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LAMS 5415 - year round

Required elements

• Principal course assignments:

Active participation in clinical case care, as outlined in the objectives.


• Specific course requirements for grading purposes:

Successful completion of the objectives.


• Grading policy:

This course is graded as pass/fail on the basis of performance on the stated objectives. Students are evaluated by the clinical faculty, house officers, and technicians.


• Attendance policy:

Attendance is required for all days of the rotation, weekends included. Excused absence may be granted, if permission is obtained from both the Office of Academic Affairs and the senior clinical faculty supervising the rotation. The student must attend the minimum number of working days as set by the Office of Academic Affairs to be eligible for consideration of receiving a completion.


• Required course material, including texts:

There is no required textbook, but reading assignments may be provided.


• Policy for make-up of examinations:

Currently there are no examinations

Course information

• Prerequisites:

Veterinary core curriculum


• Objectives:

Objectives for Large Animal Medicine Clinical Rotation: LAMS 5415 1. The student should be able to solve medical problems, despite the species affected, using a problem-oriented approach. The student should be able to obtain a pertinent history from the owner, perform an initial physical examination and be able to generate a list of historical and physical problems. From the problem list, the student should be able to identify the primary and secondary problems and generate a list of differential diagnoses and diagnostic procedures necessary to secure the diagnosis (es). 2. The student should be prepared to perform diagnostic procedures, both technically and in preparing needed materials, know what information the procedure will yield, be familiar with the cost of the procedure, know its practicality, seek the results, and be prepared to interpret them. 3. The student should be prepared to discuss a treatment plan, be familiar with the cost, practicality, and accurately and promptly prepare treatment orders and administer prescribed treatments to their patients. The primary responsibility for assuring that patient care and treatments are provided on the student’s assigned cases resides with that student. In general, the student will examine and treat their assigned patients every morning (between 7am and 8am) and every evening (between 5:30 pm and 6:30 pm), including weekends. During regular workdays (nonholiday weekdays), treatment technicians will provide treatment care from 9am to 4pm. However, when the caseload is excessive or the patient care is intensive, additional help may be required of the student(s). On weekends, students and technicians are assigned to provide patient care from noon until 7am, with the exception that the 6 pm treatments are provided by the student assigned to the case. Treatment sheets on each patient must be carefully and accurately completed and posted on each case by 5 pm on weekdays and by noon on weekend days. All medications for each patient must be prepared in advance for 24 hours (7am to 7 am), with occasional exceptions depending on the medication. All drugs should be appropriately labeled with the case number, date, drug, concentration, amount to be given, route, and time. 4. The student should be responsible for all aspects of case management of hospitalized cases and be prepared, on an “as needed” or at least on a daily basis, to discuss or be responsible for the following: feeding, water intake, urine and fecal production, patient cleanliness, treatments (orders and prescriptions), response to treatment, changes in condition, additional diagnostics or monitoring diagnostics and the results of those diagnostics, knowledge of the medical condition, writing SOAPS, and preparing patients for discharge. Client communications should be discussed with the clinician. The ability to perform these tasks in a timely, organized, and efficient manner are measures of clinical proficiency. 5. The student should take responsibility to obtain follow-up or closure on all cases. This may include obtaining diagnostic results, necropsy results, or telephone call follow up with the client. 6. The student should have all assigned cases examined, treated, and blood work submitted prior to rounds. SOAPS in the record should be entered from the previous day prior to rounds. A student should be prepared to discuss and effectively communicate in rounds in detail, all aspects of the cases under their care and should be familiar with all cases on the service. Discharge instructions should be prepared and finalized 24 hours prior to discharge. The bill should be audited 24 hour prior to discharge. 7. The student will provide help to all members on the service in a “team-oriented” fashion. The student will report for rounds every day of the rotation, even if they do not have any cases currently assigned to them. Need for absence must be arranged in advance with the senior attending faculty member.


• Topical outline:

This course is a three week clinical rotation in large animal internal medicine of horses, ruminants, and pigs. There will be 1 to 2 hours of “rounds” case discussions per day. The students will be assigned case responsibilities working on large animals that are presented to the large animal teaching hospital. Assigned responsibilities include (but are not exclusively limited to) primary case care, emergency and treatment duty, follow-up and reading on cases, client communications, and record keeping as outlined in the objectives. The case load is predominately equine (75%), however this rotation covers general principles of internal medicine and pathophysiology and would be appropriate for veterinary students pursuing equine, ruminant, or mixed animal clinical experience.

• Details of authorized assistance allowed during examinations:

None

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