european college of zoological medicine · 2019-06-07 · 3 chapter 1: introduction the small...

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EuropeanCollegeofZoologicalMedicine

POLICIES&PROCEDURES,PART2:

SMALLMAMMALSPECIALTY

UPDATEDAUGUST2018

RegisteredAddress:EuropeanCollegeofZoologicalMedicine

Yalelaan108,NL-3584CMUtrecht,TheNetherlands.

e-mail:admin@eczm.euwebsite:www.eczm.eu

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TheEuropeanCollegeofZoologicalMedicine(ECZM)recognizesfiveseparatespecialtiesundertheECZM umbrella; Avian, Herpetology, Small Mammal; Wildlife Population Health and Zoo HealthManagement.

ThesmallmammalspecialtyPolicies&Procedures,Part2documentfollowsthestructurebelow:

Chapter1:Introduction

Chapter2:RequirementsforadmissiontotheEuropeanCollegeofZoologicalMedicine

Chapter3:SmallMammalResidencyProgrammes

Chapter4:ExaminationCredentialingandApplicationProcedure

Chapter5:SmallMammalApprovedResidencyTrainingSites

Chapter6:SmallMammalReadingList

Appendix1:ResidentCaseSummaryTemplate Appendix2:ECZMSmallMammalself-assessmentchecklistforapprovalofresidencytrainingsites

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Chapter1:Introduction

TheSmallMammalspecialtyoftheEuropeanCollegeofZoologicalMedicinewasfoundedin2009.This specialty recognizes a distinct branch of veterinary medicine and surgery, which has anemphasis on the veterinary care of pet rabbits, rodents and ferrets, but also includes other non-conventionalsmallmammalskeptaspets.ThespecialistinSmallMammalswillfunctioninacademicsettingsorinaspecialistpractice,aimingtoadvanceexoticmammalmedicineandsurgeryinEuropeandotherpartsoftheworld.The Policies and Procedures, Part 2 contain information about requirements for admission to theCollege,aprofileoftheSmallMammalspecialty,andapplicationandexaminationprocedures.

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Chapter2:RequirementsforadmissiontotheEuropeanCollegeofZoologicalMedicineTherequirementsforadmissiontotheCollegeasaDiplomateandbeingaSpecialistarespecifiedintheBylawsoftheCollege,inlinewiththePoliciesandProceduresdeterminedbytheEBVS.TherequirementslistedbelowareacondensedversionChapter4ofthePoliciesandProcedures,Part1:GeneralInformationandtherequirementsfoundinArticle4intheECZMConstitution.DiplomatesofthesmallmammalspecialtyappointedbytheCollegeareveterinarianswho:

§ Havedemonstratedfitnessandabilitytopractisesmallmammalmedicineandsurgeryby

meetingtheestablishedtrainingandexperiencerequirementsasassessedbytheCollege,includingpublicationrequirements.

§ Haveattainedacceptablescoresinthesmallmammalexamination.

§ Demonstratemoralandethicalstandingintheprofessionandpractisescientific,evidence-

basedveterinarymedicine,whichcomplieswithanimalwelfarelegislation.

§ Practisesmallmammalmedicineandsurgeryforatleast60%oftheirtime,basedona40hourworkingweek(i.e>24hours/week).

§ Arere-evaluatedevery5yearsusingastandardre-certificationprocess.

EachindividualwhosatisfiestheaboverequirementsshallbeauthorizedtousethedesignationofDiplomateoftheEuropeanCollegeofZoologicalMedicine(SmallMammal),abbreviatedtoDipECZM(SmallMammal).Theindividualisalsoawarded,bytheEBVS,thetitleofEuropeanVeterinarySpecialist™inSmallMammal,followingsuccessfulre-evaluationevery5years.EachDiplomateisexpectedtoactivelyparticipateinthescientificandbusinessaffairsoftheCollege.FurtherinformationonspecificrequirementsforprospectivecandidatesisalsofoundintheECZMPoliciesandProcedures,Part1:GeneralInformation.

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Chapter3:SmallMammalResidencyProgrammesA Residency Programme is a training programmeallowing a graduate veterinarian ("Resident") toacquire in-depthknowledgeofsmallmammalmedicineandsurgery,anditssupportingdisciplines,underthesupervisionandguidanceofoneormoresmallmammalDiplomates(”Diplomate”).TheResidencyProgrammewillfocusonSmallMammalmedicineandaimsto:

§ instil theoretical knowledge, applied practical skills and an ethical attitude in the practice of

SmallMammalmedicine..§ providetheResidentwiththeopportunitytopursuecareergoalsinteaching,research,service,

and/orspecialtypractice§ preparetheResidentforsmallmammalexamination.

A.DetailedobjectivesoftheSmallMammalResidencyTrainingProgramme§ The Small Mammal specialist is expected to have knowledge on the taxonomy and the

geographicaldistributionofthedifferentgroupsofsmallmammalsascommonlykept,includingthose groups of animalswhich are commonwild animal casualties (i.e. rabbits, squirrels andhedgehogs).

