POSTGRADUATE CERTIFICATE PROSPECTUS. Progress Through Learning

Transcription

1 POSTGRADUATE CERTIFICATE PROSPECTUS Progress Through Learning

2 IN EXPERT HANDS Contents When you study with Improve International, you join thousands of vets who have taken advantage of flexible modular programmes, designed to complement busy practice life. Facilitated by many of the world s renowned authorities in veterinary science, every programme will broaden your knowledge and give you deeper expertise that can be taken back to your practice. Postgraduate Certificate (PgC) Programmes: Small Animal Medicine 4 Small Animal Surgery 10 Two-year programme Consolidated 4-month programme Clinical General Practitioner Certificate (GPCert) & PgC Programmes: Postgraduate Certificate programmes that help you to transform your practice life Cardiology 17 Dermatology 21 Diagnostic Imaging 25 In partnership with Emergency Medicine & Surgery 29 European School of Veterinary Postgraduate Studies Endoscopy & Endosurgery 33 (ESVPS) ESVPS controls the standards across the certificate syllabus and ensures the course content fulfils accredited criteria. Harper Adams University Exotic Animal Practice 36 Feline Practice 40 Ophthalmology 44 (HAU) HAU provides a rigorous validation process and ensures teaching elements and examination processes meet the highest academic standards. About Our PgC Programmes 48 Why Choose Improve? 53 Testimonials 54 Locations and Training Venues 55 Pricing 56 How to Register

3 2 year programme SMALL ANIMAL MEDICINE The most comprehensive modular medicine programme covering all of the major body systems with practical elements supporting several modules Postgraduate Certificate (PgC) Duration Two years Programme Begins October 2018 Locations Swindon Alexandra House Sheffield Benchmark House Hatfield Fielder Centre Access Requirements Veterinary surgeons who have been in practice for a minimum of two years Attendance Attendance on the taught modules is typically once monthly on a weekday between 2.00pm and 8.00pm; however, where there are case-based discussion webinars or practical sessions these times may vary Inclusive learning support throughout your programme: Receive a copy of Textbook of Veterinary Internal Medicine by Ettinger & Feldman Subscription to Harper Adams University s online e-library providing access to 1,000s of scientific articles and abstracts Access to our learning management platform providing access to a notes library, discussion forums and other study resources including webinars, videos and case-based studies Practical modules giving you the opportunity to apply theory hands-on A dedicated Programme Tutor who will support every individual during their PgC programme to ensure a rewarding and successful learning journey 4 5

4 PgC IN SMALL ANIMAL MEDICINE YEAR 1 MODULES PgC IN SMALL ANIMAL MEDICINE YEAR 1 MODULES 01 Clinical pathology & laboratory medicine Includes practical session and live case-based discussion webinar* Understand the rationale behind selection of appropriate tests for your patients Consider the different sampling techniques, sample processing and identify factors that may affect them Become familiar with the clinical pathology of hepatobiliary and renal disease Structure your approach to anaemia to differentiate between non-regenerative and regenerative types before determining possible underlying causes Transform your understanding of haemostasis to enable you to determine when, why and how it goes wrong Use your knowledge to interpret laboratory data from clinical patients to help you prioritise further investigations Develop your haematological skills by becoming adept at interpreting both normal and abnormal haemograms, identifying reticulocytes and discovering platelet and white cell abnormalities Improve your approach to patients with neutropaenia and marked leucocytosis 1 02 Cytology Includes practical session and live case-based discussion webinar* Understand the principles and practical aspects of cytological sample collection, storage and preparation Maximise the value of your microscopy skills Perfect your ability to describe the principles of routine cytological examination and how this informs a cytological diagnosis Transform your understanding of the different cytological characteristics of effusions, aspirates and lavage samples Familiarise yourself with some of the conditions most commonly diagnosed by cytology 03 Diagnostic imaging theory Review the principles of radiography, radiology and the significance of radiation protection Appreciate the use of contrast radiography in a variety of situations and using a variety of techniques Understand the principles of ultrasound imaging Familiarise yourself with the basic principles of advanced imaging Compare and contrast CT and MRI as diagnostic tools 1 04 Diagnostic imaging practical Film reading & abdominal ultrasound This practical day will include: Case-based discussion Film reading session Practical abdominal ultrasound scanning Key learning objectives: Enhance your skills in interpreting radiographs in a systematic and thorough manner Practice your ultrasound imaging skills to help you to differentiate between normal and abnormal abdominal structures 05 Respiratory disease 4 Online module delivered over four sessions Delivered online through our Moodle platform supported by the module tutor/speaker. Improve your understanding of the importance of a detailed and thorough physical examination Integrate a dyspnoea algorithm into your investigations of respiratory disease Develop an understanding of the importance of diagnostic aids in the investigation of respiratory disease: radiography, endoscopy, ultrasonography and cytology Consolidate your knowledge of upper and lower airway disease, parenchymal and pleural space disease Familiarise yourself with the principles of primary and ancillary respiratory therapeutics Learn the best approach to the acute management of the dyspnoeic patient 06 Cardiovascular medicine I Extend your understanding of the principles and importance of a physical examination in patients with suspected cardiac disease Familiarise yourself with the principles of electrocardiography Integrate your understanding of the approach to electrocardiographic interpretation to help you identify common arrhythmias Improve your evaluation of thoracic radiographs in reference to cardiac patients Understand the basic principles of echocardiography and its role in diagnosis of cardiac disease 07 Cardiovascular medicine II 1 Includes live case-based discussion webinar* Recognise and understand the events involved in the pathophysiology of cardiac failure Define systolic and diastolic failure Appreciate the species differences in prevalence of congenital and acquired cardiac diseases Describe the major congenital cardiac diseases in dogs and cats Transform your understanding of the pathophysiology, diagnosis and management of acquired valvular, myocardial and pericardial diseases Familiarise yourself with the therapeutic options and their applications in patients with cardiac disease Learn how to manage emergency cardiac patients for improved outcomes 08 Gastroenterology I Develop your understanding of deglutition and dysphagia Familiarise yourself with the pathophysiology of: Regurgitation Acute and chronic vomiting Diarrhoea Enhance your diagnostic approach to gastrointestinal abnormalities Describe the principles and basic use of endoscopy in the diagnosis of gastrointestinal disease and when it is indicated 09 Gastroenterology II 1 Includes live case-based discussion webinar* Improve your understanding of the pathophysiology of hepatic and hepatobiliary disease Devise a systematic diagnostic approach to the jaundiced patient Perfect your investigative approach to suspected hepatobiliary disease Understand the pathophysiology of exocrine pancreatic disease Describe the investigative approach to acute and chronic exocrine pancreatic diseases Discuss the therapeutic options in hepatobiliary and pancreatic diseases 10 Immunology 4 Online module delivered over four sessions Delivered online through our Moodle platform supported by the module tutor/speaker. Learn the basis of immune function and the immune response to better understand the pathophysiology of immune-mediated disease Develop your diagnostic approach to common immune-mediated diseases in small animals Transform your understanding of the basis of therapy for immunemediated diseases Discuss the use of common immunosuppressive therapies * All live webinars are recorded and available for review on demand. 6 Taught sessions Practical components Webinar components 1 7

5 PgC IN SMALL ANIMAL MEDICINE YEAR 2 MODULES PgC IN SMALL ANIMAL MEDICINE YEAR 2 MODULES 11 Emergency medicine & critical care Includes practical session and live case-based discussion webinar* Familiarise yourself with a thorough and systematic approach to the assessment of the critically ill patient s major body systems Enhance your understanding of the minimum database and its interpretation Implement your assessment of your patients when considering their fluid, electrolyte and transfusion requirements Understand the principles and practical aspects of critical patient monitoring Recognise imminent cardiopulmonary arrest more promptly Learn how to select and apply both basic and advanced life support 1 12 Endocrinology I Get to grips with the underlying principles of endocrine anatomy, physiology and pathophysiology Become familiar with the clinical signs and diagnostic approaches in cats and dogs with endocrine disorders such as: Hypo- and hyperadrenocorticism common and uncommon presentations Hypo- and hyperthyroidism Primary and secondary hyperparathyroidism Understand the basis of medical and (where appropriate) surgical management for diseases affecting the adrenal, thyroid and parathyroid glands 13 Endocrinology II 1 Includes live case-based discussion webinar* Demonstrate an understanding of the pathophysiology and clinical signs associated with endocrine pancreatic disease including insulinoma Describe the investigation and management of diabetes mellitus and diabetic ketoacidosis in the dog and cat Get to grips with understanding the causes of failure to control diabetes and the approach to the unstable diabetic patient Understand the pathophysiology of pituitary endocrine diseases Become familiar with the clinical signs, investigation and management of pituitary endocrine disease in the dog and cat 14 Oncology 4 Online module delivered over four sessions Delivered online through our Moodle platform supported by the module tutor/speaker. Be able to understand the principles of tumour biology and staging Formulate a general investigative approach to the cancer patient Develop your understanding of chemotherapy, radiotherapy and surgical oncology Familiarise yourself with the therapeutic management of common canine and feline neoplasms Enable yourself to recognise and manage common oncologic emergencies 15 Dermatology Includes practical session and live case-based discussion webinar* Develop a problem-solving approach to skin diseases Describe the steps involved in dermatological examination in cats and dogs List and understand the techniques used for the laboratory investigation of skin disease and when they should be used Recommend a rational problemsolving approach to the investigation and treatment of: Alopecia Pruritus Become familiar with the common presentations of bacterial, parasitic and fungal skin disease Identify common dermatological manifestations of systemic disease and their pathogenesis 1 16 Medical neurology 1 Includes live case-based discussion webinar* Revise your understanding of the principles of functional neuroanatomy Become adept at a thorough and systematic neurological examination to help you localise lesions List and understand further diagnostic techniques available to investigate neurological disease Consider the investigation and management of common neurological syndromes Understand the steps involved in the investigation into the aetiology of seizures in dogs and cats Improve your ability to manage seizures in an emergency and longer term 17 Urology I Understand the diagnostic techniques available to investigate urinary disease Delve into the detail of the pathophysiology of acute and chronic renal failure, glomerular disease and proteinuria Develop your investigative approach into renal disease Improve your therapeutic management of such cases 18 Urology II 1 Includes live case-based discussion webinar* Describe and understand the factors involved in the development of crystalluria and urolithiasis in cats and dogs Understand the principles of management of lower urinary tract disease in cats and dogs Explore the often complicated management of FLUTD and urethral obstruction Examine the possible causes of urinary incontinence, their diagnosis and management Classify canine prostatic diseases and understand their pathogenesis, diagnosis and medical management 19 Infectious disease 4 Online module delivered over four sessions Delivered online through our Moodle platform supported by the module tutor/speaker. Compile a list of the major infectious diseases in dogs and cats Describe the diagnosis and management of common infectious diseases in dogs and cats Familiarise yourself with the clinical signs of significant imported diseases occurring in dogs and cats Understand the principles of vaccination and vaccination regimes Learn the steps involved in the Pet Travel Scheme List notifiable diseases in dogs and cats 20 Ophthalmology Includes practical session and live case-based discussion webinar* Perfect your ability to perform common ophthalmic examination techniques: Basic neuro-ophthalmological examination Ophthalmoscopy: distant direct, close direct and indirect Correct use of fluoroscein for corneal evaluation Tonometry and gonioscopy Get to grips with current ocular therapeutics: what do you need to have on your pharmacy shelf? Familiarise yourself with the medical management of common ocular conditions Identify the ocular manifestations of systemic diseases Be able to recognise common ocular conditions that require surgery 1 * All live webinars are recorded and available for review on demand. 8 Taught sessions Practical components Webinar components 1 9

