Residency Training Program Application Packet February 2009
In order to begin residency or fellowship training in emergency and critical care, each Mentor
must have in place an approved Residency Training Program for his or her applicants.
Approved Residency Training Programs are comprised of a:
2. Residency Training Plan
3. Residency Training Facility
For each Mentor, up to 3 residents/fellows may be trained at any time under a single, approved
Residency Training Program, as long as all trainees are using the same approved Residency
Training Facility and Residency Training Plan. In addition, Mentors who work together in the
same facility may use the same Residency Training Plan and Residency Training Facility
applications for their respective Programs. However, if flexibility is needed for the applicant’s
training, each of the Mentor’s trainees may have a separate Residency Training Plan. In this
case, the Mentor may have up to three approved Residency Training Programs (but may only
have a total of 3 active residents at any time).
A new Residency Training Program Application Packet must be submitted for the following
(a.) If a Residency Training Plan for a potential applicant will differ from the
Mentor’s previously approved Residency Training Plan
(b.) All new Programs
Approval of the Residency Training Program (Plan, Mentor, & Facility) is required before an
applicant may commence training or register with the ACVECC Executive Secretary as an
emergency/critical care resident or fellow. Documents required for a Residency Training
Program Application include:
• Signed Mentor Agreement form
• Residency Training Plan Application
• Residency Training Facility Application
If the trainee is entering into a Mentor’s pre-approved Residency Training Program, only a
Registration Form must be submitted. All new Residents, Fellows, and Mentors must submit
the Registration form to the Executive Secretary either before or within 30 days after the start of
Annual updates of the Residency Training Program and Residency Training Facility must be
completed to maintain ACVECC approval. Any major changes to the Program or Facility need
to be submitted immediately to the Executive Secretary.
Included in this Residency Training Program Application packet are the following documents:
• Application for Residency Training Plan
• Application for Residency Training Facility
• Mentor Agreement form
• Guidelines for Veterinary Emergency and Critical Care Facilities
In addition, the following documents will be needed after approval of the Residency Training
• Annual Update for Residency Training Program & Residency Training Facility
• Major Change to Residency Training Program Form
Application for Residency Training Plan
This Proposal is for a Residency or Fellowship Training Plan. (Circle or Bold)
Is the Residency Training Program for which this Plan is proposed combined with residency
training in another specialty (e.g., ACVIM, ACVA)? Yes No (Circle or Bold)
If Yes, which specialty?
The proposed duration of Training Program (minimum 3 years for Residency, 2 years for
Fellowship; maximum 6 years) is:
Proposed Resident/Fellow start date (month, day, year):*
Proposed Resident/Fellow end date (month, day, year):
Note: Standard start date is either January 15 or July 15; however, alternate
dates will be considered by the Residency Training Committee:
Alternative Requested Residency Training Plan inception date (month, day, year):
*Residents/Fellows cannot be recruited until the Residency Training Program (Facility and Plan) has been approved
and the Mentorship Agreement received by the Residency Training Committee.
Residents may receive Emergency and Critical Care Immersion with ACVECC diplomate
supervision at any approved Residency Training Facility. For each approved Residency Training
Facility in which the Program will provide E/CC Immersion, list the affiliated Residency
Training Facility Administrator (see page 8 of the Standards and Guidelines). Also indicate the
approximate percentage time or number of weeks the Resident(s)/Fellow(s) will spend in E/CC
Immersion at the facility. Place an asterisk beside the name of any Facility that does not provide
24-hour, 7 day/week hospitalization for acutely or critically ill E/CC patients.
Primary Approved Facility for Administrator e-mail % time or # weeks
Additional Approved Administrator e-mail % time or # weeks
At least one Mentor must be named for the Plan and Program. Mentor(s) associated with this
Residency Training Plan at the Primary Approved Residency Training Facility include:
If any of the above Mentors will not participate as a Supervisor for Immersion in Emergency and Critical Care for at
least 8 weeks of Residency Training annually, place an asterisk by the name(s), and please attach a document
proposing how this/these Mentor(s) will contribute to the Residency Training Program.
