GENERAL PRACTITIONER ADVANCED CERTIFICATE DIAGNOSTIC IMAGING (COMPUTED TOMOGRAPHY) Progress Through Learning. In partnership with NEW

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1 GENERAL PRACTITIONER ADVANCED CERTIFICATE DIAGNOSTIC IMAGING (COMPUTED TOMOGRAPHY) Progress Through Learning In partnership with NEW FOR 2019

2 CONTENTS 03 About our General Practitioner Advanced Certificate 05 Progamme Structure 13 Locations and Training Venues 14 Testimonial 15 Why Choose Improve? 16 Our Partners 17 Pricing 18 How to Register General Practitioner Advanced Certificate ADVANCE YOUR DIAGNOSTIC IMAGING SKILLS WITH A NEW QUALIFICATION When you study with Improve International, you join thousands of vets who have taken advantage of flexible modular programmes, designed to complement busy practice life. Facilitated by many of the world s renowned authorities in veterinary science, every programme will broaden your knowledge and give you deeper expertise that can be taken back to your practice. This new qualification has been developed for veterinary professionals who wish to advance their knowledge and diagnostic skills, progress their academic qualifications and gain recognition in their field. The programme has received conditional validation from Harper Adams University pending full approval early next year and is also accredited by the European School of Veterinary Postgraduate Studies (ESVPS). The GPAdvCert in Diagnostic Imaging (CT) is a natural next-step for veterinary surgeons wanting to further progress their diagnostic imaging skills. Each module has been designed to progress your skills beyond Postgraduate Certificate (PgC) level with more in-depth and advanced content. Over a total of 12 days delivered across three blocks of 4 days in three European cities Vienna (Austria), Porto (Portugal) and Limassol (Cyprus), this programme is designed for veterinary surgeons who want to deepen their knowledge and manage cases requiring complex diagnostic skills with confidence. The GPAdvCert in Diagnostic Imaging (CT) is for veterinary surgeons who have already completed their General Practitioner Certificate in Diagnostic Imaging (GPCert DI) or Postgraduate Certificate (PgC) in Small Animal Diagnostic Imaging and want to advance their skills in an ever-expanding discipline. There is an opportunity for your colleagues who hold an equivalent qualification from another provider to also join this programme. Please contact us for further details. The programme will have a 60-70% practical approach with plenty of opportunity to review scans and case discussion so that you will feel comfortable reading CT studies. The programme will cover the different regions of the body: head 2 and neck, thorax, abdomen and musculoskeletal system. 3

3 General Practitioner Advanced Certificate General Practitioner Advanced Certificate DIAGNOSTIC IMAGING (CT) DIAGNOSTIC IMAGING (CT) Diagnostic Imaging (CT) is already widely available in many veterinary practices, and therefore studies in this area are becoming more and more common for veterinary practitioners. Support throughout the programme 1. Our learning management system operated through Moodle provides access to a notes library, discussion forum and other study resources including webinars 2. A dedicated Programme Tutor will support every individual during their programme to ensure a rewarding and successful learning journey Advance your diagnostic imaging skills and improve your confidence in managing complications and advising clients on prognosis Delivered in three blocks of teaching and practical sessions based at hotels in Vienna (Austria), Porto (Portugal) and Limassol (Cyprus) Step by step decision-making processes will enable you to make the best choice when investigating and managing a wide variety of medical conditions Experienced world-renowned clinicians (RCVS or ACVS Diploma holders) providing you with the very latest developments in Diagnostic Imaging (CT) Numerous case examples will be used to help you relate your theoretical knowledge to clinical practice 3. Direct access to leading diagnostic imaging specialists at every module 4. A subscription to Harper Adam s online e-library providing access to 1,000s of scientific articles and abstracts 5. Access to one year s subscription of our Online Bitesize CPD with the latest clinical subjects. Continue your learning online, anytime, with a subscription worth VAT SPEAKERS: Tim Trevail - Course Director BVetMed CertVDI DipECVDI MRCVS Andrew Holdsworth Dip ECVDI BSc BVSc (Hons) MRCVS Chris Warren-Smith BVetMed DipECVDI MRCVS Gawain Hammond MA VetMB MVM CertVDI DipECVDI FHEA MRCVS & European Specialist in Veterinary Diagnostic Imaging Phil Strom DVM, DACVR MRCVS Diplomate American College of Veterinary Radiology Tom Maddox BVSc PhD CertVDI DipECVDI MRCVS RCVS Group sizes will be strictly limited to enable an excellent learning experience Practical sessions covering the different regions of the body: head and neck, thorax, abdomen and musculoskeletal system in groups of two delegates and with expert supervision 4 5

