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EDUCATIONAL RESEARCH REPORT

Development and Validation of a Bovine


Castration Model and Rubric
Stacy L.  Anderson ■ Lynda Miller ■ Philippa Gibbons ■ Julie A. Hunt ■ Jerry Roberson ■
https://jvme.utpjournals.press/doi/pdf/10.3138/jvme.2018-0016 - Wednesday, February 23, 2022 5:37:06 PM - IP Address:201.185.104.51

Jeffrey A. Raines ■ Gil Patterson ■ John J. Dascanio

ABSTRACT
Veterinary students require deliberate practice to reach competence in surgical bovine castration, but animal
availability limits opportunities for practice. We sought to create and validate a surgical bovine castration model
consisting of a molded silicone scrotum and testicles to allow students to practice this skill without the use of
live animals. We sought to validate the model and associated scoring rubric for use in a veterinary clinical skills
course. A convenience sample of third-year veterinary students (n = 19) who had never castrated a bovine were
randomized into two groups. The traditionally trained (T) group performed castration on a live bull calf after a
50-minute instructional lecture. The model-trained (M) group received the same lecture and a 2-hour clinical
skills session practicing bovine castration using the model.  All students were subsequently digitally recorded while
castrating a live bull calf. Performance recordings were scored by an investigator blinded to group. Survey data
were collected from the students and from expert veterinarians testing the model (n = 8). Feedback from both
groups was positive. The M group had higher performance scores than the T group (M group, M = 80.6; T group,
M = 68.2; p = .005). Reliability of rubric scores was adequate at .74. No difference was found in surgical time
(M group, M = 4.5 min;T group, M = 5.5 min; p = .12). Survey feedback indicated that experts and students considered
the model useful. Model training improved students’ performance scores and provided evidence for validation of
the model and rubric.

Key words: veterinary simulation, surgical bovine castration, surgical skills, clinical skills training, veterinary
students, veterinary education, model

INTRODUCTION impractical because of availability, storage, disposal, and


Castration of the bovine is performed to improve carcass decomposition.7 The use of models in veterinary surgical
characteristics and to decrease aggressiveness and sexual and clinical skills training has repeatedly been shown to be
activity.1,2 However, surgical castration can have a negative of value in veterinary curricula.7–17 Simulation-based prac-
impact on animal welfare if it causes acute or chronic pain, tice before performing a surgical skill on a live animal can
hemorrhage, physiological stress, post-operative infection, improve students’ level of proficiency and facilitate skills
or decreased performance.2–5 Among bovine practitioners, assessment, and it may protect animal welfare.7,8,12,15,18,19
surgical castration is commonly performed on beef cattle Veterinary surgical models are becoming more widely used
weighing more than 270 kilograms.6 Thus, proficiency in to teach the novice veterinary student key surgical skills to
surgical castration of a bull should be expected of entry-level transfer to live patients. A meta-analytic study has shown
veterinarians practicing in bovine-exclusive or mixed ani- that for medical doctors, simulation-based medical educa-
mal practices. In a survey of bovine veterinarians, the most tion techniques are superior to those of traditional teaching
common surgical techniques included excision of the distal methods for a variety of medical and surgical skills, and
scrotum with a scalpel followed by removal of the testicles the literature supporting this conclusion is growing for the
by manually twisting or emasculating.6 Veterinarians also veterinary medical field.20
reported the use of a Newberry knife or conventional knife To our knowledge, a commercially or privately sourced
to incise the scrotum and use of the Henderson Castration model is not available for castration of the bovine. The
Tool or surgical ligation to remove the testicles.6 To become goals of this study were to produce a cost-effective bo-
proficient at these surgical castration methods, veterinary vine castration model that would increase the proficiency
students require multiple surgical sessions. of veterinary students’ surgical skills before performing
Traditionally, surgical training for veterinary students castration on a live bull calf. We sought to validate the
has involved the use of cadavers and live animals; however, model using a framework consisting of content evidence,
the use of live animals in surgical training presents a vari- evidence of relationship with other variables, and internal
ety of ethical issues, and the use of cadaver tissue is often structure evidence.21,22 Our framework stipulated that if the

