Western College of Veterinary Medicine

Transcription

1 Western College of Veterinary Medicine

2 TABLE OF CONTENTS GENERAL... 3 A. ROTATION DATES... 3 B. OBJECTIVES, GOALS AND PRINCIPLES Objectives Goals Principles... 5 C. STRUCTURE Internal Rotations External Rotations Student Selection of Rotations Changes During the Academic Year... 6 D. CHANGES IN THE STRUCTURE OF THE FOURTH YEAR PROGRAM... 7 E. EVALUATION Grading Promotion Regulations... 7 F. UPGRADING A FAILED ROTATION... 8 G. VETERINARY TEACHING HOSPITAL POLICIES VTH Dress Code VTH Medical Records & Client Confidentiality Hospital Residence Student Pagers H. VETERINARY TEACHING HOSPITAL BIOSECURITY Hand Washing Small Animal Clinic Large Animal Clinic Posted Protocols EXTERNAL ELECTIVE ROTATIONS A. GENERAL POLICIES B. RESPONSIBILITIES OF THE STUDENT IMPORTANT INSURANCE ISSUES A. LIABILITY INSURANCE B. TRAVEL INSURANCE C. MEDICAL SERVICES AND HEALTH INSURANCE D. DISABILITY INSURANCE ROTATION COORDINATORS

3 ROTATION DESCRIPTIONS ANESTHESIA BC SPCA ANIMAL WELFARE BEEF COW-CALF MANAGEMENT CANADA WEST VETERINARY SPECIALISTS DERMATOLOGY CLINICAL MICROBIOLOGY CLINICAL PATHOLOGY DAIRY FIELD SERVICE DENTISTRY DIAGNOSTIC PATHOLOGY ECOSYSTEM HEALTH EDMONTON VALLEY ZOO VETERINARY HOSPITAL - ZOO MEDICINE EPIDEMIOLOGY, PUBLIC HEALTH AND REGULATORY VETERINARIAN EQUINE PRACTICE EQUINE - SUMMER FIELD SERVICE GENERAL FOREIGN ANIMAL DISEASE AND LABORATORY ANIMAL LARGE ANIMAL MEDICINE LARGE ANIMAL MEDICINE & SURGERY LARGE ANIMAL SURGERY MANITOBA SWINE MEDICAL IMAGING NECROPSY NORTHERN COMMUNITY HEALTH OKOTOKS FEEDLOT HEALTH MANAGEMENT OPHTHALMOLOGY POULTRY DIAGNOSTIC PATHOLOGY AND FIELD SERVICE SASKATOON FEEDLOT SMALL ANIMAL CRITICAL CARE SMALL ANIMAL MEDICINE SMALL ANIMAL NUTRITION SMALL ANIMAL SURGERY SMALL ANIMAL SURGERY SMALL RUMINANTS SWINE PRACTICE THERIOGENOLOGY VACCINE & INFECTIOUS DISEASE ORGANIZATION (VIDO) WINNIPEG ASSINIBOINE PARK ZOO ZOO PRACTICE WINNIPEG HUMANE SOCIETY SHELTER MEDICINE ZOOLOGICAL, EXOTIC AND WILDLIFE MEDICINE I ZOOLOGICAL, EXOTIC AND WILDLIFE MEDICINE II

4 GENERAL A. Rotation Dates Weeks Dates (all dates are inclusive) 1-2 August 24 to September 6, September 7 to September 20, September 21 to October 4, October 5 to October 18, October 19 to November 1, November 2 to November 15, November 16 to November 29, November 30 to December 13, 2009 Holiday December 14, 2009 to January 3, January 4 to January 17, January 18 to January 31, February 1 to February 14, February 15 to February 28, 2010 Mid-term Break March 1 to March 7, March 8 to March 21, March 22 to April 4, April 5 to April 18, April 19 to April 30, 2010 QUARTER 1: Monday, August 24 to Sunday, October 18, 2009 QUARTER 2: Monday, October 19 to Sunday, December 13, 2009 QUARTER 3: Monday, January 4 to Sunday, February 28, 2010 QUARTER 4: Monday, March 8 to Friday, April 30, 2010 Rotations begin and end on Monday at 8:00 a.m. For example where students have on-call duties or patients in the hospital they are responsible to be on the service until Monday 8:00 a.m. Statutory Holidays from the rotation view are to be treated like a Saturday or Sunday. 3

5 B. Objectives, Goals and Principles 1. Objectives This course is designed to assist students to acquire the breadth of knowledge and skills to enable them to have the competence and confidence to become veterinarians at the entry level of the profession. The importance of professional conduct and life-long learning will be emphasized. The course will afford students an opportunity to pursue areas of special interest. 2. Goals a) To help students to develop the observation and communication skills required to carry out a general assessment of animals and their environment and to collect relevant clinical information. b) To enhance the student=s ability to handle, restrain and examine animals and to obtain samples from, perform diagnostic procedures on, and provide therapy to these animals. c) To enable the students to develop the ability to organize, analyse and integrate information effectively in order to make rational decisions relating to the diagnosis, prognosis, management and control of diseases. The problem-oriented approach should be practised using clinical case material to develop problem-solving skills. d) To give the students experience using the current resources (literature, textbooks, computer data bases) to obtain information about clinical cases and make rational plans for diagnosis, therapy, prevention and control of diseases. The development of these self-directed learning skills should promote an enthusiasm for life-long learning. e) To encourage students to critically evaluate and question the veterinary literature and accepted veterinary practice. f) To encourage consultation with specialists and to learn the indications and procedures for consultation and referral of cases. g) To increase student awareness, through discussion and example, of the professional standards of ethical conduct and the obligations and responsibilities involved in providing veterinary care to the community. h) To help students to develop the skills to communicate effectively with animal owners, support staff, colleagues and the general public. i) To encourage student awareness of the current standards of animal welfare. j) To enhance student awareness of business aspects and human resource management. 4

6 3. Principles a) Students must have a sound education in the prerequisite subjects in Veterinary Medicine. This course represents the final phase of the DVM Program and further seeks to permanently entrench the motivation and skills required for independent learning. The course will strive for an appropriate balance between the technical and academic aspects of veterinary medicine. b) The course requires that all students be exposed to a core experience relating to companion and food animals. In addition, students will have the opportunity to select additional exposure to species and disciplines of their choice. c) A substantial portion of the course will be taught by dedicated faculty members who will also supervise those portions of the program taught by interns and residents. The reward system of the college must be supportive of this activity. The college should provide opportunities for faculty to enhance their teaching skills and expertise in the assessment of student performance. d) Students will be required to achieve a high standard of performance in the course to ensure that the goals of the course are being fulfilled. Student evaluation will be based on a grading system that is comprehensive, instructive and fair. (Students who have achieved this standard should be capable of meeting requirements for licensure). Students should meet the established standards and also have the opportunity to achieve their full potential relative to the art and science of veterinary medicine. e) The course will be supported by the Veterinary Teaching Hospital which will assist the clinical faculty efforts to maintain viable case-load with an appropriate balance between routine and referral cases and numbers of equine, food animal, companion animal, exotic animal and alternate livestock species. f) The University, College and Veterinary Teaching Hospital must support the course by providing adequate facilities, support staff and Astate of the art@ equipment. g) The course will be supported by a budgetary process that, at the discretion of faculty, will support utilization of cases for teaching exclusive of financial constraints. h) The course will be supported by high quality diagnostic laboratories. i) The course will be continually evaluated by the VINT 580 Committee to assure that the goals of the course are attained and that the course continues to function based upon these principles. 5

7 C. Structure The fourth year program is 32 weeks long. The course consists of a number of rotations of varying length. Most of the rotations are internal i.e.: they are on campus and offered by departments or groups within the WCVM. Students may also elect external or off campus experiences subject to the guidelines discussed below. Veterinary Clinics VINT is a 32-credit course, 1 credit per week of rotations (32). Students are required to fulfil all requirements of rotation selection. Most rotations are taken during the regular academic year, but some may be taken during the summer months at times established by the instructors of those rotations. Under special circumstances, some external rotations may also be scheduled outside the academic year. 1. Internal Rotations Internal rotations are those that are under the direct supervision of a member of the WCVM faculty. The majority of these are taken on campus although some require off campus travel. The specific objectives, assignments and requirements for individual internal rotations are established by the instructors within the rotations. Department Heads will assume final responsibility for the rotations offered by their departments. 2. External Rotations External rotations are off-campus experiences not under the direct supervision of a member of the WCVM faculty. Applications for external rotations will be approved by the Fourth Year Teachers and Examiners Committee on an individual basis. The criteria and application procedure for external rotations is listed on page 15 of the manual. 3. Student Selection of Rotations Students will select the rotations of their choice in accordance with Year IV curricular requirements. Students will be scheduled according to the system approved by the Fourth Year Teachers and Examiners Committee with every effort being made to accommodate student requests. 4. Changes During the Academic Year Students will be allowed two (2) rotation changes throughout the academic year providing there are spaces available in the rotation of choice. Only under very exceptional circumstances will additional spaces be created in rotations. The rotation the student is leaving must be left with sufficient student numbers to make the rotation function. This is at the discretion of the instructor in charge. All changes must be discussed with the instructor(s) in charge of the rotations. Students will be required to complete a Rotation Change Request Form. (Forms are available on the WCVM Home web page under Student Affairs Fourth Year Rotations or from the Student Services Office, Room 4117.) Application for changes must be made at least two weeks prior to the rotation start date. Completed forms are to be handed in at Room

8 D. Changes in the Structure of the Fourth Year Program Changes involving content, objectives and assignments within individual rotations can be made by the appropriate instructors in consultation with their Department Head. These changes must be made, finalized and submitted to the Fourth Year Teachers and Examiners Committee before December 31. E. Evaluation 1. Grading Instructors will be responsible for evaluating students on their rotation and for assigning a grade. A copy of the grading form for each rotation is available to each student at the beginning of each rotation so they can become familiar with the criteria used in the evaluation procedure. Factors used in student assessment include case discussions, small group tutorials, observation of student performance, and performance of assignments, which may include a written test. The individual rotation grades are used to calculate a final grade for the VINT course. Individual grades will be weighted according to the length of the rotation and a weighted average calculated. 2. Promotion Regulations a) A minimum grade of 50% is required in each rotation and a cumulative average of 60% is required for successful completion of the VINT course. b) A student obtaining less than 50% in a rotation will be deemed to have failed the rotation. The student will be given the opportunity to improve their grade in that rotation to a passing level in accordance with the individual rotation requirements as outlined in this handbook. This privilege will be granted only once for the entire academic year. c) Failure to successfully upgrade the rotation in accordance with #b above, failure of a second rotation or, failure to obtain a weighted average of 60% constitutes failure of the course. (Note: Such a student, at the discretion of the faculty may be permitted an alternative opportunity to improve their grade or, to repeat the year. A student repeating the year would be required to meet the requirements for promotion as outlined above). d) Students who receive a failing grade will be required to meet with the appropriate Department Head, the course instructor, the Chairman of the Fourth Year Teachers and Examiners Committee, and the faculty advisor. e) Grades for individual rotations will be recorded in the Student Services office and will be made available to students for the purpose of job applications, etc. 7

9 F. Upgrading a Failed Rotation The following are the requirements for upgrading a failure in each of the rotations: 1. Anesthesia Students failing the anesthesiology rotation will be required to satisfactorily complete another two weeks rotation comprising of large and small animal anesthesia. The rotation will be structured to remedy particularly weak points in a student=s performance. The rotation may be taken at any time following the end of the academic year by arrangement with the senior anesthesiologist, or prior to this if scheduling allowed. In some circumstances an oral and/or written examination may be given in addition or in lieu of the repeated rotation. 2. BC SPCA Animal Welfare Students failing this will be given an opportunity to improve their grade. Requirements will be determined on a case-by-case basis. 3. Beef Cow-Calf Management The requirements to upgrade any of the Beef Production marks will be determined on a case-bycase basis by the instructors. Oral or written examinations, written assignments or additional clinical work are some of the options that may be utilized. The requirements to upgrade a failure in the rotation will depend on the individual=s weaknesses. 4. Canada West Veterinary Specialists - Dermatology Students failing this will be given an opportunity to improve their grade. Requirements will be determined on a case-by-case basis. 5. Canada West Veterinary Specialists - Neurology Students failing this will be given an opportunity to improve their grade. Requirements will be determined on a case-by-case basis. 6. Clinical Microbiology The student will be required to repeat the rotation with another scheduled group or, if this is not possible during elective time, the instructors may administer an oral or written examination at a time to be determined by the instructors. 7. Clinical Pathology The student will be required to repeat the rotation and achieve a passing grade. The rotation may be repeated at a time convenient for the instructors including the period between the end of Quarter 4 and graduation. 8. Dairy Field Service Requirements for improving a failing grade in Dairy Production Medicine will be determined on an individual student basis by the rotation instructors. 8

