University of California, Davis

Cardiology Residency Training Program
(2 years)



I. OBJECTIVES

    A.  To provide advanced post-doctoral clinical training with primary emphasis on veterinary and comparative cardiovascular medicine and minor emphasis on veterinary internal medicine.

    B.  To provide experience in teaching veterinary cardiology to veterinary students and other residents.

    C.  To provide experience in research by designing and carrying out an investigative project in veterinary cardiovascular medicine.

    D.  To fulfill the residency training requirement for board certification in veterinary cardiology as established by the Cardiology Specialty, American College of Veterinary Internal Medicine (ACVIM).

II. JUSTIFICATION

    Veterinary cardiology, particularly as it pertains to small animal species (dogs and cats), has become a well-developed clinical discipline.  The specialty group in Veterinary Cardiology is well-established within the American College of Veterinary Internal Medicine.  There is a need in academic institutions and private veterinary practice for clinicians trained in veterinary cardiology.

    The cardiology residency program is designed to provide advanced post-doctoral clinical training in veterinary cardiology of two years' duration following a formal internship or equivalent experience.  Completion of this residency will partially fulfill the requirements for board certification in veterinary cardiology of the American College of Veterinary Internal Medicine.

    The Veterinary Medical Teaching Hospital has the physical facilities and clinical case load to support a cardiology residency program for one or two residents.  Faculty from the Department of Medicine, School of Veterinary Medicine will instruct in this residency.

III. QUALIFICATIONS OF CANDIDATE

    Candidates for residency training in veterinary cardiology must have a DVM or equivalent degree from an accredited college of veterinary medicine, and must have completed one year of formal internship or an equivalent training period in the clinical practice of veterinary medicine.  Preference will be given to candidates indicating an intent to pursue board certification in veterinary cardiology by the ACVIM.

IV. RESIDENCY PROGRAM

    A. Duration

    The residency shall be for two (2) years, with the second year based on merit (written evaluation) and desire of the candidate.  A certificate of completion will be awarded only to those candidates completing the two year program.

    Individuals wishing to pursue an academic degree program (MS, PhD) following the residency may apply to do so.  However, it will not be possible to pursue an advanced degree during residency training.

    B. General Scope and Nature of Training

    The resident will spend approximately 85% of the time in the medical practice and teaching programs of the Veterinary Medical Teaching Hospital, with primary emphasis on cardiovascular medicine.  The resident will become familiar with cardiovascular diseases of all domestic species, although the emphasis of training will be on small animal species (dogs and cats).

    The resident will spend approximately 15% of the time in other activities, including rounds and seminars, in-house course work, investigative work (research), self-study, and other training.

    Approximately 4 weeks/year of vacation will be allowed, subject to approval of the Service Chief.

    Written evaluations of the resident's progress and performance will be made by the Service Chief at 6 month intervals in the first year and at the end of the second year of the program.  The resident will be required to submit a written evaluation of the residency program at its conclusion.

    C. Responsibilities and Activities

        1. Clinical and Teaching Responsibilities

            a. Receiving, diagnostic evaluation, medical and interventional treatment of patients with cardiovascular disease, under the supervision of service faculty.

            b. Consultations (in-house, telephone) and cardiovascular evaluations of patients on other hospital services.

            c. Daily hospital rounds with service faculty and assigned professional students.

            d. Presentation and participation in hospital seminars and rounds involving cardiology.

            e. Assist in supervision and instruction of professional students in clinical medicine.  This may include presentation or participation in lectures and/or laboratories in the professional curriculum.

        2. Specialty Training

    Training and experience will be provided in all areas of cardiovascular clinical medicine, according to the guidelines of the Specialty of Cardiology of the American College of Veterinary Internal Medicine.  This training should include periods of study in each of the following areas:

            a. Cardiovascular physiology, pharmacology, and comparative cardiovascular medicine.  This will be attained by independent study under the direction of service faculty and by attendance of cardiovascular rounds and conferences within the VMTH, including a weekly cardiology Journal Club, and at the UC Davis Medical Center.

            b. Specialized diagnostic studies

                1) Physical examination, phonocardiography, external pulse recording, by direct performance and interpretation in clinical patients.

                2) Cardiac electrophysiology, resting and ambulatory electrocardiography, cardiac event recording, vectorcardiography, exercise and radiotelemetry recording, by performance in clinical patients and consultation with faculty and staff in the School of Medicine.

                3) Echocardiography (M-mode, 2-dimensional, transesophageal, spectral Doppler, and color flow Doppler), by performance and interpretation in clinical patients and attendance of conferences at the UC Davis Medical Center.

