Source: UNIVERSITY OF GEORGIA submitted to NRP
SENIOR VETERINARY PATHOLOGY RESIDENCY PROGRAM AT THE UGA TIFTON VETERINARY DIAGNOSTIC AND INVESTIGATIONAL LABORATORY (TVDIL)
Sponsoring Institution
National Institute of Food and Agriculture
Project Status
COMPLETE
Funding Source
Reporting Frequency
Annual
Accession No.
1010750
Grant No.
2016-70024-25745
Cumulative Award Amt.
$236,243.00
Proposal No.
2016-07757
Multistate No.
(N/A)
Project Start Date
Sep 1, 2016
Project End Date
Aug 31, 2021
Grant Year
2016
Program Code
[VSGPE]- Veterinary Services Grant Program Education Grants
Recipient Organization
UNIVERSITY OF GEORGIA
200 D.W. BROOKS DR
ATHENS,GA 30602-5016
Performing Department
TIFTON DIAGNOSTIC LAB
Non Technical Summary
Due to state budget cuts through fiscal years FY08-FY13 the resident positions at the UGA Tifton Veterinary Diagnostic and Investigational Laboratory (TVDIL), Tifton, GA, have not been filled since 2010. The TVDIL offers the ideal environment for a trainee to become familiar with the work that a veterinary pathologist performs in a diagnostic laboratory within a rural area with a relatively high percentage of food animal cases. According to the USDA/NIFA map of designated veterinarian shortage situations for FY 2016, the TVDIL is geographically situated near the center of a region consisting of 21 counties that are considered in "critical" shortage status in Georgia. This project will fund 4 senior veterinary pathology resident positions (one each year) at the TVDIL. We expect to attract trainees with 2-3 years of formal pathology resident training that are looking for additional food animal experience within a diagnostic laboratory in a rural community. The resident will receive training in veterinary pathology under supervision of multiple board certified pathologists, and will investigate herd outbreaks and visit farms under the supervision of the TVDIL veterinary field investigator. The goal of this project is to offer training opportunity for 4 senior residents in veterinary pathology within a diagnostic laboratory setting in a rural area and to increase diagnostic support to food/farm owners and practitioners located in critical/high food animal veterinarian shortage areas in South Georgia within the reach of the laboratory.
Animal Health Component
(N/A)
Research Effort Categories
Basic
(N/A)
Applied
(N/A)
Developmental
(N/A)
Classification

Knowledge Area (KA)Subject of Investigation (SOI)Field of Science (FOS)Percent
3113399116020%
3113499116020%
3113699116010%
3113599116010%
3113299116010%
3113830116010%
3113810116010%
3113820116010%
Goals / Objectives
The goals of this project are to offer training opportunity for 4 senior residents in veterinary pathology within a diagnostic laboratory setting in a rural area and to increase diagnostic support for critical/high food animal veterinarian shortage areas in South Georgia.Objectives:1. Provide each resident with training in pathology, real experience working as a diagnostician, and opportunity to interact with food animal owners and veterinarians.2. Provide resident opportunity to become a board certified veterinary pathologist.3. Increase support for food animal owners and practitioners in areas of food animal veterinarian shortage through the resident's availability to investigate outbreaks, herd health issues, and to visit farms with the laboratory field investigator.4. Increase the likelihood of trainees to seek employment in veterinary diagnostic laboratories or state/federal agricultural agencies that employ veterinary pathologists/diagnosticians involved directly or indirectly with food animal.
Project Methods
The program will be a 14-month non-degree Senior Veterinary Pathology residency, with no required UGA classroom courses. Minimal requirements for the applicant include: 2-3 years of formal residency training in another institution and have passed phase I of American College of Veterinary Pathologists (ACVP) board certification. Criteria used for selection of resident from the pool of applicants may include academic records, three reference letters, overall interest for the position including potential for the candidate to enter into a career providing diagnostic service to a rural/food animal area, and phone interviews. The resident will receive training in veterinary pathology under supervision of multiple board certified pathologists, and will investigate herd outbreaks and visit farms under the supervision of the Tifton Veterinary Diagnostic Laboratory veterinary field investigator. A residency training committee will be put in place. The chair of the committee will be the project Director. This committee will evaluate the resident in training twice during the program. Evaluation will consist of subjective evaluation of performance in rounds, general knowledge, overall evaluation of daily work (laboratory and field), and/or mock evaluation. Written evaluation/feedback will be given to the resident and areas of improvement will be highlighted on evaluation. After the completion of the program, the trainee is expected to take the ACVP board exam. The success of program will be in part also evaluated by the capability of the resident to become board certified. It is expected that the resident eventually seek employment in the field of diagnostic pathology. At the end of each year of the duration of the project a report of field investigation trips/outbreak investigations that were performed with assistance of the resident will be generated. Also, the number of diagnostic accessions/cases with participation of the resident will be recorded to determine the impact of the diagnostic support given to farm owners and veterinarians in South Georgia.Residency Program Outline:1. Pathology rotation (4-week rotation)*a. Three weeks on necropsy/biopsy/cytology duty with Pathologists on duty**b. Fourth week is available for studying/preparation for boards and readingassignmentsc. At any time the resident may be available to investigate outbreaks and field cases as necessary2. Other assignmentsa. Monthly gross roundsb. Bi-weekly journal clubc. Weekly JPC slide conferenced. Weekly Mystery slide roundse. Microbiology rounds/seminars (food animal focused)3. Additional requirementsa. Present a case at Southeastern Pathology conference (SEVPAC)b. Author a case report/research article for publication (required)***c. Take ACVP mock examd. Attend and present a case (poster or oral presentation) at a national professional scientific meeting (either AAVLD or ACVP annual meetings) or attend any ACVP board preparatory courses.e. Attend the South Georgia Veterinary Medical Association (SGVMA) meetings, (when applicable).f. Attend the Annual Georgia Food Animal Conference in Tifton.*The resident will not be on duty on the last two months of the program to allocate time for ACVP board preparation.**Initially the resident will be under close supervision of the pathologist on duty. The pathologist on duty will determine how many cases the resident will be assigned based on the capability of the resident. Depending on the resident's expertise and capabilities, the case load and level of independence will be increased.*** The resident is expected to either complete a small research project or case series/case report for publication. At least one publication will be required. Selecting, designing, and writing a research proposal and performing a small research project will not be required but encouraged. The research proposal may involve retrospective studies on TVDIL archive with focus on either epidemiology or pathology.