§ The SmallMammal specialist should have an understanding of the natural history of all theabovegroups,particularly in regard to their feedinghabitsandnutritional requirements.Alsowhich of these animals are territorial (all the time or only when breeding) and which arepotentiallyaggressiveandpredatory.

§ A basic knowledge of general anatomy, physiology and immunology, relating to the SmallMammalspecialtyisexpected.Thespecialistshouldbeawareofimportantvariationsbetweenthedifferentordersandfamiliesofanimalsasrelevanttothespecialty.

§ TheSmallMammalspecialistmustbeabletoassessdiets,understandtheformulationofdietsforanimalsandbeawareofthecurrenttrendsinanimalnutrition.Thespecialistshouldhaveasoundknowledgeoftheinteractionofnutritionandhealth.

§ A Small Mammal specialist should be familiar with the various aspects of captive care,husbandry,andmanagement,includingpropagation,neonateanddevelopmentalcare.Geneticprinciples and their application in the Small Mammal specialty must be understood by thecandidate.

§ A detailed knowledge of the small mammal diseases (aetiology, epidemiology, pathology,diagnosis, treatment and control) is required. It is not sufficient to only know the pathogensresponsible for disease but it is also important to have knowledge ofwhich types of diseaseoccurmorecommonlyinvariousgroupsofanimals.SmallMammalspecialistsneedtoknowthegrosspathologyofeachdiseasebutwillrealizethataspecificdiagnosiscanonlybeconfirmedbyusingappropriatelaboratorytechniques.

§ SmallMammalspecialistsmustbefamiliarwithcommontoxinswhicharemostlikelytoaffectvariousgroupsoftheirpatients.Theymustknowtheclinicalsignsthesetoxinsproduceandbefamiliarwiththedifferentialdiagnosis.SmallMammalspecialistswillneedtoknowwhichbodytissuesandspecimensarerequiredbyalaboratoryfortheidentificationofthetoxin.

§ AdetailedknowledgeoftheadvanceddiagnosticpossibilitiesintheirSmallMammalpatients,inrelationtomedicine(e.g.haematology,bloodchemistry,endocrinetests,immunologicaltests,diagnostic imaging, including gastrointestinal contrast studies, diagnostic endoscopy,electrocardiography,fine-needleaspiration,microbiology,cytology)andtheabilitytointerpretresultsofthesetechniquesisexpected.

§ SmallMammalspecialistsmusthavesoundknowledgeoftheprinciplesofindividualandgroup

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medication in their patients. This includes knowledge of the pharmacokinetics and thebioavailability of drugs which are suitable for treatment and also the various methods ofadministration.

§ TheSmallMammalspecialistmustbeacquaintedwiththesocialroleandtheresponsibilitiesofthespecialistwithregardtotheirpatients,clients,colleagues,publichealthandenvironmentalissues.Furthermore, thespecialistmustalsobeabletoexpressandsupportviewsoncurrentissuesrelevanttothisfieldofknowledge.

§ ItisnecessarytohaveageneralknowledgeofthelegislationaffectingtheSmallMammalfieldand to have a detailed knowledge of the legislation relating to the role of the veterinarypractitioner in the field (e.g. CITES, legislation with regard to import and export of animals,animal welfare, legislation on hunting and capture from the wild, the use of drugs andimmunobiologicals).

§ Theoreticalknowledgeshouldbetothelevelofcurrenttextbooks.Furthermore,it isessentialto be aware of the relevant scientific literature published over the previous five years inrepresentativejournalsasdetailedintheSmallMammalreadinglist.

§ TheSmallMammalspecialistshouldhavehadextensivepracticalexperiencewithawidevarietyofspeciesrelevanttothespecialty.

§ TheSmallMammalspecialistmustbecompetent inthevariousskillsassociatedwiththefieldincludinghistorytaking,catchingandhandlinghispatients,andclinicalexaminationofanimalsfor assessment of health, clinical pathology sample collection, vaccination and medicationmethodsandinadditionanaestheticandsurgicalprocedures.

§ TheSmallMammalspecialistshouldbefamiliarwiththetechniquesofradiosurgery,endoscopyand know about such routine techniques as dental treatment, the principles of orthopaedicsurgery,surgeryofthegastrointestinaltract,therespiratorytractandreproductivetracts,etc.

§ Aspecialist inSmallMammalmedicineshallbeable tohandleemergencies in smallmammalpatients.

B.SmallMammalTrainingprogrammedescriptionTheResidencyprogrammewillfocusonallaspectsofsmallmammalmedicineandbesupervisedbyasmallmammalDiplomate.PrerequisitesforspecialtytrainingDetailsofthetrainingrequiredpriortoundertakingaresidencyprogrammecanbefoundinsection5.2ofthePoliciesandProcedures,Part1,GeneralInformation.In summary, this first period must be a one year rotating multi-disciplinary internship (in anyspecies)or2years ingeneralpractice.Thisperiodof trainingmustbeapprovedby theEducationandResidencyCommitteepriortostartingaresidencytrainingprogramme,butpre-approvalofthistrainingperiodisnotrequired.ResidencyprogrammedescriptionAsecondperiodshallcompriseathree-year(minimum)postgraduatetrainingprogramme(standardresidency)oranalternateprogrammeundersupervisionofasmallmammalDiplomateofECZM.The period is designed to educate the resident primarily in the art and science of smallmammalmedicine. There shall be additional instruction in the related disciplines of anatomy, physiology,diagnostic imaging, anaesthesiology, ophthalmology, clinical pathology, surgery, clinical nutrition,epidemiology,preventivemedicine,andgrosspathology.