Additional Supervisor(s) for Immersion in Emergency and Critical Care associated with this
Residency Training Plan who are not listed above as Mentor(s) for the Program:
Additional ACVECC Supervisors Approved Residency Training Facility
Each Residency Training Plan must consist of the following components for residents/fellows:
1. ACVECC Immersion 72 weeks/60 weeks
2. Specialty Immersion 22 weeks/variable (fellows waive weeks of their specialty)
3. Independent Study 35 weeks/12 weeks
A. Plan for Emergency and Critical Care Immersion Weeks
• All weeks will be 40 hours minimum, and will be supervised for 20 hours minimum as
detailed in the Standards and Guidelines.
• All weeks will occur at a Residency Training Facility approved in advance by the
Residency Training Committee.
• Minimum 72 weeks for Residents, 60 weeks for Fellows.
72 weeks (residents) or 60 weeks (fellows) of E/CC Immersion time will be supervised by
the Mentor(s) and/or Supervisor(s) listed above.
B. Plan for Specialty Practice Immersion Weeks
• All weeks will be 40 hours minimum, and will be supervised for 20 hours minimum, as
detailed in the Standards and Guidelines.
• When a Supervisor is board certified in more that one specialty, it is expected that s/he
will practice primarily the one specialty for which the Resident or Fellow is receiving
credit during that training week.
• Supervisors must be legally and locally authorized to practice in the facility where
supervision takes place.
• 22 weeks for Residents; variable for Fellows
o Fellows are exempt from weeks in their area(s) of specialty (See the Standards)
Requirement (# weeks) Specialist(s) already agreed to provide supervision Site / Location
Internal Medicine (6)
* See November 2007 Standards & Guidelines p. 17 for alternate option for 2 weeks of Surgery
** See November 2007 Standards & Guidelines p. 17 for alternate option for Large Animal Residents/Fellows
C. Plans for Completing Additional Requirements
• Seminars, Continuing Education, & Coursework (p. 20 of Nov 2007 Standards & Guidelines)
• Fellowships require the first two requirements, while residencies may combine any two
out of the three. Please check the appropriate boxes:
This Plan includes a minimum of 200 hours (fellows 100 hours) Seminars
This Plan includes a minimum of 50 hours (fellows 50 hours) Continuing Education
This Plan includes a minimum of 50 hours Coursework
Attach an addendum (not to exceed one page total) detailing the plan for completion of
D. Plans for Completing Teaching and Lecture Requirements
Attach an addendum (not to exceed one page total) detailing the plan for completion of the
Teaching and Lecture Requirements (p. 20 of Nov 2007 Standards & Guidelines)
E. Year-by-Year Plan
Requirement Year 1 Year 2 Year 3 Year 4 Year 5
E/CC Immersion (weeks)
Independent Study (weeks)
Internal Medicine (weeks)
Diagnostic Imaging (weeks)
Other rotations or vacation (weeks)
Total Weeks for each year
Continuing Education (hours)
-or- Coursework (hours)
Didactic Teaching (hours)
Laboratory Teaching (hours)
Application for Residency Training Facility
• Please read the Standards & Guidelines (published November 2007) and refer to the
Guidelines for Veterinary Emergency and Critical Care Facilities (pages 7-8) for
assistance with completion of this Application.
Name of Facility:
Name of Facility Administrator (see 11/07 Standards & Guidelines p. 8):
Physical Address of Facility:
Mailing Address of Facility, if different than above:
Phone number: Fax number: Administrator: e-mail address:
All Approved Residency Training Facilities must be affiliated with at least one ACVECC
Diplomate who is licensed and authorized to practice in the facility as a staff specialist. This
individual must be in attendance ‘full time.’ Full time for this purpose is defined as a minimum
of 40 weeks per year. Who is the affiliated diplomate for this facility?
List the name(s) of all ACVECC Diplomates employed primarily at this facility who will provide
E/CC Immersion Supervision at this Facility.
List the name(s) of any ACVECC Diplomates who will provide E/CC Immersion Supervision at
this Facility who are not employed primarily at this Facility:
ACVECC Diplomate Supervisor Place of primary employment
Please indicate the number of Diplomates in each of the following specialties who will be
available for Resident or Fellow interaction and/or supervision at the Facility. Individuals with
multiple board certifications may be counted twice, as long as they actively practice all the
specialties for which they’re counted. However, each immersion week for residents may only be
counted towards one requirement, even if the supervisor has multiple board certifications.