10 9. Dentistry Students who fail the dentistry rotation will be given the opportunity to upgrade their grade to a pass by repeating the entire rotation at a time determined by the instructor or other means decided by the instructor. 10. Diagnostic Pathology Successful completion of a rotation requires regular attendance and satisfactory participation in scheduled activities. Failure to achieve a passing grade in either portion of the rotation, i.e., clinical pathology or necropsy will constitute a failure. On a case-by-case basis, students will be given an opportunity to remedy a deficiency by participation in future rotations or other special arrangements convenient for the instructor. Students should also note that failure to attend less than four full days of either portion of the rotation will constitute incomplete participation. 11. Ecosystem Health Students failing this rotation will be given an opportunity to improve their grade to a passing level. An alternative task will be designed to address specific weaknesses in a student=s performance. 12. Edmonton Valley Zoo Students failing this will be given an opportunity to improve their grade. Requirements will be determined on a case-by-case basis. 13. Epidemiology, Public Health and Regulatory Veterinarian Students failing this rotation will be given an opportunity to improve their grade to a passing level. An alternate task will be designed to address specific weaknesses in a student=s performance. 14. Equine Field Service Students failing the Equine field service rotation will be required to repeat the rotation in its entirety at a time determined by the instructors. 15. Field Service Requirements for improving a failing grade in the field service rotation will be determined on an individual student basis by the rotation instructors. These requirements will be based upon the objectives of the rotation and the deficiencies perceived by the instructors. 16. Foreign Animal Disease and Laboratory Animal Students failing this will be given an opportunity to improve their grade. Requirements will be determined on a case-by-case basis. 9

11 17. Large Animal Medicine A student who obtains a grade of less than 50% on the rotation will be deemed to have failed the rotation. In this instance the department will give the student an opportunity to improve their grade to a passing level. Normally this will amount to repeating the rotation during a time period that will be agreed upon by the department head and the Large Animal Medicine faculty in consultation with the student. Every reasonable attempt will be made to accomplish this prior to spring Convocation; however, we do not guarantee that this will be possible. 18. Large Animal Medicine & Surgery A student receiving less than 50% will be given an opportunity to improve their grade to a passing level. The student will be required to make up the deficiencies identified by the instructors by repeating a two-week block between the end of the academic year and graduation. The duties required during this time will be determined on an individual basis and in some circumstances an oral and/or practical exam may be given in addition or in lieu of the repeated rotation. 19. Large Animal Surgery A student receiving less than 50% will be given an opportunity to improve their grade to a passing level. The student will be required to make up the deficiencies identified by the instructors by repeating a two-week block between the end of the academic year and graduation. The duties required during this time will be determined on an individual basis and in some circumstances an oral and/or practical exam may be given in addition or in lieu of the repeated rotation. 20. Manitoba Swine Students failing this will be given an opportunity to improve their grade. Requirements will be determined on a case-by-case basis. 21. Medical Imaging A student who has failed a 580 diagnostic imaging rotation may upgrade the failing mark to a pass= by successfully completing a one-week supplemental rotation in diagnostic imaging. This supplemental rotation may be taken the first week following the end of Quarter 4. This supplemental rotation will focus specifically on whatever weakness(es) the student demonstrated during his/her original radiology rotation. 22. Necropsy Students obtaining less than 50% in the Necropsy rotation will be given the opportunity to repeat the rotation at a time convenient for instructors. This time will include the period between the end of Quarter 4 and graduation. 23. Northern Community Health Students failing this will be given an opportunity to improve their grade. Requirements will be determined on a case-by-case basis. 10

12 24. Okotoks Feedlot Health Management and Saskatoon Feedlot The requirements to upgrade any of the Beef Production marks will be determined on a case-bycase basis by the instructors. Oral or written examinations, written assignments or additional clinical work are some of the options that may be utilized. The requirements to upgrade a failure in the rotation will depend on the individual=s weaknesses. 25. Ophthalmology Students who fail the ophthalmology rotation will be given the opportunity to upgrade their mark to a Apass@ by repeating the entire rotation at a time determined by the instructor. 26. Poultry Diagnostic Pathology and Field Service Students failing this rotation will be given an opportunity to improve their grade to a passing level. Students obtaining less that 50% in the poultry rotation will be given an alternative task to address specific weaknesses in a student s performance. 27. Small Animal Critical Care A student who fails the two-week small animal critical care elective will be offered an opportunity to improve their grade to a passing level. This will normally be through repeating the 2-week rotation at a time approved by the rotation instructor. In some circumstances (to be determined by the instructor involved) an oral and/or written examination will be administered in addition or in lieu of the repeated rotation. 28. Small Animal Medicine A student who fails the four-week small animal medicine rotation will be offered an opportunity to improve their grade to a passing level. This will normally be through repeating the four-week block during the first four weeks of the next academic year. In some circumstances (to be determined by the instructors involved) an oral and/or practical examination will be administered in addition to or in lieu of the repeated rotation. 29. Small Animal Nutrition A student who obtains a grade of less than 50% has failed the rotation. In this instance the department will give the student an opportunity to improve their grade to a passing mark. The student will be required to write a short paper agreed upon by both student and instructor. 30. Small Animal Surgery a) Students failing a small animal surgery rotation will be given an opportunity to upgrade their mark by repeating that rotation. The student may make up the failed rotation during any regularly scheduled small animal surgery rotation. b) Students who have signed up for multiple small animal surgery rotations and who fail a rotation will still be allowed to take the subsequent rotation. Failure in the rotation must still be upgraded as per item a). In some circumstances (to be determined by the instructors involved), an alternative experience may be designed to address specific weaknesses in a student=s performance in addition to or in lieu of the repeated rotation. 11

13 31. Small Ruminants Students failing this rotation will be given an opportunity to improve their grade to a passing level. An alternate task will be designed to address specific weaknesses in a student=s performance. 32. Swine Practice Students receiving a failing grade will have an opportunity to improve their grade by repeating the full rotation. This opportunity can be taken at the next available scheduled offering of the rotation. NOTE: Because the rotation is usually offered only once a year and enrollment is limited, this opportunity may not occur until the next academic year. 33. Theriogenology Students failing this rotation will be given the opportunity to improve their grade to a passing level by repeating the rotation or upgrading in a specific area at the discretion of, and at a time approved by the rotation instructors. 34. Vaccine and Infectious Disease Organization (VIDO) Requirements for upgrading to be determined on an individual basis. 35. Winnipeg Assiniboine Park Zoo Zoo Practice Students failing this will be given an opportunity to improve their grade. Requirements will be determined on a case-by-case basis. 36. Winnipeg Humane Society Shelter Medicine Students failing this will be given an opportunity to improve their grade. Requirements will be determined on a case-by-case basis. 37. Zoological, Exotic and Wildlife Medicine A student who fails the ZEW rotation will be offered an opportunity to improve their grade to a passing level. This will normally be through repeating the 2-week rotation at a time approved by the rotation instructors. In some circumstances (to be determined by the instructors involved) an oral and/or written examination will be administered in addition or in lieu of the repeated rotation. 12

14 G. Veterinary Teaching Hospital Policies 1. VTH Dress Code Students are expected to dress professionally in accordance with their respective rotations. Clean white laboratory coats or coveralls and nametags must be worn. Clean blue lab coats are worn when dressed in surgery scrubs and leaving the hospital area. WCVM picture identification badges must be worn at all times. Clothing and shoes/boots should be neat and clean. No blue jeans or shorts are permitted. Footwear is to be closed toe and heel. Baseball caps are not acceptable for in-clinic rotations. Students will be interacting with the public so a professional appearance must be maintained at all times. 2. VTH Medical Records & Client Confidentiality The health record of any patient of the VTH is a legal document. In addition, all matters related to a patient s record and clinical condition are strictly confidential and may be communicated only among VTH staff and students involved in the care of the animal (including participants in rounds and other classes) or to the animal s owner or their authorized agent. Students have access to information (client financial/personal) within our computer database, which is also highly confidential. This information is not to be disclosed to anyone. 3. Hospital Residence The Hospital residence is locked at all times. Students will be issued keys by the VTH Office and will be required to provide a $10 deposit which will be refunded when the key is returned. Students need to clearly understand that dogs are absolutely, positively prohibited from the Hospital Residence. As students within the VTH, you have a responsibility to ensure that dogs are not allowed in the residence Our janitorial staff takes pride in maintaining their areas of responsibility, including the Hospital Residence. Please assist them in keeping your residence as clean as possible. 4. Student Pagers Communications are under review and more information will follow. 13

15 H. Veterinary Teaching Hospital Biosecurity We can enhance the biosecurity within the VTH by making a few simple practices part of our routine. The easiest practice/habit we can adopt that will make a significant difference is hand washing. 1. Hand Washing Wash hands before and after touching animal 2. Small Animal Clinic Hand washing as above Abide by hospital dress code Surgery Scrubs with blue lab coat Proper footwear Rectal sleeves on thermometers Disposable leashes Isolation for respiratory, GI & other infectious diseases No eating/drinking in restricted clinic areas as posted Query clinician early 3. Large Animal Clinic Hand washing as above New hand washing stations No eating/drinking in restricted clinic areas as posted Any animal admitted with diarrhea goes immediately to isolation Proper footwear Do not wear coveralls and dirty footwear in rest of building Query clinician early 4. Posted Protocols Follow protocols specific to given area or case as posted, including food/drink in restricted areas. Isolation, Small Animals Isolation, Large Animals MRSA 14

16 EXTERNAL ELECTIVE ROTATIONS For Complete Externship details refer to the Externship Program Policies and Procedures booklet. Definition: An externship is a rotation that occurs away from the WCVM and is under the supervision and responsibility of someone other than a WCVM faculty member. A. General Policies 1. Arrangements for travel must be such that they have minimal affect on the adjacent rotations. These arrangements should be discussed with the instructors involved before being finalized. B. Responsibilities of the Student 1. While away on an externship students should consider themselves representatives of the WCVM and conduct themselves in a manner that will reflect positively on the College. 2. All costs and arrangements for travel, accommodation and food are the student's sole responsibility. Students travelling outside of Canada should consult the Office of Student Services for visa regulations. 3. Prior to leaving, students should make sure they have reviewed all relevant lecture material and reviewed procedural and technical skills. 4. Ensure they have the appropriate protective clothing and footwear plus basic equipment such as stethoscope, thermometer, etc. 5. During the externship students must maintain a case/activity log that on completion of the rotation must be verified by the External Rotation Supervisor and the WCVM faculty advisor who supported the externship. 6. Upon your return, you must complete and submit a written report (using the Externship Evaluation form) on the external experience which should outline the adequacy and variety of the case load, the level of supervision received, extent to which the original objectives were met, other learning experiences available such as journals and reference material, etc. The Evaluation Form is available on the WCVM Home Page under Student Affairs Fourth Year Rotations or from the WCVM Student Service Office, Room The evaluation form and your case/activity log must be reviewed and signed by the faculty member who supported your application. 7. In some cases (zoos as an example) students are required to have current vaccinations against certain zoonotic diseases. It is the student s responsibility to inquire about these types of requirements. 8. It is the student s responsibility to submit the case/activity log and evaluation form within two weeks of returning to the College. Failure to meet this deadline will result in the student s grade being reduced to a maximum of 50% for the externship. 15