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Thespecificrequirementsforastandardresidencyprogrammeoranalternateroutecanbefoundinchapter5ofthePoliciesandProcedures,Part1:GeneralInformationand,inparticularsections5.3–5.6.OtherDuties

Atleast20%oftheresidentsProgrammemustbeoffclinicalduties.Duringthistimeresidentsmustfulfiltheirrequirementsforresearch,publicationsandspeakingengagements.Inadditionanyorallofthefollowingactivitiescanalsobeundertakeninthistime:

1. Researchorclinicalinvestigation.2. Preparationofscientificmanuscripts.3. Externalsmallmammalrotationswiththeapprovalofthesupervisor.4. Anaesthesiology, diagnostic imaging, and pathology service requirements as described

below.5. Externalrotationinalaboratoryresearchfacility.7. External rotation at alternative sites specialising in orders or disciplines to which they

would otherwise be minimally exposed, or to gain additional experience with noveltechniquesorequipment.

C.SpecificSmallMammalResidencyProgrammeContentSmall mammal medical service rotations facilitate the development of the knowledge, skill, andproficiencyintherespectivespecialtyviaexposuretoawidevarietyofrespectivediseasestogetherwiththeguidanceandcollaborationofexperiencedspecialistsinthespecialty.At least 60% of the 3 year programmemust be spent on a small mammal medical and surgicalservice under the supervision of an ECZM smallmammal Diplomate. The degree of responsibilityassumed by the Resident shall be appropriate to the nature of the procedure and trainingexperience.TheResidentonasmallmammalmedicalandsurgicalserviceshallberesponsiblefor:

a) Receivingclinicappointments.b) Supervisingdailymanagementofhospitalizedanimals.c) Participationinclinicalteaching.d) Providingoptimalclinicalserviceandpromptprofessionalcommunications.e) Participationinasmallmammalmedicalandsurgicalemergencyservice.

Requiredadditionaltraininginotherdisciplines:

A.Anaesthesiology

During the residency period the Resident must obtain a total of 10 days of training under thesupervisionofaDiplomateoftheEuropeanorAmericanCollegeofVeterinaryAnaesthesiologistsortheirequivalent.

B.Diagnosticimaging

During the residency period the Resident must obtain a total of 10 days of training under thesupervisionofaDiplomateoftheEuropeanorAmericanCollegeofVeterinaryDiagnosticImagingor

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theirequivalent.Alternatively radiological andultrasonic interpretationof the clinical casesof theResidentshouldbeperformedundersupervisionofaDiplomateindiagnosticimaging.

C.Surgery

Twenty days instruction and training on basic surgical principles and radio-surgery under thesupervision of a Diplomate of the European or American College of Veterinary Surgery, or theirequivalent,isrequiredduringtheresidencyperiod.

D.Smallmammalpathology

During the residency period the Resident must obtain at least 65 days of training under thesupervision of a Diplomate of the European or American College of Veterinary Pathology or theirequivalent.AlternativelytheResidentmaycarryout20daysoftrainingunderthesupervisionofaDiplomate in Pathology in addition to evaluating 30 postmortem examinations of smallmammalpatients, seen as clinical cases. Those 30 post mortem case reports need to be verified by aDiplomate of the European or American College of Veterinary Pathology, or their equivalent or apathologist approved by the Education and Residency Committee. The Resident should beencouragedtopresentorattendpatientroundsandclinicalcasepresentations.

E.LaboratoryAnimalResearch

During the residency period the Resident must spend at least 20 days carrying out an externalrotationinalaboratoryresearchfacility.

Residentsmayspendtimeatmultiplecentres inorder toachieve the requiredstandardduring theprogramme.D.Facilities,services,andequipmentrequiredinasmallmammalresidencyprogramme.Theapprovedprogrammemustbebasedatacentrewiththefollowingfacilities:A. Medical library:a librarycontainingrecenttextbooksandcurrent journalsrelatingtosmall

mammalmedicineandsurgeryanditssupportingdisciplinesmustbeimmediatelyaccessibletotheProgrammeparticipants(workingcollection).

B. Medicalrecords:acompletemedicalrecordmustbemaintainedforeachindividualcaseand

rapidretrievalofinformationaboutanypatientorgroupshouldbepossible.C. Radiographic services: separate rooms and appropriate equipment for comprehensive

diagnosticimagingmustbeavailable.D. Pathologyservices:

1. Clinical pathology: a clinical pathology laboratory for haematology, clinical chemistry,microbiology,andcytologicaldiagnosismustbeavailable.Clinicalpathologyreportsmustberetainedandretrievable.

