Information Brochure (as presented to the EBVS AGM in April 2009) Chapter 1 Introduction Zoological medicine, the state of the art medical treatment and care of zoological species, other than the traditional domestic animals, is a distinct specialized field of veterinary medicine, which is sub-divided into specialties according to the taxonomical group or discipline in which the specialist is acknowledged. The European College of Zoological Medicine (ECZM) is an umbrella organization which aims to include veterinary medicine of animal species other than the traditonal domestic species. The ECZM evolved from the European College of Avian Medicine and Surgery (ECAMS), which was founded in August 1993. ECAMS was founded according to the guidelines laid down in the Report and Recommendations on the Transnational Organisation of Veterinary Specialisation (III/F/5385/5/91), which was adopted by the Advisory Committee on Veterinary Training of the European Commission at its meeting on 12th February 1992. The ECAMS was an initiative of the European Committee of the Association of Avian Veterinarians, which in turn resulted from initiatives in the late eighties/early nineties in Europe and other non-European countries (i.e. USA, Australia, Israel) in response to a growing demand for better avian medical and surgical services for birds through specialization, and a need to harmonize certification in this area. As a reaction to requests from the veterinary field directed at the European Board of Veterinary Specialisation (EBVS) to develop specialties in fields of zoological medicine other than the avian field, negotiations were initiated between representatives from EBVS, ECAMS and the European Association of Zoo Veterinarians (EAZV) and other interested parties. The need for specialization in various taxonomical fields was recognized to safeguard future developments in zoological medicine, as well as to increase the publics’ recognition of this field of veterinary medicine. Finally ECAMS took the initiative, seeking permission of EBVS, to change its name to the ECZM, then forming a series of taxonomic and discipline Specialities, within the umbrella organisation of ECZM. Approval for this concept was agreed in principle by EBVS at their AGM in April 2008. In principal EBVS judged this to be a good idea and based on this EBVS judgement an offical decision was made at the 2008 Annual General Meeting of ECAMS to broaden the scope of the college to include other taxonimal groups of animals and change the name of the College into European College of Zoological Medicine. Within the broader field of zoological medicine taxon and discipline related specialties are possible. Taxon related specialties are clinically oriented and involve various medical and surgical disciplines and various body systems within the different zoological taxons. An example of a discipline related specialty is wildlife and conservation medicine. The primary objectives of the College are to advance zoological medicine in Europe and increase the competency of those who practice in this field. Further aims are to make the public aware of the ability of specialists in zoological medicine and the benefits of involving members of this college in all national and international issues relating to health, welfare, biosecurity and training, as they relate to zoological care, management, and medicine. This information Brochure contains information about requirements for admission to the College, a profile of the small mammal specialty, and application and examination procedures. 1 The specialty small mammals has an emphasis on the clinical aspects of rodents, rabbits and ferrets kept as pets, but also includes other non convential small mammals such as prairie dogs, raccoons, hedgehogs, skunks, sugar gliders and wallabies. The primary objectives of the College are to advance zoological medicine in Europe and increase the competency of those who practice in these fields by: a) Establishing guidelines for post-graduate education and experience prerequisite to become a specialist in the specialities of zoological medicine. b) Examining and authenticating veterinarians as specialists in the above specialties to serve their respective patients, their owners and the public in general and by providing expert care. c) Encouraging research and other contributions to knowledge relating to the relevant specialties of zoological medicine and promoting communication and dissemination of this knowledge. In order to achieve these aims, the Executive Committee of the ECZM is guided by the following criteria: - A registered specialist shall spend at least 50% (i.e. > 20 hours/week) of the time working at the specialist level in the relevant specialty of zoological medicine. - The training programme should be at least equivalent to those developed elsewhere (e.g. North America), thus enabling recognition of the training programme and specialist registration in other countries - A registered specialist should practice in a center with adequate facilities for the relevant specialty of zoological medicine. When the specialty is practiced at more than one location, there should be at least one location with adequate facilities. Services of related specialists or disciplines should be readily available. - The registration ceases by default when the specialty has not been practiced for two continuous years or the equivalent of two years during a period of 5 years d) The College is a non-profit organization and does not pursue commercial interests. e) Financial means of the College may only be spent according to the Constitution. f) Members of the College receive no payment from the funds of the College, except reimbursements. g) Nobody may be favoured by expenditures or excessively high compensations, which are not according to the purposes of the College. Further objectives are: h) Encouraging the public to use veterinary practitioners who are qualified to fill a unique and specific role in the delivery of modern comprehensive clinical service in the relevant specialty area of zoological medicine at the specialty level. 2 i) Positioning the specialist in one of the specialties of zoological medicine as a common source for referrals in the veterinary community. j) Improving and promoting the structure of health care for animals, thereby improving its perception and understanding by owners, veterinary practitioners and those interested in introducing animal health insurance. k) Providing an incentive and reward for achieving postgraduate education and experience in a specialty of zoological medicine at the specialist level. The title European Veterinary Specialist in Zoological Medicine (name of specialty) should be restricted to those persons working in the field who have reached the highest level of achievement. l) Encouraging interested veterinary colleges to establish in-depth instruction and high standards for training in clinical zoological medicine and develop specific funding for areas of needed research. m) Promoting continued improvement of practice standards and knowledge in clinical zoological medicine through continuing education and self-assessment. n) Supporting the preservation of animal species and their habitats by promulgating the concept of wise use of animal resources and the breeding of endangered species in captivity. o) Encouraging responsible management, care and propagation of all animal species. p) Preventing the occurrence of zoonotic and allergic diseases in man originating from zoological species. Chapter 2 Chapter 3 Chapter 4 Chapter 5 of this information brochure describes the requirements for admission to the College. provides an outline of the objectives and training programme for Specialists in Zoological Medicine, by which a profile of the specialty is indicated. deals with the application procedure, and is dedicated to the qualifying examination. Chapter 2 Requirements for admission The constitution of the European College of Zoological Medicine (ECZM) has established the following requirements for active membership status. The applicant should: 1. have graduated from an European Association of Establishments for Veterinary Education (EAEVA)-approved veterinary school. The Credentials Committee may excuse this requirement upon request. 2. have a satisfactory moral and ethical standing in the profession. Evidence of professional or legal misconduct, such as misrepresentation or committed felony, may 3 be reason for disqualification. 