COLLEGE OF VETERINARY MEDICINE Office of the Dean F Giving...on dogs, cats, and rabbits, in addition...

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COLLEGE OF VETERINARY MEDICINE Office of the Dean

Oregon State University, 200 Magruder Hall, Corvallis, Oregon 97331-4802

T 541-737-2098 | F 541-737-4245| http://oregonstate.edu/vetmed

December 6, 2012 Dr. Laurie Peek Maddie's Fund 2223 Santa Clara Avenue, Suite B Alameda, CA 94501 E-mail: [email protected] Dear Dr. Peek, As described in the attached Maddie's Shelter Medicine Residency Grant Application, the OSU College of Veterinary Medicine and the Oregon Humane Society partnership supports Maddie's Fund's mission by proactively pursuing the shared goal:

to create a no-kill nation where all healthy and treatable shelter dogs and cats are guaranteed a loving home by helping shelter medicine become part of the veterinary curriculum and train veterinarians to save the lives of sick and injured dogs and cats in animal shelters.

Since the establishment of the OSU-OHS partnership in 2007, we have advanced the development of Shelter Medicine by educating four interns as well as over 225 veterinary students from a growing number of national and international veterinary schools. For example, we have had students from Tufts University and from as far away as Japan self-finance their way to have the OHS-OSU shelter medicine experience. Currently, we have one resident enrolled in our shelter medicine program and based on her commentary (see Addendum B to the application) and objective assessments, our institutions are able to provide a high-value educational experience relevant to the mission of Maddie’s fund. The College is submitting this application to help fund the training of the first resident in the program, Dr. Zarah Hedge, who will complete her training in June of 2013, and to hire a new resident to replace Dr. Hedge. Recruitment and selection of a new resident will be based on the following criteria: Minimum Requirements:

Doctor of Veterinary Medicine degree from an accredited academic

institution.

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One year of a small animal rotating or shelter medicine internship or

two years of experience and seeking training to become a shelter

medicine specialist.

Excellent patient care, including good surgical and medical diagnostic

abilities.

Knowledge and experience working with a wide variety of animal

breeds and species.

Ability to provide compassionate patient care with a high degree of

emotional resilience .

Excellent team skills including results orientation, collaborative problem

solving and solution orientation.

Excellent verbal and written communication skills.

Able to maintain a professional, calm demeanor and exercise sound

judgment during times of high workload, rapid pace of work,

emotionally charged situations and during all interactions with the

public, staff and volunteers.

Intermediate experience with computer hardware and software

programs.

Able to work weekends, evenings and holidays as requested. The OSU-OHS partnership is committed to providing our residents with the most robust and extensive Shelter Medicine experience possible. Our purpose for submitting this application is to expand our collaborative efforts by strengthening and sustaining development of the residency program, and to promote development of an AVMA-approved Shelter Medicine Practice category in the American Board of Veterinary Practitioners specialty. Sincerely,

Dr. Cyril R. Clarke Lois Bates Acheson Dean

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Oregon State University

Maddie's Shelter Medicine Residency Grant Application Participating institutions:

Oregon State University College of Veterinary Medicine Corvallis, OR

Oregon Humane Society Portland, OR

Faculty Coordinator: Dr. Helio de Morais, DVM, MS, PhD, Diplomate ACVIM,

Associate Professor of Small Animal Internal Medicine Description of College’s Shelter Medicine Program

The shelter medicine program of the OSU College of Veterinary Medicine (CVM) is built on a strong relationship established with the Oregon Humane Society (OHS). In September of 2007, the CVM and OHS initiated an innovative collaboration involving provision of comprehensive medical and surgical services at the OHS Animal Medical Learning Center (AMLC) in Portland, OR. Fourth-year veterinary students are required to complete a core rotation at the AMLC, where they each perform at least 40 surgeries as well as numerous other entry-level medical and surgical procedures on the large numbers of small animal patients submitted to the AMLC. Specific learning objectives are described in a detailed course syllabus and students are graded according to expected outcomes. Housed in dormitory facilities on-site, students are given the opportunity to develop and practice their clinical skills under the supervision of full-time faculty veterinarians (one faculty instructor employed by OSU and 3 courtesy faculty employed by OHS) and in well-designed clinical facilities. In addition to educating veterinary students in shelter medicine, provision of these medical and surgical services allows the OHS to achieve an exceptional adoption record for both dogs and cats, thus satisfying the Asilomar Accord standard for an adoption guarantee facility.