96 JVME 48(1) © 2021 AAVMC  doi: 10.3138/jvme.2018-0016


model was to be validated for use in teaching veterinary model. Models were created by a dedicated model maker
students to perform surgical castration of the bovine, then employed by LMU CVM. Model prototypes were tested
and modified on the basis of feedback from the large animal
• experienced bovine veterinarians will rate the mod-
faculty. The creation of the final version is described here
el’s ease of use, realism, and suitability for student
and illustrated in Figure 1.
training favorably (content evidence),
Briefly, a frame was made using a 591-milliliter plastic
• students who trained on the model before castrat-
beverage bottle secured to a metal rod over which a synthetic
ing a live bull calf will achieve higher performance
bovine scrotum was made from platinum-cure silicone
scores than students who had not first undergone
rubber (EcoFlex 00-30 platinum, Smooth-On, Macungie,
model training (relationship with other variables;
PA) painted over a nylon stocking (Figure 1a). Spermatic
level of training), and
cords were created using used 9-millimeter-diameter latex
• students’ scores achieved while castrating a live bull
https://jvme.utpjournals.press/doi/pdf/10.3138/jvme.2018-0016 - Wednesday, February 23, 2022 5:37:06 PM - IP Address:201.185.104.51

tubing and 6-millimeter Penrose drains to represent the vas


calf will demonstrate adequate reliability (internal
deferens and testicular vessels, respectively (Figure 1b). A
structure evidence).
mold was created to pour silicone (EcoFlex 00-30 platinum,
We hypothesized that a model could be developed Smooth-On, Macungie, PA) that exhibited similar size,
that would be acceptable to experienced clinicians, that shape, and consistency as testicles from a 300-kilogram bull
model-trained students would achieve higher performance calf (Figure 1c). A male leur-lock connector was embedded
scores when castrating their first live bull calf, and that into each testicle, and a female leur-lock connector was se-
acceptable reliability of rubric scores could be attained. cured to the latex tubing in the spermatic cord with a nylon
cable tie to allow replacement of the spermatic cords and
MATERIALS AND METHODS reuse of the testicles (Figure 1c). The entire spermatic cord
The study was approved by the Institutional Review was encased in a plastic sleeve (Coveralls Sheath Covers,
Board and Institutional Animal Care and Use Committee Continental Plastic Corp., Delavan, WI) and secured with
at Lincoln Memorial University (LMU). a nylon cable tie to mimic the fascia that must be stripped
to expose the spermatic cord (Figure 1b). The testicles and
Development of the Model spermatic cords were put into the scrotum to complete the
Large animal faculty at the LMU College of Veterinary model (Figure 1d). The tubing and scrotum were filled
Medicine (CVM) identified the need for a bovine castration with glycerin that was dyed red. The castration model

Figure 1:  Components and instruction to make the bovine castration model: (a) Silicone (Ecoflex®) was painted over panty
hose to form the scrotum; (b) latex tubing of various diameters was sheathed in plastic to form the spermatic cord; (c) silicone
­(Ecoflex®) was poured into hollow plastic spheres to form the testicle and a leur lock connector was embedded into each testicle
to make it re-usable; (d) components were assembled into the scrotum; and (e) components were hung from a wooden board that
is hung at the level of the scrotum in a live bull calf

doi: 10.3138/jvme.2018-0016  JVME 48(1) © 2021 AAVMC 97


was attached to a wooden board, and the board was hung program that involves repetitive surgical skills practice
at a level similar to that of the scrotum in a live bull calf on a canine spay model during their second year; and all
(Figure 1e). In practice, the model could be used for surgical students had performed a spay or neuter on a live canine
and non-surgical castration (e.g., banding). It may also be within 2–4 months of participating in the study. Students
used to teach spermatic cord or testicular blocks (Figure 2). randomized to the M group also participated in a 2-hour
clinical skills laboratory taught by multiple food animal
Veterinarians’ Evaluation of the Model veterinarian instructors in which the student-to-instructor
Before use of the model in a laboratory session for vet- ratio was 8:1 before performing surgical castration on a
erinary students, eight experienced bovine practitioners live bull calf. During the laboratory, students could choose
who were not faculty at LMU CVM evaluated the model. how they incised the scrotum on a single model using a
Practitioners could choose their preferred method of enter- Newberry knife or scalpel blade, but all students used
https://jvme.utpjournals.press/doi/pdf/10.3138/jvme.2018-0016 - Wednesday, February 23, 2022 5:37:06 PM - IP Address:201.185.104.51

