RESIDENCY TRAINING PROGRAM REGISTRATION 2014-2015
ONCOLOGY
New applications for ACVIM Residency Training Programs must be received by the Residency Training Committee 90 days prior to any residents beginning training. Before completing this form, please review the general and specific requirements for Oncology residency training programs in the ACVIM General Information Guide (GIG). The most current version of the GIG is available on the ACVIM website at www.ACVIM.org. If there is a discrepancy between this form and the GIG, the GIG will be considered correct, however, please contact the ACVIM office or the Residency Training Committee Chairperson for clarification.
Prior to making significant changes in a residency training program, approval of the ACVIM and Oncology Residency Training Committee must be obtained. The candidate and/or program director must notify ACVIM, in writing. Significant changes could include, but are not limited to: changes in program director or any advisors, transferring from one program to another, alterations in program duration, switching to a ‘dual board’ program, or enrolling in an institutional graduate program.
Notice: This form contains questions for three separate purposes; data collection that ACVIM must maintain for its accreditation as a specialty college; data collection for each specialty to evaluate what is appropriate for residency programs; and data collection to evaluate this Residency Training Program for renewal. It is important that all questions be answered accurately and completely, even if the answer to a specific question is not essential for a program's renewal.
For multi-site residency programs: To ensure uniformity of training and compliance with current GIG requirements, training programs which include multiple sites must provide detailed information as to which Diplomates in the specialty of Oncology, as well as other Specialties, will be supervising the resident(s) at each site. In this updated program registration form, the program director must provide specific, detailed information regarding supervision and facilities available at each specific site(s).
Check box if this is a renewal application with unaltered information from the previous year: Please note that even if the information is unchanged, you must complete this form in its entirety
Part 1
Date: 8/24/2014
Program Director: Dr. Amandine Lejeune, DACVIM (Medical Oncology)
(Must be a Diplomate of ACVIM in the Specialty of Oncology) Program Director’s Contact Information:
Work Phone: 352-215-4300 Fax: 352-846-2445 E-mail: [email protected] Mailing Address: PO BOX 100116
University of Florida College of Veterinary Medicine 2015 SW 16th Avenue
Gainesville, Fl, 32610
Primary Site:
University of Florida College of Veterinary Medicine Secondary Site (if applicable):
(Please attach specific information regarding the number of weeks scheduled at each site and which rotation requirements shall be met at each site).
n/a
Outside Rotations/Other Sites (if applicable):
Please attach signed Letters of Support from all individuals providing off-site training of oncology residents to this registration form. Each Letter of Support should specify the number of weeks scheduled at each site and the rotation requirement met. Letters of Support must be submitted annually WITH program renewal forms and WITH each new program request.
Colorado State University Animal Cancer Center for Radiation Therapy Rotations. Please see the attached documentation from Dr. Sue Larue. Our current radiation oncologist, Dr. Lyndsay Kubicek has left her position here at UF at the end of April of this year, 2014. She is still remote-planning and consulting for UF oncology, however (she is a UF Courtesy Clinical Assistant Professor, Radiation Oncology). We have started a search for another boarded radiation oncologist and will update the ACVIM residency training committee when a new hire is made. Dr. Larue at CSU has agreed to take on UF’s residents to provide mentored radiation oncology training. Additionally, locum coverage from other boarded oncologist will provide additional coverage by a boarded radiation oncologist.
2. Length of Training Program:
Traditional 3 years Non-traditional (# years) -N/A-For non-traditional programs, please provide details. Note that programs must be at least 3 years (156 weeks) in length. N/A 3. Advanced Degree: Yes No Optional Masters: PhD:
Required for residency certificate: Yes No
Comments:
4. Resident Advisor(s): (Must be ACVIM Diplomate(s) in Oncology.)
There is no restriction on the number of Resident Advisors; however, each Resident Advisor can supervise only two residents concurrently.