The OHS is exceptionally well suited to serve as an educational facility for veterinary students and postgraduate veterinarians. Opened in 2007, the 22,000 square foot AMLC is located adjacent to the shelter facility. Included in this center are a 4,000 square foot state-of-the-art medical hospital and an animal behavior center. The hospital has two fully equipped examination rooms, a full pharmacy and laboratory,

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digital radiography, four exam/triage stations, two surgery suites, a special procedure room with dental x-ray and cleaning tools, ultrasound, and canine and feline housing for hospitalized patients (see Addendum A for a list of equipment available at the AMLC). It has 20 medical staff, including 5 full time veterinarians, 1 part time veterinarian, 4 certified veterinary technicians (CVTs) and 5 veterinary assistants.

The AMLC provides high-quality, high-volume spay and neuter services for shelter dogs, cats and rabbits, as well as low-cost feline spays and neuters for the public. Animals needing medical care are treated at the hospital and, if necessary, placed in foster homes and managed as outpatients, thus providing students and post-DVM trainees with opportunities to develop valuable skills in the diagnosis and treatment of a wide range of medical and surgical conditions relevant to shelter medicine. Patients

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that require specialized attention are referred to the Veterinary Teaching Hospital of the CVM, which has the largest group of board-certified veterinary specialists in Oregon. The AMLC is also able to access diagnostic services provided by the OSU Veterinary Diagnostic Laboratory. Working with veterinary students, interns and residents, CVM faculty develop and provide advanced diagnostic and clinical services across the disciplines of clinical pathology, pathology, internal medicine, surgery, theriogenology, oncology, cardiology, anesthesiology and diagnostic imaging. The College has considerable experience in clinical and graduate education of postgraduate residents, and accredited residencies exist in the disciplines of internal medicine, surgery, anesthesiology, radiology, cardiology, oncology, clinical pathology and pathology. These clinical services contribute substantively to the very impressive adoption record of the OHS: In 2011, OHS had a 99% save rate for dogs, 96% save rate for cats and 98% save rate for other animals.

Building on the success of the shelter medicine educational program for veterinary students, the OHS created a shelter medicine internship program in 2009 and admitted its first shelter medicine intern. Further developments include establishment of training programs for CVTs and veterinary assistants, and the initiation of a residency program in 2010 in collaboration with the CVM. Dr. Zarah Hedge is currently enrolled in this program and is expected to complete certification requirements by August, 2013. Pending final approval of Shelter Medicine Practice (SMP) as a practice category of the American Board of Veterinary Practitioners (ABVP), this CVM-OHS residency program currently meets credentialing requirements of the ABVP Canine and Feline Practice category and is supervised by Dr. de Morais. The SMP organizing committee, on which Dr. Otteman serves, recently received approval from the ABVP Council of Regents to proceed with the final steps necessary for approval by the American Board of Veterinary Specialties. Both Dr. Otteman and Dr. Zarah Hedge are already Board eligible, thus placing the CVM and OHS in a position to play a major role in advancing development of the shelter medicine specialty. The goal of this application is to request continuing support for this CVM-OHS residency, to allow Dr. Hedge to complete her program and thereafter to recruit a new resident into the position. Description of Proposed Residency Program Program overview:

The 3-year residency program involves a close collaboration between the CVM and OHS. Based at the OHS, residents will be required to pursue a Master’s in Comparative Health Sciences degree at OSU as well as complete the requirements for board certification by the ABVP. Residents will complete clinical rotations in shelter medicine as well as specialty rotations at the OSU VTH and in private specialty