6 2 year programme 4 month programme SMALL ANIMAL SURGERY The most in-depth and hands-on modular surgery programme, which divides into a soft-tissue component in year one and an orthopaedic/spinal component in year two Postgraduate Certificate (PgC) Inclusive learning support throughout your programme: 4 month CONSOLIDATED LEARNING Duration Four months Locations Swindon Alexandra House Sheffield Benchmark House Access Requirements Veterinary surgeons who have been in practice for a minimum of two years Attendance The modules are delivered in 4 or 5 day blocks with day 1 starting at 2.00pm Duration Two years Programme Begins October 2018 Locations Swindon Alexandra House Sheffield Benchmark House Hatfield Fielder Centre Access Requirements Veterinary surgeons who have been in practice for a minimum of two years Attendance Attendance on the taught modules is typically once monthly on a weekday between 2.00pm and 8.00pm; however, where there are case-based discussion webinars or practical sessions these times may vary Receive a copy of Veterinary Surgery textbook by Tobias and Johnston Receive a total of five How to DVDs by Professor Howard Seim of Colorado University illustrating key surgical procedures Access to our surgery Course Director Dr Hannes Bergmann who will be on hand to oversee the course content and act as a specialist advisor to delegates Subscription to Harper Adams University s online e-library providing access to 1,000s of scientific articles and abstracts Access to our learning management platform providing access to a notes library, discussion forums and other study resources including webinars Practical modules giving you the opportunity to apply theory hands-on A dedicated Programme Tutor who will support every individual during their PgC programme to ensure a rewarding and successful learning journey 4 month CONSOLIDATED LEARNING Our Small Animal Surgery Consolidated Learning programme allows you to gain access to the content of our two year Small Animal Surgery PgC programme in just four months

7 PgC IN SMALL ANIMAL SURGERY YEAR 1 MODULES PgC IN SMALL ANIMAL SURGERY YEAR 1 MODULES 01 Surgical basics: asepsis, instrumentation, operative techniques & wound healing Revise asepsis, sterilisation and appropriate antibiosis for surgical cases Expand your knowledge of instrumentation and instrument handling Become more familiar with the uses of sutures, needles, staples and clips Understand the principles of wound healing and how this applies to your clinical cases Revisit the principles of wound management and get up to date with what is available now 02 Upper gastrointestinal surgery Become familiar with the surgical approaches to salivary gland disease Consider oesophageal disease and when surgery may be appropriate Gastrotomy and gastrectomy there is more to surgery of the stomach than just GDV Advance your knowledge of small intestinal disease and how your decision making can reduce complications Review and revise ruptures and hernias 03 Lower gastrointestinal surgery, liver, spleen and pancreas Improve your knowledge of large intestinal surgery and the differences between cats and dogs Familiarise yourself with surgical approaches to the rectum and anus Explore the options for liver surgery suture, staples or electrosurgery Review biliary tract surgery anatomy and surgical options Consolidate your knowledge of pancreatic surgery Splenectomy does it need removing and if so, which technique and what are the alternatives to removal? 04 Urinary and reproductive tract surgery Develop your skills in managing renal surgery Extend your knowledge of obstructive diseases of the urinary tract from ureters to urethra to enhance your day-to-day management of urolithiasis Improve your awareness of the myriad of surgical options for urinary incontinence that are available now including colposuspension, TVT and urethral occluders Advance your familiarity of surgery of the male reproductive system from prostatic omentalisation to penile and preputial procedures Extend the range of procedures you can offer for the female reproductive system beyond ovariectomy and ovariohysterectomy 05 Reconstructive skin surgery practical session You will practise the following surgical procedures under supervision of the speaker: Wound closure Increase your options for skin reconstruction through tension relieving techniques Pedicle flaps Become braver with pedicle flaps advancement, rotational and transposition to help close the larger or trickier defects Muscle and omental flaps Develop your familiarity with using muscle in defects by practising the external abdominal oblique muscle flap Become familiar with the role of omental transposition in wound healing Skin grafts Understand skin grafts full thickness and stamp and how to maximise their chances of success 06 Gastrointestinal and urinary tract surgery practical session You will practise the following surgical procedures under supervision of the speaker: Oesophageal foreign bodies Maximise good outcomes for oesophageal foreign bodies by minimising the risks and complications through appropriate knowledge of anatomy, surgical technique and peri-operative care Gastric dilation volvulus Investigate which gastropexy you might choose Nephrectomy and nephrotomy Perform a ureteronephrectomy for when the whole kidney needs removing Develop your familiarity with partial nephrectomy for saving every precious nephron Investigate possible indications for nephrotomy Urethrostomy Practise urethrostomies at a variety of anatomical locations so you can select the right one for your patient 07 Oral, pharyngeal and aural surgery Become secure doing surgery of the lips, cheeks and tongue Improve your approach to surgical treatment of palatal abnormalities Maxillectomy and mandibulectomy when and where to cut Become more familiar with pharyngeal surgery and your options for tonsillar surgery Make a considered choice for your patients between lateral wall resection, vertical canal ablation, ventral bulla osteotomy and total canal ablation/lateral bulla osteotomy Revise the options for surgical treatment of aural haematoma 08 Surgery of the upper airways, larynx and trachea Revise conditions of the nasal planum of the young and old to guide you when to operate The nasal sinuses when does surgical access become necessary? Brachycephalic airway disease a myriad of abnormalities Perfect your knowledge of the larynx to allow you to successfully treat a wide variety of surgical conditions paralysis, collapse, trauma, stenosis and neoplasia Familiarise yourself with tracheotomy, tracheostomy, tracheal avulsion, collapse, resection/anastomosis, trauma, foreign bodies and neoplasia 09 Surgery of the abdominal and thoracic cavities Perfect your approach to peritonitis by going into the detail of the pathophysiology, clinical signs, diagnosis and treatment options By the end of this module you will have discovered the thrills of thoracic surgery and maybe even have answered some big questions: Big dog /little dog: who wins? Thoracostomy for pneumothorax, pyothorax and chylothorax which tube? Thoracotomy which side and which rib space? Lung lobectomy how many lobes can you take? PDA is this still a surgical condition? Pericardectomy how much should you take? PRAA why does a regurgitating patient need a thoracotomy? Chylothorax can you find the thoracic duct? Chest wall diseases how far can you advance the diaphragm? 12 Taught sessions Practical components 13

8 PgC IN SMALL ANIMAL SURGERY YEAR 1 MODULES PgC IN SMALL ANIMAL SURGERY YEAR 2 MODULES PGC IN SMALL ANIMAL SURGERY YEAR 1 MODULES 10 Surgical oncology Revise the underlying principles of oncologic surgery to inform your surgical approaches to the most common tumours seen in practice Bring yourself up to date on all the treatment options for mast cell tumours Become comfortable with maxillectomy and mandibulectomy so you can approach oral tumours with more confidence Familiarise yourself with gastrointestinal tumours so you can optimise your patient s outcome Recognise the differences between dogs and cats by learning about feline-specific tumours 11 Head & neck surgery practical session You will practise the following surgical procedures under supervision of the speaker: Total ear canal ablation and lateral bulla osteotomy Explore the anatomy of the external ear canal Choose and practise how to use your instruments Identify top tips to avoid complications intraoperatively and post-operatively Ventral bulla osteotomy Revise the approach to the bulla Identify which surgical methods maximise your success Thyroid surgery Thyroidectomy in the dog for carcinoma can be an exercise in dissection become more familiar with potential pitfalls Thyroidectomy in the cat is a common procedure in small animal practice minimise complications by improving your technique Unilateral arytenoid lateralisation These cases can decompensate suddenly ensure your knowledge of the surgical anatomy is perfected during this wet-lab 12 Thoracic surgery practical session You will practise the following surgical procedures under supervision of the speaker: Thoracotomy A successful thoracotomy is all in the planning pre-operative assessment and preparation, intraoperative anatomy and surgical technique and postoperative care all work together to optimise outcomes Lung lobectomy Partial and complete lobectomy choosing which technique to perform and reducing the risk of air leakage post-operatively Pericardectomy Understand the pros and cons of subtotal and total pericardectomy Patent ductus arteriosus (PDA) These young patients require careful pre-operative management, controlled anaesthesia, precise surgical anatomical knowledge and technique, as well as appropriate post-operative care 13 Joint diseases of the forelimb Consider the conditions of the shoulder including luxation, osteochondrosis and dysplasia and excision arthroplasty surgery Revise the conditions of the elbow including luxations, IOHC, elbow dysplasia, developmental disease and ununited anconeal process Understand developmental carpal disease, carpal hyperextension and arthrodesis and luxations of the carpus and foot Discuss growth plate disorders 14 Joint diseases of the hindlimb Discuss the pros and cons of the myriad of surgical options for the ruptured cruciate Consider alternative causes of stifle dysfunction to the cranial cruciate ligament Revise the underlying causes of patellar luxation when choosing a surgical approach Perfect your knowledge of hock anatomy and the conditions that affect the joint including osteochondrosis and luxation Review the conditions that affect the hip including dysplasia and luxation and familiarise yourself with a variety of procedures described to treat them Understand the pros and cons of total hip replacement 15 Joint diseases of the forelimb practical session You will practise the following surgical procedures under supervision of the speaker: Shoulder joint Revise the surgical approaches to the joint and perform a bicipital tenotomy Elbow joint Elbow dysplasia is a widespread and complex disease review which surgical approaches to the joint are most appropriate for your individual cases Carpus Sometimes a salvage procedure is the only option meticulous technique will enhance your ability to perform carpal arthrodesis 16 Joint diseases of the hindlimb practical session You will practise the following surgical procedures under supervision of the speaker: Hip joint Sometimes the best option is to perform a femoral head and neck ostectomy and good technique should allow a quick return to weight bearing Stifle joint I Extracapsular repair of cranial cruciate ligament disease can still be a valid treatment provided you prioritise thorough meniscal inspection Stifle joint II Surgical correction of a luxating patella by tibial tuberosity transposition will benefit many of your small dog patients Tarsus Arthrodesis of the hock can be the only option choose whether to perform a partial or pantarsal arthrodesis 17 Fracture repair I Understand how to perform the initial assessment of the fracture patient Be familiar with the descriptions and applications of fracture classification Apply the principles of fracture repair and decision making in fracture repair to your cases Appreciate the variety of methods available for fracture fixation and implants, including plating and external fixation devices 14 Taught sessions Practical components 15

9 PgC IN SMALL ANIMAL SURGERY YEAR 2 MODULES GPCert/PgC CLINICAL PROGRAMME CARDIOLOGY 18 Fracture repair II 20 External fixation & bone grafting practical session 22 Spinal surgery II Understand the principles of fracture reduction, including both closed and open techniques Be familiar with the options for bone grafting including both cancellous and cortical grafts Describe the stabilisation of specific fractures of the fore- and hindlimb Discuss the clinical approach to the following complications: delayed union/non-union/malunion/ osteomyelitis 19 Internal fixation practical session During this practical session you will perform the following procedures: Radial fracture Surgical repair using a bone plate and screws Humeral fracture Surgical repair using an intramedullary pin and a bone plate and screws Femoral fracture Surgical repair using an intramedullary pin and a bone plate and screws During this practical session you will perform the following procedures: Cancellous bone grafting Harvest cancellous bone from the proximal humerus Review external fixation equipment Familiarise yourself with the pins, bars and clamps Tibial fracture Surgical repair with a type II linear frame Comminuted radial fracture Surgical repair with a type Ib linear frame 21 Spinal surgery I Integrate the principles of lesion localisation to your spinal cases via a systematic neurological examination and its interpretation Understand the application of neurodiagnostics Appreciate the approach to and management of paraplegia and tetraplegia Be familiar with the clinical approach to neurological emergencies, including cranial trauma and status epilepticus Revise the surgical options for spinal surgery according to site Cervical spine Ventral slot procedure Thoracolumbar spine Hemilaminectomy Lumbosacral spine Dorsal laminectomy CSF tap and myelography Identify the appropriate landmarks for acquiring CSF samples and obtaining diagnostic myelograms Observe a demonstration of the above procedures performed by the speaker in the wet-lab. Duration Flexible attendance options Programme Begins January 2019 Locations Swindon Alexandra House Access Requirements Veterinary surgeons who have been in practice for a minimum of two years Attendance Attendance on the taught modules is from 9.00am to 5.00pm This clinically based programme will address the fundamental principles underlying cardiac disease, discuss common presentations of cardiac disease and thoroughly review current diagnostic and therapeutic techniques. You will have the opportunity to become fully informed about commonly utilised diagnostic procedures via practical ECG interpretation, film reading and hands-on echocardiography. Attend individual or paired modules to advance your knowledge and skills in a specific area, or take the full programme and successfully pass all ESVPS assessments to gain a General Practitioner Certificate (GPCert) and then progress towards a PgC qualification awarded by HAU. For those wanting to pursue the GPCert or PgC qualification, a dedicated Programme Tutor will support you throughout to ensure a rewarding and successful learning journey. 16 Taught sessions Practical components 17

