Large Animal Surgery

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Course
LAMS 516
Semester
Spring
Year
2022
Catalog
School of Veterinary Medicine
Faculty and Staff Information

Dr Heidi Janicke, VetMed, PhD, MRCVS, Dipl. ECVS, SFHEA Associate Professor in Large Animal Surgery
Office: Cassia Building (SGU campus map: # 17) Tel: 444 - 4175 ext. 3306
Email: hjanicke@sgu.edu Office Hours: by appointment

Course Location

Ray & Jan Sis Lecture Theater I

MyCourses: 2022-01-LAMS516-V-0-Large Animal Surgery I in Sakai

All Zoom links, Panopto recordings, additional Resources, Tests & Quizzes, Assignments, etc. will be available through the Lessons tab on the LAMS 516 MyCourses site.

Required Resources

Unfortunately, there is no one single text that encompasses all of the material covered in this course. The published long notes, lecture handouts and additional reading provided on MyCourses as well as information delivered in lectures and in your previous courses (see above) will provide basic information.

Recommended Resources

Reference texts that provide additional information, images and discussion include:

A large amount of information is available at this site: http://www.vin.com. You need to register, but there is no cost to veterinary students.

Accommodation
  1. Students who need accommodations should contact Student Accessibility and Accommodations Services (SAAS), located in the Welcome Center, inside the International Students Office.
  2. Information can be found at https://mycampus.sgu.edu/group/saas
Other Requirements

TurningPoint app on device, internet access

Course Rationale

This is part 1 of the 2 part Large Animal Surgery course series. It aims to introduce students to surgical conditions, including trauma, encountered in the livestock animal (bovine, porcine, ovine, caprine and  camelids)  and  equine  species  in  terms  of  pathogenesis, diagnosis, treatment, prognosis and management. Emphasis will be placed on the clinical approach to evaluate, diagnose and treat the patient, as well as up-to-date therapeutic opportunities and prognosis where available. Clinical reasoning with be honed using case-based scenarios, which in addition will encourage better in- depth learning of the material. Mastery of material presented in this course will prepare the student for 4th year clinical rotations, the NAVLE  board  exam,  and  veterinary  practice  after  graduation.

Course Learning Outcomes

Upon successful completion of this course, the student will be able to

  1. Recognize challenges specific to large animal surgery.
  2. Identify the aetiology and pathogenesis of surgical conditions of the major organ systems in the livestock animal (bovine, porcine, ovine, caprine and camelids) and equine species.
  3. Recognize the clinical signs of surgical conditions of the major organ systems in the livestock animal (bovine, porcine, ovine, caprine and camelids) and equine species.
  4. Determine appropriate techniques for diagnosis of surgical conditions of the major organ systems in the livestock animal (bovine, porcine, ovine, caprine and camelids) and equine species.
  5. Determine treatment and management plans for surgical conditions of the major organ systems in the livestock animal (bovine, porcine, ovine, caprine and camelids) and equine species.
  6. Provide a prognosis for individual cases of surgical conditions of the major organ systems in the livestock animal (bovine, porcine, ovine, caprine and camelids) and equine species.
Lesson Learning Outcomes

Principles of large animal surgery (equine, bovine, porcine, ovine, caprine and camelids)

  1. Recognize the challenges specific to large animal surgery
  2. Identify appropriate suture materials and patterns for use in large animals
  3. Determine appropriate analgesic and anaesthetic techniques for surgery in large animals

Livestock miscellaneous conditions (bovine, porcine, ovine, caprine and camelids)

  1. Appreciate reasons for and determine the appropriate method of tail docking, depending on the signalment of the individual animal
  2. Identify rectal prolapse in pigs and describe corrective procedures
  3. Determine the appropriate method of canine tooth removal in llamas.

