Canine & Feline Emergency Practice Fellowship

FAQ: Canine & Feline Emergency Practice Fellowship

What is a fellowship?

Fellow—In regard to specialty veterinary medicine, a fellow is considered to be an individual completing a fellowship subsequent to completion of a training program leading to board-certification in a veterinary specialty. Other organizing bodies may use the term to refer to members that have achieved educational or experiential benchmarks specific to their organization.

Fellowship—In regard to specialty veterinary medicine, a fellowship is a period of advanced study in a narrow focus of a veterinary specialty, consisting of research and/or clinical training beyond that which is required for certification in the specialty as a whole. Reference

The Canine & Feline Emergency Practice fellowship would take place AFTER credentialing for the American Board of Veterinary Practitioners (specifically in Canine & Feline or Feline). In the human medical field, fellowships exist to provide training programs in specific areas of interest to improve the overall access to care.

Why was the Canine & Feline Emergency Practice fellowship created?

Currently the reported retention rate for emergency practitioners is 3-5 years. With the current state of emergency medicine across the country, the loss of even one practitioner is felt.

Reference: Booth M., Rishniw M., Kogan L. The shortage of veterinarians in emergency practice: a surgery and analysis. J Vet Emerg Crit Care. 2020; 1-11

Current research indicates that there will be a shortage of veterinary specialists (internal medicine, oncology, neurology, surgery, etc) until 2030. With the current backlog of cases unable to be evaluated, in some areas upwards of 8-10 weeks, this burden is falling onto the emergency facilities contributing to the long wait times. content/uploads/2022/03/Characterizing%20the%20Need%20-%20Specialists%20-%20FINAL_2.24.pdf

The goals of the EP fellowship are to change the meaning of being “only an emergency doctor”, to promote retention within the field by creating a measurable standard. Achievement of a specialty level standard will demonstrate a high degree of proficiency for the ER veterinarian.

Is this the same as a Critical Care residency?

No, a critical care residency is a 3 year program geared towards the development of a Criticalist who routinely diagnoses and manages critical patients in our hospitals. An emergency veterinarian routinely tackles cases that not only overlap with primary care medicine but the stabilization and initial management of patients who present for a variety of different conditions.

The goal of the EP fellowship is not to replace or minimize this type of training. Critical care veterinary specialists are a vital part of any hospital setting.

Is there any oversight from the American Board of Veterinary Specialties (through the AVMA)?

No. Currently there are at least 8-10 recognized fellowships offered by various specialty colleges including ACVS, ACVIM, Oncology, and ACVECC-many of which has overlap with one another. ABVS currently has no oversight in regard to these types of programs. The goal of the EP fellowship is to model its program after some of the more traditionally recognized fellowships through ACVS and ACVIM-Oncology.

Current Requirements:

1. Completion of initial ABVP credentialing in Canine & Feline practice or Feline

2. Minimum of 1 year of ER practice prior to beginning the fellowship

3. Case logs of 750 cases that encompass variety of types of presentations to the ER

4. Demonstration of proficiency of 5 different types of surgeries that typically
encountered in the ER setting (to include workup/stabilization, general anesthesia
protocols, surgery technique, and post operative care)

5. Completion of the RECOVER online certification

6. Completion of POCUS/Global FAST ultrasound training

7. Completion of 3 PowerPoint cases presented to peers (similar to Grand Rounds)
that demonstrate the ability to workup typical emergency cases

8. Monthly Journal Club

9. Ability to participate in Rounds

The candidate will be paired with an ABVP Canine & Feline Emergency Practice Founding Fellow who will function as their Fellow Trainer (either on site or remotely). The mentor will continue to support the candidate as they progress through the case/procedure logs with routine feedback. The Fellow Trainer will meet with the candidate at least monthly to discuss key emergency topics and concepts as well as to ensure that the case logs are being completed in a timely manner.

Candidates will have one year to complete these requirements. There is no examination required.

How to apply:

Interested individuals should complete a letter of intent and include their most current

Forward to:

Canine & Feline Emergency Practice Oversight Committee

Attn: Dr. Christine Klippen DVM DABVP Canine and Feline practice; Founding Fellow in
Emergency Practice