ACVA or ECVAA (Anesthesiology)
ACVIM (or ECVIM) – Cardiology
ACVIM (or ECVIM) – Internal Medicine*
ACVIM (or ECVN) – Neurology
ACVIM (or ECVIM) – Oncology
ACVN - Nutrition
ACVO (or ECVO) - Ophthalmology
ACVR (or ECVDI) - Diagnostic Imaging
ACVR - Radiation Oncology
ACVS (or ECVS) - Surgery
Other specialties pertinent to the Residency Training Plan(s) associated with this Facility.
*Facilities for training small animal E/CC Residents and Fellows should list only small animal
internists, and those training large animal E/CC Residents and Fellows should list only large
animal internists. If this Application is for a combined small and large animal Facility, please
indicate the number of large animal internists and small animal internists under “Other.”
Does this Facility remain open for emergency appointments and hospitalize inpatients 24 hours a
day, 7 days a week?
Yes No (Circle or Bold)
If “No,” please indicate the maximum # of Program Weeks any Resident or Fellow will receive
Supervised E/CC Immersion at this Facility:
# of weeks:
Please check one of the following two boxes regarding the Proposed Residency Training
Facility, in reference to the Guidelines for Veterinary Emergency and Critical Care Facilities:
This Facility meets or exceeds the Minimum Guidelines for a “Veterinary
Emergency and Critical Care Center” (Part 2).
This Facility does not meet the Minimum Guidelines for a “Veterinary
Emergency and Critical Care Center” (Part 2). I have attached a document (not to
exceed one page) listing the Facility’s deficits and the exact plans to bring the
Facility up to Guideline standards prior to the initiation of training, including a
timeline. I will confirm compliance with the Guidelines in writing to the
Residency Training Committee within 30 days of the date of this application.
Each Residency Training Facility is required to provide the Required References listed in the
Knowledge Requirements on-site, and to make all Required References available to trainees 24
hours a day, 7 days a week. The most recent version of the Knowledge Requirements is
available at www.acvecc.org under the Training Guidelines section.
Please check one of the following two boxes regarding availability of Required References at the
Proposed Residency Training Facility:
This Facility has available to trainees at all times at least the minimum Required
References as detailed in the most recent version of the Knowledge Requirements.
This Facility does not have available to trainees at all times at least the minimum
Required References as detailed in the most recent version of the Knowledge
Requirements. I have attached a document (not to exceed one page) listing the
Facility’s deficits and the exact plans to acquire the missing Required References
prior to the initiation of training, including a timeline. I will confirm compliance
in writing to the Residency Training Committee within 30 days of the date of this
Each Residency Training Facility is required to provide on site internet access to the common
veterinary and human medical databases to trainees 24 hours a day, 7 days a week.
List internet resources available to trainees 24 hours a day:
List other medical Facilities or resources available to trainees (human medical schools or centers,
medical libraries, etc.) – List only those resources to which the trainee(s) actually have access,
not just to those geographically nearby the Facility:
I agree that for all of my residents and/or fellows, as Program Mentor, I:
• and the registering resident must complete and submit the ACVECC Resident/Fellow registration form and
required registration fee to the executive secretary within 30 days of initiation of training.
• will ensure that the resident or fellow’s schedule is consistent with the Residency Training Plan approved
for this Residency Training Program.
• will be available to the resident or fellow on a continuing basis.
• must remain an ACVECC member in good standing for the duration of my resident or fellow’s training in
order to remain his/her Mentor.
• will directly oversee the approved Residency Training Plan, monitor my resident or fellow’s progress, and
ensure that both the Core Curriculum and Spirit (high standards) are accomplished.
• will meet with the resident or fellow at least once every 3 months to evaluate his/her progress through the
• will accept ultimate responsibility for the quality and educational experiences of the residency or
fellowship, including the quality of supervision by other Diplomates.
• will review and critique the resident or fellow’s annual progress report, knowledge & experience
requirements, skills log, and training benchmarks (as required).