3. have devoted at least four years, by the application deadline, to training programme in general veterinary education, training, and practice and to a pre-approved special education, training, and practice of small mammal medicine after the date of graduation from veterinary school. The EAEVE agreed on June 1, 1991, that for specialization in clinical veterinary medicine, the training should preferably be composed of internships (duration 1-2 years), giving a broader orientation in the chosen field, and residencies (duration 2-3 years) of a totally specialized nature. The following sequence of training is to be used. a) A first period of one to one-and-a-half years must be an internship, or its equivalent, as defined by the relevant specialty Education and Residency Committee of ECZM. This period of training should include the participation in and out of hours emergency service. b) A second period (the residency) shall comprise a two-and-a-half to three-year postgraduate training programme under supervision of Diplomates of the appropriate specialty of ECZM or its equivalent, as defined by the relevant specialty Education and Residency Committee of ECZM. The period is designed to educate the resident primarily in the art and science of avian or small mammal or herpetological (or other as may be subsequently approved) medicine. There shall be additional instruction in the related disciplines of anatomy, physiology, diagnostic imaging, anaesthesiology, ophthalmology, clinical pathology, surgery, clinical nutrition, epidemiology, preventive medicine, and gross pathology. Alternatively the candidate must have followed a pre-approved alternative programme, with a minimum of two years in general practice (first phase) and four years or its equivalent in the relevant specialty of zoological medicine, with a minimum of 60 percent of the applicants time, such at the discretion of the Education and Residency Committee (second phase). The alternative route is intended for clinicians, for whom, moving to another country, or for whom, for other reasons a standard residency is impossible. If an alternative residency is proposed, a programme must be suggested which is appropriate for the resident, such that they achieve the required standard by the time of completion. The programme will be considered by the Education and Residency Committee. An alternative residency is most likely of longer duration compared to a standard residency and certainly not shorter. The alternative training residency must, at the discretion of the Education and Residency Committee, be equivalent to a standard residency. An alternative residency, as with any other, must be approved prior to commencement. Alternatively those who meet all the requirements previously required for 'de facto specialist status' (Article 5.2c), who set up and run an Approved Residency Programme, following their successful supervision (i.e. the resident’s credentials are accepted for examination) may take the Dip. ECZM (name of specialty) examination together with their candidate. 4 4. Have made a significant contribution to their respective specialty field, as represented by publications and demonstrated by a high standard of proficiency in the specialty. In keeping with the constitutional objectives of the ECZM each applicant must demonstrate continuing willingness to contribute to the literature. The minimum requirement for admission is: - Two (2) original peer reviewed papers in a well established internationally refereed scientific journal (i.e. mentioned in the Science Citation Index or in the reading list [see Appendix]). Of one (1) of these papers the applicant must be the principal author; of the second the applicant is not necessarily the principal author. Furthermore each Diplomate of the ECZM is expected to present a scientific paper or case report at least once every three years at the scientific meetings of the ECZM. 5. Have successfully passed the examination by the College and certification by the Executive Committee of the College. Chapter 3 European College of Zoological Medicine RESIDENCY Programme. The Residency Programme will focus primarily on one specialty and prepare the Resident for examination in that discipline. I. Definition: A Zoological Medicine Residency Programme, is a training programme allowing a graduate veterinarian ("Resident") to acquire in-depth knowledge of either avian, small mammal, or herpetological (or other field as may be subsequently approved) medicine and its supporting disciplines under the supervision and guidance of a Diplomate of the respective specialty of the European College of Zoological Medicine ("Diplomate") or its equivalent, as defined by the ECZM specialty Credentials Committee. IIa. General objectives of the Training Programme: A. To promote aptitude and clinical proficiency in clinical medicine and surgery of the appropriate specialty. B. To instruct the Resident in the science and practice of medicine and surgery and its supporting disciplines of the appropriate specialty. C. To provide the Resident with the opportunity to pursue career goals in teaching, research, clinical service, and/or specialty practice. IIb. Detailed objectives of the Zoological Medicine Training Programme. A. Knowledge and skills concerning professional contacts and transfer of knowledge. The specialists should be able to: - express thoughts clearly, in oral as well in written form in the English 5 B. language approach problems in an analytic, scientific way to find solutions and be able to assign priorities for these organize work efficiently make effective use of the available literature and find required information quickly develop scientific activities in order to contribute to the quality of the specialty General knowledge and skills concerning the specialty. The specialist shall: - be able to assess the significance of health matters for groups of animals appropriate to their own specialty, under the specific conditions under which they are held and the consequences for the owner - be acquainted with the main current theories, principles and problems of the specialty - maintain up to date knowledge through congresses and literature - be acquainted with the structures, objectives, approaches and problems of the veterinary profession and specifically with regard to the specialty - be acquainted with the social role of the specialty - conform to modern standards of skills and equipment. C. Knowledge and skills concerned with obtaining help for problems that lie outside the specialty and/or facilities. The specialist shall: - keep abreast of new developments in their specialty and become familiar with new methods, before applying these in practice - understand the limitations of their specialty - understand the possibilities that other specialities have to offer - be familiar with the potential of multidisciplinary co-operation. D. Knowledge and skills concerned with working as a professional specialist A specialist should have extensive practical experience within the specialty. Through experience the specialist should have developed the self-confidence, self criticism and sense of responsibility that are essential for the practice of the specialty. E. Knowledge and skills concerned with the general practice of companion animal medicine. A specialist in one of the specialties of zoological medicine shall be able to handle emergencies in companion-animal practice, with an emphasis on other zoological fields F. Specific knowledge and skills with regard to practising any of the specialties of Zoological Medicine. Areas and level of knowledge - Any Zoological specialist should have a broad knowledge of the principles outlined below and have ready access through an up to date personal library to 6 - - - - - - - - specific details of the following. Depending on the specialty, the taxonomy and the geographical distribution of either the different groups of birds, small mammals, or reptiles and amphibians as commonly kept by enthusiasts, conservationists, researchers, zoos and the pet trade, including those groups of animals which are common wild animal casualties. An understanding of the natural history of all the above groups, particularly in regard to their feeding habits and nutritional requirements. Also which of these animals are territorial (all the time or only when breeding) and which is potentially aggressive and predatory. A basic knowledge of general anatomy, physiology and immunology, relating to their specialty is expected. The specialist should be aware of important variations between the different families of animals as relevant to their specialty. The candidate must be able to assess diets, understand the formulation of diets for animals and be aware of the current trends in animal nutrition. Have a sound knowledge of the interaction of nutrition and health. A zoological specialist should be familiar with the various aspects of captive care, husbandry, and management, including natural and artificial propagation including neonate and developmental care. Genetic principles and their application in their specialty must be understood by the candidate. A detailed knowledge of the diseases of the relevant animal of the relevant class (aetiology, epidemiology, pathology, diagnosis, treatment and control) is required. It is not sufficient to know the pathogens responsible for disease but it is also important to have knowledge of which types of disease occur more commonly in various groups of animals. Zoological specialists need to know the gross pathology of each disease but will realize that a specific diagnosis can only be confirmed by using appropriate laboratory techniques. Zoological specialists must be familiar with common toxins which are most likely to affect various groups of their patients. They must know the clinical signs these toxins produce and be familiar with the differential diagnosis. Zoological specialists will need to know which body tissues and specimens are required by a laboratory for the identification of the toxin. It is important that the clinician is adept at gathering circumstantial information in cases of poisoning. A detailed knowledge of the advanced diagnostic possibilities in their respective patients, in relation to medicine (e.g. haematology, blood chemistry, endocrinological tests, immunological tests, diagnostic imaging, including gastrointestinal contrast studies, diagnostic endoscopy, electrocardiography, aspiration biopsy, microbiology, cytology) and the ability to interpreted results of these techniques is expected. Zoological specialists must have sound knowledge of the principles of individual and flock/group medication in their respective patients. This includes knowledge of the pharmacokinetics and the bioavailability of drugs which are suitable for treatment and also the various methods of administration. The zoological specialist must be acquainted with the social role and the responsibilities of the specialist with regard to their patients, clients, colleagues, public health and environmental issues, wild animals together with their habitats and the environment also to be able to express and support views on current issues relevant to this field of knowledge. 