vetm3400 health management ivetm3400 c01 f20 v1.00 within the economic/business framework of the...

VETM*3400 Health Management IFall 2020

Section(s): C01

Department of Population MedicineCredit Weight: 0.75

Version 2.00 - February 19, 2021___________________________________________________________________________________________________________________

1 Course Details

1.1 Calendar DescriptionThe course is the first of two comprehensive and integrated courses that will span the first two phases of the DVM program. Both courses are intended to establish the foundation for, and contribute to the students' achievement of selected DVM Program elements of competency in the context of the principles of health management. The primary emphasis of this component is to establish the historical perspective and basic tools required for health promotion and disease prevention.

All Phase 1 courses.Co-Requisites:

1.2 Course DescriptionAdministered by the Department of Population Medicine. The course will be delivered as a series of industry and discipline blocks. Each species block will contain lectures designed to describe the structure and goals of each industry. Students will be introduced to current productivity, and economic or disease issues important to the industry in the lectures. The lab sessions will include the use of clinical case(s) or research paper(s) structured around the principal areas of health management. Discipline blocks will similarly reinforce the principles of health management as well as supplying students with a toolkit of knowledge and techniques. To achieve the learning outcomes, students will be provided with a variety of learning experiences (lectures and laboratories). The various industries and disciplines will be presented and discussed in such a way that students will be exposed to the breadth of knowledge and the opportunities for career development. Greater depth will be presented in subsequent courses in the Health Management series. Health Management: Definition Health management is the promotion of health and prevention of disease in animals

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within the economic/business framework of the animal owner/industry, while addressing the issues of animal welfare, human safety and environmental impact. Health Management: Principles 1. Promote optimal health. 2. Accommodate business/economic realities. 3. Promote animal welfare. 4. Promote human and food safety. 5. Consider potential environmental impact. Health Management: Delivery Health Management is a dynamic process in which selected management areas of importance to the animals, the industry and the animal owner are identified and monitored. Decisions are made and plans are developed and implemented. The outcomes are then measured and evaluated. This process is called the Health Management Cycle.

1.3 TimetableTimetable is subject to change. Please see WebAdvisor for the latest information.

1.4 Final ExamExam time and location is subject to change. Please see WebAdvisor for the latest information.

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2 Instructional SupportFor questions regarding academic consideration, continuation of study, academic misconduct, safety, confidentiality, and experiential learning involving use of animals, please refer to the appropriate sections in the introduction of the Phase Information on the web site.

2.1 Instructional Support TeamKatie ClowInstructor:[email protected]: +1-519-824-4120 x53944Telephone: OVCS 2531Office:

One Health Population Medicine

Cathy GartleyInstructor:[email protected]:

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+1-519-824-4120 x56304Telephone: OVCS 2544Office:

Companion Animals Population Medicine

Jessica GordonInstructor:[email protected]: +1-519-824-4120 x58813Telephone: OVCS 2538Office:

Beef Cattle Population Medicine

Michele GuerinInstructor:[email protected]: +1-519-824-4120 x54486Telephone: OVCS 203Office:

Poultry Population Medicine

Derek HaleyInstructor:[email protected]: +1-519-824-4120 x53677Telephone: OVCS 2539Office:

Applied Ethology Population Medicine

Daniel KenneyInstructor:[email protected]: +1-519-824-4120 x54030Telephone: OVCHSC 1417Office:

Equine Clinical Studies

Britteny KyleInstructor:[email protected]:

Apiculture Population Medicine

Marcus LitmanInstructor:

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[email protected]: +1-519-824-4120 x58856Telephone: RI 122Office:

Laboratory Animals Veterinary Director - Animal Care Services

John LumsdenInstructor:[email protected]: +1-519-824-4120 x54716Telephone: PAHL 4827Office:

Aquaculture Pathobiology

Lee NielInstructor:[email protected]: +1-519-824-4120 x53030Telephone: OVCS 2526Office:

