Table 2 Competencies covered by the rotation
Medical knowledge (10 of 14 skills satisfied) *Take a complete medical history *Estimate weight *Interpret a hemogram (CBC) *Interpret a serum biochemical profile *Identify the risk factors associated with metabolic syndrome and be able to discuss a complete management plan *Develop a vaccination strategy for different ages, locations and exposure risks *Recognize and treat systemic and localized pain Estimate degree of dehydration and develop an appropriate treatment plan *Analyze the basic components of a ration and make general recommendations based on the patient’s caloric needs *Understand/be able to find information on drug withdrawal periods for performance horses and have knowledge of their implications on treatment options *Develop a plan to medically manage a superficial or deep corneal ulcer, stromal abscess, or foreign body Recognize when surgical intervention is necessary for a corneal infection or injury Recognize when surgical intervention is necessary for a corneal infection or injury Recognize and develop a treatment plan to manage Equine Recurrent Uveitis Discuss testing for genetic diseases and coat colors Examination (2 of 6 skills satisfied) Perform a physical examination on a foal and an adult horse Auscult and interpret respiratory sounds of foals and adults *Auscult and interpret heart sounds *Auscult and interpret gastrointestinal sounds Perform a neonatal examination Perform a post-foaling examination Techniques (13 of 23 skills satisfied) *Administer medication PO (paste) *Administer an IM injection *Perform jugular venipuncture *Administer an IV injection *Administer a SC injection (medication or fluids) Use an HCT tube and tabletop centrifuge to determine PCV concentration Use a refractometer to determine total plasma protein concentration Use a portable machine to determine glucose and lactate concentrations in fresh blood Recognize overt lipids in a venous blood sample *Place and secure a catheter in the jugular vein *Pass a nasogastric tube *Administer liquid medication with a nasogastric tube *Perform fluorescein staining of the cornea Perform and interpret a test for measuring IgG concentration in foals Perform an enema Perform a skin scraping Aspirate a mass *Flush a nasolacrimal duct *Perform a fecal flotation Prepare and read a Gram stained slide *Perform an auriculopalpebral nerve block *Perform a complete ophthalmic examination with direct or indirect ophthalmology | Obtain measurements of IOP Reproduction (0 of 8 skills satisfied) Place a tail wrap on a mare Perform rectal palpation for a mid- and late-stage Pregnancy Examine the cervix with a vaginal speculum Obtain a uterine sample for culture Know the basic indications and technique for performing a Caslick’s procedure Discuss the basic techniques of breeding a mare with CSS, and frozen semen Discuss the process of collection of semen for the purpose of developing a plan to breed a client’s mare Discuss the aspects of an unsuccessful breeding cycle Anesthesia (5 of 6 skills satisfied) *Sedate an adult horse *Perform a line block for local anesthesia Sedate a foal *Monitor the depth of anesthesia *Develop an anesthesia plan for both long and short procedures requiring general anesthesia *Develop a sedation plan for long-term standing procedures Husbandry techniques (6 of 8 skills satisfied) *Apply a lip twitch *Approach, capture, and attach a halter and lead *Elevate and examine a hindlimb *Elevate and examine a forelimb *Perform proper animal restraint *Tie a quick-release knot Restrain a foal Apply a tail tie Surgery (6 of 14 skills satisfied) *Apply a wound dressing *Apply a bandage to a limb *Apply a bandage to a foot Remove sutures and staples from a healed surgical wound *Clean and debride a wound Suture proficiently *Perform surgery: properly gown and glove and aseptically prepare a patient for surgery Perform hemostasis; isolate, clamp, and use hand and instrument ties to ligate a bleeding vessel *Demonstrate proper postoperative patient care including wound evaluation Properly prepare and sterilize a surgical pack Know the basic principles of wound management and appropriate use of drains for a soft tissue lesion Identify, diagnose with radiographs, and create an appropriate treatment plan for a sinus infection Determine the need for and interpret radiographs of the neck Discuss and understand the basic technique for performing and interpreting a myelogram Client education and regulatory (5 of 6 skills satisfied) Complete a health certificate *Explain gastrointestinal parasite identification, treatment, and prevention *Write clear discharge instructions in lay terminology *Explain medical conditions to a client clearly and | concisely in an understandable manner *Explain proper healthy animal nutrition to client *Recognize the risk factors of age-related issues in older horses and discuss preventative geriatric monitoring Business of veterinary medicine (4 of 6 skills satisfied) *Maintain complete and concise medical records Effectively communicate over the telephone *Recognize major breeds, colors and performance disciplines by appearance *Manage time and resources appropriately to meet the needs of a busy schedule while covering unanticipated aspects of the scheduling *Demonstrate a willingness to work cooperatively as a member of a mixed team of professionals and lay coworkers Communicate effectively (oral and written) with referral veterinarians and referring veterinarians Dentistry (5 of 7 skills satisfied) * Know the dental formula and eruption schedule and how to determine approximate age from the dentition *Understand the anatomy and physiology of the teeth and oral cavity and associated structures *Perform and document a complete oral and dental examination *Recognize common dental and oral pathology *Perform dentistry procedures to manage sharp enamel points and occlusal abnormalities Understand the management of persistent or mal- erupted deciduous teeth Discuss the indications and locations of local and regional nerve blocks associated with dentistry Lameness (7 of 9 skills satisfied) *Obtain a history for a horse presented for a lameness/performance issue *Demonstrate proficient use of hoof testers Locate and treat a subsolar abscess, with guidance if needed *Perform a musculoskeletal exam of a horse presented for lameness issues *Perform a lameness examination and determine degree of lameness and be able to identify the affected limb *Discuss a diagnostic plan for a horse presented for lameness *Perform basic lower limb diagnostic nerve blocks *Discuss the indications and locations of advanced diagnostic nerve blocks Identify angular limb/flexural deformities in foals and discuss options for correction Total: 65/104 competencies satisfied by the rotation |