7 - - It is necessary to have a general knowledge of the legislation affecting their respective field and to have a detailed knowledge of the legislation relating to the role of the veterinary practitioner in the field (e.g. CITES, legislation with regard to import and export of animals, animal welfare, legislation on hunting and capture from the wild, the use of drugs and immunobiologicals). Theoretical knowledge should be to the level of current textbooks (see Appendix A). Furthermore it is essential to be aware of the relevant scientific literature published over the previous eight years in representative journals (see Appendix A). Technical experience - The zoological specialist should have had extensive practical experience with a wide variety of species relevant to their specialty (i.e. companion, ornamental, zoo and conservation, sporting, free-living and research animals). - The zoological specialist must be competent in the various skills associated with the field including history taking, catching and handling their respective patients, and clinical examination of individual, group, captive, free-living animals for assessment of health, clinical pathology sample collection vaccination and medication methods (including tube-feeding) and in addition anaesthetic and surgical procedures. - The zoological specialist should be familiar with the techniques of radiosurgery, endoscopy and know about such routine techniques as dental treatment, the principles of orthopaedic surgery, surgery of the gastrointestinal tract, the respiratory tract and reproductive tracts, etc. These specifications are representative and are to be adapted as necessary by the Executive Committee of the College of Zoological Medicine to recent developments, possibly at the suggestion of the teachers. III. Training programme description: A zoological medicine residency programme ("Programme") shall consist of a period of two-and-a-half (2½) to three (3) years of supervised training, postgraduate education, and clinical experience in the science and practice of the specialty within the field of zoological medicine and its supporting disciplines under the supervision of at least one (1) Diplomate who participates actively in that programme or its equivalent, as defined by the Credentials Committee of the specialty within the ECZM. The Residency programme will major on one specialty and be supervised by a Diplomate of that specialty. A. Prerequisite: prospective Residents will be required to have undertaken broad training and experience in clinical veterinary medicine and surgery and their supporting disciplines, which must be attained by participation in an internship of 12-18 months duration or its equivalent, as defined by the respective specialty Credentials Committee of ECZM. The Internship training programme will be composed of: (1) Broad orientation in companion animal medicine and surgery This can be realized through a (rotating) internship of 1 year duration in companion animal clinical sciences in a recognized institution that provides a broad range of clinical assignments. Furthermore a 3-6 month training period in form and function, diagnostic pathology and common diseases in small 8 mammal medicine is required. The objectives mentioned under section IIb E will have to be fulfilled completely in the first period. The first period is also the basis for the objectives mentioned under IIb A, B, C, D and F. Against this background the first period could have as an example the following rotations (for a total duration of 15-18 months): Internal medicine of companion animals - dogs, cats, small mammals, birds, reptiles (including clinical pathology) - 6 months Diagnostic imaging, general surgery, orthopaedics and ophthalmology of companion animals (each 6 weeks) - 6 months During this period the candidate should get instruction on basic surgical principles under the supervision of a surgeon approved by the ECZM and practical training in surgical techniques including training in radiosurgery and microsurgery. Basic knowledge for the respective specialty - Form and function (theoretical and practical training in co-operation with basic sciences) - 1 week - Taxonomy and the geographical distribution of the respective taxonomical group. Recognition of the most commonly encountered species in zoological practice, their natural history and requirements in captivity (theoretical and practical training with cooperation of wild animal sanctuaries, quarantine facilities and zoos) - 3 - 6 weeks - Research laboratory experience 4 – 6 weeks (for small mammal specialty) - Theoretical and practical training in diagnostic pathological techniques in their patient taxon, including autopsy technique, correct handling of specimens for further examination, cytology, histology, microbiology (theoretical and practical training) - 4 - 6 weeks When the latter 3 - 6 month rotation is not completed at the beginning of a residency programme this makes it necessary to include this in the residency programme which will then be lengthened to 3 years. (2) Criteria for the credentials committee to evaluate whether an alternative internship is followed at a good quality practice. This practice should be a place where: 2 or more vets work On going training is required Qualified veterinary nurses or technicians are employed An in house laboratory exists which must include at least, a good quality microscope, cytology stains, equipment for faecal analysis Radiography and ultrasonography Abdominal surgery is performed on cats and dogs on at least 5 days a week Orthopaedic surgery is performed at least monthly Gaseous anaesthesia is mandatory Correct sterile operating techniques and standards are employed 9 B. Graduate degree studies: graduate degree studies may be included in the Programme; however, at least 60% of the time in that combined graduate degree-residency programme must be allocated to clinical case responsibility. C. Continuing education programmes: continuing education programmes as the sole method of training will not meet the requirements of certification as a Diplomate. D. Participation of Diplomates of the European College of Zoological Medicine in the respective specialty Residency Programmes: 1. 2. 3. 4. IV. Hospitalisation facilities are available (including over night) for in patients Fluid therapy should be used as a routine Where modern standards of analgesia and antibiosis are employed The applicant should provide written authentication from the Clinic Director that he/she has successfully completed at least 50 radiographs 50 abdominal surgeries 10 orthopaedic surgeries 50 medical diagnostic work ups Each Programme, must be supervised by at least one (1) Diplomate. One Diplomate may train up to three (3) residents concurrently. Director of the Residency Programme ("Programme Director"): the Programme Director shall be responsible for the administration and continuity of the Programme and the Programme Director must be a Diplomate. Daily supervision is required, although it does permit the intermittent absence of the supervising Diplomate or the resident for vacations, meetings, days off, etc. Supervision must include consultations, case discussions, and case management with actual cases. Daily supervision is not necessarily performed by the Programme Director – it may be performed by an ECZM Diplomate after instructions from the Programme Director. Other faculty in direct support of their programme and their credentials should be supplied with information concerning the extent of their supervision. E. Evaluation of the Resident: Residents must meet with the Programme Director at least twice yearly for evaluation of performance and progress. When the resident has multiple supervisors, this meeting should be preceded by a meeting among the supervisors. F. Application for certification as a Diplomate: Following completion of the Programme, the Resident may submit an application to the Credentials Committee to determine eligibility for certification as a Diplomate by examination. Specific Programme description A. Respective specialty Zoological Medical service rotations facilitate the 10 development of the knowledge, skill, and proficiency in the respective specialty via exposure to a wide variety of respective diseases together with the guidance and collaboration of experienced specialists in the specialty 1. At least 60% of the 2½-3 year programme must be spent on an avian, or small mammal, or herpetological (or other as may be subsequently approved) medical and surgical service under the direction of an ECZM Diplomate. 