2. Morphologic pathology: a separate room for gross pathologic examination must be

available.Facilitiesforhistopathologicexaminationofnecropsytissuesmustbeavailable.Anatomicpathologyreportsmustberetainedandretrievable.

E. Medicalandsurgicalfacilities:

1. Clinicalexaminationrooms:theexaminationroomsmustbedesigned,constructed,used,

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andmaintainedconsistentwiththecurrentconceptsofpractice.Theymustbesufficientinnumberandsizetoaccommodatethecaseload.

2. Treatmentareas:Areasforintensivecare,specialprocedures,isolation,andgoodnursing

mustbeavailable.Intensivecareunitsintheformofanincubatorwithheatcontrolandoxygen delivery system are mandatory. Consideration to biosecurity and control ofpathogenspreadbetweenpatientsisadvisory.

3. Operating room: the operating rooms must be designed, constructed, used and

maintainedconsistentwithcurrentconceptsofveterinarysurgery.Thesurgery room(s)must be sized adequately for the patient, staff, and associated equipment. The sterilesurgeryroom(s)mustbeventilatedaccordingtothecurrentconceptsofasepticsurgery.Emergency lightingmustbeavailable. Inaccordancewithmodernstandards, thesteriletheatreshouldnotbeusedforanyotherpurposes.

4. Anaesthetic and critical care equipment: appropriate anaesthetic and critical care

equipment must be available. An isoflurane vaporizer with an adequate scavengingsystemismandatory.Routinemonitoringofsurgicalpatientswithrespiratoryorcardiacmonitorsisrequired.

5. Surgical instrumentation: a full complement of general and special instrumentation for

diagnostic and surgical procedures must be available. Ophthalmologic equipment andorthopaedicinstrumentationsufficientforcurrentstandardsofpracticemustbepresent.

6. Photography: photographic equipment for the documentation of disease must be

available.7. Sterilization: steamandheat sterilizationof surgical instrumentationand suppliesmust

beavailable,andthesterilizationcapacitymustbecommensuratewiththecaseload.

E.Casenumbersandcaselogs.Thecaseloadoftheinstitutionmustbelargeenoughtoaffordthecandidateadequateexposuretoall required phases of practice of small mammal medicine. The minimum acceptable number ofaccessionswilldependuponthedifficultyoftheproblemandtheextentoftreatmentprovided,butshouldbedividedoverarangeofdifferenttypesofproceduresandspecies.Theresidentshouldbeinvolvedinminimum10smallmammalcasesperweek,andatleast450patientsoverthecourseoftheentireresidencyperiod.

Whileaminimumcaseloadisnecessarytodevelopclinicalexperience,thecandidatemustalsobeprovidedwith sufficient time toevaluatepatientsproperly, to study,and toparticipate in rounds,workshops,workwithotherBoardCertifiedSpecialistsandtolecture.

F.DocumentationThe resident is responsible formaintainingand timely submissionof the reportingpackage to theEducationandResidencyCommitteeasdescribedinPoliciesandProcedures;Part1,sections5.6.The small mammal specialty is a clinical residency program and therefore follows the reportsubmission frequency 3-3-6-6-6-6 months (Policies and Procedures: Part 1, section 5.6.1). The

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reportsmustbemaintainedandsubmitted in theofficiallyapprovedspecialty report templatesasdescribedbelow.Asetofsmallmammalcaselogdocumentsisavailableonthewebsite.

1.MedicalandSurgicalCaseLog

AmedicalandsurgicalCaseLoglistingthedateofprocedure,casenumber(runningtotal),(sub)species, diagnosis, medical or surgical procedure, designation as elective or emergency, andresponsibilityasassistantorprimaryclinicianmustbemaintainedbytheResident.TheResidentmaybeconsideredtobetheprimaryclinicianwhenthatindividualcandocumentasignificantrole in all of the following aspects of management: determination or confirmation of thediagnosis,provisionofpreoperativecare, selectionandperformanceofappropriateoperativeprocedure,directionofthepostoperativecare,andaccomplishmentsofsufficientfollow-uptobeacquaintedwiththecourseofthediseaseandtheoutcomeofitstreatment.Whereacaseisseen several times, all follow-up visits should appear with the initial examination, althoughdatedasthedateofeachexamination.Apartfromthelogwhichissubmittedevery3to6months,theResidentshallretain(orbeabletoretrospectivelycreatefromclinicalrecords)asinglepagerecordofeachcaseexamined.TheResidentwillberequestedtosubmitrandomexamplesofthesesheets,aftersubmissionofthecaselog.ThetemplateforthisispresentedinAppendix1.2.ResidentProceduresLogAResidentprocedureslogmustbemaintainedwithinthesmallmammalcaselog.Thismustlistarunningtotalofdiagnosticandtherapeuticproceduresperformed,casenumber,signalment,procedureperformed,andresults.

3.ResidentPostMortemLogA Resident PostMortem logwhich should contain case number, signalment, date, diagnosis,complications/reason formortality, post mortem diagnosis if applicable shall bemaintained.This log contains cases from the case logs in which unexpected complications(morbidity/mortality) have occurred. This may also contain the 30 supervised cases if thatoptionischosenabove.