Progress 09/01/16 to 08/31/21

Outputs
Target Audience: Nothing Reported Changes/Problems:The project was modified in early 2018 to offer 3 positions instead of 4 due to the lack of applicants for the position in the first year. Even though with the modification applicants were scarce. We were granted a non-cost extension for this project to be able to accomplish our goals and objectives. We had our 3rd and final resident during the project extension from August 20, 2020 to August 31 of 2021. Another significant problem was that the residents did not complete the maximum the program would allowed a student to stay (14 months), mainly because they had job offers and left the program to take a permanent position. What opportunities for training and professional development has the project provided? Nothing Reported How have the results been disseminated to communities of interest? Nothing Reported What do you plan to do during the next reporting period to accomplish the goals? Nothing Reported

Impacts
What was accomplished under these goals? "The goals of this project are to offer training opportunity for 4 senior residents in veterinary pathology within a diagnostic laboratory setting in a rural area and to increase diagnostic support for critical/high food animal veterinarian shortage areas in South Georgia." The project was modified in early 2018 to offer 3 positions instead of 4 due to the lack of applicants for the position in the first year. Even though with the modification applicants were scarce. We had three residents during the project: 1st resident: July 1, 2018 to January 31, 2019. 2nd resident: February 17, 2020 to July 31, 2020. 3rd resident: August 20, 2020 to August 31, 2020. Objectives: 1. Provide each resident with training in pathology, real experience working as a diagnostician, and opportunity to interact with food animal owners and veterinarians. 3. Increase support for food animal owners and practitioners in areas of food animal veterinarian shortage through the resident's availability to investigate outbreaks, herd health issues, and to visit farms with the laboratory field investigator. Each resident was provided opportunity to participate in diagnostic pathology and other activities in the laboratory during their residency programs. Activities for 1st and 2nd residents were detailed in the annual progresses reports for years 2019 and 2020. Our 3rd resident, participated in the program from August 20, 2020 to August 31, 2021. During this time, the resident was assigned to 133 days of pathology duty. She participated in 778 biopsies and 127 necropsies. Out of these necropsies 44 were bovine, 10 goats and sheep, 7 horses, 5 pigs, 6 chickens, 33 dogs, 11 cats, and 11 exotic/wildlife animals including miscellaneous birds and fish, and 2 rabbits, 1 snake, 1 rat, and 1 hedgehog. She submitted abstracts to 2 scientific meetings, the AAVLD annual meeting and ACVP annual meeting that were accepted for poster and oral presentations in October and November 2021. 2. Provide resident opportunity to become a board certified veterinary pathologist. Our 1st resident, took ACVP board exam in August 2018 and became ACVP board certified. Due to COVID-19 the ACVP phase 2 board exam was cancelled for the year of 2020 and our 2nd resident could not take the exam that year. Both, the 2nd and 3rd residents on our program have taken ACVP board exam in September 2021 and both have passed. All three of our residents are currently board certified veterinary pathologist. 4. Increase the likelihood of trainees to seek employment in veterinary diagnostic laboratories or state/federal agricultural agencies that employ veterinary pathologists/diagnosticians involved directly or indirectly with food animal. Our 1st resident is currently working as an Assistant Research Scientist and Co-Director of Infectious Diseases Laboratory of CVM, University of Georgia. This laboratory provides a number of tests for infectious diseases of animals, including food animal. Our 2nd resident is currently working as a pathologist and faculty member at our laboratory in Tifton, GA. Our laboratory is located on an area of shortage of large animal clinicians and our laboratory provides diagnostic support for large animal clinicians directly through necropsy and ancillary laboratory tests (bacteriology, serology, virology, molecular biology, and clinical pathology). Our 3rd resident is currently looking for a position in a diagnostic laboratory or university setting as a pathologist and will continue working as a diagnostician, probably as a poultry pathologist.

