Introduction to Clinical Practice

• Dr. Wayne Sylvester, DVM, MSc

  Associate Professor

  Medical Director- Small Animal Clinic Email Address: WSylvester@sgu.edu Telephone: 444-4175 Ext:3600

  Office Location: Small Animal Clinic Office Hours: By appointment

Online using Sakai resources such as Zoom, Panopto, Lessons, and Assignments. Lectures: Sis Hall West

• Clinic Labs: Small Animal Clinic
• All clinic labs will occur at the Small Animal Clinic.
• Report to the Conference room at the Small Animal Clinic at 8:30am. Please do not crowd into the waiting room of the SAC.
• Rounds will occur in the SAC conference room.
• Student parking—Due to limited space, we ask that you do not park in the Small Animal Clinic parking lot.

Online Labs for remote students: Zoom (online classroom) Ophthalmology Labs will occur at the Veterinary Surgery Lab

• Computer with functional camera and microphone.
• Notes from previous terms.
• Necessary resources will be posted on SAKAI by faculty members.

Material covered in previous courses (example: anatomy, physiology, LAMS 502, SAMS 522, SAMS 515) are considered appropriate material.

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

All students should also keep in mind that the Small Animal Clinic is a 24-hour clinic that provides emergency services as well as preventative health care, surgical services and medicine services. This means that the schedule can change abruptly as a result of multiple emergencies, walk-in patients, and/or scheduling changes. So be prepared to “go with the flow”.

Also, please remember that the clinicians’ schedule, number of hospitalized patients, and appointments will vary week from week. No two groups will have the exact same experience. No two days in veterinary medicine are ever the same!

As a continuum of the problem-oriented medical record (POMR) and physical exam skills learnt in the SAMS 515 and LAMS 502 courses, the student practices and refines methods of incorporating physical examination, historical information collection, and development of problem lists based on current clinical cases from the Small Animal Clinic. Client relations and communication skills are emphasized. Creation of the medical record and the importance of clinical practice management are discussed and practiced by the student.

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

1. Collect historical or review historical data from clients and perform general physical examination/restraint on pets in a clinic setting in a professional manner.
2. Generate a prioritized problem list, discuss differential diagnoses for problems and develop an appropriate therapeutic plan for patients (reinforce the Problem Based Learning approach).
3. Complete medical records and SOAP assignments in a timely and accurate manner using POMR and/or SOAP formats.
4. Develop students' proficiency in performing basic ophthalmologic examination in companion animals using appropriate tools, diagnostic aids and therapeutics.

Lecture 1. Overview of SAMS 526

• Review and discuss writing medical records using the SOAP format.
• Practice problem-based learning strategies using clinical cases and simulation models.

Lecture 2. Small Animal Modules

• Evaluate the importance of a complete history and performing complete physical exams.
• Assess the DAMNITV scheme and it's application to various examples of selected clinical cases.

Lecture 3. Ophthalmology part 1. Anatomy of the Eye and Sight.

• To relate the clinical signs of ocular disease to the anatomical structures of the eye.
• To understand how the ocular structures contribute to the phototransduction process necessary for sight.

Lecture 4. Ophthalmology part 2. Examination of the Eye and Adnexa.

• How to structure the meaningful clinical examination of the eye.

Lecture 5. Ophthalmology part 3. Transparency and Colour Change in Diagnosis.

• How to relate the pathological ocular transparency and colour changes to disease diagnosis.

Clinic Labs

• Collect historical data from clients, perform physical exams on owned patients in a clinical settings.
• Generate problem lists and differential diagnoses lists. Develop diagnostic plans and therapeutic plans.
• Demonstrate proficiency in medical record writing and keeping. Complete and submit written SOAP assignments in a timely manner. Apply the DAMNITV scheme to clinical cases.
• Apply problem based learning to clinical cases.