4 GENERAL PRACTITIONER ADVANCED CERTIFICATE VIENNA, AUSTRIA 01 Introduction to Computed Tomography Explain how CT images are obtained Discuss the types of CT scanner available for purchase Describe how to improve the quality of CT images List the steps required to perform a high-quality postcontrast study Recognise artefacts and understand how to avoid them Be familiar with the most commonly used software to read CT studies including how to create the most useful scan reconstructions Develop your ability to describe and report a CT study methodically This module will include an introduction to the best way to produce a top-quality CT report in preparation for the final module when delegates will be expected to have selected a case, prepare a report on the CT scan of that case and present it to the speaker and other delegates for discussion. 02 CT head and neck Discuss the CT protocols required for optimal imaging of the head, brain and neck Demonstrate familiarity with normal anatomy by being able to correctly identify bony and soft tissue structures of the head and neck including the nasal cavity, orbit, aural/oral structures, blood/lymphatic system, masticatory muscles, glandular tissue and pharynx/larynx Explain what characteristics of a CT scan allow you to differentiate between neoplasia, inflammation and infection to guide referring clinicians to diagnose neoplasia, fungal/ chronic rhinitis, masticatory myositis, dental disease and retrobulbar abscesses Describe what methods can be employed to guide a surgeon when planning surgical margins for tumours of the head and neck in cases such as maxillary or thyroid neoplasia List the identifying features on a CT scan of a variety of tumours seen in the head and neck such as oral melanoma and squamous cell carcinoma Systematically review CT scans of trauma patients assessing for fractures of the skull/spine and soft tissue pathology Describe the CT approach to suspected penetrating stick injuries of the cervical region Differentiate between otitis externa, media/interna and be able to identify more significant/unusual pathologies such as paraaural abscessation and cholesteatoma Review a CT scan of salivary mucocele identifying which salivary gland(s) are most likely to be the cause of the problem 03 CT of the neural system: brain and spine Review the normal anatomy of the brain and spine and how changes on CT can aid differentiating pathologies such as congenital/acquired brain diseases Understand what clinical cases benefit more from CT versus MRI Understand the limitations of using CT in imaging the nervous system Describe the typical changes seen in the brain and spinal column of trauma cases, understanding where imaging can be useful to guide a prognosis List the features seen on CT with inflammatory/infectious/ neoplastic diseases of the brain and spine such as hydrocephalus secondary to FIP, granulomatous meningoencephalitis and meningioma Explain how to differentiate between congenital and acquired spinal lesions including cranial thoracic stenotic myelopathy and vertebral neoplasia Summarise the technique and pitfalls of CT myelography and how it can be used to aid decision-making in cases of intervertebral disc disease 04 Practical session head, neck and neural system Discuss a variety of CT scans with the speaker and other delegates to assess the quality of the scan and identify normal variations in anatomy Describe the steps that should be taken to read a scan methodically and produce a clear and concise report describing your findings Assess CT scans of the head, neck and neural systems and prepare a thorough and systematic report for each describing the abnormalities identifiable and providing a comprehensive differential diagnosis list 6 Taught sessions Imaging components 7

