The residency in Large Animal Internal Medicine at the College of Veterinary Medicine, University of Florida, consists of 3 years of intensive training in internal medicine of equids, ruminants, and camelids. The program is designed to meet the requirements for full certification by the American College of Veterinary Internal Medicine (ACVIM) in the specialty of Large Animal Internal Medicine. Residents are prepared for the General and Specialty examinations through individual mentoring, guided reading, scientific journal club, pathophysiology seminars, and other directed resident teaching. Time is allotted during the second and third years of training for ACVIM boards preparation.
- To provide advanced training in internal medicine, including a firm understanding of pathophysiological basis of disease
- To allow acquisition of skills needed to achieve board certification
- To provide an introduction to clinical investigation and scientific writing
- To allow the resident an opportunity to develop introductory teaching skills in both a didactic and clinical setting
- To provide assistance and guidance with post-residency employment or further training if desired
- To develop effective written and oral communication skills
- To prepare residents for careers in academia, private practice, or other health-related professions
Resident selection procedure
Residents are recruited from internship programs or private practices. A Doctor of Veterinary Medicine degree or equivalent is a prerequisite. Large Animal Medicine faculty and residents evaluate the application pool and final selection of the resident is done via the Veterinary Intern/Resident Matching Program. Selection will be based on:
- The individual’s curriculum vitae including college transcripts
- A statement of interests and goals
- Reference letters from a minimum of three qualified individuals
- Prior veterinary experience
- Previous scholarly activities
- Optional interview
Interviews are encouraged, but not required. These are scheduled with advanced notice. Interviews may also be scheduled in person at the AAEP annual convention. Please contact Dr. Sally DeNotta, the program coordinator, to request an interview. An electronic copy of the candidate’s CV and VRIMP application (stating GPA and class rank) must be included.
Clinical service objectives and organization
The major aim of the large animal medicine (LAM) service is to provide and document excellent care of large animals suffering from medical problems. The LAM clinicians provide telephone consultation to both clients and practicing veterinarians and total care of out-patients and in-patients admitted to the service in the large animal hospital. In the process of supplying this service, faculty clinicians provide instruction to veterinary students and residents.
The clinical service is usually supported by 2-4 clinicians, comprised of 1-2 faculty and 1-2 residents. A resident clinician and a faculty clinician are assigned to each case handled by the LAM service. In most cases communication with the client is the responsibility of the resident and the referring veterinarian is the responsibility of the faculty clinician. One student will be assigned to each case and be responsible for the care of the patient. Residents are involved in all case management decisions, with support of the faculty clinician.
Clinicians answer incoming telephone calls and oversee students in receiving inpatients and outpatients, handling emergencies, rounds, and procedures. Weekend case care becomes the responsibility of the on-call faculty and resident clinicians. Daily afternoon student teaching rounds are given at by faculty and residents on a rotating basis, regardless of their clinic status. The LAM residents are scheduled with the large animal surgery residents and interns so that medical and surgical expertise is always available. A LAM faculty clinician is scheduled to support the emergency duty resident. The on-duty faculty and resident clinicians must be available at all times via cellular phone.
ACVIM and LAM service requirements
- Core large animal internal medicine training (104 weeks): This will be the resident’s core service in the large animal clinic. According to the guidelines, it must be under the direct supervision of an ACVIM diplomate certified in large animal medicine. This requirement is fulfilled by the 5 ACVIM-certified faculty clinicians.
- Other internal medicine training: This includes outside externship rotations and management of cases in which other ACVIM diplomates are used as consultants (i.e. Cardiology or Neurology).
- Non-ACVIM training: This entire requirement can be met by proper documentation of work performed with faculty on dermatology, ophthalmology, and surgical cases or rotation through a service during off-clinic time.
- Radiology/pathology (clinical and anatomic) training: These important requirements can be met by 1-week rotations in each of the disciplines.
- Seminars/conference: Resident seminars are part of a required college-wide course and will be scheduled yearly.
- Resident coordinator: The role of the resident coordinator is to monitor the residents’ progress, remind them of upcoming deadlines, organize evaluations of the residents by the faculty and act as ombudsman for any problems the resident may have that cannot be solved by the research adviser.
- Research project: Each resident must submit at least 1 grant proposal to the in-house resident competition ($2000 grants) during the first year of the residency, if the competition is held. The research advisor will assist with the preparation of this proposal, performance of the project, and editing of the associated manuscript.
- Meetings for Evaluation and Guidance: Each resident will meet with the LAM faculty twice a year. This coincides with the regular 6-month evaluation of the resident by the LAM faculty.
- Journal Clubs: Journal clubs are scheduled weekly, alternating between every other Wednesday afternoon and every other Thursday morning. Both faculty and residents participate in these sessions.
Typical weekly rounds/seminar schedule
In addition to the student-related activities, residents also participate in the following:
Monday, 8-9 a.m.: Pathology Rounds (monthly)
Wednesday, 8-9 a.m.: Resident seminars/M&M Rounds
Wednesday, 4-5 p.m.: LAM Student grading or Journal club (alternate weeks)
Thursday, 8–9 a.m.: LAM Section meeting or Journal club (alternate weeks)
Friday, 8-9 a.m.: SAM Pathophysiology Seminar series