Applied Ethology Population Medicine

Terri O'SullivanInstructor:[email protected]: +1-519-824-4120 x54079Telephone: CLRE 205Office:

Swine Population Medicine

Leonardo SustaInstructor:[email protected]: +1-519-824-4120 x54323Telephone: PAHL 4800Office:

Non-traditional companion animals and alternative livestock industries Pathobiology

John TaitInstructor:[email protected]:

Companion Animals Clinical Studies

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Charlotte WinderInstructor:[email protected]: +1-519-824-4120 x58392Telephone: OVCS 2522Office:

Small Ruminants Population Medicine

David KeltonCourse Co-ordinator:[email protected]: +1-519-824-4120 x54808Telephone: OVCS 2537Office:

Evidence-Based Veterinary Medicine, Decision Making and Clinical Epidemiology Population Medicine

Kerry LissemoreCourse Co-ordinator:[email protected]: +1-519-824-4120Telephone: OVCS 2652Office:

General Health Management and Dairy Cattle Population Medicine

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3 Learning ResourcesAll lecture and lab material will be posted to the CourseLink course web site. Self-study Problem Sets: Two question and answer modules, covering descriptive and clinical epidemiology, will be posted to the course web site to coincide with the lecture material.

3.1 Recommended ResourcesRecommended Resources (Readings)

Clinical Epidemiology: A Basic Science for Clinical Medicine, 2nd ed. Sackett DL, Haynes RB, Guyatt GH, Tugwell P. Toronto: Little, Brown, and Company, 1991. (Textbook) Handbook of Evidence-Based Veterinary Medicine. Cockroft P.D. and Holmes M.A. Blackwell Publishing, 2003. (Textbook) Herd Health - Food Animal Production Medicine. 3rd Edition. Radostits O. M., W.B. Saunders Company, 2001. (Textbook)

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The Ethology of Domestic Animals: An Introductory Text, Second Edition, Jensen, P. (Ed.), CABI Publishing, 2009. (Textbook)

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4 Learning OutcomesThe overall goal of this course is to present the students with an integrated approach to the disciplines of medicine, epidemiology, ethology, one health, and animal husbandry in order to achieve the stated learning outcomes. This course will also provide the foundation for more in-depth coverage of these topics in subsequent courses (Phase 2-Health Management II and Phase 3- Health Management III). Health management programs strive to optimize health and solve disease problems in individuals and populations. This requires veterinarians to have skills in finding and critically appraising information, problem solving, and calculating and interpreting quantitative measures. To provide effective health management services veterinarians must also know and understand the structure, function and goals of the various animal industries. The learning outcomes for Health Management are expressed in five (5) major categories that are covered in the Health Management courses in Phases 1, 2 and 3. The five major categories are as follows:

Animal Industries1. One Health2. Animal Welfare3. Animal Behaviour4. Evidence-based Veterinary Medicine5.

4.1 Course Learning OutcomesBy the end of this course, you should be able to:

Define basic industry terminology and describe the relative importance of each industry in Canada with respect to size and veterinary engagement (Animal Industries).

1.

Identify common breeds of animals within common animal industries (Animal Industries).

2.

Describe the production cycle for common animal industries from birth until death (Animal Industries)

3.

Describe the role of the veterinarian and how it differs between different 4.

1.

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species groups (Animal Industries).Explain the important issues relating to health management across different species groups (Animal Industries).

5.

State important industry benchmarks for measuring performance (Animal Industries).

6.

Calculate some common measures of assessing performance for the various animal industries (Animal Industries).

7.

Identify and describe the scope, structure and function of the relevant animal industries, including production norms and the major inputs and outputs (Animal Industries).

8.

Define the term One Health by incorporating the three pillars of animal, human and environmental health and providing concrete examples of One Health issues / problems (One Health).

9.

Identify the components of systems thinking and transdisciplinarity, and apply these tools to case studies (One Health).