5 GENERAL PRACTITIONER ADVANCED CERTIFICATE PORTO, PORTUGAL 05 CT thorax I Identify the best CT protocols for the thorax Recognise the advantages and disadvantages of conscious protocols using radiolucent restraint contraptions List appropriate contrast protocols to differentiate between pathologies on a CT scan of the thorax Learn how to interpret various lung pathologies on CT, including lungworm, lung lobe torsion, pulmonary fibrosis, bronchopneumonia, pulmonary thrombolism Describe the characteristics of pleural effusion on a CT scan and how to interpret a CT scan with pleural effusion. Summarise what abnormalities associated with the heart can be seen on a CT scan including patent ductus arteriosus, aberrant coronary arteries, pericardial effusions and peritoneopericardial diaphragmatic hernias Recognise how neoplastic conditions can be diagnosed including vertebral, chest wall, mediastinal and primary and secondary pulmonary tumours Discuss how thoracic trauma cases can benefit from thoracic CT Identify diseases of the pleura, mediastinum and lymph nodes associated with the thorax 06 CT thorax II Demonstrate good knowledge of the normal anatomy of the thorax Discuss a variety of thoracic CT scans with the speaker and other delegates to assess the quality of the scan and identify normal variations in anatomy Describe the steps that should be taken to read a thoracic CT scan methodically and produce a clear and concise report describing your findings Explain how to differentiate pulmonary metastatic neoplasia from nonneoplastic pulmonary nodules Be able to reach a precise list of differential diagnoses from a thoracic CT scan Identify the most appropriate next-steps options to guide the primary case clinician towards a diagnosis 07 CT abdomen I Learn the best CT protocols for the abdomen with an emphasis on dual and triple phase angiography Be able to recognise and describe portosystemic shunts and other vascular anomalies such as arteriovenous fistulas and thrombosis Understand when CT is more appropriate than ultrasound for liver and peritoneal diseases Explain the typical appearance on a CT scan of hepatic tumours and characteristics that allow you to help differentiate benign and malignant neoplasia Describe the appearance of a normal gallbladder and biliary tract and how CT can help diagnose conditions such as extrahepatic biliary obstruction and gallbladder mucocele Describe the typical features of splenic neoplasia and how to differentiate from other splenic pathologies such as torsion and thrombosis Formulate a prioritised differential list for a CT scan showing ascites and justify your opinion Identify normal and abnormal lymph nodes within the abdomen and be aware of what pathologies can cause lymphadenopathy Be familiar with abnormalities of the peritoneum/ retroperitoneum such as peritonitis, migrating foreign bodies and carcinomatosis 08 Practical sessions - thorax I & II and abdomen I Be familiar and confident with the normal anatomy of the abdominal vasculature, liver and lymphatic abdominal system Discuss a variety of CT scans with the speaker and other delegates to assess the quality of the scan and identify normal variations in anatomy Describe the steps that should be taken to read a scan methodically and produce a clear and concise report describing your findings Assess CT scans of the thorax/abdomen and prepare a thorough and systematic report for each describing the abnormalities identifiable and providing a comprehensive differential diagnosis list 8 Taught sessions Imaging components 9