10 GPCert/PgC CLINICAL PROGRAMME CARDIOLOGY GPCert/PgC IN CARDIOLOGY LEARNING OBJEC- 01 The cardiac patient 03 Electrocardiography (ECG) 05 Echocardiography I 07 Pathophysiology of heart failure 09 Endocardial disease 11 Canine myocardial disease Explore the topic of human perception of health-related quality of life of cardiac patients Appreciate the importance of best standard of care in veterinary cardiology Collect a directed and targeted patient s history Recognise clinical signs associated with cardiovascular disorders Become familiar with cardiovascular examination with a particular emphasis on chest percussion techniques and cardiac auscultation 02 The cardiovascular system Recall and understand cardiovascular anatomy Revise the embryological development of cardiac structures and how developmental defects can lead to common congenital abnormalities Integrate your knowledge of the cardiac cycle, excitationcontraction and control of cardiac output into your understanding of the cardiovascular system Improve your comprehension of haemodynamics Discover the intricacies of cardiac action potentials Perfect your ability to acquire and analyse electrocardiograms Recognise tachyarrhythmias, bradyarrhythmias and their clinical significance Understand anti-arrhythmic therapy and your pharmacological options Familiarise yourself with pacemaker therapy Consider electrophysiological studies and radio frequency ablation 04 Thoracic radiography Review how to obtain thoracic radiographs of diagnostic quality Develop a systematic approach to the interpretation of thoracic radiographs Improve your ability to recognise radiographic signs of congestive heart failure Review non-cardiac radiographic abnormalities of the thorax and common artefacts Explore selective and non-selective angiography as an investigative tool Develop your understanding of echocardiographic imaging and basic machine settings Familiarise yourself with M-mode, how to interpret what you see and what it can tell you about your patient Review B-mode and the different images used to assess cardiac function at different levels of the heart Explore 3D acquisitions and how they can advance your skills in echocardiography Practical scanning: Revise your knowledge of ultrasound machine functionality: buttons and probes Improve your ability to obtain clear echocardiographic views 06 Echocardiography II Develop your understanding of Doppler studies (CW, PW, HPRF, colour) Consolidate your ability to obtain the conventional echocardiographic views Recognise the potentials and pitfalls of echocardiographic assessment Practical scanning: Review taking repeatable measurements in M-mode and B-mode Familiarise yourself with the progressive model of heart failure Transform your understanding of activation of the sympathetic nervous system Revise activation of the reninangiotensin-aldosterone system Understand alterations in the peripheral vasculature Develop your knowledge of the complexity of myocardial remodelling and reversed remodelling 08 Diagnosis and management of heart failure Understand the classification systems of heart failure in veterinary cardiology Recognise clinical manifestations of acute and chronic heart failure Improve your management of acute heart failure cases Maximise longevity with better management of chronic heart failure Advance your ability to manage refractory heart failure patients Understand the aetiology, pathophysiology and diagnosis of chronic myxomatous valve disease (MMVD) Improve your skills in staging patients with MMVD Advance your clinical management of MMVD Develop your knowledge of the aetiology, pathophysiology and diagnosis of infective endocarditis Become familiar with clinical management of infective endocarditis 10 Cardiac tumours and pericardial disease Review the classification and clinical presentation of intracavitary and extracavitary cardiac tumours Become familiar with the management of primary cardiac tumours Revise the anatomy and physiology of the pericardium Understand the aetiology and pathophysiology of pericardial effusion and tamponade Transform your ability to manage clinical cases of pericardial effusion Enhance your understanding of the aetiology and breed predisposition of canine dilated cardiomyopathy (DCM) Consolidate your knowledge of the clinical and echocardiographic diagnosis of canine DCM Become familiar with clinical management of occult and overt canine DCM Understand the pathophysiology and management of canine tachycardiomyopathy Improve your familiarity with the aetiology and management of myocarditis 12 Congenital abnormalities Review the pathophysiology and clinical management of patent ductus arteriosus Understand the pathophysiology and clinical management of pulmonic and aortic stenosis Develop your understanding of the pathophysiology and clinical management of mitral and tricuspid dysplasia Perfect your clinical management of ventricular and atrial septal defects by fully comprehending the pathophysiology of these conditions Become familiar with advanced techniques for diagnosis and treatment of cardiac congenital defects 18 Taught sessions Practical components 19

11 GPCert/PgC IN CARDIOLOGY LEARNING OBJECTIVES GPCert/PgC CLINICAL PROGRAMME DERMATOLOGY PGC IN CARDIOLOGY LEARNING OBJECTIVES 13 Feline myocardial disease Understand the complexity and limits of feline cardiomyopathy (CM) classification Review the pathophysiology of feline CM Become familiar with clinical and echocardiographic diagnosis of feline CM Transform your management of feline CM and arterial thromboembolism in your clinic 14 The fainting patient and cardiovascular manifestations of systemic disease Differentiate syncope from other causes of falling Understand and manage episodic falling and exercise-induced collapse Successfully investigate fainting patients Become familiar with available diagnostic techniques and therapies for fainting Pathophysiology and management of: Systemic hypertension Pulmonary hypertension Learn with your best friend In order to get the most from our programmes, please bring a dog with you on modules 5 and cashback off the programme cost will be given to delegates who bring a dog on the day on a strictly first-come, firstserved basis. Your help is much appreciated. Duration Flexible attendance options Programme Begins March 2019 Locations Swindon Alexandra House Access Requirements Veterinary surgeons who have been in practice for a minimum of two years Attendance Attendance on the taught modules is from 9.00am to 5.00pm The diagnosis and management of skin disease represents a major component of small animal practice. The emphasis of this programme is very much on the approach to different conditions practical examination techniques, application of appropriate diagnostic procedures and an understanding of the potential complications associated with different body systems, rather than an exhaustive list of potential disorders. Attend individual or paired modules to advance your knowledge and skills in a specific area, or take the full programme and successfully pass all ESVPS assessments to gain a General Practitioner Certificate (GPCert) and then progress towards a PgC qualification awarded by HAU. For those wanting to pursue the GPCert or PgC qualification, a dedicated Programme Tutor will support you throughout to ensure a rewarding and successful learning journey. 20 Taught sessions Practical components 21

12 GPCert/PgC CLINICAL PROGRAMME DERMATOLOGY GPCert/PgC IN DERMATOLOGY LEARNING OBJEC- 01 Anatomy and physiology of the skin and cutaneous pathological processes Compare gross and histological anatomy of the skin of companion animals Have an understanding of the function and physiology of skin of companion animals Review the pathological processes occurring in skin disease Comprehend how pathological processes relate to clinical signs and the diagnosis of disease Revise hypersensitivity reaction types I, II, III and IV in the skin and examples of specific skin diseases involving these processes Understand the skin response to insults including physical, chemical and microbiological Develop your knowledge of the pathogenesis of skin neoplasia 02 Clinical examination and history: essential diagnostic techniques Understand clinical history taking and its interpretation in the diagnosis of skin disease Become adept at performing a general clinical examination Perform a detailed examination of the skin Have an ability to accurately describe skin lesions Familiarise yourself with the key diagnostic tests and their use Improve your diagnostic skills and ability to manage common skin diseases Review the complications encountered during therapy, their prevention and management Appreciate the pros and cons of intradermal skin testing and serology in the diagnosis of allergy 03 Laboratory diagnosis and clinical pathology Perfect your techniques for collecting samples for microbiology skin scrapings, hairs, acetate strips and impression smears Sampling techniques (including biopsies), sample processing, storage and recording Understand the basic cytology of samples collected from the skin including masses and discharging sinuses Interpret the clinical laboratory medicine information in relation to skin disease, including: haematology, biochemistry and endocrine tests, fluid and electrolyte disorders and cytology Know the diagnostic tests for infectious diseases techniques and interpretation (including viral, bacterial and parasitic diseases) Have an understanding of the principles of the use of pattern analysis by histopathologists in dermatohistopathology as it relates to disease pathogenesis and diagnosis Interpret histopathology reports This module includes a practical component in the laboratory preparing and interpreting slides 04 General conditions commonly found in dermatology Alopecia: Describe the pathogenesis of alopecia Appreciate the clinical features of alopecia Understand the differential diagnosis of alopecia and have knowledge of specific conditions Outline how to investigate alopecia using a problem-solving approach Discuss the management and treatment of alopecia Keratinisation disorders: Describe the pathogenesis of keratinisation disorders/scaling Appreciate the clinical features of these disorders Understand the differential diagnosis of these disorders and have knowledge of specific conditions Outline how to investigate scaling diseases using a problem-solving approach Be familiar with the treatment options Pigmentary changes: Describe the pathogenesis and clinical features of pigment changes Understand the differential diagnosis including specific conditions Outline how to investigate pigment changes using a problem-solving approach Be aware of treatment options 05 Infectious diseases and preventative healthcare Know the clinical pathology of the major bacterial, viral, fungal and parasitic diseases affecting the skin of companion animals in the UK and Europe Have an awareness of diseases that may be imported by pets travelling from abroad Understand zoonosis and its health and safety concerns and precautions 06 Allergic skin disease Develop an understanding of the immune system and immune response by the skin Consolidate your knowledge of flea and parasite allergies, atopic dermatitis, food and other hypersensitivities Review the underlying pathogenesis, clinical signs, diagnostics and treatment options Understand the use of combination therapy in atopic dermatitis 07 Diseases of the feet, nails, anal sacs and ears Understand the pathogenesis and clinical features of diseases affecting the feet, nails, anal sacs and ears Be able to approach the investigation of pedal, nail, anal sac and aural disease Formulate differential diagnoses and have knowledge of specific conditions Appreciate treatment options 08 Neoplasia Appreciate the biology of tumours Recognise common neoplastic presentations: localised, diffuse and systemic Have an understanding of the following types of neoplasia of skin structures: benign, malignant, mast cell tumours, lymphoma, squamous cell carcinoma, mammary tumours Familiarise yourself with neoplasia of other structures with involvement of the skin eg Cushing s and hepatocutaneous syndrome Become able to recognise paraneoplastic syndromes Formulate an approach to the diagnosis and staging of disease Be aware of those conditions that could be confused with neoplasia eg autoimmune diseases Understand the treatment options available for medication/ chemotherapy and the prognosis for different neoplasms 09 Autoimmune skin disease Deepen your understanding of the immune system Become more familiar with the underlying pathogenesis, clinical signs, diagnostics and treatment options of autoimmune diseases including pemphigus complex, pemphigoid, SLE/DLE, adverse drug reactions 10 Dermatological manifestations of endocrine disease Have an understanding of the physiology of the endocrine system Appreciate the underlying pathogenesis, clinical signs, diagnostics and treatment options of the more common endocrine diseases Recognise iatrogenic endocrine disease 22 Taught sessions Practical components 23