10.

List the main drivers of zoonotic disease emergence and describe how each driver contributes to changing disease patterns through the use of examples (One Health).

11.

Describe the concept of risk and identify the main categories of risk from animals to human and environmental health e.g., zoonotic & foodborne diseases, residues (One Health).

12.

Define resiliency and sustainability in relation to human, animal and environmental health at the individual and population level (One Health).

13.

Explain how a veterinarian can apply a One Health approach in private practice, and at the national and international levels, including zoonotic disease prevention and control and responsibilities for reportable diseases (One Health).

14.

Identify key national and international One Health organizations (One Health).15. Understand how behavioural management, behavioural needs and domestication affect the welfare of animals (Animal Welfare).

16.

List and describe the importance of animal behaviour as it relates to health management, animal welfare and the veterinary profession (Animal Behaviour).

17.

Identify and describe various factors that cause and influence the behaviour of individuals and groups of animals (4 why’s, motivation, learning, physiology, domestication) (Animal Behaviour).

18.

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Explain the significance of the Principles of Health Management as they relate to the various animal industry groups (Evidence-Based Veterinary Medicine).

19.

Define the term ‘evidence-based veterinary medicine’ and explain the strategies involved in the practice of evidence-based medicine (Evidence-Based Veterinary Medicine).

20.

Critically appraise scientific literature to weigh evidence on opposing views (Evidence-Based Veterinary Medicine).

21.

Compare and contrast the approaches to making a diagnosis (Evidence-Based Veterinary Medicine).

22.

Describe the sequence of steps in making a diagnosis using the hypothetico-deductive method (Evidence-Based Veterinary Medicine).

23.

Describe the historical context for the development of epidemiology and health management within veterinary medicine (Evidence-Based Veterinary Medicine).

24.

Describe the Health Management Cycle and explain the significance of each component (Evidence-Based Veterinary Medicine).

25.

Describe the importance of host-agent-environment interactions for both the cause and prevention of disease (Evidence-Based Veterinary Medicine).

26.

Calculate incidence and prevalence of events in populations (Evidence-Based Veterinary Medicine).

27.

Calculate sensitivity, specificity, predictive values, kappa and likelihood ratios (Evidence-Based Veterinary Medicine).

28.

Explain the implications of using tests in combination (Evidence-Based Veterinary Medicine).

29.

Describe the effect of changing cut-points for tests with continuous data (Evidence-Based Veterinary Medicine).

30.

Explain the importance of tests and changing population prevalence to the diagnostic process (Evidence-Based Veterinary Medicine).

31.

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5 Teaching and Learning ActivitiesThis course is comprised of 62 lectures and 4 lab sessions. Subject to a change allowing for face-to-face course delivery, all of the course will be done on-line with all material posted to the CourseLink site. Most lectures will be delivered asynchronously with a "live" synchronous

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session for each major topic area. The class schedule will denote the format and we will post updates and changes in the CourseLink announcements section. Listed below are the lecture and lab topic areas for the course. They are generally listed in the order that they occur in the course, but do NOT reflect the order in the final class schedule. Refer to the EnCampus Portal for the most current schedule of lectures and labs.

