Offsite Electives
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Student will observe surgeries and assist during medical exams. General assistance, ie, patient restraint, blood draws, catheter placement, lab work, etc. will be expected. Discussion of medical cases and daily experience will add to the student's education.
Course Objectives: To enhance the student’s knowledge of emergency and critical care medicine by actively participating in management of patients presented to our Emergency Service and those critically ill patients in our Critical Care Unit. A special emphasis will be placed on advanced monitoring and diagnostic techniques for the critical patient.
Duties of Student: The student will assume responsibility for all phases of patient management, including obtaining a history, performing a physical examination, performing diagnostic tests (e.g. radiographs, blood tests, etc.), providing treatment, nursing care, client communication, and record keeping. Other duties may be necessary as warranted by each individual patient’s needs. Students will be divided into two shifts: day and evening. The day shift students perform 8AM treatments for patients in the ECCM Service. Day shift students then participate in cage side rounds at 8AM and receive cases 8:00 a.m. to 5:00 p.m.; the night shift students receive cases 3:00 p.m. to midnight. Instructional rounds will be given most days from 3:00 – 5:00 p.m Monday through Friday caseload permitting. Each student will be assigned to day shift for half of the rotation and to night shift for half of the rotation. All students work six days per week (1 day off, taken Tuesday – Thursday in most circumstances). The Emergency and Critical Care Medicine Service operates 24/7/365. As such, patient care responsibilities will extend into and including all holidays that may fall during a given clinical clerkship with the exception of the Christmas and New Year holidays. The faculty reserve the right to modify the schedule to best meet the teaching, service, and research missions of the ECCM Service.
Evaluation of Student’s Performance: Students will be evaluated based on their history and physical examination skills, medical knowledge, application of knowledge, clinical skills, record keeping, patient care, communication skills (client, faculty, staff), and attitude. Completion of assigned CVM Core Competencies is required for this rotation. Completion of Clinical Competencies for SCS 695 is mandatory for successful completion of this clerkship.
Required Texts or Reading Assignments: Students are expected to read as needed to fulfill the objectives and duties described above. Assigned reading will be forwarded via e-mail on or before day 1 of the rotation. Most appropriate texts and journals are available via the MSU library.
Recommended Reading: Journals and current veterinary texts as needed to enhance case management.
Required Equipment: Leash, stethoscope, bandage scissors, suture removal scissors, penlight, reflex hammer (plexor)
Dress Code: Clean white coat. Appropriate clinical attire. No jeans. Clean surgical scrubs acceptable. Sweatshirts, fleece, etc. are unacceptable when seeing clients.
Time/Location to Report First Day of Rotation: 7:00 a.m., Small Animal Intensive Care Unit for orientation. After orientation students will be assigned a day and night shift duty schedule for the remainder of the rotation.
Students (usually no more than 1 at a time so sufficient time can be spent) will follow myself or Dr Ehrlich on daily farm calls including work with embryo transfer in cattle. Practice is high majority food animal based but some farm livestock guard dogs are seen. Students will be part of the 'team' on all these calls and both participate and observe typical daily procedures.
Be exposed to working in a progressive small animal practice, as well as ambulatory equine experience and internal medicine consults.
Externship in shelter medicine and surgery and low cost clinic care
Description of experience:
Our shelter has two locations and a separate wildlife center, so having a car or access to one is easiest, though public transportation is available. Each shelter location has admissions, adoptions, medical/surgery, and a low-cost, full service, public clinic. We normally perform surgery 6 days a week and have clinic hours 5-6 days a week. Vets are onsite to provide kennel animal care 7 days per week. We perform between 150-200 surgeries per week, primarily spay and neuter, and serve a population of around 8000 domestic animals and 4-6000 wildlife cases through our program each year.
Our clinic is not means based, so we have clients that can and will do anything and everything (including going to specialists etc.) and ranges to those who have little to no means. We work with everyone to provide the highest standard of care to all of these animals. We also have a robust pet-retention program, as part as our managed intake/intake diversion initiative and see many of these animals through clinic and surgery.
We have a robust Pet Retention program to assist in the cost of procedures for qualifying cases. We also have a Humane Investigative department, and work closely with the local community in these regards.
We will be traveling as a team with the North Carolina Veterinary students to the Navajo Reservation. There we serve as their only veterinarian all year. We will be spaying and neutering and vaccinating small animals, as well as vaccinating, preg checking, and deworming sheep/goats/cattle, and floating and vaccinating and deworming horses.
The pathology rotation strives to integrate gross pathology with other diagnostic modalities. Students will work in groups of three to six for the two week rotation performing necropsies on mammals, birds, exotic species and laboratory animals under the guidance of pathology faculty and residents. Students will prepare written reports of the necropsies performed and discuss the findings at daily morning rounds.
Students will also be instructed by faculty of the Animal Health Diagnostic Center with expertise in ancillary diagnostic techniques. Students will be expected to learn to use diagnostic testing regimens as integral parts of comprehensive diagnostic and therapeutic plans. Instruction will consist primarily of the discussion of clinical cases with emphasis on laboratory diagnostics. Students will be expected to lead and participate in these discussions and will be evaluated on their ability to do so.
General zoo animals, avian, reptile, marine mammals, native wildlife. The Bronx Zoo and allied institutions have a large and extremely diverse collection of animals. The student’s experience will depend upon the cases attended to during the time of the externship, and procedures undertaken in that period. Nevertheless, animals representing every class are attended to on a daily basis. The student may be involved in as many as 10-15 cases on busy days. Case rounds are held daily for hospitalized cases and animals to be attended to that day. General pathology rounds are also included in these daily case rounds. In addition, morbidity and mortality rounds are held once weekly, and histopathology rounds are held on selected cases.
The student will be shadowing veterinarians at a mixed animal private practice in rural West Virginia. Hands on experience will be determained by the competency of the student.
Students will have an opportunity to attend behavior consultations with a board-certified veterinary behaviorist. Behavior modification sessions may be observed and in some cases, students may participate. Students may also assist with client follow-ups during their second week on the rotation. Approximately 10 - 12 two hour cases are seen each week along with behavior modification sessions.