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1 School of Veterinary Medicine Food Animal Production Medicine Section Food Animal Clinical Rotations Dairy Practice Update Wisconsin is the place to be!

Food Animal Clinical Rotations...2 Dairy Practice Update Strong position of dairy in Wisconsin water will become the driver for future dairy growth herds need to raise their own feed

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Page 1: Food Animal Clinical Rotations...2 Dairy Practice Update Strong position of dairy in Wisconsin water will become the driver for future dairy growth herds need to raise their own feed

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School of Veterinary Medicine

Food Animal Production Medicine Section

Food AnimalClinical Rotations

Dairy Practice Update

Wisconsin is the place to be!

Page 2: Food Animal Clinical Rotations...2 Dairy Practice Update Strong position of dairy in Wisconsin water will become the driver for future dairy growth herds need to raise their own feed

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Dairy Practice Update

Strong position of dairy in Wisconsin water will become the driver for future dairy growth

herds need to raise their own feed

top Wisconsin herds are making money and even cautiously expanding now

Some jobs are out there already….

Dairy Practice Update

Repro technologies (genomics, ET, IVF) have been growing and creating new jobs has slowed recently from chronically low milk prices

Dairy‐exclusive practices are growing and hiring

Progressive dairy practices are implementing scheduled calf health programs

Milk prices are up a bit

Bad weather this fall is very demoralizing

Page 3: Food Animal Clinical Rotations...2 Dairy Practice Update Strong position of dairy in Wisconsin water will become the driver for future dairy growth herds need to raise their own feed

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Dairy Practice Update

DVM involvement in animal welfare audits

Tail docking ban was effective January 2017

Other animal welfare issues: better handling of non‐ambulatory cattle

better euthanasia

Dairy Practice Update

Difficulties with dairy farm labor availability

The robots are coming (slowly but surely) automated milking systems

automated feed push‐ups, alley scrapers

DVM involvement in servicing dairy producers with robotic milking systems many new and unique challenges

Page 4: Food Animal Clinical Rotations...2 Dairy Practice Update Strong position of dairy in Wisconsin water will become the driver for future dairy growth herds need to raise their own feed

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Two Kinds of Dairy Practices

Dairy‐exclusive rural practices that have separated large and small animal

usually larger practices 

may have sub‐specialties within the dairy practice (mastitis, repro, heifers, nutrition, hoof care)

Mixed small and large animal dairy as the predominant large animal

individual DVMs may do both SA or LA,or DVMs may be SA and LA specific

Two Models of Dairy Practice

Physicians’ model services targeted at individual animals

scheduled repro exams, DA’s and dystocias

limited involvement with sick cows

Includes most mixed practices and some DVM’s within dairy‐exclusive practices

Limitations of the physicians’ model: our clients’ worst day is our best day

on‐farm personnel are doing more and more sick work

Page 5: Food Animal Clinical Rotations...2 Dairy Practice Update Strong position of dairy in Wisconsin water will become the driver for future dairy growth herds need to raise their own feed

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Two Models of Dairy Practice

Facilitator model DVM is aligned with herd management

DVM monitors herd data

DVM identifies herd opportunities

DVM helps oversee input from outside consultants

DVM helps implement and monitor change training employees

creating new monitoring systems

DVM still does substantial cow‐level work

Recent Example: Facilitator Model

2012 UW‐graduate

Dairy‐exclusive practice in central Wisconsin

Three days/week scheduled herd consulting two large dairies

NOT the repro work

routine involvement in fresh pens, calf health

herd‐level data monitoring

employee training

Page 6: Food Animal Clinical Rotations...2 Dairy Practice Update Strong position of dairy in Wisconsin water will become the driver for future dairy growth herds need to raise their own feed

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The Nuts and Bolts of Fourth Year

Emphasis Area Options

Food Animal Emphasis

Mixed Animal Emphasis

Other Emphasis

Page 7: Food Animal Clinical Rotations...2 Dairy Practice Update Strong position of dairy in Wisconsin water will become the driver for future dairy growth herds need to raise their own feed

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4th YEAR CORE ROTATION OPTIONS

Food Animal ALL VM4 CORE

Equine ALL VM4 CORE

Mixed Animal ALL VM4 CORE

Small Animal ALL VM4 CORE

Other

ALL VM4 CORE COURSE WEEKS/CREDITS COURSE WEEKS/CREDITS COURSE WEEKS/CREDITS COURSE WEEKS/CREDITS COURSE WEEKS/CREDITS LA Medicine 2 / 2 LA Medicine 2 / 2 LA Medicine 2 / 2 LA Medicine 2 / 2 LA Medicine 2 / 2 LA Surgery 2 / 2 LA Surgery 2 / 2 LA Surgery 2 / 2 LA Surgery 2 / 2 LA Surgery 2 / 2 Ambulatory 2 / 2 Ambulatory 2 / 2 Ambulatory 2 / 2 Ambulatory 2 / 2 Ambulatory 2 / 2 Radiology 2 / 2 Radiology 2 / 2 Radiology 2 / 2 Radiology 2 / 2 Radiology 2 / 2 Necropsy 2 / 1 (½ day x 2 wks)

