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
[31]  
Orlans FB, 1996, ATLA-ALTERN LAB ANIM, V24, P151
[32]   Systematic review of comparative studies examining alternatives to the harmful use of animals in biomedical education [J].
Patronek, Gary J. ;
Rauch, Annette .
JAVMA-JOURNAL OF THE AMERICAN VETERINARY MEDICAL ASSOCIATION, 2007, 230 (01) :37-43
[33]   Effect of hypothermia on recovery from general anaesthesia in the dog [J].
Pottie, R. G. ;
Parte, C. M. ;
Perkins, N. R. ;
Hodgson, D. R. .
AUSTRALIAN VETERINARY JOURNAL, 2007, 85 (04) :158-162
[34]   Retrospective study of the prevalence of postanaesthetic hypothermia in dogs [J].
Redondo, J. I. ;
Suesta, P. ;
Serra, I. ;
Soler, C. ;
Soler, G. ;
Gil, L. ;
Gomez-Villamandos, R. J. .
VETERINARY RECORD, 2012, 171 (15) :374-+
[35]   The Briefing, Intraoperative Teaching, Debriefing Model for Teaching in the Operating Room [J].
Roberts, Nicole K. ;
Williams, Reed G. ;
Kim, Michael J. ;
Dunnington, Gary L. .
JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2009, 208 (02) :299-303
[36]  
Rollin BE, 2009, CAN VET J, V50, P230
[37]   Teaching veterinary students using shelter animals [J].
Smeak, Daniel D. .
JOURNAL OF VETERINARY MEDICAL EDUCATION, 2008, 35 (01) :26-30
[38]   Teaching surgery to the veterinary novice: The Ohio State University experience [J].
Smeak, Daniel D. .
JOURNAL OF VETERINARY MEDICAL EDUCATION, 2007, 34 (05) :620-627
[39]   Expected Frequency of Use and Proficiency of Core Surgical Skills in Entry-Level Veterinary Practice: 2009 ACVS Core Surgical Skills Diplomate Survey Results [J].
Smeak, Daniel D. ;
Hill, Lawrence N. ;
Lord, Linda K. ;
Allen, L. Clare V. .
VETERINARY SURGERY, 2012, 41 (07) :853-861
[40]   EVALUATION OF AN AUTOTUTORIAL-SIMULATOR PROGRAM FOR INSTRUCTION OF HOLLOW ORGAN CLOSURE [J].
SMEAK, DD ;
HILL, LN ;
BECK, ML ;
SHAFFER, CA ;
BIRCHARD, SJ .
VETERINARY SURGERY, 1994, 23 (06) :519-528