4.ResidentContinuingEducationLog

AResidentContinuingEducationLoglistingconferences,seminarsandlecturesattendedmustbemaintainedbytheResident.

5.ResidentPresentationLog

AResidentPresentationLoglistingpresentationsgivenatzoologicalmedicineconferencesandotherprofessionalmeetingsmustbemaintainedbytheResident.

6.ResidentLogandProgrammeSummaryFormTheresidentisresponsibleformaintainingaResidentLogandProgrammeSummaryform.Thisformisasummaryoftheresidentsactivityovera12monthperiodandincludesClinicalServiceRotations, time spent in various disciplines, presentations given, total number of cases bysystem,emergencycases,summaryofresidentsroleinallcases,anddegreeofsupervision,andprogressoncasereportsandmanuscript.

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7.ResidentProgressReportThis Progress Report contains a summary of the residents activity throughout the residencyperiod and includes an up-to-date overview of the residency, including the% of supervision,totalnumberofcasesseensofar,daysofspecialist trainingthathavebeencompleted inthevariousdisciplines,hoursofcompletedCPD,numberofinternationalconferencesattendedandprogresswithregardtotheresearchproject,numberofpublicationsinpeer-reviewedjournalsandpresentations/lectures.8.SupervisorProgressReportSimilartotheResident,theResidentSupervisorwillalsosubmitaSupervisorProgressReporttotheEducationandResidencyCommittee, inwhich theSupervisorstates thathe/shehasseenandverifiedtheCaseLogsubmittedbytheResident,aswellashis/herexpectationswithregardtocompletionoftheresidencyandadditionalconcernsand/oractionstobetaken.

In addition, the resident is required to complete an annual Residency Evaluation Form. This issubmitted to the Chair of the Education and Residency Committee, and gives the resident anopportunitytoevaluatetheresidencyprogrammetheyaretakingpartin.Theinformationisstrictlyconfidentialandifproblemsareraised,theChairwillcontacttheresidentprivatelytodiscussthingsfurther.Residents must meet with the Programme supervisor at least twice yearly for evaluation ofperformance and progress. When the resident has multiple supervisors, this meeting should beprecededbyameetingamongthesupervisors.Latesubmissionofreportsmaybesubjecttosanctionsasdetailedinsection5.6.3ofthePoliciesandProcedures;Part1;GeneralInformation

G.Research,publicationsandspeakingrequirements

Theresearch,publicationsandspeakingrequirementsshouldbeperformedintheallocatedtimeforotherdutiesdetailedaboveandtheycanfillallofthe20%,orpartthereof.

Publications:

(i) The resident must complete at least one (1) investigative project that contributes to theadvancementofsmallmammalmedicineandsurgery.Theresidentmustbefirstauthorandhave the work accepted for publication in a peer reviewed well-established internationallyrefereedscientificjournal(i.e.mentionedintheScienceCitationIndexorinthereadinglistofthesmallmammalspecialty)priortosittingtheexamination.

(ii) Theresidentmustcompleteatleastone(1)additionalpaperthatalsoshouldbeacceptedforpublication,andcanbeoriginal scientific research,acaseseriesorasinglecasereport.Theresidentdoesnotnecessarilyhavetobethefirstauthorofthispaper.

(iii) Five (5) case reports or surgical cases personally handled, with amaximum of 1500wordseach,whichgivean impressionofanalyticalapproachof thecandidate. If thecandidatehaspublishedmorethanonecasereportasfirstauthor,thefollowingwillcounthere.However,thesecasereportsdonothavetobepublishedbutarerequiredaspartofthedocumentationfortheapplicationforthequalifyingexamination.

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Otherrequirements:ContinuingProfessionalDevelopment:Aminimumoffiftyhoursofformalcontinuingeducation isrequired per year. External continuing education may be within the local, regional, national orinternationalmeetingsinthespecialty.Thisshouldincludeparticipationinwetlabs.AllactivitiesinthisareamustberecordedintheResidentContinuingEducationLog.Internalcontinuingeducationat the institution includes participation in journal clubs, case presentation seminars andwet labswhichareorganisedaspartoftheresidency.ClinicalRounds:TheResidentshouldbeencouragedtopresentorattendpatientroundsandclinicalcase presentations where possible. In addition, the Resident should participate in the clinicaleducation of graduate veterinarians and/or veterinary medical students within the field of smallmammalmedicine.Conferences: Attendanceof at least two (2) international conferences, relevant to smallmammalmedicine,withactiveparticipationinwetlabsisrequiredduringtheresidencyperiod.Seminars: Present a minimum of two (2) one-hour seminars per year in a formal setting withattendanceofotherveterinarians.Aseminarisdefinedasascientificpresentationwhichisfollowedbyadiscussionperiod.Presentations:TheResidentshouldaimtopresentcasesregularlyatscientificconferences.Atleastonce during the residency, the Resident must speak at an international conference on materialrelevanttothesmallmammaldiscipline.