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hospitals. They will also be expected to participate in national on-line shelter medicine rounds, journal clubs, phone or email consultations with shelters, as well as activities or training involving shelter residents nationally through the development of a shelter medicine portal at OHS. Residents will be required to visit a minimum of 50 shelters throughout the three-year program and deliver continuing education programs for veterinarians and shelter staff. They will also complete a research project for publication involving some aspect of shelter medicine to meet both the specialty credentialing and graduate degree requirements. Specific program objectives:

• To provide advanced training in Infectious disease control, management and prevention as well as outbreak investigation

• To provide opportunity for training in public health and One Health, including principles of epidemiology

• To expose residents to different shelter models through shelter visits and consultations

• To provide training in the area of shelter design as it pertains to infectious disease prevention and control, behavior management and animal flow through the shelter

• To provide education on behavioral assessment and management of shelter animals

• To expose residents to the legal and policy issues surrounding shelter animals and involving shelter medicine on the local, state, national and international levels

• To provide residents the opportunity to pursue shelter related research and teaching opportunities for veterinary students

• To provide exposure to various canine and feline medical and surgical cases via clinical rotations at Oregon State University and various veterinary clinics in the community

• Prepare residents for board-certification by the American Board of Veterinary Practitioners, Shelter Medicine Practice

• Provide an outstanding educational opportunity for future veterinary experts in shelter medicine including the residents, interns and students the resident is exposed to.

• To expose and teach the resident good shelter operations policy and procedures.

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• To provide additional educational opportunities to the veterinary profession via the expertise of the resident.

Residency supervisors:

Faculty Coordinator – Helio de Morais, DVM, MS, PhD, Diplomate ACVIM (Small Animal Internal Medicine and Cardiology), Associate Professor, Oregon State University

OHS Director of Shelter Medicine – Kris Otteman Brant, DVM, Oregon Humane Society, Courtesy Faculty member of OSU Department of Clinical Sciences.

Clinical education:

The majority of the clinical training involves rotations through shelters. Although based at the OHS, residents will also spend time at other shelters, including shelters in the Animal Shelter Alliance of Portland (ASAP). These include Multnomah County Animal Services, Humane Society of Southwest Washington, Cat Adoption Team, Feral Cat Coalition of Oregon, and Washington County Animal Services. The resident will also spend time at shelters involved in the Inter-Agency Transfer Program, including shelters throughout Oregon, Washington and California. Additional clinical rotations will be completed at the Oregon State University College of Veterinary Medicine in the services of internal medicine, surgery, clinical pathology, pathology, and diagnostic imaging. The resident will also complete further clinical rotations at specialty clinics. These include, but are not limited to, behavior, emergency medicine, dermatology, ophthalmology and exotic animal medicine.

Clinical training involves performance of high volume, high quality sterilization surgeries on dogs, cats, and rabbits, in addition to a variety of other procedures such as cystotomy, gastrotomy, hernia repair, and eye enucleation. Medical cases are both outpatient and inpatient, with 97% being canine/feline and 3% exotic (small mammals and birds). After an initial orientation period, the resident works in conjunction with other clinicians and senior veterinarians to provide care to the pets entering the OHS. Responsibilities include providing orientation to senior veterinary students for hospitalized patients and the Intensive Care Unit. Residents also participate in national shelter rounds, manage infectious disease and population health, gain a large amount of experience in animal cruelty investigations, teach veterinary students medical and surgical techniques, make presentations on various shelter topics to veterinarians and shelter staff, and consult with other shelter medicine residency programs throughout the country.

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Sample program schedule (weeks):

Year One

Shelter Medicine & Primary Care Shelter Medicine 16 Community Practice 2 Population Medicine (shelter electives) 6

OSU Rotations Internal Medicine 2 Soft Tissue Surgery 2 Clinical Pathology 1 Necropsy 1 Diagnostic Imaging 1

Outside Rotations Behavior 3 Emergency & Critical Care 2 Dermatology 2 Ophthalmology 2

Non-Clinical Time Vacation 3 Research & National Meeting 4 Elective Time 5

Total Weeks 52

Year Two

Shelter Medicine & Primary Care Shelter Medicine 16 Community Practice 2 Population Medicine (shelter electives) 10