2. Resident responsibilities: the degree of responsibility assumed by the Resident shall be appropriate to the nature of the procedure and training experience. The Resident on a zoological medical and surgical service shall be responsible for: a) Receiving clinic appointments. b) Supervising daily management of hospitalized animals. c) Participation in clinical teaching d) Providing optimal clinical service and prompt professional communications. 3. The caseload of the institution must be large enough to afford the candidate adequate exposure to all required phases of practice of the specialty. The minimum acceptable number of accessions will depend upon the difficulty of the problem and the extent of treatment provided, but should consist of at least 10 (ten) cases per week within the respective specialty. When appropriate for the specialty, relevant group site visits/consultations should be a part of the caseload. While a minimum case load is necessary to develop clinical experience, the candidate must also be provided with sufficient time to evaluate patients properly, to study, and to participate in rounds, workshops, work with other Board Certified Specialists and to lecture. B. Anaesthesiology, diagnostic imaging, surgery, and pathology service rotations: 1. Anaesthesiology: During the residency period the Resident must obtain a total of two (2) weeks of training under the supervision of a Diplomate, European or American College of Veterinary Anaesthesiologists or their equivalent if these requirements have not been fulfilled during the first years of the postgraduate training (internship). 2. Diagnostic imaging: During the residency period the Resident must obtain a total of at least two (2) weeks of training under the supervision of a Diplomate, European or American College of Veterinary Diagnostic Imaging or their equivalent. Alternatively radiological and ultrasonic interpretation of the clinical cases of the resident should be performed under supervision of a Diplomate in diagnostic imaging. 3. A one month instruction and training on basic surgical principles, radiosurgery and microsurgery under the supervision of Diplomate European or American College of Veterinary Surgery, or their equivalent, is required during the residency period if these requirements have not been fulfilled during the first year of postgraduate training (internship). 11 4. Zoological pathology: During the residency period the resident must obtain at least three (3) months of training under the supervision of a Diplomate, European or American College of Veterinary Pathology or their equivalent. Alternatively the resident must obtain 4 weeks of training under the supervision of a Diplomate in Pathology in addition to evaluating 30 post mortem examinations of zoological patients, within the respective specialty, seen as clinical cases. Those 30 post mortem case reports need to be verified by a Diplomate European or American College of Veterinary Pathology, or their equivalent or a pathologist approved by the Education Committee. The resident should be stimulated to present or attend clinical pathological conferences of his own patients. In the latter case he should supervise veterinary students preparing these clinical pathological conferences. C. Emergency duty: the resident must participate in a Zoological medical and surgical emergency service. D. Residents must spend at least 20% of their Programme in any or all of the following ways: 1. Research or clinical investigation. 2. Preparation of scientific manuscripts. 3. Graduate degree studies. 4. External Zoological rotation with the approval of the Programme Director. 5. Anaesthesiology, diagnostic imaging, and pathology service requirements. 6. External rotation at Poultry Health Department (Avian specialty) 7. External rotation in a laboratory research facility (Small mammal specialty) 8. External rotation at alternative sites specialising in orders of the Class to which they would otherwise be minimally exposed. E. Study and education 1. A minimum of fifty hours of formal continuing education is required per year. This may be within the Institution, local, Academy, regional or national meetings in the specialty. 2. Required attendance: during zoological medical service rotations, the Resident is required to attend zoological (relevant specialty) clinical pathological conferences and resident conferences and relevant specialty ward rounds. The aforementioned are recommended on a weekly basis but are formally required semi-monthly. 3. Optional attendance: the following conferences are recommended for attendance: a. Conferences relevant to specialty b. Poultry disease conferences (for avian specialty) c. Veterinary internal medicine conferences d. Veterinary anaesthesiology conferences. e. Veterinary diagnostic imaging conferences. f. Veterinary pathology conferences. g. Veterinary surgery conferences. 12 h. i. Scientific journal clubs. Other scientific presentations, including human medical conferences. 4. Attendance of at least two international medicine conferences, relevant to their own specialty, with active participation in wet labs is required during the residency period. F. A medical and surgical Case Log listing the date of procedure, case number (running total), (sub)species, diagnosis, medical or surgical procedure, designation as elective or emergency, and responsibility as assistant or primary clinician must be maintained by the Resident. The Resident may be considered to be the primary clinician when that individual can document a significant role in all of the following aspects of management: determination or confirmation of the diagnosis, provision of preoperative care, selection and performance of appropriate operative procedure, direction of the postoperative care, and accomplishments of sufficient follow-up to be acquainted with the course of the disease and the outcome of its treatment. Where a case is seen several times, all follow up visits should appear with the initial examination, although dated as the date of each examination. Apart from the log which is submitted every 6 months, the resident shall retain (or be able to retrospectively create from clinical records) a single page record of each case examined. The resident will be requested to submit random examples of these sheets, after submission of the case log. An example of such a record appears as Appendix C. G. A Resident Morbidity/Mortality log which should contain case number, signalment, date, diagnosis, complications/reason for mortality, post mortem diagnosis if applicable shall be maintained. This log contains cases from the case logs in which unexpected complications (morbidity/mortality) have occurred. H. A Resident Procedures Log must be maintained which must list a running total of diagnostic procedures performed, case number, signalment, procedure performed, and results. Special procedures are those diagnostic or treatment procedures required beyond routine physical examination, such as, blood chemistry and haematology, radiology, electro-cardiology, ultrasonography, endoscopy, scintography. I. A Resident Continuing Education Log listing conferences, seminars and lectures attended must be maintained by the Resident. J. A Resident Presentation Log listing case presentations given at zoological medical conferences and other professional meetings must be maintained by the Resident. K. The resident is responsible for maintaining a Resident Log and Programme Summary form. This form is a summary of the residents activity over a 6 month period and includes Clinical Service Rotations, time spent in various disciplines, presentations given, total number of cases by system, emergency 13 cases, summary of residents role in all cases, and degree of supervision, and progress on case reports and manuscript. L. The resident is responsible for submission of the 6 monthly evaluation materials (in electronic form - Excel format) of the following on 1st January and 1st July each year. Medical and Surgical Case log Morbidity/mortality Logs Procedures Log The Resident Continuing Education Log The Resident Presentations Log The Resident Log and Programme Summary Form M. The resident will prepare an annual evaluation of the Residency and submit it to the Chair of their respective specialty Education and Residency Committee, using the standard evaluation form as posted on the College web site. A copy of 'verification and authentication' of the above logs by the Programme Director must be made available to the Executive Secretary by the Programme Director. N. Research and publications: 1. Research project: the Resident must complete an investigative project that contributes to the advancement of medicine and surgery relevant to their specialty. 