                4) Invasive and interventional techniques, including cardiac catheterization, angiography, balloon dilation valvulotomy, coil embolization, and transvenous pacemaker implantation, by performance, interpretation, and reporting in clinical patients, by observation of human cardiac catheterizations and attendance of cardiac catheterization conferences at the UC Davis Medical Center.

                5) Cardiovascular nuclear medicine, computed tomography, and magnetic resonance imaging studies, by consultation with faculty in the Department of Radiological Sciences.

            c. Cardiovascular pathology, by review of pathological examinations of clinical patients and preserved specimens, and by independent study under the direction of service faculty.

            d. Independent study in all areas of cardiovascular science and medicine, including review of current and past literature in veterinary and human cardiology, is an essential part of the residency, and will be directed by service faculty.  Formal review of current literature will also occur during a weekly Journal Club.

3. Research Training

    Although the primary focus of this residency is clinical training in cardiovascular medicine, the resident will be introduced to clinical research by being required to design and carry out a research project under the direction of a faculty advisor.  The project may be laboratory/experimental or clinical, depending on the experience and interest of the resident and availability of resources and funding.  The results of the investigation will be presented at the VMTH Resident Seminar Day during the second year of residency, and prepared for presentation at a national meeting and/or for publication by the end of the residency.

V. APPLICATION

    Applicants must submit (1) a curriculum vitae, (2) a letter of intent, (3) transcripts from veterinary school(s), (4) three(3) letters of recommendation, and any other supporting material to: Resident Affairs Coordinator, Veterinary Medical Teaching Hospital, University of California, Davis, CA  95616.


TYPICAL WEEKLY SCHEDULE*

Mon AM - 8:30-10:00 Service rounds, student orientation
                  10:00-12:00  Clinic receiving
Mon PM - Patient evaluations, in-house consultations

Tues AM -  8:30-10:00 Service rounds
                   10:00-12:00  Cardiac cath, other special procedures
Tues PM - Patient evaluations, in-house consultations
                   4:00-6:00 Journal club and service meeting

Wed AM - 8:00-9:00  Small Animal Medicine Grand Rounds, VMTH
                  9:00-10:00  Abbreviated service rounds
                  10:00-12:00  Clinic receiving
Wed PM - Patient evaluations, in-house consultations

Thurs AM - 8:30-10:00 Service rounds
                   10:00-12:00  Clinic receiving
Thurs PM - Patient evaluations, in-house consultations

Fri AM -  8:00-9:00  Pediatric cardiology rounds, UCD Medical Center
                9:00-10:00  Abbreviated service rounds
                10:00-2:00  Cardiac cath, other special procedures
Fri PM -  Patient evaluations, in-house consultations

*  schedule and workload is shared by faculty and resident(s) on duty - division of clinic and consultation load varies throughout the year (see recent statistics above)



RESIDENCY CASELOAD STATISTICS

Dr. B.J. Gavaghan (8/1/96 - 7/31/98)
Total examinations:   1003 (dog and cat 915, horse 62, cow 12, other 14)
Echo examinations:   990
Pericardiocenteses:   17
Invasive procedures:
        Balloon dilation valvuloplasty:   17 (9 primary, 8 assistant)
        PDA coil placements:   2 (procedure first used 6/98)
        Transvenous permanent pacemaker implantations:   12
        Transvenous temporary pacemaker placements:   17
        Transvenous heartworm extractions:   5
        Electrophysiology:   3

Dr. D.B. Adin (8/1/97 - 7/31/99)
Total examinations:   approx. 1000
Echo examinations:   941 (new cases)
Pericardiocenteses:   15
Cath lab procedures
        Diagnostic caths:   5
        Balloon dilation valvuloplasty:   18 (10 primary, 8 assistant)
        PDA coil placements:   7
        Transvenous permanent pacemaker implantations:   17
        Transvenous temporary pacemaker placements:   10
        Transvenous heartworm extractions:   3
        Electrophysiology:   N/A

Dr. A.C. Wey (8/1/98 - 7/31/00)
Total examinations:   1093 (dog and cat 1011, large animal 69, other 13)
Echo examinations:   1093
Pericardiocenteses:   15
Cath lab procedures: 60
        Diagnostic caths:   9
        Balloon dilation valvuloplasty:   17 (14 primary, 3 assistant)
        PDA coil placements:   17
        Transvenous permanent pacemaker implantations:   15
        Electrophysiology:   1
        Endomyocardial biopsy:   1

Dr. K.A. MacDonald (8/1/99 - 7/31/01)
Total examinations:   771 (dog and cat 719, large animal 42, other 10)
Echo examinations:   771
Cath lab procedures: 98
        Diagnostic caths:   21
        Balloon dilation valvuloplasty:   15
        PDA coil placements:   20
        Transvenous permanent pacemaker implantations:   17
        Temporary pacing electrode placement:   25