• will report any major change in the Residency Training Program or Facility immediately to the Residency
• am responsible for informing the Credentials Committee of the resident or fellow’s progress on an annual
• am responsible for signing a letter at the time of credential application verifying the resident or fellow’s
successful completion of all aspects of the program.
• will act as (or ensure that another individual acts as) the Residency Training Facility Administrator to
ensure that all administrative tasks and communication with ACVECC are completed in a correct and
• will continue to work with the candidate until s/he is successful in passing the certifying examination and
achieves Diplomate status, or for as long as is mutually agreeable.
Mentor Name: ______________________________
Mentor Signature: ___________________________ _________
For ACVECC Use:
Received by: _____________________ Date: ____________
Approved by: ____________________ Date: ____________
GUIDELINES FOR VETERINARY EMERGENCY AND CRITICAL CARE FACILITIES
These guidelines are intended to provide minimum standards for veterinary emergency and critical
DEFINITIONS/TERMINOLOGY recommended to optimize patient care and facilitate
To avoid confusion on the part of the general public and to provide patient referral if necessary.
guidelines for consistency in the designation of Veterinary
Emergency Facilities, the following nomenclature is suggested Communications
which is consistent with the AVMA guidelines. The veterinary Good communications must be maintained to allow efficient
Emergency and Critical Care Society (VECCS) recommends that transfer
the following terminology be used when referring to emergency of patient information between the emergency facility and primary
service and facilities. care veterinarians. It is highly recommended that the emergency
facility have all the clinic and home telephone numbers of primary
Emergency Service: The category of service provided should be care veterinarians. A report should be sent to the primary care
clearly evident to the public. veterinarian in a timely manner to ensure immediate continuity of
• Veterinary Emergency Service - A veterinary service care and for inclusion in the patient's permanent record.
with a veterinarian on the premises during all hours of
Medical Records A complete and thorough medical record on file
operation receiving and managing emergency cases.
for each patient should be kept at the emergency facility.
• On-Call Veterinary Emergency Service - A veterinary The Medical record must follow AVMA guidelines for the POMR
service on-call or available to receive and manage and must include:
emergency cases as requested if veterinarian is available. 1. Client identification
Does not have constant coverage by a veterinarian 2. Patient signalment
during all hours of operation. 3. Presenting complaint(s)
Emergency Facility: A veterinary facility with the primary and 5. Physical examination
dedicated function of receiving and managing emergency patients 6. Clinical pathology tests performed and results
during its specified hours of operation. 7. Diagnostic imaging procedures and interpretation
• Emergency Clinic -A facility that is specifically 8. Tentative diagnosis or rule/outs
operated, staffed and equipped to provide emergency 9. All treatments including anesthesia records and surgical
service. Most patients are treated on an outpatient procedures
basis. The specified hours of operation are expected to 10. Progress notes
be other than the normal business hours of general 11. Medications administered
veterinary practices. Patients are transferred to the 12. Client instructions and other client communications
primary care veterinarian the next workday. including release forms
13. Client and referring veterinarian communications
• Emergency Hospital - Emergency facility similar to an 14. All entries in the medical record should clearly identify
Emergency Clinic but with more advanced capabilities the individual(s) responsible for administering care and
enabling hospitalization and management of multiple entering data.
• Emergency/Critical Care Center - A facility Continuing Education Continuing education must be provided for
specifically designated to be operated, staffed and professional and technical staff and must allow:
equipped (in accordance with Parts 1 and 2 of these • veterinarians and technicians to comply with CE
guidelines) 24 hours a day to provide a broad range of requirements for state licensure.
veterinary emergency and critical care service. It is
suggested that professional staff include board certified
• veterinarians to meet specialty board CE requirements
specialists and veterinary technician specialists to maintain certification
(AVECCT). Centers that share a facility with a • technicians to meet CE requirements of their respective
specialty practice or primary care practice must provide certification and licensing boards
staffing and equipment to ensure appropriate emergency All veterinarians should obtain at least 30 hours of accredited
and critical patient care. continuing education every two years in the field of emergency and
critical care medicine. Veterinarians in Animal Emergency Centers
should obtain at least 40 hours of CE every two years in the field
PART 1: MINIMUM GUIDELINES FOR A VETERINARY of emergency and critical care medicine. Technicians should
EMERGENCY FACILITY receive at least 24 hours of continuing education in the field of
Staffing emergency and
During the specified hours of operation a licensed veterinarian critical care medicine every two years. A system of ongoing,
should be on the premises at all times and sufficient staff must be inservice
available to provide expedient patient care. Staffing should be training should be provided for veterinarians and technical
sufficient to allow: staff to assure teamwork and familiarity with current procedures
• Processing multiple patients and
guidelines. All facilities should maintain a library containing
• Performance of a wide range of life-saving procedures to current textbooks, periodicals and, ideally, electronic data sources
include but not be limited to cardiopulmonary and Internet access.