Livestock (bovine, porcine, ovine, caprine and camelids) and equine urogenital tract conditions

  1. Appreciate the indications for castration in the different species
  2. Appreciate pre-operative considerations in the different species and determine appropriate restraint and analgesia/ anaesthesia
  3. Determine the appropriate castration method, depending on the signalment of the individual animal
  4. Identify complications of castration
  5. Determine the appropriate method of treatment for castration complications.
  6. Review the clincal anatomy of the urogenital tract in livestock animals and equines
  7. Identify pathological conditions of the urogenital tract in livestock animals and equines
  8. Determine the appropriate surgical treatment for pathological conditions of the urogenital tract and recognise their advantages and limitations

Teat conditions

  1. Review the clinical anatomy of the teat and safe handling/ examination of the mammary glands
  2. Determine appropriate analgesia/ anaesthesia for surgery of the teat
  3. Identify surgical conditions of the teats and describe simple surgical procedures of the teat

Dehorning

  1. Determine appropriate analgesia/ anaesthesia for surgery of the horn
  2. Determine the appropriate method of dehorning, depending on the signalment of the individual animal

Livestock abdominal conditions

  1. Identify surgical conditions of the bovine gastrointestinal tract
  2. Determine appropriate surgical approaches     to bovine gastrointestinal conditions
  3. Review the clinical anatomy of the umbilicus and associated structures
  4. Differentiate between causes of umbilical masses and identify the appropriate surgical treatment of each

Livestock musculoskeletal surgery (bovine)

  1. Describe how to carry out a lameness examination and foot trim in cattle
  2. Identify surgical conditions of the musculoskeletal system in production animals
  3. Determine the appropriate treatment for surgical conditions of the musculoskeletal system and recognise their advantages and limitations

Conditions of the integument (wound management, cutaneous conditions)

  1. Identify the appropriate method of treating and repairing different types of wounds and cutaneous conditions
  2. Identify complications of wound repair and determine how to manage them
  3. Appreciate the different concepts of skin grafting and be able to identify when to use them

Eye conditions

  1. Determine appropriate analgesia/ anaesthesia for surgery of the eye
  2. Identify surgical conditions of the eye and describe simple surgical procedures of the eye
Alignment of Course Learning Outcomes with Program Learning Outcomes

Course level outcome

SGUSVM program level outcome

CLO A Recognize challenges specific to large animal surgery

A. Core Medical Knowledge

PLO 5 Recall, understand, and adequately utilize knowledge of and apply principles of therapeutic agents and their application, including relevant legislation and guidelines on the use of medicines. PLO 6 Apply multidisciplinary scientific knowledge to clinical situations, and understand evidence-based veterinary medicine.

]PLO 8 Apply principles of animal welfare and articulate relevant legislation, including notifiable diseases.

 

PLO 9 Apply the principles of veterinary public health for the promotion of human and animal health.

B. Core Professional Attributes

PLO 17 Demonstrate and model self-awareness including understanding personal limitations and willingness to seek advice.

PLO 18 Understand and evaluate the organization, management and legislation related to veterinary practice, including biosafety and biosecurity.

PLO 19 Demonstrate appropriate sensitivity to client diversity, such as cultural, economic, and emotional differences.

C. Core Clinical Competencies (Skills)

PLO 22 Analyze, design and execute appropriate plans for anesthesia and pain management considering patient welfare.

PLO 23 Analyze, design and execute appropriate plans for basic surgery and surgical case

management.

CLO B Identify the aetiology and pathogenesis of surgical conditions of the major organ systems in the livestock and equine species.

A. Core Medical Knowledge

PLO 1 Recall, understand, and adequately utilize multidisciplinary knowledge of basic structures and functions of healthy animals.

PLO 2 Analyze homeostasis and disturbances of basic structures and functions of healthy animals. PLO3 Recall, understand, and adequately utilize knowledge of etiology, pathogenesis and pathology of common infectious, non-infectious, and zoonotic diseases, including biosafety and

biosecurity considerations.

CLO C Recognize the clinical signs of surgical conditions of the major organ systems in the livestock and equine

species.

A. Core Medical Knowledge

PLO 1 Recall, understand, and adequately utilize multidisciplinary knowledge of basic structures and functions of healthy animals.

PLO 4 Explain the relationship between disease processes and clinical signs.

CLO D Determine appropriate techniques for diagnosis of surgical conditions of the major organ systems

A. Core Medical Knowledge

PLO 1 Recall, understand, and adequately utilize multidisciplinary knowledge of basic structures and functions of healthy animals.