Dr. K.R. Sanderson-Percival (8/1/00 - 7/31/02)
Total examinations:  1072  (small animal 1021, large animal 43, other 8)
Echo examinations:  1072
Cath lab procedures: 50
        Balloon dilation valvuloplasty:  10
        PDA coil placements:  18
        Transvenous permanent pacemaker implantations:  18
        Other:  4


UC DAVIS CARDIOLOGY RESIDENTS (1973-2002)

1.    William P. Thomas (1973-74) - Board certified 1976
       Currently Professor, University of California, Davis

       Dr. William P. Thomas
       Dept. of Medicine & Epidemiology
       School of Veterinary Medicine
       University of California
       Davis, CA  95616-8737
       530-752-6962
       wpthomas@ucdavis.edu

2.    Gary L. Wood (1974-76) - Board certified 1978
       Currently practicing at Cardiology Northwest, Portland, OR

       Dr. Gary L. Wood
       Cardiology Northwest
       Barbur Boulevard Veterinary Hospital
       10629 SW Barbur Blvd.
       Portland, OR  97219
       503-246-6989
       geedub@heartvet.com

3.    Rebecca E. Gompf (1976-78) - Board certified 1980
       Currently Associate Professor, University of Tennessee, Knoxville, TN

       Dr. Rebecca E. Gompf
       Dept. of Small Animal Clinical Sciences
       College of Veterinary Medicine
       University of Tennessee
       P.O. Box 1071
       Knoxville, TN  37901-1071
       423-974-8387
       rgompf@utk.edu

4.    John R. Reed (1978-80) - Board certified 1982     
       Currently practicing at Highlands Veterinary Hospital, North Highlands, CA

       Dr. John R. Reed
       Highlands Veterinary Hospital
       3451 Elkhorn Blvd.
       North Highlands, CA  95660
       916-332-2845
       jreeddvm@aol.com

5.    Timothy G. Bauer (1979-81) (Cardiopulmonary Medicine) (funded privately by Kleberg Foundation)
       Currently practicing at Critical Care Associates of Seattle, Seattle, Washington

       Dr. Timothy G. Bauer
       Critical Care Associates of Seattle
       6525 15th N.W.
       Seattle, WA  98117
       206-781-9081
       tim&dave@aol.com    

6.    Cathy E. Gaber (1981-83) (Cardiopulmonary Medicine) - Board certified 1988
       Currently in part-time specialty practice, Detroit, Michigan

       Dr. Cathy E. Gaber
       4367 Alderwood Drive
       Okemos, MI 48864-3099
       517-347-0557
       lcooley@voyager.net

7.    D. David Sisson (1981-83) - Board certified 1985
       Currently Professor, University of Illinois

       Dr. D. David Sisson
       Dept. of Veterinary Clinical Medicine
       College of Veterinary Medicine
       University of Illinois
       1008 West Hazelwood Drive
       Urbana, IL  61801
       217-333-5300
       d-sisson@uiuc.edu

8.    Jerry A. Woodfield (1983-85) - Board certified 1987
       Currently practicing at Northwest Cardiology Consultants, Seattle, Washington

       Dr. Jerry A. Woodfield
       Northwest Cardiology Consultants
       2609 NW 96th Street
       Seattle, WA  98117
       206-781-7021
       jawoodfield@qwest.net

9.    Paul D. Pion (1985-87) - Board certified 1988
       Currently owner of Veterinary Information Network, Davis, CA

       Dr. Paul D. Pion
       Veterinary Information Network
       777 W. Covell Blvd.
       Davis, CA  95616
       800-700-4636
       paul@vin.com

10.  Laura A. DeLellis (1987-89) - Board certified 1990
       Currently practicing at Michigan Veterinary Specialists, Bloomfield Hills, MI

       Dr. Laura A. DeLellis
       Michigan Veterinary Specialists
       21600 West 11 Mile Road
       Southfield, MI 48076-3709
       248-354-6660
       laurad@michvet.com

11.  Anthony H. Tobias (1989-91) - Board certified 1992
       Currently Assistant Professor, University of Minnesota, St. Paul, MN

       Dr. Anthony H. Tobias
       Small Animal Clinical Science
       C-339 VetTchHosp  6192
       1365 Gortner Ave
       St Paul, MN 55108
       612-624-7428
       tobia004@tc.umn.edu

12.  Carroll Loyer (1990-92) (funded by Merck Foundation) - Board certified 1995
       Currently practicing at Veterinary Referral Center of Colorado, Denver, CO.

