® AMERICAN COLLEGE OF VETERINARY BEHAVIORISTS Dr. Bonnie V. Beaver, ACVB Executive Director Department of Small Animal Clinical Sciences Texas A&M University 4474 TAMU College Station, Texas 77843-4474 ® Telephone (979) 845-2351 Fax (979) 845-6978 E-mail: bbeaver@cvm.tamu.edu February 11, 2011 Here is the most current copy of the ACVB Applicant's Packet which provides information relative to the process of becoming certified by the American College of Veterinary Behaviorists. Section 1 contains information about the evaluation of training programs. Section 2 discusses the necessary information about case reports. The third section covers the application for examination, including general information, application forms, scientific publications, and letters of evaluation. The fourth section should be helpful in preparation for examination by including a listing of areas of general knowledge, a suggested reading list, and model study programs used by successful candidates. The last three sections include the ACVB appeals procedure, fee structure, and relative parts of the Constitution and By-Laws. You need to read this material CAREFULLY. It will be important when submitting materials to ACVB that the most current instructions are followed, so contact ACVB to be sure that you are working with the most current information. Only current ACVB Diplomates, individuals who are registered in approved residency programs, and persons registered in nonconforming training programs will receive updated versions of the ACVB Applicant’s Packet. The major change in this version of the ACVB Applicant’s Packet has to do with the timing of submission of case reports. Please check out that section of the Packet. Individuals interested in becoming board certified in behavior should start by registering with ACVB once they have been accepted into a residency program or found a mentor for their nonconforming training program. It is strongly recommended that proposed nonconforming programs be submitted for approval early in the process to prevent delays later. Case reports must be submitted by November first of the year prior to the examination, but there is also a rewritable option for Case Report One described. When your residency is near completion and you are wanting to sit for the next 1 examination, all materials must be in the office no later than March first of the year of the examination. If you are in a nonconforming program, your program must be completed and have final approval prior to your being able to apply to sit the examination. Those completed program materials for nonconforming programs must be in the office no later than October first of the year prior to the examination. Please note that it is the applicant's responsibility to see that everything (including the letters of evaluation) are complete, correct, and in the ACVB Executive Director's office by appropriate deadlines. The applicant's credentials will be rejected if any part of the materials, including the letters of evaluation, do not arrive by the due date. If there are any questions, you are encouraged to have the matter clarified, in writing, as soon as possible. Individuals nearing the conclusion of nonconforming training programs are encouraged to contact the Executive Director for suggestions that may be helpful for submitting materials. 2 TABLE OF CONTENTS Letter of Introduction…pg 1 Table of Contents…pg 3 1. Training Program Information…pg 4 a. General Objectives of a Training Program b. Supervised Training – The Definition c. Instructions for Applicants from Conforming Residency Programs d. Guidelines for Nonconforming Training Programs e. Tips for Nonconforming Training Program Applications f. Instructions for Applicants from Nonconforming Training Programs g. Credentialing Checklist for Individuals completing their Nonconforming Programs h. Example Case Logbook 2. Case Report Information…pg 22 a. Instructions for Case Reports b. Format of Case Reports c. Submission of Case Reports d. Evaluation of Case Reports e. Example Case Reports 3. Examination Application…pg 52 a. Application Information b. Resubmission of Credentials following Rejection of the Application c. Submission of Application for Examination Materials d. Evaluation Procedure for Applications for Examination e. Requirements for Taking the Examination f. Scientific Publications 4. Preparation for Examination…pg 62 a. Suggested Reading List 5. ACVB Appeals Procedure…pg 67 6. ACVB Fee Structure…pg 69 7. ACVB By-Laws Pertaining to Training…pg 71 8. Forms…pg 75 a. Registration Form b. Application for Examination Form c. Applicant Evaluation Form 3 AMERICAN COLLEGE OF VETERINARY BEHAVIORISTS TRAINING PROGRAM INFORMATION Individuals who are interested in becoming board certified in the American College of Veterinary Behaviorist must first have their training programs accepted. For individuals in Conforming Behavioral Residency Programs it is only a matter of submitting the completed form, appropriate fees, and letter from the supervising ACVB Diplomate. Those who are doing or going to do a nonconforming program have additional requirements as noted in the following pages and in the ACVB By-Laws. It is the responsibility of the APPLICANT to be sure that you have the most recent form of this application information packet. This section of information is to help you determine what qualifications must be met for an applicant's credentials to be considered acceptable by the American College of Veterinary Behaviorists. If you have any questions, please send them IN WRITING to the ACVB Executive Director as indicated below. Executive Director of the American College of Veterinary Behaviorists: Dr. Bonnie V. Beaver Executive Director, ACVB Department of Small Animal Clinical Sciences College of Veterinary Medicine 4474 TAMU Texas A&M University College Station, Texas 77843-4474 Phone: (979) 845-2351 Fax: (979) 845-6978 e-mail: bbeaver@cvm.tamu.edu 4 AMERICAN COLLEGE OF VETERINARY BEHAVIORISTS GENERAL OBJECTIVES OF A TRAINING PROGRAM Objectives of advanced training in animal behavior help define the specialty and the educational requirements. They also become the basis on which examinations are developed. It would be expected that a behaviorist should: 1. Have a good understanding of the species-typical behaviors of each of the major domestic animal species (such as cats, cattle, dogs, horses, and swine); major laboratory animal species (such as rhesus monkeys, mice, and rabbits); and pet and production birds (such as Psittacines and poultry). 2. Be familiar with the general species-typical behaviors of other domestic animals (such as goats, sheep, and llamas); the primary wild relative of major domestic animal species; other laboratory animals (such as chimpanzees, baboons, ferrets, guinea pigs, and hamsters); and primary animal families kept in zoological parks. 3. Be familiar with anatomical and physiological aspects of the endocrine and central nervous systems associated with behavior and with the clinical techniques for assessing the associated functions. 4. Be familiar with the major types of behavior problems and know the current hypotheses as to etiology, diagnosis, and treatments for each. 5. Be familiar with learning development and motivational affect. 6. Be able to work up and evaluate behavior cases of individuals and groups, both with and without underlying medical conditions, establish the diagnoses, and set forth an appropriate treatment regimen. 7. Be familiar with methods for objectively measuring behavior, including the strengths and weaknesses of each. 8. Be familiar with the basic principles of behavior modification, ethology, and sociobiology. 9. Be able to critically evaluate behavioral information for validity, reliability, accuracy, and scientific method. 10. Be familiar with concepts of behavioral enrichment for domestic, laboratory, and exotic animal species. 5 11. Be knowledgeable in pharmacology and mechanisms of drug action as they relate to behavior and neurophysiology. 12. Be aware of behavioral issues of public concern, including but not limited to animal control, animal use, animal rights/animal welfare, and laws regulating animals proposed and passed at the national, state, and local levels. 13. Be familiar with various aspects of the human-animal bond including the grieving process associated with pet loss. 6 AMERICAN COLLEGE OF VETERINARY BEHAVIORISTS SUPERVISED TRAINING – THE DEFINITION Article VI (Residency Programs) Section 1b) Case Load states: “…The resident should have primary responsibility for cases, including receiving, diagnosis, management, client communication, and case follow-up…” As part of the learning process, individuals should observe an ACVB diplomate progress through behavior cases, and these cases can count toward the individual’s case load. However, even if observing an ACVB diplomate as part of the case load, the individual in training MUST have primary responsibility for the case and be at least responsible for client communication and case follow-up. Without these components, the case cannot count as part of the candidate’s case load. If there are multiple individuals present for the observed case, only one individual can have primary responsibility for the case so that case can not be counted toward the case load of other observers. 7 AMERICAN COLLEGE OF VETERINARY BEHAVIORISTS INSTRUCTIONS FOR APPLICANTS FROM CONFORMING RESIDENCY PROGRAMS Specific requirements for a conforming program in animal behavior are included in ARTICLE VI, Section 1 of the By-Laws of the American College of Veterinary Behaviorists, a copy of which is included in this information packet. It shall be the obligation of the applicant to provide proof by letter from the resident advisor that he/she is a resident in an ACVB recognized conforming behavioral residency program. Individuals beginning an ACVB recognized conforming program should register with the ACVB near the beginning of the program using the appropriate form. This application form should be accompanied by one hundred dollars ($100.00) in United States funds. No refunds will be made if the application is rejected. Subsequent applications must be accompanied by seventy-five dollars ($75.00) in United States funds. Submission of an application to sit the examination, evidence of a scientific publication, and letters of evaluation should not be submitted earlier than October of the second year of a 2-year residency or in the third year of a 3-year residency. Case reports must be submitted prior to the application for examination as detailed in section 2 of this ACVB Applicant’s Packet. Note: Current residency programs which have been approved by the ACVB as meeting training criteria: University of California-Davis, Cornell University, University of Georgia-Athens, University of Minnesota, University of Pennsylvania-Philadelphia, Purdue University, Texas A&M University, and Tufts University Note: The appeals process is limited to the review of due process. The purpose is to ensure that the appealing individual has been treated in accordance with all policies and procedures of the American College of Veterinary Behaviorists and that no mathematical errors have been made in scoring. The appeals process is not intended to regrade case reports or examinations. 8 AMERICAN COLLEGE OF VETERINARY BEHAVIORISTS GUIDELINES FOR NONCONFORMING TRAINING PROGRAMS These guidelines have been developed with the intent of helping both mentors and individuals undertaking a nonconforming program establish a successful program. The Constitution and By-Laws of the American College of Veterinary Behaviorists are the official documents by which these programs are evaluated. 1. Choosing a mentoree - Individuals should be chosen on the basis of background and commitment to finish a nonconforming training program. Evaluation should include curriculum vitae, as well as prior behavior experience including courses taken, seminars attended, books read, and articles read. Individuals should also have looked into the information provided by ACVB and have begun to compile a program for submission. Self initiative is very important. 2. Choosing a mentor - The mentor should a board certified member of the ACVB. Other considerations should include availability and commitment of mentor. It is up to the individual to find an ACVB diplomate who is willing to serve as their mentor. One ACVB diplomate will serve as the mentor; although, the mentoree may include periods of training under the guidance of others. 3. Financial arrangements - The task of properly supervising an individual through a nonconforming program involves significant time and resources. The compensation to the mentor for this service may vary widely based upon the specific situation of the mentor. A financial arrangement should be established and documented. 4. Duration of program - The length of the program will vary between individuals, based upon many factors. However, most of the nonconforming programs take several years to complete. It is suggested that the individual and mentor create a reasonable expectation of when the training program will commence and end. 5. Supervision - An ongoing relationship must be established between the individual and the mentor, and both individuals must be committed to continuing the relationship. Erratic supervision will not be tolerated. It is expected that the supervision will be more intensive at the outset of the program at a time when the student requires the most guidance. 9 6. Case load - The following guidelines for case supervision in a predominantly small animal program have been created to help guide both the individual and mentor in establishing a successful program. They parallel that which would occur in a conforming residency program. Programs that have their predominant focus on a different groups of animals (such as predominantly large animal or laboratory animal) must also document how they meet a minimum of 2600 hours with adequate supervision; although, the numbers and types of cases seen could be significantly different. In a primarily small animal program, the individual would be expected to see an estimated minimum of 400 total cases. (This is based upon the minimum of 2600 hours and estimating 6.5 hours per case including follow-up contacts, letters to referring veterinarians, and other record keeping. If less time is spent on each case, then more cases will be necessary to meet the 2600 hour minimum.) a. Cases #1-25 - The first 25 cases seen in the program must have a ACVB diplomate in attendance during the case. Initially the individual may be an observer of the ACVB diplomateand then gradually progress into the role of the lead clinician with the ACVB diplomate as an observer. 1) If additional cases are seen during this period without an ACVB diplomate in attendance, they will not be considered eligible for the program. 2) If the individual is observing an ACVB diplomate as part of his/her case load, the non-conforming individual must have primary responsibility for the case. Primary responsibility means that the individual is involved in case management with the ACVB diplomate and be at least responsible for client communication and case follow-up. If multiple non-conforming individuals are observing a case, only one individual can be considered as having primary responsibility. b. Cases #26-75 - An ACVB diplomate must directly supervise at least 25 of the next 50 cases. In the remaining half (n=25) of these cases, an ACVB diplomate needs to review the cases within 48 hours of the consultation. This review of the case can be done in a variety of manners, including by fax, e-mail, phone, or direct observation. c. Cases #75-150 - Although an ACVB diplomate is not required to be in attendance during the consultation, a thorough review of the case must be completed by an ACVB diplomate in a timely manner. This review of the case can be done in a variety of manners, including by fax, e-mail, phone, or direct observation. The more expedient the review by the ACVB diplomate, the better. The diplomate needs to commit to performing the review within seven (7) days of the actual consultation. 1) If an ACVB diplomate does not review the individual cases in a timely manner (within 7 days of the consultation) then these cases would not be considered eligible for the program. 2) Exceptions to the 7-day review may be made for things such as vacations or illness. 10 3) 4) If the 7-day review is repeatedly violated, the diplomate and individual need to examine other options for successfully completing the review within the 7-day window. It is also suggested that during this phase of the nonconforming program that an ACVB diplomate makes him/herself readily available for guidance with difficult cases. d. Cases #151-400+ - The remaining cases can be reviewed on a weekly or monthly basis by an ACVB diplomate depending upon the individual’s progress. An ACVB diplomate still needs to provide adequate support and guidance during this phase of the program. e. Case follow-up - The individual should attempt to obtain follow-up on all cases as this provides some of the most important feedback regarding treatment recommendations. A minimum of 60% of the cases eligible for inclusion in the program should have documented follow-up with the client. f. Ultimately all cases must be reviewed by an ACVB diplomate before the case is eligible to be counted towards completion of the program. It is the responsibility of the individual to keep an accurate log that includes case signalment, date, supervision, diagnosis and follow up (see the example on the next to the last page of this section). The mentor should be prepared to verify that the cases were supervised as documented by the individual. 7. Case diversity - It will be up to the individual to be sure to fulfill the requirements for diversity of species. The mentor may help to set this up and see that it is accomplished. 