PLO 6 Apply multidisciplinary scientific knowledge to clinical situations, and understand

evidence-based veterinary medicine.

in the livestock and equine species.

B. Core Professional Attributes

PLO 17 Demonstrate and model self-awareness including understanding personal limitations and willingness to seek advice.

C. Core Clinical Competencies (Skills)

PLO 20 Execute a comprehensive patient diagnostic plan and demonstrate problem solving

skills to arrive at a diagnosis.

CLO E Determine treatment and management plans for surgical conditions of the major organ systems in the livestock and equine species

A. Core Medical Knowledge

PLO 1 Recall, understand, and adequately utilize multidisciplinary knowledge of basic structures and functions of healthy animals.

PLO 6 Apply multidisciplinary scientific knowledge to clinical situations, and understand evidence-based veterinary medicine.

PLO 11 Understand and apply basic principles of research, and recognize the contribution of research to all aspects of veterinary medicine.

B. Core Professional Attributes

PLO 12 Demonstrate, evaluate, and model effective communication with clients, the general public, professional colleagues and responsible authorities.

PLO 13 Demonstrate, evaluate, and model ethical and responsible behavior in relation to animal care and client relations, such as, honesty, respect, integrity and empathy.

PLO 14 Demonstrate, evaluate, and model leadership, teamwork and conflict resolution skills as a member of a multidisciplinary team.

PLO 17 Demonstrate and model self-awareness including understanding personal limitations and willingness to seek advice.

PLO 19 Demonstrate appropriate sensitivity to client diversity, such as cultural, economic, and emotional differences.

C. Core Clinical Competencies (Skills)

PLO 21 Create comprehensive treatment plans. PLO 22 Analyze, design and execute appropriate plans for anesthesia and pain management considering patient welfare.

PLO 23 Analyze, design and execute appropriate plans for basic surgery and surgical case

management.

 

PLO 25 Analyze, design and execute appropriate plans for emergency and critical care case management.

PLO 26 Design and execute plans for health promotion, disease prevention, and food safety, biosafety and biosecurity.

PLO 28 Recognize and model an appreciation of the role of research in furthering the practice of

veterinary medicine.

CLO F Provide a

A. Core Medical Knowledge

prognosis for

PLO 1 Recall, understand, and adequately utilize

individual cases of

multidisciplinary knowledge of basic structures

surgical conditions of

and functions of healthy animals.

the major organ

PLO 3 Recall, understand, and adequately utilize

systems in the

knowledge of etiology, pathogenesis and

livestock and equine

pathology of common infectious, non-infectious,

species.

and zoonotic diseases, including biosafety and

 

biosecurity considerations.

 

PLO 6 Apply multidisciplinary scientific

 

knowledge to clinical situations, and understand

 

evidence-based veterinary medicine.

 

PLO 11 Understand and apply basic principles of

 

research, and recognize the contribution of

 

research to all aspects of veterinary medicine.

 

B. Core Professional Attributes

 

PLO 12 Demonstrate, evaluate, and model

 

effective communication with clients, the general

 

public, professional colleagues and responsible

 

authorities.

 

PLO 13 Demonstrate, evaluate, and model ethical

 

and responsible behavior in relation to animal

 

care and client relations, such as, honesty, respect,

 

integrity and empathy.

 

C. Core Clinical Competencies (Skills)

 

PLO 26 Design and execute plans for health

 

promotion, disease prevention, and food safety,

 

biosafety and biosecurity.

 

PLO 27 Demonstrate and model effective client

 

communication and ethical conduct.

 

PLO 28 Recognize and model an appreciation of

 

the role of research in furthering the practice of

 

veterinary medicine.
Course Schedule

 

Week

 

Lecture No

 

Date

 

Time

 

Topics

1

1

Jan 20

2:30

Intro to LAS I & Principles of LAS I

2

2

Jan 26

1:30

Principles of LAS II & Miscellaneous conditions

3

3

 

4

 

5

Feb 2

 

Feb 3

 

Feb 4

3:30

 

2:30

 

2:30

Castration

Castration complications Livestock male UGT

4

6

 

7

Feb 10

 

Feb 11

3:30

 

1:30

Livestock male UGT cases

 

LAIM/LAS – UGT CASE

5

8

 

