MSc in Veterinary Anaesthesia and Analgesia Background: An initial demand survey (2014) found over 60% of respondents were interested in undertaking a course of this type. As these data are old, further survey information is being collected. Target students: Although it is likely many applicants will be veterinary surgeons, this course intends to be of interest and value to veterinary nurses, technicians or researchers who use anaesthesia in their work. For this reason, the demand survey will be passed to the relevant specialist organisations for input. Delivery: This programme is designed to be delivered and assessed online. A varied range of online material is anticipated, including: o o o o o o On-line lecture notes On-line tutorials On-line webinars Directed discussion in forums Case examples Directed reading and use of the literature The courses are designed to be interactive and moderated online discussion boards and use of text ‘chats’ online will be key. Student support: o Induction period for orientation o On-line resources to assist with study skills for students who may have been out of education for some time o Student handbook o Access to list of courses and their descriptors/learning outcomes o Library induction o Extensive library and other learning resources and facilities o Open personal access to programme tutor for advice on academic and pastoral issues o Student e-mail o Discussion forums with tutor modulation and input o Access to Student Welfare Service o The University provides assistance and guidance, eg dyslexia, physical disability Assessment: A variety of assessment methods will be used, to assess knowledge, problem solving skills and analysis. Assessment methods used will vary between courses. o o o o o o Multiple choice tests on-line Written reviews of the literature with a critical, evidence based approach Problem solving exercises Continuous assessment of contribution to on-line discussions and reflection Case reports Submission of a dissertation Suggested programme: The programme can be completed with 60 (PGCert), 120 (PGDip) or 180 credit points (MSc) as defined by the University of Edinburgh. Courses may be taken as stand-alone CPD units, except where indicated. The whole MSc may be taken over a minimum of 3 years for part time study but a maximum of 6 years will be permitted. A combination of optional and core (compulsory) modules will be included Year 1: Certificate Core (compulsory) modules: Basic sciences (Anaesthesia) 10 credits This course will examine physiology, pharmacology and anatomy specifically related to anaesthetic practice. Introductory aspects of how disease processes affect anaesthesia. Basic sciences (Analgesia) 10 credits This course will include mechanisms of pain, including the relevant physiology and pharmacology. Discussion of commonly used analgesic drugs, techniques and concepts Anaesthetic equipment 10 credits From types of needles and endotracheal tubes to anaesthetic machines and anaesthetic monitors- this course will assist students in identifying suitable equipment for purpose, how it functions and how it may be used safely and effectively. Patient assessment, critical incidents and cardiopulmonary rescuscitation 10 credits In this course, students will learn how to identify problems in the anaesthetized subject and develop logical prioritised responses. Although much will be aimed at preventing a serious incident, the course will continue to explore current guidelines for cardiopulmonary resuscitation. In addition, students will be expected to select 2 of the following 4 optional modules for the Certificate Dogs and cats 10 credits Equidae 10 credits Ruminants, camelidae and pigs 10 credits Small (laboratory) mammals (rabbits, rodents etc) 10 credits Although the principles of anaesthesia are common to all, these modules will study the specific risks and considerations for anaesthesia in different species and how this is relevant to clinical practice. Practical aspects of pre-anaesthetic care, induction, maintenance and recovery phases will be included. Common disease processes in the relevant species and how they affect anaesthesia will be covered. To avoid repetition, the species courses will assume knowledge from the basic sciences, equipment and patient assessment modules so are not suitable as standalone CPD. Year 2: Diploma 60 credits to be accumulated from the following suggested optional modules: Emergency case management 10 credits This course will use case examples to highlight key principles in managing the case presented as an emergency, particularly pre-anaesthetic evaluation and stabilisation. Fluid therapy and blood transfusion will be included. Chronic pain and advanced analgesic principles 10 credits This course may be taken as a stand-alone unit, however a degree of analgesic knowledge will be assumed (e.g. from Basic sciences (analgesia) course or from prior alternative studies). The physiological and emotional changes in chronic pain will be discussed, with more unusual drugs and techniques Advanced cardiovascular procedures and monitoring 10 credits As surgical and medical knowledge advances, we are increasing called upon to anaesthetise animals with more advanced cardiovascular disease. More complicated procedures are also being attempted. This course will examine more closely the pathophysiology altered of cardiovascular disease and implications for anaesthesia, e.g. pacemaker or stent implantation, cardioversion. How the cardiovascular system may be monitored will also be examined in greater depth than occurred in year 1. Lung ventilation and mechanical ventilators 10 credits Beyond bag squeezing…this course will look at the principles and practice of lung ventilation in animals. Different ventilation modes and types of equipment for ventilation will be discussed in addition to monitoring animals during intraoperative and postoperative (intensive care) ventilation. Reptiles, birds and wild animals 20 credits Differences in reptilian and avian physiology and anatomy create particular challenges for anaesthesia. These will be studied and their influence on clinical practice discussed. Wild animals often require sedation for capture or any techniques to be performed. The specific problems associated with these techniques and principles for application for captive (e.g. zoo/safari) and wild animals discussed. This course will also include the challenges associated with anaesthesia in marine mammals and fish. Evaluating research in veterinary anaesthesia 10 credits Evidence based medicine is important veterinary medicine, but how valid is the evidence? In this course, students will have the opportunity to learn how to critically evaluate the literature and establish the quality of evidence presented in certain arguments. This will include some basic information on study design and what simple statistics mean (this is not a statistics course and how to calculate or establish the results will not be covered). This course would be highly recommended for students wishing to progress to the MSc dissertation. History of anaesthesia and the links with veterinary medicine 10 credits A donkey named Wouralia and Pearl Harbour may not appear to have much in common, but both have historical relevance. Animals have been crucial in the growing understanding of human anaesthesia, so this course will look at how both veterinary and human anaesthesia have developed over the years. Ethics in veterinary anaesthesia: animal welfare and euthanasia 10 credits Both in clinical and research practice, we are undertaking more complex and costly procedures. This course will include aspects of ethics in anaesthesia, for example in research, in husbandry (e.g. castration or docking in farm animals) and then lead on to the ultimate analgesic- euthanasia. It is anticipated that optional courses may not be available in every academic year. A student may elect to use additional species modules from Year 1 towards year 2 credit points. Although year 2 courses may be taken as stand-alone CPD units, prior knowledge of anaesthesia and analgesia is assumed at this stage. Year 3: Masters Dissertation 60 credits The form of the dissertation may vary to suit individual candidates, subject to approval of a submitted proposal. The dissertation will be a piece of written work 10-15,000 words long. It may take the form of a research study, analysis of techniques used in previous clinical work or an extended literature review may be appropriate. The University of Edinburgh’s common marking scheme will be used. RCVS Advanced practitioner status: Veterinary surgeons undergoing this programme may be interested in applying for RCVS advanced practitioner status. If the programme receives appropriate School and College approvals, recognition by the RCVS will be sought. It is likely that the RCVS will expect a module A of the CertAVP (or equivalent) to be completed for a veterinary surgeon to be awarded advanced practioner status. Currently the Royal (Dick) School of Veterinary Studies offers this module as online CPD, our current suggestion (if accepted by the RCVS) would be to offer this module as an option for Year 2 students wishing to apply for advanced practioner status. Approvals would be required before confirmation of this plan. Staffing and costs: A full business plan is being prepared for the College approval process in April. The programme director will be Pamela Murison. Courses will be organised by various members of the anaesthesia staff team, with a minimum of 2 members of staff working on any course. The courses will be arranged to spread the workload of individual members of staff.