13 GPCert/PgC IN DERMATOLOGY LEARNING OBJECTIVES GPCert/PgC CLINICAL PROGRAMME DIAGNOSTIC IMAGING PGC IN DERMATOLOGY LEARNING OBJECTIVES 11 Exotic animal dermatology Understand the normal epithelial anatomy of exotic species Recognise the importance of husbandry housing, environment, nutrition on the dermatological health of these species Appreciate ecdysis/dysecdysis in reptiles Be familiar with the common conditions seen in small mammals, reptiles and birds and the pathogenesis, clinical features, differential diagnosis, investigation and treatment of them 12 Nutritional, metabolic, paraneoplastic, congenital, hereditary and miscellaneous skin diseases Understand the pathogenesis and clinical features of the cutaneous manifestations of internal disease excluding endocrine disorders Appreciate the differential diagnosis of these conditions and the approach to their investigation and treatment Become more familiar with congenital and hereditary disorders Develop your understanding of the effect of deficiency or excess of vitamins or minerals in skin disease 13 Wound management & surgery Overview of wounds and wound healing (dressings/topical treatment options) Improve your knowledge of the medical and surgical management of wounds Perfect your knowledge of surgery of the anal sacs Understand when some dermatological conditions become surgical (skin fold dermatitis, otitis externa, pododermatitis) Describe the principles of ear surgery (which techniques to use and when) 14 The pharmacy & therapeutics Have a working understanding of the following regulations: Veterinary Medicines Regulations 2013, Medicines Act 1968, Medicines Regulations 2012, Misuse of Drugs Act 1971, Misuse of Drugs Regulations 2012, Health & Safety at Work Act 1974, Control of Substances Hazardous to Health Regulations 2002 Be familiar with storage, dispensing and labelling of medicines Have a good working knowledge of the Veterinary Medicines Directorate Understand the prescribing cascade, off licence use, importation of medication and certification Improve your understanding of the pharmacokinetics, potential interactions and adverse effects of common therapeutic agents (antiinflammatories, antimicrobials and antiparasitics) used in the management of skin disease Maximise your knowledge of the use of topical, enteral and parenteral medications Appreciate the importance of owner compliance and support for long-term skin conditions Discuss the role of the veterinary nurse in dermatology consultations Duration One or two year options Programme Begins January 2019 Locations Swindon Alexandra House Access Requirements Veterinary surgeons who have been in practice for a minimum of two years Attendance Attendance on the taught modules is from 9.00am to 5.00pm This highly practical programme will bring together ultrasonography, radiology and CT/ MRI in a series of interactive modules. The fundamental principles of all the imaging modalities including their applications will be covered in detail. Case-based material will feature strongly throughout the programme. The modules will assist you in consolidating your knowledge of the key imaging modalities and in choosing the most clinically appropriate diagnostic method. Attend the full programme and successfully pass all ESVPS assessments to gain a General Practitioner Certificate (GPCert) and then progress towards a PgC qualification awarded by HAU. For those wanting to pursue the GPCert or PgC qualification, a dedicated Programme Tutor will support you throughout to ensure a rewarding and successful learning journey. 24 Taught sessions Practical components 25

14 GPCert/PgC CLINICAL PROGRAMME DIAGNOSTIC IMAGING GPCert/PgC IN DIAGNOSTIC IMAGING LEARNING OBJECTIVES 01 Ultrasonography I: introduction to diagnostic imaging modalities Apply the physics and principles of ultrasound Become familiar with machine settings and controls and be able to optimise image quality and avoid artefacts Review the normal ultrasonographic appearance of the liver, spleen and gastrointestinal tract Revise using ultrasound to identify abnormalities of the liver, spleen and gastrointestinal tract This module includes a practical scanning session. 02 Ultrasonography II: introduction to diagnostic imaging modalities Learn how to obtain the standard echocardiographic views Review the normal ultrasonographic appearance of the reproductive tract and urinary tract Perform ultrasonography of the reproductive tract and urinary tract Obtain the useful ultrasonographic measurements needed to make diagnoses This module includes a practical scanning session. 03 Radiography, CT & MRI: introduction to diagnostic imaging modalities Explain the principles of conventional and digital radiography Evaluate and improve image quality Understand the basis of radiographic interpretation Become familiar with the principles, strengths and limitations of CT and MRI Appreciate the requirements for radiation protection in the workplace including knowledge of the Ionising Radiation Regulations Select appropriate contrast agents This module may include a film reading activity. 04 Abdominal radiology and CT Recognise the normal radiographic appearance of the abdomen Interpret radiological changes associated with diseases of the abdominal wall, peritoneal cavity, retroperitoneal space, liver, spleen, pancreas, adrenal glands, lymph nodes, urogenital and gastrointestinal systems Understand the value of contrast studies in the evaluation of the urogenital and gastrointestinal systems View CT images demonstrating the normal appearance of the abdomen Consider when to choose CT as a diagnostic modality in abdominal conditions This module may include a film reading activity. 05 Abdominal ultrasonography I Lectures will aid you in gaining confidence in distinguishing between pathology and normal variation in organs such as the liver and spleen. A significant amount of time will be spent improving your practical ultrasonographic skills. Case examples will allow you to put your new ultrasound interpretation skills to practice and guidance is given on what to record in an ultrasound report. Set up the machine and record images Recognise commonly seen artefacts Recognise the normal anatomy and ultrasonographic appearance of the abdomen Appreciate the ultrasonographic changes and common diseases of the abdominal wall, peritoneal cavity, retroperitoneal space, liver and spleen This module includes a practical scanning session. 06 Abdominal ultrasonography II Appreciate the ultrasonographic changes and common diseases of the pancreas, biliary tract, adrenal glands, lymph nodes, urogenital and gastrointestinal systems Perform elementary Doppler techniques Practise ultrasound guided biopsy and aspiration using a phantom This module includes a practical scanning session. 07 Thoracic radiology I These modules will consist primarily of practical film reading sessions, concentrating on pleural and mediastinal disease, followed by group discussion. Revise appropriate radiographic techniques in the thorax Recognise the normal radiographic appearance of the thoracic wall, pleural cavity, diaphragm and mediastinum Interpret radiological changes associated with diseases of the thoracic wall, diaphragm, pleural space and mediastinum Have the knowledge to perform and interpret contrast studies of the oesophagus This module includes a film reading session and case discussion. 08 Thoracic radiology II As part of this module you will have the opportunity to bring in any interesting cases from your own practice, which can be used as part of the group discussions. Utilise appropriate radiographic techniques in the thorax to obtain diagnostic radiographs of the heart, lungs and vasculature Recognise the normal radiographic appearance of the heart, lungs and vasculature Interpret radiological changes associated with diseases of the heart, lungs and thoracic vasculature Understand when to choose CT as a diagnostic modality in thoracic conditions This module includes a film reading session and case discussion. 09 Echocardiography I Recognise the normal anatomy and ultrasonographic appearance of the heart Perform an echocardiographic examination Obtain the standard echocardiographic views and know how to optimise them Obtain the useful ultrasonographic measurements needed to make a diagnosis This module includes a practical scanning session. 10 Echocardiography II Identify the typical changes seen in common acquired cardiac diseases such as diseases of the myocardium, pericardium and heart valves Identify the typical changes seen in common congenital diseases such as diseases of the myocardium, pericardium and heart valves Recognise cardiac shunts The theory and use of Doppler echocardiography This module includes a practical scanning session. 11 Radiology and CT of the skeletal system Recognise the normal radiographic appearance of the forelimb and hindlimb and identify changes associated with common diseases Classify fractures and interpret stages of fracture healing and complications Discuss the radiographic signs and differentiation of infection and neoplasia Diagnose various metabolic and nutritional bone diseases Perform arthrography View CT images demonstrating the normal appearance of the skeletal system and understand when to choose CT as a diagnostic modality in musculoskeletal conditions This module includes a film reading session. 26 Taught sessions Practical components 27

15 GPCert/PgC IN DIAGNOSTIC IMAGING LEARNING OBJECTIVES GPCert/PgC CLINICAL PROGRAMME EMERGENCY MEDICINE & SURGERY 12 Radiology, CT and MRI of the head and vertebral column Review the ultrasound techniques practised in previous modules This module includes a practical scanning session. Review the normal radiographic appearance and radiographic changes associated with diseases of the head and soft tissues of the neck (thyroid glands and lymph nodes) Be able to recognise the normal radiographic appearance of the spine and radiographic changes associated with common diseases of the spine Become familiar with the use of myelography and CT myelography Have an understanding of the utilisation of CT and MRI in clinical neurology Make informed choices in selecting CT or MRI and when to refer cases for these investigative procedures This module includes a film reading session. 13 Thoracic ultrasonography Revise the normal anatomy and ultrasonographic appearance of the thorax excluding the heart Appreciate the applications of T-Fast scanning Recognise the ultrasonographic changes and common diseases of the mediastinum, pleural space and lungs Understand the approach to ultrasound guided biopsy and aspiration techniques 14 Ultrasonography of the skeletal system, head and neck Recognise the normal appearance and deviations from normal of muscles and tendons. Practical identification and examination of the biceps tendon and common calcaneal tendon Recognise the normal anatomy and ultrasonographic appearance of the thyroid gland, lymph nodes and salivary glands Interpret ultrasonographic changes associated with diseases of the thyroid gland, lymph nodes and salivary glands Understand the applications of ultrasound in examining the eye This module includes a practical scanning session. Learn with your best friend In order to get the most from our programmes, please bring a dog with you on these modules: 1/2/5/6/9/10/13/ cashback off the programme cost will be given to delegates who bring a dog on the day on a strictly first-come, first-served basis. Your help is much appreciated. Duration Flexible attendance options Programme Begins January 2019 Locations Swindon Alexandra House Sheffield Benchmark House Access Requirements Veterinary surgeons who have been in practice for a minimum of two years Attendance Attendance on the taught modules is from 9.00am to 5.00pm Current interest in small animal emergency medicine and surgery is greater now than ever before. This exciting modular programme is dedicated to providing high quality, relevant, clinically useful information for the small animal practitioner. Information that is practically relevant is presented using an approach based around the major organ systems. Attend individual or paired modules to advance your knowledge and skills in a specific area, or take the full programme and successfully pass all ESVPS assessments to gain a General Practitioner Certificate (GPCert) and then progress towards a PgC qualification awarded by HAU. For those wanting to pursue the GPCert or PgC qualification, a dedicated Programme Tutor will support you throughout to ensure a rewarding and successful learning journey. 28 Taught sessions Practical components 29

