Special Topics in Equine Practice

Course
Semester
Spring
Year
2022
Faculty and Staff Information

Course Director: Inga Karasek BSc. DVM, MS, CVA, Associate Professor
Email: ikarasek1@sgu.edu Phone ext. 3829
Office Location: LARF office block (behind the SAC) Office Hours: by appointment

Other participating faculty contact information can be found in the directory.

Course Location

LARF, unless otherwise notified.

Online course location: Sakai (Panopto, Lessons, Resources, Assignments, Forums)

Required Resources

The required reading for each section will collectively come from:

  1. Lecture slides /articles (on Sakai-Resources) and discussions that occur during the sessions.
  2. Large Animal Internal Medicine, Bradford P. Smith, 5th edition
  3. Material covered in previous courses (example: anatomy, physiology, LAMS 501, 502, 503, 505, 516, and 519)
Recommended Resources

Supplemental reading for specific equine diseases may come from Equine Internal Medicine, Reed, Bayly, & Sellon, 4th edition, Diagnosis and Management of Lameness in the Horse, Ross & Dyson, 2nd edition or newer. LAMS 516-Large Animal Surgery notes/lecture material. Equine Surgery Auer and Stick, 3rd edition or newer.

Accommodation
  1. Students with disabilities who need accommodations should contact Student Accessibility and Accommodations Services (SAAS), located in the Dean of Students Office.
  2. Information can be found at mycampus.sgu.edu/group/saas
Other Requirements

It is important to come to this selective dressed appropriately. A complete set of scrubs or coveralls and rubber boots are appropriate attire for the LARF. If a session is to take place in the SIM lab, a complete pair of scrubs and closed-toed shoes are the required attire.

Course Rationale

This course is a selective course in the veterinary curriculum. It was designed to give those students with an interest in equine medicine more hands-on experience and further didactic material before fourth year clinical rotations.

Course Learning Outcomes

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

  1. Understand and demonstrate the common lameness tests; palpation, provocative tests, hoof testers and perineural anesthesia
  2. Use presenting complaint, history, physical exam findings, and clinical signs to create differential lists and choose appropriate diagnostic tests in the equine patient
  3. Be familiar with how to perform a dental floatation, digital radiographs, and basic distal limb ultrasound
  4. Perform appropriate stabilization techniques for fracture management
  5. Be able to perform basic colic, neurological, ophthalmological, dermatological and BSE examinations
  6. Understand the theory and use of complementary therapies
  7. Appreciate normal/abnormal equine behaviour and low stress training techniques
  8. Become familiar with management of large animals in a natural disaster
Lesson Learning Outcomes

Lecture/ Lab

Description of Outcomes

1

Equine Behaviour & Welfare and Low stress training techniques

  • Demonstrate a positive reinforcement training technique
  • Demonstrate a negative reinforcement training technique

2

Acupuncture lecture and hands-on demonstration/practice

  • Each pair of students completed an Eastern history
  • Each pair examined the animal, pulse, tongue, temperature, and body scan
  • Each pair of students completed an Eastern medicine acupuncture form
  • Each student to place a minimum of one needle

 

3

Dentistry lecture and hand floating

  • Each student demonstrated correct use of a hand-float
  • Each pair of students completed a dental form for the patient

4

Neurological examination in horses and hands-on practice

  • Each pair of students demonstrated a complete cranial nerve exam
  • Each pair of students completed a neurological form for the patient
  • Each pair of students performed a diagnostic neurological test of their choosing

5

Equine PE and annual vaccinations

  • Each group of 2-3 performs a complete PE
  • Each student gives one IM vaccine
  • Each student group hands in a completed PE and immunization form

6

Lameness videos, common forelimb and hind limb causes of lameness, with hands-on full body palpation and flexion tests

  • Dynamic lameness’s interpreted
  • Each pair of students demonstrated complete full body examination
  • Each pair demonstrated one flexion test to the class

7

Initial fracture stabilization in the field with hands-on splinting/bandaging exercise in the SIM lab