Publications


    Progress 09/01/19 to 08/31/20

    Outputs
    Target Audience: Nothing Reported Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided? Nothing Reported How have the results been disseminated to communities of interest? Nothing Reported What do you plan to do during the next reporting period to accomplish the goals?We were granted a non-cost extension for this project to be able to accomplish our goals and objectives. We just had our 3rd and final resident starting her residency on August 20, 2020. We are planning to have her at the lab until the end of the project (August 31 of 2021).

    Impacts
    What was accomplished under these goals? Our second resident started the program on February 17, 2020 and left the program on July 31st 2020. During this time, the resident participated in the pathology training residency program and was assigned to 75 days on necropsy duty and 2 days on biopsy duty. Initially her assignments were supervised and she was assigned to 31 days on necropsy duty and 2 days on biopsy duty under the supervision of a senior pathologist. For the remaining assignments (44 days on necropsy), the resident assumed the role of case coordinator. During residency, the resident was assigned a total of 95 necropsies and 25 biopsies. As case coordinator the resident completed 53 necropsies as the primary pathologist. Of these 95 total necropsy cases, 48 were cases of farm/large animals and included 30 cows, 7 small ruminants, 6 pigs, and 5 horses. Unfortunately, due to COVID-19 we had to temporarily cancel our in-house JPC pathology seminars and other rounds. These seminars and rounds are usually attended by laboratory residents, faculty and occasionally staff members. The resident did not have the opportunity to present cases at these seminars. Also, our own pathology regional meeting (SEVPAC) was also canceled this year due to COVID-19. The resident was supposed to present a case in this meeting as well. The resident had the opportunity to prepare a case submission to the JPC pathology seminar representing the laboratory. Due to COVID-19 the ACVP phase 2 exam boards was also cancelled for the year of 2020 and our 2nd resident could not take the exam this year. We hope she will take the exam in 2021. She is a brilliant young pathologist and now she is currently working as one of our faculty pathologist at our laboratory (Tifton Veterinary Diagnostic Laboratory, College of Veterinary Medicine, UGA, Tifton). We are glad to retain her on our Diagnostic Laboratory team as a faculty and pathologist.

    Publications


      Progress 09/01/18 to 08/31/19

      Outputs
      Target Audience: Nothing Reported Changes/Problems:We'll have to ask for a non-cost extension for the project to be able to accomplish ours goals and objectives for this project. What opportunities for training and professional development has the project provided? Nothing Reported How have the results been disseminated to communities of interest? Nothing Reported What do you plan to do during the next reporting period to accomplish the goals?We still have the position open for the second resident, however it is becoming very difficult to recruit a senior resident for this position. We believe, the reasons are: the location of the laboratory (rural small town) and the national shortage of pathologist (large number of current open positions that are accepting board eligible candidates). We are currently advertising the position again and hope to have a new resident starting soon.