17 IMPORTANT INSURANCE ISSUES A. Liability Insurance 1. University of Saskatchewan Students The liability policy includes professional services coverage which protects the students from lawsuits or claims which may arise in respect of any professional activity related to the discipline in which they are so registered, in furtherance of their education or training in such discipline. The University of Saskatchewan s professional liability insurance policy covers all registered students while in pursuit of their academic requirements, performing any duty or taking part in any activity which is considered part of regular or extraordinary studies connected with the University. This policy then will be effective if you are on an approved externship, under approved supervision. For externships outside of Canada professional liability coverage may be strictly limited and contingent on adequate supervision. Students are advised not to place themselves in situations where their coverage may be compromised. The supervisor in charge of your externship will be notified of this coverage. 2. Non-University of Saskatchewan Students If a student visits the University of Saskatchewan from another institution, they must provide a Certificate similar to that mentioned above since there is no coverage provided by the University of Saskatchewan for these students. The University s Office of Risk Management and Insurance Services should be informed of such visitors and receive a copy of the Certificate of Insurance. B. Travel Insurance Travel Insurance is provided by the University for students travelling on University business. This insurance covers the trip ( in-transit ) portion only. Once you have arrived at your destination the coverage no longer applies. The University s Office of Risk Management and Insurance Services must be provided with written details of the travel itinerary prior to the trip taking place. The following information should be provided: Student name(s), destinations, dates and a brief description of the purpose of the travel. The student or instructor should complete an Authority to Travel form for all out-of-province travel relating to their undergraduate or graduate program. C. Medical Services and Health Insurance The University does not provide any insurance coverage of this sort. You are encouraged to make sure that your provincial health plan covers you for your medical and health services costs while you are attending the University of Saskatchewan. (DVM students should also ensure that their provincial health plans provide coverage at elective and externship locations). 16

18 If you are travelling outside of Canada, it may be advisable to purchase additional health care insurance. All full-time students are automatically enrolled in the USSU Student Health & Dental Plan. The maintenance and adequacy of such coverage is the responsibility of the student. D. Disability Insurance Disability insurance is not provided. Note: Other types of insurance such as disability insurance or life insurance are not provided to undergraduate or graduate students by the University of Saskatchewan. For example, if you are permanently or temporarily disabled while pursuing your academic program or while working in the Clinics, the University does not provide for disability insurance (or for life insurance). For information regarding the purchase of disability or life insurance consult you insurance broker. A CVMA package is available for veterinarians; for more information contact the CVMA. 17

19 ROTATION COORDINATORS Anesthesia...Dr. T. Duke BC SPCA Animal Welfare...Dr. J. Lawson Beef Cow-Calf Management...Dr. J. Campbell Canada West Veterinary Specialists Dermatology...Dr. V. Defalque Canada West Veterinary Specialists Neurology...Dr. N. Sharp Clinical Microbiology...Dr. M. Chirino Clinical Pathology...Dr. B. Kidney Dairy Field Service...Dr. T. Carruthers Dentistry...Dr. J. Anthony Diagnostic Pathology...Dr. B. Kidney & Dr. E. Simko Ecosystem Health...Dr. J. Smits Edmonton Valley Zoo Veterinary Hospital Zoo Medicine...Dr. M. Ness Epidemiology, Public Health and Regulatory Veterinarian...Dr. B. Althouse & Dr. B. Lundquist Equine Practice...Dr. S. Manning Field Service General...Dr. T. Carruthers Foreign Animal Disease and Laboratory Animal...Dr. J. Copps Large Animal Medicine...Dr. C. Clark Large Animal Medicine & Surgery...Dr. S. Barber Large Animal Surgery 2 & 4...Dr. S. Barber Manitoba Swine...Dr. J. Harding Medical Imaging...Dr. T. Silver Necropsy...Dr. E. Simko Northern Community Health...Dr. S. Kutz Okotoks Feedlot Health Management...Dr. J. Campbell Ophthalmology...Dr. L. Sandmeyer Poultry Diagnostic Pathology and Field Service...Dr. S. Gomis Saskatoon Feedlot...Dr. J. Campbell Small Animal Critical Care...Dr. J. Ogeer Small Animal Medicine...Dr. E. Snead Small Animal Nutrition...Dr. M. Smart Small Animal Surgery 2 & 4...Dr. K. Linn Small Ruminants...Dr. C. Clark Swine Practice...Dr. J. Harding Theriogenology...Dr. A. Barth VIDO...Dr. P. Griebel Winnipeg Assiniboine Park Zoo Zoo Practice...Dr. C. Enright Winnipeg Humane Society Shelter Medicine...Dr. E. Anseeuw Zoological, Exotic and Wildlife Medicine 1 & 2...Dr. D. Parker 18

20 ROTATION DESCRIPTIONS Anesthesia INSTRUCTORS: Dr. T. Duke 4 weeks TIMING: Weeks 1-4 August 24 September 20, 2009 Weeks 5-8 September 21 October 18, 2009 Weeks 9-12 October 19 November 15, 2009 Weeks November 16 December 13, 2009 Weeks January 4 January 31, 2010 Weeks February 1 February 28, 2010 Weeks March 8 April 4, 2010 Weeks April 5 April 30, students per rotation This course is designed to introduce the student to all aspects of clinical veterinary anesthesiology. The student is expected to develop manipulative skills in such areas as venepuncture/iv catheterization, endotracheal intubation and nerve block. Students are expected to develop their knowledge of anesthetic management, the pathophysiology of anesthesia and the special techniques required for anesthesia of patients suffering from disorders of different body systems. A variety of anesthetic techniques should be chosen by the student in order to obtain as wide an experience as possible. Students are generally assigned to the Large Animal and Small Animal Anesthesia. Flexibility between Large and Small Animal Anesthesia will be allowed depending on student interests, but this may depend on caseload. Students are expected to familiarize themselves with all cases assigned to them and to develop suggestions for the anesthesia management of these cases. These cases and problem case examples are discussed at rounds sessions. * A student may take this rotation only once. 19

21 BC SPCA Animal Welfare INSTRUCTORS: Dr. Jamie Lawson (Chief Animal Health Officer) Ms. Cathy Lewis (Hospital Administrator) 2 weeks TIMING: Weeks November 30 December 13, 2009 Weeks January 4 January 17, 2010 Weeks February 15 February 28, students per rotation Open to all senior year veterinary students interested in the welfare of animals and prepared to spend two weeks in a tightly scheduled, demanding but highly informative rotation. Goals: 1. To provide hands-on medical, surgical and animal welfare experience. 2. To demonstrate recent advances in animal sheltering that reduce stress, promote health and increase adoption success. 3. To provide practical experience on enforcement of animal cruelty laws. 4. To expose future veterinarians to the everyday problems faced by the BC SPCA and other humane sheltering organizations. 5. To provide insight into the seriousness of pet overpopulation and the terrible waste that results. 6. To invite future veterinarians to be part of the solution to a humane society. Components: 1. HOSPITAL SURGERY AND MEDICINE: work alongside veterinarians and technologists at a very busy not-for-profit hospital; students with interest and ability may have the opportunity to spay and neuter shelter animals. 2. SHELTER AHT VANCOUVER: work directly with the shelter technologist assisting in the day-to-day duties of disease management, sanitation, animal welfare etc. 3. SHELTER AHT MOBILE : accompany an AHT offering technical assistance to outlying shelters. 4. DEPT OF ANIMAL WELFARE UBC: visit and interact with Faculty and students while being briefed on their current research. 5. CHARLIE S FOOD BANK: actively participate for an out-reach program at Canada s poorest postal code. 6. ANIMAL PROTECTION OFFICER (APO) RIDE-ALONG: accompany a Special Provincial Constable from the Cruelty Investigations Dept. as they carry-out their daily duties. 7. HUMANE EDUCATION GENERAL: gain an overview of BC SPCA programs and goals. 8. HUMANE EDUCATION FARM ANIMAL WELFARE: an overview of farm animal welfare initiatives including the BC SPCA CERTIFIED food labeling program. 9. HUMANE EDUCATION ANIMAL WELFARE: cutting edge shelter welfare programs as presented by an internationally recognized behaviorist and welfarist; 20

22 10. VANCOUVER CITY POUND: tour and seminar on recent innovations for Animal Control. 11. WILD ANIMAL RESCUE CENTRE - Vancouver Island: rehab facility for injured, sick and orphaned wildlife 12. GRIZZLY BEAR SANCTUARY: seasonal at Grouse Mountain 13. VANCOUVER ANIMAL EMERGENCY CLINIC: optional participation at an after-hours quality emergency care facility. 14. SPECIAL EVENTS: unscheduled opportunities (e.g. barn fire, oil spill, large scale cruelty seizures) may be worked into the rotation and thus displace scheduled components. 15. VANCOUVER PUBLIC AQUARIUM: spend a day of medicine/surgery with the aquarium s staff veterinarian. Students are responsible for arranging their own transportation and accommodation. Some assistance in finding accommodation may be available through the Supervisors. CONTACTS: Dr. Jamie Lawson Ms. Cathy Lewis (604) (604) [email protected] [email protected] * A student may take this rotation only once. Note: Students interested in doing an unofficial externship on their own time (e.g. summer) can contact Dr. Lawson directly. 21

23 Beef Cow-Calf Management INSTRUCTORS: Drs. J. Campbell, S. Hendrick and F. Schumann 2 weeks TIMING: Weeks April 19 April 30, students The goal of this rotation is to introduce the students to the role of veterinarians providing health management services to beef cow-calf operations. Students will be given the opportunity to tour various farm operations and appreciate the differences in management that exist within the industry. There may be the opportunity to participate in herd outbreak investigations when available and other clinical work such as calf processing and bull breeding soundness evaluations in cow-calf herds in the area. Seminars with WCVM faculty and invited speakers will focus on nutrition and pasture management, records and data analysis, genetics, reproductive management, weaning strategies, along with economic and marketing tools for cow-calf producers. It is advised that students electing to take this rotation should have a strong focus on food animal production medicine. 22

24 Canada West Veterinary Specialists Dermatology INSTRUCTOR: Dr. Vincent Defalque, Diplomate of the American College of Veterinary Dermatology 2 weeks TIMING: Weeks November 30 December 13, 2009 Weeks January 4 January 17, student per rotation Open to student with a strong interest in Veterinary Dermatology and/or those student who wish to do a small animal internship. Students will be expected to assist the dermatologist and the dermatology animal health technician in the examination, diagnostic tests and treatment of patients in the care of the dermatology service OBJECTIVES: History taking Be able to formulate an adequate differential diagnosis based on seasonality of pruritus Be able to rank different allergic dermatitides based on: - Presence of respiratory and/or GI signs - Typical localization of lesions - Age of onset of pruritus Dermatological examination Be familiar with name of common dermatological lesions Be able to distinguish between primary and secondary skin lesions Infectious skin diseases Know the differential diagnosis of folliculitis in dogs Understand the difference between surface, superficial and deep pyodermas Be able to perform/read ear and skin cytologies Be familiar with appropriate systemic antibiotic therapy for pyodermas Be aware of the emergence of antibiotic resistant bacterial infections Be familiar with appropriate topical antimicrobial therapy Parasitic skin diseases Know the differences between demodicosis and scabies Be able to perform/read acetate tape preparations, superficial and deep skin scrapings Be familiar with treatment protocols for demodicosis and scabies Endocrine skin diseases Know the dermatological and non-dermatological signs of Cushings Allergic skin diseases Be familiar with therapeutic options for canine atopic dermatitis Understand the difference between symptomatic therapy and immunotherapy Be familiar with immunotherapy protocol, cyclosporine protocol 23

25 Ear diseases Be familiar with causes of otitis externa/media Be familiar with appropriate topical therapy for otitis externa Feline pruritus Be familiar with different cutaneous patterns and causes of pruritus MISCELLANEOUS Hours of Work: Monday to Thursday 9:00 5:00 Friday Time to be determined Between 2-3 hours of journal club Journal clubs: First Friday Go over required reading (see below), objectives, Q&A Second Friday Go over 2-3 scientific articles of the extern s choice, objectives, Q&A. Evaluation: Students will be graded using the standard WCVM evaluation form. An oral or written examination covering the objectives will take place on the second Friday and will conclude the externship. Required reading (package will be mailed prior to externship): Treatment protocols for demodicosis Causes of otitis externa Malassezia dermatitis Staphylococcal pyoderma Results of allergen-specific immunotherapy in atopic dogs Systematic review of the pharmacotherapy of canine atopic dermatitis Attire: Extern s own surgical scrubs or lab coat Remuneration: None Housing: Not provided. CONTACT: Travel: Students are expected to provide their own means to come to Vancouver Dr. Vincent Defalque Canada West Veterinary Specialists & Critical Care Hospital 1988 Kootenay Street Vancouver, British Columbia V5M 4Y3 Phone: (604) Fax: (604) [email protected] 24

