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The Veterinary record2013; 172(17); 450; doi: 10.1136/vr.101335

Development and validation of an equine nerve block simulator to supplement practical skills training in undergraduate veterinary students.

Abstract: Lameness is the most common presenting complaint in equine practice. Performing diagnostic nerve blocks is an integral part of any lameness work-up, and is therefore an essential skill for equine practitioners. However, the opportunities for veterinary students to practice this skill are limited. The aim of this study was to design and validate an equine nerve block simulator. It was hypothesised that the simulator would improve students' ability and enhance their confidence in performing nerve blocks. A simulator was built using an equine forelimb skeleton and building foam. Wire wool targets were placed under the foam in the positions corresponding to the anatomical location of the most palmar digital, abaxial and low four-point nerve blocks and attached to an electrical circuit. The circuit became complete when the operator placed a needle in the correct position and immediate audible feedback with a buzzer was provided. To validate the simulator, it was compared with two established teaching methods: cadaver training and theoretical training with a hand-out. Cadaver-trained students achieved the best results (73 per cent correct blocks), compared with simulator-trained students (71 per cent correct blocks), and a hand-out trained group (58 per cent correct blocks). Feedback obtained with a questionnaire showed that students enjoyed simulator training more, and that they felt more confident in performing diagnostic nerve blocks than the other two groups. The equine nerve block simulator provides a safe, cost-effective method to supplement the teaching of diagnostic analgesia to undergraduate veterinary students.
Publication Date: 2013-03-13 PubMed ID: 23486507DOI: 10.1136/vr.101335Google Scholar: Lookup
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  • Comparative Study
  • Journal Article
  • Research Support
  • Non-U.S. Gov't
  • Validation Study

Summary

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The research presents the development and testing of an equine nerve block simulator designed to enhance the practical skills of undergraduate veterinary students in diagnosing lameness in horses. The results demonstrated that the equine nerve block simulator is a valuable training tool that improves student proficiency and confidence in performing nerve blocks.

About the Research

  • The main goal of the study was the creation and verification of an equine nerve block simulator. This was motivated by the fact that veterinary students have limited opportunities to practice this essential skill that is often employed in detecting lameness in horses.
  • The hypothesis was that this simulator would not only improve students’ skills, but also boost their confidence in performing nerve blocks.

Design of the Equine Nerve Block Simulator

  • The researchers built a simulator using an equine forelimb skeleton and building foam. Wire wool targets were strategically placed under the foam, corresponding to the locations of the most palmar digital, abaxial and low four-point nerve blocks. These targets were connected to an electrical circuit.
  • When the operator correctly inserted a needle into the set target, the circuit would complete, triggering an audible buzzer for immediate feedback.

Validation of the Equine Nerve Block Simulator

  • To verify the effectiveness of the simulator, it was compared to two prevalent teaching methods: training on cadavers and theoretical training using handouts.
  • Students trained on cadavers had the best results with 73% correct blocks, closely followed by those trained using the simulator with 71% correct blocks. The group trained using only handouts had noticeably lower success rates, with 58% correct blocks.

Conclusion of the Study

  • Based on the collected data and feedbacks, the students preferred the simulator training and felt more confident performing diagnostic nerve blocks than the students trained in other methods.
  • The study concluded that the equine nerve block simulator offers a safe and cost-effective way to enhance the teaching of diagnostic analgesia to undergraduate veterinary students.

Cite This Article

APA
Gunning P, Smith A, Fox V, Bolt DM, Lowe J, Sinclair C, Witte TH, Weller R. (2013). Development and validation of an equine nerve block simulator to supplement practical skills training in undergraduate veterinary students. Vet Rec, 172(17), 450. https://doi.org/10.1136/vr.101335

Publication

ISSN: 2042-7670
NlmUniqueID: 0031164
Country: England
Language: English
Volume: 172
Issue: 17
Pages: 450

Researcher Affiliations

Gunning, P
  • The Royal Veterinary College, Hawkshead Lane, North Mymms, Herts, Hatfield AL9 7TA, UK.
Smith, A
    Fox, V
      Bolt, D M
        Lowe, J
          Sinclair, C
            Witte, T H
              Weller, R

                MeSH Terms

                • Animals
                • Cadaver
                • Clinical Competence / standards
                • Education, Veterinary / methods
                • Education, Veterinary / standards
                • Horses / anatomy & histology
                • Horses / physiology
                • Humans
                • Lameness, Animal / diagnosis
                • Models, Educational
                • Nerve Block / methods
                • Nerve Block / veterinary