      Impacts
      What was accomplished under these goals? Our first resident started the program on July 1st 2018 and left the program on January 31st 2019. During this time, the resident participated in the pathology training residency program and was assigned to 26 days on necropsy duty and 28 days on biopsy duty. Initially her assignments were supervised and she was assigned to 15 days on necropsy duty and 15 days on biopsy duty under the supervision of a senior pathologist. For the remaining assignments (11 days on necropsy and 13 days on biopsy), the resident assumed the role of case coordinator. As case coordinator the resident completed 22 necropsies (11 farm animal cases) and 255 biopsies (mixed animals, majority small animals). The resident attended the in-house JPC pathology seminars and presented 44 slide cases on these seminars (15 cases farm animals, 14 cases dogs and cats, and 15 other species). Seminars were attended by laboratory faculty and occasionally staff members. The resident participated in a "Tuesday Histo Seminar" at the Department of Pathology UGA in Athens. In this seminar, she prepared 3 mystery slides for the junior residents and graded slide descriptions from the junior residents. She attended the American College of Veterinary Pathologist 2018 annual meeting and presented a poster presentation. The resident took ACVP phase 2 exam boards in August of 2018 and passed the exam, becoming a board certified veterinary pathologist. Unfortunately, she did not complete the full pathology training of 14 months at the Tifton Laboratory as a job opportunity became available. She is currently working as a Co-director of the Infectious Diseases Laboratory at the College of Veterinary Medicine, UGA, Athens.

      Publications


        Progress 09/01/17 to 08/31/18

        Outputs
        Target Audience: Nothing Reported Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided? Nothing Reported How have the results been disseminated to communities of interest? Nothing Reported What do you plan to do during the next reporting period to accomplish the goals?During the next reporting period we will train the first resident for the remaining of the residency period. Training will consist of 3-week rotations that will be composed of 2 weeks of pathology service and 1 week for studying time. At any time, the resident will be available to investigate outbreaks and field cases as necessary. Other assignments will include pathology rounds, case reports/research publications, conference presentations. We will recrut the second resident through advertising the position in three websites: the UGA College of Veterinary Medicine - Department of Pathology website, American College of Veterinary Pathologists website, and the American Association of Veterinarian Laboratory Diagnosticians website. Candidate's applications will be reviewed and a candidate selected. The start date for the second resident is expected to be July 1st of 2019.

        Impacts
        What was accomplished under these goals? We had two applicants for our position for 2018 and one resident was selected. Our first resident under this project started the senior residency program at the Tifton Diagnostic Laboratory on 07/01/18 and has been under training since then. The current resident has three years of pathology residency experience and this 4th year of training will give this student the opportunity to work as a diagnostician in a diagnostic laboratory setting in a small rural community along with experienced pathologists and food animal field investigators. This extra year of training will prepare this resident to become a board certified veterinary pathologist. We current have 3 experienced veterinary pathologists, the addition of a senior resident to our team of pathologists is expected to increase diagnostic support to food/farm owners and practitioners in South Georgia within the reach of the laboratory. The resident has been under training for over a month now and measurable accomplishments are not yet available.

        Publications


          Progress 09/01/16 to 08/31/17

          Outputs
          Target Audience: Nothing Reported Changes/Problems:The project was initially to have 4 students in a 4-year period, each student to be at the laboratory for 14-months. Once we received award notice in September 2017, we created an advertisement that was published in two major national websites in which veterinary pathology residencies are advertised. We also advertised the positions in several professional associations listserv; however, we did not receive applications from any eligible candidates. After 6 months of advertising the position, we reviewed our proposal and thought that increasing stipend would attract more applicants for the position. Therefore, in early 2018, we decided to increase stipend and reduce the number of students to 3 instead of 4. Despite the substantial increase in the monthly salary, this change still didn't attract any qualified students to apply for the position up to this date. The short period of time (14-months) of the position now is thought to be a setback to attract students for these positions as we are considering that many students are not willing to move to a small rural area to spend only 14 months. Going forward we are planning to advertise for two positions: the 14-month senior residency program and a 3-year regular residency program. We believe that this way we will be able to fill the vacancies and have the project accomplished having two residents at the same time to compensate for the lack of residents so far. Advertisements for the 3-year position will be soon released. What opportunities for training and professional development has the project provided? Nothing Reported How have the results been disseminated to communities of interest? Nothing Reported What do you plan to do during the next reporting period to accomplish the goals?We are planning to change to two positions, keep a senior 14-month position and create a regular 3-year position and have two residents at the same time to compensate for the lack of residents so far.

          Impacts
          What was accomplished under these goals? Unfortunately, so far we could not accomplish these goals as we are still having problems recruiting trainees for a senior residency position in a small rural area during a short period of time (14 months). Once we received award notice in September 2017, we created an advertisement that was published in two major national websites in which veterinary pathology residencies are advertised. We also advertised the positions in several professional associations listserv; however, we did not receive applications from any eligible candidates, despite the intense advertising and the reduction of the numbers of positions and increase in the salary that took place 6 months after the project was approved.

          Publications