8. Individuals shall also be responsible for taking courses, reading, or finding other ways to fulfill the ACVB requirements of core knowledge as stated in the By-Laws. 9. It will be the responsibility of the individual to keep a log of books and articles read, seminars attended, and academic courses completed. 10. Individuals will be expected to attend at least one (1) major behavioral meeting per year, such as the ACVB-AVSAB scientific paper session, held in conjunction with the AVMA meeting. Attendance should be noted in submission materials for approval of the completed program. 11. The individual will be expected to have publish a research-based scientific paper in the field of behavior as stated in the ACVB By-Laws. The mentor will be expected to provide guidance and support in the establishment of a research project. 12. The giving of lectures, continuing education seminars, and research presentations is expected. 11 AMERICAN COLLEGE OF VETERINARY BEHAVIORISTS TIPS FOR NONCONFORMING TRAINING PROGRAM APPLICATIONS This document is meant to be an aid for those individuals preparing programs for consideration as non-conforming training program. It is not meant to replace the Bylaws of the ACVB or the most recent published guidelines. It is the applicant’s responsibility to learn which guidelines are the most recent and will be used to evaluate their application. In addition to reviewing the college By-laws and guidelines, applicants are encouraged to have their ACVB mentor carefully review their application prior to submission. When writing the application the document needs to fully detail for the reviewers everything regarding past, present and future plans to gain the necessary experience to be eligible to apply for examination by the ACVB. The applicant should assume that the reviewers know absolutely nothing about them as an individual or how any particular behavioral practice/institution functions. The application should be concise, but provide detailed information in a clear, meaningful manner. Although specific plans may be subject to change, it is necessary to have detailed information in order to assess the program. The applicant is strongly encouraged to submit the proposed program as early in the training process as possible, preferably before beginning the program. At completion of the training process the applicant will submit documentation of how the program objectives were met. If the proposed program is approved, completed with no alterations and everything is properly documented, the completed program will pass. However, in many non-conforming programs, unexpected events occur that necessitate alterations to the training program. In this case, the trainee will need to provide documentation about how these alterations met the approved program objectives. Since the people who review the proposed submission and those who review the completed program may not necessarily the same people, the applicant should ALWAYS submit a copy of the accepted proposed program along with the completed program. To make things very clear for the reviewers, the applicant should highlight anything that varied from the accepted, proposed program. Using italics, colored ink, etc. can make this very clear. Proper documentation: Every supervised experience should be described in enough detail for the reviewers to adequately assess the experience. Specific information should include date/time spent in the training experience, a summary of what type of training/experiences is/are planned/occurred and any other pertinent information. This should be included in both the proposed and completed programs. Every experience should have some type of documentation that is signed by the person supervising the experience or a certificate/transcript that confirms that said training was completed as submitted. See specific sections below for examples of how this may be accomplished. Listed below is information that needs to be included for the reviewers to assess the application. Since each program is unique, this list may not be inclusive for all 12 programs. However, the intent is to provide the applicant with a good starting point and examples of the type of information that is needed. If you have questions, refer back to the By-laws and guidelines within the most recent version of theACVB Applicant’s Packet or contact the Executive Director of the ACVB. Only those possessing a doctorate of veterinary medicine (VMD, DVM) or its equivalent are eligible for consideration. Provide a list of all higher education completed including degrees earned, institution where degree was obtained and dates when completed. Some official documentation of the applicant’s status as a veterinarian is required; this may be submitted in the form of a diploma or proof of veterinary licensure. Applicants must have completed a one year veterinary internship or have at least one year of experience practicing veterinary medicine that is equivalent to an internship. This must be documented in the application, including dates, full- or part-time status and practice information. One of the following criteria must be met for consideration; applicants should describe how they meet that criterion: o at least 24 months of full-time training or equivalent in veterinary behavior under the direct supervision of at least one diplomate of the ACVB. The 24 months may occur as a full-time endeavor (e.g. 2 years exclusive fulltime behavioral training) or as a part-time endeavor (e.g. 6 months/year x 4 years; 4 months/year x 8 years, etc.) The applicant should outline how they intend to complete the equivalent of the 24 months of training—a time line should be provided with estimated target dates of completion. If selecting this option the applicant must identify at least one ACVB diplomate willing to serve as their mentor. The mentor(s) should write a letter to that effect and it should be included in the application. PLEASE NOTE: the minimum requirement of 24 months of behavioral training is most appropriate for those entering the training program with advanced behavioral experience (e.g. MS or PhD in a behavior discipline); candidates without this type of background will need to demonstrate the equivalent of 36 months of full-time training under the supervision of a(n) ACVB diplomate(s). A Diplomate of the ACVB must conduct a regular review of cases. Note that this means that the applicant can meet this requirement by seeing cases with more than one Diplomate. However, the applicant must have primary responsibility for all cases included as part of their case load. Because the initial phase of the training program is important for establishing your techniques of seeing cases, it is expected that your mentor-Diplomate review the case approach of the first 75 cases even if you see those cases with another Diplomate. Keep records of all cases seen and include the name of the Diplomate who reviewed the case and how the case was reviewed (present at consultation, remote review). For cases that are not seen with the Diplomate in attendance, a time line for review of each individual case should be documented (e.g. case reviewed within 24 hours). Until you satisfy the oversight requirements, no cases that you see outside those requirements can count towards the total number of cases/hours required for your non-conforming program. Only include those cases in your application that 13 meet the requirements. The minimum review requirements of cases are outlined below. Support your application for each of these steps with details on how you intend to accomplish the requirement. This is especially pertinent for training programs where the mentor and applicant are not in the same location. For example: Diplomate X will fly to location Z and spend one week supervising approximately 10 cases in the months of May, June, and July. Specific requirements include the following: o Will an ACVB Diplomate be in attendance for the first 25 cases? o Will an ACVB Diplomate be in attendance for at least 50% of the next 50 cases? o Will an ACVB Diplomate review the first 75 cases seen by you alone within 48 hours of consultation? o Will an ACVB Diplomate review cases 76-150 within 7 days of consultation? o Will an ACVB Diplomate review the remaining cases seen on a routine basis (document how you intend to accomplish this)? o Will you be following up on cases and reviewing the follow up with an ACVB Diplomate? o How will you document the review of cases? At the completion of the program when materials are submitted the reviewers will need to see this detail in order to assess if the requirements were met. Is your specific behavior related background/education sufficient and current? Have you received sufficient training in the following subjects: developmental, ethological, genetic, learning theory-based, neurological, neuroscientific, neurosurgical, physiological, psychological, psychopharmacological and sociobiological determinants of behavior? To document adequate training, you must list: Courses by title, department, university and numbering scheme. Attach an explanation of the numbering scheme. For example: Courses with the numbers 400 and above are graduate courses at University X Course description—this should be 1-2 paragraphs and can be the official course description Dates of attendance or expected dates of attendance Credits and credit units (please attach and explanation of the credit systems used), even if audited Please be explicit and address documentation for each of the above parts separately. If you have had prior formal training in clinical behavior, applied behavioral ethology and/or any form of behavioral research, please explicitly list and quantify these aspects by topic, year, duration and type of experience. Submit transcripts where applicable. Does your program provide for primary case management of patients as part of your clinical training in behavioral therapy? Support your YES answer with actual data on the structure of your program and the proposed management of cases, including breakdown of effort in terms of time and specific duties if cases are shared or overseen (e.g. you wrote discharge instructions for all shared cases, etc.). This may be included as part of your case log. 14 Is the facility where you are to execute your training able to provide a case load allowing you to have a minimum of 2,600 hours of exposure? Support your YES answer with the actual number of cases, hours/case, frequency of cases, initial versus re-examination of cases that you plan to manage. Information about the region where you intend to draw your caseload may also be helpful. Will your program provide adequate species diversity? Training programs restricted to one or two species (for example, dogs and cats) are unacceptable, as are programs that focus on only one type of problem (e.g. canine aggression, feline elimination). Training programs should include a range of species/problems/diagnoses. If your program is primarily focused on companion animals (such as dogs and cats), you must have at least one week of clinical (laboratory, interactive lab, or case) experience for each of the following: Equine Food and range animals Birds, exotics, pocket pets, special species Zoo animals Laboratory animals (e.g. in a university, industry or NIH setting) This experience can be met by intensive interactive laboratory/clinical courses as well as participating in clinical rotations in these fields. If these experiences are to occur under the supervision of a person who is not a diplomate of the ACVB, the candidate must provide information on the supervisor’s credentials and experiences. All proposed experiences should be provided in a written format. If the proposed experience is not an established course, a signed letter of understanding/intent regarding the experience should be included in the application. At the final program submission completed experiences need to be documented including dates/hours. Note: Although remote consultations with veterinarians in which you give advice on how they should handle their behavior cases are an important part of your clinical experience, they do not count towards your caseload requirement. Note: The ACVB has a policy statement against primary fax/ telephone/ internet consultations with clients unless there is an already established veterinarian-clientpatient relationship. However, follow up may be done by remote consultation. Will patient care and case work-up constitute 65-75% of your training? Minimally a case log should include: Patient name Appointment date Appointment location Species Diagnosis Mentor supervision of case Follow up contact Summary page with number of cases seen by species/diagnosis Will you plan on attending behavior rounds, seminars and/or journal club minimally 4 times per year as part of your training? To support your answer of YES, please provide information on frequency, duration and type of exposure for each of these presentation 15 formats (e.g. weekly rounds for cases at 2hr/week x 50 weeks, weekly biological basis of behavior seminar series at 1hr/week x 8 weeks, etc.). It is expected that this experience is in addition to your regular review of cases with your mentor. Will you have adequate teaching experience? Will you be able to conduct clinical specialty rounds, give presentations to colleagues, or teach veterinary students? For each of these types of teaching please support your answer of YES with specific information on length, content and frequency of each type of teaching experience. Include a reading log that outlines books and seminal articles read to meet the specific educational objectives of your program. This log should be organized by subject area (e.g. ethology, psychopharmacology, equine behavior, etc.) Is a suitable research project that has been reviewed by your mentor proposed as part of your training program? Please attach the proposal. As a reminder, a suitable published original research paper must be submitted as part of your application to sit ACVB Boards. Information about the research project need not be submitted with the program application. However, you will need to state that this requirement will be met as part of your training program. Note: This proposal and your original, senior-authored publication MUST be your own work. This means that you must have contributed in the following ways: You were involved with collecting and/or collating the data. You were involved with the data analysis. You wrote all or the majority of the paper. Will you be able to attend at least one national or international veterinary behavior meeting per year of your training? Support your answer of YES with a list and schedule of meetings you plan on attending during your training. Your final program must list the meetings you went to and actual lectures you attended. If you cannot answer “YES” for any of the above questions, your application will likely be rejected. It is your responsibility to ensure that the reviewer can easily classify their assessment of the above aspects of your program. The reviewers have the following choices for response to evaluate each of the areas previously enumerated: YES; NO; Insufficient information. If the reviewer is not certain of your response, they must select “insufficient information”. Your application will then be rejected until you can redress its inadequacies. If your program is rejected, you will be provided with detailed concerns that must be addressed before it can be accepted. When you re-submit your program you should: Return the original rejected program Attach a copy of the letter from the Executive Director outlining the deficiencies Attach the revised program All correspondence about your program and any level of evaluation must go through the Executive Director only. It is the applicant’s responsibility to insure that the Executive Director has the applicant’s current contact information. 16 AMERICAN COLLEGE OF VETERINARY BEHAVIORISTS INSTRUCTIONS FOR APPLICANTS FROM NONCONFORMING TRAINING PROGRAMS Specific requirements for nonconforming programs in animal behavior are included in ARTICLE VI, Section 2 of the By-Laws of the American College of Veterinary Behaviorists, a copy of which is included in this information packet. Individuals intending to start a nonconforming program must register their intentions with the ACVB on the appropriate form. This registration of intent to begin a nonconforming program must be accompanied by a letter from the ACVB diplomate who will be mentoring the training and by a fee of one hundred dollars ($100.00) in United States funds. It shall be the obligation of the applicant to provide proof by letter from the mentoring advisor that he/she has agreed to mentor the applicant. The funds enclosed also cover the individuals first submission of materials for training program approval and for first submission of the completed program materials. No refunds will be made if the application is rejected or the individual decides not to continue toward certification. Second and subsequent applications for reevaluation after alteration must be accompanied by seventy-five dollars ($75.00) in United States funds. Detailed materials (ten (10) copies) about the intended training program should be submitted to ACVB as early in the program as possible. An early request for review of the intended program will allow the maximum opportunity to meet the requirements of a recognized program. Specific and detailed information about the program and how it will meet the requirements of the Guidelines for Nonconforming Behavioral Training Programs, as defined in the ACVB By-Laws is necessary. The burden of proof that the applicant's program meets the ACVB requirements lies with the applicant. It is expected that each item will be discussed and documented in detail to ensure that the program meets the guidelines and is the equivalent of a conforming residency program. For the initial submission of the intended program, the materials submitted should describe how the individual intends to meet the criteria below. The following is not an all inclusive list but is given here to help individuals who have an interest in applying. 