8 research outputs found
Sociale biografische en bibliografische gegevens betawetenschappelijke toponderzoekers uit Dictionary of Scientific Biography en Poggendorff
In this dataset the importance of the rise of middle classes for the employment and productivity in the beta science is investigated. Included are personal data such as name, year of birth and death, occupation and countries of activity
Social biographic and bibliographic data of beta scientific researchers, 1780-1900
In this dataset the importance of the rise of middle classes for the employment and productivity in the beta science is investigated. Included are personal data such as name, year of birth and death, occupation and countries of activity
Ability of a bovine transrectal palpation objective structured clinical examination to predict veterinary students’ pregnancy diagnosis accuracy
Bovine pregnancy diagnosis (PD) by transrectal palpation (TRP) is one of the most frequently performed procedures in bovine practice, and an important competency for veterinary graduates. It is currently not known if pre-existing TRP skills on non-pregnant cows can be used to predict students’ future PD accuracy. The study objective was to evaluate if TRP objective structured clinical examination (OSCE) scores can predict students’ future PD accuracy.Fourth year (of a six-year programme) veterinary students (n=128) received TRP and PD training on Breed’n Betsy (BB) simulators and live cows. Students’ TRP skills were assessed using a live cow TRP OSCE after completion of the fourth year training. The same students received additional TRP (BB and live cows) and PD (BB) training sessions in the first semester of their fifth year. PD accuracy was assessed after the additional TRP and PD training, five months after the TRP OSCE assessment and measured as sensitivity and specificity (the ability to correctly identify the presence and absence of pregnancy, respectively). Each student palpated six cows transrectally to diagnose pregnancy status and stage for the PD assessment. The TRP OSCE results were analysed as predictors for students’ PD accuracy.Students with ‘competent palpation skills’ on the TRP OSCE had higher PD specificity. The individual OSCE components that were predictive of higher PD accuracy were students’ ability to estimate ovarian size, identify uterine position and exclude intrauterine fluid. It was concluded that a TRP OSCE has the ability to predict students’ future PD accuracy
Identifying entrustable professional activities for surgical skills training in companion animal health
BACKGROUND: Veterinary medical education is increasingly moving towards outcome-based training based on competency frameworks. A source of concern is the translation of competencies into the practice of clinical teaching, for example, surgical skills training. It is suggested that the use of entrustable professional activities (EPAs) might bridge this gap. The purpose of this study, therefore, was to identify EPAs related to surgical skills for companion animal health to enhance competency-based education. METHODS: Draft versions of EPAs related to surgical skills were established by an iterative consensus-based approach through 45-min interview sessions. These draft versions were used to explore the opinion of companion animal veterinarians, both veterinarians (specialists, residents and interns) involved in undergraduate teaching and veterinarians working in private practice involved in extramural clinical teaching, on the relevance and level of entrustment of the EPAs through a modified Delphi procedure. Mean (relevance) and median (level of entrustment) scores were calculated and textual comments were analysed to create a final framework of EPAs related to surgical skills. RESULTS AND CONCLUSION: The Delphi panel reached consensus in three rounds. Thirty-four per cent of those invited to participate in the study completed the final survey. Finally, a list of 13 EPAs related to companion animal surgical skills a student should be entrusted to perform at time of graduation was established
Qualified but not yet fully competent: Perceptions of recent veterinary graduates on their day-one skills
Background: The goal of veterinary education is to prepare learners to successfully enter the profession. However, the transition from learner to professional can be an intense and stressful phase. In this study, recently graduated veterinarians' perceptions of readiness to work independently and to successfully cope with early career challenges are addressed. Methods: A survey based on five commonly occurring entrustable professional activities (EPAs) in primary care was sent to newly qualified veterinarians (graduated between six months and three-and-a-half years ago and working in primary veterinary clinics). The survey was a combination of open and Likert scale-type questions and contained items on the self-reported need for supervision for these EPAs. One hundred and fifty-six participants (response rate 41.2 per cent) answered the survey. Descriptive statistics were used to analyse and present the quantitative data. Results: The day-one after graduation levels varied per EPA between ? €? with direct, proactive supervision' and ? €? supervision at a distance'. On average after 6.8 months participants felt ready to execute all five tasks with distant supervision. After almost 10 months, participants had the feeling of being fully competent to execute the EPAs unsupervised. Conclusion: This study provides insight into early career challenges faced by recently graduated veterinarians. The results emphasise the importance of adequate preparation of veterinarians during education and the importance of guidance during early career to foster a successful transition from veterinary school to clinical practice