Necropsy 2 / 1 (½ day x 2 wks)

Necropsy 2 / 1 (½ day x 2 wks)

Necropsy 2 / 1 (½ day x 2 wks)

Necropsy 2 / 1 (½ day x 2 wks)

Anesthesiology 2 / 2 Anesthesiology 2 / 2 Anesthesiology 2 / 2 Anesthesiology 2 / 2 Anesthesiology 2 / 2 SA Gen Surgery 2 / 2 SA Gen Surgery 2 / 2 SA Gen Surgery 2 / 2 SA Gen Surgery 2 / 2 SA Gen Surgery 2 / 2 SA Medicine 2 / 2 SA Medicine 2 / 2 SA Medicine 2 / 2 SA Medicine 2 / 2 SA Medicine 2 / 2 Primary Care 2 / 2 Primary Care 2 / 2 Primary Care 2 / 2 Primary Care 2 / 2 Primary Care 2 / 2 Total Core 18 / 17 Total Core 18 / 17 Total Core 18 / 17 Total Core 18 / 17 Total Core 18 / 17

FOOD ANIMAL EMPHASIS CORE

EQUINE EMPHASIS CORE

MIXED ANIMAL EMPHASIS CORE

SMALL ANIMAL EMPHASIS CORE

OTHER EMPHASIS CORE

LA Medicine 2 / 2 LA Medicine 4 / 4 SA Ortho Surgery 2 / 2 SA Medicine 2 / 2 No required rotations for “Other” emphasis Maximize flexibility

Food Animal Surg 2 / 2 LA Surgery 2 / 2 Ophthalmology 2 / 2 Ophthalmology 2 / 2 Dairy Skills 1 2 / 2 (pending: Equine Reproduction 1) 2 / 2 Emergency Med 2 / 2 SA Ortho Surgery 2 / 2 Dairy Skills 2 2 /2 Equine Dentistry 1 / 1 Emergency Med 2 / 2 Dairy Skills 3 2 / 2 Equine Elective 2 / 2 Choose 2 of 4 options

Total Emphasis 10 / 10 Ophthalmology 2 / 2 LA Medicine 2 / 2 Choose 4 of 7

Total Emphasis 13 / 13 LA Surgery 2 / 2 SA Gen Surgery 2 / 2

SA Medicine 2 / 2 Cardiology 2 / 2 SA Gen Surgery 2 / 2 Neurology 2 / 2 Oncology 2 / 2 Choose 2 of 6 options Special Species 2 / 2 Cardiology 2 / 2 Dermatology 2 / 2 Neurology 2 / 2 Dentistry 2 / 2 Oncology 2 / 2 Total Emphasis 16 / 16 Special Species 2 / 2

Dermatology 2 / 2 Dentistry 2 / 2 Total Emphasis 16 / 16

Electives (in SVM) 10 – 20 wks Electives (in SVM) 7 – 17 wks Electives (in SVM) 4 – 14 wks Electives (in SVM) 4 – 14 wks Mixture of electives and externships 30 wks Externships (outside of SVM) 0 – 12 wks Externships (outside of SVM) 0 – 10 wks Externships (outside of SVM) 0 – 10 wks Externships (outside of SVM) 0 – 10 wks Vacation (max number of wks) 4 wks Vacation (max number of wks) 4 wks Vacation (max number of wks) 4 wks Vacation (max number of wks) 4 wks Vacation (max number of wks) 4 wks Total 52 wks Total 52 wks Total 52 wks Total 52 wks Total 52 wks

Food Animal ALL VM4 CORE

Mixed Animal ALL VM4 CORE

Other

ALL VM4 CORE Total Core 18 / 17 Total Core 18 / 17 Total Core 18 / 17

FOOD ANIMAL EMPHASIS CORE

MIXED ANIMAL EMPHASIS CORE

OTHER EMPHASIS CORE

LA Medicine 2 / 2 SA Ortho Surgery 2 / 2 No required rotations for “Other” emphasis Maximize flexibility