26 Clinical Microbiology (Clinical Parasitology, Virology, Bacteriology, Molecular Biology and Immunology) INSTRUCTORS: Drs. M. Chirino, J. Ellis, D. Haines, J. Hill and L. Polley 2 weeks TIMING: Weeks 3-4 September 7 September 20, 2009 Weeks November 16 November 29, students per rotation The main objective of this rotation is for students to learn to make optimal use of the services of the diagnostic microbiology laboratories. Emphasis is given to the need for: i) the provision of a satisfactory and pertinent history, ii) proper selection, collection and transportation of samples, iii) selection of appropriate laboratory tests, and iv) the integration of laboratory data and clinical information for solving problems in individual animals and herds. Students will develop an appreciation of the practical application of new tests and laboratory procedures. Current and archival material will be used extensively as a basis for case discussions. This rotation has also been expanded to provide an opportunity for review of the major pathogens affecting veterinary species in Canada, for an update of emerging veterinary microbiological problems and for discussions of the treatment and control options for important veterinary pathogens. Students will rotate through the major areas of microbiological diagnostic medicine: Bacteriology (coordinated by Dr. Chirino), Immunology (coordinated by Dr. Haines), Molecular Diagnostics (coordinated by Dr. Hill) Parasitology (coordinated by Dr. Polley), Virology (coordinated by Dr. Ellis) Each section may have additional participants including other Department of Veterinary Microbiology faculty and other scientists with microbiological expertise. 25

27 Clinical Pathology INSTRUCTORS: Drs. H. Burgess, R. Dickinson, M. Jackson, M. Kerr, B. Kidney, S. Myers and others (to be determined) 2 weeks TIMING: Weeks March 8 March 21, 2010 Weeks March 22 April 4, 2010 Weeks April 5 April 18, 2010 Weeks April 19 April 30, students per rotation Students who complete the two week mandatory rotation in Laboratory Diagnostics are eligible to take an elective two week rotation. These rotations will be available to two students per rotation who will assist the pathologist on duty. Four such rotations will be offered (Total of eight students). * A student may take this rotation only once. 26

28 Dairy Field Service INSTRUCTOR: Dr. T. Carruthers 2 weeks TIMING: Weeks 1-2 August 24 September 6, 2009 Weeks November 15 November 29, 2009 Weeks April 5 April 18, students per rotation Students will participate in dairy herd health visits with Dr. Carruthers in the mornings and some afternoons. As available, additional farm visits for nutritional, heifer management or milk quality will be arranged. In addition, there will be a series of lectures/seminars on a variety of topics related to dairy production medicine; including nutrition, reproduction, milk quality, biosecurity, cow comfort, heifer hustle, etc. * A student may take this rotation only once. 27

29 Dentistry INSTRUCTOR: Dr. J. Anthony 2 weeks TIMING: Weeks 1-2 August 24 September 6, 2009 Weeks 5-6 September 21 October 4, 2009 Weeks November 30 December 13, 2009 Weeks January 4 January 17, 2010 Weeks February 1 February 14, students per rotation To enable the student to apply the principles of marketing, fiscal management, organizational management, time management, client communication and management, history evaluation, both general as well as oral examination, medical as well as surgical therapy and disease prevention in a clinical setting. To refine the students skills in oral evaluation. To relate oral pathology with systemic, transmittable and potential zoonotic complications. To refine the students skills in oral imaging and interpretation. To refine the students skills in ethical and humane treatment management. To refine the students skills in oral tissue handling and treatment. To refine the students skills at balanced anesthesia and pain control management in relationship to the oral cavity. To develop and make the student aware of safety practices for themselves and others (assistants, office staff, clients, and the patient). To develop the students skills to allow them to customize home care that is compatible to both the client and patient. Students will be assigned a topic, which they will be expected to produce both a written and a verbal report. Grading: Students will be assessed in the following manor (is subject to change) - 20% Topic report - 10% Topic presentation - 20% Tactile, communication skills and professionalism - 20% Participation - 5% Daily quizzes - 25% Application of principles - must complete VDE online course 28

30 Agenda: This is tentative and is subject to change at the instructors discretion. Rounds 7:30 a.m. Each student will be given a topic to present in rounds home care, oral hygiene, advanced periodontal technique, extraction technique, fracture repair, oral neoplasia, endodontics, exotics/pocket pets Week 1 Monday Tuesday Wednesday Thursday Friday Week 2 Monday Tuesday Wednesday Thursday Friday (a.m.) Discussion and lab on oral examination, charting, oral hygiene procedures and homecare (p.m.) Petcetera lab (a.m.) Oral surgery or consults (p.m.) Oral surgery or consults (a.m.) Oral surgery or consults (p.m.) Oral surgery or consults (a.m.) Oral surgery or consults (p.m.) Oral surgery or consults (a.m.) Oral surgery or consults (p.m.) Oral surgery or consults (a.m.) Marketing (p.m.) Marketing (a.m.) Periodontal flap lab (p.m.) Extraction lab/tap muzzle (a.m.) Extraction lab cont. (p.m.) Oral hygiene (a.m.) project (p.m.) project (a.m.) Dental radiology exam (p.m.) Report presentation * A student may take this rotation only once. 29

31 Diagnostic Pathology * (Clinical Pathology & Necropsy) INSTRUCTORS: Clinical Pathology: Drs. H. Burgess, R. Dickinson, M. Jackson, M. Kerr, B. Kidney, S. Myers and others (to be determined) Necropsy: Drs. A. Allen, T. Bollinger, J. Davies, H. Philibert, E. Simko, G. Wobeser and others (to be determined) 2 weeks TIMING: Weeks 1-2 August 24 September 6, 2009 Weeks 3-4 September 7 September 20, 2009 Weeks 5-6 September 21 October 4, 2009 Weeks 7-8 October 5 October 18, 2009 Weeks 9-10 October 19 November 1, 2009 Weeks November 2 November 15, 2009 Weeks November 16 November 29, 2009 Weeks November 30 December 13, 2009 Weeks January 4 January 17, 2010 Weeks January 18 January 31, 2010 Weeks February 1 February 14, 2010 Weeks February 15 February 28, students per rotation divided between: Clinical Pathology (1 week) and Necropsy (1 week). Clinical Pathology This course consists of structured sessions and independent study. Students will evaluate current cases in hematology, chemistry and cytology and discuss laboratory data from cases provided in handout form. Students will gain experience with needle aspiration (lymph nodes, bone marrow and other lesions) and microscopic examination of the samples. Students are expected to integrate laboratory and necropsy data as part of the medical and surgical problem solving experience. All students are required to attend the Anatomic Pathology seminars at 4:30 p.m. on days that they are conducted and students may be asked to discuss relevant laboratory data. Also, students are required to attend other seminars presented in the department of pathology. Necropsy The necropsy portion of the rotation is devoted to the post-mortem examination, under the supervision of a faculty member, of a range of animal species submitted through Prairie Diagnostic Services. Students gain experience in necropsy technique, acting on necropsy findings in order to make diagnoses, maintaining personal safety and biosecurity, and writing and presenting concise reports of the findings. Emphasis is placed on the recognition and interpretation of gross lesions, consideration of differential diagnoses, and how to best utilize services offered by a diagnostic laboratory to arrive at a diagnosis. Portions of each day will be used to discuss cases, review selected topics in veterinary pathology, or attend department seminars. * Mandatory rotation for all students. * A student may take this rotation only once. 30

32 Ecosystem Health INSTRUCTORS: Dr. J. Smits 2 weeks TIMING: Weeks 3-4 September 7 September 20, students from WCVM * STRATEGY: The Ecosystem Health Elective is a two-week course for senior veterinary students coming from the four veterinary colleges across Canada. The goals of this course are to enable veterinarians to explain the history and concepts of ecosystem health and sustainable development, to investigate and propose resolutions to animal and human disease problems that have ecosystem implications, and to describe, using specific examples, the relationship between animal and human health issues and the ecosystem in which they are situated. The course emphasizes field-based disease investigations, the solutions of which may include ethical, social and legal concerns. The Ontario Veterinary College, University of Guelph will host this year s rotation in and around southern Ontario. Case studies may include agroecosystems, watersheds, and wildlife/domestic animal/human health interactions related to ecosystem health. The course details are still under development. * Course limit is four students from each of the Canadian Veterinary Colleges. Course cost is $350 per student. (Helps cover food, transportation and lodging.) Students must cover the costs of their own to and from Guelph, Ontario (Otherwise, the course will cover transport around Ontario). 31

33 Edmonton Valley Zoo Veterinary Hospital - Zoo Medicine INSTRUCOTRS: Dr. Milton Ness (Zoo Veterinarian) 2 weeks TIMING: Weeks 3-4 September 7 September 20, 2009 Weeks March 8 March 21, 2010 one student per rotation Students will be expected to assist the zoo veterinarian in the examination and treatment of animals in the care or custody of the Valley Zoo. These medical examinations will be performed for various reasons including general wellness exams, illness, emergencies and whatever other problems that may arise. There are approximately 500 animals of 140 different species from all branches of the animal kingdom. In many cases diagnosis and treatment may be developed in an unusual species based on other animal paradigms that the examiner is familiar with. This requires an active and adaptable individual. Many diseases will be diagnosed only after an intensive investigation in the library, internet or inquiries made in the exotic animal veterinary community. There are active breeding programs for a wide variety of species of mammals, amphibians, birds and reptiles in the zoo. Surgery is performed on an as needed basis and involves the same flexibility and adaptability that is required in all medical cases. Many of these surgeries are done on an emergency basis and the student will be expected to be available after hours during this time frame. The surgeries may be performed in the animal s enclosure, in the veterinary clinic on the zoo grounds or even in a veterinary hospital in the Edmonton area, depending on the animal and the circumstances of the particular case. In some cases the student may be able to scrub in with the surgeon, or in other cases, they may assist with anesthesia induction, monitoring, and recovery. Anesthesia plays a greater role in the practice of veterinary medicine in a zoo environment and the student should have a strong interest in the anesthesia of exotic domestic animals. Many animals cannot be given a regular annual physical exam without chemical immobilization. The student will be exposed to a variety of different drug administration techniques which may including pole syringe, blow darts, pistol and dart guns. Laboratory testing is very important in the maintenance of the collection of animals and students will be expected to do complete blood counts, urinalysis and fecal floatations in a wide variety of species. The nature of the collection and health requirements of the collection are very variable, so the precise nature of the experience will vary tremendously from student to student and season to season. The Wildlife Rehabilitation Society of Edmonton is in the process of moving their facilities adjacent to the grounds of the Valley Zoo and this will provide the student with more opportunity to apply their veterinary education to a wide variety of injured and sick mammals and birds. The student must be aware of disease transfer, asepsis, and the use of biological barriers when moving between the Valley Zoo and the Wildlife Rehabilitation Society. 32

34 Overview of the Experience: Tour of the Valley Zoo Introduction to the practice of zoo and exotic animal medicine Safety and handling of a wide variety of zoo animals. Exposure to a veterinarian s role in wildlife conservation Zoonotic potential of a variety of wild animals Vaccination and deworming strategies in a wide variety of species Control of infectious disease in a zoo environment Diagnostic procedures including fecals, urinalysis, and blood work Anesthesia and monitoring in wildlife Surgery in a wide variety of species Digital Radiography of exotic animals. Ultrasound examination of exotic animals. Behaviour consultation in a wide variety of zoo species Discussion of Animal Rights and Animal Welfare groups in the zoo environment Discussion of a zoo veterinarian s role in the media Discussion of the role of zoo s in the education of the public. Discussion of the role of zoo s in basic scientific research. Discussion of CAZA, AZA, AAZV, AAZM Acquisition, purchase and exchange of zoo animals Other duties as they arise Attire: Surgical scrubs, large animal coveralls, stethoscope shall be provided by student. The City of Edmonton Requires that all persons wear CSA certified steel toed shoes when handling animals Hours of Work: 8:30 am to 4:30 pm Monday to Friday Emergency and evening work may be required on an as needed basis Housing and Transportation: Must be provided by student Travel: Must be provided by student Recommended References: Restraint of Wild and Domestic Animals 3 rd edition: Fowler Zoo Animal and Wildlife Immobilization and Anesthesia: Nigel Caulcutt (2007) Zoo and Wild Animal Medicine: Current Therapy 6 th edition. Fowler and Miller (2008) Contact Information: Dr. Milton Ness Zoo Veterinarian Valley Zoo Veterinary Hospital Edmonton, Alberta [email protected] Office: Cell:

35 Epidemiology, Public Health and Regulatory Veterinarian INSTRUCTORS: Drs. B. Althouse and B. Lundquist Canadian Food Inspection Agency Personnel Guest Presenters from Specialty Areas 2 weeks TIMING: Weeks January 18 January 31, students Information presented will expose students to the roles of veterinarians (private practitioners and federal veterinarians) in disease control, public health and regulatory medicine. This information will be presented through a combination of field training, classroom lectures/discussions, and opportunities for the students to apply their knowledge to real life regulatory, disease outbreak and public health situations. Field training includes Federal lab, slaughter facility, humane transportation monitoring, TB and EIA testing. Specialty topics include drug and chemical residues, reportable diseases, foreign animal disease emergency management and preparation, export markets, humane issues, meat hygiene and public health. This rotation has the most comprehensive exposure to foreign animal disease (recognition, action, prevention and control) available at WCVM. Students will be exposed to real cases in the role of the veterinarian at the call, seeing symptoms and the course of the disease. Student evaluation will be based on participation in class, completion of an FAD presentation, preparation for role playing scenarios and several in-class assignments. All modules for federal accreditation are covered, including the preaccreditation exam. Each student who successfully completes this rotation will receive an achievement certificate and a covering letter, a copy of which is to be presented to the District Veterinarian when applying for accreditation. * A student may take this rotation only once. 34

36 Equine Practice INSTRUCTORS: Drs. S. Ashburner and S. Manning 2 weeks TIMING: Weeks 1-2 August 24 September 6, 2009 Weeks 3-4 September 7 September 20, 2009 Weeks 5-6 September 21 October 4, 2009 Weeks April 5 April 18, 2010 Weeks April 19 April 30, students per rotation General equine practice with emphasis on race-track work when available. * A student may take this rotation only once. 35

37 Equine - Summer INSTRUCTORS: Drs. S. Ashburner, S. Barber, J. Bracamonte, J. Carmalt, C. Clark, K. Lohmann, F. Marques, S. Manning, L. Petrie and D. Wilson 6 weeks TIMING: Summer May 4 June 14, students (4 students will be assigned on a rotating basis to three of the four 2-week modules of the 6 week block). Equine Surgery Section (2 weeks) Students will be involved in all aspects of management on Veterinary Teaching Hospital equine surgical patients. This is a busy time of year for the equine surgery service with a broad range of soft tissue and orthopaedic cases. This provides an excellent exposure to the types of cases commonly presented to both a first opinion practice and referral hospital. Students are encouraged to take further large animal surgery rotations at other times of the academic year to expand the depth of their education. Rounds are held each day with faculty. Students will be busy during the day and will participate equally in after-hours night duty including monitoring post-operative surgical cases. Large Animal Medicine Section (2 weeks) Students will be involved in all aspects of management on Veterinary Teaching Hospital equine and food animal patients. This is a busy time of year with a strong component of equine medicine (including foals). This provides an excellent exposure to the types of cases commonly presented to a hospital that handles both primary and tertiary care cases. Students are encouraged to take further large animal medicine rotations at other times of the academic year to expand the depth of their education. Rounds are held each day with faculty. Students will be busy during the day and will participate in after-hours night duty including monitoring critical cases such as medical colics and foal watch. Equine Field Service Section (2 weeks) Students will be involved in stable, farm, and racetrack equine cases. The students will be involved in all common areas of equine practice such as dentistry, wound management, lameness examination, field radiography, endoscopy, reproduction, pre-purchase examinations, and clinical case assessment. Night duties are assigned and coordinated through field service. Equine Reproductive Section (2 weeks) Students will be involved in a busy reproductive case load including breeding, artificial insemination, stallion collection and semen evaluations. * A student may take this rotation only once. 36

38 Field Service General INSTRUCTORS: Drs. S. Ashburner, T. Carruthers, S. Hendrick, S. Manning and F. Schumann 2 weeks TIMING: Weeks 1-2 August 24 September 6, 2009 Weeks 3-4 September 7 September 20, 2009 Weeks 5-6 September 21 October 4, 2009 Weeks 7-8 October 5 October 18, 2009 Weeks 9-10 October 19 November 1, 2009 Weeks November 2 November 15, 2009 Weeks November 16 November 29, 2009 Weeks November 30 December 13, 2009 Weeks January 4 January 17, 2010 Weeks January 18 January 31, 2010 Weeks February 1 February 14, 2010 Weeks February 15 February 28, 2010 Weeks March 8 March 21, 2010 Weeks March 22 April 4, 2010 Weeks April 5 April 18, students per rotation This course is designed to give students an opportunity to learn to make rational decisions relative to the management and prevention of diseases in the field. Students will also learn to handle, restrain and examine large animals under field conditions. This course will assist students to develop observational and communicative skills to collect information, and to understand different aspects of the livestock industries. * Students may repeat this rotation. 37

39 Foreign Animal Disease and Laboratory Animal INSTRUCTOR: Drs. R. Aitken, J. Copps and C. Harasym 2 weeks TIMING: Weeks January 18 January 31, 2010 Weeks March 8 March 21, student per rotation The student will be exposed to three kinds of laboratory animal medicine, surgery and pathology. Students will attend clinical rounds with a university laboratory animal care veterinarian. The objective is to become familiar with the university research facility veterinarians role and case type and load. Second the student will attend and assist during surgical laboratory animal cardiac research. The majority of the time will be spent at the National Centre for Foreign Animal Disease during the first week of the foreign animal disease course sponsored by the Canadian Food Inspection Agency. The student would be asked to evaluate sheep, pigs, cattle and poultry for signs of illness, develop a treatment plan and follow up on the results of the treatments. The student would also be asked and aid in the assessments, treatment and post mortems of several animals infected with exotic animal diseases. Weekend work will be part of the rotation. Any student selecting this option would be responsible for their own travel, meals and accommodation. A binder of notes and a CD of foreign animal disease will be given to the student. LOCATION: CONTACT: Canadian Science Centre of Human and Animal Health Winnipeg, Manitoba Dr. John Copps (204) [email protected] 38

40 Large Animal Medicine INSTRUCTORS: Drs. C. Clark, F. Marques and K. Lohmann 2 weeks TIMING: Weeks 5-6 September 21 October 4, 2009 Weeks 7-8 October 5 October 18, 2009 Weeks 9-10 October 19 November 1, 2009 Weeks November 2 November 15, 2009 Weeks November 16 November 29, 2009 Weeks November 30 December 13, 2009 Weeks February 1 February 14, 2010 Weeks February 15 February 28, 2010 Weeks March 8 March 21, 2010 Weeks March 22 April 4, 2010 Weeks April 5 April 18, 2010 Weeks April 19 April 30, 2010 September 21 December 13, 2009 (4 students per rotation) February 1 April 18, 2010 (6 students per rotation) April 19 April 30, 2010 (7 students) To enable the student to apply the principles of history taking, client communication, clinical examination, therapy and disease prevention in a supervised clinical setting. To become familiar with the costs associated with treatment and hospitalization. To improve the students' skills and confidence in handling and restraining large animals and to develop the technical skills required to obtain samples, perform diagnostic procedures, and to treat horses and food animals. To allow the students to be responsible for the day-to-day assessment and treatment of patients admitted to the Large Animal Clinic. Through this experience the student will learn about the progression and prognosis of a disease and how that disease responds to therapy. To meet these objectives, the students must have a complete understanding of the cases, including the basis for each treatment and management procedure that is employed. This means not only examining the cases carefully but also consulting notes, textbooks, the literature, and relevant veterinary databases. Group discussions are held daily in the morning on cases admitted to the Large Animal Clinic, or on topics of interest. In addition, small group teaching is held to discuss the broader concepts of the economic impact of certain diseases, and disease control and prevention. The evaluation of student performance will be based upon individual performance in the clinic, in rounds and upon the results of an examination that may be given at the end of the rotation. * Students may repeat this rotation. We would not recommend (except in exceptional circumstances) that a student take more than four weeks of this rotation. 39

41 Large Animal Medicine & Surgery INSTRUCTORS: Drs. S. Barber, J. Carmalt, C. Clark, K. Lohmann, F. Marques and D. Wilson 4 weeks TIMING: Weeks January 4 January 31, 2010 DESCRIPTION: 8 students per rotation This is a combined Large Animal Medicine and Large Animal Surgery Rotation that provides the students the opportunity to gain experience in the management of a wide array of large animal cases. The descriptions for the individual rotations can be found in the student handbook. While January often results in a reduced number of clinical cases for each rotation, this time period can also be quite busy in the clinics. This rotation does provide an excellent opportunity for a student wishing for a combined learning experience. The case load likely will be predominately equine, but often we start performing c-sections on cattle at this time of year. For a combined experience at a slightly slower clinical pace this rotation is a good choice. Supplemental learning in the form of additional rounds, technical labs, or cadaver dissections is possible if the caseload is insufficient. Evaluation will be based on participation, attitude, skills, performance, interest and comprehension. *Students may repeat this rotation. 40

42 Large Animal Surgery INSTRUCTORS: TIMING: Drs. S. Barber, J. Carmalt, and D. Wilson 2 and 4 week rotations Two-week rotations Weeks 5-6 September 21 October 4, 2009 Weeks 7-8 October 5 October 18, 2009 Weeks 9-10 October 19 November 1, 2009 Weeks November 2 November 15, 2009 Weeks November 16 November 29, 2009 Weeks November 30 December 13, 2009 Weeks February 1 February 14, 2010 Weeks February 15 February 28, 2010 Weeks March 8 March 21, 2010 Weeks March 22 April 4, 2010 Four-week rotations Weeks 1-4 August 24 September 20, 2009 Weeks April 5 April 30, students per rotation All large animal surgery rotations will cover the basic essentials of large animal surgery. Students will have access to the Veterinary Teaching Hospital patients. As well, supplemental material will be provided in the form of rounds and small group seminars to round out any deficiencies resulting from the seasonality of the caseload. Horse limbs will be available for dissection. The fall caseload is predominantly equine with a good cross-section of case material being presented. The spring is busy with bovine cases particularly c-sections and orthopedic problems in calves. Since calving season precedes foaling season, one can expect a rising equine caseload during the month of April. Four week rotations are aimed at students with a stronger interest in large animal surgery. Evaluation will be based on participation, performance, interest and comprehension of the material. * Students may repeat this rotation. 41

43 Manitoba Swine COORDINATOR: INSTRUCTORS: Dr. J. Harding Dr. B. Tully 2 weeks TIMING: Weeks 9-10 October 19 November 1, 2009 Weeks November 2 November 15, 2009 Weeks February 1 February 14, 2010 Weeks March 22 April 4, 2010 PREREQUISITS: DESCRIPTION: 1 student per rotation Enrollment in the Swine Practice Rotation is highly recommended. This rotation is designed to build on the Swine Practice rotation, by providing extensive clinical training by specialist swine veterinarians. This externship is geared for those students who have taken the Swine Practice rotation, or those who have past experience in the swine production or the swine veterinary profession. During the externship students will accompany a number of swine veterinarians on their daily herd health calls, providing exposure to a variety of swine production facilities and activities fundamental to swine veterinary practice. Students will travel to Steinbach Manitoba, about one hour southeast of Winnipeg for this externship. Appropriate lodging must be arranged with assistance of the supervisor. Students are responsible for the costs of travel, accommodation and food, but are encouraged to apply to the American Association of Swine Veterinarians for financial assistance which is available for student externships. The daily roster will be scheduled by the externship supervisors, and will involve a rotation amongst veterinarians from the following four swine businesses: Sheridan Heuser Provis Swine Health Services Western Canada s largest multi-person swine veterinary practice ( Elite Swine Inc. the hog management division of Maple Leaf Foods ( Hytek Ltd a swine production company with 55,000 sows in production, and in 2004 was one of two agricultural based companies awarded as Canada's 50 Best Managed Companies ( Puratone Corp. a leading agribusiness company with 45,000 sows in production, and in 2006 was one of Canada s 50 Best Managed Companies ( There will be strong emphasis on swine production, preventative medicine and quality assurance. Daily discussions may include but are not necessarily limited to: disease pathogenesis, expression, diagnostics, treatment and prevention; biosecurity; animal welfare; Canadian Quality Assurance (CQA) training and validation; CFIA export certification; semen production; swine production, nutrition and housing. The rotation may include weekend and evening sessions. Those interested in selecting this externship are strongly recommended to talk to Dr. Harding prior to the draft. Only students with a sincere interest in swine medicine and production should select this elective. * A student may take this rotation only once. 42