1. The applicant should submit a detailed list of courses he/she will be following that are applicable to the field of applied animal behavior. The list should include academic institution of study, course name, content, and required readings. a. If advanced degrees will be or have been earned, they should be listed and documented. b. If the applicant has earned certification from another veterinary specialty group, that should be listed and documented how that was achieved. 17 2. 3. 4. 5. 6. The goal is for the applicant to show how they plan to achieve competence in the areas of study listed in the ACVB By-Laws. a. If a program of self-study is used, then the applicant bears the burden of proof. b. The applicant must include a list of books to be read, journals and articles utilized, and seminars they plan to attend to achieve the appropriate education. c. Listings of seminars attended should include speaker and topic in the final submission. The applicant should describe the relationship of the mentor to the various cases seen. a. It is expected that at least the first 150 behavior cases seen by the individual in a nonconforming program receive timely feedback from the mentor, ideally within 7 days of the examination. Included in this is the requirement that the first 25 behavior cases must be seen with the ACVB mentor present, and 25 of the next 50 cases be seen under direct supervision of the mentor. The initial application should include a description of the types of cases and species that are expected to be seen and why this is anticipated. In the final submission, the applicant should include a detailed listing of behavior case load organized in the following manner: a. Listing by species with a total number of cases for each species seen by the applicant. b. This list should be divided by year so that the amount of time the applicant has been in behavior practice can be evaluated. c. The total number of cases for each species, for each year, divided into diagnosis should be given as a summary table. An example summary table for canine and feline cases is given on the last page of this section. Please note that spreadsheets and raw data tabulations are not acceptable but are useful to develop the information needed to create a summary table. An example log sheet for raw data collection is included as the next to the last page of this section. d. The percentage of cases in which follow-up information was obtained and how that information was obtained, for each year that this information is listed. e. An approximation of time spent on each case for initial consultations and follow-ups. f. Where the consultation took place (i.e. office visit, home visit, and telephone consultation) g. Time spent in consultation with veterinarians on behavior issues and cases. If the applicant will experience a limited number of species in clinical cases, the program should show how information and competency will be achieved in other species. For example, if the applicant sees only canine and feline cases, how will the applicant learned about laboratory animals, zoo animals, and large animal behavior problems? In the area of teaching and education of others, the applicant should list all seminars and presentations made to veterinarians, veterinary technicians, 18 7. 8. and the public, they expect to make. The final version should also include dates, locations, and the topic presented. Initially the applicant should describe what national meetings he/she expects to attend. At the end, attendance at national behavior meetings should be documented. The applicant should be able to show participation in the field. At the expected completion of a nonconforming program, the applicant shall submit ten (10) copies of materials that include the originally accepted proposed program and a side-by-side detailed comparison of the actual training program followed, noting variations from the proposed program and how the specific ACVB requirement was met. It is important to remember that Committee members reviewing the completed materials will have little to no memory of what was originally proposed and must be able to compare what was proposed with what was actually done. Submission of the application to sit the examination, evidence of a scientific publication, and letters of evaluation may not be submitted prior to the completion of the training program as determined by ACVB. Individuals intending to apply for the examination must have their completed training program materials to the office of the ACVB Executive Director no later than October first of the preceding year. Case reports must also be submitted prior to the application for examination according to the schedule detailed in section 2 of this ACVB Applicant’s Packet. Note: Candidates are encouraged to submit appropriate materials to the ACVB to have their nonconforming program evaluated as soon as possible, preferable prior to its beginning. Deviations from the original approved nonconforming program must also be reevaluated, including how they impact the entire program. It is the applicant's responsibility to provide all appropriate information about program changes. ACVB reserves the right to reject an applicant if the applicant has modified a previously approved nonconforming program and that modification has not met approval of the ACVB. Note: The appeals process is limited to the review of due process. The purpose is to ensure that the appealing individual has been treated in accordance with all policies and procedures of the American College of Veterinary Behaviorists and that no mathematical errors have been made in scoring. The appeals process is not intended to regrade case reports or examinations. Note: Model pre- and post-nonconforming program submissions are available for a fee. Please contact the Executive Director for more information. 19 CREDENTIALING CHECKLIST FOR INDIVIDUALS COMPLETING THEIR NONCONFORMING PROGRAMS For individuals whose training programs were nonconforming, the first step toward becoming board certified in veterinary behavior is to submit complete information about your completed training program, comparing it to what was submitted in the tentatively approved proposed program. The material submitted for final approval will need to verify that the proposed program was followed and elaborate on where deviations occurred. In all cases, the materials must show that the program was equivalent to what is expected in a conforming program. Please see the preceding section and the ACVB By-Laws for specifics. Individuals can not apply to sit the examination until final approval to the program has been given by ACVB. Ten copies of all materials should be submitted. Materials submitted are expected to be very detailed and should include the following: 1. 2. 3. 4. 5. Detailed discussion of how the applicant's experience meets the two year equivalency (see ACVB By-Laws, Article VI, Section 2). A two-year equivalency would equate to approximately 2600 hours of time actually spent dealing with behavior cases with not more than 650 hours in telephone consultation. Detailed discussion about the applicant's academic background in veterinary behavior. a. The broad background (ACVB By-Laws, Article VI) can be supported by information about books and journals read, as well as general information courses taken. b. Specific behavior-related course work (ACVB By-Laws, Article VI) should include information about formal courses, readings, and/or descriptions of mentors (including when and where). Grade transcripts may be included to support this information. Case load descriptions (ACVB By-Laws, Article VI) are expected to be detailed. In addition to actual number of cases, the information should also be broken down by the number of cases actually seen, number by client phone consultation, and number by consultation with a veterinarian; by species; and by diagnosis. Describe how follow-up information is obtained and which of the above cases has follow-up data. Submission of a summary case log (example at the end of this section), including follow-up contacts, is required. Detailed information about seminars presented and seminars attended should be included (ACVB By-Laws, Article VI). There is no charge for applicants with tentatively approved programs when submitting the first version of the completed program materials. Should the first version not be approved, there is a $75.00 fee for resubmitting materials. Submission of the application to sit the examination, evidence of a scientific publication, and letters of evaluation may not be submitted prior to the completion of the training program as determined by ACVB. Individuals intending to apply for the examination must have their completed training program materials to the office of the ACVB Executive Director no later than October first of the preceding year. Case reports must also be submitted prior to the application for examination as detailed in section 2 of this ACVB Applicant’s Packet. 20 EXAMPLE CASE LOGBOOK FOR ANIMAL BEHAVIOR CASES Species Date Case Client Patient Age Sex 21 Breed Diagnosis Date mentor reviewed Followup dates AMERICAN COLLEGE OF VETERINARY BEHAVIORISTS INSTRUCTIONS FOR CASE REPORTS Applicants are expected to file their case reports and have them accepted before they submit the Application For Examination. As described below, rewritable case report #1 is due May 1st in the year before the applicant expects to sit the exam, this is an option for case report #1. All three case reports must be submitted by November 1 of the year prior in which the applicant intends to sit the examination. Please note, there is a separate $200.00 case report fee that must be submitted with the first case report. PURPOSES OF THE CASE REPORTS 1. To verify that you have been working in the area of veterinary behavior. 2. To demonstrate your ability to use behavioral principles in the diagnosis and treatment of behavior related situations. 3. To display your ability to communicate behavioral observations and data to your colleagues in a clear, concise, and organized manner. 4. To display your ability to evaluate and make differential diagnoses related to medical etiologies of behavioral disorders. CASE SELECTION FOR CASE REPORTS 1. Carefully select the cases you report. Cases submitted must represent patients from a minimum of two (2) species. Each case must have a different major diagnosis (i.e. you must present evaluation, diagnosis, treatment, and follow-up for at least three distinct behavioral problems, one each per case report submitted.) Additional or co-morbid diagnoses are allowed, but do not count towards the three distinct diagnosis quota. Each of the major diagnoses must be from substantially different categories of behavior problems, e.g. fear of strangers and fear of thunderstorms are both essentially problems of fear. One case would therefore be excluded. Select cases that are sufficiently complicated to demonstrate your ability to interpret and use medical and behavioral information. Avoid overly complex cases or extremely straight-forward diagnoses or therapies, no matter how interesting or complex the pathogenesis of the problem may be. Remember, the objective of the report is to demonstrate your ability to diagnose and manage animals with behavior problems, not to review the scientific literature. 22 2. The case reports must demonstrate your abilities in clinical behavioral medicine. This includes thoroughness, logic and accuracy in assessment, diagnosis and therapy as well as overall case management. All appropriate differential diagnoses should be mentioned, followed by a description of the logic used to arrive at the final diagnosis. Laboratory tests should be justified and abnormal results discussed. If there are appropriate and recognized veterinary medical diagnostic tests or therapies that were not used because they were not available to you or because of the owner's financial restrictions, mention the contribution they could have made to the case. Finally do not report on laboratory research even if it has direct applications to clinical behavior. 3. Specifically, the case reports must demonstrate your ability to evaluate widely variable behavioral situations. Examples could vary from a case with major medical or neurologic components, one with detailed learning patterns, a herd problem, or a laboratory animal enrichment problem. If you are unsure whether your cases are sufficiently different, you may petition the Chair of the Credentials Committee for a ruling (sent to the Executive Director). It is suggested that you do this well in advance of the application deadline. 4. The case should not be one previously published or submitted for publication. 5. Do not submit the following as case reports as such cases will be automatically deemed unacceptable. a. Cases without a minimum of six (6) months’ follow-up. b. Cases in which the animal died or was euthanized before treatment was instituted, or before the six (6) month minimum follow-up period was completed. c. Cases with a primary medical etiology for which no behavioral modification was suggested or instituted by the owner. d. Cases with major procedural errors (i.e. exceeding the five (5) page limit, not double spaced, failed to maintain anonymity, missing parts) Note: In the event that one or more case reports do not pass, ACVB strongly recommends that the applicant reviews them using the provided recommendations/comments to strengthen the submission in the following year. 23 FORMAT OF CASE REPORTS Note: If a case report does not conform to format, the case report may be rejected without being read. 1. Reports must be typed, double-spaced. Margins of at least one (1) inch should be present at the top, bottom, and both sides. Printing should be no smaller than 12 pitch (computers), and of high quality print only. 2. Laboratory data, radiology reports, and other data should be tabulated or included as appendices. Tabulated material is not included in the five (5) page limit. Reference values for your laboratory should be listed in the first column of each page of patient laboratory data. Margin requirements are the same as for written materials. 3. Each report should have a title page that includes a 6 number security code of the applicant's choosing, the case report number, and title. The title page is not included in the five (5) page limit. A 2-4 sentence summary of the case should be included on the title page. 4. The reports should be written in a narrative format. Grammar and spelling are evaluated. All cases should be written with strict attention to editorial detail. Plagiarism is not allowed and will not be tolerated. Extensive quotations are not allowed. 5. Applicants must not identify themselves in any way except by the 6 number code of their choosing number as previously described. Be certain that all identifying marks, including signatures, hospital names, cities, and so on, do not appear in the text or appendices. 6. When indicated, statements must be backed up by references. References should be formatted in the style of the Journal of the American Veterinary Medical Association (JAVMA). References are not included in the five (5) page limit. 7. Applicant’s are encouraged to read and reread cases several times before submitting them to check grammar, spelling, and procedural errors because these can be a significant cause of point deductions. 8. Applicants can write “page__ of 5" or the title as a footer to help ensure their case report pages stay together. Do not repeat your numerical ID as a footer. 24 SUBMISSION OF CASE REPORTS 1. There are two (2) deadlines for submission of case reports, May first and November first. 2. After the candidate has seen 75 cases in any supervised training program already approved by ACVB, he/she may submit case report number one to ACVB for evaluation. a. The candidate may write case report number one and only this case report with mentor assistance. It must be submitted a minimum of 18 months prior to sitting the qualifying examination (no later than May first, one and one-half (1½) years prior to taking the examination, NOT the May first of the same year that the applicant is planning to take the exam.) This case report must be clearly identified as case report #1 for evaluation and possible revision (Case report #1 option for revision should be on the title page) as stipulated below. b. The case must have been managed by the applicant during the past five (5) years. The case report should be identified with the candidate's 6 number security code, and meet other criteria as set forth in the Training Program section of this ACVB Applicant’s Packet. c. One (1) copy of a letter signed by the applicant and the supervising/mentoring ACVB diplomate that specifically and clearly states that: 1) The applicant did have primary case responsibility for the case submitted as case report number one. 2) The applicant did not have any help or aid in writing, preparing, or correcting case report number one other than from their mentor named when they registered with ACVB. 3) The anticipated date when the training program will end must be included to verify that this case report is within the appropriate time line for revision. 4) d. The case report may be used in the future by ACVB as examples of case reports. If the case report number one receives three (3) or more of five (5) scores greater than 6.0, it will pass the review process. If the case report receives failing marks, it will be returned to the candidate with suggestions for improvement and may be revised and resubmitted. 25 e. 3. 1) The case report title of the resubmitted case report #1 must match the case report title first submitted exactly and the case described must be the same, i.e. patient(s) must be the same as first submitted. No substitutions will be allowed as a revised case report. 2) If revised case report #1 fails re-submission, it may not be submitted again. 