THERIOGENOLOGY INTERNSHIP PROGRAM Department of Veterinary Clinical Sciences College of Veterinary Medicine Oklahoma State University Faculty in Support of the Program Candace Lyman, DVM, Diplomate, Assistant Professor, Theriogenology Julia Baldrighi, DVM, PhD, Lecturer, Theriogenology G. Reed Holyoak, DVM, PhD, Diplomate ACT, Professor, Theriogenology Program Description The Department of Veterinary Clinical Sciences offers a one year clinical internship in companion animal (equine and canine) theriogenology. The intent of the program is to provide a graduate veterinarian opportunity to gain greater experience in equine and small animal theriogenology in preparation for practice, admission into a clinical residency program or advanced graduate studies. The goal of the program is to introduce the candidate to a future career in academic or specialty private practice. This program is devoted primarily to participation in the theriogenology service of the Veterinary Medical Teaching Hospital (VMTH). The service rotation consists of assisting senior clinicians and residents in reproductive cases in equine, small animal and food animal species. Technical skills and clinical judgment will be obtained through supervised case management, participation in research projects and attendance at rounds and seminars. Participation of at least one original research project is required. Graduation from an AVMA accredited college of veterinary medicine, or the holding of a certificate from the educational commission for foreign veterinary graduates is required for consideration. Clinical Service Activities The reproductive clinical service consists of both in-house hospital and work at the college of veterinary medicine ranch. Presently, interns are assigned to either in-house or ranch responsibilities in 3 week blocks with flexibility on an as needed basis. You will work under the supervision of residents and faculty. The level of faculty interaction will vary from person to person and with your growth as a clinician. In general, you will see clients, treat patients, perform diagnostics, etc. with the attending faculty person or resident to whose service you are assigned at all times during the year. As you demonstrate proficiency in clinical skills and in clinical judgment your level of responsibility and independent will increase. In general, you should make it your responsibility to know about all patients on your assigned service at all times. You should read all diagnostics, such as ultrasonograms, lab work, orders, etc. for patients of your group.
Case management for all cases that you admit and/or treat, either after-hours or during the day, should be discussed daily with the attending clinician to whose service you are assigned. As you assume more case responsibility, you will be expected to interface with referring veterinarians via telephone consultations and referral letters. The faculty member on your assigned service will decide what level of participation is appropriate. The responsibilities for the respective teams are as follows: In-house team: 1. Assist the daily admission, care, monitoring and discharge of all patients assigned to the hospital service, including after hours admissions. 2. You will assess the physical and reproductive health and status of each patient in your service s care as needed after appropriate consultation with the attending clinician and / or resident. 3. Assist and supervise student patient care; read/correct and sign every patient medical record progress notes at least once a day. Review ICU sheets, clinician s orders, feed orders and progress notes daily. Approve all ICU sheets for their respective patients before the ICU sheets are placed at the stall. 4. Correspond with clients and referring veterinarians by phone while the case is ongoing at the VMTH and by letter and/or phone at the time of discharge. All referral letters should be CO-signed by the attending clinician to whose service you are assigned. 5. Promptly complete medical records. 6. Provide after hours emergency coverage for reproductive cases with senior faculty backup. 7. Read equine endometrial biopsies. CVM Ranch team: 1. CVM Ranch Rotations (February June & November and as needed) Daily 7:30 am 6:00 pm Tuesday and Thursday afternoon: In-house small animal reproductive cases. 2. Assist in-house group with clinical cases when necessary. 3. Ranch responsibilities include: breeding management of client mares, collection of stallions, semen processing, foaling watch and general management of a herd of ranch owned mares 4. The intern is critical in client communication and in updating and maintaining records in the breeding book 5. Oversee students as they palpate the ranch mares, and care for client mares. Provide supervised opportunities for learning as well as rounding with the students.