16 GPCert/PgC CLINICAL PROGRAMME EMERGENCY MEDICINE & SURGERY GPCert/PgC IN EMERGENCY MEDICINE & SURGERY LEARNING OBJECTIVES 01 The initial approach to the emergency patient Understand the administrative, legal and ethical issues involving the critically ill patient Appreciate triage systems and detail a suitable initial patient assessment Explain emergency vascular access techniques including jugular and intraosseous routes Understand pain management, stabilisation and monitoring Review health and safety concerns and precautions including managing a situation involving potential zoonoses Be familiar with infectious diseases and preventative healthcare 02 Laboratory diagnosis, clinical pathology and transfusion medicine Understand sampling techniques, processing, storage and data recording Apply knowledge to using the microscope to examine blood smears, urinary sediment and basic cytology and be able to diagnose common acute and chronic conditions seen in general practice Assess haemostasis Interpret clinical laboratory medicine information including haematology, biochemistry, electrolyte and arterial and blood gas analyses Consider when transfusion should be considered and appreciate that there are no magic numbers Select appropriate blood products and protocols to minimise adverse outcomes Manage common conditions leading to haematological abnormalities requiring transfusion 03 Anaesthesia, analgesia, sedation and therapeutics Detail an approach to patient stabilisation prior to anaesthesia Select appropriate parenteral and inhalational anaesthetic regimes and appreciate their relative advantages and disadvantages. Sedation versus anaesthesia Have an understanding of anaesthetic equipment and monitoring techniques and their advantages and disadvantages Explain the selection of NSAIDs, opioids, local anaesthetic and topical treatment options for the emergency patient Understand the pharmacokinetics, potential interactions and adverse effects of commonly used therapeutic agents including antimicrobials and antiparasiticides in addition to anaesthetics and anti-inflammatories in the emergency patient Consider the use of neuromuscular blockers 04 Neurological and neurotoxicological emergencies Perform a neurological examination Select appropriate diagnostic tests and apply them to individual cases, including radiography and CSF analysis Understand how to manage common neurological emergencies Appreciate the fundamentals of neurosurgery Recall the common toxicities such as insecticides, molluscicides, rodenticides, herbicides, household preparations and plants Diagnose, treat and assess the prognosis of patients presented with the common poisonings 05 Renal, urinary tract, reproductive and paediatric emergencies Apply diagnostic techniques including laboratory investigations and imaging to these cases Investigate and manage common renal and urinary tract emergencies Understand the principles of renal, ureteral, bladder and urethral surgery Formulate an approach to cystocentesis and the placing and maintenance of urinary catheters and appreciate their limitations Improve your knowledge of normal reproductive physiology and function and the physiology of conversion from foetal to neonatal circulation Appreciate the common important clinical signs associated with reproductive and paediatric emergencies Plan a diagnostic approach to these cases and manage common conditions 06 Endocrine and metabolic emergencies Detail the common metabolic conditions requiring urgent or emergency therapy Be familiar with the impact of metabolic disturbances on the patient s major body systems Devise an approach to the diagnosis and management of common diseases including hypoadrenocorticism and diabetes mellitus Understand key diagnostic tests and their application Appreciate the complications encountered during therapy, their prevention and management 07 Supporting the emergency patient Assess, recognise and treat shock Develop your appreciation of the indications for the different types of fluid therapy with their advantages and disadvantages and the need for electrolyte supplementation Review techniques for venous access: sites, catheter placement, preparations and complications including advanced techniques and intraosseous techniques Have a general understanding of acid-base balance and its treatment Explain the need to monitor for complications during treatment and to record central venous pressure Appreciate the importance of acute malnutrition Formulate a plan to provide enteral, total parenteral and partial parenteral nutrition 08 Respiratory tract emergencies Understand the general approach to dyspnoea Utilise and interpret a range of diagnostic techniques for respiratory patients including auscultation, radiography, endoscopy and arterial blood gas analysis to localise the underlying cause Appreciate the methods of oxygen delivery and be able to monitor the efficacy of treatment Review the problems associated with oxygen delivery Explain the techniques available for drainage of the pleural cavity 09 Emergencies in rabbits, rodents and cage birds Interpret the practical findings of a physical examination Formulate a diagnostic approach to common presentations of emergency conditions Manage common emergency conditions Approach the anaesthesia and analgesia of these species in emergency situations 10 Ophthalmological emergencies Perform a practical ophthalmological examination Recognise normal features and variants Formulate a diagnostic approach to common presentations including the red eye, ocular pain, ocular discharge and blindness Understand the medical and surgical management of common ocular conditions including corneal ulceration, uveitis and glaucoma Consolidate your understanding of ocular manifestations of systemic disease Select current ocular medications and have an understanding of therapeutics 30 Taught sessions Practical components 31

17 GPCert/PgC IN EMERGENCY MEDICINE & SURGERY LEARNING OBJECTIVES GPCert/PgC CLINICAL PROGRAMME ENDOSCOPY & ENDOSURGERY 11 The principles of surgery and the approach to trauma and wound management 13 Cardiovascular emergencies & CPCR 14 Emergency medicine & surgery practical session Stabilise a patient prior to surgery, plan surgery and manage complications Appreciate the indications for immediate surgical intervention Understand surgical asepsis, theatre protocol and the rational use of antimicrobials in surgical patients Approach the acute management of haemostasis, abdominal and respiratory trauma Soft tissue wounds, myocardial injury and musculoskeletal trauma 12 Gastrointestinal emergencies Approach the acute abdomen Understand the common emergency conditions affecting the oesophagus, stomach, small intestine, large intestine, liver and pancreas Formulate a diagnostic plan, including the use of imaging modalities and effective monitoring strategies for these cases Consolidate your appreciation of appropriate surgical intervention Understand the cardiovascular assessment and management of patients presented with cardiovascular emergencies Utilise and interpret a range of diagnostic techniques including ECGs, radiographs, echocardiographs and laboratory data Diagnose and manage acute canine congestive heart failure, feline cardiomyopathy and aortic thromboembolism Recognise and manage pericardial disease and understand how to perform pericardiocentesis Identify and manage cardiac arrhythmias Consider the predisposing factors likely to result in cardiac arrest, how this changes the approach to CPCR and determining prognosis following CPCR Understand the various components of CPCR (DABC) and their various importance This practical day will provide you with the opportunity to practise the following techniques in the wet-lab: Tracheotomy and chest drain placement Emergency abdominal surgery including the approach to the acute abdomen and peritonitis, enterotomy and enterectomy Gastric dilatation/volvulus and gastropexies Urinary obstruction including urethrotomy in the dog and perineal urethrostomy in the cat Duration One or two year options Programme Begins March 2019 Locations Swindon Alexandra House Access Requirements Veterinary surgeons who have been in practice for a minimum of two years Attendance Attendance on the taught modules is from 9.00am to 5.00pm Endoscopy as an aid to diagnosis coupled with endosurgery as an alternative to more conventional surgical treatments are rapidly growing areas of veterinary practice. This programme will provide you with a thorough grounding in both theory and handson skills needed to start introducing endoscopy into practice. Attend the full programme and successfully pass all ESVPS assessments to gain a General Practitioner Certificate (GPCert) and then progress towards a PgC qualification awarded by HAU. For those wanting to pursue the GPCert or PgC qualification, a dedicated Programme Tutor will support you throughout to ensure a rewarding and successful learning journey. Currently the RCVS does not list Endoscopy and Endosurgery as a designated Advanced Practitioner subject so it is not possible to apply for the Advanced Practitioner Status with the RCVS. 32 Taught sessions Practical components 33

18 GPCert/PgC CLINICAL PROGRAMME ENDOSCOPY & ENDOSURGERY GPCert/PgC IN ENDOSCOPY & ENDOSURGERY LEARNING OBJECTIVES 01 Introduction to endoscopy and endosurgery: instrumentation Review the history and current applications of endoscopy in human surgery and relate this to current veterinary practice Endoscopic instrumentation including rigid and flexible endoscopes Discuss the application of accessory instrumentation and electrosurgery for rigid and flexible endoscopy Learn how to incorporate endoscopy into a veterinary practice Become familiar with how to clean and care for the equipment Understand the use and application of electrosurgery to minimally invasive techniques 02 Flexible endoscopy: basic techniques and lower gastrointestinal tract Discuss the indications for lower gastrointestinal endoscopy Understand the possible complications of lower gastrointestinal endoscopy Review patient preparation and general endoscopic technique Appreciate the normal endoscopic appearance of ileum, colon, caecum and rectum Practise techniques using anatomical models 03 Flexible endoscopy: upper gastrointestinal tract Discuss the indications for upper gastrointestinal endoscopy Revise the possible complications of upper gastrointestinal endoscopy Understand patient preparation and general endoscopic technique Appreciate the normal endoscopic appearance of oesophagus, stomach and duodenum Review biopsy techniques Practise techniques using anatomical models 04 Flexible endoscopy: respiratory tract and therapeutic techniques Discuss the indications for respiratory tract endoscopy Be aware of the possible complications of respiratory tract endoscopy Review patient preparation and general endoscopic technique for examination of upper and lower respiratory tracts Understand normal endoscopic appearance of nasal cavity, larynx, trachea and bronchi Consider sample collection techniques Improve your abilities in foreign body retrieval and feeding tube placement techniques Practise techniques using anatomical models 05 Rigid endoscopy: basic principles of rhinoscopy and other oscopies Understand the range of rigid endoscopic equipment available for examination of the upper respiratory tract Perform a thorough endoscopic examination of the upper respiratory tract using a rigid endoscope Examine the frontal sinuses Recognise common nasal pathology and treat nasal aspergillosis Discuss other oscopies including exploration of stick injuries and fistulae Practise the above techniques in a wet-lab environment 06 Rigid endoscopy: otoendoscopy, urethrocystoscopy and vaginoscopy Discuss the indications for otoendoscopy, urethrocystoscopy and vaginoscopy Understand the possible complications of the above examinations Review patient preparation and general endoscopic techniques for the above examinations in male and female dogs and cats Familiarise yourself with the normal endoscopic appearance of the ear, vagina, urethra and bladder Learn biopsy and sampling techniques as well as the treatment of some common conditions Practise techniques in a wet-lab environment 07 Rigid endoscopy: laparoscopy Discuss the indications for laparoscopy Understand the possible complications of laparoscopy Review patient preparation and general endoscopic technique for laparoscopy Become familiar with normal endoscopic appearance of the abdominal cavity and its organs Consolidate your organ biopsy techniques Practise techniques in a wet-lab environment 08 Rigid endoscopy: ovariectomy and ovariohysterectomy Review the instrumentation necessary for sterilisation surgeries Understand the techniques and possible complications of laparoscopic sterilisation procedures Consider the choice between ovariohysterectomy/ovariectomy and the benefits of a minimally invasive approach Revise the use of electrosurgery devices for haemostasis and cutting Discuss the economics of incorporating laparoscopic spays into private practice Practise the above techniques in a wet-lab environment 09 Arthroscopy I Consider the instrumentation necessary for arthroscopic procedures Discuss common joint pathology Understand the indications for arthroscopy Review patient preparation and the creation of portals for approaching the elbow, shoulder and stifle joints Practise the above techniques in a wet-lab environment 10 Arthroscopy II Perform an arthroscopic examination of the elbow, shoulder and stifle joints Complete some simple arthroscopic surgery of the elbow and shoulder Understand the possible complications of the above procedures Practise the above techniques in a wet-lab environment 11 Rigid endoscopy: thoracoscopy Review the instrumentation necessary for thoracoscopy procedures Describe the indications for diagnostic thoracoscopy Revise the approaches to the thoracic cavity telescope portals Understand the techniques for an exploratory thoracoscopy, lung and lymph node biopsies and pericardectomy Consider the possible complications of thoracoscopy Practise some of the above techniques in a wet-lab environment 12 An introduction to laser endosurgery Review the equipment available for laser surgery in animals Discuss the use of lasers in conjunction with endoscopy Understand how to perform laser debulking of tumours in the GI tract, nose and bladder plus resection of ectopic ureters Consider the possible complications of laser surgery Practise some of the above techniques in a wet-lab environment 34 Taught sessions Practical components 35

