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Large Animal Medicine Clinic
Students participating in this elective rotation will be assigned with the core students in VCSN700 in the Medicine Section. These elective students will participate in the same manner as core students, although attempts will be made, when possible, to allow them to focus more on some cases or diseases of particular interest to them. They are expected to participate, to the same extent as core students, in all emergency duties including night and weekend on-call duty. At least eight hours per day, plus duty hours.
This is an elective rotation equivalent to course VCSN713.Students in this rotation will assist staff doctors in history taking, physical examinations, and the medical management of patients seen on the Field Service activities of the School's large animal practice. The student is required to attend the appropriate 8:00 a.m. daily rounds at New Bolton Center. The remainder of the day will be spent on field calls. The student will be required to be on night and weekend duty. Night duty will be divided equally among field service students in the rotation. Students on emergency duty are required to be within 15 minutes from New Bolton Center while on duty. Case presentations will be given by students on the second Wednesday of the rotation. Boots and coveralls are essential for this rotation.
Large Animal Clinical Reproduction
The course is designed for those students anticipating entering large animal or mixed practice. Students will participate in the diagnosis and treatment of clinical reproductive cases in the hospital. Students will be responsible for the daily treatment and examination of all hospitalized cases at the Hofmann Center. Students will also assist in the management of reproductive problems of Widener Hospital patients. Exposure will vary due to fluctuations in case load. Additional "hands-on" practice of reproductive procedures will occur by the use of teaching animals. Organized laboratories will allow the student to become comfortable with diagnostic techniques of large animal species. On-call, weekend, and night duty are required. Students will be required to give a 15 minute presentation during the rotation and prepare two case letters/discharge instructions on animals they evaluated during the rotation. If student interest and time permit, students may go on field trips to breeding farms.Priority given to EQ, FA, LA majors.
Diagnostic Ultrasound in Large Animals
This is an elective rotation equivalent to course VCSN715.This rotation will provide students with experience in the diagnosis and treatment of large animal cardiac diseases and the use of M-mode, 2-dimensional real-time, pulsed wave, color flow and continuous wave Doppler echocardiography and exercising electrocardiography. Students will also gain experience in the use of diagnostic ultrasonography in the evaluation of tendon and ligament injuries, diseases of the thorax and abdomen, and the evaluation of masses, swellings, neonates and high-risk pregnancies. Students will also gain experience in patient preparation; obtaining a quality ultrasonographic or echocardiographic image and cardiac Doppler studies; and in interpretation of these images and studies with staff and faculty supervision. Students will be responsible for patient care of animals presented to the Heart Station/Ultrasound Service during the rotation.
Ultrasonography in Large Animals
This rotation will provide students with experience in the diagnosis and treatment of large animal cardiac diseases and the use of M-mode, 2-dimensional real-time, pulsed wave, color flow and continuous wave Doppler echocardiography and exercising electrocardiography. Students will also gain experience in the use of diagnostic ultrasonography in the evaluation of tendon and ligament injuries, diseases of the thorax and abdomen, and the evaluation of masses, swellings, neonates and high-risk pregnancies. Students will also gain experience in patient preparation; obtaining a quality ultrasonographic or echocardiographic image and cardiac Doppler studies; and in interpretation of these images and studies with staff and faculty supervision. Students will be responsible for patient care of animals presented to the Heart Station/Ultrasound Service during the rotation.
Large Animal Neonatal Intensive Care Rotation
This elective provides students with experience in the management of critically ill large animal neonates and dams with periparturient complications. Daily rounds emphasize the use of monitoring techniques (e.g. capnography, ECG, BP monitor, fetal and neonatal ultrasonography), and various treatment modalities (e.g. parenteral nutrition, positive pressure ventilation, and fluid therapy) required in the management of critically ill neonatal foals and late-term pregnant mares. Students will have the opportunity to master the following manual and theoretical skills: arterial puncture and arterial blood gas analysis, calculation and application of parenteral and enteral nutrition formulations, catheterization techniques for veins and bladder, principles of fluid therapy as applied to patients with septic shock and patients requiring maintenance fluids, radiographic interpretation of neonatal thoracic and musculoskeletal disease, interpretation of fetal and neonatal sonograms, familiarity with different types of respiratory support and resuscitation protocols, and a working knowledge of a wide variety of pharmacologic agents including antibiotics, anticonvulsives, sedatives, analgesics, pressors and inotropic agents. Student responsibilities include presentation of NICU cases at rounds, performing patient treatments with assistance from the NICU nursing staff, morning SOAPs on all assigned cases, and assistance with the diagnosis, treatment and monitoring of neonates admitted to the NICU during their shifts, and assistance with monitoring and parturition in pregnant dams. Students are scheduled to assist with treatments in the intensive care unit every evening from 6 p.m. to 12 midnight and 6 a.m. to 12 midnight on weekends. Emergency duty is assigned equitably among the students on the rotation. Care of the NICU case population is a team effort shared by fourth year students, NICU clinicians, nursing staff, and foal sitters (second year students and volunteers).