Kelvin Kow, DVM, MS, DACVIM (Medical Oncology) Rowan Milner, DVM, PhD, DACVIM (Medical Oncology)
5. List all Supervising Diplomates in Oncology: (Must be ACVIM Diplomates in Oncology) Kelvin Kow, DVM, DACVIM (Medical Oncology)
Rowan Milner, DVM, PhD, DACVIM (Medical Oncology) Dr. Amandine Lejeune, DACVIM (Medical Oncology)
Dr. Carlos Souza’s (MS, ACVIM (Medical Oncology), ACVS, Surgical oncology) – although most of his time is dedicated towards surgical oncology cases, he also supervises some of the medical oncology cases presenting to our service
6. INTERNAL MEDICINE AND OTHER ACVIM DIPLOMATE SUPERVISION:
Please list all Diplomates of the American College of Veterinary Internal Medicine responsible for
supervision of clinical training who specialize in areas other than the program being registered. Describe how diplomates are involved in the supervision of residents and how direct contact requirements in affiliated specialties (GIG Section H.1.a.3.e and f) will be met.
Name Specialty Site Role in training residents
Dr. Andrew Specht Dr. Alex Gallagher Dr. Richard Hill Dr. Kirsten Cooke Dr. Amara Estrada, Dr. Simon Swift
Dr. Tom Schubert, Dr. Sheila Carrera-Justiz Small Animal Internal Medicine Cardiology Neurology University of Florida College of Veterinary Medicine University of Florida College of Veterinary Medicine University of Florida College of Veterinary Medicine
Internal Medicine Faculty will in combination meet the 4 weeks of Internal Medicine requirements as indicated in the GIG. Residents on these rotations have direct contact with faculty in charge as well as primary case responsibility
Cardiology faculty provide direct supervision of oncology residents who are rotating through the service. Primary case experience is gained during this 2 week rotation.
Neurology faculty provide direct supervision of oncology residents who are rotating through the service. Primary case experience is gained during this 2 week rotation. 7. PATHOLOGY REQUIREMENTS:
Please list all Diplomates of the American College of Veterinary Pathology in the areas of clinical
pathology or anatomic (surgical) pathology associated with residency training. Describe how diplomates are involved in the supervision of residents and how direct contact requirements (must be in person, not videoconference) in clinical pathology and anatomic pathology will be met.
Name Clinical or
Anatomic Pathology
Site Role in training residents
Dr. Jen Owen Dr. Heather Wamsley Clinical Pathology University of Florida College of Veterinary Medicine
Direct access to pathologist during working hours for consultations. Weekly pathology & clinical pathology rounds are held. Residents also perform 1 week long rotations in clinical pathology. They also get a 1 hour
Dr. Jeff Abbott Dr. Lisa Farina Dr. William Castleman Dr. Mike Dark Dr. Julia Conway Dr. Pam Ginn Anatomic Pathology University of Florida College of Veterinary Medicine
Long cytology round with the clinical pathology team reviewing slides, every other week during the year.
Direct access to pathologist during working hours for consultations. Weekly pathology & clinical pathology rounds are held. Residents also perform 1 week long rotations in clinical pathology
A board certified veterinary pathologist with training in clinical pathology and a fully equipped laboratory facility should be routinely available for evaluation of clinical material. A minimum of 40 hours of direct contact with a clinical pathologist to facilitate training in diagnostic clinical cytology and a minimum of 40 hours of direct contact exploring anatomic pathology is required during the residency.
Does your program meet these requirements for clinical pathology or anatomic pathology training in your residents?
Yes No
If no, please explain:
8. RADIOLOGY REQUIREMENTS:
Please list all Diplomates of the American College of Veterinary Radiology (not including radiation
oncology) associated with residency training. Describe how diplomates are involved in the supervision of residents and how direct contact requirements (must be in person, not videoconference) in radiology will be met.
Name Site Role in training residents
Dr. Matt Winter Dr. Kip Berry Dr. Erin Porter
University of Florida 2 weeks of direct contact via an onsite clinical rotation as well as being available daily for the consultations on cases
9. RADIATION ONCOLOGY REQUIREMENTS:
Please list all Diplomates of the American College of Veterinary Radiology responsible for training in Radiation Oncology. Describe how diplomates are involved in the supervision of residents and how the 8 weeks of GIG-mandated direct contact radiation oncology training will be fulfilled. Radiation oncology rotations must be completed in blocks of at least 2 weeks in length.
Name Site Role in training residents
Dr. Lyndsay Kubicek (Courtesy
Faculty)
Dr. Sue Larue
University of Florida
Colorado State University Animal Cancer Center
Dr. Kubicek currently works at Angell SPCA in Boston but provides remote treatment planning and consultations with the staff officers on the cases presented at the University of Florida.