5.1 Lecture

Topic

Introduction to Course and Health Management

General Principles

Instructor: Kelton/Lissemore

Applied Ethology

Ethology and veterinary medicine

Instructor: Haley

Applied Ethology

Explaining behaviour

Instructor: Haley

Applied Ethology

Physiology and behaviour

Instructor: Niel

Domestication and learning theoryApplied Ethology

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Topic

Instructor: Haley

Applied Ethology

Motivation, and animal welfare

Instructor: Haley

Evidence Based Veterinary Medicine

Introduction to Epidemiology: Historical Perspective

Instructor: Kelton


Descriptive Epidemiology: Host, Agent, Environment

Instructor: Kelton


Descriptive Epidemiology: Host, Agent, Environment

Instructor: Kelton


Measuring Disease – Risk: Dichotomous variables

Instructor: Kelton

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Topic


Measuring Disease: Counts and Prevalence

Instructor: Kelton


Measuring Performance: Continuous variables

Instructor: Lissemore


Introduction to Decision Making

Instructor: Kelton


Critical Appraisal of the Scientific Literature

Instructor: Kelton


Critical Appraisal of the Scientific Literature

Instructor: Kelton

Small Ruminant - Sheep

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Topic

Industry/Role of Veterinarian

Instructor: Winder

Small Ruminant - Goats

Industry/Role of Veterinarian

Instructor: Winder

Small Ruminant - Case

Diagnostic Process/Rates

Instructor: Winder

Swine Industry

Industry Overview

Instructor: O'Sullivan

Swine Industry

Industry Overview


Swine Industry

Role of Veterinarian


Swine Industry - Case

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Topic

Measuring Performance


Swine Industry - Case

Measuring Performance


Hot Topic #1 TBA

Non-traditional companion animals and alternative livestock industries


Instructor: Susta

Avian Industry - Poultry

Industry Overview

Instructor: Guerin

Avian Industry - Poultry


Instructor: Guerin

Lab Animals


Instructor: Litman

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Topic

Equine Industry - Pleasure

Industry Overview

Instructor: Kenney

Equine Industry - Competitive

Industry Overview

Instructor: Kenney

Equine Industry

Role of the veterinarian

Instructor: Kenney

Equine Industry

Role of the veterinarian

Instructor: Kenney

Equine Industry - Case

Infectious Disease Control

Instructor: Kenney

Beef Industry - Cow Calf

Industry Overview

Instructor: Gordon

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Topic

Beef Industry - Feedlot

Industry Overview

Instructor: Gordon

Beef Industry - Case

Introduction/Discussion

Instructor: Gordon

Beef Industry - Cow Calf


Instructor: Gordon

Beef Industry - Feedlot


Instructor: Gordon

Companion Animal

Industry Overview

Instructor: Tait

Companion Animal

Industry Overview

Instructor: Tait

Industry OverviewCompanion Animal

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Topic

Instructor: Gartley

Companion Animal

Industry Overview

Instructor: Gartley


Clinical Epidemiology: Diagnostic Process

Instructor: Kelton


Clinical Epidemiology: Sensitivity and Specificity

Instructor: Kelton


Clinical Epidemiology: Predictive Values

Instructor: Kelton


Clinical Epidemiology: Post Test Probability

Instructor: Kelton

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Topic


Clinical Epidemiology: Agreement/Likelihood Ratios

Instructor: Kelton

Hot Topic #2 TBA

One Health

Concepts and tools

Instructor: Clow

One Health

Setting the context

Instructor: Clow

One Health

Risks and Risk Assessment

Instructor: Clow

One Health

Resiliency, Sustainability and Health Promotion

Instructor: Clow

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Topic

One Health

The Role of the Private Practitioner

Instructor: Clow

One Health

The National and International Scale

Instructor: Clow

One Health

Careers in One Health

Instructor: Clow

Non-traditional Farmed Species - Aquaculture

Role of Veterinarians

Instructor: Lumsden

Non-traditional Farmed Species - Apiculture

Role of the Veterinarian

Instructor: Kyle

Dairy

Industry Overview


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Topic

Dairy



Dairy



Dairy: Case

Tying it all together


Dairy: Case

Tying it all together


5.2 Lab

Topic

Swine Industry: Paper (Host/Agent/Environment) Descriptive Epidemiology

Beef Industry: Case - Feedlot Respiratory Disease Calculating Risk and Rates

Case Studies in One HealthZoonotic and Reportable diseases

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Topic

Dairy Industry: Paper (Sensitivity/Specificity/ Predictive Values)