OSU Rotations Internal Medicine 2 Surgery 2 Cardiology 1 Diagnostic Imaging 1

Outside Rotations Behavior 2 Exotics 1

Non-Clinical Time

Vacation 3 Research & National Meeting 6 Elective Time 6

Total Weeks 52

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Year Three

Shelter Medicine & Primary Care Humane Society Experience 15 Population Medicine (shelter electives) 6 Elective Clinical Rotations 12

Non-Clinical Time Vacation 3 Research & National Meeting 8 Elective Time 8

Total Weeks 52

Anticipated residency caseload:

Total caseload

OHS:

Total annual cases Average daily.

cases Average annual

emergencies

Average daily diagnostic procedures

Average daily. surgeries

6,000 20-25 10-20 5-15 40-70

CVM:

Total annual cases Average daily.

cases Average daily

outpatients Average daily

inpatients Average daily

surgeries

6,000 20-25 10-15 5-10 3-6

Resident’s weekly anticipated caseload

Primarily wellness/outpatient: 20-30% Primarily surgical: 25-35% Emergency: 5-10% Diagnostic procedures: 5-10% Shelter consults: 5-10% Infectious disease prevention, control & management: 25-35% Behavior: 15-20%

The caseload/week depends on the clinical rotation the resident is in. There will be an emphasis on infectious disease, epidemiology, behavior, surgery, and shelter management.

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Graduate Education:

The Shelter Medicine resident will be expected to enroll in the new interdisciplinary Comparative Health Sciences graduate program at OSU and make significant progress towards completing the MS degree by the time of residency completion. This graduate program is designed to provide an opportunity for students to be trained in multidisciplinary approaches to address biological and medical problems across multiple species, consistent with a One Health approach to healthcare. All clinical residents at the CVM are required to enroll in a MS degree to ensure their ability to conduct high-quality research. Program core curriculum requirements include courses in research perspectives, methods of data analysis, biomedical ethics, grant application preparation and presentation of a seminar. Other coursework involves selection from a wide variety of electives, guided by the graduate student/resident’s advisory committee. Research:

Residents are expected to complete a research project to fulfill both the residency credentialing and MS degree requirements. The specific project is developed in consultation with the residency supervisors and the graduate advisory committee, in accordance with policies and procedures administered by the OSU Graduate School. Consistent with the guidelines established by Maddie’s Fund, resident research will be designed to “improve the health and wellbeing of shelter animals and demonstrate direct relevance to adoption guarantee shelter practices and methods.” No terminal research projects will be performed, and all studies involving the use of live animals will be approved by OSU’s Institutional Animal Care and Use Committee, in compliance with OSU policies.

Examples of appropriate projects include the research being performed by Dr. Hedge, current shelter medicine resident, and another project funded by Maddie’s Fund and directed by Dr. Craig Ruaux, OSU Assistant Professor. Dr. Hedge is conducting an epidemiological study of rabies prevention protocols, involving survey of US animal shelters. Survey questions address rabies prophylaxis in shelter workers, protection of exposure from wildlife vectors, appropriate animal restraint equipment and handling training to prevent bite injuries, appropriate personal protective equipment to wear when handling animals and when collecting tissue samples for confirmatory diagnosis, and training in safety measures to protect staff against rabies.

Dr. Ruaux’s research involves an investigation of the prevalence of Blastocystis spp., Cryptococcus spp. and Giardia spp. in shelter-resident and client-owned companion animals in the Pacific Northwest. The underlying hypothesis of this study is that companion animals in a shelter environment are more likely to be infected with enteric protozoa that have the potential to cause chronic gastrointestinal disease and decrease animal adoptions.

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Instruction:

Residents will develop teaching skills through instruction and mentoring of veterinary students enrolled in clinical rotations at the OHS and CVM. Instructional activities will involve occasional presentation of lectures/seminars and facilitation of student-centered instruction while managing clinical cases.