44 Medical Imaging (Radiology and Ultrasound) INSTRUCTORS: TIMING: Drs. J. Pharr, T. Silver, A. Sharma and K. Tryon 2 weeks 2-week rotations throughout the year 2-5 students per rotation This course focuses primarily on the making and interpretation of radiographs. The students will work with both large animals and small animals. A detailed schedule of rotation activities will be given to each student on day 1 of the rotation. For instruction in the making of radiographs students are closely supervised by the radiology technologists until they develop enough proficiency to work independently. Ultrasonography including echocardiography is integrated into the casework. Some hands-on experience in sonographic examination will be permitted. Small animal MRI studies and small/large animal CT studies are regularly performed, and the students will be introduced to these imaging modalities. The students analytical skills in image interpretation will be developed by the radiologists through clinical case discussions using a variety of teaching formats. Daily rounds will deal with groups of topic-based cases that the students will be required to study in advance. Each student will also be required to present two imaging cases (2 radiology cases or 1 radiology case + 1 ultrasound case) in rounds during the rotation. Each student will also be required to complete a radiology OSCE during this rotation; the OSCE case can be subsequently used as one of the student s two required presentation cases. Rotation grades will be based 50% on ability, attitude and participation in the handling of the imaging caseload, including the case presentations and rounds discussions. The remaining 50% of the grade will be based on 2 written examinations: 1) on Friday of week 1 the students will be tested on their understanding of the technical and physical aspects of radiography, including radiation safety. 2) during week 2 the students will interpret five entry-level radiology cases which the radiologists will select at random. A single two-week medical imaging rotation should meet most students needs for review and practice of the skills taught in Year II, as students are also exposed to case-based medical imaging in many other rotations. Students who feel that further experience in medical imaging is appropriate for their career paths (e.g., internships) may elect to take a second medical imaging rotation. * Students may repeat this rotation only once. (i.e. a total of four weeks) 43

45 Necropsy INSTRUCTORS: Drs. A. Allen, T. Bollinger, J. Davies, H. Philibert, E. Simko, G. Wobeser and others (to be determined) 2 weeks TIMING: Weeks March 8 March 21, 2010 Weeks April 5 April 18, students per rotation Students who complete the mandatory two week rotation in Laboratory Diagnostics are eligible to take a two week necropsy elective rotation. The format is similar to the necropsy portion of the mandatory rotation in Laboratory Diagnostics with an increased emphasis on the examination of diagnostic material submitted through Prairie Diagnostic Services. There may be opportunity for a more individually tailored program. Enrolment will be limited to six students per rotation. 44

46 Northern Community Health (Sahtu Settlement Region, NWT) INSTRUCTORS: Drs. A. Veitch, B. Elkin, S. Kutz, Gord Krebs and the AHT director from Olds 2 weeks TIMING: Weeks February 15 February 28, students from WCVM, 2 AHT students from Olds Overall goal: Provide students (veterinary and animal health technician) with experience in domestic animal and wildlife veterinary medicine in remote settings in the Canadian North. Veterinary Student Outcomes: By the end of this rotation students will have: 1. Learned about the social, cultural, political, logistical, regulatory, etc. challenges associated with animal health promotion in isolated/poor/different cultural settings. 2. Identified the role of different stakeholders in animal health promotion in the northern setting 3. Applied skills in small animal veterinary medicine, surgery and preventative medicine relevant to a remote setting 4. Recognized and explored health linkages at the human, domestic, and wild animal interface (disease transmission, food safety, welfare etc.) 5. Learned how to establish outcomes for a program on animal health promotion and have developed a plan for evaluating if these outcomes have been achieved. 6. Developed communication and mentorship skills in promoting animal health issues to youth 7. Recognized the importance of developing local capacity for animal health promotion. Program Long term Goals: 1. Capacity building for animal and public health promotion in northern communities Rotation Specifics 2010: 1. Student Preparation: - learning cultural, social, political, logistical challenges - learning about animal and related human health issues of importance - prepare school presentations - familiarity with surgical and medical procedures and protocols 2. Two weeks in the Sahtu communities, NWT (Deline, Tulita, Ft. Good Hope, Colville Lake) delivering vet services, youth education, meeting with hunters and learning wildlife health issues, carrying out miniresearch projects. 45

47 Draft Schedule Saturday Sunday Monday Tuesday Wednesday Thursday Friday Fly to Norman Wells Prepare gear and travel to Colville Lake Colville Lake school Colville Lake clinic Travel to Ft. Good Hope Ft. Good Hope School Ft. Good Hope clinic Norman Wells, day off Return home Travel to Deline Deline School Deline Clinic Travel to Tulita Tulita school Tulita clinic Cost: WCVM students: $350 to contribute to housing and food costs in the field and must get themselves to Calgary or Edmonton for the morning of February 14 th. CONTACT: Dr. Susan Kutz UCVM Ecosystem and Public Health Ph: (403)

48 Okotoks Feedlot Health Management INSTRUCTOR: Drs. J. Campbell and S. Hendrick 2 weeks TIMING: Weeks 9-10 October 19 November 1, students This rotation will take place in Okotoks, Alberta and will be based out of the Feedlot Health Management Services veterinary practice. The feedlot externship is only one week in length and students will spend the other week on field service at the WCVM. This is an intensive rotation focused on feedlot production and health management. The rotation will have directed learning experiences in both classroom and field settings with targeted follow-up and discussion of each experience. On most days, approximately ½ of the day will be spent in a classroom setting and the other half of the day will be spent in a field setting. The objective of the classroom exercises will be to provide/review the necessary background material so that the students can get the most out of the field experiences. The objective of the field experiences is to provide veterinary students with exposure to day-to-day feedlot operations so that students can gain an improved understanding of the feedlot production system and to proved hands on experience in performing selected animal health and veterinary procedures such as field necropsy, administration of vaccines, implants and minor surgery. The model of beef production consulting utilized at Feedlot Health Management Services will also be presented with the feedlot production consulting model as the primary example studied. Some funding of student expenses has been obtained in the past from various pharmaceutical company sponsors; however students should be prepared to pay for their food and lodging during this rotation. This is a very intensive one week experience in which the combination of clinical and classroom experiences averages hours/day. Only students with a primary focus on food animal production medicine should select this rotation! 47

49 Ophthalmology INSTRUCTOR: Drs. C. Lim, B. Grahn and L. Sandmeyer 2 weeks TIMING: Weeks 1-2 August 24 September 6, 2009 Weeks 5-6 September 21 October 4, 2009 Weeks 9-10 October 19 November 1, 2009 Weeks November 16 November 29, 2009 Weeks November 30 December 13, 2009 Weeks January 18 January 31, 2010 Weeks February 1 February 14, 2010 Weeks February 15 February 28, 2010 Weeks March 22 April 4, 2010 Weeks April 19 April 30, students per rotation Students will be involved with all clinical ophthalmology cases (LA, SA and Exotics) seen during the two week rotation, with one student being assigned as primary student on each case. A teaching video and assigned reading list will be provided and all students must review these prior to beginning. The objectives of this elective are to provide the student an opportunity to gain competence in (1) the basic ophthalmic examination and (2) allow an in-depth study of ocular disease. A slide show of varied ophthalmic conditions will be given during the elective to cover essential case material that may not be seen by the clinical service. Evaluations of students will be based on case management and quizzes. * A student may take this rotation only once. 48

50 Poultry Diagnostic Pathology and Field Service INSTRUCTORS: Drs. S. Gomis, R. Goodhope 2 weeks TIMING: Weeks April 5 April 18, students This elective rotation in Poultry Diagnostic Pathology and Field Service will be offered once and is open to four students who have a strong interest in food animal production. The objectives are to expose the students to the commercial poultry industry and the diagnosis and management of disease problems in the field. It will consist of fieldd trips to commercial broiler, broiler breeder, turkey and egg-layer flocks, flock investigations of current field problems, poultry necropsy, and visit to a slaughter plant, hatchery, feed mill and the Research Facility at Poultry Science and VIDO. 49

51 Saskatoon Feedlot INSTRUCTOR: Drs. J. Campbell, S. Hendrick and F. Schumann 2 weeks TIMING: Weeks November 2 November 15, students per rotation The goal of this rotation is to introduce the students to the role of veterinarians in providing health management services to cattle feeding operations. The rotation will be based out of the field service practice at WCVM and will involve working with several large feedlots in the Saskatoon area. Students will spend time working at a large feedlot and participating in routine work such as processing and animal treatments. Diagnosis of mortalities through daily necropsies will be a significant aspect of the rotation. Seminars with WCVM faculty and invited speakers will focus on various aspects of the feeding industry such as nutrition, economics, carcass quality, and vaccination protocols. A segment of the rotation will be devoted to tours of feeding operations, packing plants and rendering operations. There may also be a small amount of cow-calf work such as pregnancy checking included during this rotation. Students will be expected to present a seminar on a topic related to the feeding industry. Students electing to take this rotation should have a strong focus on food animal production medicine. * A student may take this rotation only once. 50

52 Small Animal Critical Care INSTRUCTORS: Dr. J. Ogeer 2 weeks TIMING: Weeks 5-6 September 21 October 4, 2009 Weeks 9-10 October 19 November 1, 2009 Weeks November 30 December 13, 2009 Weeks February 1 February 14, 2010 Weeks March 8 March 21, 2010 Weeks April 5 April 18, students per rotation The objective of this elective is to provide 4 th year students with a comprehensive overview of critical care medicine approached on a system basis. Group discussions will pertain to the clinical evaluation and management of small animal emergency and critical care patients. Lifethreatening abnormalities of the cardiovascular, respiratory, endocrine, gastrointestinal, urogenital and neurological systems will be presented in a problem-oriented manner. Actual case material will be used to illustrate principles with emphasis on physiology and pathophysiology of the presenting problem. Case-based discussions will be formulated from patients currently in the intensive care unit. These cases will be discussed in the forum of cage-side rounds from 8:00 to 9:00 am and 4:00-5:00 pm daily. Case-based discussions will be further developed in formalized rounds from 9:30-11:00 am daily. The students will be assigned case examples for group discussions. Following completion of this elective the student should be able to: 1. Compose a problem list in terms of priority for a small animal emergency, a list of differential diagnoses, diagnostic plans and therapeutic plan for initial stabilization and long-term management for a small animal emergency and critically ill dogs and cats. 2. Perform and interpret the results of pulse oximetry, capnography, indirect blood pressures, central venous pressures and venous and arterial blood gases and electrolytes. 3. Understand placement of a jugular catheter using modified Seldinger technique. Know how to aseptically place a patient on parenteral nutrition and monitor patients on constant rate infusions and how to set up a blood transfusion and monitor a patient receiving a transfusion. Other special techniques such as thoracocentesis, abdominocentesis and diagnostic peritoneal lavage will be taught based on the cases that present or will be discussed in a formal didactic session (see procedures checklist below). 4. Interpret and recognize common arrhythmias in critically ill patients and how to manage these. Understand and perform cardiopulmonary resuscitation. 5. Understand the principles of fluid therapy and the management of patients with conditions such as head trauma, diabetic ketoacidosis, pancreatitis, septic peritonitis, uroabdomen, toxicological ingestions, and respiratory distress. 51

