AVMA core competence 1: Comprehensive patient diagnosis

advertisement
AVMA core competence 1: Comprehensive patient diagnosis (problem
solving skills), appropriate use of clinical laboratory testing, and record
management.
Intended overall MSc-program outcomes supporting Competence 1
Explain the cause, diagnosis, prevention of and treatment of common medical and surgical diseases in domestic
animals, as well as malignant contagious diseases and zoonoses, including the relationship between etiology and
pathological changes.
Account for practice appropriate clinical pathological analyses and their application in clinical work.
Perform clinical examination and pregnancy diagnostics on common domestic mammals, including necropsies
and assessment of overall necropsy findings.
Diagnose, treat and prevent disease in animals – at individual and herd level, including common infectious
diseases in Europe and obstetric conditions.
Apply clinical, clinical pathological and paraclinical methods, principles, analyses and terms in diagnosis,
treatment, monitoring and prevention of medical, surgical, reproductive and obstetric disorders, as well as
notifiable diseases and zoonoses, on domestic animals under normal Danish conditions for clinical and practical
work.
Formative
assessment
(participation
MSc core
and/or portfolios,
courses
Sum
observation of
supporting
mapractical skills,
Intended course outcomes
competence
tive
presentations etc.)
1
exam
Active
Approva
course
l
participation
SVEK 13005
Explain common medical, surgical and reproductive diseases
X
Medicine,
in dogs and cats with regards to the incidence, etiology,
surgery &
pathogenesis, diagnosis, treatment and prognosis.
reproduction Explain the optimal work up and treatment plans for selected
X
, Companion
clinical presentations.
Animals
Explain the nomenclature of diseases, clinical findings and
X
work up and treatment procedures.
Explain the basic elements concerning workup of selected
x
medical, surgical and reproductive diseases in dogs and cats.
Write a POMR (problem-oriented medical record) based on a
x
x
x
history and the clinical examination.
Design a meaningful diagnostic and treatment plan for a
x
patient with a medical, surgical and or reproductive problem.
SVEK 13004
Explain/describe the most common medical, surgical and
x
Medicine,
reproductive diseases of the large animals in the EU with
surgery &
regard to incidence, etiology, pathogenesis, diagnosis,
reproduction therapy and prognosis.
, Large
Explain the optimal workup and treatment plans for selected
x
Animals
diseases.
Record an accurate and relevant medical history of the
individual animal or herd and its surroundings, and prepare
clinical records in a form that is comprehensible to colleagues
and laymen.
Explain the nomenclature of diseases, clinical findings as well
as workup and treatment procedures.
Explain the nomenclature of diseases, clinical findings as well
as workup and treatment procedures.
(Samme læringsmål gentages x2)
Explain the basic elements concerning workup of selected
medical, surgical and reproductive diseases of the large
animals,
x
x
x
x
x
x
x
x
SVEK13008
General
clinical
practice,
Large
Animals
SVEK13007
General
Clinical
Practice,
Companion
Animals
SVEK13003
Veterinary
Imaging
SVEK13001
Veterinary
Paraclinics
Handling and restraint of an animal in a secure and humane
manner, as well as instructing others in exercising these
techniques.
Perform a clinical examination on a patient.
x
x
x
x
Collect, store and transport specimens, perform standard
laboratory tests and interpret their own results as well as
external results.
Produce accurate records and maintain regular records in a
satisfactory manner comprehensible to colleagues and the
public.
Ability to record a relevant history for a single animal or a
herd.
Collect, store and handle specimens, perform standard
laboratory tests and interpret the results of the various
laboratory tests.
Identify causes of frequently occurring medical, surgical and
reproductive disorders in large animals.
Knowledge of the criteria for diagnosis of pregnancy and the
course of the estrus cycle, and knowledge of the basic
techniques for insemination of cattle and horses.
Describe common medical and surgical diseases in general
practice.
Demonstrate overview of problem-oriented examination,
interpretation and localization of clinical symptoms, workup,
diagnosis, treatment, monitoring and referral of medical and
surgical patients in general family animal practice.
Select and justify the diagnosis, treatment and prognosis for a
specific patient
Select, justify and interpret relevant paraclinical and clinical
examinations.
Identify, evaluate and interpret issues related to the
recording of history and clinical- and paraclinical
examination of the patient, as well as formulating and
implementing a diagnostic and therapeutic plan.
Collect and analyze diagnostic specimens.
x
x
Be able to produce a selection of common radiographic
projections in a safe manner from canine, feline and equine
patients.
List the radiographic changes that are commonly
encountered in common diseases in dogs, cats and horses
Identify normal and abnormal radiographic findings on
radiographic images in selected cases commonly encountered
in veterinary practice
Recognize and find normal abdominal and thoracic structures
commonly encountered in ultrasound examinations
Perform a standard radiological examination.
Demonstrate a methodical approach to image evaluation of
radiographs, and ultrasound.
Choose the appropriate imaging modality for common clinical
presentations
Speculate on and discuss the changes one might expect to
encounter given various disease scenarios
Behave in accordance with the legislation (Bekendtgørelse
om røntgendiagnostik anlæg til veterinært brug. Nr. 494 af
12. september 1977 & Bekendtgørelse om ændringer af
bekendtgørelse om røntgendisgnostik anlæg til veterinært
brug. Nr. 1089 af september 2007).