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Chapter4:ExaminationCredentialingandApplicationProcedureExaminationCredentialingTheprocess,documentation,anddeadlinesrequiredtocredentialtositanECZMexaminationisdetailedinchapter6ofthePoliciesandProcedures,Part1:GeneralInformation.

Listedbelowisasummarizedversionofthatsectionwithreferencetospecificthesmallmammalspecialtyrequirements.ApplicantsareadvisedtorefertoBOTHthislistandsection6.4.ofthePoliciesandProcedures,Part1:GeneralInformation,inordertosubmitacompleteapplicationforexaminationcredentialing.

§ CoveringLetter

§ CurriculumVitae

§ Referenceletter(s)fromtheprogrammesupervisor(s)ofeachinstitutioninvolvedinthetrainingprogramme.

§ Documentationlogs.ForsmallmammaltheseincludeMedicalandSurgicalCaseLog,ResidentProceduresLog,ResidentPostMortemLog,ResidentContinuingEducationLog,ResidentPresentationLogandResidentLogandProgrammesummaryfrom.Ifthetrainingprogrammeisnotyetfinishedthenthelogsmustbecompleteuptothetimeofapplication.

§ CaseReports.Five(5)reportsofsmallmammalcasespersonallyhandledwithamaximumof1500wordseach,whichgiveanimpressionofanalyticalapproachofthecandidate.

§ Publications.Atleasttwo(2)originalpeerreviewedpapersinsmallmammalmedicine,publishedinawellestablishedinternationallyrefereedscientificjournal(i.e.mentionedintheScienceCitationIndexoronthesmallmammalspecialtyreadinglist).Ofone(1)ofthesepaperstheapplicantmustbetheprincipalauthoranditmustbetheresultofanoriginalresearchproject;oftheother,theapplicantisnotnecessarilytheprincipalauthor.Publicationsmustbealreadypublishedorfullyacceptedforpublicationasevidencedbyaletterfromtheeditor.

§ Anyrelevantpreviouscorrespondencerelatingtothetrainingprogrammeandapplication.

§ EvidenceofpaymentofCredentialingforExaminationfee.TheapplicationmaterialsmustbearrangedasdetailedaboveandsentelectronicallytotheECZMSecretarybeforethedeadline.AnysubsequentcorrespondenceshouldbethroughtheSecretaryunlessadvisedotherwise.AllsubmittedapplicationmaterialsbecomethesolepropertyoftheECZMandwillnotbereturnedtotheapplicant.ApplyingforandsittingtheexaminationThesmallmammalspecialtyexaminationandapplicationprocess,followsthegeneralformatofallCollegeexaminationsasdetailedinChapter7ofthePoliciesandProcedures,Part1:GeneralInformation.Candidatesareadvisedtoreadthatchapteralongsidethissection,sotheyarefullyinformedaboutallaspectsoftheapplicationandexamination.Thesmallmammalspecialtyexaminationwillaimtotestallaspectsofsmallmammalmedicineandsurgery.Itwillbecomposedoftwosections:

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1.WrittensectioncontainingmultiplechoicequestionsThissectionconsistsof100multiplechoicequestionseachworthonepoint(totalavailablethissection;100points).Thepassmarkis65%.Eachmultiple-choicequestionconsistsoftwoparts:thestemandtheresponses.Thestemistheintroductorystatementorquestion.Theresponsesaresuggestedanswersthatcompletethestatementoranswerthequestionaskedinthestem.Foreachquestion,thereisonecorrectresponse,and4distractors.TheMCQexaminationis3hoursindurationonly,withnoadditionalperusaltime.

2.Practical/writtensectiondesignedtotestinterpretiveskillsThesecondpartisthepractical/writtenpartoftheexamandcontains27questionsspreadacross9“stations”,with3separatequestionsateachstation.Thequestionsrelatetoappropriatesmallmammalclinicalormanagementsituations.Eachquestionwillbereadorshowntothecandidateand20minuteswillbegiventoanswerbeforemovingon.Afterallquestionshavebeenseen,afurtherreviewperiodof20minuteswillbeallowed,wherethecandidatecanreturntoanystation,beforetheexampapersarehandedintotheexaminer.Eachquestionisworth10points(totalavailablethissection;270points).Thepassmarkis65%. TheintegrityoftheDiplomatestatusexaminationwillbemaintainedbytheEuropeanCollegeofZoologicalMedicinetoinsurethevalidityofscoresawardedtocandidates.Obligations for the successful examination candidate and requirements for re-application for anexamination,alongwithallotherpolicesanddeadlinesregardingtheexamarefoundinChapter7ofthePoliciesandProcedures,Part1:GeneralInformation.