  • Each team of students correctly stabilized the fracture they were given
  • Each student demonstrated the correct placement of a jugular catheter in the SIM model

8

Equine dermatology lecture and hands-on techniques (tape test, skin scrapes)

  • Each pair of students obtained a history pertaining to a dermatological lesion
  • Each pair of students performed a diagnostic test of their choosing
  • Each pair of students completed a dermatological form for the patient

9

Mare and Stallion BSE

  • Each student to be understand the correct sequence of steps for a mare BSE
  • Each student to be able to complete a basic stallion BSE

10

Ophthalmology lecture and hands-on laboratory (nasolacrimal flushing, ocular blocks, etc.)

  • Each pair of students performed a diagnostic test of their choosing
  • Each pair of students accurately demonstrated the appropriate ophthalmic nerve block for examination of an equine eye

 

11

Radiology of the feet

  • Each student to take a view of an equine foot
  • Each student to describe the views necessary to completely evaluate an equine foot
  • Each student to identify common diagnoses such as laminitis, and navicular syndrome.

12

Distal limb imaging/ultrasound lab

  • Each student demonstrated imaging a distal limb with the U/S in transverse and linear orientation
  • Each student named all the relevant anatomy of the distal limb

13

Colic cases with hands-on palpation/NGT/abdominocentesis SIM lab

  • Each student calculated dosages for a colic patient
  • Each student calculated a fluid rate for a colic patient
  • Each student performed a rectal palpation of the SIM model to diagnose the colic
  • Each student performed an abdominocentesis on the SIM model

14

Equine Rescue Session & Disaster Preparedness

  • Participate in a simulated evacuation of equines and large animals from natural disaster
  • Formulate a hurricane plan for the LARF herd
Alignment of Course Learning Outcomes with Program Learning Outcomes

Course Level Outcome#

SGU SVM Program Learning Outcome

 

A. Core Medical Knowledge

1

PLO 01 Recall, understand, and adequately utilize multidisciplinary knowledge of basic structures and functions of healthy animals.

2, 3, 5

PLO 02 Analyze homeostasis and disturbances of basic structures and functions of healthy animals.

2

PLO 03 Recall, understand, and adequately utilize knowledge of etiology, pathogenesis, and pathology of common infectious, non- infectious, and zoonotic diseases, including biosafety and biosecurity considerations.

3,5, 6

PLO 06 Apply multidisciplinary scientific knowledge to clinical situations and understand evidence-based veterinary medicine.

7

PLO 07 Evaluate and analyze normal versus abnormal animal behavior.

7

PLO 08 Apply principles of animal welfare and articulate relevant legislation, includingnotifiable diseases.

 

B. Core Professional Attributes

8

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

8

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

 

C. Core Clinical Competencies (Skills)

1,2

PLO 20 Execute a comprehensive patient diagnostic plan (differential diagnosis list) and demonstrate problem solving skills to arrive at a diagnosis.

1

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

4,5

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

Course Schedule

Lecture/Lab #1 Jan 10th -1:30 pm

Equine Behaviour & Welfare and Low stress training techniques

Lecture/Lab #2 Jan 14th -1:30 pm

Acupuncture lecture and hands-on demonstration/practice

Lecture/Lab #3 Jan 17th -1:30 pm

Dentistry lecture and hand floating

Lecture/Lab #4 Jan 21st -1:30 am

Neurological examination in horses and hands-on practice

Lecture/Lab #5 Jan 24th -1:30 pm

Equine PE and annual vaccinations

Lecture/Lab #6 Jan 31st -1:30 pm

Lameness videos, common forelimb and hindlimb causes of lameness, with hands-on full body palpation, flexion tests, nerve blocks, body scan

Lecture/Lab #7 Feb 14th -1:30 pm

Initial fracture stabilization in the field with hands-on splinting/bandaging exercise in the SIM lab

Lecture/Lab #8 Feb 21st -1:30 am

Equine dermatology lecture and hands-on techniques (skin scraping, brushing, biopsy techniques)

Lecture/Lab #9 Mar 14th -1:30 pm

Mare and Stallion (Jack) BSE

Pregnancy diagnosis and gestational aging Sakai quiz due March 21st, 5 pm.