3) No other case report will be allowed to be revised. If more than one case report (i.e. case report #2 and/or #3) is submitted with the one being reviewed by the mentor, the applicant must make it clear as to which case report is the one that had assistance (i.e. titled “Case Report #1, Option for Revision). The burden to make the distinction clear is on the applicant and if not identified, the all cases will be treated as a case report that cannot be re-written. Case reports numbers two and three may be submitted at any time after the first 75 cases, but they will not be revisable. a. All case reports must have been submitted by the November first deadline prior to the March first application date when the applicant wishes to sit the examination. b. No revisable case report can be submitted at the November first deadline preceding the March first when the individual intends to apply to sit the examination. A case report labeled #1 and submitted at that time and asked to be revisable will not be allowed to be revised but must stand on its own merits. c. Case reports #2 and #3 must be the sole work of the applicant. A diplomate may examine case records and advise the applicant as to the suitability of a given case. However, once the applicant begins to write the case report, no one is allowed to help him/her. The case report must reflect tht applicant’s thoughts, not a consensus of opinion. One (1) copy of a letter signed by the applicant and the supervising/mentoring ACVB diplomate that specifically and clearly states that: 1) The applicant did have primary case responsibility for the cases submitted as case reports. 2) The applicant did not have any help or aid in writing, preparing, or correcting the case reports, except with the revisable case report described above. 26 3) d. Time line example: 1) 4. These case reports may be used in the future by ACVB as examples of case reports. If the applicant wishes to sit for the examination in October, 2020, the following time line applies: a) Case report number one, if wished to be revised, is due May 1, 2019. b) All case reports are due November 1, 2019. c) Application to sit the exam is due March 1, 2020. d) Examination is given October, 2020. One copy each case report should be sent electronically to the Executive Director of the American College of Veterinary Behaviorists so that it is received on or before appropriate deadlines. The $200.00 case report fee and one printed copy of case report number one must also be received on or before the appropriate deadline. Receipt after an appropriate deadline will disqualify the case report from consideration or delay the ability of the applicant to sit the examination when anticipated. The address is as follows: Dr. Bonnie V. Beaver ACVB Executive Director Department of Small Animal Clinical Sciences College of Veterinary Medicine 4474 TAMU Texas A&M University College Station, Texas 77843-4474 Phone: (979) 845-2351 Fax: (979) 845-6978 E-mail: bbeaver@cvm.tamu.edu 5. Case reports that have passed the process will stand as passed for a period of three (3) years from the date that they were reported as passed pending successful completion and final acceptance of a nonconforming program and/or pending successful review of the Application For Examination. 27 EVALUATION OF CASE REPORTS 1. Case reports containing major procedural errors including: exceeding the 5 page limit, report not double-spaced, failure to maintain anonymity, missing parts, etc. will automatically fail and will not be sent out to the Credentials Committee 2. Each reviewed case report will receive a numerical score from 1 to 10 from each of five (5) reviewers. A maximum score of 10 will be assigned to a case of suitable difficulty to demonstrate the candidate's competence as a veterinary behaviorist and that is free from errors in assessment, data collection, clinical judgment, and therapeutic management. A score of 6 or less is unacceptable. Any case report that receives a score of 6.0 or less from three (3) or more reviewers fails, and no additional reviews will be obtained. 3. An applicant must have three (3) passing case reports before their Application For Examination will be considered. 4. Points will be subtracted from the maximum score of 10 for the following reasons: a. Sufficiently challenging/complex to demonstrate presumed expertise of candidate: deduct 0 points. b. Moderately challenging/complex, but does not fully demonstrate presumed expertise of candidate: deduct 2 points c. Inadequately challenging and does not demonstrate presumed expertise of candidate: deduct 3 points. 5. Case selection - Cases that fail to demonstrate the candidate's competence as a veterinary behaviorist will not be accepted. Primary medical problems, the behavioral component of which is not treatable, are not acceptable. If the majority of the reviewers agree that the case report does not fulfill the criteria described in the section: "Instructions for Case Reports" in the application instructions, the report will be unacceptable. 6. Procedural Errors - Failure to follow the report format requirements will result in the deduction of 1 to 4 points. Major procedural errors including: exceeding the 5 page limit, report not double-spaced, failure to maintain anonymity, missing parts, etc. will automatically result in failure of the case report, and it will not be sent out to the Credentials Committee. Minor procedural errors, such as wrong-sized margins or fonts would receive a deduction of 0.25 to 2 points. 7. Language Errors - Reports with misspellings, clumsy syntax, or serious errors of grammar may lose from 0.25 to 3 points. 28 8. Major Errors - Up to 4 points per error could be deducted. Major errors are errors in assessment, or are diagnostic or therapeutic plans that were potentially or actually detrimental to the patient or public or that delayed or obscured the correct diagnosis or therapy. These include, but are not limited to: a. Failure to assess all clinical and laboratory problems if identified (eg, one problem pursued at the expense of all others). b. Failure to include a reasonable list of differentials with indications of why each was ruled in or out, or the use of an incomplete, incorrect, or inappropriate list of differential diagnoses. c. Diagnostic errors or incomplete diagnoses d. e. 1) Erroneous assessment of data such that an incorrect diagnosis was made. It is suggested that a definition and reference be given for any diagnosis that could be in doubt so that reviewers are clear as to the applicant’s thoughts. 2) Diagnosis not supported by data presented. 3) Failure to rule-out important differential diagnoses. Premature establishment of a definitive diagnosis. Omission of diagnostic tests that were necessary to confirm or substantiate the diagnosis. 4) Excessive, unnecessary or inappropriate tests performed. A diagnostic procedure that killed the patient. Risks of a diagnostic procedure are not outweighed by the potential benefits. Therapeutic errors 1) Therapy was inappropriate, delayed or withheld. 2) Therapy was detrimental to the patient. 3) Therapy instituted for one problem without regard for its potential deleterious effects on another problem. 4) Appropriate safety measures were not addressed. 5) Significant medical side effects associated with medication given were not addressed. No explanation of why the optimal diagnostic and/or therapeutic plan was not followed. 29 f. 9. 10. Problems/complications arising from diagnostic or therapeutic procedures or the progression of the disease were not anticipated when they were predictable. Minor Errors - From 0.25 to 1 point could be deducted. Minor errors are inadequacies that are noteworthy but not crucial to the total management of the patient. These include but are not limited to: a. Failure to assess all clinical and laboratory problems. (This could be a major error, depending on the significance of the problem that was overlooked.) b. Indiscriminate or premature ordering of tests. c. Failure to mention diagnostic or therapeutic procedures that would have been helpful that were not absolutely necessary (example: CT scan would have been helpful to assess the possibility of a brain tumor but was unavailable). d. Superficial or outdated understanding of pathophysiology. e. New or controversial diagnoses and/or therapies were not referenced. Each reviewer will record his/her evaluation on a standard form, indicating the number of points deducted and the reasons for the deductions. These forms will be retained by ACVB. The Chairperson of the Credentials Committee, through the ACVB Executive Director, will send a written summary of the important reasons for case report rejection to unsuccessful applicants. 30 AMERICAN COLLEGE OF VETERINARY BEHAVIORISTS EXAMPLE CASE REPORTS The following case reports were submitted to ACVB and passed the review process. They are presented here as examples. 31 xxx-xx-xxxx Case report #1 Noise Phobia in a Labrador Mix A 9-year-old MC Labrador Mix presented for running to and destructively chewing the front or back door and fence and sometimes escaping in response to fireworks and vocalizations made by the household bird. A treatment plan was implemented consisting of avoidance of his triggers, a command-response-reward program, systematic desensitization and counterconditioning, and the use of a selective serotonin reuptake inhibitor, fluoxetine, to decrease overall anxiety. After 9 weeks, at a fluoxetine dose of 0.75 mg/kg PO, once daily, the owner noted aggression toward familiar dogs and after 14 weeks of fluoxetine at the same dose the owner noted persistent sedation and aggression toward unfamiliar people. At a fluoxetine dose of 0.5 mg/kg PO, once daily, his aggression stopped and at a dose of 0.25 mg/kg PO, once daily, his sedation was resolved and his noise phobia reduced so this dose was maintained. 32 Presenting Complaint: Oni presented for panic attacks in response to loud noises. Signalment: Oni was a healthy 40 kg, 9-year-old MC Labrador Mix. History: Oni was acquired by the owner, Kat, from a friend 1 year prior to presentation. Roc, a male African Grey Parrot, also lived in the house. Kat ran a pet sitting business and Oni interacted regularly with other dogs of various signalments. Per the previous owner, when Oni was a puppy, children cornered and terrorized him with fireworks, causing him to become fearful of them. From initial acquisition when Oni heard noises, such as fireworks and Roc making smoke detector noises, his ears would perk up and he moved toward the noise with head lowered and tail either up or down. After several seconds, Oni would run to and destructively chew the front or back door. When he had a dog door, he would run outside, chew through the fence and escape. After escaping, he usually sat by Kat’s car, but sometimes wandered away. During the previous Fourth of July his body shook and he chewed through the carpet, chewed the door, and chewed a glass doorknob. Acepromazine (unknown dosage), a phenothiazine, was prescribed that night and, although sedated initially, he chewed the door again the next day, fracturing multiple teeth. When Roc was in his cage, the location of primary vocalization, Oni was tense and nervous and would stare at Roc. When Kat fed Oni, he looked back toward Roc. If Roc made a noise, Oni stopped eating and ran to the door as described above. Oni ate readily when Roc was asleep. Kat used a pheromone diffusera and stood in front of the door, which were both ineffective. Kat would tell Oni “leave it” and throw a chain in a bag at the door next to Oni, which caused him to stop him momentarily, but then his panic escalated. She put her hands over his ears and spoke softly, which calmed him down more quickly, but did not keep him calm. When Roc made loud noises he was put into another room, decreasing the frequency of the loud noises he made by 80-90% per evening. When Kat saw Oni become nervous and walk toward the door, she would throw a ball for Oni while encouraging Roc to sing. This minimally decreased his anxiety. Various trials of medications were tried in succession. Amitriptyline 75 mg (1.88 mg/kg), a tricyclic antidepressant (TCA), PO, twice daily initially seemed to decrease anxiety, but after 2 33 months no longer seemed to have an effect. Buspirone 15 mg (0.38 mg/kg), an azapirone, PO, twice daily for 1 month had no effect. Clorazepate 30 - 45mg (0.75 – 1.13 mg/kg), a benzodiazepine, PO, twice daily, was prescribed. A week after starting it he became aggressive toward unfamiliar dogs, and it was discontinued, ending his aggression. Oni was not taking any oral or topical medications and was fed a well-balanced diet at the time of presentation. Physical and Behavioral Examination: In the exam room Oni paced with ears back for 15 minutes and then laid down. When fireworks noises were played on a stereo Oni looked at it with ears up and began to pant. Later he responded to the beep of a pager by standing with ears back, panting, walking toward the door and pacing. Kat called him and, although he turned toward her, he continued to pace and did not respond to commands. On physical exam Oni had a body condition score of 6/9. All canine teeth and the fourth maxillary premolar teeth bilaterally were fractured. All other physical and neurologic examination findings were within normal limits. Diagnosis: Differential diagnoses for his panic reaction to noises included noise phobia, cognitive dysfunction, separation anxiety, attention-seeking behavior and medical causes. He was diagnosed with noise phobia based on his history of anxious behavior, destructiveness and self-trauma during loud noises and visualization during playback of sounds on the stereo.1 Cognitive dysfunction was ruled out given a lack of other clinical signs and the fact that this behavior had been occurring from a young age.2,3 Separation anxiety was considered due to it’s co-morbidity with noise phobia4, but ruled out since the behavior occurred in the presence of the owner.1 Oni’s behavior was not consistent an with attention-seeking as a primary etiology due to the severity of somatic responses and body postures consistent with anxiety.1,5,6 Other medical and neurological causes were considered less likely based on an unremarkable physical examination, but a complete blood count (CBC), serum biochemistry panel and urinalysis would be a first step to rule out underlying medical conditions. A higher index of suspicion for neurological disease would have prompted further diagnostics, such as MRI, to evaluate for underlying intra-cranial disease.7 Additionally Oni was diagnosed with multiple fractured teeth. 34 Treatment: Kat was instructed to avoid Oni’s noise triggers to prevent continued fearful reactions from Oni, and to facilitate controlled re-introduction of the noises.1 This included putting up a room dividing screen in order to block Roc’s cage, using cotton balls as ear plugs and playing music to cover up unavoidable noises. A command-response-reward program would create structure and predictability for Oni and teach him to look to Kat in difficult situations.8 Kat taught Oni an eye contact command, to help him focus on her, to be used with future systematic desensitization and counterconditioning (DS/CC) using low calorie palatable treats to prevent weight gain. DS/CC and pheromones have been shown to improve behaviors associated with fear of noises;9,10,11 however pheromones were not recommended as they were previously unsuccessful in reducing Oni’s anxiety. Systematic desensitization is defined as a decrease in an undesired response that is produced by gradual exposure to a stimulus that elicits the response.12 Counterconditioning is defined as establishing a new response to replace the previously negative response or undesirable behavior by teaching the animal to perform another behavior that competitively interferes with the execution of the undesirable behavior.12,13 Oni was fitted with a head collarb for better control during DS/CC.1 Anti-anxiety medication and a CBC, serum biochemistry panel and urinalysis were strongly suggested. Kat elected to pursue laboratory testing with her referring veterinarian, but was hesitant to use medications as Oni previously became aggressive while taking clorazepate. Kat was also instructed to follow-up with a veterinary dentist to address Oni’s fractured teeth. Follow up: At the five week recheck, Oni was becoming increasingly nervous around Roc. He would look behind a screen put in front of the bird cage and back away from his food in the morning while Roc’s sheet was still on the cage; however, he was less anxious overall, which Kat attributed to Roc making less noise. Oni reliably learned the eye contact command and wore his head collar comfortably. Kat was instructed to implement DS/CC by playing smoke detector and fireworks noises downloaded from a websitec at a low volume so that Oni was calm while she asked him for commands and rewarded him with special treats in successive fashion for responding. 