ing the scrotum on the model (excision of distal scrotum Serra emasculators to emasculate the cord on the model.
with scalpel or incision of scrotum with Newberry knife). Students in the T group received no additional training
Survey data were collected using a 5-point Likert scale before castrating a live bovine but trained with the model
(Appendix 1). Questions revolved around fidelity of the after performing a live castration.
model and perceived ability to enhance students’ learning, Three to four weeks after completing their respective
protect animal welfare, and promote safety while perform- training program, all students castrated a live bull calf
ing the procedure. Experts were asked to make positive or while being digitally recorded by an investigator with
negative written comments about the model. a hand-held video recorder (Sony Handycam HDR-
CX240, Sony Corp.). Participants were identified by a
Comparison of Student Learning Outcomes paper with a unique number held up at the start of the
A convenience sample of third-year veterinary students recording. All students were coached by an instructor
(n = 19) who had never performed a bovine castration (LM) as necessary while performing the castration on
were recruited from a class of 102 to participate in the the bull calves to protect animal welfare. The instruc-
study. Students were randomly assigned a number and tor was told to provide as little assistance as possible
divided evenly into two groups, the traditionally trained but was required to ascertain that the procedure was
(T) group and the model-trained (M) group. Before us- performed safely and correctly. Bull calves were 3- to
ing the model or performing castration of a live bull calf, 4-month-old Angus selected on the basis of weight of
all students attended a 50-minute lecture in the regular more than 100 kilograms and need for castration. Students
curriculum about castration of the bovine. All students could choose to use a scalpel or Newberry knife to incise
had been through the LMU CVM surgical skills training the scrotum after they heard a brief explanation of the

Figure 2:  The bovine castration model: (a) incising the scrotum using a Newberry knife, (b) stripping fascia from the spermatic
cord, and (c) emasculating the spermatic cord

98 JVME 48(1) © 2021 AAVMC  doi: 10.3138/jvme.2018-0016


advantages and disadvantages by their instructor. All RESULTS
students used Serra emasculators to crush and transect
the spermatic cord. Development of the Model
Briefly, the surgical procedure was as follows: An in- The model went through three iterations before the final
tratesticular block was performed in each testicle with design was approved by the faculty who would use it to
5 milliters of 2% lidocaine, the scrotum was incised with train veterinary students. Production time and cost were
a Newberry knife or number 20 scalpel blade, the fascia kept to a modest level to allow the model’s inclusion as
of the cord was stripped, the emasculators were applied part of the core veterinary clinical skills curriculum for all
proximal to the testicle for a minimum of 3 minutes, and students. The cost to produce one model was $20 for mate-
the second testicle was similarly emasculated. Calves were rials. Because parts of the model were designed for reuse,
turned out to pasture and monitored once daily for 3 days including the testicles and the board frame from which
https://jvme.utpjournals.press/doi/pdf/10.3138/jvme.2018-0016 - Wednesday, February 23, 2022 5:37:06 PM - IP Address:201.185.104.51

