Improving Clinical Anesthesia Performance of Veterinary Students with Collaborative Simulation Training

Improving Clinical Anesthesia Performance of Veterinary Students with Collaborative Simulation Training  


What is this Research About?

Anesthesia simulators have been used in pre-clinical medical training for decades to help learners gain confidence and expertise in an operating room environment without endangering a human patient during an anesthetic and surgical event. Similarly in veterinary medicine, simulators can provide the necessary skill and training and remove the stress pre-clinical students feel working on live animal patients as they develop skills, competence and confidence. The goal of this article was to examine the relationship between anesthesia simulation training environments using clinical scenarios (VASE) in pre-clinical veterinary students to those without this training in regards to clinical operational performance by comparing the total number of negative anesthetic critical incidents of their patients in their clinical year.   The goal of the researchers was to assess if using VASE better prepared veterinary students to deal with common clinical anesthesia complications in healthy elective cats and dogs requiring anesthesia for elective neutering procedures. 

What did the Researchers Do?

In 2018, first year students received classic lecture-based anesthesia instruction while those in 2019 had VASE implemented with 2 typical clinical anesthesia simulated scenarios after reviewing online material.  Students worked collaboratively in groups of 20 and were presented with simulated anesthesia values and case scenarios on an animal model in an operational setting.  Student groups critically assessed these parameters and suggested treatments for patient data which were then adjusted by an expert faculty instructor according to the student treatment simulated administration.  Both class groups performed hands on clinical anesthesia for their surgical experiences in the neuter program of their following second year.  Negative anesthetic events were listed and recorded on anesthetic records for both veterinary classes during their elective neutering procedures.  The study compared the number of recorded negative anesthetic events in anesthetized cats and dogs for the 2018 year (Control; No VASE) and 2019 (VASE implemented in their year 1 anesthesia course). 

What did the Researchers Find?

The researchers found that implementing the simulated case-based instruction in a surgical environment in the first year of anesthesia training resulted in a lower incidence of negative anesthetic events during their hands on clinical anesthesia and surgery training laboratories in their second year.  In those students who had the VASE training, the occurrence of negative critical anesthetic events was significantly reduced (p<0.001). Those students with VASE training encountered only a 1% incidence of negative anesthesia events in their patients compared to 55% in those without VASE in their first-year anesthesia curriculum.  For example, the students who had the previous VASE training only had 21 negative anesthetic events in their class cohort compared to 104 negative events in the veterinary students who did not have simulated case-based training.  This article found that the use of a veterinary anesthesia simulated environment with 2 typical clinical scenarios (VASE) better prepared veterinary students for problem solving of common clinical anesthesia complications in healthy elective anesthetized cats and dogs requiring neutering procedures measured by a reduction in the number of negative anesthetic events.  Overall, these researchers defined this reduction as improved patient safety and student anesthesia performance. 

→ How to Implement this Research in Your Classroom

Collaborative case-based anesthesia learning may occur in veterinary anesthesia curricula however it is typically not in a simulated operational environment (OR) with multiparameter monitors and models, which this literature incorporates, but in a classroom or techniques laboratory environment.  Moving student collaborative case-based learning into the OR with simulated patient parameters on a model created the clinical surgical environment for later senior student clinical use competence and ultimately upon graduation.  Implementing simulated case scenarios requires technology and equipment funding.   It also requires a faculty expert to adjust expected patient parameters and be available during each collaborative group simulation repeatedly for an entire class.  Use of simulated collaborative learning requires student engagement and review of necessary background material and will not remove all lecture-based content.  However, this research demonstrates an approach to enhance clinical student learning which was measured in the reduction of negative anesthetic events in patients. This approach can be added to collaborative classroom case-based teaching to further engage students and introduce them to the OR surgical environment during patient monitoring with required treatment intervention practices that will be present upon graduation in their daily work.     


→  Citation

Jones, J. L., Rinehart, J., Englar, R. E. (2019). The effect of simulation training in anesthesia on student operational performance and Patient Safety. Journal of Veterinary Medical Education, 46(2), 205-213. https://doi.org/10.3138/jvme.0717-097r 

→  Keywords

  • Veterinary Anesthesia Training 

  • Simulation Training 

  • Collaborative Case-Based Learning  

  • Student Operational Performance 

  • Patient Safety 

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Snapshot Writer: Dr. Melissa Sinclair

Snapshot Publication Date: 2025