6 GENERAL PRACTITIONER ADVANCED CERTIFICATE LIMASSOL, CYPRUS 09 CT abdomen II Identify the best CT protocols for scanning the abdomen Describe how the difference between normal and abnormal gastrointestinal tracts can be determined from a CT scan Be confident in identifying mechanical obstructions of the intestinal tract Summarise the typical appearance on a CT scan of a variety of both congenital and acquired hernias including umbilical, inguinal, scrotal, femoral and perineal Explain how you would determine the significance to the patient of an incidentaloma of the adrenal gland and what further testing and/or treatment options might be recommended List the characteristics seen on CT that can help to differentiate between pancreatic inflammation/ infection neoplasia Be able to review a CT scan of the urinary tract in a case of neoplasia or obstruction and give appropriate advice on the best course of action for the patient Assess prostatic size and morphology from a CT scan and advise of most likely causes of any prostatomegaly present 10 CT of the musculoskeletal system Know the appropriate scan techniques and protocols for imaging the appendicular skeleton List the steps necessary to perform a CT-arthrogram Review the typical CT changes seen with a variety of elbow conditions including dysplasia and incomplete ossification of the humeral condyle Describe how to diagnose osteochondritis dissecans of various joints from a CT scan Explain the CT scan characteristics of inflammatory, erosive, neoplastic and infectious arthropathies Formulate a methodical way to assess complex fractures such as intra-articular carpal/ tarsal fractures from a CT scan Be familiar with the normal anatomy of tendons and how they appear on a CT scan when they become inflamed e.g. bicipital tenosynovitis Discuss how a variety of tumours of the musculoskeletal system can appear on a CT scan and features that help guide you to whether they are benign or malignant neoplasias Identify key characteristics that might make you diagnose an inflammatory condition of the musculoskeletal system such as panosteitis or myositis from a CT scan Understand the use of CT in assessing antebrachial and femoral deformities 11 Practical sessions - abdomen II and musculoskeletal system Be familiar and confident with the normal anatomy of the abdominal organs Learn how to methodically assess the gastrointestinal tract Learn how to identify pancreatic pathology and to try and differentiate pancreatic inflammation from masses Know how to perform and interpret a CT-IVU study Be confident in recognising or excluding ectopic ureters Identify prostatic and uterine pathology and draw up a list of appropriate differential diagnoses Be familiar and confident with the normal anatomy of the appendicular system Learn the best CT protocols, including arthrography Be able to read methodically studies of the appendicular system Have a good knowledge of the most common pathologies of the limbs and joints 12 Case presentations Be able to review a CT scan and prepare a thorough report Present a case to an audience in PowerPoint format Discuss your differential diagnosis list and explain why you have reached your conclusions Describe what steps would be necessary in your case to reach a final diagnosis Critique your fellow delegates reports and justify your opinions on it 10 Taught sessions Imaging components 11

7 GENERAL PRACTITIONER ADVANCED WHY CERTIFICATE CHOOSE IMPROVE? HAU Diagnostic Imaging PgC Award Postgraduate Certificate 60 Academic Credits TRAINING LOCATIONS VENUES AND TRAINING VENUES FPO ESVPS Complete assessments Case report (2,500 words) Case diary (15 x 100 word peer reviewed logs assessed by HAU) Case studies (5 x words) Reflective essay (assessed by HAU) Multiple choice questions examination Advance your diagnostic knowledge and skills with leading European Veterinary Specialists The GPAdvCert in Small Diagnostic Animal Imaging Medicine (CT) is delivered over modules (3 across x 5 day three blocks) European across training three venues, state-of-the-art Vienna (Austria), European Porto (Portugal) training and centres, Limassol Porto, (Cyprus). Portugal, Berlin, Germany and Sheffield, UK. In each of the blocks we will host an In evening each The GPAdvCert of reception the five-day on in the Small blocks first Animal we evening will Medicine host an along evening is delivered with a reception three over course 15 on modules the dinner first (3 evening on x the 5 day along last blocks) night with of a across the three programme. three course state-of-the-art dinner on the last European night of the training programme. centres, Porto, Portugal, Hotel Berlin, accommodation Germany and is Sheffield, not included UK. in Hotel the programme accommodation price however, is not included we would in the be able Our programme training to recommend centres price however, local have hotels the we latest would close to be the able purpose training to recommend built venues. wet-lab local facilities hotels which close reflect to the the training veterinary venues. surgical environment. With Each surgical training stations, module operating will be supported theatre lighting by two and specialists. a wide choice of surgical equipment, delegates are able to practise skills under the direction of leading specialists. Each training module will be supported by two orthopaedic specialists. VIENNA PORTO, - PORTUGAL AUSTRIA PORTO BERLIN, - PORTUGAL GERMANY FPO LIMASSOL - CYPRUS SHEFFIELD, UK 12 13