for post-operative complications by the farm manager and the scrotum hung, subsequent models could be made at
the supervising veterinarian (LM). After using the model a reset cost of $10.
and castrating a live calf, students completed a survey
retrospectively evaluating the bovine castration model Veterinarians’ Evaluation of the Model
using a 5-point Likert scale that was similar to that used All experts (eight of eight) agreed or strongly agreed that the
by practitioners (Appendix 2). final model design had adequate landmarks, felt realistic,
The digital recordings were captured in such a way as was easy to use, was suitable to give students a general
to exclude student identifiers and were edited to remove idea of the actual tactile experience when performing this
all sound. The recorded procedures were scored and timed skill, could improve animal welfare, and was safe. Most
by a single investigator (PG) blinded to group who was experts (seven of eight) agreed or strongly agreed that the
experienced in performing bovine castration and teaching model encouraged the correct steps (one neutral), would
students how to perform the procedure. Surgical time was increase students’ learning ability by first performing the
recorded from the start of the first incision to emasculation skill on the model (one neutral), and could be used to as-
of the second testicle (the moment the spermatic cord was sess whether a student was ready to progress to perform
transected). The investigator also recorded the number of live surgery (two neutrals). Comments from five of the
times the instructor physically assisted the student with experts highlighted areas for improvement, including
the procedure. The digital recordings were viewed on a the addition of more realistic gubernaculum and fascia
computer monitor, and the evaluator could pause or replay to strip (one expert), making the spermatic cord more
the recordings as needed. anatomically realistic in feel for applying the emasculators
The digital recordings were scored using a rubric that (three experts), and making sure testicles are side by side
was developed by a subset of faculty (SLA, LM) who (one expert). See Figure 3 for a graphical representation
were experienced in teaching and assessing large animal of expert survey data.
surgical skills. The items in the rubric reflected the steps Comparison of Student Learning Outcomes
for performing a castration on a live bull calf. Each item
Task-specific rubric percentage scores were lower for
was scored as unsatisfactory (0), borderline (1), good (2), or
the T group than for the M group (T group, M = 68.2%,
excellent (3). The maximum achievable rubric score was
SD = 9.8; M group, M = 80.6%, SD = 6.0; p = .005). We
36 points. Students’ scores were converted into a percentage
found no difference in any single line item rubric scores
before statistical analysis to account for any missing values.
between the T and M groups on the task-specific portion
To capture a more holistic view of the performance, two
of the rubric, except for the score for exteriorizing the
general surgical skills (tissue handling and efficiency) were
testicles, for which students who used the model first had
scored separately using a global rating scale (GRS), and an
significantly higher scores (T group, Mdn = 2, range = 1–3;
overall GRS score was independently determined. Scores
M group, Mdn = 3, range = 2–3; p = .01). Overall global
for each measure of the GRS ranged from 1 for a very poor
rating scores did not differ between groups (T group,
performance to 6 for an excellent one.
Mdn = 5, range = 4–5; M group, Mdn = 5, range = 4–5;
Statistical Analyses p > .99). Full rubric results can be seen in Table 1. Inter-
Data were analyzed with GraphPad Prism version 7.02 nal consistency of the scores generated by the 12-item
(GraphPad Software, La Jolla, CA). Categorical data rubric was .743.
(survey data, individual task scores from the rubric, The T group took an average of 5.5 minutes (SD = 2.0),
tissue handling score, efficiency score, and overall GRS and the M group took an average of 4.5 minutes (SD = 1.6)
score) were compared between control and experimental to complete the live surgery. This difference did not reach
groups using Mann–Whitney tests. A Shapiro–Wilk test statistical significance, although the effect size was me-
of normality was performed on continuous data (surgical dium (p = .12, d = 0.55; Figure 4). Students in the T group
time, number of times assisted by instructor, and task- required the instructor to physically assist with the per-
specific scores transformed into a percentage). Because formance of the surgery more often (M = 3.7, SD = 2.4)
these data were normally distributed, a t-test was used than students in the M group (M = 1.1, SD = 1.3, p = .01,
to compare data between control and experimental d = 1.35; Figure 4). We found no between-groups difference
groups. Internal consistency of rubric scores was mea- in the number of students using a Newberry knife (three
sured using Cronbach’s α. Effect sizes were calculated in the T group, one in the M group). a scalpel (p = .58).
using Cohen’s d. No serious post-operative complications (e.g., bleeding

doi: 10.3138/jvme.2018-0016  JVME 48(1) © 2021 AAVMC 99


Expert Survey of Model
5

4
Likert Scale
3

1
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0
Landmark Ease of Encouraged Tactile Increase Safety Use for
accuracy Use Correct score Learning Assessment
Steps Ability

Figure 3:  Expert survey results


Note: Bar represents median

Table 1:  Summary of data obtained using the rubric during live castration of a bull calf