Dr. S. Larue has agreed to supervise our residents for their radiation therapy rotations at CSU; she will teach radiobiology, treatment planning basics,
and provide mentored radiation oncology training during the residents’ rotations at CSU.
The oncology resident should have a minimum of 8 weeks of direct contact (in minimum 2-week blocks) with a Board-certified veterinary radiation oncologist to discuss clinical management of patients receiving radiation therapy, radiation planning, dosimetry, and physics related to clinical radiation therapy.
Does your program meet this requirement for radiation oncology training of your residents?
Yes No
If no, please explain:
10. OTHER SPECIALITY SUPERVISORS:
Please list the non-ACVIM Diplomates available for consultation in the areas of dermatology, surgery,
ophthalmology, anesthesiology, emergency/critical care, clinical nutrition, clinical pharmacology, and/or theriogenology. Describe how diplomates are involved in the supervision of residents and their contribution to direct contact requirements in affiliated specialties (GIG Section H.1.a.3.e and f).
Name Specialty/College Site Role in training residents
Dr. Rosanna Marsella Dr. Dunbar Gram Dr. Nick Bacon Dr. Sarah Boston Dr. Carlos Souza Dr. Stanley Kim Dr. Brad Case Dr. Gary Ellison Dr. Dan Lewis Dr. Matt Johnston Dr. Carryn Plummer Dr. Brandon Mangan Dr. Dennis Brooks Dr. Lusito Pablo Dr. Andre Shih Dr. Tiffany Granone Dr. Fernando Garcia Dermatology (ACVD) Surgical Oncology (ACVS)
Soft Tissue and Orthopedic Surgery (ACVS) Ophthalmology (ACVO) Anesthesiology (ACVA) University of Florida University of Florida University of Florida University of Florida University of Florida
The dermatology section provides clinical service, consultations and internal referrals to the oncology service. Oncology residents have direct contact and interaction with dermatology faculty members
The oncology service has 100% clinical coverage with ACVS boarded surgeons who have received additional subspecialty/ fellowship training in surgical oncology
The soft tissue and orthopedic surgery section provides additional surgical support, resources and consultation services including a physical therapy/rehab service
The ophthalmology section provides clinical service, consultations and internal referrals to the oncology service. Oncology residents have direct contact and interaction with ophthalmology faculty members
The anesthesia/pain management section provides clinical anesthesia coverage as well as consultations for pain management
Dr. Justin Shmalberg Dr. Carsten Bandt Dr. Gareth Buckley Dr. Christina Iacovetta Dr. Travis Lanaux Dr. Bobbi Conner Dr. Michael Schaer Nutrition (ACVN) & Integrative Medicine
Critical Care & Emergency Medicine (ACVECC) University of Florida University of Florida
Physical therapy, rehabilitation, hyperbaric oxygen, Acupuncture and Nutrition consultation support as well as parenteral nutrition formulation
The critical care service provides post operative monitoring and intensive care services including hemodialysis, ventilator support. Daytime, Evening, nighttime and holiday emergency services are also provided.
11. PAST RESIDENTS:
Please list the residents who have completed the training program within the last five years, including the year that each individual’s training program ended. If possible, please indicate whether the individual has completed the board certification process.
Name Program End Date Diplomate (Yes or No)
Dr. Kimberly Wirth Dr. Christine Fahey Dr. Sarah Lyles Dr. Monica Clemente Dr. Shannon Parfitt Dr. Karri Barabas-Miller Dr. Rowan Milner July 2014 July 2013 July 2012 July 2012 July 2011 July 2009 July 2009 Yes Yes Yes Yes Yes Yes Yes 12. CURRENT RESIDENTS:
Please list all residents currently enrolled in the training program in addition to their actual program start
and end dates.
Name Length of
Program
Program Start Date
Program End Date Resident Advisor
Dr. Jessica Lee Talbott Dr. Abbie Speas Dr. Kristina Bowles 3 years 3 years 3 years July 2012 July 2013 July 2014 July 2015 July 2016 July 2017 Dr. Kelvin Kow Dr. Amandine Lejeune Dr. Amandine Lejeune
**Please note, any candidate that significantly changes or alters their residency training program before completion must notify ACVIM, in writing, before the changes are made to ensure that the proposed changes are approved.
