SVSU IACUC Educational /Teaching Protocol Proposal
Date:
New: 
Renewal (yearly up to three years): 
Proposal Title:
Department:
Course (Subject-number-title)
Attach copy of syllabus to the
Proposal
Department representative name &
responsibility.
Attach CITI Training in IRBNet
Animal Use Category –
______A = minimal potential pain and distress
choose one
______B = potential pain & distress relieved and/or animal euthanized
______C = unrelieved pain & distress
Justification for the Use of
Animals
Describe the educational objective(s)
to be met through the use of animals
and the significance of this learning
experience to the students
(e.g., acquisition of a practical skill,
exposure to research, demonstrate or
emphasize a developmental or
physiological process, teach
observational skills)
Animal Species and quantities to be
Used per protocol:
(e.g. estimated # of animals per course
section * estimated # of course sections =
total # of animals used)
Justify choice of species
(e.g., unique physiological characteristics,
size, previous data, availability)
Course information
How often is the course offered per
year?
What is the typical enrollment per
year?
What is the ratio of students per
animal in each protocol?
1|Page
Where (building and room
number) will teaching protocols
with animals take place, and
where will animals be housed?
Training/Experience and
Supervision
Describe the required
training/experience (including
CITI training), relative to this
course, for each instructor.
Describe how and when
instructor training/experience
documentation will be submitted
(including CITI training)
What will be the ratio of
instructors to students during the
execution of the protocol?
Explain.
Animal Procedures (describe for
each species)
Describe in detail all procedures to
be demonstrated by instructors or
performed by students (indicate
which portions are done by
instructor and which by students).
Duration of teaching protocol
using animals (hours):
Euthanasia or Other
Disposition of Animals
Do animals recover from anesthesia? ____YES,____ NO, or____ N/A
If NO, give time (with respect to
when teaching protocol starts)
and method of euthanasia:
If NO, indicate who will perform the
euthanasia:
If NO, how will the disposal of the
carcass(es) will be handled:
If YES, summarize post-procedural
care describing monitoring of
recovery
and,
if
appropriate,
analgesia.
If YES, indicate when animals will be
euthanized following conclusion of
teaching protocols:
2|Page
Indicate method of euthanasia:
Name
of
euthanasia:
person
performing
How disposal of the carcass(es) will
be handled:
If animals will not be euthanized,
give the method of disposition of the
animals (e.g., adopted, transferred,
donated):
Monitoring for Pain
Describe methods of monitoring for
pain and suffering:
Describe methods of preventing
or terminating pain and suffering
during teaching protocols:
Criteria for euthanasia if
unpredicted adverse effects
develop during the protocol:
Alternatives Offered to
Students
Will students be required to
participate in the protocol using
animals?
______YES
_____ NO
If YES, what are the consequences if
a student refuses to participate
based on moral, ethical, or other
(e.g., religious) concerns?
If NO, what alternatives
(demonstration, videotape, inanimate
modeling) will the student be offered
to complete the learning objectives?
Regulations/Precautions
Indicate how students will be
instructed regarding government
regulations,
concerns,
and
constraints relevant to the use of
animals:
Indicate how students will be
instructed on the risks (e.g.,
zoonoses, allergies) associated with
the species that will be used (i.e., list
the specific health concerns that will be
discussed):
Describe the personal protective
equipment (e.g., gloves, lab coats,
safety goggles) the students will be
required to use during the laboratory
protocols:
3|Page
Other Information
Please
provide
information
relevant
proposal:
additional
to
this
4|Page