Continuing education, professional development, board certification:

Each shelter medicine resident is required to attend at least one national conference annually. The resident will also present lectures to veterinarians via seminars or other continuing education opportunities (5 minimum throughout the program). An application to the ABVS for approval of a shelter medicine specialty is currently being developed. Pending approval of this specialty, residents will complete requirements for the ABVP Canine/Feline specialty. Resident evaluation:

The resident will complete case logs as required by the ABVP as well as log all shelter emails, telephone and on-site consultations. Residents will also meet with residency supervisors every 6 months for performance review (a detailed evaluation checklist has been developed that tracks and records specific experiences and training on a semiannual basis). The resident will also provide written reviews of the program to advisors on an annual basis.

As indicated above, the CVM and OHS already have experience in management of a shelter medicine residency program. Assessments of the current program confirm that the OHS is very well suited to education of such residents and that the close collaboration between the OHS and CVM makes available a wealth of resources and learning opportunities (see Addendum C for current resident commentary). Description of primary animal shelter:

As described above, the shelter medicine residency program is based at the Oregon Humane Society, a limited admission animal shelter in Portland, OR. The shelter has the capability to house over 100 dogs and over 200 cats, as well as space to house small mammals. The mission of OHS is “to foster an environment of respect, responsibility, and compassion for all animals through education, legislation, and leadership; to care for the homeless, to defend the abused, and to fight with unrelenting diligence for recognition of the integrity of all animals.” The OHS employs over 100 staff and over 1,500 volunteers. It serves over 12,000 animals annually and set a new record of 11,521 adoptions in 2011:

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OHS 2011 statistics:

Surgeries 12,369 Spay and neuter surgeries 11,241 Feline spay 4,687 Feline neuter 3,896 Canine spay 1,116 Canine neuter 1,331 Rabbit spay 111 Rabbit neuter 100 Emergency & other surgeries 1,128

Foster care patient visits 1,501

Medical exams 7,399 Shelter exams 2,858 Spay & save exams 4,541

Veterinary students trained 59

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Curriculum vitae of Resident Supervisors

Dr. Helio de Morais – Faculty Coordinator

EDUCATION/TRAINING

Institution Degree/

Certification Year

Completed Field of Study

Ohio State University PhD 1995 Veterinary Clinical Sciences

Ohio State University Residency 1994 Cardiology

Ohio State University Residency 1992 Internal Medicine

Universidade Federal de Santa Maria, Brazil

MS 1987 Medicine

Universidade Federal do Rio Grande do Sul, Brazil

DVM 1982 Veterinary Medicine

Specialty Board Certification

Diplomate in Cardiology, American College of Veterinary Internal Medicine Diplomate in Small Animal Internal Medicine, American College of Veterinary Internal Medicine

Professional Positions

2011 – Present Interim Director, Lois Bates Acheson Veterinary Teaching Hospital, College of Veterinary Medicine, Oregon State University

2009 – Present Associate Professor, Department of Clinical Sciences, College of Veterinary Medicine, Oregon State University

2003 – 2009 Clinical Associate Professor, Department of Medical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison

2003 – 2007 Section Head, Small Animal Medicine, Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of Wisconsin-Madison

2002 – 2003 Clinical Assistant Professor, Department of Medical Sciences, School of Veterinary Medicine, University of Wisconsin-Madison

1997 – 2002 Chair, Department of Veterinary Clinical Sciences, Universidade Estadual de Londrina, Brazil

1987 – 1992 Assistant Professor, Department of Veterinary Clinical Sciences, Universidade Estadual de Londrina, Brazil

1984 – 1987 Lecturer, Department of Veterinary Clinical Sciences, Universidade Estadual de Londrina, Brazil

Selected peer-reviewed publications

Vieira RF, Biondo AW, Guimarães AM, dos Santos AP, dos Santos RP, Dutra RH, Diniz PP, de Morais HA, Messick JB, Labruna MB, Vidotto O. Ehrlichiosis in Brazil. BRAZILIAN JOURNAL OF VETERINARY PARASITOLOGY: 20(1):1-12, 2011

Biondo AW, Santos AP, Guimarães AM, Macieira DB, Vieira RFC, Almosny NRP, Molento MB, Timenetsky J, de Morais HA, Messick JB. A review of the occurrence of hemoplasmas

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(hemotropic mycoplasmas) in Brazil.BRAZILIAN JOURNAL OF VETERINARY PARASITOLOGY: 18(3):1-7, 2009

Santos AP, Santos RP, Biondo AW, Dora, JM, Oliveira ST, Guimarães AM, Timenetsky J, de Morais HA, Gonzales FHD, Messick JB. Haemoplasma Infection in an HIV-positive Patient in Brazil. EMERGING INFECTIOUS DISEASES, 14(12): 1922-1924, 2008.

