基于主观标准。尽管如此，我们可以得出结论，CDV 是一种用于教授 TP 的有用工具，具有良好的学习效果，允许教师看到学生触诊的部位，并避免了 LH 的缺点。