2. Publications: Two (2) original peer reviewed medical or surgical papers in a well established internationally refereed scientific journal (i.e. mentioned in the Science Citation Index or in the reading list [see Appendix]), relevant to their own specialty. Of one (1) of these papers the applicant must be the principal author; of the second the applicant is not necessarily the principal author. - O. Seminar and teaching responsibilities: 1. Definition of seminar: a scientific presentation which is followed by a discussion period. 2. Seminar requirement: the Resident must present a minimum of 2 one-hour seminars per year in a formal setting with an attendance of other veterinarians. 3. Zoological medicine resident conference presentations: the Resident must regularly present cases at zoological medicine residents conferences. 4. Clinical teaching: the Resident is required to participate in the clinical education of graduate veterinarians and/or veterinary medical students 14 assigned to the medicine and surgery rotations for their specialty. V. Documentation and verification of the zoological medicine residency programme The Programme Director, Resident and the European College of Zoological Medicine have responsibilities for documentation and verification of satisfactory training for each resident. A. The Programme Director is responsible for: 1. Verification of pre-residency training, and presence of suitable medical and surgical facilities, equipment, and supplies prior to Programme initiation. 2. The Residency Training Programme and facilities shall be approved (by the specialty Education and Residency Committee) and may be inspected prior to the start of any Residency Programme. 3. Two or more Diplomates (as appointed by the specialty Education and Residency Committee), of which one is preferably from the same country as the Residency site, may visit the Residency facility to observe procedures, equipment, records, etc. A standard verification form will be used for these inspections (See Appendix E). The Residency Institution is obliged to pay the anticipated costs of inspection at the time of booking the inspection. 4. At the discretion of the specialty Education and Residency Committee, further inspections may be carried out in the following situations: a. If the Programme Director changes b. If the Residency changes site c. Ten years after initial approval or previous inspection (or at any 10 years thereafter) d. If any two successive Residents do not pass, or fail to present themselves for examination. 5. 6. 7. 8. 9. 10. 11. 12. The Programme Director must ensure that candidates satisfy minimum entry requirements (see IIIA), including the provision of: - curriculum vitae - evidence of qualification as a veterinary practitioner - evidence that the applicant has completed the first part of the training programme Distribution of the documentation and verification forms to each resident annually. Submission of copies of the verified pre-residency training to the specialty Credentials Committee. An outline of the programme and facilities are submitted for approval to the specialty Education and Residency Committee, before the Resident begins the proposed programme. Verification of semi-annual progress and performance evaluations Verification of the Case Log Verification of the Resident Activity Log Verification of the Resident Presentation Log Verification of the Resident Morbidity / Mortality Log Verification of the Resident Procedures Log 15 B. The Resident is responsible for: 1. Maintenance of the Case Log. 2. Maintenance of the Morbidity / Mortality Log. 3. Maintenance of the Procedures Log. 4. Maintenance of the Resident Activity Log. 5. Maintenance of the Resident Presentation Log. 6. Documentation of training in anaesthesiology, radiology, surgery, and pathology. 7. Providing an annually-updated curriculum vitae to the Programme Director. 8. Submission of copies of the verified Case Log, Resident Activity Log, Morbidity / Mortality Log, Procedures Log, and the Resident Presentation Log to the Chair of the relevant specialty Education and Residency Committee of the European College of Zoological Medicine on 1st January and 1st July each year. 9. Candidates participating in an ECZM approved Residency Programme must still apply for approval of their credentials by their specialty Credentials Committee, prior to applying to the Secretay of ECZM by Jan 1st, for permission to sit the examination that calendar year. 10. Annual Residency Assessment by the resident, utilising the standard evaluation form as located on the web site. D. The specialty Education and Residency Committee of the European College of Zoological Medicine is responsible for evaluation of Programmes and Programme Directors and for monitoring of each Resident's progress through the receipt of regular reports and communication of deficiencies to the Resident, and Programme Directors. VI. Facilities, services, and equipment required in a European College of Zoological Medicine-approved Residency Programme. A. Medical library: a library containing recent textbooks and current journals relating to medicine and surgery of the respective specialty and its supporting disciplines must be immediately accessible to the Programme participants (working collection). B. Medical records: a complete medical record must be maintained for each individual case and rapid retrieval of information about any patient or flock/group should be possible. The problem oriented medical record (POMR) system is recommended. C. Radiographic services: separate rooms and appropriate equipment for comprehensive diagnostic imaging and darkroom processing must be available. A 33 MA 125 KVP radiographic machine is a minimum for adequate examination. D. Pathology services: 1. Clinical pathology: a clinical pathology laboratory for haematology, clinical chemistry, microbiology, and cytological diagnosis must be available. Clinical pathology reports must be retained and retrievable. 2. Morphologic pathology: a separate room for gross pathologic examination 16 must be available. Facilities for histopathological examination of necropsy tissues must be available. Anatomic pathology reports must be retained and retrievable. E. Medical and surgical facilities: 1. Clinical examination rooms: the examination rooms must be designed, constructed, used, and maintained consistent with the current concepts of practice. They must be sufficient in number and size to accommodate the case load. 2. Treatment areas: Areas for intensive care, special procedures, isolation, and good nursing must be available. Intensive care units in the form of a human incubator with heat control and oxygen delivery system is mandatory. Consideration to biosecurity and control of pathogen spread between patients is advisory. 3. Operating room: the operating rooms must be designed, constructed, used and maintained consistent with current concepts of veterinary surgery. The surgery room(s) must be sized adequately for the patient, staff, and associated equipment. The sterile surgery room(s) must be ventilated according to the current concepts of aseptic surgery. Emergency lighting must be available. In accordance with modern standards, the sterile theatre should not be used for any other purposes. 4. Anaesthetic and critical care equipment: appropriate anaesthetic and critical care equipment must be available. An isoflurane vaporizer with and adequate scavenging system is mandatory. Routine monitoring of surgical patients with respiratory or cardiac monitors is required. 5. Surgical instrumentation: a full complement of general and special instrumentation for diagnostic and surgical procedures must be available. Ophthalmologic equipment and orthopaedic instrumentation sufficient for current standards of practice must be present. 6. Photography: photographic equipment for the documentation of disease must be available. 7. Sterilization: steam and heat sterilization of surgical instrumentation and supplies must be available, and the sterilization capacity must be commensurate with the caseload. Chapter 4 Application procedure for the qualifying examination Applicants must submit their completed (– i.e. all publications which have been at least accepted for publication and other requirements met) credentials to the Executive Secretary before January 1 of the year of anticipated examination. The ‘period of the training programme’ must be completed at least 2 months before the anticipated examination date, in 17 order for examination of the candidate to be permitted in that calendar year. Late or incomplete applications will not be considered. The dates of examination will be posted on the website at least one year in advance. All candidates must submit the standard application form of the College (Appendix D) together with other required documents together with the Application Fee (see Appendix F). The relevant specialty Credentials Committee must verify the successful completion of a standard residency or alternative training programme. If the specialty Credentials Committee is satisfied with the Examination application, the candidate will be notified by the chairperson of that Credentials Committee and should then submit a completed examination application form (Appendix D), together with the Examination Fee (see Appendix F), by March 1st. The responsibility for accuracy and availability of all required credentials rests with