provide a high quality clinical experience for fourth year veterinary
students in a 24-hour multi-specialty referral and emergency practice
with an emphasis on high quality technically advanced clinical practice.
In addition we have a strong didactic program for interns and externs.
Veterinary Specialty Hospital is located in a state-of-the-art three
story, 27,000 square foot facility. Specialty equipment includes several
videoendoscopes, bronchoscopes, laparoscopes, two digital radiology
units, on-site MRI and CT scanners, radioactive iodine, nuclear imaging,
linear accelerator, fluoroscopy unit, two ultrasounds with color and
power doppler capability, electrodiagnostic unit, cardiac telemetry
units, Holter monitor, event monitor, ventilator, operating microscope,
diode laser, CO2 laser, phacoemulsification unit, an in-house commercial
laboratory, and full service 24-hour emergency and critical care
service. Each of the six operating rooms is equipped with a
multifunction bed-side monitor with capabilities for arterial blood
pressure monitoring, pulse oximetry, capnography, and ECG.
Veterinary Specialty Hospital of San Diego is a specialty referral
hospital located in the north coastal area of San Diego. We also have a
second satellite location in North County inland (San Marcos). The staff
is composed of seven full time board-certified internists, five
board-certified surgeons, three board-certified neurologists, two
board-certified medical oncologists, two board-certified
ophthalmologists, a board-certified radiation oncologist, two
board-certified emergency and critical care specialists, a
board-certified dermatologist, a board-certified radiologist, and a
residency-trained anesthesiologist. Additionally we have a full time
staff pharmacist/pharmacologist and a double boarded
internist/oncologist who reads cytology samples and oversees our
laboratory. Our laboratory is a full service commercial lab located in
the adjacent building. A board-certified dentist is on site part-time.
U.C. Davis has their Southern California satellite located at our
facility led by Dr. Cowgill, including a nephrology/urology/hemodialysis
service and a cardiologist. We work closely with the two
board-certified internal medicine specialists and the cardiologist who
run these programs.
Externs are expected to attend intern rounds on Tuesday and Thursday
mornings at 8am, radiology rounds on Fridays at 9am, grand rounds on at
8am on the first Thursday of each month, and any afternoon IM rounds
provided by the residents. They are also expected to help round the
overnight intern with the IM intern.
Journals and books are available in the Specialists' office, and computer databases are also available throughout the hospital.
soaps: Externs are responsible for helping the IM intern with
completing all of the morning soaps by morning rounds (8:30am on M, W,
F, and 9am on T, Th). If possible, they should soap the same patient
daily as long as the patient is hospitalized. If they were involved in
an appointment that leads to hospitalization, they are urged to soap
that patient through the duration of the hospitalization.
Extra experience: If the extern has completed all responsibilities,
he/she is expected to observe IM appointments and/or procedures going on
throughout the day.
New consult appointments: Externs are expected to sign up for two
new consult appointments daily on the appointment schedule posted in the
rounds room. If there are not enough new consults available, they
should substitute these requirements with recheck appointments. Once the
extern has observed appointments for an appropriate period of time,
they may be asked to start new appointments for the specialists or
residents (TPR, history). The extern is not responsible for completing
the exam sheet unless asked to do so by that specialist. The extern
should follow the patients seen in these appointments through any
procedures that occur through the day (ultrasound, scoping, etc.). If
this patient is hospitalized, the extern should soap this patient
through the duration of hospitalization. If the patient needs
discharges, the extern is responsible for finishing discharges at least 3
hours prior to discharge and letting the resident know the discharges
are complete. The resident will go over the discharges with the extern.
Evening rounds with the resident: Externs are expected to present
the two cases they are responsible for to the resident. The resident
will go over the exams for these patients with the extern.