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Externs may participate or assist in Nuclear Scintigraphy, Digital Radiology, Advanced Musculoskeletal Ultrasound, Lameness Exams, Sport Horse Treatments, Three day event competitions, ESWT therapy, documentation of exams, FES and MRI. Externs will be exposed to all phases of the practice and will assist veterinarians and technicians in the exams and procedures.
Extensive hands on experience with one to four ambulatory equine veterinarians. Experience will include all areas of equine veterinary medicine ranging from wellness to extensive lameness.
The student will be offered the opportunity to participate in daily, cage side rounds between our emergency clinicians and the surgery and internal medicine specialists on-site. A radiologist is also onsite and available on Thursdays / Fridays as well. Case transfers, as well as scheduled appointments, will allow the opportunity for the student to review pertinent medical records, perform physical examinations, and have an active participatory role in discussing the patient’s diagnostic evaluation and treatment plan. The student will be permitted to join the supervising clinician during appointments to observe conversations with clients. Additionally, the student will also be permitted to listen during conversations discussed over the telephone. While no primary case management will be permitted to the student, they will be actively engaged in the cases and communication with the clients. They will also be able to observe communications and case consults provided to the referral partners.
Mostly observational externship of large equine only private practice
Goals of the Externship: To provide a wide range of exposure to various aspects of equine practice; provide a safe, positive learning experience; provide opportunities to discuss cases and ask questions. Students in their final year who are considering applying for the internship should consider the externship as a working interview.
Visiting students will function as one of the associate veterinarians at Millerstown Veterinary Associates. Their activities will be under direct supervision by at least one licensed veterinarian. Duties will include standard appointments which will include preventive medicine as well as sick animals. The expectation will be for students to experience a wide variety of cases from basic problems (e.g. otitis externa or allergies) to more extensive cases requiring medical work up. In addition, students will be expected to participate in small animal surgeries. The highest case load will be for spay and neuter surgeries and dentistries. Less predictably, there may be opportunity to participate in other surgeries such as lump removals, abdominal exploratories, cystotomies and orthopedic procedures.
SKILLS A VETERINARY EXTERN MAY LEARN AFTER BEING AT LEATHERSTOCKING VETERINARY SERVICES
This is a very incomplete list of things that you may encounter and do while externing at LVS. Your ability to perform some of these tasks depends upon where you are in your education and our comfort level with your skills. Not every extern will be taught the same skills or have the same experience in our clinic. We will endeavor to enhance your education to the best of our abilities.
1. Bovine Skills
Do a complete physical exam and make a diagnosis of common cattle diseases
Palpate a non-pregnant uterus and ovaries
Palpate a late pregnant cow
Interpret a reproductive ultrasound
Give IV fluids, IM shot, draw blood from tail vein
Infuse a cow
Drench a cow
Give oral bolus/magnet
Be able to diagnose a DA
Block for a DA and suture it
Identify and treat foot abscess in cow
Block calves for dehorning
Dehorn calves (burn and also larger ones to cut)
Take a non contaminated sample for mastitis
Milk culture and identify common pathogens
Identify and assist with untwisting uterine torsion
Fetotomy
Epidural
Assist with calving
Necropsy with correct sampling
Assist with prolapsed uterus
2. Medical Knowledge
-Take a medical history
-Estimate weight
-Interpret a hemogram (CBC)
-Interpret a serum biochemical profile
-Develop a vaccination strategy
-Recognize and treat pain -
-Estimate degree of dehydration and develop an appropriate treatment plan
3. Techniques
-Administer medication PO (paste)
-Perform jugular venipuncture
-Demonstrate use of hoof teste
-Use a refractometer to determine total plasma protein concentration
-Pass a nasogastric tube
-Administer liquid medication with a nasogastric tube
-Administer a SC injection (medication and fluids)
-Administer an IM injection
-Administer an IV injection
-Place and secure a catheter in the jugular vein
-Perform and interpret a test for measuring IgG concentration in foals
-Administer an enema
-Flush a nasolacrimal duct
-Perform a Gram stain
- Perform a quantitative fecal floatation
4. Examination
-Perform a physical examination on an adult horse
-Auscult and interpret respiratory sounds -
-Perform fluorescein staining of the cornea
-Auscult and interpret gastrointestinal sounds -
-Perform a post-foaling examination
-Perform a skin scraping
-Aspirate a mass
5. Anesthesia
-Sedate an adult horse
-Perform a line block for local anesthesia
-Examine the retina
-Sedate a foal
-Monitor the depth of anesthesia
6. Reproduction
-Place a tail wrap on a mare
-Rectal palpation for late-stage
-Rectal palpation for mid-stage pregnancy
-Examine the cervix with a vaginal speculum
-Obtain a uterine sample for culture
-Perform a caslick operation
7. Husbandry Techniques
-Apply a halter
-Tie a quick release knot
-Restrain a foal
-Apply a tail tie
-Apply a lip twitch
-Approach, capture, and attach a halter and lead
-Elevate a hind limb
-Elevate a forelimb
8. Surgery
-Apply a wound dressing
-Apply a bandage to a limb
-Apply a bandage to a foot
-Remove sutures and staples from a healed surgical wound
-Clean and debride a wound
-Suture proficiently
-Perform hemostasis; isolate, clamp, and use hand and instrument ties to ligate a bleeding vessel
-Demonstrate proper postoperative patient care including wound evaluation
-Properly prepare and sterilize a surgical pack
-Place a drain into a soft tissue lesion (e.g. abscess)
-Identify and treat a foot abscess
9. Client Education and Regulatory
-Complete a health certificate
-Explain proper healthy animal nutrition
-Write clear instructions in lay terminology
-Explain gastrointestinal parasite identification, treatment and prevention
-Explain medical conditions to a client clearly and concisely in an understandable manner
10. Dentistry
-Perform a thorough oral exam
-Estimate age from dentition
-Float teeth with a Powerfloat
-Remove wolf teeth
We are a busy 2 doctor mixed animal practice in rural Utah. We are 50% small and 50% large animal. One doctor specializes in cattle and small animal while the other doctor specializes in horses and small animal. We hope that this elective will give the student a broad array of real-life experiences that they might encounter in private practice.
We are a an AAHA accredited general practice veterinary hospital. This is a brand new single doctor practice. We perform most types of soft tissue, dentistry with radiology on every patient, local blocks etc that are up to standards of dental specialists. A mobile orthopedic surgeon is called to perform any necessary orthopedic surgeries. We work with 2 local rescues for discount spays and neuters to help out the community.
Objectives:
A. Learn to obtain a complete and accurate medical history.
B. Be able to perform a thorough physical examination and succinctly record the findings.
C. Learn proper animal handling techniques and provide excellent nursing care for various medical problems.
D. Understand the pharmacologic agents commonly employed in small animal medicine.
E. Learn various pertinent clinical skills and diagnostic techniques applicable to small animal medicine.
F. Develop and be able to use good communication skills, both verbal and written, in your interactions with staff, peers, and clients.
G. Develop problem lists, differential diagnoses, and plan for Small Animal Internal Medicine cases.