Clinical Epidemiology

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6 AssessmentsThere will be two formative midterm examinations in this course worth 25% each and a final summative comprehensive exam worth 50%. The final grade will be based on the weighted average of the midterms (50%) and the final exam (50%). Students who miss any of the midterms are required to provide the appropriate documentation for academic consideration to the Associate Dean - Students and Academic ([email protected]). Once academic consideration has been granted, a decision will be made by the course coordinators, on a case-by-case basis, on how to deal with missed midterms. A student who receives an overall failing grade(<50%) in this course will be required to repeat Phase 1 of the DVM program. Examinations in this course will use the Respondus Lockdown Browser + Webcam. Students who feel they have a human rights issue with Respondus related to race, gender identification or disability, should consult with either their program counsellor ([email protected]), or preferably the University of Guelph Cultural Diversity Advisor (Tameera Mohamed [email protected]), the Sexual and Gender Diversity Advisor (Jarred Sanchez-Cacnio [email protected]), and/or those in Student Accessibility Services ([email protected]) for support in this process. After this consultation, the student should submit a request to [email protected] to have alternate invigilation put into place. This would include either a Zoom or Teams invigilation of that student as they complete the examination online. This request must be submitted no later than three (3) business days prior to the examination.

6.1 Assessment DetailsMidterm 1 (25%)

1 hour Includes all material up to and including the Equine lectures, associated labs and relevant web resources.

Midterm 2 (25%)1 hour Includes all material from the Beef lectures, up to and including the One Health lectures, associated labs and relevant web resources.

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Final Exam - Summative (50%)During College Final Exam period. The final exam is comprehensive. (i.e. covers material from all lectures, lab sessions and relevant web resources).

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7 Course Statements

7.1 Statement on Session Recordings:By enrolling in a course, unless explicitly stated and brought forward to their instructor, it is assumed that students agree to the possibility of being recorded during lecture, seminar or other “live” course activities, whether delivery is in-class or online/remote. If a student prefers not to be distinguishable during a recording, they may:

turn off their camera1. mute their microphone2. edit their name (e.g., initials only) upon entry to each session3. use the chat function to pose questions 4.

Students who express to their instructor that they, or a reference to their name or person, do not wish to be recorded may discuss possible alternatives or accommodations with their instructor.

7.2 Netiquette Statement Regarding Online Behaviour:

Inappropriate online behaviour will not be tolerated. Examples of inappropriate online behaviour include:

Posting inflammatory messages about your instructor or fellow students•Using obscene or offensive language online•Copying or presenting someone else's work as your own•Adapting information from the Internet without using proper citations or references

•

Buying or selling term papers or assignments•Posting or selling course materials to course notes websites•

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Having someone else complete your quiz or completing a quiz for/with another student

•

Stating false claims about lost quiz answers or other assignment submissions•Threatening or harassing a student or instructor online•Discriminating against fellow students, instructors and/or TAs•Using the course website to promote profit-driven products or services•Attempting to compromise the security or functionality of the learning management system

•

Sharing your user name and password•Recording lectures without the permission of the instructor•

8 University Statements

8.1 Email CommunicationAs per university regulations, all students are required to check their e-mail account regularly: e-mail is the official route of communication between the University and its students.

8.2 When You Cannot Meet a Course RequirementWhen you find yourself unable to meet an in-course requirement because of illness or compassionate reasons please advise the course instructor (or designated person, such as a teaching assistant) in writing, with your name, id#, and e-mail contact. The grounds for Academic Consideration are detailed in the Undergraduate and Graduate Calendars. Undergraduate Calendar - Academic Consideration and Appeals https://www.uoguelph.ca/registrar/calendars/undergraduate/current/c08/c08-ac.shtml Graduate Calendar - Grounds for Academic Consideration https://www.uoguelph.ca/registrar/calendars/graduate/current/genreg/index.shtml Associate Diploma Calendar - Academic Consideration, Appeals and Petitions https://www.uoguelph.ca/registrar/calendars/diploma/current/index.shtml