the applicant. The following materials must be submitted: 1. Complete Application Form (4 Copies) - available at Appendix D 2. Curriculum Vitae (4 Copies) - Attach one copy of the curriculum vitae to each copy of the completed application form. The curriculum vitae should follow the following format: MODEL CURRICULUM VITAE FULL NAME ADDRESS DATE OF BIRTH EDUCATION COLLEGES DATES DEGREES PROFESSIONAL ACTIVITIES MEMBERSHIP OF WHICH SCIENTIFIC ORGANIZATIONS HONOURS PROFESSIONAL PUBLIC SERVICE OFFICE HELD PROFESSIONAL PUBLIC SERVICE PROFESSIONAL PRESENTATIONS PUBLISHED PEER REVIEWED RELEVANT SCIENTIFIC PUBLICATIONS 3. There must be (a) letter(s) from the Programme Director and Supervisor(s) of each institution involved in the zoological medicine training programme. All letters must be from persons familiar with the candidate's postgraduate zoological medical training programme and mailed directly to the Executive Secretary by the referee. Requests by the applicant for reference letters should be made early so as to assure that these letters are received by the Executive Secretary on or before the application deadline (October 1). It is the applicant's responsibility to see that all letters are sent to the Executive Secretary on time. The specialty Credentials Committee is responsible for 18 absolute discretion and confidentiality regarding the reference letter(s). After approval of the candidate to sit the examination the reference letter(s) will be destroyed. Reference letters must document the following: a. Verification of the specialty zoological medicine training programme and level of supervision. b. The applicant's proficiency, judgement, and competence as a specialty Zoological clinician/academic and readiness to sit the examination. c. The commitment of the applicant to the constitutional objectives of the ECZM. d. The moral and ethical standing of the applicant within the veterinary profession. 4. Documentation Forms (4 Copies): The following completed and verified forms must accompany the application: a. Medicine and surgery Case Log b. Activity Log 5. Publications (4 Copies) - See Requirements for Admission. a. Submission of summaries of five medical or surgical cases personally handled (relating to a patient of their own specialty), with a maximum of 1500 words each, which give an impression of analytical approach of the candidate. b. At least two (2) original peer reviewed original papers in a well established internationally refereed scientific journal (i.e. mentioned in the Science Citation Index). Of one (1) of these papers the applicant must be the principal author; of the second the applicant is not necessarily the principal author. 6. Previous correspondence relating to the training programme and application. 7. Application fee: a. The application will not be evaluated or processed without the credentialling fee (see Appendix F) being paid in full. b. The application fee is not refundable c. If any portion of the application has to be resubmitted the entire fee will be reassessed. The application materials must be divided and arranged in the sequence listed, then indexed and bound in folders to prevent loss and to facilitate review. The applicant's name should be on the front of each folder. If the credentials are accepted by the specialty Credentials Committee and approved by the ECZM Executive Committee, the applicant will be notified by the Executive Secretary in early January. The Chair of the specialty Examination Committee will notify successful applicants of the dates and procedure of examination. Unsuccessful applicants will be notified at the same time by a letter explaining the deficiencies in credentials. A subsequent reapplication must include resubmission of those credentials found deficient and a new application form (4 Copies), an updated curriculum vita (4 Copies), relating correspondence (4 Copies), and the application fee. The application materials must be presented in the manner 19 previously described. All correspondence regarding application procedure and notification should be addressed to the Executive Secretary. All submitted application materials become the sole property of the ECZM and will not be returned to the applicant. Chapter 5 Qualifying examination The examination will test all aspects of the relevant specialty of zoological medicine and may be composed of three sections. 1. The written section consists of multiple choice questions with one correct answer and/or essay questions. 2. A practical/written section of the exam is designed to test interpretive skills. The questions may be based on photographs, or specimens related to the relevant specialty of zoological medical and surgical diseases or conditions. The photographs or specimens depict anatomical specimens, instruments, zoological diseases (relevant to the specialty), pathological and histological specimens, and radiographs. The candidate may be asked to give information regarding diagnosis, method of treatment, interpretation of radiographs or other diagnostic images, identification of instruments or equipment. Short written answers of a few words to a sentence are expected. Each question will be read or shown to the candidates and at the end a review period of 20 minutes is granted before the forms are passed to the examiner. 3. During a conclusive oral examination, each candidate may be examined by two or more members of the Examination Committee for a maximum of 60 minutes. The oral portion of the exam is designed to test depth and breadth of knowledge, ability to apply this knowledge, problem solving capabilities and surgical skills (possibly on dead and/or live animals). Candidates should be prepared to answer questions covering all areas of practice relevant to the zoological specialty. Successful candidates shall be obliged to submit ten multiple choice questions and two practical questions with properly referenced answers (i.e. references to the literature from the reading list [see Appendix A]. Model examination questions may be accessed on the web site. Candidates must pass the examination within eight years of being notified that they have satisfied the credentials process, and may sit the examination on four (4) occasions only. Failure to satisfy either of these requirements necessitates that the candidate go through the credentials process again and additional periods of training and/or experience may be required by the Credential Committee. The second approval by the Credentials Committee will be reviewed annually, the incoming Examination Committee chairperson and the incoming Credentials Committee chairperson having the option of recommending reapplication on a yearly basis. Reapplication credentials must include: 1. A written outline of the applicant's self-evaluation and his/her remedy to correct these deficiencies. 2. A completed application form (4 copies) 20 3. 4. 5. 6. An updated curriculum vitae (4 copies) should be provided. An addendum should reflect training and experiences directed toward correcting the deficiencies as noted by the report from the Secretary of the Examination Committee. At least one letter of reference. These letter(s) should specifically address the efforts taken by the applicant to correct the deficiencies of previous examinations. At least one additional major publication in the field of the relevant specialty in Zoological Medicine, with the applicant being the first or sole author is required. The publications must have been published or at least fully accepted for publication (proof provided) by internationally refereed scientific journal (i.e. mentioned in the Science Citation Index or one of the journals mentioned in the reading list [see Appendix]). The publication must be less than five years old at the date of the current application deadline. All relating correspondence (4 copies) should be provided. This should include a list of all dates of previous applications and appropriate correspondence. Credentials of candidates who pass the examination will be forwarded to the President by the Chairperson of the Examining Committee. Examination fee: a. Taking part in the examination is not possible if the fee is not paid at the time of application. The deadline for the latter is March 1st in the year of anticipated examination. b. The examination fee is non-refundable c. If a candidate has to sit for an examination for a second or third occasion the full examination fee will be due. The integrity of the Diplomate status examination will be maintained by the European College of Zoological Medicine to insure the validity of scores awarded to candidates. 