Faculty of Veterinary Science ABN 15 211 513 464 Dr Linda Vogelnest Specialist Veterinary Dermatologist of the University of Sydney UNIVERSITY VETERINARY TEACHING HOSPITAL, CAMDEN 410 Werombi Road, Camden, NSW Postal Address: Mailbag 4004, Narellan, NSW, 2567 Phone: (02) 4655-0777 Facsimile: (02) 4655-1212 Research Project: Dermatophytosis in Zoo Macropodids PARTICIPANT INFORMATION STATEMENT (1) What is the study about? The aim of this study is to investigate dermatophytosis in zoo macropodids. There is very little published literature on this topic, despite a high incidence of recurrent dermatophytosis reported anecdotally in captive macropodids worldwide. (2) Who is carrying out the study? The study is being conducted by Katie Boulton (University of Sydney student) and will form the basis of an Honours Project being completed as part of the final year of a Bachelor of Veterinary Science degree at the University of Sydney. This project will be completed under the supervision of Dr Linda Vogelnest, Specialist Veterinary Dermatologist of the University of Sydney, and Dr Larry Vogelnest, Senior Veterinarian at Taronga Zoo. (3) What does the study involve? A Questionnaire will be distributed to several zoological institutions. The questionnaire will be a brief overview of the important aspects of dermatophytosis in macropodids. Data obtained from completed questionnaires will be collated and compared to establish a profile of dermatophytosis in captive macropodid populations. (4) How much time will the study take? The questionnaire can be completed as a word document, and should not take more than 30 minutes. Completion of this questionnaire is voluntary and ideally only one questionnaire should be completed and returned per institution. It would be greatly appreciated if the relevant veterinarian/s with experience in dermatophytosis of your institution’s macropodid collection, could complete this questionnaire by May 20, 2011, and return by email, fax or post as indicated. (5) Can I withdraw from the study? Being in this study is completely voluntary and you are not under any obligation to consent to complete the questionnaire. Submitting a completed questionnaire is an indication of your consent to participate in the study. You can withdraw any time prior to submitting your completed questionnaire. Once you have submitted your questionnaire, your responses cannot be withdrawn. Dermatophytosis in Zoo Macropodids Page 1 of 2 (6) Will anyone else know the results? All aspects of the study, including results, will be strictly confidential and only the researchers will have access to information on participants. A report of the study may be submitted for publication, but individual participants will not be identifiable in such a report. (7) Will the study benefit me? It is hoped that this work will directly benefit zoological institutions in regards to the management of captive macropodids, through an improved understanding of the epidemiology, pathogenesis, most effective treatment regimens, preventative measures and zoonotic and anthroponotic risks associated with dermatophytosis in macropodids. (8) Can I tell other people about the study? Yes. (9) What if I require further information? If at any stage you have any questions or concerns regarding the study and/or the questionnaire, please feel free to contact the researchers involved in the study, as detailed below: Katie Boulton (BVSc Year 5 student) Email: kbou7582@uni.sydney.edu.au Supervisors: Linda Vogelnest BVSc MACVSc FACVSc Specialist Veterinary Dermatologist University of Sydney Phone: +61 2 46550777 (Mon-Fri: office hours) Email:linda.vogelnest@sydney.edu.au (10) Larry Vogelnest BVSc MVS MACVSc Taronga Zoo Senior Veterinarian Email: lvogelnest@zoo.nsw.gov.au What if I have a complaint or concerns? Any person with concerns or complaints about the conduct of a research study can contact The Manager, Human Ethics Administration, University of Sydney on +61 2 8627 8176 (Telephone); +61 2 8627 8177 (Facsimile) or ro.humanethics@sydney.edu.au (Email). This information sheet is for you to keep Dermatophytosis in Zoo Macropodids Page 2 of 2