Food Animal Surg 2 / 2 Ophthalmology 2 / 2 Dairy Skills 1 2 / 2 Emergency Med 2 / 2 Dairy Skills 2 2 /2 Dairy Skills 3 2 / 2 Choose 2 of 4 options

Total Emphasis 10 / 10 LA Medicine 2 / 2

LA Surgery 2 / 2 SA Medicine 2 / 2 SA Gen Surgery 2 / 2 Choose 2 of 6 options Cardiology 2 / 2 Neurology 2 / 2 Oncology 2 / 2 Special Species 2 / 2 Dermatology 2 / 2 Dentistry 2 / 2 Total Emphasis 16 / 16

Electives (in SVM) 10 – 20 wks Electives (in SVM) 4 – 14 wks Mixture of electives and externships 30 wks Externships (outside of SVM) 0 – 12 wks Externships (outside of SVM) 0 – 10 wks Vacation (max number of wks) 4 wks Vacation (max number of wks) 4 wks Vacation (max number of wks) 4 wks Total 52 wks Total 52 wks Total 52 wks

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Choices, choices, choices

Where do you see yourself?

If dairy‐exclusive plus interest in the facilitator model in addition to physicians’ model choose food animal emphasis

take one extra LAIM plus Food Animal Surgery (required)

take Dairy Skills 1, 2 & 3 (required)

take dairy option for Ambulatory (required)

consider Applied Epidemiology

choose externships selections to get both herd‐level and cow‐level experiences

Choices, choices, choices

If mixed practice or dairy‐exclusive using only physicians’ model: choose mixed animal emphasis and focus on cow‐level experiences

take one extra LAIM and LAS (part of requirement)

externships should include some mixed animal practices

Dairy Skills 1, 2, and 3 are optional get palpation experience somewhere

Food Animal Surgery rotation would be great enrollment is capped at 18 students priority goes to Food Animal Emphasis (it is required for them) only 17 students are enrolled for the current fourth year class

Page 9: Food Animal Clinical Rotations...2 Dairy Practice Update Strong position of dairy in Wisconsin water will become the driver for future dairy growth herds need to raise their own feed

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Dairy Skills 1, 2, and 3 Rotations

Dairy Skills 1, 2, and 3 Rotations

Replace Therio (2 weeks), PM Core Skills (4 weeks), and PM Advanced (2 weeks) six weeks of rotations replaces what used to be eight weeks

Each has two rotations per year, two weeks per rotation Dairy Skills 1: Weeks 9 & 10 (July 6 to July 17)

Weeks 15 & 16 (August 17 to August 28)

Dairy Skills 2: Weeks 23 & 24 (October 12 to October 23)Weeks 27 & 28 (November 9 to November 20)

Dairy Skills 3: Weeks 43 & 44 (March 1 to March 12)Weeks 49 & 50 (April 12 to April 23)

Page 10: Food Animal Clinical Rotations...2 Dairy Practice Update Strong position of dairy in Wisconsin water will become the driver for future dairy growth herds need to raise their own feed

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Dairy Skills 1, 2, and 3 Rotations

We are hoping you have taken these selectives already: hoof trimming

dairy calf ultrasound

dairy ration evaluation

These are not pre‐requisites, but they will help you

Dairy Skills 1, 2, and 3 Rotations

Up to 15 students per rotation scheduling preference to Food Animal Emphasis(will not be a practical limitation) 

some out‐of‐state students may also participate(not as many as in previous years – VSGP grant is completed)

Each rotation is a pre‐requisite for the next one content builds

General expectation is that you will take all three rotations required for Food Animal Emphasis

technically could stop after 1 or 2 (if not Food Animal Emphasis)

Page 11: Food Animal Clinical Rotations...2 Dairy Practice Update Strong position of dairy in Wisconsin water will become the driver for future dairy growth herds need to raise their own feed

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Dairy Skills 1, 2, and 3 Rotations

Herd‐based approach to cow health and production the herd is the patient

NOT “more advanced” or “more on‐farm” individual animal medicine no DA surgeries or dystocias

Dairy Skills 1, 2, and 3 Rotations

Mixture of in‐house didactics, palpation, and on‐farm exercises lots of short presentations and discussions

Topics include herd records, applied statistics, partial budgets, transition cow management, udder health, drug use, vaccination protocols, lameness management, feeding management, ventilation assessment, fresh pen diagnosis and treatment protocols, etc.

Principles can be applied to other species

Outside reading and assignments

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On farm exercises with dairy producers

Facilities evaluation (stalls, ventilation, etc.)