35 Blood and urine samples were obtained for analysis. Results were unremarkable except for isosthenuria, leukopenia, and hypocalcemia. On urinalysis, isosthenuria of a single sample could be caused by drinking a large amount of water prior to obtaining the sample. Causes of persistent isosthenuria include early renal insufficiency, hyperadrenocorticism and psychogenic polydipsia. Diabetes mellitus, hypoadrenocorticism, hepatic failure, hypercalcemia, and hypokalemia were eliminated based on normal blood work findings.14,15 His CBC was normal except a mild leukopenia characterized by a mild lymphopenia, attributable to a stress leukogram.16 His serum biochemistry panel was unremarkable except mild hypocalcemia. The first step recommended was to recheck the serum total calcium and evaluate serum ionized calcium.17 Differentials for this patient included a spurious result and early renal insufficiency in light of his isosthenuria.17 Primary hypoparathyroidism and intestinal malabsorption were considered less likely due to Oni’s lack of other signs.17 It was recommended that the owner follow up with her referring veterinarian to monitor and evaluate Oni’s hypocalcemia and isosthenuria. A long term anti-anxiety medication such a selective serotonin reuptake inhibitor (SSRI) was strongly recommended which the owner initially declined, but was subsequently prescribed 8 weeks after initial presentation. SSRIs work by inhibiting the reuptake of serotonin, resulting in an increase in serotonergic neurotransmission.18 With prolonged use there is a down-regulation of serotonin receptors.18 SSRIs can be used in cases of specific anxieties and have less side effects than TCAs.18,19 Although Kat reported aggression while Oni was taking clorazepate, another benzodiazepine with a shorter duration of action, alprazolam 2-3 mg (0.05 – 0.075 mg/kg) PO as needed up to 3 times daily, was prescribed for acute relief of anxiety associated with unavoidable loud noises while behavior modification was instituted. The anxiety relief benzodiazepines provide can result in loss of inhibition leading to aggression, but this risk was likely lower as alprazolam has a shorter duration of action than clorazepate and it was only to be used on an asneeded instead of daily basis.20 Benzodiazepines have a rapid onset of action and work by facilitating GABA, an inhibitory neurotransmitter, in the central nervous system.20 Behaviors 36 associated with storm phobia have been shown to decrease significantly during treatment with alprazolam, clomipramine (a TCA) and behavior modification.21 Risk of side effects, including aggression and sedation, and extra label use was discussed.18,20 Hepatic and renal parameters were assessed prior to use and the unknown etiology of Oni’s isosthenruia was considered prompting a conservative initial doses of fluoxetine and alprazolam as they are excreted through the kidneys.18,20 Eight weeks after initial presentation Oni was started on fluoxetine, an SSRI, at 30 mg (0.75 mg/kg) PO, once daily. Ten weeks after initial presentation (2 weeks after starting fluoxetine), the owner reported sedation. The immediate actions of SSRIs lead to immediate side effects and desensitization of the receptors correlates with tolerance to side effects.19 Lowering the dose was discussed, but Kat decided to continue the dose to determine if the sedation would lessen. Thirteen weeks after presentation (5 weeks after starting fluoxetine), Oni ran to the door when the neighbors set off fireworks, but did not try to escape. He would go to the door in response to Roc’s vocalizations, but the owner could call and easily re-direct him by asking him for a command and rewarding him with a treat. Seventeen weeks after presentation, Oni continued to improve, and when he heard fireworks he looked at Kat before she even asked for a command. At that time Kat reported that Oni started to lunge and bare his teeth at familiar dogs in close proximity. Kat was advised to avoid this situation. Lowering the dose was discussed, but Kat decided to continue to see if the aggression would subside. Twenty-two weeks after initial presentation (14 weeks after starting fluoxetine), Oni started charging and barking at unfamiliar people. He was weaned off of fluoxetine over a month. At 20 mg (0.5 mg/kg) PO, once daily, Kat reported that his aggression towards familiar dogs and unfamiliar people had stopped. At 10 mg (0.25 mg/kg) PO, once daily, his sedation was resolved. Oni’s sedation seemed to be dose-dependent. His optimal dose is only a fraction of the published dose.18 It is possible that the low effective dose of fluoxetine used in this case, along with persistent side effects at published doses, was the result of impaired renal function altering medication excretion.18 After 4.5 months of therapy with fluoxetine he was completely weaned off, but his anxiety to Roc returned. 37 Seven months after initial presentation Oni was re-started and maintained on 10 mg (0.25 mg/kg) PO, once daily of fluoxetine which helped with his noise phobia yet left him alert and without aggression. Kat continued DS/CC. Eight months after initial presentation Oni would either bring Kat a ball when Roc vocalized or calmly go outside until he was quiet, with no signs of anxiety. Kat had never given alprazolam to Oni. After repeated recommendations Kat had not followed-up to treat the fractured teeth, or to investigate further causes of the hypocalcemia and isosthenuria. 38 Laboratory Data for Case #1, Oni Complete Blood Count Parameter WBC (THOUS./uL) Reference Range RanRange 5.7-16.3 Patient Value 5.1 RBC (MILLION/uL) 5.5-8.5 6.14 Hemoglobin (gm/dl) 12-18 14.8 Hematocrit (%) 37-55 43.5 MCV (fL) 60-77 71 MCH (pgm) 19.5-26 24.1 MCHC (g/dL) 32-36 34.0 Neutrophils (/ul) 3000-11500 3978 Lymphocytes (/ul) 1000-4800 714 Monocytes (/ul) 150-1350 204 Eosinophils (/ul) 100-1250 204 Basophils (/ul) 0-100 0 Platelets (THOUS./uL) 164-510 Decreased Comments Blood count and platelet evaluation affected by presence of clot in tube. Fibrin strands noted. 39 Serum Biochemistry Panel Parameter Reference Range Patient Value ALP (U/L) 10-150 128 ALT (U/L) 5-107 36 AST (U/L) 5-55 24 CK (U/L) 10-200 98 GGT (U/L) 0-14 7 Albumin (g/dL) 2.5-4.0 3.3 Total Protein (g/dL) 5.1-7.8 6.8 Globulin (g/dL) 2.1-4.5 3.5 Total Bilirubin 0.0-0.4 0.2 0.0-0.2 0.1 BUN (mg/dL) 7-27 14 Creatinine (mg/dL) 0.4-1.8 0.9 Cholesterol (mg/dL) 112-328 316 Glucose (mg/dL) 60-125 76 Calcium (mg/dL) 8.2-12.4 6.8 Phosphorus (mg/dL) 2.1-6.3 4.4 Albumin (g/dl) 0.0-2.0 0.1 TCO2 (mEq/L) 17-24 21 Chloride (mEq/L) 105-115 111 Potassium (mEq/L) 4.0-5.6 5.3 (mg/dL) Direct Bilirubin (mg/dL) 40 Sodium (mEq/L) 141-156 147 A/G Ratio 0.6-1.6 0.9 Indirect Bilirubin 0.1 0-0.3 (mEq/L) Urinalysis Parameter Patient Value Color Yellow Clarity Clear Specific Gravity 1.013 Glucose Negative Bilirubin Negative Ketones Negative Blood Negative pH 6.5 Protein Negative WBC None Seen RBC None Seen Bacteria (/HPF) None Seen Epithelial Cells 1+ (1-2) Mucous (/HPF) None Seen Casts None Seen Crystals None Seen Urobilinogen Normal 41 Footnotes a Comfort Zone® with D.A.P.®, Farnam Pet Products, Phoenix, AZ b Gentle Leader®, Premier Pet Products, LLC, Midlothian, VA c www.findsounds.com 42 References 1. Landsberg G, Hunthausen W, Ackerman L. Fears and phobias. Handbook of behavior problems of the dog and cat. 2nd ed. Philadelphia: Saunders, 2003;227-268. 2. Bain MJ, Hart BL, Cliff KD, et al. Predicting behavior changes associated with age-related cognitive impairment in dogs. J Am Vet Med Assoc 2001;218:1792-1795. 3. Neilson JC, Hart BL, Cliff KD, et al. Prevalence of behavioral changes associated with agerelated cognitive impairment in dogs. J Am Vet Med Assoc 2001;218:1787-1791. 4. Overall KL, Dunham AE, Frank D. Frequency of nonspecific clinical signs in dogs with separation anxiety, thunderstorm phobia, and noise phobia, alone or in combination. J Am Vet Med Assoc 2001;219:467-473. 5. Overall KL. Fears, anxieties, and stereotypies. Clinical behavioral medicine for small animals. St. Louis: Mosby, Inc., 1997;209-250. 6. Marks SL, Bain MJ, White M. Animal behavior case of the month. J Am Vet Med Assoc 2008;232:38-40. 7. Lorenz LD, Kornegay JN. Confirming a diagnosis. Handbook of Veterinary Neurology. 4th ed. St. Louis: Saunders, 2004;91-109. 8. Mills MS, Training and learning protocols. In: Horwitz DF and Mills DS eds. BSAVA Manual of Canine and Feline Behavioural Medicine. 2nd ed. Gloucester: British Small Animal Veterinary Association, 2009;49-64. 9. Levine ED, Mills DS. Long-term follow-up of the efficacy of a behavioral treatment programme for dogs with firework fears. Vet Rec 2008;162:657-659. 10. Sheppard G, Mills DS. Evaluation of dog-appeasing pheromone as a potential treatment for dogs fearful of fireworks. Vet Rec 2003;152:432-436. 43 11. Crowell-Davis SL, Landsberg GM. Pharmacology and pheromone therapy. In: Horwitz DF and Mills DS eds. BSAVA Manual of Canine and Feline Behavioural Medicine. 2nd ed. Gloucester: British Small Animal Veterinary Association, 2009;245-258. 12. Overall KL. Treatment of behavior problems. Clinical behavioral medicine for small animals. St. Louis: Mosby, Inc., 1997;277. 13. Beaver B. The veterinarian's encyclopedia of animal behavior. Ames, Iowa: Iowa State University Press, 1994;49-50. 14. Barsanto JA, Lees GE, Willard MD, et al. Urinary disorders. In: Willard MD, Tvedten H, eds. Small animal clinical diagnosis by laboratory methods. 4th ed. Philadelphia: Saunders, 2004;135-164. 15. Feldman EC. Polyuria and polydipsia. In: Ettinger SJ, Feldman EC, eds. Textbook of veterinary internal medicine. 7th ed. St. Louis: Saunders, 2010;156-159. 16. Raskin RE, Latimer KS, and Tvedten H, et al. Leukocyte disorders. In: Willard MD, Tvedten H, eds. Small animal clinical diagnosis by laboratory methods. 4th ed. Philadelphia: Saunders, 2004;135-164. 17. Feldman EC. Disorders of the parathyroid glands. In: Ettinger SJ, Feldman EC, eds. Textbook of veterinary internal medicine. 7th ed. St. Louis: Saunders, 2010;1722-1751. 18. Crowell-Davis SL, Murray T. Selective Serotonin Reuptake Inhibitors. Veterinary Psychopharmacology. 1st ed. Ames: Blackwell Publishing, 2006;80-110. 19. Stahl SM. Classical Antidepressants, Serotonin Selective and Noradrenergic Reuptake Inhibitors. Essential Psychopharmacology. 2nd ed. Cambridge: Cambridge University Press, 2008;199-243. 20. Crowell-Davis SL, Murray T. Benzodiazepines. Veterinary Psychopharmacology. 1st ed. Ames, Iowa: Blackwell Publishing, 2006;34-64. 44 21. Crowell-Davis SL, Seibert LM, Sung W, et al. Use of clomipramine, alprazolam and behavior modification for treatment of storm phobia in dogs. J Am Vet Med Assoc 2003;222:744-748. 45 yyy-yy-yyyy Case report #2 Hair pulling in a domestic shorthaired cat Summary: A 5 yr. old male domestic shorthaired cat was presented for persistent chewing and pulling of hair along the back and lumbar area. The problem had been present for approximately four months prior to presentation. Medical etiologies were explored and ruled out. The cat was treated with a combination of behavior modification and drug therapy. Follow-up at 1-2 weeks, one month, two months, three months and one year showed resolution of the problem behavior. 46 Signalment The patient was a 5 yr. old castrated male domestic shorthaired cat. Physical Findings It was noted that there was generalized thinning of the hair along the back. No skin lesions or parasites were found the rest of physical examination was unremarkable. Behavioral History The cat was presented to the behaviorist for persistent chewing and pulling of hair on the back and sides. The cat was gregarious and outgoing, investigating the exam room and initiating interaction with the behaviorist. The owner related that the cat was pulling and/or chewing off the hair on the back. The problem had been present 4-6 months. In the past two years the cat had experienced the following multiple changes in the home environment. The owner got married and the husband was allergic to the cat. Since that time the cat was no longer allowed to sleep on the bed or get on any of the furniture. He could only get on the owners lap when she initiated it, previously he could jump on her lap at any time. Prior to her marriage, the owner lived in a home with an additional cat who provided play opportunities for the patient. Recently, the owners had traveled several times leaving the cat alone. Each time they returned they would find hair on the floor. Due to an increase in weight, the cat had been placed on a calorie restricted diet. In addition to decreasing the amount of food, the type of food was changed from dry food to wet food. When eating dry food, the cat had a ritual of emptying the food dish, playing with the food and eating the dry food off of the floor. Hair pulling has been noted prior to feedings and when the owners were gone for long periods of time. The cat was extremely playful and would initiate play with the owners. Both of the owners work long hours and the woman recently began going to school and was gone even longer periods of time. When presented tothe behaviorist, the cat was on one-quarter of a 5 mg. diazepama tablet twice daily. Hair pulling had decreased with drug therapy but was not eliminated. 47 Medical History The owner had taken the cat to her medical veterinarian in late February of the same year for pruritic skin and hair loss in the lumbar area. No external parasites were noted. The veterinarian diagnosed atopy and treated the cat with an injection of Depomedrolb 20 mg. I.M. and oral prednisone 5 mg. twice daily. The owner returned to the veterinarian in one month, stating that the Depomedrol and oral prednisone helped, but now the cat was pulling out hair and vomiting hairballs. Examination revealed broken hair shafts, weight loss due to dietary restriction, no other abnormalities were noted. Depomedrol 20 mg. I.M. was administered and Laxatone was dispensed. The owner was instructed to feed the cat three times daily. Recheck two weeks later showed an improvement in the vomiting, but the hair pulling behavior still continued. Skin scrapings were negative for Cheyletiella, and hair was taken for a dermatophyte culture (neg.). Depomedrol 20 mg. I.M. was given and chloropheneramine 4 mg. was dispensed to be given 2-3 times daily. Elimination diet was suggested to the owner but not initiated. Telephone follow-up showed vomiting to be continuing, Reglanc was prescribed. Telephone follow-up later showed improvement in the vomiting, but continued hair pulling. Several months later the owner went to see a veterinary dermatologist for the hair loss. The dermatologist found non inflammatory alopecia, and impacted anal sacs. Differential diagnosis included anal sac disease, neurodermatitits, food allergy and occult Cheyletiella. The anal sacs were expressed and the cat put on 2.5 mg. diazepan b.i.d and referred to a veterinary behaviorist. Diagnosis Differential diagnosis included atopy, neurodermatitis, flea bite dermatitis, food allergy, barbering or overgrooming stereotypy or obsessive compulsive disorder or psychogenic alopecia. Medical and dermatologic work-ups are essential to rule out medical basis for the hair pulling behavior. No fleas were ever seen on examination, and the cat was rarely out doors. No skin lesions were visible on examination at behavioral evaluation. Although elimination diet was not 48 tried, the cat did not show evidence of pruritus. Telephone consultation with the veterinary dermatologist ascertained that he did not feel that food allergy was the problem. Skin scrapings and fungal cultures were negative for parasites. Both the board certified dermatologist and the regular veterinarian vigorously ruled out medical causes of hair pulling with the exception of elimination diet. A diagnosis of overgrooming stereotypy was made even though the cat did not engage in the behavior as a repetitive, constant pattern. Stereotypies often arise out of normal behaviors but are abnormal expressions of that behavior4 This disease is also referred to as overgrooming or barbering.5 Other sources group non medical feline grooming problems as Psychogenic Alopecias.6 .The behavior of this cat was consistent with this diagnosis. Stereotypies and psychogenic alopecia are often the result of conflict in the animal’s environment that result in stress. Over the past year the cat had experienced changes that probably resulted in stress or frustration. This cat had recently experienced a change in the owners work hours and additionally, this cat was placed on a restrictive diet. Concurrent with limitation of food intake, the type of food was changed. This cat had established a ritual for eating that it could not longer engage in with the dietary change. Over the past several years the cat was denied access to the furniture and the owner because of the husband’s allergies. This resulted in a changed interaction between owner and pet. The lack of long term response to corticosteroids also supports a diagnosis of psychogenic alopecia or stereotypic overgrooming. Treatment Treatment focused on identifying the stressful components in the environment and attempting to eliminate them. Also desirable was teaching the cat a competing response to previously stressful events. This cat enjoyed an eating routine that was not prohibited and was very playful. The owners were instructed to offer the cat 1/4 cup of dry food daily in addition to the wet food. The owners were to offer this in the morning to offset the hair pulling that occurred at that time. The owners were also instructed to increase the diversity of play objects in the 49 environment on a daily basis. All cat toys were to be stored in a basket in a closet. Recommended items included boxes, bags, toy mice, and a Feline Flyer®. The owners were instructed that each morning prior to leaving they were to take out 1-3 different toys and leave them for the cat. If time allowed, playtime should be arranged on a daily basis. Additionally, the owner was to try and establish a place on the couch where the cat could sit near her every evening. This could be accomplished with a towel that could be washed frequently because of the husband’s allergies. An additional elevated site could also be created for the cat. Drug therapy is an integral part of a treatment protocol for stereotypic or obsessive type behaviors. Although diazepam is not the first drug of choice, improvement had been seen on the drug, therefore it was continued at 1 mg. twice daily. The owner was instructed to have a chemical screen drawn prior to the prescription renewal and was informed of possible hepatotoxic reactions to diazepam. The owner was also informed of alternate drugs such as amitriptyline HCL or buspirone which often are more successful in this stereotypic behavior. Additional drugs used in this disorder include progestins and phenobarbitol.7 It was also stressed that adrug therapy was not advisable over the long term unless unavoidable, and that it would be best if environmental manipulation could help decrease the behavior. Additionally the owner was made aware that occasional relapses were possible when environmental circumstances changes. Lastly, it was requested that the owner keep daily records of any hair pulling, noting the amount of hair pulling and time of day it occurred. Follow-up Telephone follow-up one week later revealed improvement in behavior. The owner had decreased the diazepam to 1 mg. daily. She had also begun rotating the toys and adding new ones daily. The cat seemed happy, relaxed and enjoyed play time. There had been one episode of hair pulling prior to feeding, but once he got his food he stopped. He now had his own cushion to sit on which he utilized. He was approaching and interacting with them more than before. Followup at one month showed continued improvement with limited hair pulling. Drug therapy was still 50 being used. The owners were going to travel and were concerned with how the cat would react. It was decided to board the cat and continue the diazepam at the present dosage. A two month follow-up by telephone showed that the cat was ding well. The only hair pulling occurred in the morning as they were getting ready for work. The owners would then stop what they were doing and attend to the cat. The owners were instructed to ignore hair pulling so as not to reinforce the behavior and increase the occurrence. Follow-up 3 months showed that the cat would pull hair if they were otherwise engaged. The owners were warned that they may have been reinforcing the hair pulling with attention and to avoid interaction when the cat engaged in hair pulling. Diazepam was still being used at .5 mg daily. The owners wee advised on how to wean the can off of medication. A follow-up call a few months later revealed that removal of medication did not result in the return of hair pulling. Follow-up at one year showed that the cat rarely pulled hair out and had been off diazepam for 6 months with no reoccurrence of the hair pulling behavior. The owners still continue to rotate toys and feed dry food. The owner is expecting a baby in a few months and was given information on how to integrate the cat and the baby. a Valium, Roche Products Upjohn Company c Robins Company b U.A. Luescher, D.B. McKeown, J. Halip, “Stereotypic of Obsessive-C;ompulsive Disorders in Dogs and Cats,” Veterinary Clinics of North America: Small Animal Practice, Vol. 21, No. 2, March 1991 ed.: 401-413. 