Large Animal Surgery Clinic
This rotation is a post-requisite of VCSN645 Large Animal Surgery and Surgical ExercisesThis is an elective clinical rotation equivalent to VCSN800. Students electing VCSN645 during Large Animal Block are required to take this rotation in addition to VCSN800 in their fourth year.Students rotating through Large Animal Surgery at NBC will participate in all aspects of examination and diagnosis, including lameness evaluation and endoscopy, medical and surgical treatment and daily patient care of large animals. During one week of the two-week rotation, each student will be assigned to treat cattle, other domestic farm animals and horses, and during the other week, horses only. Night, weekend and holiday assignments, including treatments and emergency service, will be made according to the requirements of the overall hospital operation during a given session. Students usually are exposed to various surgical procedures (general soft tissue, abdominal, orthopedic, etc.) during any one rotation. During the rotation, students may gain experience with horses being examined on the High Speed Treadmill or undergoing imaging in the Nuclear Scintigraphy Unit. Students will also participate in a variety of didactic teaching rounds, barn rounds and teaching laboratories as described below:Rounds:Monday, Tuesday, Wednesday, Friday4-5 pm – Surgery Teaching RoundsThursday3-5 pm – Surgery Teaching Laboratory (Wet labs)Monday 8-9 am – Radiology Rounds (case-based discussion led by surgery faculty)Tuesday 8-9 am – Lameness Rounds (case-based discussion led by Sports Medicine faculty)Wednesday 8-9 am – Radiology Rounds (case-based discussion led by radiology faculty)Thursday 8-9 am – Grand Rounds (Student case presentations)Friday 8-9 am – Medicine Teaching Rounds (case-based discussion with Medicine faculty and house officers) Nursing staff performs treatments between 9am and 5pm, Monday through Friday and 6pm to 6am Monday through Thursday to allow daily student participation in surgical cases. On Fridays, students perform treatments 6am - 8am, at 6 pm and midnight. On Saturdays, students do treatments from 6am through midnight and on Sundays, from 6am through 10pm. On the last day of a rotation, students do midnight treatments. To facilitate a smooth transition to your next rotation, nursing does 6am and 8am treatments on the first day of each new rotation.
Large Animal Emergency Service
This rotation is designed as a supplement to the Foundation Emergency / Critical Care rotation, for students with a specific interest in this field or those desiring more large animal exposure. The format will follow that outlined for the Foundation rotation (VCSN701), with emphasis on more advanced critical care topics. Elective students will not be required to complete a Grand Rounds presentation.
Large Animal Radiology Service
In this rotation, students will gain experience in making and interpreting large animal radiographic examinations. They will assist the radiology technicians in taking and processing routine radiographs, attend film reading sessions, daily hospital rounds and review large animal radiographs independently and under supervision. Students will be required to write radiology reports.
Peds/Gen/Repro (Discontinued effective 2019-2020)
This service will be discontinued effective 2019-2020.
Small Animal Internal Medicine - Clinic
The elective rotation in small animal internal medicine will provide further contact and experience in problems of internal medicine (diseases of the endocrine, gastrointestinal, hematologic, pulmonary, and urogenital systems). Students in the elective rotation will be assigned more complex cases, and they will be expected to assume more responsibility for patient management and decision-making.
