One Health - American College of Laboratory Animal Medicine

Report
Advancing Veterinary Medical Education
The AAVMC provides leadership for
and promotes excellence in
academic veterinary medicine
to prepare the veterinary workforce
with the scientific knowledge and skills
required to meet societal needs
International Membership
• 48 Veterinary Medical Colleges accredited by AVMA-COE
–
–
–
–
–
30 in the United States
5 in Canada
5 in Europe
5 in Australia and New Zealand
3 in Mexico and the Caribbean
• 9 Departments of Veterinary Science
• 8 Departments of Comparative Medicine
• 6 Affiliate Members
– Non-accredited Colleges of Veterinary Medicine
– Europe, Central America, Japan, Philippines
Strategic Plan
What we do
Analyze
Acquiring, analyzing and adding value to data that advances scholarship
and advocacy
• Primary source of information about national
trends in veterinary medical education
• Provide members with data and analysis that
provides foundation for evidence-based decision
making, guides resource allocation and informs the
public
What we do
Catalyze
Creating forums for strategy and action
• Facilitator and catalyst for solving problems,
stimulating innovation, adding insight to current
issues
• Convene meetings for stakeholders and thought
leaders who generate new ideas and approaches for
creating progress in veterinary medical education
What we do
Advocate
Telling the story of modern academic veterinary medicine to policymakers and the world
• Public communication and focused outreach to
inform and influence government, the
profession and other stakeholders
• Generate support for academic veterinary
medicine and the profession
What we do
Achieving Educational Excellence
Providing quality care for people and animals in a rapidly changing world demands educational excellence
Recruiting High-Quality Future Professionals
Modern veterinary medicine requires the best and brightest students
Enhancing Diversity in the Veterinary Profession
Achieve greater diversity and broaden awareness of diversity-related issues
One-Health Approach to Global Wellbeing
Creating synergy between animal health, human health and the environment
Fostering Progress Through Discovery
Veterinary medicine plays an essential role in conducting basic and applied research that advances animal and
human health
Education
Achieving Educational Excellence
Providing quality care for people and animals in a rapidly changing world
demands educational excellence.
• Prepare next generation of veterinarians for excellence in
professional service
• Facilitate instructional excellence through symposia and
organizations
– Veterinary Educator Collaborative (VEC)
– Primary Care Veterinary Educators (PCVE)
• Promote educational excellence through sponsorship and
promotion of the Journal of Veterinary Medical Education
Admissions and Recruitment
Recruiting High-Quality Future Professionals
Modern veterinary medicine requires the best and brightest students.
• Veterinary Medical College Application Service (VMCAS)
ensures efficient and effective processes for admission
to veterinary medical school
• Study perceptions and behavior among prospective
students, applicants and others
• Develop national strategies to inspire and recruit
students
Diversity
Enhancing Diversity in the Veterinary Profession
Achieve greater diversity and broaden awareness of diversity-related
issues
• Bi-annual Iverson Bell Symposium
• Gather, analyze and share diversity-related data, including
campus climate and demographic data related to the
applicant pool
• Lead coalition of academic health professions
organizations seeking best practices and opportunities to
advance diversity across disciplines
Presence of Racially and Ethnically Underrepresented Students
at US Colleges of Veterinary Medicine
AAVMC Internal Reports
2013 - 2014
TUS
WES
UCD
PUR
COR
FLA
CSU
TUF
MSU
US Total
OKL
TAMU
NCSU
WSU
UGA
US Median
VMR
WIS
ILL
LSU
ORE
AUB
PENN
UMO
MIS
MIN
ISU
KSU
OSU
TENN
0.0%
76.6%
35.5%
30.3%
18.9%
18.4%
17.1%
15.4%
15.0%
13.7%
13.5%
13.2%
12.5%
12.3%
11.8%
11.5%
11.5%
10.8%
10.3%
9.7%
9.1%
7.8%
7.0%
6.8%
6.3%
6.1%
5.8%
5.2%
4.6%
3.9%
3.8%
10.0%
20.0%
Underrepresented in Veterinary Medicine (URVM) is defined as populations of individuals whose
advancement in the veterinary medical profession has historically been disproportionately impacted
by six specific aspects of diversity (gender, race, ethnicity, geographic, socioeconomic, and
educational disadvantage) due to legal, cultural, or social climate impediments.
Students who are of Asian descent are considered underrepresented in the veterinary medical
profession and are included in the calculations for this bar graph.