Significant changes could include, but are not limited to: - transferring from one program to another
- alterations in program duration - switching to a ‘dual board’ program
- enrolling in an institutional graduate program - change of Program Director or Resident Advisor
Part 2
It is essential that the candidate have direct face-to-face contact with the supervising Diplomate(s) in the Specialty of Oncology. The minimum 156 week (3 year) intensive training must be structured in the following way (GIG H1.a):
a) 74 weeks of clinical training supervised by an ACVIM Diplomate in the specialty of Oncology.
i. Direct Supervision: The supervising Diplomate(s) must be actively receiving patients with the resident for a minimum of 50 training weeks during the residency. GIG section D.2.f in the General Information section defines direct supervision. These rotations MUST be completed in AT LEAST 2 week blocks.
ii. Indirect Supervision: At least 50 weeks must be directly supervised; additionally 24 of the 74 required oncology weeks may be completed with direct or indirect supervision. Indirect supervision is defined in GIG section H.1.a.2. In indirect supervision, the supervising ACVIM Diplomate(s) in Oncology must be available for face-to-face contact at least one hour per day for four days per week. These rotations MUST be completed in AT LEAST 2 week blocks. b) Affiliated Rotations: In addition to the 74 weeks outlined in a. above, a minimum of 28 weeks must be
spent actively receiving, with DIRECT supervision, patients in affiliated rotations as outlined in the GIG H1.a.3. These rotations MUST be completed in AT LEAST 2 week blocks unless specifically stated in the GIG.
i. H.1.a.3.a. Eight weeks of radiation therapy, directly supervised by an ACVR board certified radiation oncologist, completed in at least 2 week blocks.
ii. H.1.a.3.b. One week of clinical pathology (met in a one week block or through weekly/biweekly
rounds).
iii. H.1.a.3.c. One week of surgical pathology (met in a one week block or through weekly/biweekly
rounds).
iv. H.1.a.3.d. Two weeks of radiology (met in a one week block or through weekly/biweekly
rounds).
v. H.1.a.3.e. Four weeks of internal medicine, directly supervised by an ACVIM board certified internal medicine specialist, completed in at least 2 week blocks.
vi. H.1.a.3.f. Twelve weeks of other rotations, directly supervised by an ACVIM Diplomate in the Specialty of Oncology or an allied specialty as outlined in GIG section H.1.a.3.f., completed in at least 2 week blocks.
c) Supervising Diplomate(s) Choice of Additional Rotations: In addition to the weeks outlined in a) and b) above, additional weeks of the residency may be completed as supervised or unsupervised time; this includes additional rotations and any time used for conferences, research, studying for boards or similar activities.
1. Does your residency program comply with the guidelines outlined above?
Yes No
If no, please explain:
2. Have the supervising Diplomate(s) read the objectives for an oncology residency as outlined in the General Information Guide, Specialty of Oncology?
Yes No
If no, please explain:
While it may have no bearing on your program, we recommend that the supervising Diplomate(s) and the residency candidate review the GIG yearly. You may obtain a copy of the GIG from the ACVIM website at www.ACVIM.org.
3. Does your training program consist of a minimum of 156 weeks (3 years)?
Yes No
If no, please explain:
4. The supervising Diplomate(s) should periodically evaluate the resident (required minimum of once every 6 months) and discuss the results of those evaluations with the candidate. The supervising Diplomate(s) must be able to provide the Residency Training Committee with written summaries of those evaluations if required. Does your program comply with these standards of resident evaluation?
Yes No
If no, please explain:
5. In addition to directly supervised patient care, the candidate should also be involved in patient-oriented teaching rounds and formal teaching conferences such as clinical pathologic conferences, resident seminars, and grand rounds sessions. The candidate must participate in these teaching exposures a minimum of several times each week during the residency training program.
Please provide a description of the conferences, etc., which directly pertain to training in Oncology and give specific details for rounds, seminars, and journal clubs given on a daily, weekly or monthly basis.