Online Clinical Labs

• Review simulated cases/online clinical cases/paper cases
• Generate problem lists, differential diagnoses and comprehensive discussions. Develop diagnostic plans and therapeutic plans.
• Complete and submit written SOAP assignments on clinical paper cases in a timely manner.
• Actively participate in rounds via Zoom

Ophthalmology Lab

• Perform ocular exams and ocular diagnostic tests.
• Compare normal and abnormal findings during ocular exams.

Lecture 1. Overview of SAMS 526. Date: 17th January 2022

Time: 4:30pm-5:20pm Location: Sis Hall West Lecturer: Dr. Wayne Sylvester

Lecture 2. Overview of small animal modules/labs Date: 18th January 2022

Time: 4:30pm-5:20pm Location: Sis Hall West Lecturer: Dr. Wayne Sylvester

Lecture 3.

Date: 9th February 2022 Time: 4:30pm-5:20pm Location: Sis Hall West Lecturer: Dr. Peter Bedford

Lecture 4.

Date: 10th February 2022 Time: 4:30pm-5:20pm Location: Sis Hall West Lecturer: Dr. Peter Bedford

Lecture 5.

Date: 11th February 2022 Time: 4:30pm-5:20pm Location: Sis Hall West Lecturer: Dr. Peter Bedford

SAMS 526 Introduction to Clinical Practice Spring 2022

Groups for Clinic Labs Location: Small Animal Clinic Time: 8:30am-12:20pm

SAMS 526 Ophthalmology Labs Schedule

Venue: Veterinary Surgery Lab Day: Friday

Time: 8:30am-12:20pm and 1:30pm-4:20pm SAMS 526 Ophthalmology Lab (1 Lab per student)

Friday 18^th February 2022 from 8:30am-12:30pm at the VSL: Group A + C1-C4 + R1, R2

Friday 18^th February 2022 from 1:30am-4:30pm at the VSL: Group B + C5-C9 Dr. Peter Bedford’s email address: profg1@btinternet.com

Clinic Labs Schedule by Week and sub-Groups

SAMS 526 Introduction to Clinical Practice Spring 2022 Groups for Clinic Labs/Online Labs

Location: Small Animal Clinic/Zoom Online Classroom Days: Weekdays mornings (except Mondays)

Time: 8:30am-12:20pm

Grading scale:

1. Types of assessment: Formative assessment:
   1. Participation in morning rounds at the clinic from 8:30am-9:00am
   2. Immediate feedback from clinician during clinic labs 1, 2 and 3

Summative assessment:

1. Clinical Performance Evaluations/Direct Observation of Procedural Skills (DOPS). Clinicians will assess each student on Examsoft on the 4^th Lab either at the clinic lab or at the online lab - 40%
2. SOAP Assignment, each student Group will submit one electronic SOAP assignment post midterm unto the Assignment tab on sakai- 50%
3. Ophtho Pre-Lab quiz - 10%

The students should review the relevant subject matter pertaining to the rotation they will be completing. The student should refer to previous course notes and manuals and should refresh clinical skills as necessary to be able to successfully complete the rotation.

The student is expected to read the WHOLE syllabus before the first lecture and clinic lab session.

Expectations of the Student for Clinical Labs include but are not limited to:

1. Participation
2. Teamwork
3. Professionalism
4. Knowledge of SOAP and POMR
5. Basic ability to collect history from pet owners and perform physical examinations
6. Basic knowledge of medical terminology
7. Be prepared—appropriate attire, equipment/supplies, mentally prepared
8. Punctuality

Students are expected to carry themselves in a professional manner in accordance with AVMA professionalism competency. Professionalism is graded in every lab session.

Students are expected to be available during the standard 8-5am AST school day, 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.

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 (s) (WSylvester@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.

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 visit 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.
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 (Please note that the current Examplify version is 2.3.8)
   2. The Examsoft student perspective video 30mins
   3. The Examsoft/ExamID FAQ
   4. Examsoft information page
   5. The general Reminders/Guidelines

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.