19 PGC GPCert/PgC IN ENDOSCOPY CLINICAL & PROGRAMME ENDOSURGERY LEARNING EXOTIC ANIMAL OBJECTIVES PRACTICE PGC IN ENDOSCOPY & ENDOSURGERY LEARNING OBJECTIVES GPCert/PgC IN EXOTIC ANIMAL PRACTICE LEARNING OBJECTIVES 01 Exotic animal clinical pathology 03 Principles of anaesthesia, emergency and critical care medicine 05 Current concepts in surgery Duration Flexible attendance options Programme Begins January 2019 Locations Swindon Alexandra House Access Requirements Veterinary surgeons who have been in practice for a minimum of two years. Attendance Attendance on the taught modules is from 9.00am to 5.00pm This programme will leave you fully equipped to understand and treat the more varied cases and species. The programme includes taught sessions on all key areas and promises to bring you fully up to date with all of the current and emerging issues. This programme will assist you in consolidating your knowledge of exotic medicine and surgery and help you to develop an informed clinical approach. Attend individual or paired modules to advance your knowledge and skills in a specific area, or take the full programme and successfully pass all ESVPS assessments to gain a General Practitioner Certificate (GPCert) and then progress towards a PgC qualification awarded by HAU. For those wanting to pursue the GPCert or PgC qualification, a dedicated Programme Tutor will support you throughout to ensure a rewarding and successful learning journey. Understand how to collect diagnostic samples including sampling sites and blood volumes, faecal, urine and bone marrow samples Interpret haematological and biochemical profiles based on knowledge of normal values and the changes which occur in disease processes Evaluate bone marrow samples Describe how to collect and evaluate cytological samples Appreciate microbiological investigation of exotic animals 02 Therapeutics and immunisation Explain how various legislation relates to the pharmacy and have a knowledge of the Medicines Act 1968, the Misuse of Drugs Act 1971, the Health and Safety at Work Act 1974 and the COSHH Regulations 2002 Revise the correct storage, dispensing and labelling of medicines Understand the pharmacokinetics, potential interactions and adverse effects of common therapeutic agents including anaesthetics, anti-inflammatories, analgesics, antimicrobials and antiparasitics Describe the immunisation options that exist for exotic patients Delivery of drugs to exotic pets and zoo animals Identify the type of fluid replacement required Calculate fluid requirements Appreciate different administration techniques and cannulation techniques Select appropriate agents for the restraint, pre-medication, induction and maintenance of anaesthesia Monitor anaesthesia Apply knowledge of emergency and resuscitation techniques in anaesthesia to clinical situations if required Understand the basic principles of emergency and critical care medicine of exotic pets 04 Diagnostic imaging Appreciate the value of imaging techniques in mammals, reptiles and avian species including: Review radiography and radiology of soft tissues and the skeleton Revise contrast media techniques Describe ultrasonography and echocardiography of exotic patients Become familiar with the principles of endoscopy including the respiratory, gastrointestinal and reproductive tracts Understand basic surgical techniques, surgical neutering and coelomic surgery Use knowledge gained to implant microchips Apply knowledge gained to performing various oesophagostomy techniques Describe how to repair shell and beak defects Explain the use of radiosurgery in exotics Approach the orthopaedic patient and understand the common fracture types in different species, the principles of internal and external fracture repair and muscle tendon adhesions 06 Avian medicine and surgery Explain the investigation and treatment of gastrointestinal diseases in birds Investigate and treat diseases of the upper and lower airways including the nares, sinuses and infections such as chlamydophilosis and aspergillosis Approach beak and feather disease and feather plucking Understand urogenital tract disease including excessive eg laying, eg binding, cloacal disease and orchitis Manage trauma cases including fractures 36 Taught sessions Practical components 37

20 GPCert/PgC IN EXOTIC ANIMAL PRACTICE LEARNING OBJECTIVES GPCert/PgC IN EXOTIC ANIMAL PRACTICE LEARNING OBJECTIVES 07 Biology, nutrition, husbandry and common diseases of mice, rats, hamsters, guinea pigs, chinchillas, degus and gerbils Describe the diagnosis, treatment and prevention of common skin diseases including ectoparasitic, bacterial, viral, fungal and endocrine disorders Understand diseases affecting the gastrointestinal tract including Tyzzer s disease, wet tail, dental malocclusions and coccidiosis Transform your approach to the diagnosis and treatment of respiratory disorders Approach the diagnosis and treatment of endocrine conditions Develop your understanding of the diseases which affect the reproductive and urinary tracts Appreciate conditions which affect the CNS Understand sebaceous gland dermatitis, reproductive and adrenal gland disease affecting the skin and behavioural induced skin disease in gerbils Review the legislation concerning the care and use of relevant laboratory animals 08 Biology, nutrition, husbandry and common diseases of rabbits Diagnose and treat dermatological diseases Investigate and treat gastrointestinal diseases including motility disturbances, mucoid enteropathy and diarrhoea Formulate a treatment plan for dental disease including overgrown teeth and traumatic injuries to teeth, treatment of abscesses and caries Be familiar with the diagnosis and treatment of respiratory tract disease including pasteurellosis Understand conditions affecting the musculoskeletal and nervous systems including vestibular disease Investigate and treat reproductive and urinary tract diseases Describe common infectious diseases such as E cuniculi, myxomatosis and viral haemorrhagic disease 09 Biology, nutrition, husbandry and diseases of ferrets and fish Diagnose and treat ectoparasitic, bacterial, fungal, viral and neoplastic skin disease in ferrets Investigate and treat diseases affecting the gastrointestinal, respiratory and urogenital systems in ferrets Understand infectious diseases in ferrets such as distemper, tuberculosis, Aleutian disease and human influenza Assess disease patterns, environmental factors and fish husbandry and apply these to quarantine and disease prevention strategies Perform clinical examinations and have a knowledge of anaesthesia, medication and therapeutics with respect to fish Diagnose and treat common skin diseases, ocular disorders, respiratory and internal disease and have an understanding of the principles of fish surgery 10 Biology, nutrition, husbandry and diseases of unusual mammalian pets, amphibians and invertebrates Review the husbandry and diseases of small pet marsupials such as sugar gliders, wallabies and opossums Understand the husbandry and diseases of pet skunks Revise the husbandry and diseases of Procyonids such as the raccoon and kinkajou Describe the husbandry and diseases of Herpestids such as the dwarf mongoose and meerkat Increase your knowledge of the husbandry and conditions affecting pet amphibians Understand the husbandry and diseases of invertebrates 11 Reptile medicine and surgery Formulate an approach to the sick reptile including post hibernation anorexia and hypocalcaemic collapse Diagnose and treat dermatological conditions including dysecdysis, scale rot and abscesses and metabolic, nutritional and infectious bone and shell disorders Diagnose and treat common gastroenterological disorders including mouth rot, vomiting and regurgitation and liver disease Approach respiratory and cardiovascular disease including pneumonia and lungworm Investigate respiratory tract and reproductive disease Understand the common infectious diseases of reptiles 12 Wildlife medicine and surgery Explain the legislation relating to wild animals and welfare Formulate an approach to the restraint, anaesthesia and trauma management of wild birds and mammals Diagnose and manage common disorders of UK native wildlife Approach rehabilitation of wildlife Understand the zoonotic diseases which affect wildlife in the UK 13 Primates Diagnose, treat and prevent ectoparasitic, bacterial, viral, fungal and neoplastic skin diseases Understand gastrointestinal disease including bacterial gastroenteritis, gastric dilation, diarrhoea and dental caries Appreciate diseases affecting the cardiorespiratory system Describe metabolic/nutritional bone disease, musculoskeletal and neurological disease, arthritis and limb fractures Investigate and treat infectious diseases Diagnose and treat diseases of the urogenital tract including endometrial, ovarian and mammary disease 14 Zoo animal medicine Explain modern zoo legislation and management including Zoo Licensing Act 1981 and Balai Directive 92/65 as subsequently amended Approach the routine healthcare management and common disease problems of zoo animals Review how to restrain zoo animals Understand drug delivery systems, immobilisation and anaesthetic regimes 38 Taught sessions Practical components 39

21 GPCert/PgC CLINICAL PROGRAMME FELINE PRACTICE GPCert/PgC IN FELINE PRACTICE LEARNING OBJECTIVES Duration Flexible attendance options Programme Begins February 2019 Locations Swindon Alexandra House Access Requirements Veterinary surgeons who have been in practice for a minimum of two years Attendance Attendance on the taught modules is from 9.00am to 5.00pm This outstanding programme taught by world class speakers offers an in-depth look at the common and also more challenging feline issues through taught, interactive and casebased sessions. This programme will assist you in consolidating your knowledge of feline medicine and surgery and help you develop an informed clinical approach to the feline patient. Attend individual or paired modules to advance your knowledge and skills in a specific area, or take the full programme and successfully pass all ESVPS assessments to gain a General Practitioner Certificate (GPCert) and then progress towards a PgC qualification awarded by HAU. For those wanting to pursue the GPCert or PgC qualification, a dedicated Programme Tutor will support you throughout to ensure a rewarding and successful learning journey. 01 Clinical pathology and laboratory diagnosis Develop a thorough knowledge of sampling techniques, the limitations of technology and equipment and the factors that can generate artefacts or abnormalities Interpret results and propose further investigations Understand the methodology involved in the generation of haematology, biochemistry and cytology profiles Have an awareness of the various diagnostic tests for endocrine and infectious diseases (viral, parasitic including heartworm and bacterial), the techniques used and their interpretation Recall the cytology of haemic and non-haemic cell populations, both reactive and neoplastic, and have the ability to trace or plot maturation and degeneration pathways in blood, fluid and tissue smears 02 Critical care and emergency case management Perform triage, assess patients and prioritise cases Undertake emergency monitoring and stabilisation Understand the effects, clinical signs and treatment for common toxicities including insecticides, molluscicides, rodenticides, herbicides, household preparations and plants Be familiar with critical therapeutics including fluid and electrolyte therapy, transfusion medicine, cardiovascular and respiratory support, analgesia and CPR 03 Dermatology Formulate a differential diagnosis and investigation plan (including laboratory investigations) for common dermatological presentations including alopecia, pruritus, infectious and autoimmune conditions, allergic skin disease and neoplasia Have knowledge of treatment strategies for common dermatological presentations including alopecia, pruritus, infectious and auto-immune conditions, allergic skin disease and neoplasia Be aware of and be able to recognise dermatological manifestations of systemic disease 04 Urinary tract Understand the causes of renal dysfunction, the presentation and diagnostic tests utilised in cats with clinical signs of renal disease (including acute/chronic renal insufficiency, glomerular disease, neoplasia and inherited diseases) Describe the causes and emergency treatment of acute renal failure Explain the pathophysiology of renal dysfunction and the importance/significance of hyperphosphataemia, anaemia, proteinuria and hypertension Apply knowledge of the International Renal Interest Society staging scheme for chronic renal disease to patient prognosis Discuss the advantages and disadvantages of the available treatments for CRI including phosphate binders, ACE inhibitors and dietary modification Recall the neuroanatomy of the lower urinary tract and the differentiation of upper motor neuron/lower motor neuron defects Approach diseases of the lower urinary tract including FLUTD, urolithiasis, urinary tract infections and neoplasia and understand their differentiation, risk factors, treatment and dietary management 05 Cardiology Recognise the importance of a detailed history and clinical examination of the cardiovascular and respiratory systems in the diagnosis of cardiopulmonary diseases Review and understand the common causes of heart disease in cats 40 Taught sessions 41