Small Animal Intensive Care Medicine
This is an elective clinical rotation equivalent to VCSP712 .The ICU rotation provides a good medical approach to the management of critical and often very unstable patients. Since these cases are often very challenging diagnostically, and also very dynamic, they provide an excellent learning experience, with ample opportunity for one-on-one discussion with the clinician, and for background reading. Students have an opportunity to become familiar with use and interpretation of the advanced technical equipment available in the ICU, and are also encouraged to perform and perfect technical skills such as catheterization of blood vessels and urinary bladder, obtaining arterial blood samples, etc. During the rotation, we encourage integration and a team approach among the students, the ICU clinicians, and the nursing staff. Students on the ICU service start daily at or before 7:00 a.m, and stay until their cases are stable and all of the proposed diagnostics have been completed (usually 6-7 p.m.). Students are expected to SOAP the cases daily including weekends, to be closely involved in decision-making, diagnostics and therapeutics, and to present and discuss the cases at daily rounds. Students are internally scheduled to assist in treatments in the Intensive Care Unit; patient care shifts may include evening and overnight responsibilities. Weekend duties are distributed equitably among all assigned students. Cage rounds are held daily at approximately 2 P.M. Student teaching rounds are held most weekdays at approximately 2.30 P.M.
Small Animal Comprehensive Cancer Care Service
S.A. Comprehensive Cancer Care
This is an elective clinical rotation equivalent to VCSP717.This rotation will expose students to a comprehensive approach to clinical oncology in small animals, including cancer diagnosis, staging, treatment, and palliative care. This service is primarily comprised of faculty and staff from Medical Oncology, Surgery, and Radiation Oncology. Other services, such as Interventional Radiology and Dentistry and Oral Surgery, will also be involved. Students are expected to participate in the care of outpatient and hospitalized cases (including pre and post-operative care for Surgical Oncology patients) and in patient care rounds in the morning and afternoon. Weekend duties include morning and afternoon treatments for hospitalized patients. Each student will present and discuss a journal article or relevant tumor topic once during the rotation.
Small Animal Neurology
A two week long clinical rotation which will include: 1. Participation in receiving outpatients 2. Participation in diagnosis, treatment/care and discharge of hospitalized patients 3. Participation in all aspects of in-hospital patient consultations 4. Students should anticipate having independent library-research projects for subsequent small group discussion. 5. Students will be expected to participate in all aspects of weekend duty which is typically (but not necessarily) 8:00 am to Noon each Saturday and Sunday. Primary emphasis will be placed on the student learning to perform and interpret the results of the neurologic examination. Reviewing the description of the examination procedures in any standard veterinary neurology textbook will be extremely valuable. The course will provide opportunity for the student to become familiar with various diagnostic methods. The student will be expected to have reviewed and know the contents of classroom notes.Faculty method of evaluation: Students will be judged on their knowledge, commitment, contribution and accomplishment.
Small Animal Soft Tissue Surgery
S.A. Soft Tissue Surgery
This is an elective clinical rotation equivalent to courses VCSP800. Students rotate through the Soft Tissue Surgery Service and are responsible for the diagnosis, preoperative, operative and post-operative care of animals presented to this service under the supervision of Surgery staff. Night and weekend duties will be scheduled. Ward rounds (informal case discussions) are conducted regularly. A neuter service is scheduled each week. Every effort will be made to provide at least one opportunity for each student during the 2-week rotation to have primary responsibility as surgeon to spay or castrate a dog or a cat. CONFERENCE HOURS:3 hrs/day of clinics (5) = 15 hours2-4 hrs/day of surgery (5) = 10-20 hours1 hr/weekend morning (4) = 4 hourTOTAL 29-39 hours
Small Animal Orthopedics
S.A. Orthopedics Surgery
This is an elective rotation equivalent to SA Orthopedic Surgery VCSP811.Students rotate through the Orthopedic Surgery Service and are responsible for the diagnosis, pre-operative, operative and post-operative care of animals presented to this service under the supervision of Surgery staff. Night and weekend duties will be scheduled. Ward rounds (informal case discussions) are conducted regularly. CONFERENCE HOURS:4-5 hrs/day of clinics (4) = 16-20 hours6-8 hr/day of surgery (6) = 42-48 hours2-3 hr/weekend day (4) = 8-12 hoursTOTAL 70-80 hoursEmergency call - varies depending on the number of students and number of emergencies.
Small Animal Emergency Service
S.A. Emergency Service
This is an elective clinical rotation equivalent to course VCSP813.Students are assigned to a busy 24-hour, 7-day per week emergency service on a shift system. The students are responsible for diagnosis and management of animals presented to the service under the supervision of Emergency Service staff. Emergency Service rounds are held Monday through Thursday inclusive, and include topics related to emergency medicine and surgery centered around case discussion.