Predictive Value of Three Different Selection Methods for Admission of Motivated and Well-Performing Veterinary Medical Students
In search for valid and reliable selection methods that predict applicants' study motivation and academic performance during the 3-year bachelor's program at the Dutch Faculty of Veterinary Medicine (FVM), this study aimed to (1) examine the predictive value of the three FVM selection methods for study motivation and academic performance (i.e., direct admission and weighted lottery based on secondary school grade point average [GPA], and selection based on non-cognitive criteria), and (2) examine whether type and level of study motivation could be of value regarding selection of well-performing students. Data from two cohorts at the FVM ( n = 186) were obtained, including mean summed scores on study motivation (using the Academic Motivation Scale [AMS] and additional items) and several academic outcome measures; among others, analyses of covariance (ANCOVA) were performed to examine differences between the three admission groups. Spearman's correlations and linear regression were applied to examine the relationship between study motivation and academic performance. Lottery-admitted students demonstrated a stronger extrinsic motivation than selected students ( p < .05). Directly admitted students outperformed students from the other two admission groups on several academic outcome measures ( p < .05). Only the level of motivation was related to academic performance ( p < .05). According to the results, direct admission based on a high secondary school GPA in particular has predictive value for good academic performance during the 3-year bachelor's program of the veterinary course. The type of motivation seems to be of no value regarding selection of well-performing students, whereas level of motivation might be a useful criterion for this purpose
Assessment Tools for Feedback and Entrustment Decisions in the Clinical Workplace: A Systematic Review
BACKGROUND: Entrustable Professional Activities (EPAs) combine feedback and evaluation with a permission to act under a specified level of supervision and the possibility to schedule learners for clinical service. This literature review aims to identify workplace-based assessment tools that indicate progression toward unsupervised practice, suitable for entrustment decisions and feedback to learners. METHODS: A systematic search was performed in the PubMed, Embase, ERIC, and PsycINFO databases. Based on title/abstract and full text, articles were selected using predetermined inclusion and exclusion criteria. Information on workplace-based assessment tools was extracted using data coding sheets. The methodological quality of studies was assessed using the medical education research study quality instrument (MERSQI). RESULTS: The search yielded 6,371 articles (180 were evaluated in full text). In total, 80 articles were included, identifying 67 assessment tools. Only a few studies explicitly mentioned assessment tools used as a resource for entrustment decisions. Validity evidence was frequently reported, and the MERSQI score was 10.0 on average. CONCLUSIONS: Many workplace-based assessment tools were identified that potentially support learners with feedback on their development and support supervisors with providing feedback. As expected, only few articles referred to entrustment decisions. Nevertheless, the exciting tools or the principals could be used for entrustment decisions, supervision level, or autonomy
Inter-Rater Reliability of Grading Undergraduate Portfolios in Veterinary Medical Education
The reliability of high-stakes assessment of portfolios containing an aggregation of quantitative and qualitative data based on programmatic assessment is under debate, especially when multiple assessors are involved. In this study carried out at the Faculty of Veterinary Medicine, Utrecht University, the Netherlands, two independent assessors graded the portfolios of students in their second year of the 3-year clinical phase. The similarity of grades (i.e., equal grades) and the level of the grades were studied to estimate inter-rater reliability, taking into account the potential effects of the assessor's background (i.e., originating from a clinical or non-clinical department) and student's cohort group, gender, and chosen master track (Companion Animal Health, Equine Health, or Farm Animal/Public Health). Whereas the similarity between the two grades increased from 58% in the first year the grading system was introduced to around 80% afterwards, the grade level was lower over the next 3 years. The assessor's background had a minor effect on the proportion of similar grades, as well as on grading level. The assessor intraclass correlation was low (i.e., all assessors scored with a similar grading pattern [same range of grades]). The grades awarded to female students were higher but more often dissimilar. We conclude that the grading system was well implemented and has a high inter-rater reliability