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Chapter5:SmallMammalApprovedResidencyTrainingSites

HospitalforSmallAnimals,EasterBushVeterinaryCentre,Roslin,Edinburgh,UnitedKingdomSupervisor:KevinEatwellkevin.eatwell@ed.ac.ukHospitalClinicVeterinari,FacultatdeVeterinària,UniversitatAutònomadeBarcelona,SpainSupervisor:JaumeMartorell Jaumemiquel.martorell@uab.esEcoleNationaleVétérinaired'Alfort,CentreHospitalierUniversitaireVétérinaired'Alfort,AvenueduGénéraldeGaulle,Maisons-Alfort,Paris,FranceSupervisors:CharlyPignonandThomasDonnellycharly.pignon@vet-alfort.frUniversityofLiège,FacultyofVeterinaryMedicine,BoulevarddeColonster,Liege,BelgiumSupervisor:DidierMarlierdmarlier@ulg.ac.be

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Chapter6:SmallMammalReadingList(validfor2020examinationonwards)

ThisdocumentisintendedtoassistresidentsincompilingalistoftextbooksandjournalsthatshouldbereadpriortosittingtheECZMsmallmammalexamination.Theprogramresidentandsupervisorshouldensuretheseareavailableatthemaininstitutionwheretheresidentworks,eitheraspartoftheuniversityorpracticelibrary,orownedpersonallybytheresidentorsupervisor.Itisimportantthattheresidenthasaccesstotheentirereadinglistasthisformsthebasisoftheexamination.Theresidentshouldensuretheyhavethelatest(currentyears)editionforexaminationpreparationasadditionaltextsandjournalsmayhavebeenaddedbytheexaminationteam.Itisimpossibleforsuchalisttobecomprehensiveandcoverallcurrentinformationonthediscipline.Itistheresident’sresponsibility(withtheassistanceoftheirsupervisor)toensuretheyarecurrentonallrelevantinformationinthefield.Thereadinglistwillbecirculatedbythechairpersonatleast3monthspriortotheAGMforthemembersofthesmallmammalspecialtytoputforwardanyup-to-datealterations.Thosewillthenbeintegratedintothereadinglistaimingtokeeptoapagelimitof10,000pages.AllDiplomatesarerequiredtorefertoTerminologiaAnatomica(TA)foranatomicalnomenclature.Listofjournals(last5years),onlyarticlesclinicallyrelevanttothespecialty

§ AmericanJournalofVeterinaryResearch§ JournaloftheAmericanAnimalHospitalAssociation§ JournaloftheAmericanVeterinaryMedicalAssociation§ JournalofSmallAnimalPractice§ JournalofExoticPetMedicine(Saunders)§ VeterinaryClinicsofNorthAmerica,ExoticAnimalPractice§ VeterinaryRecord§ VeterinaryJournal§ VeterinaryDermatology§ VeterinaryOphthalmology§ VeterinaryClinicalPathology

Monographs1. Böhmer,E.DentistryinRabbitsandRodents,Wiley-Blackwell,2015(296p)

2. CapelloV,GracisM,LennoxAM(eds):RabbitandRodentDentistryHandbook.Zoological

EducationNetwork,2005(270p)

3. CapelloV,LennoxAM(eds):ClinicalRadiologyofExoticCompanionMammals,Blackwell,2008(490p)

4. CapelloV,MancinelliE,LennoxAM,KlingM(ed).Earsurgeryofpetrabbits.Milano,Italy:

ebooksdynamic.vet;2015.(80p)5. FoxJG,MariniRP,BiologyandDiseasesoftheFerret,3rdedition,Wiley,2014.Atotalof551pp,

namelyChapter2(45p.),4(42p.),5(22p.),7(30p.),8(13p.),sectionII,Chapters11-24(394pp.)

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6. Harcourt-BrownF,ChittyJ(eds).BSAVAManualofRabbitSurgery,DentistryandImaging.BritishSmallAnimalVeterinaryAssociation,Gloucester,2013(448p)

7. Krautwald-JunghannsM.,PeesM.;ReeseS.,TullyT.DiagnosticImagingofexoticpets.

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mammals,birds,reptiles,andamphibians.Edinburgh/NewYork:ElsevierSaunders,2005.(SMALLMAMMALRELATEDCHAPTERSONLY,98pp)

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Appendix1:ResidentCaseSummaryTemplateReferenceNoDateCommonNameLatinNameHistoryReasonforpresentationPresentingSignsandSymptomsDiagnosticProceduresPhysicalCBCBiochemistryCytologyRadiologyUltrasonographyOtherTreatment(toincludedrugs,doserate,frequencyandrouteofadministration)ResponsetotherapyCaseOutcome

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Appendix2:ECZMSmallMammalself-assessmentchecklistforapprovalofresidencytrainingsites

SmallMammalFacilityName:Purposeofinspection:√ApprovalasaresidencytrainingcentreforECZM√Re-inspectionafter5years√Re-inspectionduetomeaningfulchangeswithintheresidencysite(indicatewhichchanges)Dateinspectionconducted:Inspectornames:FacilityRepresentativenames:

Caseloadoftheinstitutionmustbelargeenoughtoaffordthecandidateadequateexposuretoallrequiredphasesofpractice.Thecaseloadshouldconsistofatleast10(ten)relevantcasesperweek.Totalnumberofcasesoverpast5yearsYear1Year2Year3Year4Year5Describepercentageofanimalspeciesseen