T group, M group,
Task Mdn (range) Mdn (range) p
1. Testicles are both located on palpation 2 (0–2) 2 (1–3) .50
2. Incision is made or bottom of the scrotum is excised; approximately 1–2 in. 2 (0–2) 2 (2–3) .72
of the base of the scrotum should be removed
3. Smooth, straight incision through all layers of the scrotum 2 (1–3) 2 (1–3) >.99
4. Proper blunt dissection through fascia to exteriorize testicles 2 (1–3) 3 (2–3) .01
5.Vaginal tunic left intact at emasculation site for closed castration (Testicle 1) 3 (1–3) 3 (2–3) .75
6. Testicular cord stripped down adequately (Testicle 1) 2 (1–3) 2 (2–3) .42
7. Safely cuts cord with the emasculators facing the correct direction (nut to 2 (2–3) 2 (2–3) >.99
nut; Testicle 1)
8. Checks cord for bleeding before returning to body (Testicle 1) 2 (1–2) 2 (1–3) .23
9.Vaginal tunic left intact at emasculation site for closed castration (Testicle 2) 3 (2–3) 3 (3–3) >.99
10. Testicular cord stripped down adequately (Testicle 2) 2 (1–3) 3 (2–3) .09
11. Safely cuts cord with the emasculators facing the correct direction (nut to 2 (1–2) 2 (1–3) .64
nut; Testicle 2)
12. Checks cord for bleeding before returning to body 2 (1–3) 2 (2–3) .10
Total checklist score, %, M (SD) 68.22 (9.8) 80.6 (6.0) .005
13. Tissue handling 5 (3–5) 5 (4–6) .49
14. Efficiency of time and motion 4 (3–5) 5 (4–5) .12
15. Overall GRS 5 (4–5) 5 (4–5) >.99
Note: Scale for tasks 1–12: unsatisfactory (0), borderline (1), good (2), and excellent (3), Scale for scores 13–15: very poor (1), poor (2), borderline
unsatisfactory (3), borderline satisfactory (4), good (5), and excellent (6), Significant values are in boldface.
GRS = global rating scale

or evisceration) were noticed by the farm managers in DISCUSSION


calves used for the study. Learning clinical skills takes practice and repetition,23 and
When evaluating the model, students provided mostly students’ opportunities to perform surgical bovine castration
positive ratings except for reporting low opinions of the are limited by animal availability. The results of this study
realistic feel of the materials used to make the model (three support our hypothesis that training with a model would
students disagreed that the model felt real). See Figure 5 improve students’ performance during their first surgical
for graphical representation of student survey data. castration of a live bull calf. Students who participated in

100 JVME 48(1) © 2021 AAVMC  doi: 10.3138/jvme.2018-0016


https://jvme.utpjournals.press/doi/pdf/10.3138/jvme.2018-0016 - Wednesday, February 23, 2022 5:37:06 PM - IP Address:201.185.104.51

Figure 4:  (a) Surgical time for students performing castration on bull calves and (b) number of times the instructor assisted the
student during the surgical procedure
Note: Bar represents the mean

Student Survey of Model

4
Likert Scale

0
Landmark Ease of Encouraged Tactile Increase Safety
accuracy Use Correct score Learning
Steps Ability

Figure 5:  Student survey results


Note: Bar represents median

a clinical skills laboratory in which the bovine castration cattle is equivalent to 100 minutes of lost production. Given
model was used had higher task-specific rubric scores and that the most common type of castration a veterinarian may
required less assistance from the instructor during their be involved with in beef production is surgical castration,6
first live castration of a bull calf. The use of models to it is imperative that veterinary graduates be prepared to
teach invasive procedures is driven by the ethical concept perform this skill efficiently.
of the three Rs in animal use: reduce, refine, and replace.24 Scores generated by the task-specific rubric demonstrated
Improving students’ skill level before proceeding to live acceptable reliability. A single checklist item, evaluating the
animal practice demonstrates the concept of refinement. ability of the students to exteriorize the testicles on incision
The global score given for each student’s performance of the scrotum, was significantly higher in model-trained
did not differ significantly between groups, perhaps be- students. A potential reason for this finding is that students
cause of the small sample size and lesser statistical power had learned from the model that the testicles should be-
of non-parametric tests. Both checklists and global rating come exteriorized after incision of the scrotum. In addition,
scales have proven to be valid and reliable means of as- students may have been more comfortable using the instru-
sessing student performance.25 We also did not detect a ments to cut the scrotum, creating a better quality incision
significant difference in surgical times between student that facilitates exteriorization of the testicles. These results
groups, although training with the model before performing present the question as to whether the ability to strip the
live castration had a medium effect size on the time it took fascia surrounding the testicle is necessary in the model
to perform the procedure. A larger study, ideally one that design. This step was consistently identified as requir-
included students from several veterinary schools, would ing improvement in model design by veterinary experts;
be required to better define the impact of model training however, based on the student data, perhaps refining the
on duration of the procedure. In a beef production setting, model to better mimic this skill is unnecessary, and it has
even a difference of 1 minute per bull calf over 100 head of not been pursued as a model revision to date.