21 Appendix A Reading List Small Mammal specialty Compulsory reading list Refereed Journals (Published in the 8 previous years) - American Journal of Veterinary Research - Comparative Medicine - Journal of the American Animal Hospital Association - Journal of the American Association for Laboratory Animal Science - Journal of the American Veterinary Medical Association - Journal of Wildlife Diseases - Journal of Zoo and Wildlife Medicine - Laboratory Animals - Seminars in Avian and Exotic Pet Medicine / Journal of Exotic Pet Medicine (Saunders) - Veterinary Clinics of North America, Exotic Animal Practice - Veterinary Record - Veterinary Journal Proceedings (Published in the 5 previous years) - American Association of Zoo Veterinarians - Association of Exotic Mammal Veterinarians - World rabbit congress - North American Veterinary Conference Monographs - Bradley Bays T, Lightfoot T, Mayer J (eds): Exotic Pet Behavior, Saunders, 2006 - Campbell TW, Ellis CK. (eds): Avian and Exotic Animal Hematology and Cytology. Blackwell, 2007. - Capello V, Gracis M, Lennox AM (eds): Rabbit and Rodent Dentistry Handbook,. Zoological Education Network, 2005 - Capello V, Lennox AM (eds): Clinical Radiology of Exotic Companion Mammals, Blackwell, 2008 - Colville JL, Berryhill DL (eds): Handbook of zoonoses: identification and prevention. Mosby Elsevier, St. Louis, 2007. - Fox JG (ed): Biology and diseases of the ferret, 2nd Edition, Williams & Wilkins, 1998. - Fox JG, LC Anderson, FM Loew, FW Quimby (eds): Laboratory Animal Medicine, 2nd Edition, Academic Press, 2002. - Fudge, AM: Laboratory Medicine: Avian and Exotic Pets. W. B. Saunders, Philadelphia, 2000. - Harcourt-Brown F: Textbook of rabbit medicine, Butterworth-Heinemann, Oxford, 2002. - Harkness JE, Wagner JE (eds): Biology and Medicine of Rabbits and Rodents. Lippincott Williams & Wilkins, 1995. - Hrapkiewicz K., Medina L (eds): Clinical Laboratory Animal Medicine, 3rd edition, Blackwell, 2007. 22 - - Manning, Ringler, Newcomer. (eds): The biology of the laboratory rabbit, 2nd edition, Academic Press, Inc. San Diego, 1994. McFerran JB, McNulty MS (Eds.): Virus Infections of Vertebrates, Virus infections of rodents and lagomorphs, Elsevier Science, Amsterdam, 1994. Meredith A, Flecknell P. (eds): BSAVA manual of rabbit medicine and surgery. BSAVA - British Small Animal Veterinary Association, Gloucester, 2006. Meredith A, Redrobe S (eds): BSAVA Manual of Exotic Pets. BSAVA - British Small Animal Veterinary Association, Gloucester, 2002. Paterson S. Skin diseases of exotic pets. Blackwell, 2006. Percy DH, Barthold SW. (eds): Pathology of Laboratory Rodents and Rabbits, 3rd edition, Blackwell, 2007. Popesko P, Rajtova V, Horak J. (eds): Colour Atlas of the Anatomy of Small Laboratory Animals Volume I: Rabbit and Guinea Pig, Elsevier Science, 1990. Popesko P, Rajtova V, Horak J. (eds): Colour Atlas of the Anatomy of Small Laboratory Animals Volume II: Rat, Mouse & Golden Hamster, Elsevier Science, 1992. Quesenberry KE, Carpenter J (eds): Ferrets, rabbits and rodents : clinical medicine and surgery - includes sugar gliders and hedgehogs. Saunders, 2004. Silverman S, Tell LA (eds): Radiology of rodents, rabbits and ferrets: an atlas of normal anatomy and positioning. Elsevier Saunders, 2005. Suggested reading list In particular there are a number of texts in languages other than English which are considered useful but on which candidates will not be specifically examined. Other texts listed here may be put of print and difficult to source but are useful if obtainable. - - - Beck W., Pantchev N. (eds): Praktische Parasitologie bei Heimtieren: Kleinsäuger - Vögel Reptilien - Bienen. Schlütersche Verlagsgesellschaft. 2006. Cockcroft, P., Holmes, M. (eds): Handbook of Evidence-Based Veterinary Medicine. Blackwell Publishing. Compendium on Continuing Education for the Practicing Veterinarian Ewringmann A. Leitsymptome beim Kaninchen. Diagnostischer Leitfaden. Enke Verlag, Stuttgart. 2004. Ewringmann A., Glöckner, B. (eds) Leitsymptome bei Meerschweinchen, Chinchilla und Degu. Diagnostischer Leitfaden und Therapie. Enke Verlag, Stuttgart. 2005. Ewringmann A., Glöckner, B. (eds): Leitsymptome bei Hamster, Ratte, Maus und Rennmaus. Diagnostischer Leitfaden und Therapie. Enke Verlag, Stuttgart. 2008. Gabrisch K., Zwart P. (eds) Krankheiten der Heimtiere. Schlütersche Verlagsgesellschaft, 2007. Hamel I. Das Meerschweinchen als Patient. Enke Verlag. 2002. Kleintierpraxis Lewington JH. Ferret Husbandry, Medicine and Surgery, 2nd Edition. Saunders Elsevier 2007. Oglesbee BL (ed): The 5-minute veterinary consult. Ferret and rabbit. Blackwell Publishing. 2006. Richardson VCG: Diseases of small domestic rodents. Blackwell Publishing, 2003. Tierärztliche Praxis 23 Updated December 2008 24 Appendix B Re-evaluation of ECZM Diplomates March 27, 2007 Relevant Articles from ECZM Constitution: Art 5.8. ECZM Constitution: The registration ceases by default when the specialty is practised at a level of less than 50 percent devoted to patients of their specialty (i.e < 20 hours/week), or when the specialty has not been practised, for reasons other than those being reasons for temporary or permanent suspension, for two continuous years or the equivalent of two years during a period of 5 years. These Diplomates are awarded a Non-Practising Diplomate status. Art 5.9. ECZM Constitution The College has established a standard procedure (see Appendix B) by which the requirement for membership are re-evaluated on a periodic basis. This procedure meets the requirements as established by the European Board of Veterinary Specialisation (EBVS). Continuing education: validation system ECZM At the 2001 ECAMS Annual General Meeting in Munich it was decided that the recredentialling procedure was to start from January 1st 2001 onwards. After each 5-year period, each diplomate shall provide validation that they may continue their Diplomate status. Any diplomate failing to achieve sufficient points may alternatively re-sit the examination. Please note that recognition of conferences must be validated with the Education and Residency Committee prior to the conference. All diplomates are advised to maintain a log through out the period. 25 Minimum Points required over the 5 year period: 100 Publications (related to Small Mammal medicine: maximum 65 points / 5 years) Only in international peer reviewed journals (as listed below), excluding abstracts of presentations: - Original scientific article (main author)/ peer reviewed contributions to text book relevant to their specialty 10 points - Original article (co-author) 8 points - Case report / Review (main author) 6 points - Case report / Review (co-author) 5 points Presentations (related to the relevant specialty: maximum 70 points/5 years) Please note that it is a requirement of the College that you personally present a paper at an ECZM meeting at least once in each 3-year period. - National Congress or CE 4 point/hr or part ECZM meeting (per presentation) 10 point/hr or part ECZM (paper accepted but author fails for any reason to attend meeting to deliver) - 10 points Presentation at ECZM (non Conf) AGM 7 points Attend ECZM AGM (non Conf) CPD 1 point Other International meetings (per presentation) 10 points/hr or part Poster presentation at International meeting as 1st author 3 points Attendance (related to the relevant specialty) (maximum 100 points / 5 years) - National meeting (if prior approved by Education Committee) 2 point / half day (max 8 / meeting) - International Meetings (see list below or as approved by Education and Residency Committee) 4 points / half day (max 14 points / meeting) - ECZM workshop 4 points - Non-specialised congress 2 points / half day (max 8 pints / meeting) - Attendance advanced training course (if prior approved by Education and Residency Committee) 9 points - ECZM business meeting attended simultaneous with ECZM Conference 1 point - ECZM business meetings when not simultaneous with ECZM Conference 3 points (Diplomates are obliged to attend at least three business meetings in each 5 years) Preparing Exam questions (max 55 points /5 years) - Questions must be accepted by the Examination Committee 1 point per MCQ 3 points per Prac Q Please note all Diplomates are obliged to prepare suitable numbers of acceptable exam questions at a frequency and volume as may be necessary and is decided by the Scientific Committee and ratified by the AGM. Involvement in college activities Active member (by approval of chair) of an ECZM Examination Committee 8 points 26 Active member (by approval of chair) of another ECZM committee (per committee) 5 points Officer post (ie Board Member) 6 points Programme Director (per resident/ per year) 8 points Resident supervision (per resident/ per year) 8 points Recognised International Meetings (small mammal specialty) AEMV, BSAVA (small mammal elements of), FECAVA (small mammal elements of), WSAVA (small mammal elements of), Voorjaarsdagen (small mammal elements of), NAVC (small mammal elements of), Central Veterinary Conference (small mammal elements of), AZV, Western States, (small mammal elements of), American Veterinary Medical (small mammal elements of), ABVP (small mammal elements), World Rabbit conference and other conferences as may be recognised by the Education and Residency Committee in advance of the conference. In the latter case Diplomates are obliged to provide details with full programme to the Chair of the Education and Residency Committee at least 3 month prior to the conference. Recognised International Peer reviewed Journals (small mammal specialty) as listed in the Science Citation Index, and including VetRec, JSAP, J Wildlife Dis, Avian Pathol, Avian Dis, AJVR, Comp CESAP, Cont Issues in SAP, JAVMA, J Vet Pharm Therap, JZWM, Journal of Exotic Pet Med, Veterinary journal, Vet Clinics NA, Veterinary Microbiology, World Rabbit Science 27 Re-evaluation Form ECZM (Re-evaluation is performed electronically through the website) Name of Diplomate: Specialty: Year in question: Date: ………………………………………………………………………….. ……………………………….. ………… ………… Address:…………………………………… ……………………………………….. Tel: ……………………………………… Fax: ……………………………………… E mail: ……………………………………… If you have not been a Diplomate for all of the period, please state when you were first accepted into the College. …………………. 