22 GPCert/PgC IN FELINE PRACTICE LEARNING OBJECTIVES GPCert/PgC IN FELINE PRACTICE LEARNING OBJECTIVES Consolidate your understanding of the central importance of blood pressure in the pathophysiology of cardiac disease in cats and know how to discriminate the causes of hypertension in this species Define the crucial role of high quality imaging modalities (especially ultrasonography and radiology) in the differential diagnosis of feline cardiopulmonary diseases 06 Respiratory medicine Approach the common presentations of respiratory disease including nasal discharge, epistaxis, coughing, stertor, stridor, sneezing and reverse sneezing Diagnose and treat upper respiratory tract diseases, both acute (infectious) and chronic (inflammatory, infectious or neoplastic in origin) Formulate an approach to allergic lower respiratory tract disease including differential diagnoses, investigation and treatment of allergic airway disease, parasitic disease and pulmonary fibrosis Understand pleural space disease including differential diagnoses, investigation and therapeutics 07 Liver, pancreas and gastrointestinal tract Know how to investigate and manage common medical conditions affecting the feline oesophagus, stomach, small and large intestine, liver and pancreas Describe the various tests used in the diagnosis of liver and pancreatic disease and the management options for the common hepatic medical disorders Approach the nutritional management of disorders of the liver, pancreas and gastrointestinal tract 08 Endocrinology Define the clinical signs of feline endocrine diseases and understand their pathogenesis including hyperthyroidism, diabetes mellitus, acromegaly, hyperaldosteronism and hyperadrenocorticism Describe the principles of key diagnostic tests and their application for the above feline endocrine diseases Understand the management of common feline endocrine diseases and know how to approach complications such as diabetic ketoacidosis and hyperosmolar syndrome 09 Infectious diseases I Describe health and safety concerns and precautions relating to zoonoses Understand the legislation and regulations relating to infectious diseases Design and implement vaccination and preventative parasitic programmes Approach the pathophysiology, diagnosis and, where appropriate, treatment of common viral diseases including FeLV, FIV and FIP Diagnose and treat haemoplasma infections 10 Infectious diseases II Explain the diseases of hunting cats including toxoplasmosis, pox virus, mycobacterial disease and salmonellosis Approach enteric infections of the cat including protozoal disease (Trichomonas foetus, Cryptosporidium, Giardia and Isospora) and bacterial/viral disease Understand fungal mycoses Control infectious and zoonotic disease in the home, clinic, shelters and cattery situations 11 Orthopaedics Perform an orthopaedic examination and be familiar with the presentation of osteoarthritis in the cat Understand the value of radiography, synoviocentesis, muscle and nerve biopsies Apply first aid techniques to fracture patients Explain the principles of orthopaedic surgery and the approach to the repair of common fractures 12 Behaviour Consolidate your understanding of normal cat behaviour Understand the clinical causes of feline behavioural problems Formulate an approach to common problems such as inappropriate toiletting, spraying, aggression and compulsive disorders Review and apply strategies for improving core territory security Have a good knowledge of the principal behavioural modifying drugs, their use and potential side effects 13 Ophthalmology Understand the normal feline eye and use readily available diagnostic equipment and disposables in feline ophthalmic cases Recognise those ophthalmic conditions which are unique to the cat or are particularly important in this species Perform common surgical procedures pertinent to feline ophthalmology Approach the medical management of ophthalmic patients Know when to refer a patient 14 Surgical principles and anaesthesia Apply knowledge gained to surgical asepsis and theatre protocol Rationally utilise antibiotics in surgical patients Be familiar with suture materials and patterns, surgical instruments and tissue handling Plan surgery, apply haemostatic techniques and manage crises Approach the management and reconstruction of wounds Online anaesthesia component: Describe a range of parenteral and inhalational anaesthetic regimes Understand the pharmacokinetics of different anaesthetics and monitoring techniques available 15 Neurology Understand the clinical signs associated with neurological disease Perform a neurological assessment and understand what the tests evaluate and their interpretation Describe how to localise lesions and the value this provides to the clinician Plan a neurological investigation and understand the major feline neurological diseases on the basis of localisation Approach abnormalities including seizures, spinal cord and cranial nerve abnormalities and peripheral neurological diseases Be familiar with the common myopathies including their presentation, diagnosis and treatment 16 Oncology, lymphatic and haematopoietic disease Understand the clinical relevance of tumour biology and be able to discuss the most common neoplasms of the major organ systems Evaluate the evidence base to make rational treatment decisions for feline cancer patients Review the importance of biopsy and staging in therapy decision making, counselling and support Explain the function of bone marrow and the differential diagnosis of anaemia, haematopoietic disease and coagulopathies 42 Taught sessions 43

23 GPCert/PgC CLINICAL PROGRAMME OPHTHALMOLOGY GPCert/PgC IN OPHTHALMOLOGY LEARNING OBJECTIVES Duration Flexible attendance options Programme Begins January 2019 Locations Swindon Alexandra House Access Requirements Veterinary surgeons who have been in practice for a minimum of two years Attendance Attendance on the taught modules is from 9.00am to 5.00pm The programme will provide you with a thorough understanding of the anatomy, development and physiology of the eye and will cover the full spectrum of ocular diseases seen in the domestic species. The principles of inherited ocular disease, ocular pharmacology and therapeutics, ocular pathology and ocular surgery will be discussed. Attend individual or paired modules to advance your knowledge and skills in a specific area, or take the full programme and successfully pass all ESVPS assessments to gain a General Practitioner Certificate (GPCert) and then progress towards a PgC qualification awarded by HAU. For those wanting to pursue the GPCert or PgC qualification, a dedicated Programme Tutor will support you throughout to ensure a rewarding and successful learning journey. 01 Examination of the eye Perform a confident ocular examination by using diagnostic ophthalmic instruments including focal illumination, the direct ophthalmoscope, slit lamp biomicroscope and indirect ophthalmoscope Practise tonometry Develop your ability to perform gonioscopy Review more advanced and specialist techniques available for ophthalmic diagnosis including radiography, electroretinography, ultrasound, CT and MRI scans Revise diagnostic cytology, microbiology and biopsy sampling and appreciate the applications of the different methods of investigation Describe a systematic approach to the investigation of ophthalmology cases including accurate record keeping 02 Anatomy and physiology of the eye, basic embryology and histology Understand basic ophthalmic embryology and postnatal ocular development Describe comprehensively the anatomy of the eye Extend your understanding of ocular physiology including the tear film, aqueous production, lens metabolism and retinal physiology Appreciate the normal and pathological appearance of histological samples including the significance of abnormalities detected Understand basic ocular immunology Includes microscopes 03 Ocular therapeutics and pharmacology Describe the principles of medicating the eye Understand topical and systemic drug administration Explain vehicles and preparations for ophthalmic drug administration Appreciate classes of drugs Choose the correct drug for common ophthalmic conditions 04 The orbit and globe, eyelids and nictitans membranes Describe the anatomy and clinical conditions involving the orbit, globe, eyelids and nictitans membranes (third eyelids) Review the presenting signs of and differential diagnoses for congenital and acquired orbital disease Understand the effect of facial conformation on globe and eyelid position and its associated effects Appreciate breed predispositions and species differences Become familiar with the aetiopathogenesis of proptosis and its treatment options Recognise the different types of entropion and ectropion and their impact on ocular health Understand the aetiopathogenesis of nictitans membrane disorders 05 The conjunctiva and nasolacrimal system and how to write a case report Describe the anatomy of the conjunctiva and understand the aetiopathogenesis of conjunctival disease and its treatment Perfect your knowledge of the nasolacrimal system and abnormalities that can affect it Understand secretory and excretory components, normal lacrimation and the components of the pre-corneal tear film. Appreciate keratoconjunctivitis sicca Discuss the problems associated with nasolacrimal drainage Appreciate the approach to writing a case report, including case selection, literature searches and accurate referencing 06 The cornea, sclera and episclera Describe normal corneal anatomy Review normal corneal healing and factors which can affect it Understand how the cornea responds to insults 44 Taught sessions Practical components 45

24 GPCert/PgC IN OPHTHALMOLOGY LEARNING OBJECTIVES GPCert/PgC IN OPHTHALMOLOGY LEARNING OBJECTIVES Discuss the different causes of corneal ulceration and its treatment Explain non-ulcerative corneal disease Appreciate the anatomy of the episclera and sclera and understand the pathology which can affect these 07 The uveal tract and lens Recognise congenital and acquired defects involving the uveal tract and describe the presenting signs of anterior uveitis, posterior uveitis, panuveitis and the approach to diagnosis and treatment Approach non-neurological abnormalities of the pupil Understand aqueous opacification Describe the anatomy and physiology of the normal lens Explain lenticular disease and the range of congenital and acquired disease that can affect the lens and understand cataractogenesis Be familiar with the approach to cataract surgery together with patient selection, aftercare and potential complications Appreciate primary and secondary lens luxation 08 Glaucoma and neuroophthalmology Describe the production and drainage of aqueous humour and the pathophysiology of the normotensive globe Define glaucoma and understand the different types of primary and secondary glaucoma and species differences Appreciate treatment options for glaucoma Devise a logical approach to the investigation of neuro-ophthalmic problems and understand the relevant neurological pathways and the autonomic nerve supply Recognise normal and abnormal nystagmus Investigate and offer treatment options for blindness of central origin Understand disorders of ocular motility 09 The retina, vitreous and optic nerve Understand the normal anatomy of the retina, species differences in retinal vascular patterns and the pathological changes which can occur and their manifestation Describe the process of chorioretinitis Recognise both inherited and acquired retinopathies Appreciate the anatomy of the vitreous, congenital and acquired conditions and different types of vitreal degeneration Describe the anatomy and physiology of the normal optic nerve, explain congenital and acquired conditions of the optic nerve and understand the investigation of optic nerve disease 10 Ocular neoplasia and ocular manifestations of systemic disease Recognise primary and secondary ocular neoplasia and explain its management Discuss the ocular manifestations of systemic disease including infectious, metabolic, nutritional, toxic, immune-mediated or vascular aetiologies Understand the workup for suspected systemic disease Appreciate treatment options for systemic disease in general practice 11 Ophthalmic surgery practical techniques day I This is the first day of a two-day practical session, please see module 12 for additional objectives. These modules must be attended as a pair. Recognise commonly used ophthalmic instruments and understand their use Use loupes and understand operating microscopes for surgical magnification Select appropriate suture material and needle designs Discuss pre- and post-operative care of surgical patients and appropriate anaesthetic regimes Understand the basic surgical principles as they pertain to ophthalmic surgery 12 Ophthalmic surgery practical techniques day II This is the second day of a two-day practical session. Please see module 11 for additional objectives. These modules must be attended as a pair. Perform common surgical techniques for treating disease of the orbit, globe, eyelids, third eyelid, conjunctiva and cornea Practise reconstructive eyelid surgery Understand and perform different methods for enucleation Appreciate the principles of intraocular surgery 13 Inherited ocular disease and case-based discussion Understand inherited ocular disease, the principles of genetics and modes of inheritance and pedigree data analysis. Appreciate different methods of reducing such disease including eye testing schemes and genetic testing Explain the different conditions which affect different breeds of dog Clinically recognise congenital inherited conditions encountered such as collie eye anomaly, congenital cataract, retinal dysplasia, goniodysgenesis and persistent hyperplastic primary vitreous Clinically recognise non-congenital inherited conditions such as hereditary cataract, primary lens luxation, generalised progressive retinal atrophy and retinal pigment epithelial dystrophy Case-based studies you should be able to: List differential diagnoses Formulate investigation plans Formulate treatment protocols for common ophthalmic problems 14 Comparative ophthalmology Approach the ophthalmic examination of the rabbit, bird and reptile Have a basic understanding of the evolution of the eye Appreciate species differences in ocular anatomy Be familiar with common diseases seen in rabbits, birds and reptiles Discuss the role of various species in ocular toxicology Learn with your best friend In order to get the most from our programmes, please bring a dog with you on modules 1 and cashback off the programme cost will be given to delegates who bring a dog on the day on a strictly first-come, first-served basis. Your help is much appreciated. 46 Taught sessions Practical components 47