53 Procedures checklist: At the end of this elective rotation, the student should be able to describe in detail how to perform the following procedures if they have not had a chance to perform them on a patient. 1. Cardiopulmonary resuscitation a. On a small dog or cat b. Large dog 2. Abdominocentesis 3. Thoracocentesis 4. Cystocentesis 5. Urinary bladder catheterization a. Male dog b. Female dog c. Male cat d. Female cat 6. Central line placement using a modified Seldinger technique 7. Peritoneal dialysis catheter placement (description only) 8. Feeding tubes a. Nasoesophageal b. Nasogastric c. Esophagostomy 9. Thoracostomy tube placement 10. Setting up and monitoring a blood transfusion a. On a cat b. On a dog 11. Obtaining indirect blood pressures a. Using Doppler b. Using Daytex 12. Obtaining a lead II ECG and interpreting basic ECGs 13. Obtaining a pulse oximetry reading 14. Placing IV catheters 15. Obtaining a venous blood gas 16. Obtaining an arterial blood gas 17. Performing a blood smear and interpreting the results 18. Performing a slide agglutination test 19. Performing an activated clotting time test or ACT a. Dogs b. Cats 20. Calculations of constant rate infusions from first principles a. Lidocaine b. Procainamide c. Diltiazem d. Dobutamine e. Dopamine f. Vasopressin g. 5% Dextrose h. K phosphate i. Insulin j. Magnesium sulphate 21. Calculation and interpretation of the following: a. Anion gap b. Osmolality c. Bicarbonate deficit d. Free water deficit 52

54 22. Description of an orogastric intubation or trocarization in a patient with gastric dilatation and volvulus 23. Description of oral and topical decontamination methods 24. Placement of nasal cannulas 25. Able to set up nebulizer and appropriate nebulize a patient 26. Knowledge of handling of suspect infectious cases in the ICU Scheduling: The ICU students do not have primary case responsibility but are expected to participate in the emergency management, treatment and care of all patients in the critical care unit. This will entail working closely with the medicine and surgery students, interns, residents and ICU technicians. This rotation will involve working 8 hour shifts: 8 am-4 pm, 4 pm-midnight and midnight to 8 am. The student on the midnight to 8 am shift will stay for rounds the next morning but then will have the rest of the day off. All students will be present for the cage-side rounds in the morning in ICU and for the didactic rounds later that morning. The overnight student will be expected to present the cases to the group in the morning rounds in a problem-oriented manner and provide details of any bloodwork, imaging or procedures that were done on the new cases. An update of the previously admitted cases in the ICU will also be presented in the morning rounds. The focus will be on the patients progress overnight and any concerns that may have developed. These cases will all be presented in a logical, comprehensive manner. Afternoon rounds will take place at 4-5 pm when there is a shift change. These rounds will essentially be an update of the cases that were present in the morning and the development of case history and findings for new cases admitted to the ICU during the day. It is expected that the discussion will include the bloodword and imaging findings as well as any surgical findings in post-operative patients. DATE 8 A 4 P 4 P 12:00 P 12:00 P - 8 A OFF Mon (Week 1) A B C D Tues (W k 1) D A B C Wed (Week 1) C D A B Thurs (Week 1) B C D A Fri (Week 1) A B C D Sat (Week 1) D A B C Sun (Week 1) C D A B Mon (Week 2) B C D A Tues (Week 2) A B C D Wed (Week 2) D A B C Thurs (Week 2) C D A B Fri (Week 2) B C D A Sat (Week 2) A B C D Sun (Week 2) D A B C Students: A, B, C, D ** If there are 8 students there will be 2 students per shift** 53

55 Recommended reading for course: Small Animal Critical Care Medicine Silverstein and Hopper Manual of Small Animal Emergency and Critical Care Medicine Douglass K. MacIntire, Kenneth J. Drobatz, Steven C. Haskins, William D. Saxon. Veterinary Emergency and Critical Care Manual K.A. Mathews, Lifelearn, Guelph, Ontario, Canada. The Veterinary ICU Book Wingfield, Raffe. Handbook of Veterinary Procedures and Emergency Procedures Kirk, Bistner. Evaluation/Grading policy: Grading will be divided into the following categories: 1. Attendance, preparedness and participation in group discussions of cases in rounds. (30%) 2. Background reading and analysis of cases and management (30%) 3. A 15- minute oral Powerpoint presentation of a topic related to small animal emergency medicine and critical care (20%). 4. A quiz that will be given on the first day that will be due at the end of the first week. This will be an open-book, take home quiz (20%) that will be handed in on the last Friday of the rotation. * A student may take this rotation only once. 54

56 Small Animal Medicine INSTRUCTORS: Drs. A. Carr, E. Snead and S. Taylor 4 weeks TIMING: Weeks 1-4 August 24 September 20, 2009 Weeks 5-8 September 21 October 18, 2009 Weeks 9-12 October 19 November 15, 2009 Weeks November 16 December 13, 2009 Weeks January 4 January 31, 2010 Weeks February 1 February 28, 2010 Weeks March 8 April 4, 2010 Weeks April 5 April 30, students per rotation The main objective of this course is to have the student learn to practice clinical small animal medicine. The student will work together with clinical faculty and house officers to manage patients presented to the Small Animal Clinic of the Veterinary Teaching Hospital. The student will develop the observational and communicative skills necessary to interact with pet owners and collect relevant clinical information. The student will learn to handle, restrain and examine dogs and cats and will develop the manual and technical skills required for diagnosis and treatment of these animals. The student will learn and practice a logical, problem-oriented analytic approach to making clinical decisions relating to diagnosis, prognosis, management and disease control. Students will be assigned to receive cases presented to the Small Animal Clinic for scheduled appointments and emergency management. The students will be responsible for all aspects of management of their hospitalized cases, 24 hours a day, seven days a week. This will include all treatments, feeding, maintaining hospital records, collecting and submitting samples for laboratory analysis, interpreting diagnostic test results, communicating with owners and participating in decision-making about their cases. Morning rounds will be held daily (Monday to Friday) in the rounds seminar room, with one case being presented to the group by a student on the rotation. Afternoon case rounds will take place on Monday, Wednesday and Friday in the clinic. There will be two written examinations during the course of the rotation. The student will be required to keep a written log of all cases managed during the rotation. The evaluation of students will be based upon all aspects of their performance in the clinic, their preparedness for rounds presentations and discussions and their examination scores. * A student may take this rotation only once. 55

57 Small Animal Nutrition INSTRUCTOR: Dr. M. Smart 2 weeks TIMING: Weeks January 4 January 17, 2010 Weeks March 22 April 4, students per rotation Goals: To provide the student with adequate information and skills so that they will feel more confident to do independent nutritional investigations but still recognize their limitations. To make the student aware of the resources available and how to find them. To help the student appreciate that there is seldom one correct answer in clinical nutrition, thus many different approaches and solutions can exist when investigating nutritionally related problems. To Achieve These Goals: Students in this elective are registered in PAWS as members of the Small Animal Nutrition Group. All the required course materials, the main project and the case studies are posted at this site. Each student is required to do two presentations one involves a case study and the other an analysis of the prescriptions diets available through veterinarians. Each student will formulate at least one homemade diet as an alternative to a medical diet. During the course of this elective and within the assignments various controversial issues are addressed: - the science behind the medical diets - homemade diets and raw diets - alternative nutrition - marketing strategies/the information behind the label claims/interpreting the label claims - regulation of the industry - is the veterinarian s advice unbiased - carbohydrates and cats A lunch and a tour of the Horizon pet food manufacturing plant in Rosthern, SK are also planned. Student Evaluations: Initially the student is asked to set out some goals to be achieved and much of this elective involves self directed learning, as a result the student does a self evaluation. I reserve the right to change this mark if I feel it does not represent the student s participation. * A student may take this rotation only once. 56

58 Small Animal Surgery 2 INSTRUCTORS: Drs. K. Linn and C. Shmon 2 weeks TIMING: Weeks 9-10 October 19 November 1, 2009 Weeks November 2 November 15, 2009 Weeks November 16 November 29, 2009 Weeks November 30 December 13, 2009 Weeks January 4 January 17, 2010 Weeks January 18 January 31, 2010 Weeks March 8 March 21, 2010 Weeks March 22 April 4, students per rotation This general small animal surgery course is designed to introduce students to fundamental concepts. It will focus on the clinical diagnosis and management of surgical problems observed in small animal practice using clinical cases presented to the Veterinary Teaching Hospital. Hands on experience will be provided primarily through assistance in major procedures, and through the performance of elective procedures. Students desiring a more intensive experience in small animal surgery should select the Small Animal Surgery 4 rotation. Objectives: To develop and practice basic problem-solving and diagnostic skills for the management of small animal surgical problems. To learn and practice optimal perioperative patient managements including the recognition and management of surgical complications. To teach students how to apply sound surgical judgement and surgical techniques to patients presenting with surgical diseases. To practice and further refine surgical psychomotor and tissue handling skills. To develop communication skills through the interaction with clients, peers and clinicians. To develop an awareness of practicalities, success and economics of various treatment regimes. * Students may repeat this rotation only once. 57

59 Small Animal Surgery 4 INSTRUCTORS: Drs. K. Linn and C. Shmon 4 weeks TIMING: Weeks 1-4 August 24 September 20, 2009 Weeks 5-8 September 21 October 18, 2009 Weeks February 1 February 28, 2010 Weeks April 5 April 30, students per rotation This general small animal surgery clinical course will introduce students to fundamental concepts. It will focus on the clinical diagnosis and management of surgical problems commonly observed in a practice using clinical cases presented to the Veterinary Teaching Hospital. Hands on experience will be provided primarily through assistance in major procedures, and through the performance of elective procedures. This fourweek rotation is intended for students with a strong interest in small animal surgery to provide a concentrated experience for maximal skill development. Objectives: To teach students how to apply sound surgical judgement and surgical techniques to patients presenting with common disease. To develop an awareness of practicalities, success and economics of various treatment regimes. To develop and practice basic problem-solving and diagnostic skills in small animal surgery. To learn and practice optimal perioperative patient management and the recognition and management of surgical complications. To develop communication skills through the interaction with clients, peers and clinicians. To practice and further refine surgical psychomotor and tissue handling skills. * Students may not repeat this four-week rotation. Students may take an additional two-week rotation after Christmas. 58

60 Small Ruminants INSTRUCTORS: Drs. C. Clark 2 weeks TIMING: Weeks 5-6 September 21 October 4, students per rotation This course is meant to provide an in-depth examination of the sheep and goat industry in this area. Course activities will include a review of nutrition of sheep and goats, clinical cases, general sheep management, flock health programs, ultrasonography of ewes (if any are available at the appropriate stage of gestation), ram fertility evaluation, and selected field trips. The sheep barn (Animal Science) will be lambing during the rotation. This will provide an opportunity to become familiar with handling neonatal lambs and with routine management procedures of young lambs, such as castration and tail docking. Each student will be required to make a presentation at the end of the rotation on a topic of interest to the industries. The topics will be given out at the beginning of the rotation. * Students may take this rotation only once. 59

61 Swine Practice INSTRUCTOR: Dr. J. Harding 2 weeks TIMING: Weeks 7-8 October 5 October 18, students This course is meant to provide concentrated studies into swine production medicine and modern swine production. Course activities will include herd visits, directed studies into disease and production problems, student presentation, and directed discussions. Also included will be a review of basic swine nutrition, discussion of selected clinical cases, and discussions on quality assurance programs, production records, animal welfare and industry issues. There is a strong emphasis on preventive medicine in all aspects of this rotation. The general concepts discussed and reviewed certainly are applicable to other livestock species. A videotape library on various topics has been assembled. Students can review these tapes during non-class times. The rotation will likely include one Saturday session and attendance at the Western Canadian Swine Veterinary Annual Conference in Saskatoon on October 16 & 17, 2009 Because of the limited enrolment, it is encouraged that only students with a sincere interest in swine medicine and production should select this rotation. The rotation will likely include 1-2 nights out of province. * A student may take this rotation only once. 60