Page 13: Food Animal Clinical Rotations...2 Dairy Practice Update Strong position of dairy in Wisconsin water will become the driver for future dairy growth herds need to raise their own feed

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Learn herd management software (DairyCOMP 305, others)

Palpation experiences (in small groups)

Page 14: Food Animal Clinical Rotations...2 Dairy Practice Update Strong position of dairy in Wisconsin water will become the driver for future dairy growth herds need to raise their own feed

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Calf health evaluation

Applied nutritional management

Page 15: Food Animal Clinical Rotations...2 Dairy Practice Update Strong position of dairy in Wisconsin water will become the driver for future dairy growth herds need to raise their own feed

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Dairy Skills 1, 2, and 3 Rotations

Includes training in responsible and accountable antibiotic use one day of Food Armor training(used to be two days)

rest of training for certification is online

Applied Epidemiology Rotation

For students interested in applying statistics to population data

May include non‐DVM students maximum enrollment = 12

Weeks 21 & 22 (September 28 to October 9)

See Dr. Döpfer for details she will contact all enrollees this spring about what type of data set they wish to analyze

Page 16: Food Animal Clinical Rotations...2 Dairy Practice Update Strong position of dairy in Wisconsin water will become the driver for future dairy growth herds need to raise their own feed

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Food Animal Production Medicine

SVM, UW-Madison, WI, USA

[email protected]

November 6th, 2019

Project Plan

Title and Hypothesis

7 Steps to completeProject Plan

Approach to Project

Page 17: Food Animal Clinical Rotations...2 Dairy Practice Update Strong position of dairy in Wisconsin water will become the driver for future dairy growth herds need to raise their own feed

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Katie E. Holmes, DVM CandidateApplied Epidemiology

September 20, 2013

RISK FACTORS ASSOCIATED WITH WEST NILE VIRUS EXPOSURE IN

MESOCARNIVORES OF SOUTHERN WISCONSIN

Nyssa Van Ness, DVM Candidate 2020Applied Epidemiology 2019

With data from D.E. Docherty et el.

Birds of Hawaii

‘Apapane

‘Amakihi

‘I’iwi

Elepaio

Effect of Surface Type on Greenhouse Gas Emissions and Nutrient Runoff Associated with Dairy Barnyards

Mike DuporApplied Epidemiology- 2019

Risk factors for Sea Otter Mortality in the Monterey and Estero Bays of California

Mee‐La LeeApplied Epidemiology

Fall 2014(Babies, 2012)

COW TRAFFIC SYSTEMS ON NORTH AMERICAN FARMS WITH AUTOMATED MILKING SYSTEMS: ANALYSIS AND RECOMMENDATIONS

Justin P. Hess, DVM CandidateUniversity of Wisconsin-MadisonSchool of Veterinary Medicine

University of Wisconsin – MadisonSchool of Veterinary Medicine

In the End…

•Exposure to writing a project plan

•Experience in using bibliography software

•Report about the outcome :•5 page written report

•(including project plan and approach)

•Oral presentation of 30 min duration, discussion

•Exposure to quantitative methods using a statistical tool box in R

•Exposure to different data sets and research questions

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Thank you!•see you in Wisconsin!•[email protected]

Food Animal Surgery

Required for Food Animal Emphasis max enrollment is usually 18 students

mixed emphasis students may not all be able to enroll

Usually Weeks 41 & 42

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Externships

Usually 8 or more weeks if facilitator model –add some herd‐level experience in dairy‐exclusive practices

if mixed or dairy / physicians’ model –emphasize cow‐level experiences

Externships

Often do a major palpation experience California, Idaho, New Mexico, etc.

good opportunity to travel

Page 20: Food Animal Clinical Rotations...2 Dairy Practice Update Strong position of dairy in Wisconsin water will become the driver for future dairy growth herds need to raise their own feed

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Preceptorship

Dairy experience without an on‐site DVM

Consider 2 weeks on a large dairy work the fresh pens, maternity pens, repro exams

really high volume exposure (but all on one farm)

Preceptorship Sites

Milk Source – Rosendale Dairy no on‐site DVM’s (preceptorship)

Calf Source (preceptorship)

Holsum Dairies (have on‐site DVM’s, could be an externship)

Calf raiser, goat dairy, other….

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Other Species

Beef – cow‐calf and/or feedlot

Iowa State beef rotations

western US beef practices

Other Species

Swine Iowa State

diagnostic lab (Galesburg, IL or others)

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Other Species

Small ruminants and camelids practitioners working in this area

Pipestone, MN practice

Drumlin Dairy (9,000 does)

Absences from FAPM Rotations

Plan to be present every day we are lenient on sickness, personal conflicts

we are somewhat lenient on job interviews(limited number if possible, pre‐planned days)

we are not lenient on other outside experiences(conferences, other outside training)

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Questions?