       Dr. Carroll Loyer
       CardioPulmonary Consulting Specialists
       Veterinary Referral Center of Colorado
       3550 S. Jason St.
       Englewood, CO  80110
       303-874-2094
       cardiovet2@aol.com

13.  Richard D. Kienle (1991-93) - Board certified 1994
       Currently practicing at Mission Valley Veterinary Cardiology, Gilroy, CA

       Dr. Richard D. Kienle
       Mission Valley Veterinary Cardiology
       PO Box 1499
       Gilroy, CA  95021
       408-842-2899
       rdkienle@garlic.com

14.  William A. Brown (1992-94) (funded by Merck Foundation) - Board certified 1995
       Currently practicing at Veterinary Cardiology Consultants, Bloomfield Hills, MI

       Dr. William A. Brown
       Veterinary Cardiology Consultants
       1886 Birmingham Blvd.
       Birmingham, MI 48009
       248-593-8783
       k9hrtdr@aol.com

15.  Lori Siemens (1993-95) - Board certified 1996
       Currently practicing at Sacramento Veterinary Surgical Services, Sacramento, CA

       Dr. Lori Siemens
       Sacramento Veterinary Surgical Services
       9700 Business Park Dr., #404
       Sacramento, CA 95827
       916-362-3111
       kweenohrtz@aol.com

16.  Mark Rishniw (1994-96) (funded by Merck Foundation) - Board certified 1997
       Currently graduate student, Cornell University, Ithaca, NY

       Dr. Mark Rishniw
       New York State College of Veterinary Medicine
       Cornell University
       VRT T4 022A
       Ithaca, NY 14853
       607-253-3029
       mr89@cornell.edu

17.  Mark A. Oyama (1995-97) - Board certified 1998
       Currently Assistant Professor, University of Illinois, Urbana, IL

       Dr. Mark A. Oyama
       Dept. of Veterinary Clinical Medicine
       College of Veterinary Medicine
       University of Illinois
       1008 West Hazelwood Drive
       Urbana, IL  61801
       217-333-5300
       moyama@cvm.uiuc.edu

18.  Brad J. Gavaghan (1996-98) - Board certified (Australian College of Veterinary Scientists) 2000
       Currently practicing at Veterinary Cardiology and Diagnostic Ultrasound Referrals, Brisbane, Queensland, Australia

       Dr. Brad J. Gavaghan
       Veterinary Cardiology and Diagnostic Ultrasound Referrals
       79 Laidlaw St.
       Dayboro, Queensland, Australia 4521
       011-61-7-3425-2118
       bjgavaghan@ozemail.com.au

19.  Darcy B. Adin (1997-99) - Board certified 2000
       Currently Clinical Instructor, University of Florida, Gainesville, FL

       Dr. Darcy B. Adin
       Dept. of Small Animal Clinical Sciences
       College of Veterinary Medicine
       University of Florida
       Gainesville, FL  32610      
       adind@mail.vetmed.ufl.edu

20.  Aaron C. Wey (1998-2000) - Board certified 2001
       Currently practicing at Specialty Hospital of San Diego, San Diego, CA

       Dr. Aaron C. Wey
       VCA Emergency Animal Hospital & Referral Center
       2317 Hotel Circle South
       San Diego, CA  92108
       619-299-2400
       acwey@aol.com

21.  Kristin A. MacDonald (1999-2001) - Board certified 2002
       Currently graduate student/post-graduate researcher at UC Davis, Davis, CA

       Dr. Kristin A. MacDonald
       Dept. of  Medicine & Epidemiology
       School of Veterinary Medicine
       University of California
       Davis, CA   95616
       kamacdonald@ucdavis.edu

22.  Karen R. Sanderson-Percival (2000-2002)
   
   Currently practicing at Veterinary Referral Center of Colorado, Denver, CO

       Dr. Karen R. Percival
       CardioPulmonary Consulting Specialists
       Veterinary Referral Center of Colorado
       3550 S. Jason St.
       Englewood, CO  80110
       303-874-2094
       ksanderson@vrcc.com

23.  Gerhard Wess (2001-2003)
       Current 2nd year resident, UC Davis

        Dr. Gerhard Wess
        Veterinary Medical Teaching Hospital
        1 Garrod Drive
        University of California
        Davis, CA   95616
        gwess@ucdavis.edu

24.  Sarah J. Miller (2002-2003)
       Current 1st year resident, UC Davis

       Dr. Sarah J. Miller
       Veterinary Medical Teaching Hospital
       1 Garrod Drive
       University of California
       Davis, CA   95616
       sjmiller@vmth.ucdavis.edu