11 General Surgery

8/9/2019 11 General Surgery

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GENERAL SURGERY:GENERAL SURGERY:The Cutting Edge ofThe Cutting Edge of

TeachingTeaching


2/18

General SurgeryGeneral Surgery

Required rotationRequired rotation

for 4for 4thth--year studentsyear students

and internsand interns Perform surgicalPerform surgical

proceduresprocedures

commonly seen incommonly seen in

private practiceprivate practice

Integrated approachIntegrated approach

TEACHING

RESEARCHSERVICE


3/18

General SurgeryGeneral Surgery ---- ObjectivesObjectives

Utilize clientUtilize client--owned animalsowned animalsand serviceand service

learning projects:learning projects: SurgicallySurgically

competentcompetentgraduatesgraduates

Ability toAbility toeffectivelyeffectivelycommunicatecommunicatesurgical benefitssurgical benefitsand risks withand risks withclientsclients


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General SurgeryGeneral Surgery ---- ObjectivesObjectives

Understanding of:Understanding of: benefits ofbenefits of

spay/neuterspay/neuter

petpetoverpopulation,overpopulation,earlyearly--ageagespay/neuter,spay/neuter,shelter andshelter and

trap/neuter/releasetrap/neuter/releaseprogramsprograms

DevelopDevelopcommunitycommunity

serviceservice spiritspirit

This rotation is essential toThis rotation is essential to

the surgical skills of anythe surgical skills of any

veterinarianveterinarian

----former studentformer student


5/18


STUDENTS doSTUDENTS do

everythingeverything withwith

oversight fromoversight from

professional andprofessional andtechnical stafftechnical staff

AdmissionsAdmissions

ExamsExams

CommunicationsCommunications

AnesthesiaAnesthesia

SurgerySurgery

Recovery/dischargeRecovery/discharge

Very important to our learningVery important to our learning

and increased our surgicaland increased our surgical

skills and confidence.skills and confidence.

----former studentformer student


6/18


1212--15 surgeries per student15 surgeries per student

Anesthesia/surgery routineAnesthesia/surgery routine

Patients are generally healthyPatients are generally healthy

4 days of client4 days of client owned petsowned pets

4 days of shelter animals4 days of shelter animals

11 -- 2 days of rounds2 days of rounds +/+/-- 1 day of AFCAT1 day of AFCAT


7/18

ProceduresProcedures

OHEOHE

CastrationCastration

DeclawDeclaw

Laceration repairLaceration repair

Aural hematomaAural hematoma

MicrochipsMicrochips

Retained deciduousRetained deciduous

teethteeth

Dewclaw removalDewclaw removal

Tail dockTail dock

LumpectomiesLumpectomies

Abscess treatmentAbscess treatment

VenipunctureVenipuncture

VaccinationsVaccinations


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General SurgeryGeneral Surgery ---- TeachingTeaching

18001800--1900 surgeries per year1900 surgeries per year

Technical aspectsTechnical aspects

Surgical skillsSurgical skills

Patient evaluationPatient evaluation

Anesthetic protocolsAnesthetic protocols

IV catheterizationIV catheterization

IM, SQ injectionsIM, SQ injections Anesthetic monitoringAnesthetic monitoring

PostPost--Op monitoring and assessmentOp monitoring and assessment

AnalgesiaAnalgesia


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General SurgeryGeneral Surgery ---- TeachingTeaching

Professional aspectsProfessional aspects

Client CommunicationsClient Communications HistoryHistory

Procedure and risksProcedure and risks PostPost--op discussionop discussion

DischargeDischarge

33 day followday follow--upup

Preventative medicinePreventative medicine

Peer InteractionsPeer Interactions

Faculty/staff interactionsFaculty/staff interactions

Medical record keepingMedical record keeping


10/18

Now what do I do???Now what do I do???

----current studentcurrent student


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General SurgeryGeneral Surgery ---- ServiceService

Graduate veterinarians:Graduate veterinarians:

Surgically competentSurgically competent

Understand and playUnderstand and playactive role in petactive role in pet

overpopulationoverpopulation

solutionssolutions

Sense of altruism forSense of altruism forcommunity and animalcommunity and animal

welfarewelfare


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General SurgeryGeneral Surgery ---- ServiceService

Provide competitivelyProvide competitively--priced routinepriced routine

services ~ 400 animals/yearservices ~ 400 animals/year

Assist animal shelters and AFCAT withAssist animal shelters and AFCAT withpet overpopulation and compliancepet overpopulation and compliance

with law ~ 1450 animals/yearwith law ~ 1450 animals/year

Open HouseOpen House Live SurgeryLive Surgery

DemonstrationDemonstration

High school summer campsHigh school summer camps


13/18


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General SurgeryGeneral Surgery ---- ResearchResearch

Provide patients,Provide patients,

tissues andtissues and

studentsstudents

Intern/residentIntern/residentprojectsprojects

CollaborativeCollaborative

studiesstudies

Educational grantsEducational grants

and projectsand projects

Projects include:Projects include:

EarlyEarly--age spay/neuterage spay/neuter

Feral cat epidemiologyFeral cat epidemiology

AnalgesiaAnalgesia

Misc.Misc.


15/18

General SurgeryGeneral Surgery ---- ResearchResearch

7 grants7 grants

14 projects14 projects

15 publications15 publications 17 + proceedings/monographs17 + proceedings/monographs

5 abstracts presented at national5 abstracts presented at national

meetingsmeetings 2 poster presentations2 poster presentations

22 + national/international invited22 + national/international invited

lectureslectures


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17/18

General SurgeryGeneral Surgery The FutureThe Future

Include exoticInclude exoticanimal surgeryanimal surgery

Partnerships withPartnerships withCommunity PracticeCommunity Practiceand Oncologyand Oncology

Educational grant toEducational grant toexpand onexpand onhomeless and feralhomeless and feralissuesissues

Laser surgery??Laser surgery??


18/18

Even though I do not plan to work on small animals atEven though I do not plan to work on small animals at

all, this is one of the best rotations Ive had.all, this is one of the best rotations Ive had.

---- former studentformer student

Documents

11 General Surgery