1) Pathology (and cytology) weekly rounds-slides from clinical and outside submissions of interest are reviewed weekly with a pathology faculty member (Dr. Abott) (1 hour)
2) Cytology rounds every other Monday all year long (1hour) given by clinical pathologist (Dr. J. Owen) 3) Board specialty round on Cancer Biology (Tannock & Hill), clinical oncology (literature review, review of Withrow and McEwen textbook), chemotherapy (literature review, Chabner) are conducted once three Thursday AM per month (1 hour)
4) Morbidity and Mortality Rounds conducted once monthly (1 hour) on Wednesday AM 5) Journal Club conducted every other week (1 hour, two articles) on Friday 11:30AM 6) Internal Medicine Seminar conducted once weekly on Friday AM (1 hour)
7) Grand Rounds/Resident Seminar conducted once weekly. Topics of clinical interest or data from research presented, on Wednesday AM (1 hour)
8) University of Florida Cancer Center Seminar Series-topics of interest covering topics including cancer biology, radiation biology, surgical oncology presented once weekly (1 hour), on Friday AM 9) Case rounds conducted twice a day (AM/PM) – the cases are discussed with all the faculty in
oncology and imaging of the day is reviewed.
6. Please list all opportunities offered to and/or required of the resident for attendance and/or giving formal presentations at local, regional, state or national meetings. Indicate whether the resident will attend or present at these meetings.
1) Grand Rounds - each oncology resident has to present annually in this hospital/college wide series 2) Morbidity and Mortality Rounds - each oncology resident has to present annually in this
hospital/college wide series
seminar presentations at the annual research day
4) Oncology elective didactic lectures - residents lecture to senior vet students who choose to take this didactic course
5) We strongly encourage our residents to present at VCS at least once during their residency. We provide them the opportunity to present at either the annual Veterinary Cancer Society or ACVIM meeting. Dr. Talbott will be presenting a poster at VCS this year.
6) UF-Shands Cancer Center Research Day - annually held meeting to present research either as a poster or presentation
7. For board-certification in oncology, the resident must have a minimum of one major first author publication in the field of oncology published or accepted for publication in a refereed scientific or peer-reviewed journal. A literature review or case report is not acceptable. Please describe how this program supports this requirement for publication.
The residency program requires that each resident conduct an independent research project (basic science/bench-top or retrospective study). Each resident is required to prepare at least two manuscripts suitable for publication from their research projects in case one of them does not pan out. Each resident’s assigned mentor offers each incoming first year resident various projects based upon the collated ideas for projects from all the oncology faculty (Surgical oncology, medical and radiation oncologist). Projects are selected based upon each resident’s level of experience in bench top and retrospective research as well as the number and type of ongoing projects already being conducted in the oncology research lab shared by all of the oncology faculty. Each project/resident has a committee that helps them with their research made up on members of the oncology faculty. For example, with Dr. Lee Talbott’s project on the in-vitro effects of methotrexate on osteosarcoma cell line, Dr. Milner serves as her research director and helped her to develop the research proposal. (The research proposals are written in the format of a grant application). Her co-authors include other members of the Oncology service who have provided feedback on the project. Dr. Speas has submitted a grant for assessing in vitro efficacy of bleomycin on different cancer cell lines; the project will be supervised by Dr. Milner and myself. Dr. Bowles just completed a retrospective study that was supervised by Dr. S. Boston.
Funding for each resident project comes from either an annual resident grant competition sponsored by the UF College of Veterinary Medicine’s Office of Research or funds from fundraising/development efforts. The oncology service has a robust development program that provides us access to funds dedicated for research performed by members of the oncology service. (Olive’s Way http://www.olivesway.com). Our research lab also performs granting agency and private foundation sponsored research and some residency projects are paid from these funds as well.
The UF College of Veterinary Medicine’s residency committee also reviews the productivity of each residency program as well as their stated goals submitted to the specialty colleges. Programs not meeting the stated goals of the program (including publications, etc) can be placed on probationary status. Residents who do not complete their residency requirements (including research and publications) are not given their residency certificates.
8. Please indicate the availability of the following facilities or equipment. Indicate if these are available at the primary training site, or at a different location. (In the Location column, indicate on-site for primary location or the name of the facility where the equipment is located if off-site.) For facilities that are not on-site or not available, please describe the situation, availability, or how the resident will gain experience with equipment not available in the space at the end of this section.