9

Feb 14

 

Feb 15

3:30

 

1:30

Equine male UGT

 

Equine female UGT I

6

10

 

11

Feb 21

 

Feb 22

4:30

 

3:30

Equine female UGT II Equine UGT cases

7

12

Feb 28

3:30

Livestock female UGT I

 

 

13

 

14

 

Mar 1

 

Mar 2

 

2:30

 

4:30

Livestock female UGT II Livestock female UGT cases

8

 

Mar 7

12:00

MIDTERM

9

 

 

 

 

10

15

Mar 21

3:30

Teat

11

16

 

17

 

18

Mar 28

 

Mar 29

 

Mar 31

2:30

 

3:30

 

2:30

Dehorning & cases  competition

 

Livestock gastrointestinal conditions I

 

Livestock gastrointestinal conditions II

12

19

Apr 4

2:30

Umbilical masses

13

20

 

21

 

22

23

Apr 11

 

Apr 12

 

Apr 14

1:30

 

1:30

 

2:30

1:30

Livestock gastrointestinal cases

 

LAIM/LAS – GIT CASE

 

Livestock MSK Livestock MSK cases

14

24

Apr 20

2:30

Integument conditions I

15

25

 

26

 

27

 

28

Apr 25

 

Apr 27

 

Apr 28

 

Apr 29

1:30

 

2:30

 

1:30

 

1:30

Integument conditions II Integument cases I Integument cases II

Eye conditions

16

29

May 4

2:30

LAIM/LAS - EYE CASE

17

 

May 9

 

FINAL
Grading and Assessment Policy
  1. Grading scale

>89.5%

A

84.5-89.49

B+

79.5-84.49

B

74.5-79.49

C+

69.5-74.49

C

64.5-69.49

D+

59.5-64.49

D

<59.49

F
  1. Assessment policy

There will be a Midterm (29 questions) and cumulative Final (58 questions) given in ExamSoft with ExamMonitor and ExamID. Please ensure you read the instructions in XIX. ExamSoft policy to ensure you are set up for the exam ahead of time.

Three additional points can be achieved by completing the 12 quizzes (0.25 points per quiz) within 1 week of the last lecture on the topic and achieving a pass grade (>69.5%). Reminder deadlines are in the calendar and checklist for each week.

The exam material will come from in class discussions and materials available on MyCourses/Lessons. Questions will be multiple-choice with one single best answer or short answer questions.

A grade reduction of 5% will be applied to that exam if students do not observe the parameters listed in the Assessment Policy for Students.

All     other     exam          policies are          followed          according            to          the          SGU Examination policy (https://www.sgu.edu/studentmanual/school-of- veterinary-medicine/veterinary-medical-phase/class-examination- attendance/ and the Student Handbook.

In addition, there will be formative (no points) quizzes and clinical reasoning cases for self-assessment of understanding of the material and concepts. Feedback will be available immediately upon submission.

Recommended Study Strategies

A number of sessions will be case based discussions. You will have access to an abridged version of the lecture notes in advance. It is strongly advised to work through the appropriate material BEFORE the sessions using the lecture and long notes to be able to participate in the discussions and clarify any questions at the time of the session. This will reduce the amount of time you will need to revise the material at a later date.

It may be useful to bring your reading materials available to add information during the discussions. In addition, please have the TurningPoint app downloaded on your device to be able to actively participate in the sessions.

The further reading/recommended resources (see IV/V) literature will be helpful in consolidating the subject matter, as will the resources in the ‘Additional resources’ link in Lessons.

Regular review of the course material is encouraged. This reduces panic the night prior to an examination, poor performance on the exams, and poor retention of information. The formative quizzes in Lessons will help you self-assess your learning.

If a student feels they are falling behind or their grades are inadequate, they should arrange a meeting with the Course Director or their academic advisor as well as someone from the DES office.

For the grading of examinations the long notes, lecture handouts and the statements made during lecture will be considered correct.

A correction of the notes and information provided in lecture is encouraged. However, information found which contradicts these sources must be brought to the attention of the instructor prior to an examination. The source will be evaluated and if indicated, corrections made (to the entire class). Do not expect to receive credit for information that contradicts these sources, unless this procedure is followed.

