Training of Veterinary Students in Trans Rectal Palpation of Equids: A Comparison of Live Versus Cadaver Models.
Abstract: 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. .
Publication Date: 2024-03-25 PubMed ID: 39503391DOI: 10.3138/jvme-2023-0010Google Scholar: Lookup
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- Journal Article
- Comparative Study
Summary
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Overview
- This study compares traditional live horse training and an alternative cadaver model for teaching veterinary students how to perform transrectal palpation (TP) in horses.
- The results indicate that both methods yield similar learning outcomes, and cadaver training has additional benefits related to animal welfare and teaching visibility.
Introduction to the Research
- Background: Transrectal palpation (TP) is an essential diagnostic and clinical skill in equine veterinary medicine.
- Traditional Training: Usually involves practicing TP on live horses with an instructor’s assistance, but this raises ethical and welfare concerns when a large number of students are involved.
- Alternative Approach: Using cadaveric horses (equine cadaver with dissected flanks) to teach TP has been proposed as a possible solution.
Objectives of the Study
- To compare the effectiveness of two teaching methods for TP: traditional live horse training (LH) versus alternative cadaver model training (CDV).
- To evaluate student success in palpating key intra-abdominal structures after training with either method.
- To gather student feedback on their learning experience and satisfaction with these methods.
Methodology
- Participants: 20 veterinary students without prior equine TP experience.
- Grouping: Randomly assigned 10 students to live horse group (LH) and 10 students to cadaver group (CDV).
- Training Sessions: Both groups received identical initial theoretical instruction before their respective hands-on sessions.
- Testing: After training, all students performed TP on live horses to locate seven intra-abdominal structures.
- Verification: Success in palpation was self-reported by students and objectively confirmed by ultrasound imaging.
- Feedback: Anonymous surveys collected to assess student perceptions, including responses from an extended group of 126 students who had received CDV training.
Results
- Both groups showed similar success rates in accurately palpating the intra-abdominal structures.
- No significant statistical difference was found between the live horse and cadaver-trained students regarding palpation success.
- Ultrasound confirmation supported the subjective reports of palpation accuracy in both groups.
- Feedback from students was overwhelmingly positive toward the cadaver training method, praising it for effectiveness and practical learning advantages.
Discussion and Implications
- Animal Welfare: Using cadavers avoids repeated manipulation of live horses, addressing welfare and ethical concerns.
- Educational Benefits: The cadaver model allows instructors to directly observe and guide students’ hands, improving teaching clarity.
- Limitations: Small sample size (only 10 students per group) reduces statistical power.
- Reliance on subjective measures of success, although objective ultrasound verification was used to complement this.
- The results suggest cadaver training can be an effective alternative or complement to live horse training in veterinary programs.
Conclusion
- The cadaver model is a viable and effective tool for teaching equine transrectal palpation to veterinary students.
- This method achieves similar learning outcomes to traditional live horse training while benefiting animal welfare and instructor visibility.
- It can be safely integrated into veterinary curricula to enhance practical skill acquisition without overusing live animals.
Cite This Article
APA
Vázquez Bringas FJ, Porcar LB, Franco SF, Martinez CM, Lasheras AR, Moraiz AV.
(2024).
Training of Veterinary Students in Trans Rectal Palpation of Equids: A Comparison of Live Versus Cadaver Models.
J Vet Med Educ, 51(2), 240-247.
https://doi.org/10.3138/jvme-2023-0010 Publication
Researcher Affiliations
- 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.
- Departamento de Patología Animal, Universidad de Zaragoza Facultad de Veterinaria C/Miguel Servet, 50013, Zaragoza, Spain.
- Servicio de Cirugía y Medicina Equina, Hospital Veterinario (HVUZ), Universidad de Zaragoza Facultad de Veterinaria C/Miguel Servet, 50013, Zaragoza, Spain.
- Department of Animal Pathology, University of Zaragoza, Faculty of Veterinary Medicine C/Miguel Servet, 50013, Zaragoza, Spain.
- Departamento de Patología Animal, Universidad de Zaragoza, Facultad de Veterinaria C/Miguel Servet, 50013, Zaragoza, Spain.
MeSH Terms
- Animals
- Education, Veterinary / methods
- Horses
- Humans
- Cadaver
- Palpation / veterinary
- Male
- Female
- Digital Rectal Examination / veterinary
- Clinical Competence
Citations
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