DC for Clients and Facilitators

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Things to do BEFORE DCs Start:

By this time a majority of the logistical considerations have been completed and you are now ready to prepare for the upcoming Diagnostic Challenge.


This page is designed as a checklist to better prepare you, as the facilitator for your case and to make sure your client is comfortable and prepared for the week events.

To download the Facilitator's "To do" Pre-DC Checklist, click here.

Prior to the DC - Starting several weeks before the exercise:

  • Use the online case folder to review case and store ALL case material and documents
  • Review all client scripts - remember clients ONLY receive information for the next installment, so they don't know what's coming and don't know the Dx.
  • Clinic Scenario: the geographic location, clinic capabilities, initial appointment times, etc
  • Communicate with co-facilitator & client as soon as possible!

Prior to Monday of the DC week, you must have prepared [1] Clinic Scenario (need to revise for email delivery) and [2] Client's Day 1 script.

Facilitator Guides:

For instructions on the case folder, clinic scenario, and client script, click on the links in this sentence!



Client Script:

Clients should receive information for Day 1 ONLY, this way it is more realistic. Additional information is provided during each submission period & the facilitator should be working closely with his/her client. For example of client scripts, CLICK HERE.

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Case Folder:

Use the online case folder to store ALL case material and documents. There you will find a folder labeled with your case and previous year’s information.
(Using this folder will decrease the chances of documents being misplaced.)


Each case is also stored as a hard copy, and given to the facilitators upon arrival or earlier if local.

Folder Location:
  • On the J drive – DCInstructorsOnly – Case & Case Material folder – select the DC you are currently in and find your case.
  • Dropbox – All cases have been placed in a drop box and shared with you. You can use this prior and during the week. At the conclusion of the event, all material will need to be placed in the J drive & CD. The drop box file will be deleted 1 month after the event.

Post-DC - folder needs

Once the DCs are completed the following documents and information need to be organized and returned.

  • Organize your students' DC Medical Records for archival purposes. Including their presentation handout and literature search.
  • Update and organize your case to be used again

    See this link on Final Disposition of DC Case and case record for details. The goal is to leave the record so that it looks and works like you'd like to receive it if you were facilitating the case NEXT TIME.

  • Facilitator comments - "Notes for Next Time": This is HUGE and needs to be completed!
  • Return all material (Case material, case record, your client's DC Client Handbook, Student DC medical records, and all other material)

    Bring all material to Rachel Halsey as soon as possible.

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Clinic Scenario:

Clinic Scenario is the Geographic location, Clinic capabilities, and Appointment (signalment & client complaint). Give the clinic capabilities some careful thought so that it fits well with your case. You will email this information to your student clinics - typically early morning of Day 1 (a few cases call for early emailing).

Examples of Clinic Scenarios:

2010:  An emailed scenario


DC1 Scenario: Case #4 (K9-2)


You work in a brand new, small animal practice in Liberty Lake, WA. You have worked for this clinic for just over a year - having signed on because of the high-quality medicine they practice. One of the two clinic owners (they’re a married couple) acquired some additional training through short courses, etc. and now regularly performs TPLO surgeries. He has found it to be a great practice builder and likes the outcome compared to the extracapular methods he used previously.
Clinic capabilities: You have digital radiography, a first-class surgery suite, an area for hospitalization and ICU, a hydrotherapy tank, ultrasound, a microscope, and a full pharmacy. For the vast majority of your routine blood work and cytology you use a commercial service in Spokane that picks up once or twice a day, depending on your needs that day. Results are usually returned at the end of the day or first thing the following morning. You send most of your other diagnostic samples (histopathology, cultures, serology, etc.) to the Washington Animal Disease and Diagnostic Laboratory in Pullman, WA. The turn-around time there depends on the test requested. Some results can come back the next day, others take days or weeks.

The clinic owners are on vacation this week and have left you in charge of the clinic. When you arrive at work today (Monday morning), your first appointment of the day reads:


DOG: “Mandi” f/s 3-year-old Golden Retriever
Post-op TPLO re-check, vomiting


2011:  DC1  An emailed scenario

DC1 Scenario: Case #3 (K9-1)

CLINIC:
You are associate veterinarians practicing in a busy small animal hospital located in Tacoma, WA. The hospital’s facilities have been updated and include digital radiology and an ultrasound imaging device. You have basic "in-house" capabilities including a light microscope, commercially available benchtop diagnostic kits (e.g. routine small animal SNAP tests), fecal floatation, Diff-Quik stain, electrocardiography, and a small animal endoscope. However, most routine laboratory work and pretty much all the cytology is sent via courier to a nearby commercial laboratory, which gives you same day results (or overnight if submitted after 3 PM). The veterinarians in your practice are capable of performing basic abdominal ultrasound scans and needle aspirates, but echocardiographs and anything but the most basic ultrasound case are generally referred to a mobile ultrasound service. Your practice uses the Washington Animal Disease Diagnostic Laboratory for all your pathology/biopsy, microbiology, and most serology. You use a variety of other resources for other tests, depending on what tests you are seeking.

IN COMING APPOINTMENT:

“Eddie,” 8 year-old, castrated male, miniature schnauzer

Eddie’s owners called this morning and made arrangements to bring him in right away. Apparently, Edie has consumed almost a full bottle of Rimadyl. “Eddie’s” regular veterinarian is out of town and your clinic has agreed to accept her emergency cases during this period.


OLD FORMAT - pre-2011:  For insertion into student clinic folders    Ex. #1  Ex. #2  Ex. #3    (setting & capabilities - to be inserted into student folders)

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