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The Veterinary record2017; 181(7); 168; doi: 10.1136/vr.104245

Veterinary student competence in equine lameness recognition and assessment: a mixed methods study.

Abstract: The development of perceptual skills is an important aspect of veterinary education. The authors investigated veterinary student competency in lameness evaluation at two stages, before (third year) and during (fourth/fifth year) clinical rotations. Students evaluated horses in videos, where horses were presented during trot on a straight line and in circles. Eye-tracking data were recorded during assessment on the straight line to follow student gaze. On completing the task, students filled in a structured questionnaire. Results showed that the experienced students outperformed inexperienced students, although even experienced students may classify one in four horses incorrectly. Mistakes largely arose from classifying an incorrect limb as lame. The correct detection of sound horses was at chance level. While the experienced student cohort primarily looked at upper body movement (head and sacrum) during lameness assessment, the inexperienced cohort focused on limb movement. Student self-assessment of performance was realistic, and task difficulty was most commonly rated between 3 and 4 out of 5. The inexperienced students named a considerably greater number of visual lameness features than the experienced students. Future dedicated training based on the findings presented here may help students to develop more reliable lameness assessment skills.
Publication Date: 2017-08-13 PubMed ID: 28801497DOI: 10.1136/vr.104245Google Scholar: Lookup
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  • Journal Article

Summary

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The research looked into the ability of veterinary students at different stages of their training in recognizing and assessing lameness in horses. More experienced students displayed superior skills although there were areas for improvement identified in their assessments.

Research Methodology

  • The authors conducted a mixed methods study to examine the competence of veterinary students in identifying and assessing equine lameness. The study involved students in their third year (inexperienced) and students during their clinical rotations in fourth or fifth year (experienced).
  • To assess students’ skills, they were asked to evaluate horses shown in videos where the horses were trotting in a straight line and in circles.
  • Eye-tracking data was collected from the students as they evaluated the straight line trot to understand where they were focusing during assessment.
  • After the evaluation, the students filled out a structured questionnaire.

Key Findings

  • Results indicated that experienced students performed better in detecting lameness than their inexperienced counterparts. However, even the experienced students incorrectly identified the lame limb in one out of four horses.
  • In identifying sound horses, the correct detection results were at chance level, suggesting an area for improvement in assessment skills.
  • Analysis of eye-tracking data revealed that experienced students mainly focused on the horse’s upper body movement (head and sacrum) during assessment, while inexperienced students paid more attention to limb movement.
  • The students’ self-assessments corroborated the objective findings, demonstrating a realistic understanding of their own performance. The task difficulty was generally rated between 3 and 4 out of 5.
  • Inexperienced students were found to list a significantly higher number of visual features associated with lameness than their experienced counterparts.

Implications

  • This research provides important insights that can shape future dedicated training in veterinary education. Tailoring training based on these findings can help students develop more reliable and effective lameness assessment skills.
  • The differences in the strategies employed by experienced and inexperienced students indicates that focus areas shift with experience and training. This can influence the design of learning objectives for different stages of the veterinary program.
  • The findings also reinforce the need for continuous training and practice, even among experienced students, to improve accuracy and sensitivity in lameness detection.
  • The identification of sound horses being at chance level suggests the importance of enhancing training in this area. It emphasizes the need for developing robust decision-making skills when it comes to ruling out lameness in horses.

Cite This Article

APA
Starke SD, May SA. (2017). Veterinary student competence in equine lameness recognition and assessment: a mixed methods study. Vet Rec, 181(7), 168. https://doi.org/10.1136/vr.104245

Publication

ISSN: 2042-7670
NlmUniqueID: 0031164
Country: England
Language: English
Volume: 181
Issue: 7
Pages: 168

Researcher Affiliations

Starke, Sandra D
  • The Royal Veterinary College,Hawkshead Lane, North Mymms, Hatfield, Hertfordshire, UK.
May, Stephen A
  • The Royal Veterinary College,Hawkshead Lane, North Mymms, Hatfield, Hertfordshire, UK.

MeSH Terms

  • Animals
  • Clinical Competence
  • Education, Veterinary
  • Horse Diseases / diagnosis
  • Horses
  • Humans
  • Lameness, Animal / diagnosis
  • Students, Medical
  • Videotape Recording

Citations

This article has been cited 5 times.
  1. Feuser AK, Gesell-May S, Müller T, May A. Artificial Intelligence for Lameness Detection in Horses-A Preliminary Study. Animals (Basel) 2022 Oct 17;12(20).
    doi: 10.3390/ani12202804pubmed: 36290189google scholar: lookup
  2. Hardeman AM, Egenvall A, Serra Bragança FM, Swagemakers JH, Koene MHW, Roepstorff L, van Weeren R, Byström A. Visual lameness assessment in comparison to quantitative gait analysis data in horses. Equine Vet J 2022 Nov;54(6):1076-1085.
    doi: 10.1111/evj.13545pubmed: 34913524google scholar: lookup
  3. Smith R, Perkins L, Pinchbeck G, Ireland J. Owners' everyday interactions with their horse: Pain-related issues and those of veterinary concern. Anim Welf 2025;34:e62.
    doi: 10.1017/awf.2025.10036pubmed: 40988863google scholar: lookup
  4. Ozturan YA, Akin I. Evaluating the Reliability and Accuracy of Senior Veterinary Students in Detecting and Scoring Lameness in Dairy Cows. Vet Med Sci 2025 Jul;11(4):e70496.
    doi: 10.1002/vms3.70496pubmed: 40678867google scholar: lookup
  5. Valle AP, Brown KA, Reilly P, Ciamillo SA, Davidson EJ, Stefanovski D, Stewart HL, Ortved KF. Effect of video angle on detection of induced front limb lameness in horses. BMC Vet Res 2024 May 3;20(1):172.
    doi: 10.1186/s12917-024-04032-9pubmed: 38702691google scholar: lookup