62 Theriogenology INSTRUCTORS: Drs. A. Barth, C. Card, C. Palmer and K. Post 2 weeks TIMING: Weeks 1-2 August 24 September 6, 2009 Weeks 7-8 October 5 October 18, 2009 Weeks 9-10 October 19 November 1, 2009 Weeks November 2 November 15, 2009 Weeks February 15 February 28, 2010 Weeks March 8 March 21, 2010 Weeks March 22 April 4, 2010 Weeks April 5 April 18, 2010 Weeks April 19 April 30, students per rotation The objective of this course is to develop proficiency in clinical skills and increase knowledge and understanding of Theriogenology as it applies to food animals, horses and pets. A good, general experience can be expected regardless of the time of year, however, during some parts of the year more teaching animals are available and there are some seasonal differences in the predominant types of clinical cases. Before Christmas, students have access to a larger number of palpation cows and mares; after Christmas most of these animals are in use by the third year class, but a few cows and mares are reserved for the fourth year students. Beef cow pregnancy testing occurs in the fall, particularly in September to mid-november, and Theriogenology students would be fairly certain to obtain a good deal of pregnancy testing experience. Students that are unable to access a Field Service or Theriogenology rotation in the fall might be able to leave other rotations for a half-a-day to allow some exposure to beef cow pregnancy testing. Bull breeding soundness evaluations occur in all months of the year, but the caseload is higher in the February through April period. Obstetrical cases are uncommon prior to Christmas and are primarily concentrated in February through April. A fairly steady small animal reproduction caseload occurs through out the year. A daily discussion period is held likely beginning at 1:30 p.m. Students play a role in choosing the topics for discussion and are informed in advance about the topics to be covered. A Theriogenology clinician will supervise utilization of clinical cases, teaching animals, and teaching materials such as semen smears, vaginal cytology smears, and videos, for the development of clinical skills and application of knowledge. Ample time will also be allowed for individual study. A comprehensive open book examination will be given at the beginning of the rotation. The exam normally will be reviewed on a group basis near the end of the rotation. Grades will be based on an assessment of attitude and interest, ability to apply knowledge, and progress in development of clinical skills. * Students are welcome to repeat this rotation. 61

63 Vaccine & Infectious Disease Organization (VIDO) (Evaluation of Vaccine Efficacy and New Vaccine Technologies) INSTRUCTORS: Drs. V. Gerdts, P. Griebel, G. Mutwiri, H. Townsend and D. Wilson 2 weeks TIMING: Weeks January 4 January 17, students The objective of the rotation will be to critically evaluate vaccines as a tool for disease control and to design a science-based vaccine strategy. Each student will select a disease of interest. The pathogenesis of the disease will be reviewed to identify the target population and the most appropriate time for vaccination. The literature will be reviewed to critically evaluate the evidence regarding efficacy of the available vaccines. Each student will then be expected to present a disease control strategy and indicate how vaccines can best be used within the context of this strategy. Course objectives will be achieved through directed reading and a review of basic concepts regarding vaccines, immunology, and the analysis of vaccine clinical trials. The primary objective of this review will be to direct students in asking critical questions regarding vaccine efficacy and safety. Specific topics will include: 1) correlating immune responses and disease protection 2) protective versus non-protective immune responses 3) systemic versus mucosal immunity 4) the role of adjuvants and immune stimulants 5) neonatal vaccination 6) evaluating safety and efficacy of commercial vaccines. On the last day of the rotation each student will present a minute oral presentation on their vaccination program and submit a written report outlining the rationale and scientific evidence supporting their disease control strategy. 62

64 Winnipeg Assiniboine Park Zoo Zoo Practice INSTRUCTOR: Dr C. Enright 2 weeks TIMING: Weeks 7-8 October 5 October 18, 2009 Weeks April 5 April 18, students per rotation Medicine: Students are expected to assist the zoo veterinarian in the delivery of preventative and emergency medicine to the animals of the Assiniboine Park Zoo. Over 2000 individuals of more than 600 species are kept at the zoo. Clinical cases may also be admitted from Wildlife Rehabilitators seeking veterinary care for their charges. A range of medical conditions are seen at the zoo hospital and our patients range in age from neonates to geriatric. Infectious, metabolic, traumatic, and nutritional disease may all be encountered. Externs will be encouraged to develop diagnostic and therapeutic plans for hospital cases under the direction of the veterinarian. As demand requires, routine medical procedures such as anesthesia, physical examinations, vaccinations, blood tests, TB tests, parisitology examinations and treatments may also be performed on clinically healthy members of the zoo population. Surgery: The Assiniboine Park Zoo maintains a surgical site as well as equipment for field surgery as required. Surgical case load is not heavy at the zoo, but soft tissue and orthopaedic procedures may be encountered. The zoo administers a vasectomy / tubal ligation program for wild raccoons living on site and the student may have opportunities to perform these surgeries. Pathology: The Assiniboine Park Zoo has a policy to necropsy all deceased zoo animals. The majority of necropsies are performed on site, with a proportion being referred to the provincial diagnostic laboratory. Typically necropsies are performed every year. Students will have the opportunity to perform gross pathological examination and interpretation... Anesthesia: The use of chemical restraint is instrumental in zoo and wildlife medicine. The student will be expected to gain familiarity with anesthetic equipment and drugs used in zoo practice and to assist in hospital and field anesthesias as required. Evaluation: Students will be graded using the standard WCVM evaluation form. A sound knowledge of domestic animal medicine, surgery and pathology is a good basis for zoo practice and will be expected. Overview of Experience Tour of The Assiniboine Park Zoo and Hospital Introduction to the unique environment of zoo medicine Safe work procedures in a zoo environment (ultrapotent opiods, novel and dangerous species, zoonoses etc) Discussion of population versus individual medicine in a zoo environment Discussion of Zoonoses and vet s responsibility to staff and visitors 63

65 Discussion of vaccination, parasite control and other health promotion strategies Case management of select hospitalized animals Discussion of quarantine, disinfection and control of infectious disease, Clinical Pathology diagnostics including fecal exams, urinalysis, skin scrape, blood work, Discussion of interpretation and limits of diagnostic tests Gross pathological examination and interpretation Discussion (and dependent on timing implementation) of neonate medicine Physical examination of avian species, reptile species and mammalian species Wildlife emergency medicine Discussion of anesthetic drug selection and procedures Introduction to anesthesia, anesthetic monitoring in zoo species Trap-vasectomize / tubal ligation-return of raccoon population Other surgical experience Radiography Attire: Steel toe boots are required on site and should be disinfected prior to arrival at the zoo. Students may be required to spend periods of time out of doors working on an animal and should have clothing appropriate to the weather conditions. Coveralls should be worn while on site and should be provided by the student. Surgical scrubs are to be worn during surgeries and students should provide their own scrubs. Hours of Work: Monday to Friday 8:30 4:30. Additional evening or weekend treatments or other responsibilities may arise dependent on case load and case requirements. Recommended Reading: The zoo library contain relevant texts and journal articles and students are encouraged to make use of these resources in case management and management or disease discussions. Housing: Students are expected to provide their own housing in Winnipeg. Travel: Students are expected to provide their own means to come to Winnipeg. CONTACT: Dr. Chris Enright Zoo Veterinarian (204) [email protected] 64

66 Winnipeg Humane Society Shelter Medicine INSTRUCTOR: TIMING: Dr. E. Anseeuw (Director of Animal Health) 2 or 4 weeks 2-Week Rotations Weeks 1-2 August 24 September 6, 2009 Weeks 9-10 October 19 November 1, 2009 Weeks March 8 March 21, 2010 Weeks April 19 April 30, Week Rotations Weeks February 1 February 28, student per rotation Medicine: Students will be expected to assist the shelter veterinarians in the examination and treatment of animals in the care of The Winnipeg Humane Society. All animals are treated as soon as problems are noted and we endeavour to euthanize only on the basis of untreatable medical or behavioural problems. Frequently, the type of medical conditions reflect the problems associated with the stress and confinement in the shelter environment, specifically infectious disease or gastrointestinal illness. However, animals in our care range in age from pre-natal to geriatric and all have unique health concerns which must be addressed. Infections disease and parasitology are issues especially important to the shelter veterinarian and students can expect considerable experience in these areas. Diagnostics and vaccination strategies appropriate for shelter animals will be explored. Surgery: The Winnipeg Humane Society operates a high volume spay and neuter program with approximately 4500 surgeries per year. Students preferably have already had a surgical rotation or considerable previous surgical experience in order to maximize their surgical opportunities in our high volume spay and neuter program. However, even the confident novice will gain experience in spay and neuter surgery on cats, dogs and rabbits. Additional surgical opportunities vary with the current cases but include orthopaedics, soft-tissue, gastro-intestinal and urological, dental, and other miscellaneous procedures. In addition to surgical experience, the students will get experience in induction to anesthesia and other para-surgical procedures. Behaviour: The Winnipeg Humane Society evaluates most dogs behaviour to assess adoptability and potential problems. The student will be instructed on the mechanism of this assessment and also be expected to discuss the limitations and advantages of these tests. The students will be instructed how to safely handle animals with unknown temperaments in the shelter environment and how to better communicate and reassure stressed and fearful animal. Evaluation: Students will be graded using the standard WCVM evaluation form. Devotion to the profession and compassion and respect for the animals is expected of all students. The rotation is a largely practical and hands-on experience and reflects what is being seen in the shelter during the student s stay. The details are provided below. Obviously, with a longer stay, more opportunities will exist for skills development. 65

67 Overview of Experience Tour of The Winnipeg Humane Society Introduction to the unique environment of shelter medicine Safety and handling of shelter animals Discussion of population versus individual medicine in a shelter Discussion of Zoonoses and vet s responsibility to adopters and the public Discussion of vaccination strategies Discussion of disinfection and control of infectious disease in the shelter environment Diagnostics including fecal exams, urinalysis, skin scrape, blood work, ELISA Discussion of interpretation and limits of diagnostic tests Discussion of pediatric medicine Physical examination of dogs, cats and pocket pets Wildlife triage Discussion of anesthetic drug selection and procedures in volume surgery operations Induction to anesthesia, anesthetic monitoring Spay and neuter surgery and discussion of options of techniques Trap-neuter-return of feral cats Discussion of remote veterinary clinics Dental cleaning and extractions Other surgical experience Radiography Evaluation of dog and cat behavior and suitability for adoption Discussion of behavior modification in the shelter environment Discussion of the private practitioner s role in preventing shelter relinquishment Attire: Surgical scrubs are to be worn and are provided for individuals of average size. Taller or heavier individuals should provide their own scrubs and have adequate sets to allow a change of clothes (3 or 4 pairs). Non-slip closed toe and heel shoes which may be used only in the building are required. Hours of Work: Monday to Friday 8:30 4:30. Additional weekend or evening help may be required. Reference Text Book: Shelter Medicine for Veterinarians and Staff (Edited by Lila Miller and Stephen Zawistowski, Blackwell Publishing, 2004). Additional relevant papers for discussion and handouts will be provided. Housing: an on-site furnished apartment is available for students to stay free of charge. Laundry and kitchen facilities are also provided. Internet access and a telephone is provided. Travel: Students are expected to provide their own means to come to Winnipeg. CONTACT: Dr. Erika Anseeuw Director of Animal Health (204) [email protected] Note: This experience is also offered as an externship and dates are negotiable. 66

68 Zoological, Exotic and Wildlife Medicine I INSTRUCTOR: Dr. D. Parker 2 weeks TIMING: Weeks 1-2 August 24 September 6, 2009 Weeks 3-4 September 7 September 20, 2009 Weeks 7-8 October 5 October 18, 2009 Weeks November 2 November 15, 2009 Weeks February 15 February 28, 2010 Weeks March 8 March 21, 2010 Weeks April 5 April 18, students per rotation Students will participate in the management of clinical cases involving pet birds, ferrets, rabbits, rodents and reptiles. This rotation is based heavily on clinical material, and will vary with the caseload. There is usually an opportunity for students to assist with elective surgery, such as rabbit ovariohysterectomy, orchidectomy as well as with non-elective surgeries. Wild bird patients will be also seen and students will have the opportunity to learn correct handling and management of these species. These patients are also important for the student to learn basic avian anatomy, radiograph interpretation, clinical pathology and disease management, as we often do not have large parrots present for diagnostic work-ups. The wild bird caseload is heaviest in the early fall. One morning a week will be spent at the Saskatoon Zoo performing preventative medicine procedures and helping provide veterinary services to the zoo. Two laboratories will be given if time allows: 1) pet bird handling, blood collection, wing trimming and 2) rabbit handling and procedures. Each student will be responsible for preparing minute presentations on a ZEW topic of their choice. * A student may take this rotation only once. 67

69 Zoological, Exotic and Wildlife Medicine II INSTRUCTOR: Dr. D. Parker 2 weeks TIMING: Weeks April 19 April 30, students Students who successfully complete a two week rotation in ZEW I will be eligible to take this rotation. This rotation is designed to allow more in-depth discussions, as all the students will have taken the rotation once before. Students will also participate in the management of clinical cases as with ZEW I, but rounds topics and discussions will be taken to the next level. Handling skills will be at a more advanced level and we will discuss issues affecting the exotic/wildlife clinician. 68