Lecture/Lab #10

Mar 21st -1:30 am

Ophthalmology lecture and hands-on laboratory (nasolacrimal flushing, ocular blocks, etc.)

Lecture/Lab #11 Mar 28th -1:30 am

Radiology of the feet for assessment of laminitis, navicular syndrome and other commonly diagnosed foot conditions

Lecture/Lab #12 Apr 4th -1:30 am

Distal limb imaging/ultrasound lab Journal article review April 4th at 5 pm.

Lecture/Lab #13 Apr 11th -1:30 am

Colic case in the SIM lab

Colic Sakai quiz due April 18th at 5 pm.

Lecture/Lab #14 Apr 19th -1:30 am

Equine Rescue in the Field & Disaster Preparedness

Lecture/Lab # 15 Apr 21st 12 pm AST

Final Exam

3 completed examination forms (15 % of the grade). Due on or before April 21st, 2022, at 5 pm.

Hurricane Plan due April 21st at 5 pm.

Grading and Assessment Policy

Examinations: There will be 1 exam for this course, a comprehensive final exam, worth 45% of the final grade in the course. Exam material will come from required readings, lectures and in class discussions. The exam date and time are listed below, and on the class schedule posted on Sakai. Any deviation from the schedule will be announced on Sakai and during class:

  1. Final Comprehensive Exam (45% of grade) –Thursday April 21st, 2022, at 12 pm.
    1. 45 MCQs on Exam Soft using Exam Monitor.
  2. Class participation – (10 % of grade)
  3. Journal article review – (10% of the grade)-details in Addendum 1
  4. Equine medical forms (15 % of the grade) Due on or before April 21st, 2022, at 12 pm. Please submit 3 specific equine forms each worth 5 % of the grade from the relevant classes (could be anAcupuncture exam form, Dental exam form, Neurological exam form, Dermatological exam form) rubric in Addendum 2.
  5. Pregnancy diagnosis and gestational aging Sakai test- (5 % of the grade)
  6. Hurricane Plan - (10 % of the grade) details and rubric in the Assignment posting
  7. Colic post-lab quiz (5% of the grade)

Excuses from examinations will be accepted only with the use of the online “Medical Excuse” policy. Please consult the SVM Dean of Students office for additional information regarding acceptable excuses. Make-up examinations may be essay or short answer using Exam Soft.

Grading Policy: The final grade for this course reflects the exam scores. Below is the grading scale for this course:

>89.5%

A

84.5-89.4

B+

79.5-84.4

B

74.5-79.4

C+

69.5-74.4

C

64.5-69.4

D+

59.5-64.4

D

<59.4

F

A grade reduction of 5% will be applied to that exam if students do not observe the following parameters during exams monitored online:

  1. Avoid talking out loud.
  2. Avoid looking away from the monitor.
  3. Avoid having distractions (animals, people) in or walking through the room or making noise during the exam.
  4. Check that your webcam is always recording your full face with adequate lighting.
Recommended Study Strategies

Review available resources provided after each class. Assigned readings will be given.

Instructor's Expectations of the Student

The student is expected to adhere to the guidelines provided throughout this syllabus including attendance and examination policies

Professionalism Statement

Please always exhibit professional behavior. Turn cell phones off or silence them during lectures/labs. Please arrive on time. Notify faculty of medical or other excuses.

Attendance/Participation Policy

Attendance to sessions is mandatory and participation is expected. Failure to attend classes/labs without a valid excuse will result in a 2% deduction of each class/lab missed (Class participation grade - with a total of 10 % value). Please consult the SVM Dean of Students office for additional information regarding acceptable excuses. Students are expected to attend, engage with in-person/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 (Sakai quiz/test or Examsoft) 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 (ikarasek1@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) 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 University.

ExamSoft Policy

Students who fail to attend an examination (Sakai quiz/test or Examsoft) 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 (ikarasek1@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) 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 University.

Copyright Policy

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.