4 K. Overall, A. Beebe, “Protocol for Cats with Barbering, licking or overgrooming conditions,” VHAP Behavior Clinic Newsletter Summer 1994: Pages. 5 H.A. O’Dair, A.P. Foster, “Focal and Generalized Alopecia,” Veterinary Clinics of North America: Small Animal Practice, Vo.25, No. 4, July 1995 ed.: 858-861. 6 Beaver, B. V., “Animal Behavior Case of the month,” JAVMA Vol.203, No.5 (1993): Pages. 651-652. 7 51 AMERICAN COLLEGE OF VETERINARY BEHAVIORISTS APPLICATION INFORMATION SPECIALTY EXAMINATION PLEASE BE SURE THAT YOU READ THESE PAGES CAREFULLY!!! It is the responsibility of the APPLICANT to be sure that you have the most recent form of this application information packet. This form is for materials that are to be submitted by the first of March preceding the intended examination. There is a $50.00 Administrative Fee that must accompany the Application for Examination. There is also a $300.00 Examination Fee that must also be sent with the Application for Examination. If you have any questions, please send them IN WRITING to the ACVB Executive Director. Executive Director of the American College of Veterinary Behaviorists: Dr. Bonnie V. Beaver ACVB Executive Director Department of Small Animal Clinical Sciences College of Veterinary Medicine 4474 TAMU Texas A&M University College Station, Texas 77843-4474 Phone: (979) 845-2351 Fax: (979) 845-6978 E-mail: bbeaver@cvm.tamu.edu Correspondence, particularly that requiring Credential Committee assessment, must by sent sufficiently in advance of deadlines (at least six (6) weeks) to enable the committee to act upon it. You will receive a written reply to your inquiries. Any e-mail correspondence MUST be acknowledged to know that it was received. Applications for Examination of individuals who have had their training program qualifications approved by ACVB cannot be made earlier than October of the second year of a 2-year residency or in the third year of a 3-year residency. Individuals in nonconforming programs must have completed their programs prior to submitting an Application For Examination. No application will be considered until the applicant has three (3) case reports accepted. APPLICANTS for the examination must satisfy the Credentials Committee that the following items have been satisfactorily completed by including the materials listed below. It is the APPLICANT'S responsibility to see that the following six (6) items arrive no later than March first of the year they are intending 52 to sit the exam. Failure to have any of the following will result in rejection of the application. 1. One (1) electronic copy of 1) the applicant's diploma from a school or college accredited or approved by the American Veterinary Medical Association (AVMA), or 2) certificate of accreditation in veterinary medicine from the Educational Commission for Foreign Veterinary Graduates (ECFVG) of the AVMA, or 3) legal document of qualification to practice veterinary medicine in some state, province, territory, or possession of the United States, Canada, or other country. 2. One electronic copy of the completed Application for Examination by the American College of Veterinary Behaviorists form. One print copy of the Application form should accompany the Administrative fee. 3. Individuals in formal residency programs must submit one (1) electronic copy of the certificate of successful completion of the residency or a letter indicating successful completion of a conforming residency written by the director of the conforming program. If the individual is applying before the completion of their program, he/she should include a letter from the director of the program stating that the individual is making satisfactory progress and is expected to finish the program before October first of the year they are intending to first sit the exam. Evidence of completion of the residency is necessary before ACVB membership will be granted. 4. One electronic copy of at least one, first author scientific publication of original, data-based research on the subject of animal behavior in an acceptable refereed journal. (List of acceptable journals is included in this packet.) a. 5. If final acceptance of the article is pending, applicants must submit the following: 1) One electronic copy of the manuscript submitted 2) One electronic copy of proof that the manuscript has been submitted to and received for review by an appropriate journal by March first. 3) One electronic copy of proof of FINAL acceptance (manuscript requiring no further review) by the journal must be received on or before September first or application for examination will be rejected. One electronic copy of the Applicant Evaluation Form from each of three (3) different evaluators: 53 Completed Applicant Evaluation Forms must arrive from at least three (but not more than five) veterinarians who can assess the applicant's performance in the area of animal behavior. At least one (1) of these veterinarians must be an ACVB diplomate. ACVB must receive evaluation forms from at least three (3) individuals or the application for examination will not be accepted. Each evaluator must send one electronic copy of the completed evaluation form. It is the APPLICANT'S RESPONSIBILITY to see that these have been sent no later than March first. ACVB will not confirm arrival of the forms to the Applicants. The evaluator should e-mail the evaluation form directly to the ACVB Executive Director. A letter may be used in lieu of the form if all information requested on the form is described in the letter. Negative evaluations may result in rejection of the application. The ACVB reserves the right to solicit information from individuals other than those supplied by the applicant, but the applicant will be notified. 6. The appropriate fee of three hundred fifty dollars ($350.00) in United States funds must accompany the print copy of the Application For Examination. If, for any reason, the applicant is declared ineligible to take the examination, the examination fee of three hundred dollars ($300.00) will be refunded and fifty dollars ($50.00) will be retained for administrative costs. Re-applications must also be accompanied by three hundred fifty dollars ($350.00) in United States funds. A personal check is acceptable. 54 RESUBMISSION OF CREDENTIALS FOLLOWING REJECTION OF THE APPLICATION FOR EXAMINATION 1. If the Application For Examination was previously rejected, an entire, complete application packet must be resubmitted except as indicated by letter from the ACVB Executive Director and listed below. 2. Applicants passing Application for Examination materials but lacking final acceptance of a publication must submit: a. One electronic copy of the letter from the ACVB Executive Director stating that one publication was still needed to complete the application. b. One electronic copy of the final journal acceptance letter for the publication. c. One electronic copy of the final, accepted manuscript or published article. d. A check, in U.S. funds in the amount of three hundred dollars ($300.00) made payable to the American College of Veterinary Behaviorists. 55 SUBMISSION OF APPLICATION FOR EXAMINATION MATERIALS The print copy of the Application for Examination and the $350.00 fee should be shipped as far in advance of the application deadline of March first as possible. All of the above print and electronic materials must arrive no later than March first of the year the applicant is intending to sit the exam. Any material arriving after 5:00 PM CST, March first, will not be accepted. Any packet or part of a packet that is not present at that time will not be accepted. Including reference forms. Cash on delivery (C.O.D.) packages will not be accepted. Send all materials to: Dr. Dr. Bonnie V. Beaver ACVB Executive Director Department of Small Animal Clinical Sciences College of Veterinary Medicine 4474 TAMU Texas A&M University College Station, Texas 77843-4474 Phone: (979) 845-2351 Fax: (979) 845-6978 E-mail: bbeaver@cvm.tamu.edu Note: Additions or substitutions (or the like) to the application packet sent under separate cover will not be accepted. 56 EVALUATION PROCEDURE FOR APPLICATIONS FOR EXAMINATION 1. Each part of the Application For Examination will be evaluated as "acceptable" or "unacceptable". The reviewer will record his/her evaluation on a standard form that will be retained by ACVB. a. Each application will be reviewed by five (5) members of the Credentials Committee and will require a acceptable score by at least three (3) of the five (5) members. 2. All parts of the Application must all be satisfactory in order for the application to be accepted. If any part of the Application is not acceptable, the entire Application will be rejected. 3. Applicant Evaluation Forms are to be submitted by three (3) individuals, with each submitting one electronic copy of the Applicant Evaluation Form. These copies must be in the office of the ACVB Executive Director by March first for evaluation. If for any reason forms from three (3) evaluators are not present at that time, the credentials will be rejected. 4. a. Each letter of evaluation will be reviewed for source of evaluation, whether the applicant signed the confidentiality clause, and content of evaluation. An unsatisfactory evaluation is one wherein the letter fails to support the application. b. If two (2) out of the three (3) letters of evaluation are deemed unsatisfactory by two (2) members of the Credentials Committee, the application will be disqualified. If one (1) of the three (3) letters of evaluation is unsatisfactory, the Credentials Committee will review and discuss all the letters of evaluation. Personal contact with the individual who wrote the unsatisfactory letter of evaluation may be deemed necessary prior to accepting the application. One electronic copy of a published, scientific article or submitted manuscript must be included in the Application. Manuscripts must include a letter of receipt or letter of final acceptance from an approved journal. a. Each submission will be reviewed to be sure it has been submitted to an approved, refereed journal and that an appropriate letter is attached in the case of a manuscript. b. The content must be data-based, original research. c. The applicant must be the first author. d. Failure to meet one or more of the above criteria will result in the application being disqualified. 57 e. 5. A change in the journal in which the manuscript is published or in the core of the manuscript submitted may result in disqualification of the Application For Examination. The Credentials Committee, through the ACVB Executive Director, will notify the candidate of the acceptance or rejection of his/her credentials by July first following the March first deadline for submission of the application. It is the responsibility of the applicant to notify the ACVB Executive Director in writing of any address, e-mail address, or telephone number change. An applicant's failure to notify the above of a current address may cause misdirected mail and a significant delay in communicating results. 58 REQUIREMENTS FOR TAKING THE EXAMINATION after completing an acceptable application 1. The candidate should sit for the examination the first time it is given after notification of successful application. a. A candidate must successfully pass the entire examination process within eight (8) years of starting the examination process (submission of the application). An additional examination fee of three hundred dollars ($300.00) in United States funds will be charged each time the examination is taken. b. A candidate who does not pass the examination within eight (8) years of their first submission of the Application for Examination must submit supplemental materials to the ACVB to prove that their training remains current in the discipline of animal behavior. 2. If a candidate must delay taking the examination following notification of an acceptable application, the ACVB Executive Director must be notified. No portion of the prescribed fee(s) will be refunded. When this delayed candidate takes the examination for the first time, no additional fee will be assessed. The candidate must still pass the entire examination process within the time limit of eight (8) years from the time of the first application. After that time, the candidate must re-qualify their training experience and then submit a totally new Application for Examination, including new case reports. 3. The candidate who wishes to take the examination following a delay or to retake the examination must notify the ACVB Executive Director of such intent in writing and including all current contact information and selection of 3 of 5 species as required on the Application for Examination form. This notification and a check for the examination fee must arrive in the Executive Director's office no later than March first of the year in which the candidate wishes to sit for the examination. ACVB will not send reminders to people who may wish to resit the examination. 4. Any candidate who passes all but one section of the examination has the option to retake that one section, one time, at the next scheduled examination. a. If the candidate does not pass the repeated section at that time, the candidate will be required to retake the entire examination at the candidate’s next attempt. b. The fee to retake the one section will be the same as the fee to take the entire examination. 59 SCIENTIFIC PUBLICATIONS The applicant must have one (1), first author publication of original, data-based scientific research on the subject of animal behavior in an acceptable refereed journal. Proof of final acceptance by the journal will need to be provided in order for the application for examination to be accepted. A partial list of acceptable journals is listed below. ACCEPTABLE JOURNALS American Journal of Veterinary Research Animal Behavior Anthrozoos Applied Animal Behaviour Science Australian Veterinary Journal Behavioral Ecology and Sociobiology Behaviour British Veterinary Journal Canadian Journal of Veterinary Research Canadian Veterinary Journal Equine Veterinary Journal Ethology Institute for Laboratory Animal Research (ILAR) Journal Journal of the American Animal Hospital Association Journal of the American College of Veterinary Internal Medicine Journal of the American Veterinary Medical Association Journal of Animal Science Journal of Applied Animal Welfare Science Journal of Primatology Journal of Small Animal Practice Journal of Veterinary Behavior: Clinical Applications and Research Journal of Veterinary Pharmacology and Therapeutics Lab Animal Science Laboratory Animal (British) Preventive Veterinary Medicine Research in Veterinary Science Veterinary Record Veterinary Science Research Communications Veterinary Surgery Note: This list is not exhaustive and many other journals may be acceptable. If the applicant intends to submit their manuscript to a journal not on this list, it is STRONGLY recommended they contact ACVB’s Executive Director several months before the submission so the Credential’s Committee can determine if that specific journal is acceptable. Applicants are reminded that the topic of the publication should be relevant to the discipline of animal behavior. 60 The following articles/journals are not acceptable: Proceedings of ...