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Laparoscopic‐Guided Compared to Skilled Instructor Support for Student Rectal Examination Training Using Live Horses in the Veterinary Curriculum
Author(s) -
Radcliffe Rolfe M.,
Manchester Alison C.,
Mohammed Hussni O.,
Ortved Kyla,
Reesink Heidi L.,
Schnabel Lauren V.,
Lang Hayley M.,
Scrivani Peter V.,
Fubini Susan L.
Publication year - 2015
Publication title -
veterinary surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.652
H-Index - 79
eISSN - 1532-950X
pISSN - 0161-3499
DOI - 10.1111/j.1532-950x.2014.12278.x
Subject(s) - medicine , palpation , rectal examination , cecum , physical examination , population , veterinary medicine , surgery , prostate cancer , cancer , environmental health
Objectives To evaluate the veterinary student learning outcome of 2 methods of equine rectal examination training. Study Design Randomized prospective study. Sample Population Veterinary students (3rd and 4th year; n = 40) and practicing equine veterinarians (n = 10). Methods Year 1: Group 1 (n = 11) and Group 2 students (n = 10) received skilled instructor (SI) and laparoscopic‐guidance (LG), respectively, during rectal exam instruction. All students were tested on rectal identification of 4 abdominal organs. Year 2: One group of students (n = 19) was trained and subsequently tested using each technique, first SI, followed by LG. Subjective evaluation of laparoscopy as a teaching tool was achieved with veterinary students and equine practitioners. Results A significantly greater percentage of students having LG compared to SI were able to correctly identify the left kidney (Year 1) and the spleen, cecum, and right ovary (Year 2). A significantly greater proportion of LG trained students in years 1 and 2 (100% and 95%, respectively) were also able to identify 75% of organs compared with SI (27% and 21%, respectively). Both students and veterinarians uniformly provided favorable feedback for LG in teaching rectal palpation skills. Conclusion The LG method of equine rectal examination instruction resulted in improved learning for identification of several key abdominal organs compared with SI.