1. Have you practised your specialty within Zoological Medicine for more than 20hrs a week continuously during the last 5 years. Y /N If not please specify: ……………………………………………………………………… 2. List the peer reviewed publications that you have authored / co-authored (in recognised international journals) during the last 5 years. Specify which are original, review, case studies, continuing educational articles or text books. 3. List the presentations that you have given at recognised International meetings in the last 5 years (include name and date of the meeting, - please attach copies of the programmes if not on the list of automatically approved meetings). 4. List the ECZM presentations you have personally delivered in the last 5 years. 5. List any ECZM presentations which have been accepted but for which you were unable to attend to present for any reason. 6. List all ECZM business meetings which you have attended in the last 5 years. 7. List the presentations that you have given at recognised national meetings in the last 5 years. (include name and date of the meeting). 8. List the National and International meetings which you have attended in the last 5 years. 9. List the ECZM related activities (committee/board membership) that you have been involved in during the last 5 years. 10. List (and attach copies of the relevant text) the number of MCQ and Practical questions which you have had accepted in the last 5 years. If you had a deficit of questions in the previous period, any new questions in this period will be carried back to the previous period, prior to attracting points in this period. 28 11. List the names of residents for whom you have acted as Programme Director to during the last 5 years. 12. List the names of residents whom you have acted as Resident Superviser during the last 5 years. 29 Appendix C Resident Case Record Reference No Client Name Common Name Date of Presentation Species Name Latin Name Full History Reason for presentation Presenting Signs and Symptoms Diagnostic Procedures: Physical CBC Biochemistry Cytology Radiology Endoscopy Other Treatment (to include drugs, dose rate, frequency and route of administration) Surgical Procedures under taken Response to therapy Case Outcome Post mortem (Gross and histopathological) examination results if relevant 30 Appendix D ECZM Examination Application Form ……………………………. Date Name of Applicant ……………………………………..……………………………. Specialty in which you have been trained. ……………………………………….. Credentials already approved Date of Credentials Approval Full material enclosed for Credentials Approval Yes / No ……………………………. Yes / No Institute where residency undertaken ……………………………. Date Internship Commenced ……………………………. Date Internship Completed ……………………………. Date Residency Commenced ……………………………. Date Residency Completed ……………………………. Application to sit the examination in 2012 / 2013 / 2014 Examination Fee has been paid Yes / No Signature of Resident …………………………….. Counter signature of Programme Director ……………………………. Name of Programme Director ……………………………. 31 Appendix E ECZM visitation checklist Visitation and Inspection of: …………………………….……………………………. For the purposes of approval as a residency training centre for ECZM Date Inspection conducted: ……………………………. Inspectors Names: ……………………………. ……………………………. Institute / Centre Representatives Present ……………………………. Medical library: a library containing recent textbooks and current journals relating to Zoological Medicine and its supporting disciplines must be immediately accessible to the Programme participants (working collection). Medical records: a complete medical record must be maintained for each individual case and rapid retrieval of information about any patient or flock should be possible. The problem oriented medical record (POMR) system is recommended Radiographic services: separate rooms and appropriate equipment for comprehensive diagnostic imaging and darkroom processing must be available. A 33 MA 125 KVP radiographic machine is a minimum for adequate examination. Diagnostic (imaging) equipment: ECG Radiography (suitable, safe, serviced) Suitable plates and viewers. Labelling, recording and filing of all radiographs Ultrasonography (suitable for Zoological patients) In addition flouroscopy, MRI and CT are advantageous but not essential Equipment must be used by and interpretation conducted by residents Safety monitoring is mandatory Endoscopy equipment for internal visualisation and biopsy collection Pathology services: Clinical pathology: a clinical pathology laboratory for haematological, clinical chemistry, microbiological, and cytological diagnosis must be available. Clinical pathology reports must be retained and retrievable. Pathology services: 32 Morphologic pathology: a separate room for gross pathological examination must be available. Facilities for histopathological examination birds and necropsy tissues must be available. Anatomic pathology reports must be retained and retrievable. Medical and surgical facilities: Clinical examination rooms: the examination rooms must be designed, constructed, used, and maintained consistent with the current concepts of practice. They must be sufficient in number and size to accommodate the case load. Treatment areas: Areas for intensive care, special procedures, isolation, and good nursing must be available. Intensive care units with heat control and oxygen delivery system is mandatory. Hospitalisation facilities, with control of contagious agents. Suitable enclosures (size, temperature, humidity), perches and visual seclusion where required Inpatient recording system, including daily weights and medication Isolation facilities Operating room: The operating rooms must be designed, constructed, used and maintained consistent with current concepts of veterinary surgery (i.e. must not be used for other purposes as sterility would inevitably be compromised). The surgery room(s) must be sized adequately for the patient, staff, and associated equipment. The sterile surgery room(s) must be ventilated according to the current concepts of aseptic surgery. Emergency lighting must be available. Anaesthetic and critical care equipment: Appropriate anaesthetic and critical care equipment must be available. Range of induction masks, agents and suitable circuits An isoflurane vaporiser or other appropriate volatile anaesthetic system together with an adequate scavenging system is mandatory. Routine monitoring of surgical patients with respiratory or cardiac monitors is required. Suitable volatile and parenteral agents are essential. Sterilised air sac canulation equipment. Ready to hand emergency resuscitation equipment Record of anaesthetic difficulties Surgical instrumentation: a full complement of general and special instrumentation for diagnostic and surgical procedures must be available. Ophthalmological equipment and orthopaedic instrumentation sufficient for current standards of practice must be present. 33 Surgical instrumentation: A full complement of general and special instrumentation for diagnostic and surgical procedures, must be available. Ophthalmological equipment and orthopaedic instrumentation sufficient for current standards of practice must be present. Surgical equipment: Soft tissue: radio-surgery including bipolar must be available and in use. Haemoclips. Magnification and good illumination is essential Micro-surgical instruments (suitable numbers, quality etc) Suitable suture materials Suitable sterilisation methods and verification techniques Orthopaedic: Suitable pins (threaded), wire, ESF fixators, drill (+shroud), splints Post operative radiographs Photography: photographic equipment for documentation of disease, must be available. Sterilisation: steam and heat sterilisation of surgical instrumentation and supplies must be available, and the sterilisation capacity must be commensurate with the avian caseload. Efficacy of sterilisation must be verified and recorded. We the under signed Inspectors Recommend: …………………………….…………………………….…………………………….……… …………………….…………………………….…………………………….……………… …………….…………………………….…………………………….……………………… …….………… The following mandatory conditions are made: …………………………….…………………………….…………………………….……… …………………….…………………………….…………………………….……………… …………….…………………………….…………………………….……………………… …….………… The following non mandatory recommendations are made: …………………………….…………………………….…………………………….……… …………………….…………………………….…………………………….……………… …………….…………………………….…………………………….……………………… …….………… …………………………………………….. Signed ……… / ……… / ……….. Dated …………………………………………….. Signed ……… / ……… / ……….. Dated 34 Appendix F Annual Dues and Fees Active Diplomate € 150,00 Non Practising Diplomate € 100,00 Retired Diplomate € 100,00 Honorary Member No Fee Credentialling to start Residency No Fee Credentialling for Examination € 150,00 Examination Fee € 450,00 Credentialling for return from Non Practising to Active € 200,00 Appeal against adverse decisions € ……… Visitation and Inspection of potential Residency Training Fascility Compensate expenses made 35