25 Our Postgraduate PgC and GPCert Certificate programmes (PgC) allow programmes you allow to immerse you to yourself immerse in yourself chosen in your subject chosen area, subject to truly challenge area, to truly yourself challenge and to yourself gain the and to gain the extra extra knowledge knowledge that that puts puts you you at the at the forefront forefront of your field About Our PgC Programmes EACH PROGRAMME COMPRISES: Extend your knowledge and skills Our modular programmes offer you a comprehensive range of structured learning across all key subject areas giving you the ultimate flexibility to access the training that you want whilst working around your busy practice life. Our clinical programmes give you the added flexibility of attending individual or paired modules.* General Practitioner Certificate (GPCert) By attending the full structured taught programme of your choice and following successful assessment you can gain the GPCert awarded by the European School of Veterinary Postgraduate Studies (ESVPS) and 40 academic credits from Harper Adams University (HAU). With our Clinical programmes, you can then decide whether you want to progress to a PgC. Postgraduate Certificate (PgC) The PgC is a recognised higher education qualification demonstrating that you have achieved the required standard within a designated subject. The qualification represents Masters Level 7 within the Quality Assurance Agency s framework for higher and further education. It provides 60 transferable academic credits towards the 180 required for a Masters degree in the UK or 30 ECTS credits (Europe). General Practitioner Advanced Certificate (GPAdvCert), Postgraduate Diploma (PgD) and Masters degree (MSc) By continuing your learning journey with us, your PgC may also be used towards a GPAdvCert, PgD or a Masters degree. These qualifications will enable you to expand your knowledge and further demonstrate your skills, while obtaining academic recognition. RCVS Advanced Practitioner Status After completing your Postgraduate Certificate you can apply for the RCVS Advanced Practitioner Status. This is subject to meeting all of the other entry requirements set out by the RCVS in the Applicant Guidance Notes** You will need to provide evidence of Key Professional Skills knowledge to the RCVS when applying for the Advanced Practitioner Status *Diagnostic Imaging, Endoscopy and Endosurgery, Small Animal Medicine and Small Animal Surgery can only be accessed as full modular programmes. Taught sessions with accompanying notes Preparation for end-ofprogramme assessments Subscription to HAU s e-library providing access to 1,000s of learning resources Practical sessions where relevant to the subject Independent study, including online components Online learning platform, access to forums and programme notes Pre and post module online self assessment Support throughout your learning journey Flexible attendance options, achieve a manageable work-life balance ** Endoscopy and Endosurgery is currently not recognised as a designated Advanced Practitioner subject

26 SMALL ANIMAL MEDICINE AND SMALL ANIMAL SURGERY PgC ROUTE 2 YEARS WHY CHOOSE IMPROVE? IMPROVE Attend all learning modules Full module attendance Pre & post module questions You can take up to 3 years to attend modules Practical assessments for the Surgery programmes ESVPS Complete assessments Case report (2,500 words) Case studies (10 x words) Case diary (15 x 100-word peer-reviewed logs) Reflective essay (500 words) Multiple choice question examination (100 MCQs which run annually in October) CLINICAL PgC ROUTE Clinical 1 YEAR IMPROVE Attend all learning modules Full module attendance Pre & post module questions Practical assessments for EM&S and Ophthalmology ESVPS Complete assessments Case report (2,500 words) Case diary (15 x 100-word peer-reviewed logs PgC only) Reflective essay (500 words PgC only) Case studies (5 x words) Multiple choice questions examination (50 MCQs which run yearly in May) Key: Key: Improve International ESVPS GPCert award General Practitioner Certificate 40 Academic Credits ESVPS GPCert award General Practitioner Certificate 40 Academic Credits Improve International ESVPS Harper Adams University RCVS ESVPS Harper Adams University RCVS HAU PgC award Postgraduate Certificate 60 Academic Credits All assessments are moderated by HAU and must successfully pass through two academic boards before the PgC is awarded 1 YEAR All assessments are moderated by HAU and must successfully pass through two academic boards before the PgC is awarded HAU Advanced Practitioner Module 20 Academic Credits Delivered from January to July Costs 1250 (no VAT) Delivered via blended learning with face to face attendance optional HAU Veterinary Professional Skills Module Delivered by HAU 750 (No VAT) Delivered via blended learning with face to face attendance optional Delivered from November to March RCVS RCVS Advanced Practitioner Status Apply through RCVS direct: HAU PgC award Postgraduate Certificate 60 Academic Credits RCVS RCVS Advanced Practitioner Status Apply through RCVS direct:

27 Through the application of techniques learnt on our PgC programmes you will become more productive in practice WHY CHOOSE IMPROVE? Established World-class Worldwide Benefits for you 1. Our training enables you to be eligible to achieve not only a PgC but also a GPCert and academic recognition 2. Transform your professional life and approach to clinical cases 3. Increase your skills, knowledge and confidence in dealing with more complex cases 4. Progress your career take the first steps to achieving a Postgraduate Diploma (PgD) and Masters degree in Advanced Veterinary Practice Sciences (MSc) 5. Qualify towards attaining the RCVS Advanced Practitioner Status* 6. Access a like-minded peer network 7. Fit learning around the workings of a busy practice Benefits for your practice 1. Increased practice revenues 2. Improved productivity 3. Reduced external referrals and increased practice capabilities 4. Transferable knowledge and skills within practice 5. The ability to demonstrate your commitment to enhancing practice standards Benefits for your clients and patients 1. Improved animal care 2. Accelerated diagnosis 3. Increase in treatment options 4. Reassurance that their pet is in safe hands Since 1998 we have been leading the way forward with veterinary CPD Originators We are the originators of modular CPD for vets, and we are still a company which is run by vets for vets Accredited We have world-class speakers, delivering the academic syllabus whilst ensuring content is relevant to practice Over 3,000 Our alumni include thousands of vets who have benefited from participating in structured modular programmes State-of-the-art Now operating in over 20 countries worldwide Experienced Our Programme Tutor provides learning support throughout your chosen programme Recognised *Endoscopy and Endosurgery is currently not recognised as a designated Advanced Practitioner subject. Postgraduate programmes accredited by the European School of Veterinary Postgraduate Studies (ESVPS) and validated by Harper Adams University (HAU) Practical training centres which enable delegates to get hands-on with a variety of procedures Postgraduate programmes recognised by the RCVS for Advanced Practitioner Status* * Endoscopy and Endosurgery is currently not recognised as a designated Advanced Practitioner subject

28 Testimonials What you can expect from Improve International Dr Graeme McKeown BVM&S PgC SAM PgC SAS PgC FVS CertAVP PgD AVPS MRCVS The first vet in the UK to be awarded a Postgraduate Diploma in Advanced Veterinary Practice Sciences and one of only a handful who holds triple RCVS Advanced Practitioner Status, all taken with Improve and Harper Adams University. This training has given me the confidence to handle more advanced surgical and medical cases, resulting in an increased caseload of second opinions and local referrals. LOCATIONS AND TRAINING VENUES FPO Swindon Alexandra House SN4 0QJ Dr Nomfundo Ndlwana BVMCh BSc GPCert(SAP) GPCert(SAS) LLM MRCVS Improve International has contributed immensely to my academic evolution as a veterinarian through the robustness of the well structured and in-depth didactic and practical sessions offered at their Postgraduate Centre. I have completed a few more of their modular certificate programmes, such as Emergency Medicine and Surgery, Diagnostic Imaging, and currently, Endoscopy and Endosurgery, which collectively capacitate me with a broad range of skills. Robyn Farquhar BVSc GPCert(SAM) PgC (EM&S) MRCVS Small Animal Medicine delegate I chose Improve International as they are an established company, they ve got a good reputation and I have done a number of courses with them previously and had access to top qualified speakers. Amy Blackwell BVSc GPCert(Endo) MRCVS Endoscopy and Endosurgery delegate The course excellently prepared me to gain the GP Certificate qualification giving my clients confidence that a structured programme had been followed. I have developed an understanding of the available endoscopic procedures possible with the equipment we already owned. This has directly impacted on my patients and clients as I utilise these skills on a weekly basis with the confidence gained during the practical sessions. I can t recommend the course or Improve highly enough. Our programmes take place in various locations nationwide All our training venues are positioned to provide you with the highest level of facilities to enable you to get the most from your learning. Practical training centres in Swindon and Sheffield offer: Exceptional facilities with comfortable training rooms Purpose built wet-lab facilities Surgical stations working in pairs Bright operating theatre standard lighting Wide choice of surgical equipment Where appropriate to the course, video demonstrations can be made available using the wide screen HD monitors and Sony camera system to ensure that attendees do not miss anything important Close interaction with other attendees and the speaker, so that you gain maximum benefit from the practical training FPO Sheffield Benchmark House Swindon Alexandra House SN4 0QJ S35 1QN Hatfield Fielder Centre AL10 9EU

29 Pricing SMALL ANIMAL MEDICINE & SMALL ANIMAL SURGERY Pricing CLINICAL PROGRAMMES 2019 Payments Initial Payment Total Payable Payment Options All prices exclude VAT GPCert Programme * : Payment in full (5% discount) 6, , Payments Initial Payment Total Payable Exotic Animal Practice, Emergency Medicine & Surgery, Dermatology 12 monthly payments , Payment Options Payment in full (5% discount) 9, All prices exclude VAT 10, GPCert Programme * : Cardiology and Ophthalmology Payment in full (5% discount) 6, , monthly payments , Small Animal Medicine PgC Programme 12 monthly payments* , monthly payments* , GPCert Programme * : Feline Practice Payment in full (5% discount) 7, , monthly payments , Small Animal Surgery PgC Programme Small Animal Surgery Consolidated Learning PgC Programme Payment in full (5% discount) 10, , , monthly payments* , monthly payments* , Payment in full (5% discount) 10, , monthly payments** 2, , monthly payments** 1, , GPCert Programme * : Diagnostic Imaging GPCert Programme * : Endoscopy Module Options: Exotic Animal Practice, Cardiology, Ophthalmology, Emergency Medicine & Surgery, Dermatology, Feline Practice Payment in full (5% discount) 7, , monthly payments , Payment in full (5% discount) 6, , monthly payments , Single module payment N/A N/A Paired module payment N/A Fees include all assessment and registration with Harper Adams University. *Direct Debits can be split into either 12 monthly payments or 20 monthly payments making payment more manageable. **Direct Debits for the Consolidated Learning Surgery programme may be split into either 4 or 6 monthly payments. *Exam fee is included. Individual and Paired Module Pricing shown above does not include the exam fees of Harper Adams University and ESVPS. Small Animal Ophthalmology Modules 11 & 12 due to their practical nature are 1, (+ VAT). For those who wish to achieve a PgC, the tuition fee for the Advanced Practitioner Module is 1, payable to Harper Adams University. Payment terms & conditions 1. The total price includes registration fees with ESVPS and Harper Adams University. 2. A non-refundable initial payment of 1, is due on registration in order to secure the booking. This can be paid by BACS or credit card. 3. Full payment to be made within 30 days of the commencement of the first module in order to be eligible for the discounted rate. 4. Direct Debit plans are administered and collected on our behalf by Animal Healthcare Limited. 5. Please contact us for pricing relating to corporate veterinary groups and multiple booking discounts. Payment terms & conditions 1. A non-refundable initial payment of is due on registration in order to secure the booking. Deposits can be paid by BACS or credit card. 2. Full payment to be made by BACS or credit card within 30 days of the initial payment in order to be eligible for the discounted rate. 3. Direct Debit plans are administered and collected on our behalf by Animal Healthcare Limited. 4. Please contact us for pricing relating to corporate veterinary groups and multiple discounts

30 NEW Ready to take that next step? REGISTERING IS EASY... Advance Your Orthopaedic Skills With a New Qualification In partnership with ESVPS/HAU/Scivac Call Us Speak directly with our team who can register you over the phone Small Animal Orthopaedic Surgery General Practitioner Advanced Certificate (GPAdvCert) Do you want to advance your orthopaedic knowledge, practical skills and gain academic recognition in this field? Our 15 module programme, delivered by recognised specialists across three different European practical training centres of excellence, will deliver interactive lectures, demonstrations and practical application ensuring you will learn the very latest in small animal orthopaedics. Contact us to find out more Us Visit Us Online enquiries@improveinternational.com us stating your interest in your chosen courses, be sure to leave your contact details and we will get back to you improveinternational.com Visit our website, click on your chosen course and then the book now button to fill in the short online form Registration terms & conditions Applications are accepted on a first-come, first-served basis. Where all available places are full, applicants will be offered first refusal for the next available date. Confirmation and enrolment details will be sent to confirm booking 59