(various meetings, specialties) Short communications (in various journals) Serial articles (Behavior Case of the Month, What's your diagnosis?) Letters to the Editor Lay Publications (such as Cat Fancy, Western Horseman) 61 American College of Veterinary Behaviorists RECOMMENDED READING LIST For Individuals Interested in Applied Veterinary Behavior The following books are organized topically, then alphabetically by author(s). SUGGESTED READING LIST FOR ACVB CANDIDATES The ACVB has developed the suggested reading list for individuals applying for membership, from the more general recommended reading list. Suggested readings are indicated by an asterisk (*). The intent of the more specific list is to help guide the candidate towards the more pertinent books that will assist them in preparing for the examination. The recommended list is not intended to suggest that the candidate should read every book on ethology or every book on learning theory, but rather is presented so as to demonstrate the breadth and scope of veterinary behavior. Neither list should be construed as a commitment regarding specific examination material. For the purposes of studying for the ACVB examination, it is suggested that an applicant review texts pertaining to general principles of behavior as well as species specific material, then use other books to fill in clinical information. Current texts in the fields of internal medicine, neurology (Lorenz or Chrisman et al), and neuroscience (Bear et al or Kandel et al) should also be reviewed, with emphasis on veterinary behavior. More timely material, available in periodicals listed below, should be consulted as well. Refer to the general reading list for additional references. (*Note: ACVB Exam Candidates, please see comments at the end of this document) Learning Theory, Cognition AUTHOR/EDITOR TITLE AND PUBLISHER WEBSITE Hauser M Wild Minds: What Animals Really Think, www.henryholt.com Reisberg D Cognition: Exploring the Science of the Mind (4th edition), ISBN:9780393198515 www.wwnorton.com Schwartz B, Robbins SJ Psychology of Learning and Behavior (5th edition), www.wwnorton.com Reznikova Z YEAR 2000 2005 2001 2007 Mazur J Animal Intelligence: from individual to social cognition, Cambridge University Press Learning and Behavior, 6th edition Wasserman EA, Zentall TR (eds) Comparative Cognition: Experimental Explorations of Animal Intelligence, www.oup.com/us 2006 62 * 2009 * Neurology/Neuroscience/ Physiology/Endocrinology AUTHOR/EDITOR TITLE AND PUBLISHER WEBSITE Bear MF, Connors B, Neuroscience—Exploring the Brain (3rd edition), Paradiso M, et al www.lww.com Carlson NR Physiology of Behavior (10th Edition); Allyn and Bacon Publishers Kandel ER, Schwartz JH, Principles of Neural Science, 4th edition Jessell TM Lorenz MD, Kornegay JN Handbook of Veterinary Neurology (4th edition), www.elsevier.com Chrisman CL, Mariani C, Platt S Nelson RJ Neurology for the Small Animal Practitioner Teton New Media An Introduction to Behavioral Endocrinology (3rd edition), www.sinauer.com Biology of Aggression; Oxford University Press, www.oup.com/us Nelson RJ Pharmacology AUTHOR/EDITOR Crowell-Davis SL, Murray T Dodman NH, Shuster L Sadock, Kaplan HI, Sadock BJ Schatzberg AF, Nemeroff CB Schwartz S Stahl SM Stahl SM YEAR 2006 * * 2009 * 2000, new edition pending 2004 2003 2005 * 2005 TITLE AND PUBLISHER WEBSITE Veterinary Psychopharmacology www.blackwellprofessional.com Psychopharmacology of Animal Behavior Disorders www.blackwellpublishing.com YEAR 2005 Pocket Handbook of Psychiatric Drug Treatment (4th edition), Williams & Wilkins, www.lww.com The American Psychiatric Publishing Textbook of Psychopharmacology (4th edition) American Psychiatric Press www.appi.org/ Psychoactive Herbs in Veterinary Medicine www.blackwellprofessional.com Stahl’s Essential Psychopharmacology: Neuroscientific Basis and Practical Applications (3rd Edition), Cambridge Univ. Press (also online edition), www.cambridge.org/us/medicine/stahl/ The Prescriber's Guide, 3rd edition http://www.cambridge.org/us/catalogue/ 2005 63 2009 * 1998 2009 2005 2009 2009 * Clinical Texts AUTHOR/EDITOR Beaver BV Beaver BV Hart BL, Hart LA, Bain MJ Horwitz D, Mills D, Heath S Horwitz D, Neilson J Landsberg GM, Hunthausen WL, Ackerman L Overall KL TITLE AND PUBLISHER WEBSITE Canine Behavior www.elsevier.com Feline Behavior (2nd edition) www.elsevier.com Canine and Feline Behavioral Therapy, Second Edition www.blackwellprofessional.com BSAVA Manual of Canine and Feline Behavioural Medicine, 2nd edition BSAVA, www.wiley.com Blackwell’s Five Minute Behavior Consult: Canine and Feline Behavior www.blackwellprofessional.com Handbook of Behavioural Problems of the Dog and Cat (2nd edition), www.elsevier.com YEAR 1999 Clinical Behavioral Medicine for Small Animals, Mosby, www.elsevier.com 1997 Domestic Species Specific Behavior AUTHOR/EDITOR TITLE AND PUBLISHER WEBSITE Appleby M, Mench J, Hughes B Albright JL, Arave CW Bradshaw JW Coppinger R, Coppinger L Broom DM, Fraser AF Houpt KA Keeling L, Gonyou H Lindsay SR McDonnell S McGreevy P Miklosi A Poultry Behaviour and Welfare, www.cabi-publishing.org The Behaviour of Cattle, www.cabi-publishing.org The Behaviour of the Domestic Cat, www.cabi-publishing.org Dogs: a Startling New Understanding of Canine Origin, Behavior and Evolution, Scribner, www.simonsays.com Domestic Animal Behaviour and Welfare (4th Edition), Oxford University Press, www.oup.com Domestic Animal Behavior for Veterinarians and Animal Scientists (4th Edition) www.iowastatepress.com Social Behaviour in Farm Animals www.cabi-publishing.org Applied Dog Behavior and Training; Iowa State University Press, Volumes 1-3, www.iowastatepress.com The Equid Ethogram, a Practical Field Guide to Horse Behavior, www.eclipsepress.com Equine Behavior: A Guide for Veterinarians and Equine Scientists www.elsevier.com Dog Behavior, Evolution, and Cognition Oxford Press 64 * 2003 2006 2009 2007 2003 YEAR * 2004 1997 1992 2001 2007 * 2004 * 2002 20002003 2003 * 2004 * 2007 * Phillips C Price EO Price EO Scott FP, Fuller JL Serpell J Turner DC, Bateson P (eds) Waring, George Cattle Behaviour & Welfare (2nd edition); www.iowastatepress.com Principles and Applications of Domestic Animal Behavior Animal Domestication and Behavior, www.cabi-publishing.org Genetics and the Social Behavior of the Dog www.press.uchicago.edu The Domestic Dog: its Evolution, Behaviour, and Interactions with People; www.cambridge.org/us The Domestic Cat: the Biology of Its Behaviour (2nd Edition); www.cambridge.org/us Horse Behavior (2nd edition), Noyes Publications Lab/Zoo Animals/Exotic/Wild Animals AUTHOR/EDITOR TITLE AND PUBLISHER WEBSITE Estes RD The Behavior Guide to African Mammals, Including Hoofed Mammals, Carnivores, Primates, U. of California Press, www.ucpress.edu Hosey G, Melfi V, and Zoo Animals: behaviour, management, and welfare Pankhurst S Oxford University Press Kleiman DG, Wild Mammals in Captivity: Principles and Allen ME Techniques, www.press.uchicago.edu Thompson KV, et al (eds) Luescher AU (ed) Manual of Parrot Behavior www.blackwellprofessional.com Quesenberry K, Ferrets, Rabbits and Rodents: Clinical Medicine and Carpenter JW Surgery, WB Saunders, www.elsevier.com Sheldon JW Wild Dogs: The Natural History of the Nondomestic Canidae; www.blackburnpress.com Tynes V (ed) Behavior of Exotic Pets Blackwell Wolfensohn S, Honess P Handbook of Primate Husbandry and Welfare Ethology/Genetics AUTHOR/EDITOR Alcock J Grandin T Wilson EO TITLE AND PUBLISHER WEBSITE Animal Behavior: An Evolutionary Approach (9th ed.); www.sinauer.com E-Book available: (www.coursesmart.com/9780878932252), Genetics and the Behavior of Domestic Animals, Academic Press; www.elsevier.com Sociobiology: The New Synthesis (25th anniversary edition); www.hup.harvard.edu 65 2002 2008 * 2002 1998 (Reprint of 1965) 1996 * 2000 * 2003 YEAR 1991 * * 2009 1995 (2010) 2006 * 2003? 2004 (reprint of 1992) 2010 * 2005 YEAR 2009 * * 1998 2000 (1975 reprint) * Quantification of Behavior AUTHOR/EDITOR TITLE AND PUBLISHER WEBSITE Lehner PN The Handbook of Ethological Methods (2nd edition), www.cambridge.org Martin P, Bateson P Measuring Behaviour: An Introductory Guide (3rd edition); www.cambridge.org Dawkins MS Observing Animal Behaviour : Design and Analysis of Quantitative Data YEAR 1998 * 2007 * 2007 * TITLE AND PUBLISHER WEBSITE Animal Welfare, www.cabi-publishing.org YEAR 1997 * Domestic Animal Behavior and Welfare (4th Edition), Oxford University Press www.oup.com Understanding Animal Welfare: The Science in its Cultural Context Universities Federation for Animal Welfare (UFAW) Publication www.wiley.com/wiley-blackwell Improving Animal Welfare: A Practical Approach Wallingford CABI Publishing The Welfare of Laboratory Animals Springer Stereotypic Animal Behavior: Fundamentals and Applications to Welfare The Sciences of Animal Welfare 2007 * The Biology of Animal Stress: Basic Principles and Implications for Animal Welfare www.cabi-publishing.org Comfortable Quarters for Laboratory Animals (8th edition); Animal Welfare Institute, www.awionline.org Taking Better Care of Monkeys and Apes Animal Welfare Institute (www.awionline.org) The Welfare of Cats Springer The Welfare of Cattle, Springer 2000 * 2002 * 2008 * Environmental enrichment for captive animals 2003 Shelter Medicine— 2004 2010? . Animal Welfare AUTHOR/EDITOR Appleby MC, Hughes BO, Elson Broom DM, Fraser AF Fraser D Grandin T Kaliste E Mason G, Rushen J (eds) Mellor D, PattersonKane E, Stafford KJ Moberg G, Mench JA Reinhardt V Reinhardt V Rochlitz I Rushen J, de Passille AM, von Keyserlingk AG, Weary DM Young RJ Miller L, Zawistowski S, Editors Blackwell Publishing 66 2008 2009 2004 2006 * 2009 2005 2008 Other Suggested Readings Applicants are expected to be familiar with the classic and current behavior literature from various journal sources. Journals listed below are particularly significant. Papers relevant to clinical case management should be emphasized. The list should not be considered all-inclusive. Animal Behaviour Animal Welfare Anthrozoos Applied Animal Behaviour Science Journal of the American Animal Hospital Association Journal of the American Veterinary Medical Association Journal of Applied Animal Welfare Science Journal of Comparative Psychology Journal of Ethology Journal of Veterinary Behavior: Clinical Applications and Research Laboratory Animal Science Proceedings of the International Veterinary Behavior Meetings Proceedings of the Annual Conference of the Association of Avian Veterinarians Veterinary Clinics of North America (recent behavior editions) Zoo Biology Revised 05-01-2011 67 AMERICAN COLLEGE OF VETERINARY BEHAVIORISTS Appeal Procedure Section 1 a) b) ARTICLE X Appeal Procedure Procedure for Appeal of Adverse Decision Adverse decisions by the American College of Veterinary Behaviorists may include, but are not limited to: l) Denial of certification of an individual. 2) Denial of adequacy of credentials. 3) Denial of a proposed residency program. 4) Suspension of certification. 5) Failure of the examination. In the event of an adverse decision by the College, the College shall advise the affected person or the mentor of the affected residency program of the procedure for appealing the adverse decision. An affected party desiring to appeal the adverse decision must adhere to the following procedure: l) Grounds for Reconsideration or Review: The affected party may petition for reconsideration or review of the College's decision on the grounds that the College has ruled erroneously by: (a) Disregarding the established College criteria for certification or approval. (b) Failing to follow its stated procedures. (c) Failing to consider relevant evidence and documentation presented. 2) Petition for Reconsideration (a) An affected party may petition the College to reconsider its decision by filing with the College a written petition for reconsideration which shall include a statement of the grounds for reconsideration and documentation, if any, in support of the petition. (b) Such petition must be received in the College Executive Director's office within 90 days of the date they announce the adverse decision. (c) The President shall name an Appeals Panel of three (3) diplomates to review the petition. The Panel may review only written materials, meet by telephone conference or electronically, or at the discretion of the Chair of the Appeals Panel may call a special meeting to hear arguments from both sides of the issue. Travel for the affected party will be at other than ACVB expense. (d) The Appeals Panel will meet in executive session to reach a final decision. This decision will be transmitted to the Board of Regents for information. The decision will then be 68 (e) (f) delivered in writing by certified mail to the affected person or college not more than 30 days after it is made. Upon completion of steps i) through iv) above, if the affected party is not satisfied with the final decision, he or she may request mediation by the American Board on Veterinary Specialties (ABVS) of the American Veterinary Medical Association. The Chairperson of ABVS will call a meeting of the parties in dispute or their representatives. The meeting will be held at AVMA headquarters and will be chaired by the Chairperson of ABVS. The parties in dispute will be guided to seek equitable solutions. Travel for the parties in dispute will be at other than AVMA expense. 69 AMERICAN COLLEGE OF VETERINARY BEHAVIORISTS FEE STRUCTURE 1. Individuals are encouraged to check the website for updated versions of the Applicant’s Packet. 2. Registration with ACVB for individuals who have been accepted into a conforming residency program or who are intending to begin a nonconforming training program shall be $100.00 (United States funds). 3. Application to ACVB by those in nonconforming training programs for consideration of the applicant's specific program is included with the registration fee of $100.00 (United States funds). a. Additional applications, following the first rejection, shall be $75.00 (United States funds). b. There shall be no refund for rejection of any application or for discontinuation of the conforming or nonconforming program. c. Reactivation of a program must be accompanied by a $75.00 (United States funds) reactivation fee. d. A print version of a successful nonconforming training program is available upon request for a fee of $50.00 (United States funds). 4. Candidates submitting case reports for review must include a case report evaluation fee of $200.00 (United States funds) at the time of submission of the first case report. This fee covers the evaluation of all case reports. 5. Application to sit the ACVB certifying examination shall be $50.00 (United States funds). 6. a. This fee is an administrative fee for consideration of the Application For Examination and must be included with the application. b. There will be no refund for candidates who do not pass the application process. c. Payment of this fee may be combined with the examination fee listed below. Examination fee shall be $300.00 (United States funds). 70 a. This fee is due on or before March 1 of the year the candidate is intending to sit the examination. b. The fee will be refunded if the applicant does not pass the Application for Examination process, including the final acceptance of a scientific publication. c. There shall be no refund for withdrawal from the application for examination process or failure to pass the examination. b. There shall be no refund for candidates who are physically unable to be present for the examination. Under certain instances described under the examination application section, the fee can be applied toward the next examination. 4. Candidates who successfully pass the ACVB certifying examination and are accepted for ACVB membership will be given the option of paying a $300.00 initiation fee or they may pay $100.00 dues and submit 25 questions of specified format within two (2) months. 5. Annual dues for ACVB diplomates shall be $300.00 (United States funds), payable August 1 each year. 71 AMERICAN COLLEGE OF VETERINARY BEHAVIORISTS BY-LAWS RELATING TO TRAINING Section 1 a) b) c) d) e) f) Section 2 a) b) c) d) e) ARTICLE V Certification Requirements for Admission to Examination for Certification A candidate must (a) be a graduate of a school or college accredited or approved by the American Veterinary Medical Association (AVMA), or (b) have in his/her possession a certificate of accreditation in veterinary medicine from the Educational Commission for Foreign Veterinary Graduates (ECFVG) of the AVMA, or (c) be legally qualified to practice veterinary medicine in some state, province, territory, or possession of the United States, Canada, or other country. A candidate must meet the examination requirements established by the ACVB. Individuals wanting to sit the examination shall procure, by written request to the Executive Director, a copy of the official application form and the prerequisites for taking the specialty examination. A candidate cannot submit credentials for certification earlier than October of the second year of a 2-year residency or in the third year of a 3-year residency. The Credentials Committee shall review the suitability of the candidate's credentials. Completed application forms, supporting documents, and application fee shall be submitted to the Executive Director on or before February first of the year in which the applicant intends to sit the examination. Candidates approved by the Credentials Committee to sit the examination shall be notified and appraised of the date, time, place, and format of the examination at least 120 calendar days before the date of the examination. Certificating Examination The Certificating Examination will be offered once annually. The examination will be given over two consecutive days. It will be a written examination including both short and long answers which cover the basics of behavioral principles, basics of the behavior of various species, and the clinical application of behaviors in various species. A minimum score as defined by the Examination Committee and approved by the Board of Regents must be achieved on the examination in order to pass. All candidates will receive written notification of their performance on the examination within 45 calendar days of the examination, and all notices will be sent at the same time. Credentials of candidates who pass the examination will be forwarded to the President by the Chairperson of the Examining Committee. 