Explain how to address and/or counteract common causes
for variation in the results of diagnostic tests.
Explain functions and main disorders of erythrocytes,
leukocytes, and platelets; and the appropriate procedures to
evaluate these cells in a blood smear.
Interpret common clinical pathological and microbiological
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
X
x
x
X
x
x
X
x
x
X
X
X
X
x
x
x
X
x
x
X
X
x
x
x
X
x
test results.
SVEK13002
Emergency,
obstetrics,
critical care,
clinical
anesthesiolo
gy
SVEK13006
Practical
herd health
consultancy
& meat
inspection
SVEK19009
Veterinary
jurisprudenc
e and animal
welfare
assessment
MScelective
courses
supporting
competence
1
SVEK13013
Advanced
companion
animals
Explain the principles of routine diagnostic methods.
Explain the principles of use of serological tests in
surveillance of disease.
X
x
X
x
Prepare a blood smear.
Identify healthy and abnormal erythrocytes, leukocytes and
platelets.
X
x
X
x
Perform a leukocyte differential count.
X
x
Perform urinalysis (sticks, refractometry, sediment analysis).
X
x
Assess quality of cytological specimens.
Identify and classify inflammatory reactions in cytological
specimens.
Identify and classify neoplastic tissue types and criteria of
malignancy in cytological specimens
Identify and characterize bacteria by phenotypic and
genotypic methods.
X
x
X
x
X
x
X
x
Perform and interpret antimicrobial susceptibility tests.
X
x
Detect multidrug-resistant bacteria of clinical interest
X
x
Perform clear case reports
Choose appropriate samples and methods for laboratory
analysis
Identify optimal diagnostic workup plans as well as
treatment plans for selected diseases in emergency medicine
and obstetrics.
Record patient history and perform clinical examination on
an acute/critically ill patient.
Write a problem-oriented medical record (POMR) based on
history and clinical examination.
Independently obtain and implement relevant literature in a
field and convert it to diagnostic workup plans and treatment
plans for patients with critical or acute illness
Perform clinical assessments of all groups of animals in cattle
and pig herds.
Assess deficiencies in feeding, climate, stables and
management.
Assess key indicators of health, production, reproduction and
welfare.
X
x
x
X
Perform post-mortem examinations on fish.
Management of veterinary legislation, the veterinary law,
disease control, protection and welfare of animals.
To understand the difference between animal, management
and resource-based indicators of welfare and their
advantages and disadvantages.
To understand the difference between physiological and
behavioral requirements.
Furthermore, the ability to identify if the behavioral and
physiological requirements are met.
x
Explain physical examination, problem oriented approach to
diagnostic work up and initial problem list formulation for
patients. Explain the systematic four step (confirm, localize,
disease process, diagnosis) basis for formulation of
diagnostic, therapeutic and client information plans.
To explain the indications and use of relevant clinical
pathological, diagnostic imaging and other paraclinical
diagnostic methods including their evaluation and
x
x
x
x
X
X
X
X
X
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
X
interpretation as well as any possible risks of adverse effects.
SVEK13020
Equine Clinic
SVEK13020
Herd Health
SVEK13112
One Health
SVEK13010
Biomedicine
To explain clinical decision-making, pathophysiological
mechanisms, treatment, management and follow up for
diseases relevant in a specialized companion animal practice
setting.
To perform independent history taking, physical
examination, problem identification, problem oriented
diagnostic work up including plan formulation (diagnostic,
therapeutic, client informational) as well as evaluate and
interpret results of diagnostic tests and modalities.
To perform client communication, and POMR based clinical
decision making.
To describe pathophysiological mechanisms.
During hospital and field practice the students are trained in
obtaining patient diagnosis supported by clinical laboratory
testing.
Record management is performed in the electronic patient
record system.
Being able to organize (study design) and implement the
collection of data (incl. disease diagnostics in herd context
and at the individual level), as well as manage and analyze
data on health, welfare and fertility and the relation to
production and production economy (quantitative and
qualitative methods see the list of skills topics above).
Knowledge about methods to analyze the impact on human
and animal health issues related to microbial and parasitic
contamination of food and the environment
Understand the principles for prioritizing and selecting
between intervention strategies for different health issues
Utilize acquired knowledge to assess novel problems or
problem areas and confidently apply knowledge-based
suggestions for solutions.
Ability to work independently with basic genetic laboratory
procedures.
Work independently with problem solving, diagnosing and
presenting relevant findings in clinical microbiology, clinical
pathology and In vivo pharmacology.
Analyze, evaluate and present results from simple diagnostic
tests in mammals.
x
x
x
x
x
x
x
x
x
x
x
x
Describe and perform main molecular biological methods.
Evaluate histological lesions and reactions in laboratory
animals.
Explain how to address and/or counteract common causes of
misclassification in clinical microbiological, parasitological
and pathological tests.
x
x
x
x
X
X
x
x
x
x
x
x
Download