8 Testimonial What you can expect from Improve International Dr Graeme McKeown General Practitioner Advanced Certificate WHY CHOOSE IMPROVE? BSc. Hons BVMandS PgC SAM PgC SAS PgC FVS PgC VPS CertAVP PgD AVPS MRCVS Dr Graeme McKeown has become the first veterinary surgeon in the UK to be awarded a Postgraduate Diploma in Advanced Veterinary Practice Sciences (PgD AVPS). Dr McKeown, who owns practices in Hove and Tunbridge Wells, was one of a number of Postgraduate awardees to receive their awards at a ceremony at Harper Adams University on Tuesday 25 April The Postgraduate Diploma is in association with our assessment partners the European School of Veterinary Postgraduate Studies (ESVPS) and Harper Adams University. It offers an opportunity for veterinary surgeons to achieve a higher level of qualification, which recognises achievement in one or more areas of clinical interest, whilst developing their research skills in readiness for a vocationally relevant investigation, which adds to the scientific evidence base. Established Since 1998 we have been leading the way forward with veterinary CPD World-class We have world-class speakers, delivering the academic syllabus whilst ensuring content is relevant to practice Worldwide Now operating in over 20 countries worldwide Originators Over 3,000 Experienced We are the originators of modular CPD for vets, and we are still a company which is run by vets for vets Our alumni include thousands of vets who have benefited from participating in structured modular programmes Our Programme Tutor provides learning support throughout your chosen programme Accredited State-of-the-art Advanced Commenting on his achievement he said: I embarked on Improve s Postgraduate Diploma as I was keen to deepen my knowledge and expand my skills following completion of the Postgraduate Certificates (PgC) in both Small Animal Medicine and Small Animal Surgery. Postgraduate programmes accredited by the European School of Veterinary Postgraduate Studies (ESVPS) and validated by Harper Adams University (HAU) Practical training centres which enable delegates to get handson with a variety of procedures With access to leading specialists enhance your knowledge and skills with complex cases. Reduce referrals and retain higher levels of income for your practice 14 15

9 General Practitioner Advanced Certificate OUR PARTNERS Working with us to ensure the highest academic standards Pricing GENERAL PRACTITIONER ADVANCED CERTIFICATE DIAGNOSTIC IMAGING (CT) Harper Adams University (HAU) A rigorous validation process and the on-going involvement of HAU in our PgC programmes ensures teaching elements and examination processes meet the highest academic standards. Founded in 1901, Harper Adams has a long, proud tradition of the highest educational standards, and is widely recognised for the quality of its education. Named University College of the Year six years in a row, HAU was placed within the UK s top 10 higher education institutions, gaining full university status in European School of Veterinary Postgraduate Studies (ESVPS) ESVPS is a not-for-profit organisation dedicated to the provision of high quality, attainable qualifications for the veterinary profession on a worldwide basis. ESVPS was established in 2003 by a group of like-minded veterinary surgeons with the principle objective of providing attainable, balanced qualifications within the busy practice setting. ESVPS has over 15 years experience in the provision of veterinary postgraduate assessments, awards and veterinary course accreditation, with over 3,800 vets and vet nurses awarded a veterinary postgraduate qualification internationally. Diagnostic Imaging * General Practitioner Advanced Certificate Payment Options Payments Initial Payment All prices exclude VAT Total Payable Payment in full 8, , monthly payments , Payment in full , monthly payments , *The course fee includes all the ESVPS examination fees for existing GPCert holders and 40 university credits (20 ECTS) once you have passed all ESVPS and HAU components (case report, MCQ exam, case diary and reflective essay). Payment terms and conditions A non-refundable initial payment of is due on registration in order to secure the booking. Deposits can be paid by credit card or bank transfer. Full payment to be made by BACS or credit card within 30 days of the deposit payment and prior to the programme start date in order to be eligible for the discounted rate. Direct debit plans are administered and collected on our behalf by GoCardless Ltd. If paying by direct debit we must receive the first payment prior to the course commencing. You will be charged VAT by default. If you are part of an EU country, outside of the UK and you have a valid intra-community VAT number the invoice will be exempt of VAT

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