72 f) g) The candidate must pass the examination for certification. If the candidate fails the examination, he/she may pay the appropriate fee and retake the examination. Individuals who do not pass the examination within 8 years of their first submission of the Application for Examination must submit supplemental materials to the ACVB to prove that their training remains current in the discipline of animal behavior. After passing the examination, the candidate must submit a copy of his/her residency certificate or a letter from the supervising diplomate stating that the candidate has satisfactorily completed the training program. ARTICLE VI Residency Programs Section 1 Guidelines for Conforming Behavioral Residency Programs The residency program shall be a minimum of 24 months in length following at least one year of training (internship or its equivalent) in veterinary practice. Conforming programs lasting two years will only be approved for residents with sufficient previous education in animal behavior. Determination of whether an individual is qualified for a two year residency program is to be made by the mentor, based on guidelines developed by the ACVB Specialty Training Committee. The program should be at a veterinary medical facility with a strong faculty in a variety of disciplines and specialties and a program of animal behavior recognized by the College. Behavior training must be directly supervised for at least 18 months by at least one ACVB certified diplomate. Existing recognized conforming behavioral residency training programs will be periodically reevaluated by the ACVB Specialty Training Committee. Programs should be reevaluated after 10 years from the last evaluation, if the program director believes the program has substantially changed from the original proposal, or when a new program director is named. A standard residency is designed to educate the resident primarily in veterinary behavioral science and also in the related disciplines of anatomy, clinical pathology, ethology, internal medicine, neurology, neuroscience, neurosurgery, pathology, pharmacology, physiology, and psychology. The emphasis should be divided with approximately 50% in behavioral sciences, 25% in related basic science, and 25% in related clinical science. If a M.S. or Ph.D. program is included, the residency training program must be at least three years in length with at least 50% of time devoted to clinical training. The following provide specific emphases of the residency program. a) Broad Background The residency should provide intensive training in behavioral therapy including major responsibility for the care of patients. The candidate should acquire a broad working knowledge of anatomy, pathology of all body systems, physiology, internal medicine, an in depth knowledge of the nervous system, and 73 physiological determinants of behavior. While clinical training will, in most cases, emphasize domestic and laboratory animals, experience with other species should be encouraged. b) Case Load Although the number of cases seen may vary among programs, emphasis should be on quality rather than quantity. A sufficient case load must be available to provide experience with all types of problem and abnormal behavior in as many different species as possible. The resident should have primary responsibility for cases, including receiving, diagnosis, management, client communication, and case follow-up. The resident should be encouraged to provide consultation on behavioral problems faced by members of other services and clinicians of the hospital. Patient care and case work-up should constitute 65-75% of the resident's time. Behavior cases under the care of a behavior resident must be reviewed regularly by an ACVB Diplomate. Consultation with other qualified faculty should be encouraged, but cannot replace regular review by the Diplomate. c) Attendance at Seminars; Teaching Experience In-depth knowledge of a specialty cannot be gained by patient care alone. Comprehensive knowledge of the field should be gained by regular attendance and participation in seminars, rounds, and case conferences, and by attendance at one or more national meetings of relevant professional societies. Experience in teaching the specialty, by conducting clinical specialty rounds, presentation of patients to colleagues in seminars, and preparation of lectures should be encouraged. Sufficient time free from clinical responsibilities should be available to the resident for attending seminars, developing research, course work, and self-study. Guidance and evaluation of these activities should come from an ACVB Diplomate. d) Course Work Formal course work, although not an absolute requirement, is highly desirable. Courses should include college upper division graduate level offerings in animal behavior (zoology or psychology departments), comparative psychology, developmental psychology, physiological psychology, neuroscience, learning theory, behavior modification, psychopharmacology, and client counseling. An organized self-study program should be developed by the resident, in consultation with the supervising Diplomate. A comprehensive reading list should be provided by the supervising Diplomate to the resident at the start of the program including standard texts in general animal behavior, behavioral therapy, and behavior of domestic animals. Important current and past empirical, clinical, and review papers should be recommended. e) Research Experience in research, either clinical or laboratory, is valuable in fostering habits of scholarship and critical thinking. Development of a suitable research 74 project, including design, execution, evaluation, and publication is essential. Publication or proof of acceptance of at least one scientific paper in the area of animal behavior to a refereed journal is required for acceptance of credentials. Single case reports will not be allowed as substitutes for a scientific paper, but their publication should be encouraged. f) Inquiries and Submission of Credentials All inquiries and requests for registration forms, lists of conforming residencies, and specialty credentials packets should be made through the Executive Director of the ACVB. Completed credentials packages (fees, case reports, letters of reference, etc.) should be mailed directly to the ACVB Executive Director. Section 2 Guidelines for Nonconforming Behavioral Training Program The review and evaluation of individual nonconforming training programs are the responsibility of the Specialty Training Committee of the College. The candidate must request evaluation of his or her program and obtain written evaluation from the Specialty Training Committee. Proposed programs must include clinical specialty practice with active and regular utilization of behavioral techniques. This evaluation should occur as soon as possible in the training program. An eligible candidate must satisfy the training and experience requirements by one of the following methods: a) Participate in a mentored training program that includes the similar experiences to those expected in a conforming program. These experiences include an internship or equivalent experience, sufficient clinical behavior training in a mentoring relationship with an ACVB diplomate, as well as other areas of emphasis as described under conforming behavioral residency programs. The candidate must submit, with the application, a written statement containing all information necessary and required to judge his/her qualifications including letters of evaluation by ACVB Diplomates, publications, and other evidence of professional experience, training and competence. The requirements and recommendations listed in Section 1 a)-e) under Guidelines for Conforming Residency Programs apply equally as well to nonconforming programs, including exposure to other subjects as outlined in Section 1, attendance at professional meetings, and acceptance of a scientific behavior paper by a refereed journal. 75 AMERICAN COLLEGE OF VETERINARY BEHAVIORISTS REGISTRATION FOR INDIVIDUALS BEGINNING TRAINING Name: Address: City, State, Zip: Office Phone: Office Fax: E-mail Address: From the following three options, complete the line that describes how you intend to become qualified by training: 1. Conforming Residency Program: currently enrolled in which program_____________ (Letter from the supervising ACVB Diplomate should be attached.) 2. Nonconforming Training Program: ACVB mentor is___________________________ (Letter from the mentoring ACVB Diplomate should be attached.) Attached to this registration form, please include the fee of $100.00 (United States funds). This fee will include evaluation of the first submission of the description of a training program which is not a conforming residency. Unsuccessful nonconforming programs will require additional fees when resubmitted. Return the completed form and letter from the supervising or mentoring Diplomate electronically, and mail the application fee to: Dr. Bonnie V. Beaver Executive Director, ACVB Department of Small Animal Clinical Sciences College of Veterinary Medicine 4474 TAMU Texas A&M University College Station, Texas 77843-4474 bbeaver@cvm.tamu.edu 76 APPLICATION FOR EXAMINATION AMERICAN COLLEGE OF VETERINARY BEHAVIORISTS I HEREBY APPLY to the American College of Veterinary Behaviorists for the examination in accordance with its rules and herewith enclose the application fee. I also hereby agree that prior to or subsequent to my examination, the Board of Regents may investigate my standing as a veterinarian, including my reputation for complying with the standards of ethics of the profession. I agree that no fee paid by me shall be refundable to me except if and as may be expressly provided by the ACVB Constitution, By-Laws, or policy. I further covenant and agree 1) to indemnify and hold harmless the American College of Veterinary Behaviorists and each and all of its members, trustees, officers, examiners, and agents from and against any liability whatsoever in respect of any act or omission in connection with this application, such examination, the grades upon such examination and/or the granting or issuance of or failure to grant or issue a Certification to me, and 2) that any Certificate, which may be granted and issued to me shall be and remain the property of the American College of Veterinary Behaviorists. In support of this application, I make the statements hereinafter set forth each of which I warrant is true and correct. ________________________________________________________________ (Signature) (Date) Please type your application. Each item in the application must bear at least one entry. If "none" is applicable, so state. The College stresses the importance of careful completion of your application. Incompleteness will result in disqualifications. 1. Name_______________________________________________________ (Last) (First) (Middle) 2. Office Address ________________________________________________ ______________________________________________________________ ______________________________________________________________ 3. Home Address _________________________________________________ ______________________________________________________________ 4. Office Telephone ________________ Home Telephone ________________ Fax ___________________________ E-mail ________________________ 5. College and Year of Veterinary Graduation ___________________________ 77 6. Current AVMA membership number ________________________________ If the primary country of employment is not the United States, are you a current member of your country's national veterinary association? _____________________________________________________________ 7. If your Application is accepted, one section of the examination will ask questions about specific species. Please identify three (3) choices for the species you would like to be questioned about. ______Cats ______Dogs ______Horses ______Food Animals ______Laboratory Animals 8. List all publications (including those accepted for publication) that relate to the Specialty of Veterinary Behavior and in which you were first author. Provide one electronic copy of each of those publications. Other publications in which you were not first author should be listed separately. 9. List four (4) veterinarians and/or other specialists with whom you maintain communication for the purpose of consultation in developing your expertise. Indicate the nature of the consultation, such as regarding diagnosis or patient care, or research 10. Please list the names and addresses of three (3) professional colleagues who will provide evaluations on your behalf. At least one evaluator must be board certified by the ACVB. (Forms are included. Applicant Evaluation Forms should be sent electronically from the evaluator directly to the Executive Director of the American College of Veterinary Behaviorists.) 78 AMERICAN COLLEGE OF VETERINARY BEHAVIORISTS APPLICANT EVALUATION FORM Person being evaluated _________________________________________________ Person doing the evaluation _______________________________________________ RECEIPT OF THE APPLICANT EVALUATION FORMS The Applicant Evaluation Forms should be submitted by the individual evaluators at the time the candidate makes application to sit for the examination and are considered to be a part of the application. Please return an electronic version of the completed Applicant Evaluation Form. These copies must be in the office of the ACVB Executive Director by March first. If for any reason the completed forms are not returned by that time, the entire Application for Examination will be rejected. Dr. Bonnie V. Beaver ACVB Executive Director Department of Small Animal Clinical Sciences College of Veterinary Medicine 4474 TAMU Texas A&M University College Station, Texas 77843-4474 Phone: (979) 845-2351 Fax: (979) 845-6978 E-mail: bbeaver@cvm.tamu.edu The applicant is to complete the following section before providing it to the evaluator: I, ______________________________________, understand that the comments which will be provided by _____________________________________ shall become the property of the American College of Veterinary Behaviorists and shall remain confidential between ACVB and the evaluator. This information will only be used by ACVB as part of the process to determine whether the applicant meets the requirements of the organization to sit the certifying examination. I understand the above confidentially clause and will abide by it. Signature _____________________________________________________________ Date _____________________________ 79 AMERICAN COLLEGE OF VETERINARY BEHAVIORISTS APPLICANT EVALUATION FORM Person being evaluated _________________________________________________ Person doing the evaluation ______________________________________________ Please complete those items you can and feel free to make additional remarks or observations in item 14. 1. State the nature of your practice. 2. Are you a diplomate of ACVB or other AVMA recognized specialty? Please name them. 3. During what time period and in what capacity did you supervise the clinical activities of the applicant? If not applicable, write "None" and go on to question 5. 4. How closely did you supervise the applicant? (eg, seldom, daily, on each case, on morning ward rounds, when requested) 5. During what time period and in what capacity did you observe the applicant's professional and educational development? 6. In terms of primary patient care responsibility, how many patients were under the exclusive care of the candidate during the period of your supervision/observation? If you worked with the applicant only on specific cases, state the general types of cases and numbers of patients per week that were involved. 80 For the following questions 7, 8 and 9, please use the following evaluation score: EX = Excellent VG = Very Good Sat = Satisfactory NI = Needs Improvement UnS = Unsatisfactory Unk = Unknown NA = Not Applicable 7. Professional ability EX VG Sat Theoretical knowledge Application of knowledge Diagnostic skills Surgical skills Patient care Thoroughness Comments 81 NI UnS Unk NA 8. Hospital service EX VG Sat Completion of duties Quality of work Client communication Communication with referring veterinarians Referral letters and record keeping Acceptance of responsibilities Comments: 82 NI UnS Unk NA 9. Individual characteristics EX VG Sat Applicant-clinician communication Applicant-student communication Applicant-staff communication Independent study & initiative Awareness of current literature Contribution to student education Performance under stress Reliability Motivation Attendance at seminars/rounds/meetings Presentation at seminars/rounds/meetings Ability to make independent decisions Comments: 83 NI UnS Unk NA 10. Cite problems in behavior on which you would consult the applicant. 11. What type of patient would you refer to the applicant? 12. Briefly discuss attitudes/skills/attributes that the applicant possesses, which are not specifically covered above. 13. Briefly describe any characteristics of professional performance or attitudes toward people or animal patients that would detract from the applicant's performance as a Diplomate of the American College of Veterinary Behaviorists. 14. Describe other observations you have noted about the applicant or provide additional information you feel important to properly assess the applicant. Signed Date ___________ Address _________________________________________________________ ________________________________________________________________ An electronic version of this form must be received in the ACVB Executive Director's office no later than March first. Please return to: Dr. Bonnie V. Beaver Executive Director, American College of Veterinary Behaviorists bbeaver@cvm.tamu.edu 84