resuscitation and emergency surgery. This requires at
least three people, including one veterinarian and one Emergency Capabilities The level of care and maintenance
veterinary technician. provided in areas of laboratory, pharmacy, medicine, surgery,
• Appropriate and timely consultation with veterinary radiology, diagnostic imaging, anesthesiology, infectious diseases
specialists. A close association with a Diplomate of the control, and housekeeping should be consistent with currently
American College of Veterinary Emergency and Critical accepted practice and procedures for a veterinary emergency and
Care, or other veterinary diplomates with a special critical care facilities and comply with state, federal, and provincial
interest and experience in emergency and critical care is directives. Instrumentation, pharmaceuticals, and supplies should
be electrocardiogram, esophageal stethoscope, blood
sufficient for the practice of medicine and surgery at a level of care pressure monitor and pulse oximetry when appropriate.
consistent with that expected in the practice of veterinary medicine 6. Laboratory functions: Perform in a timely manner a) a
as directed by the individual country, state or province practice complete blood count, BUN, refractometric total solids,
acts. blood glucose, urinalysis, b) activated clotting time, c),
Emergency facilities should have procedures in-place to quickly electrolyte measurements (Na, K, Cl), d) FIV/FeLV
obtain specialist consults and to refer cases as appropriate. serology, e) cytology, f) heartworm testing, and g) fecal
All emergency facilities should have the capacity to perform the examination (flotation, cytology and parvovirus antigen
following: test). Additionally, an emergency facility must have
1. Diagnosis and management of life-threatening laboratory supplies to collect, prepare, and preserve
emergencies including cardiovascular, respiratory, and samples for a complete serum biochemical profile,
neurological problems to include: a) cardiopulmonary blood gas analysis, full coagulation profiles,
resuscitation including electrical defibrillation b) microbiological culture, and histopathology.
placement and maintenance of thoracostomy tubes, c) 7. Imaging: a) Produce good quality radiographs while
emergency tracheostomy and tracheostomy tube care, d) ensuring the safety of patient and staff. A radiographic
oxygen supplementation, e) assisted ventilation. machine of at least 300 mA and an automatic film
2. Monitoring capabilities should include: a) processor are highly recommended. b) On-site
electrocardiogram, b) arterial blood pressure, c) central ultrasonography capability is highly recommended
venous pressure, d) pulse oximetry, e) esophageal 8. Have or have ready access to endoscopy.
3. Emergency surgery including: a) surgical hemostasis,
wound debridement and application of wound PART 2: MINIMUM GUIDELINES FOR A VETERINARY
dressings, b) stabilization of musculo-skeletal injuries, EMERGENCY AND CRITICAL CARE CENTER
c) aseptic thoracic, abdominal, and neurosurgery, or d) Emergency and Critical Care Centers must meet all the previous
be able to refer to a facility that can perform these requirements as well as the following:
procedures in a timely manner. 1. Be able to serially monitor a CBC, full serum
4. Treatment of circulatory shock using crystalloids, biochemical profile, coagulation screen and blood gases
colloids and blood products and equipment such as on site.
calibrated burettes or infusion pumps to allow accurate 2. Monitor direct arterial blood pressure and end tidal
delivery of fluids. Facilities should have natural and/or carbon dioxide concentration.
artificial blood products and the capacity to type and 3. Perform peritoneal or pleural dialysis.
cross match donor and patient blood. 4. Have the ability to provide enteral and parenteral
5. Anesthetic and analgesic therapy to include opiates, nutrition.
non-steroidal medication, and inhalational anesthesia. 5. Perform long-term mechanical assisted ventilation.
Intra-operative monitoring should include an