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MEMORANDUM:
TO ALL STUDENTS
ABOUT TO SEE PRACTICE AT
THE LIPHOOK EQUINE HOSPITAL
Seeing practice is
an essential part of your undergraduate education yet it is something
that can be left very much to chance and good luck. These notes
are intended to set the scene in advance of your visit to Liphook
and to help you get the most out of your stay with us.
We welcome anybody to see practice with us providing that they
are keen and willing to help and observe. Previous experience
or expertise with horses is not necessary. However, a disinterested
approach to this part of your education leads to frustration and
a lack of achievement on both sides. All of the veterinary surgeons
at the Liphook Equine Hospital have themselves seen practice and
thus realise the limitations and possibilities of this system.
The practice is both a large first opinion practice and a busy
referral centre. To gain optimal value from your stay you can
either accompany a vet on calls or you can stay at the hospital
to observe and help with inpatients and surgery. It is important
that you plan your day on the previous evening with the relevant
vet. As we rarely make a formal break for lunch, we suggest you
bring sandwiches, etc. There is a coffee room available as a designated
area for lunch/refreshments
During your time with
us we will provide you with a badge indicating that you are a
visiting veterinary student and you will be perceived by our clients
as members of our practice. Remember that these clients are paying
a good deal of money for our services and probably also have a
high emotional input when their horses are being examined. Thus,
as well as common courtesies, discretion and tact are also needed.
We hope that your schools will have instructed you in how to behave
with clients but it is worth remembering that the horses at the
hospital are not there for instructional purposes. We also ask
that you dress neatly and professionally and appropriate footwear
is also essential. Sturdy non-slip leather shoes or boots are
ideal. In addition a clean set of overalls will be useful, as
will your own stethoscope. We feel sure that you will realise
that there is much to learn about the art as well as the science
of equine practice – communications skills and the image
one portrays being foremost in this art.
Before coming it is worth spending a few moments to consider what
exactly you wish to achieve during your stay with us. Do you wish
to see general ambulatory equine practice and get an idea of what
makes a practice and its clientele tick? Do you wish to improve
your awareness of surgical techniques or pre-purchase examinations?
Do you wish to become proficient in bandaging techniques, in ophthalmoscopic
examinations, in assessment of colic cases etc.? The many hospitalised
horses we have in our care offer a tremendous opportunity for
examination and observation of the normal and abnormal. You will
rarely, if ever, have such a chance to auscultate chests and abdomens,
palpate digital pulses, assess capillary refill times etc. All
of these opportunities are available but you will not have time
to do everything. Try to identify the specific strengths and weaknesses
in your equine experience and take the opportunity to improve
on these during your stay with us.
Accommodation should
be arranged for your visit to the hospital conducive to attending
out of hours emergencies admitted to the hospital both at night
and at weekends when there are frequently greater opportunities
for involvement and experience with cases. You are expected to
make yourself available for involvement with out of hours admissions
to the hospital throughout your stay with us. An hour spent helping
the nurses change dressings on a Sunday morning may be of far
greater practical benefit to you (not to mention your popularity!)
than observing yet another surgical operation during the week
day. Our experience suggests that the students who gain most by
their time with us are those that are prepared to muck in and
help in all aspects, be it scrubbing up for a colic operation
or cleaning the instruments with the nurses afterwards. The nurses
will be happy to discuss and explain their routine management
with you. We expect our veterinary surgeons to muck in and help
the nurses and students are no exception to this. By being aloof
with the nurses you will gain little from your time in the stables.
To help you and us
monitor the usefulness of your time with us we ask you to keep
the attached check list with you and complete it as appropriate.
We will ask you to leave a copy of it at the end of your stay
and any comments you might have will be taken seriously. If you
have any questions or queries before or during your stay with
us then don’t hesitate to contact our reception staff or
myself. We look forward to seeing you shortly and I hope that
you benefit from your time with us.
With best wishes
Andy Durham BSc.BVSc.CertEP.DEIM.DipECEIM.MRCVS
(RCVS Specialist in Equine Internal Medicine)
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