8.3 Drop DateStudents will have until the last day of classes to drop courses without academic penalty. The deadline to drop two-semester courses will be the last day of classes in the second semester. This applies to all students (undergraduate, graduate and diploma) except for Doctor of Veterinary Medicine and Associate Diploma in Veterinary Technology (conventional and alternative delivery) students. The regulations and procedures for course registration are available in their respective Academic Calendars. Undergraduate Calendar - Dropping Courses

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https://www.uoguelph.ca/registrar/calendars/undergraduate/current/c08/c08-drop.shtml Graduate Calendar - Registration Changes https://www.uoguelph.ca/registrar/calendars/graduate/current/genreg/genreg-reg-regchg.shtml Associate Diploma Calendar - Dropping Courses https://www.uoguelph.ca/registrar/calendars/diploma/current/c08/c08-drop.shtml

8.4 Copies of Out-of-class AssignmentsKeep paper and/or other reliable back-up copies of all out-of-class assignments: you may be asked to resubmit work at any time.

8.5 AccessibilityThe University promotes the full participation of students who experience disabilities in their academic programs. To that end, the provision of academic accommodation is a shared responsibility between the University and the student. When accommodations are needed, the student is required to first register with Student Accessibility Services (SAS). Documentation to substantiate the existence of a disability is required; however, interim accommodations may be possible while that process is underway. Accommodations are available for both permanent and temporary disabilities. It should be noted that common illnesses such as a cold or the flu do not constitute a disability. Use of the SAS Exam Centre requires students to book their exams at least 7 days in advance and not later than the 40th Class Day. For Guelph students, information can be found on the SAS website https://www.uoguelph.ca/sas For Ridgetown students, information can be found on the Ridgetown SAS website https://www.ridgetownc.com/services/accessibilityservices.cfm

8.6 Academic IntegrityThe University of Guelph is committed to upholding the highest standards of academic integrity, and it is the responsibility of all members of the University community-faculty, staff, and students-to be aware of what constitutes academic misconduct and to do as much as possible to prevent academic offences from occurring. University of Guelph students have the responsibility of abiding by the University's policy on academic misconduct regardless of their location of study; faculty, staff, and students have the responsibility of supporting an environment that encourages academic integrity. Students need to remain aware that instructors have access to and the right to use electronic and other means of detection. Please note: Whether or not a student intended to commit academic misconduct is not relevant for a finding of guilt. Hurried or careless submission of assignments does not excuse

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students from responsibility for verifying the academic integrity of their work before submitting it. Students who are in any doubt as to whether an action on their part could be construed as an academic offence should consult with a faculty member or faculty advisor. Undergraduate Calendar - Academic Misconduct https://www.uoguelph.ca/registrar/calendars/undergraduate/current/c08/c08-amisconduct.shtml Graduate Calendar - Academic Misconduct https://www.uoguelph.ca/registrar/calendars/graduate/current/genreg/index.shtml

8.7 Recording of MaterialsPresentations that are made in relation to course work - including lectures - cannot be recorded or copied without the permission of the presenter, whether the instructor, a student, or guest lecturer. Material recorded with permission is restricted to use for that course unless further permission is granted.

8.8 ResourcesThe Academic Calendars are the source of information about the University of Guelph’s procedures, policies, and regulations that apply to undergraduate, graduate, and diploma programs. Academic Calendars https://www.uoguelph.ca/academics/calendars

8.9 DisclaimerPlease note that the ongoing COVID-19 pandemic may necessitate a revision of the format of course offerings and academic schedules. Any such changes will be announced via CourseLink and/or class email. All University-wide decisions will be posted on the COVID-19 website (https://news.uoguelph.ca/2019-novel-coronavirus-information/) and circulated by email.

8.10 IllnessThe University will not normally require verification of illness (doctor's notes) for fall 2020 or winter 2021 semester courses. However, requests for Academic Consideration may still require medical documentation as appropriate.

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