30.0%
40.0%
50.0%
60.0%
70.0%
80.0%
90.0%
Research
Fostering Progress Through Discovery
Veterinary medicine plays an essential role in conducting basic and applied
research that advances animal and human health.
• Sponsor biomedical research opportunities for veterinary
students such as Merial-NIH Veterinary Scholars
Symposium
• Convene national and international leaders to develop
research-related policies
• Advocate for funding with the National Institutes of
Health, United States Department of Agriculture, other
entities
NRC (2013)
Research
One Health
One-Health Approach to Global
Wellbeing
Creating synergy between animal health, human health and the
environment
• Organize One Health-related symposia and conferences
• Promote One Health concept and interdisciplinary
cooperation on global scale
• Showcase veterinary role in infectious disease control,
global food supply, clinical care for animals and people
2014 ANNUAL CONFERENCE
300 registrants, 60 presentations
• Interdisciplinary, often international, educational
outreach and partnerships
• Innovative, interactive, cross-disciplinary teaching
methodologies
• Integrated clinical experiences, research and
medical technologies
• Innovations like an integrated human/animal
advanced care clinical facility
• Strategies for curricular and professional change
• Urgent need for action and change
Considerations for the
Future of Animal Science
Dr. Catherine Woteki
United States Department of Agriculture
Chief Scientist
Under Secretary for Research, Education, and Economics
Association of American Veterinary Medical Colleges Meeting
Alexandria, VA
March 14, 2014
“One Health”
One Health is the
collaborative effort of
multiple disciplines—
working locally, nationally,
and globally—to attain
optimal health for people,
animals and our
environment.
Figure from University of Florida
CONCLUSIONS AND RECOMMENDATIONS
CONCLUSION 5: Global food security is one of the most
pressing challenges of the 21st century. The food and water
security and safety concerns confronting the world today are
far more daunting than anything veterinary medicine has
previously had to confront. Because these challenges are
enormously complex, they will require the veterinary
profession to engage in interdisciplinary and
interprofessional One Health solutions.
Recommendation 5: Veterinary medical organizations and the
deans of veterinary colleges should work to increase the
visibility, standing, and potential of the profession to
address global food security….
NRC (2013)
Audience Generated Wordle
Anna Fagre˚, Francisco Olea-Popelka˚, Sue
VandeWoude˚, Mark Stetter˚, & William Kareshˆ
˚Colorado State University
ˆEcoHealth Alliance
Survey Design
 Two surveys (www.surveymonkey.com)
 One administered to students
 One administered to administration
 Veterinary schools in Canada, the Caribbean, & the US
 N = 36
http://www.survey-reviews.net/wp-content/uploads/2012/02/onlinesurvey.jpg
Results
Proportion of veterinary colleges in Canada, the Caribbean, and
United States in which a One Health initiative is implemented at
the administrative or student body level.
Administrative
initiative
Student-led
initiative
Either administrative
or student-led
4/5 (80%)
3/5 (60%)
4/5 (80%)
2/3 (66.7%)
1/3(33.3%)
2/3 (66.7%)
United States
19/28 (67.9%)
17/28 (60.7%)
23/28 (82.1%)
Overall
25/36 (69.4%)
21/36 (58.3%)
29/36 (80.6%)
School Location
Canada
Caribbean
Presence of One Health at administrative level
31%
36%
"One Health" in name of
institution
Self-described as One
Health (varied verbage)
No One Health
Institute/Initiative
33%
Univ. Admin. : “One Health” in title
of initiative
Calvin Schwabe One
Health Project
One
Health/Interprofessional
Health Initiatives
Center for One Health
Interprofessional
Education (IPE)
Program: One Health
Module
Global Health Institute’s
One Health Center
One Health Grand
Challenge
One Health/One
Medicine
One Health Initiative
One Health Institute
One Health Clinic (in
conjunction with
medical school)
One Health Leadership
Experience
Univ. Admin. : Efforts self-described
as One Health with different names
Ecosystem Health
Initiative
Institute of Public
Health Studies
Center for Public
and Corporate
Veterinary
Medicine
Department of
Ecosystem and
Public Health
Microprogrammes
en santé publique
vétérinaire
Centre for Public
Health and
Zoonoses
International
Health Initiative
Global Animal
Health Pathway
Exposure to “One Health” in
veterinary coursework?