This course primarily offers experience in small animal diagnostic radiology with some exposure to diagnostic ultrasound. Principles of radiographic interpretation teaching rounds are held daily. Students will assist in the positioning of animals and taking of routine and special procedure radiographic examinations and will observe and assist with ultrasonographic examinations of Ryan Hospital clinic cases. Students will also interact with the radiologist or radiology resident during their interpretation of the clinic cases. A 2-hour examination is given on the last day of the rotation for students taking SA Radiology for the first time. See Learn.vet for information on clinical competencies to be assessed in this rotation and to access additional study materials.If this rotation is a first experience in small animal radiology, it is identical to course VCSP814 and a two-hour final examination is given. If this represents a repeat experience in the small animal radiology service, and you have satisfied the clinical competencies in your previous radiology rotation, you are exempt from these clinical competency assessments in the elective rotation.
Small Animal Anesthesiology Service
Students are responsible for anesthetizing animals presented to the anesthesia service under the supervision of the Anesthesia staff. During the day, students will work closely with either the anesthesiologist on duty or a senior technician. Students will be scheduled with a technician for "on-call" night and weekend duty. On-call duties begin the first Tuesday (or second day) of the rotation and continue through to the last Sunday (or last day before the next rotation). The anesthesia service provides on-call services from 8 pm until 8 am during weekdays, and from Friday 8 pm until Monday 8 am over the weekend. In general, students schedule themselves for the on-call duties. Most rotations assign one student on-call per night during weekdays and split the weekend into 8 or 12-hour shifts. Anesthesia student rounds are conducted Mondays, Wednesdays, Thursdays, and Fridays. The first rounds on the first day of the rotation (usually a Monday) will occur at 9 am. Rounds on Wednesdays are at 8 am. Rounds on Thursdays and Fridays are at 7:30 am. Students are expected to attend grand rounds on Tuesdays. It is highly recommended that students prepare for their rotation by reviewing the course notes from the anesthesia core course and student surgery labs. The anesthesia handout will be given to students on the first day of the rotation. The rounds schedule and topics will be presented in more detail then. For those students still requiring completion of clinical competencies in anesthesia, students will be evaluated on the following tasks: 1) Intubate an anesthetized animal; 2) Select & administer an appropriate sedative drug regime, 3) Score pain & devise an appropriate analgesic plan, 4) Select and administer an appropriate anesthetic protocol for an animal of ASA status I, II, or III.
Small Animal Behavior Clinic
2018-2019:This is an elective clinical rotation in small animal behavioral medicine. Clinics are Wednesday and Thursday. Appointments are also seen on Fridays, and students are invited, but not required, to join us. Out-patient behavior clinic appointments are scheduled at approximately 3-4 hour intervals. Each student is responsible for reviewing behavior notes from VMED616 (9005), prior to his/her first scheduled clinic. Students are required to attend all case rounds (twice per day), review records before rounds, and be prepared to present all cases. Students will assist with medical and behavioral history-taking, physical examination and diagnosis, and are responsible for a selecting handouts and writing discharge letter summarizing the recommendations made. Behavioral topics and volunteer training sessions are offered, when possible, between afternoon appointments and rounds.EFFECTIVE 2019-2020:This is an elective clinical rotation in small animal behavioral medicine. Clinics are Tuesday to Friday. On Mondays, the behavior service sees appointments on a variable schedule and offers puppy-class training at the Working Dog Center; students are invited, but not required, to join us. Out-patient behavior clinic appointments are scheduled at approximately 3-4 hour intervals. Each student is responsible for reviewing behavior notes from VMED616 (9005), prior to his/her first scheduled clinic. Students are required to attend all case rounds (once every morning), review records before rounds, and be prepared to present all cases. Students will assist with medical and behavioral history-taking, physical examination (not always passible on aggressive dogs) and diagnosis, and are responsible for selecting handouts and writing discharge letter summarizing the recommendations made. Students are required to participate in afternoon rounds on clinical behavioral topics, psychopharmacology, journal club (review of relevant peer-reviewed articles on behavior and welfare of animals). Students are also required to work on a small project (e.g. creating a handout or pamphlet to deliver behavior-centered information to clients, creating a training video, presenting a literature review on behavior and welfare of animals…). Students can also visit shelters to assists in treating dogs/cats and training staff and volunteers, depending on availability of our collaborating shelters.