In addition to information provided in the long notes, handouts and in lecture, students are expected to have command of the information provided in previous courses and from recommended reading resources.

Instructor's Expectations of the Student

The student is expected to attend the case study sessions prepared by having read and worked through the required material before class.

You will benefit the most from these sessions by actively participating. The virtual classroom is a safe environment and questions are not only welcome, but encouraged. If you are unsure of something you can guarantee you will not be the only one, so please present your questions.

Professionalism Statement

The classroom is designated a safe environment. Please respect the fact that not all students have the same experience and may ask questions that seem obvious to you. Do not make fun of students either in or after class.

Participation in the discussions will benefit your learning experience, please make use of this opportunity

Attendance/Participation Policy

Students are expected to be available during the standard 8:30am - 5:30pm AST school day, to attend, engage with in-person and online content, and participate in all classes and clinical rotations for which they have registered. Employment is not an excusable absence. Although attendance, engagement, and participation may not be recorded at every academic activity, attendance, engagement, and participation is graded for mandatory sessions. Students’ lack of attendance, engagement, and participation may adversely affect their academic status as specified in the grading policy.

If failure to attend, engage, or participate in individual classes, examinations, and online activities, or from the University itself is anticipated, or occurs spontaneously due to illness or other extenuating circumstances, proper notification procedures must be followed.

Policy Regarding Missing Examinations and/or Failure of Submission of Assignments

Students who fail to attend an examination or submit an assignment by the deadline without a valid reason (see student manual: SGUSVM POLICY ON AN EXCUSED ABSENCE (EA) FOR STUDENTS) will receive a score of “0” points for the examination.

Students who have technical issues during the examination MUST inform   the   Course   Director   (hjanicke@sgu.edu)   and   IT (tellexaminationservices@sgu.edu OR support@sgu.edu OR call 1- 631-665-8500 ext. 4444 (US, NU, International) OR 1-473-439-2000 ext. 4444 (Grenada), AND Dean of Students (DOS@sgu.edu OR call 866- 429-8889) during the open period for the examination. Failure to do so immediately will result in the student receiving the highest score recorded at the time, but NOT being eligible to take a completion examination.

Scheduling of examinations (regular, re-sit, completion, comprehensive, or exemption) is at the discretion of the School.

ExamSoft Policy

All students are responsible for knowing and complying with the University’s Code of Conduct and the guidelines. Students must read and then sign the Honor Code statement at the start of examinations to indicate that they will comply with the University Code of Conduct.

Prior to Exam Day

  1. Each student is required to have a laptop for the purpose of taking computer-based examinations (e-Exams) at SGU. Students must ensure that their laptops meet the current minimum system requirements prior to exam day.
  2. Examinees must use their MY SGU Member Center username and password to access the Custom Home Page (www.examsoft.com/sgu ) created by ExamSoft for the University.
  3. Examinees are responsible for downloading and registering the latest version of Examplify on their laptop prior to exam day. Once Examplify has been successfully downloaded, examinees are strongly encouraged to familiarize themselves with the software by downloading and taking practice exams.
  4. Examinees are responsible for setting their laptop up for ExamMonitor prior to the exam (see links below).
  5. Examinees will be notified via MyCourses, of all exam related information. Email notifications will also be sent from ExamSoft Support to examinees, notifying them of examinations available for downloading.
  6. Examinees experiencing difficulties with their laptop are encouraged to contact the IT department for assistance prior to exam day. Examinees needing a laptop must visit the Office of Institutional Advancement (OIA) to request an exam loaner if located in Grenada or organize an alternative device.
  7. Examinees should visit the following information to familiarize themselves with the online proctored exam format and set up their baseline photo.
    1. A Examsoft/ExamID quick guide for students
    2. The examsoft student perspective video 30mins
    3. The Examsoft/ExamID FAQ
    4. Examsoft information page
    5. The general Reminders/Guidelines
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The materials (such as slides, handouts and audio/video recordings) provided to students who are taking courses at St. George’s University (SGU) are the intellectual property of the Faculty and/or Administration of SGU. Students are free to use these materials solely for the purpose of group or individual study. Reproduction in whole or in part is prohibited.