 94% (34/36) of schools indicated OH exposure occurs
in veterinary coursework
 Ranges from one lecture to campus-wide learning
communities & awards
 11.1% (4/36) of schools have official OH Certificate
program
https://www.ma.utexas.edu/users/rjain/Lectures.jpg
Courses provided that discuss
One Health themes and efforts
Communications
Economics and
policy
Ecosystem health
Epidemiology
Food safety
Foreign animal
disease
Foundations
Global health
Health and society
Human-animal
relationships
Infectious disease
International
veterinary medicine
Law & veterinary
medicine
Population health
Preventive
veterinary medicine
Principles of ethics
Public
health/veterinary
public health
Translational
medicine
Wildlife
health/wildlife
disease
Zoonoses
(including virology,
microbiology,
parasitology)
… Discussion
 One Health is growing, but definition is broad and
often misunderstood (or used with various meanings)
 One Health ≠ public health (but encompasses it)
 Environmental consequences of human & animal
health interventions rarely emphasized
https://sites.google.com/a/owu.edu/endangerment-of-bald-eagles/home/the-science-of-ddt
ONE HEALTH INSTITUTE
One Health Approach
Animals
Veterinary Medicine
Biology
Comparative Medicine
Ecology
Human Medicine
Humans
Social Sciences
Humanities
Environment
Engineering
Earth Sciences
PREDICT
PREDICT Diagnostic & Surveillance
Successes
 Able to detect new & undiagnosed viruses in any
resource setting
 Trained >2,000 field personnel, veterinarians,
laboratory technicians, public health workers from 20
countries in 59 ministries
 Building capacity to test for viral families in 35 labs
 Collected samples from 50,000 animals (bats, rodents,
birds, carnivores, primates, and ungulates)
 Discovered 250 novel viruses in wildlife:
corona, boca, herpes, retro, adeno, rhabdo
 Documented human pathogens in wildlife and
animal-origin pathogens in humans
A Trans-University Approach for
Communicating One Health Concepts
to Students and the Public
Larry T. Glickman, VMD, MPH, DrPH1
Mamie Sackey Harris, MPH1
William Pan, PhD2
Barrett Slenning MS, DVM, MVPM3
Cheryl Stroud, DVM, PhD3
Suzanne Kennedy-Stoskopf, DVM, PhD3
Chris Woods, MD, MPH2
1
2
3
Location, location…
Durham
Chapel Hill
RTP
Raleigh
NIEHS
Audience
• Students (15/university)
– NC State College of Veterinary Medicine
– Duke Institute for Global Health & The Nicholas
School of the Environment
– UNC Gillings School of Global Public Health
• Public
Collaborative, Interprofessional Care:
What can we learn from each other
to improve the health of animal
patients, human patients, and
population health?
Dr. John Tegzes
Western University of Health Sciences
Dr. Laura Molgaard
University of Minnesota
Interprofessional Education
• Interprofessional Education (IPE) occurs when
learners from two or more professions learn
from, with, and about one another in order to
improve patient care and outcomes.
• Triple Aim
– Improved patient experience (quality, satisfaction)
– Improved health of populations
– Reduced per capita cost
• What does this mean for veterinary medicine?
WesternU Experience
• Collaborative service project in Honduras
– MD, PA, PharmD, RN, and DVM students working
together providing clinical and preventative care
in rural villages
– DVM students participated in daily rounds with
the human professions; common
diseases/problems were discussed and solutions
posed
University of Minnesota Experience
• Foundations of Interprofessional Communication
and Collaboration (FIPCC)
– First year students from 9 health professional
programs
• Interprofessional Leadership and Facilitation
– Advanced student facilitators for FIPCC (medicine,
pharmacy, dentistry, occupational therapy)
• Phillips Neighborhood Clinic (all but vet med) but
opportunities:
– Student Initiative for Reservation Veterinary Services
(SIRVS)
– Veterinary Treatment Outreach for Urban Community
Health (VeTouch)
Anna Fagre˚, Francisco Olea-Popelka˚, Sue
VandeWoude˚, Mark Stetter˚, & William Kareshˆ
˚Colorado State University
ˆEcoHealth Alliance
… Discussion
 One Health is growing, but definition is broad and
often misunderstood (or used with various meanings)
 One Health ≠ public health (but encompasses it)
 Environmental consequences of human & animal
health interventions rarely emphasized
https://sites.google.com/a/owu.edu/endangerment-of-bald-eagles/home/the-science-of-ddt
One Health Approach
Animals
Veterinary Medicine
Biology
Comparative Medicine
Ecology
Human Medicine
Humans
Social Sciences
Humanities
Environment
Engineering
Earth Sciences
Registrants Polled for Ideas
Ted Mashima
[email protected]

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