doi: 10.3138/jvme.2018-0016  JVME 48(1) © 2021 AAVMC 101


Users of the model, both students and experts, responded live castration generated scores with acceptable reliability.
favorably to the model’s design and agreed that the model Use of the model for the purposes of teaching bovine cas-
would be effective to teach the skills necessary for perform- tration facilitated learning of the required skills in a safe,
ing a bovine castration before performing the procedure low-stress environment in this study. Combining practice
on a live animal, which offered content validity evidence on a model with learner advancement that is contingent
for the use of the model. Experts and students identified on reaching a predetermined level of competence—the
aspects of the model that could be improved, including concept of mastery learning—has been proven to enhance
the creation of a more realistic spermatic cord and more patient outcomes.27 Additional research is necessary to
realistic anatomy, including gubernaculum and fascia that determine the optimal use of the bovine castration model
could be stripped from the cord. in teaching and assessment and how best to utilize it in
Our study had some limitations. First, students’ surgical making student progression decisions.
https://jvme.utpjournals.press/doi/pdf/10.3138/jvme.2018-0016 - Wednesday, February 23, 2022 5:37:06 PM - IP Address:201.185.104.51

performance was digitally recorded rather than observed


in person. Rendering a three-dimensional performance into
ACKNOWLEDGMENT
a two-dimensional recording has the potential to affect a
We acknowledge William Collingsworth for his contributions
rater’s accuracy. However, using recordings provides the
in creating and producing the model used in this article.
benefit of allowing blinded scoring that would otherwise
be impossible given the teaching responsibilities of the
large animal faculty at our institution. Indeed, we have REFERENCES
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doi.org/10.14573/altex.2007.2.91. Medline: 17728975 00022. Medline: 15383395


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16 Read EK, Hecker KG. The development and delivery
of a systematic veterinary clinical skills education pro-
gram at the University of Calgary. J Vet Sci Technol. AUTHOR INFORMATION
2013;Supplement 4:004. https://doi.org/10.4172/2157- Stacy L. Anderson, DVM, MVSc, PhD, DACVS-LA, is Director
7579.s4-004. of Large Animal Clinical Skills and Assistant Professor of Large
17 Hecker K, Read EK, Vallevand A, et al. Assessment Animal Surgery, College of Veterinary Medicine, Lincoln Memorial
of first-year veterinary students’ clinical skills using University, 203 DeBusk Farm Drive, Ewing,VA 24248 USA. Email:
objective structured clinical examinations. J Vet Med Stacy.Anderson@lmunet.edu. Her research interests include
Educ. 2010;37(4):395–402. https://doi.org/10.3138/ equine celiotomy and surgical skills training.
jvme.37.4.395. Medline: 21135408 Lynda Miller, DVM, PhD, DACVIM, is Assistant Professor of
18 Fahie M, Cloke A, Lagman M, Levi O, Schmidt P. Theriogenology, College of Veterinary Medicine, Lincoln Memorial
Training veterinary students to perform ovariectomy University, 203 DeBusk Farm Drive, Ewing,VA 24248 USA.
using the Moose Spay model with traditional method Email: Lynda.Miller@lmunet.edu. Her research interests include
versus the Dowling Spay Retractor. J Vet Med Educ. theriogenology and veterinary simulation.
2016;43(2):176–83. https://doi.org/10.3138/jvme.0915-
150R. Medline: 27075279 Philippa Gibbons, BVetMed(Hons), MS, MRCVS, CertEd
19 Williamson J, Heydenburg M, Kelly C, Anderson S, DACVIM-LA, is Assistant Professor of Food Animal, College of
Dascanio J. Development and validation of a canine Veterinary Medicine, Lincoln Memorial University, 203 DeBusk
castration model and rubric. J Vet Med Educ. Forth- Farm Drive, Ewing VA, 24248 USA. Email: Phillippa.Gibbons@
coming. Epub 2019 Apr 22. https://doi.org/10.3138/ lmunet.edu. Her research interests include veterinary education
jvme.1117-158r1. and ruminant health and welfare.
20 McGaghie WC, Issenberg SB, Cohen ER, Barsuk JH, Julie A. Hunt, DVM, MS, is Director of Small Animal Clinical
Wayne DB. Does simulation-based medical education Skills and an Associate Professor of Clinical Skills, College of
with deliberate practice yield better results than tradi- Veterinary Medicine, Lincoln Memorial University, 203 DeBusk
tional clinical education? A meta-analytic comparative Farm Drive, Ewing, VA 24248 USA. Email: julie.hunt@lmunet.edu.
review of the evidence. Acad Med. 2011;86(6):706–11. Her research interests include veterinary clinical skills model
https://doi.org/10.1097/ACM.0b013e318217e119. development and validation.
Medline: 21512370
21 Kane M. An argument-based approach to valid- Jerry Roberson, DVM, PhD, DACVIM-LA, DABVP, is Professor
ity. Psychol Bull. 1992;112(3):527–35. https://doi. of Large Animal Internal Medicine, College of Veterinary Medicine,
org/10.1037/0033-2909.112.3.527 Lincoln Memorial University, 6965 Cumberland Gap Parkway,