Time Assignment The 0.75 0.5 year internship program (dependent on start date) will be apportioned as follows: Core clinic duty Professional development/ Outside rotations Vacation 20 weeks 5 weeks 1 week Intern Activities 1. Provide active instruction of veterinary students on rotation and in laboratories. 2. Attend rounds, seminars and meetings as scheduled by the service. Monday: 8:00 am - Weekly section meeting Thursday: 8:00 am - Resident Seminar Series, BVMTH 104 (required) 3. Attend didactic lectures in reproduction and participate in laboratories. Additional Expectations VMED 7674 Theriogenology (fall, third year course) VMED 7741 Bovine Palpation Laboratory (Fall, third year elective) VMED 7651 Equine Palpation Laboratory (Fall second year elective) 1. House Officer Seminars are given on a rotating basis almost every Thursday at 8:00 a.m. You will give 1 per year at times scheduled (extenuating circumstances excepted). You should seek topics that are Intern-level and a must have a mentor for each topic. These seminars should the basis for publications. Attendance is mandatory for all seminars. 2. Prepare slide presentations on clinical topics for student instruction during clinical rotations. Facilities, Services and Equipment Required in an ACT Approved Theriogenology Residency Program 1. Veterinary Medical Library: A library containing recent textbooks and journals on Theriogenology and supporting disciplines must be accessible to program participants. 2. Retrievable Veterinary Medical Record System: A complete and retrievable veterinary medical record must be maintained for each individual case or each population of animals treated.
3. Theriogenology Facilities: Facilities and equipment for the examination, diagnostic evaluation and treatment of individual animals or populations with reproductive abnormalities is required. These include facilities for conducting breeding soundness examinations of the male and female, including semen collection and evaluation, for endoscopy, and for managing pregnancy and parturition. Access must be provided the Theriogenology resident to nutrition training/consulting service, hormone assay and karyotyping services. Computer hardware and software for herd production data analyses should be available. 4. Supporting Discipline Facilities: Equipment for comprehensive diagnostic imaging must be available and include radiography, ultrasonography and darkroom processing. A clinical pathology laboratory for hematologic, clinical chemistry, microbiologic and cytologic diagnosis must also be available to the Theriogenology resident. In addition, facilities for gross anatomic and histopathologic examination of tissues must be accessible to the student as well as a surgical suite with anesthetic and sterilization equipment. Photographic equipment for documentation of Theriogenologic disorders is required. Meetings for Evaluation and Guidance Faculty Advisor Months 3, 6, 12 Intern s Committee Months 3-4, 8 Service evaluation Months 6, 12 1. It is the responsibility of the intern to schedule the above meetings. It is also the responsibility of the resident to provide typewritten minutes of the meetings. Minutes will be given to the resident coordinator and faculty advisor to be kept in the resident s file. 2. Intern evaluation forms will be distributed by the Intern/Resident Coordinator to all faculty members prior to the resident evaluation meeting. Completed evaluations will be given to the intern/resident prior to the service evaluation meeting. Intern/Residents will also evaluate the service at the end of the year. 3. Performance evaluation is primarily subjective; the following specific criteria will be evaluated when considering continuation in the internship/residency. a. satisfactory amount of didactic knowledge b. satisfactory clinical skills c. professional conduct d. openness to instruction / constructive criticism e. ability to make sound and reasonable decisions f. ability to organize oneself g. satisfactory progress toward completion of other assignments h. attendance and participation in all house officer seminars i. timely and accurate completion of medical records
j. appropriate interaction with referring veterinarians and clients and completion of referral letters k. demonstrated desire to learn and self teach / train one self in l. developing clinical base and clinical skills SCHEDULE OF EVENTS AND CHECKLIST FOR THE RESIDENCY TASK DATE (Based on 15 July start date) Select faculty advisor Month 2, August 31 Meet with faculty advisor Month 3, September 30 Select residency committee Month 3, September 30 Meet with residency committee Month 3, September 30 Intern research grant proposal Month 3, September 30 Select resident seminar topic Month 5, December 1 Meet with faculty advisor Month 6, December 31 Intern evaluation meeting Month 6, December 31 Final meeting with faculty advisor by June 15 (Month 12) Final meeting with residency committee by June 15 (Month 12) Final resident evaluation meeting by June 15 (Month 12) Presentations DATE COMPLETE Intern Seminar 1 Intern Seminar 2 National meeting attended Title of presentation/meeting attended Date