- Ferret- Rabbit- Guineapig- Smallrodents(rat,mouse,hamster)- Othersmallmammals(listspecies)

Describepercentageofproceduresperformed

- Emergencyandafter-hours- Diagnosticproceduresotherthanbloodcollection(specify)- DiagnosticImaging:

o Radiographyo Ultrasoundo Other(specify)

- Surgeryo Neuteringo Softtissueotherthanneuteringo Orthopaedico Dental

- Necropsyo Withhistopathologyo Withouthistopathology

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Medicalrecords:acompletemedicalrecordmustbemaintainedforeachindividualcaseandrapidretrievalofinformationforapatientorgroupofpatientsshouldbepossible.√Candiagnosticimagingandclinicalpathologyreportsandotherrelevantcaseinformationbestoredandretrievedforeachcase?√Howisinformationonhospitalizedpatientsrecorded?

Clinicalexaminationrooms:theexaminationroomsmustbedesigned,constructed,used,andmaintainedconsistentwithbestcurrentpractices√Sufficientinnumberandsizetoaccommodatethecaseload?√Appropriateindesign?

Hospitalisationareasthatensuregoodnursingmustbeavailablewithconsiderationgiventobiosecurityandcontrolofpathogenspreadbetweenpatients.√Separatecageswithheat/humiditycontrolandoxygendeliveryavailable?√Recordingoftreatmentsandprogressofthepatient?Isolationfacilities/Quarantineareasthatincludeappropriateconsiderationgiventobiosecurityandcontrolofpathogenspreadbetweenunitsmustbepresent.√Appropriateisolationfacilitiesavailable?√Individualequipmentavailable?

Diagnosticimagingequipmentmustbeusedandinterpretationconductedbytheresidents.Radiationmonitoringismandatory.√Labelling,recordingandfilingofallimagesandreports√Safetymonitoringisputintoplace?√Radiographyequipmentavailable?√Ultrasoundequipmentavailable?√Endoscopyequipmentavailable,includingforbiopsycollection?√ECGavailable?√MRI,fluoroscopy,CTavailableoravailablebyanexternalcentre?

Clinicalpathology:aclinicalpathologylaboratoryforhaematological,clinicalchemistry,microbiological,andcytologicaldiagnosismustbeavailable.Clinicalpathologyreportsmustberetainedandretrievable.√Microscopeandequipmentforstainingslidesisavailable?√Bloodchemistrybenchtopanalyser/bloodgasanalyseravailableoravailablebyanexternallaboratory?√Microbiologyavailableonsiteorbyanexternallaboratory?

Operatingroomsmustbedesigned,constructed,usedandmaintainedconsistentwithbestcurrentpractices√mustbeusedonlyforsurgery√mustbesizedadequatelyforthepatient,staffandassociatedequipment.√mustbeventilatedappropriately

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√Emergencypoweravailable?

Anaestheticandcriticalcareequipment:mustbeavailable.√Arangeofinductionmasksandendotrachealtubesareavailable√Anestheticgasvaporiseravailable√Adequatescavengingsystem?√Anaestheticmonitoringequipment?√Suitablevolatileandparenteralagentsavailable?√Emergencyresuscitationequipmentisreadilyavailable?√Anestheticrecordsaremaintained?

Surgicalequipment:afullcomplementofgeneralandspecialsurgicalinstrumentsfordiagnosticandsurgicalproceduresmustbeavailable.√Appropriatesurgicalequipment√Dentalsurgicalequipment√Micro-surgeryequipment?√Magnificationandgoodilluminationequipment?√Suitablesuturematerialavailable?√Electrosurgeryequipmentisavailable?

Sterilisation:Steam,heat,radiationand/orchemicalsterilisationofsurgicalinstrumentsandsuppliesmustbeavailable.√Sterilisationequipment?√Verificationofsterilisation?√Labellinganddatingofallsterilisedinstruments?

Photography:photographicequipmentfordocumentationofdiseasemustbeavailable.√Digitalcameraandsoftwareforimagestorage

Medicallibrary:alibrarycontainingtextbooksandjournals(oraccesstoe-textbooksande-journals)relatingtosmallmammalmedicineanditssupportingdisciplinesmustbeimmediatelyaccessibletotheresident.MedicallibraryneedstobecurrentwiththeECZMreadinglist.√Doestheresidenthaveaccesstoalltitlesonthecurrentreadinglist?

Staff:Residentshouldworkwithmultipleveterinarians,veterinarytechniciansandanimalkeepers.√Howmanyveterinariansareonstaff?√Howmanyveterinarytechnician/specialisedkeepers?

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Forself-assessment:Provideaseriesofphotographsdocumentingthefacilitiesandequipment.I,theProgrammeSupervisor,attestthatthisself-inspectionreportisanaccurateindicationofavailablefacilitiesandequipment,andwillprovideadditionalinformationordocumentationasrequestedbytheEducationCommittee.Signed DateForInspectionVisit:InspectorsrecommendationsThefollowingmandatoryconditionsaremade:Thefollowingnon-mandatoryrecommendationsaremade:Signed Date