doi: 10.3138/jvme.2018-0016  JVME 48(1) © 2021 AAVMC 103


Harrogate, TN 37752 USA. Email: Jerry.Roberson@lmunet.edu. 4. The model was suitable to teach the preparation and
His research interests include food animal diseases and herd steps required to perform this skill.
health management. 5. The model was suitable to give students a general idea of
Jeffrey A. Raines, BS, is Veterinary Student, College of Veterinary
the actual tactile experience when performing this skill.
Medicine, Lincoln Memorial University, 203 DeBusk Farm Drive,
6. I feel it will improve animal welfare by allowing stu-
Ewing VA 24248 USA. Email: Jeffrey.Raines@lmunet.edu. His
dents to first perform the skill on this model.
research interests include veterinary simulation and animal
7. I feel it will increase students learning ability by first
welfare.
performing the skill on this model.
8. I feel that this model is adequate to assess student’s
Gil Patterson, DVM, is Program Manager, Center for Animal ability to progress to performing live castration.
and Human Health in Appalachia, and Assistant Professor of 9. I feel students can safely utilize this model.
https://jvme.utpjournals.press/doi/pdf/10.3138/jvme.2018-0016 - Wednesday, February 23, 2022 5:37:06 PM - IP Address:201.185.104.51

Veterinary Medicine, College of Veterinary Medicine, Lincoln 10. I have concerns that this model could teach students
Memorial University, 6965 Cumberland Gap Parkway, Harrogate, poor technique.
TN 37752 USA. Email: Gilbert.Patterson@lmunet.edu. His
research interests include veterinary education, public health, and Please make any positive or negative comments about
agricultural development. the model below.

John J. Dascanio, VMD, DACT, DABVP, is Senior Associate


Dean for Academic and Student Affairs and Professor of APPENDIX 2. MODEL EVALUATION SURVEY
Theriogenology, Texas Tech School of Veterinary Medicine, COMPLETED BY STUDENTS
Amarillo, TX 79106 USA. Email: dascanioj@gmail.com. His
Please evaluate your experience with this model using a
research interests include veterinary simulation, educational
scale of 1–5 for the following statements.
technologies, and reproduction in all species, especially equine.
1 = strongly disagree, 2 = disagree, 3 = neutral, 4 = agree,
5 = strongly agree, and NA = not applicable
APPENDIX 1. MODEL EVALUATION SURVEY 1. Adequate landmark structures were present.
COMPLETED BY VETERINARIANS 2. The materials looked and felt realistic.
3. The model was easy to use.
Please evaluate your experience with this model using a
4. The model was suitable to teach the preparation and
scale of 1–5 for the following statements.
steps required to perform this skill.
1 = strongly disagree, 2 = disagree, 3 = neutral, 4 = agree,
5. The model was suitable to give a general idea of the
5 = strongly agree, and NA = not applicable
actual tactile experience when performing this skill.
1. Adequate landmark structures were present. 6. I feel it will increase a student’s learning ability by first
2. The materials looked and felt realistic. performing the skill on this model.
3. The model was easy to use. 7. I feel students can safely utilize this model.

104 JVME 48(1) © 2021 AAVMC  doi: 10.3138/jvme.2018-0016

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