Teaching Veterinary Anesthesia and Surgery: The Impact of Instructor Availability on Anesthesia, Operative, and Recovery Times in Dogs Undergoing Ovariohysterectomy or Castration

被引:19
作者
Freeman, Lynetta J. [1 ]
Huse, David [1 ]
Lee, Rebecca [1 ]
Inoue, Tomo [1 ]
Weil, Ann B. [1 ,2 ]
Constable, Peter D. [3 ]
机构
[1] Purdue Univ, Coll Vet Med, W Lafayette, IN 47907 USA
[2] Purdue Univ, Coll Vet Med, Small Anim Hosp, W Lafayette, IN 47907 USA
[3] Univ Illinois, Coll Vet Med, Urbana, IL 61802 USA
关键词
educational methods; surgical teaching; instructional methods; BASIC SURGICAL SKILLS; HEMOSTASIS MODEL; STATE-UNIVERSITY; EDUCATION; STUDENT; PROFICIENCY; HYPOTHERMIA; FREQUENCY; SIMULATOR; CADAVERS;
D O I
10.3138/jvme.0813-120R
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
Veterinary students learning to perform elective ovariohysterectomy (OVH) and castration procedures have traditionally been taught by a few instructors supervising many student groups simultaneously. This study, using a historical control group, explored the impacts of having a dedicated instructor with each student group for anesthetic induction and an entire surgical procedure. Our hypothesis was that preparation, surgical, and anesthesia times would be shorter and, consequently, post-operative recovery times would be shorter with a dedicated instructor compared to traditional methods. Anesthesia records of dogs undergoing elective surgery by third-year veterinary students were reviewed over 3 consecutive years. Traditional instruction was used in year 1 (Y1), and a dedicated instructor per student group was used in year 2 (Y2) and year 3 (Y3). Anesthesia time, surgical time, recovery time, and pre- and post-operative rectal temperature were analyzed, and a stepwise regression model was developed for factors influencing recovery time. Of 206 records reviewed (Y1, 33; Y2, 98; Y3, 75), there were 101 OVH procedures and 105 castration procedures. Preparation, surgery, and anesthesia times were longer in animals undergoing surgery in Y1, when the traditional instruction method was used. Recovery time was not influenced by instructor assignment. Using dedicated instructors to teach OVH and castration to third-year veterinary students decreased overall anesthesia time by 36 to 49 minutes for OVH and 29 to 32 minutes for castration. A teaching model of dedicated instructors requires excellent coordination between surgeons and anesthesiologists to ensure that a similar number of animals can undergo procedures in the time allotted for teaching.
引用
收藏
页码:390 / 399
页数:10
相关论文
共 47 条
[11]  
Department of Health & Human Services (DHHS) Center for Medicare & Medicaid Services (CMS), 2002, MED CARR MAN PART3 C
[12]   Randomised, controlled study investigating the optimal instructor: student ratios for teaching suturing skills [J].
Dubrowski, A ;
MacRae, H .
MEDICAL EDUCATION, 2006, 40 (01) :59-63
[13]   Development and Evaluation of a High-Fidelity Canine Patient Simulator for Veterinary Clinical Training [J].
Fletcher, Daniel J. ;
Militello, Roberta ;
Schoeffler, Gretchen L. ;
Rogers, Catherine L. .
JOURNAL OF VETERINARY MEDICAL EDUCATION, 2012, 39 (01) :7-12
[14]   The use and effectiveness of cadaveric workshops in higher surgical training: a systematic review [J].
Gilbody, J. ;
Prasthofer, A. W. ;
Ho, K. ;
Costa, M. L. .
ANNALS OF THE ROYAL COLLEGE OF SURGEONS OF ENGLAND, 2011, 93 (05) :347-352
[15]   Developments in Undergraduate Teaching of Small-Animal Soft-Tissue Surgical Skills at the University of Sydney [J].
Gopinath, Deepa ;
McGreevy, Paul D. ;
Zuber, Richard M. ;
Klupiec, Corinna ;
Baguley, John ;
Barrs, Vanessa R. .
JOURNAL OF VETERINARY MEDICAL EDUCATION, 2012, 39 (01) :21-29
[16]   Evaluation of a hemostasis model for teaching ovariohysterectomy in veterinary surgery [J].
Griffon, DJ ;
Cronin, P ;
Kirby, B ;
Cottrell, DF .
VETERINARY SURGERY, 2000, 29 (04) :309-316
[17]   The fourth-year veterinary student as a teaching assistant in the operative surgery laboratory [J].
Hauptman, JG ;
Stanley, BJ ;
Walshaw, R .
JOURNAL OF VETERINARY MEDICAL EDUCATION, 2001, 28 (03) :145-147
[18]   Surgical education: Attitudes toward animal use in teaching surgery at Louisiana State University [J].
Hedlund, CS ;
Hosgood, G ;
Naugler, S .
JOURNAL OF VETERINARY MEDICAL EDUCATION, 2002, 29 (01) :50-55
[19]   Frequency of use and proficiency in performance of surgical skills expected of entry-level veterinarians by general practitioners [J].
Hill, Lawrence N. ;
Smeak, Daniel D. ;
Lord, Linda K. .
JAVMA-JOURNAL OF THE AMERICAN VETERINARY MEDICAL ASSOCIATION, 2012, 240 (11) :1345-1354
[20]   Student assessment of the educational benefits of using a CD-ROM for instruction of basic surgical skills [J].
Howe, LM ;
Boothe, HW ;
Hartsfield, SM .
JOURNAL OF VETERINARY MEDICAL EDUCATION, 2005, 32 (01) :138-143