Available? (Y or N)
Location of equipment? (On-site or list site name)
a) Radiography Yes
b) Ultrasonographic equipment Yes
c) Color flow/Doppler equipment Yes
d) Endoscopy equipment Yes
GI equipment Yes Bronchoscopy Yes Cystoscopy Yes Rhinoscopy Yes Laparoscopy Yes
e) Clinical Pathology capabilities: Yes
(includes CBC, serum chemistries, blood gases, urinalysis, cytology, parasitology, microbiology, and endocrinology)
f) Appropriate safety equipment for handling chemotherapy (briefly summarize what is available).
Yes-UF utilizes the Equashield system as well as a Class IIb BSC
g) Nuclear Medicine Yes
h) Computed Tomography Yes
i) Magnetic Resonance Imaging Yes
j) Radiation Therapy Facility Yes
k) Intensive Care Facility – 24 hours Yes
l) Total parenteral nutrition capability Yes
m) Computerized Medical Records w/Searching Capabilities
Yes
If any of the above equipment or facilities are available off-site, please explain how the resident can access them for case management, research, or study.
9. The resident should have access to a human or veterinary medical library with on-line searching capacity
and at a minimum have access to all textbooks (current editions) and full text access to all journals on the
current examination committee reading list (See item 21. to be completed by Program Director. Note that
on-line access to texts must be full-text not abstracts only). This library should be available on-site or within a reasonable commuting distance (defined as within a 15 mile radius of the primary training site).
Please indicate how your resident can obtain access to the following textbooks/journals.
Text or journal
Hard copy or subscription available on site, or Medical/Veterinary Library (insert
name) Available through CD-ROM or online subscription Available through pub-med only (free or will purchase articles) Not available DeVita: Cancer: Principles and Practice
of Oncology, 9th ed. (2011)
Withrow: Veterinary Clinical Oncology, 5th Ed. (2012)
Chabner: Cancer Chemotherapy, 5th Ed. (2010)
Tannock&Hill: Basic Science of Oncology, 5th Ed. (2013) Abbas: Cellular and Molecular Immunology, 7th Ed. (2011)
Meuten: Tumors in Domestic Animals, 4th Ed. (2002)
Weinberg: The Biology of Cancer, 2ndt Ed. (2013)
XIII, XIV (1995, 2000, 2008)
Feldman & Nelson: Canine and Feline Endocrinology and Reproduction, 3rd Ed. (2003)
Cowell: Diagnostic Cytology, 3rd Ed. (2007)
Hall: Radiobiology for the Radiologist, 7th Ed. (2011)
Ogilvie & Moore: Feline Oncology (2001)
Ogilvie & Moore: Managing the Canine Cancer Patient (2006)
Henry & Higginbotham: Cancer Management in Small Animal Practice (2009)
Veterinary Clinics of North America- oncology-related issues (2000-present) Duncan: Veterinary Laboratory Medicine: Clinical Pathology, 4th Ed. (2003)
Weiss and Wardrop: Schalm’s Veterinary Hematology, 6th Ed. (2010) Norman and Streiner: Biostatistics- the Bare Essentials, 3rd Ed. (2007) Journal of Veterinary Internal Medicine Journal of the American Veterinary Medical Association
American Journal of Veterinary Research
Compendium for Continuing Education Journal of the American Animal Hospital Association
Veterinary Clinical Pathology
Veterinary and Comparative Oncology Veterinary Pathology
Veterinary Surgery
Veterinary Radiology and Ultrasound Journal of Small Animal Practice Research in Veterinary Science Veterinary Immunology and Immunopathology
Cancer
New England Journal of Medicine Clinical Cancer Research Nature Reviews: Cancer Cancer Research
Cancer Chemotherapy & Pharmacology
Comments:
Does your program meet these library requirements?
Yes No
Comments:
10. Is there any additional pertinent information that the Residency Training Committee should consider in its evaluation of this training program?
Yes No
**Please note, any candidate that significantly changes or alters their residency training program before completion must notify ACVIM, in writing, before the changes are made to ensure that the proposed changes are approved.
Significant changes could include, but are not limited to: - transferring from one program to another
- alterations in program duration - switching to a ‘dual board’ program
- enrolling in an institutional graduate program - change of Program Director or Resident Advisor
