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Veterinary student competence in equine lameness recognition and assessment: a mixed methods study
Sandra D Starke1, Stephen A May1
1The Royal Veterinary College,Hawkshead Lane, North Mymms, Hatfield, Hertfordshire, UK.
The Veterinary Record
|August 13, 2017
Summary
Experienced veterinary students improve lameness evaluation skills but still misdiagnose horses. Targeted training is recommended to enhance diagnostic accuracy in equine lameness assessment.
Area of Science:
- Veterinary Education
- Equine Lameness Evaluation
- Perceptual Skill Development
Background:
- Perceptual skill development is crucial in veterinary education.
- Accurate lameness evaluation is a key competency for veterinarians.
Purpose of the Study:
- To assess veterinary student competency in equine lameness evaluation.
- To compare skill levels before and during clinical rotations.
- To identify factors influencing lameness assessment accuracy.
Main Methods:
- Veterinary students (third and fourth/fifth year) evaluated video recordings of horses trotting.
- Eye-tracking data were collected to analyze visual attention during lameness assessment.
- Students completed a structured questionnaire on their performance and perceived difficulty.
Main Results:
- Experienced students demonstrated higher competency than inexperienced students.
- Even experienced students incorrectly classified approximately 25% of horses.
- Errors frequently involved misidentifying the affected limb, with sound horses detected at chance level.
- Experienced students focused on upper body movements, while inexperienced students concentrated on limb movements.
- Inexperienced students identified more visual lameness features than experienced students.
Conclusions:
- Clinical rotations improve equine lameness evaluation skills, but proficiency remains a challenge.
- Current assessment strategies may require refinement, with a need for focused training.
- Understanding gaze patterns and feature identification can inform educational interventions for better diagnostic accuracy.