Serafini C, Rosa G, Guimarães AM, de Morais HAS, Biondo AW. Survey of owned feline and canine population in apartments from a neighborhood in Curitiba, Brazil ZOONOSIS AND PUBLIC HEALTH: 55(8-10): 402-405, 2008

Diniz PPVP, de Morais HSA, Breitschwerdt EB, Schwartz DS. Cardiac troponin I in canine ehrlichiosis. JOURNAL OF VETERINARY INTERNAL MEDICINE: 22(5): 1136-1143, 2008.

Teixeira MA, Gonçalves MLL, Riediger IN, Prosser CS, Silva SFC, Biesdorf SM, Erdmann PR, de Morais HSA, Biondo AW. Sorologia negativa e PCR positivo: importância da biologia molecular para diagnóstico precoce de leptospirose aguda no cão. CLÍNICA VETERINÁRIA, 73:44-48, 2008

Diniz PPVP, Schwartz DS, de Morais HSA, Breitschwerdt EB. Surveillance for zoonotic vector-borne infections using sick dogs from southeastern Brazil. VECTOR-BORNE AND ZOONOTIC DISEASES: 7(4): 689-697, 2007.

de Morais HSA, Guimarães AMS, Vidotto O, Bauman A, Biondo AW, Messick JB. Coinfection with Mycoplasma haemofelis and “Candidatus Mycoplasma haemominutum” in three cats from Brazil. JOURNAL OF FELINE MEDICINE AND SURGERY: 9(6):518-520, 2007.

Dennison S, Gulland F, Haulena M, de Morais HSA, Colegrove K. Urate nephrolithiasis in a northern elephant seal (Mirounga angustirostris) and a California sea lion (Zalophus californianus). JOURNAL OF ZOO WILDLIFE MEDICINE: 38(1):114-20, 2007.

de Morais HSA. Canine influenza: Risks, management, and prevention. VETERINARY MEDICINE, 101 (11):714, 2006

Trapp SM, Messick JB, Vidotto O, Jojima, FS, de Morais HSA. Babesia gibsoni genotype Asia in dogs from Brazil. VETERINARY PARASITOLOGY: 141(1-2):177-180, 2006.

Trapp SM, Dagnone AS*, Vidotto O, Freire, RL, Amude AM, de Morais HSA. Seroepidemiology of Canine Babesiosis and Ehrlichiosis in a Hospital Population. VETERINARY PARASITOLOGY: 140(3-4):223-230, 2006.

Saito TB, Alfieri AA, Negrão FJ, de Morais HSA, Alfieri AF. Optimization and evaluation of the RT-PCR assay for ante and post-mortem detection of canine distemper virus infection. VETERINÁRIA & ZOOTECNIA, 13(1): 63-72, 2006

de Morais HSA. Influenza em cães e gatos. CLÍNICA VETERINÁRIA, 11 (63):60-66, 2006 Saito TB, Alfieri AA, Wosiacki SR, Negrão FJ, de Morais HSA, Alfieri AF. Detection of canine

distemper virus by RT-PCR in urine of dogs with clinical signs of distemper encephalitis. RESEARCH IN VETERINARY SCIENCE, 80(1):116-119, 2006

de Morais HA. Has Stewart finally arrived in the clinic? JOURNAL OF VETERINARY INTERNAL MEDICINE, 19(4):489-490, 2005.

MacGregor JM, Faria MLE, Moore AS, Brown DJ, de Morais HSA. Primary cardiac lymphoma causing pericardial effusion in 12 dogs. JOURNAL OF AMERICAN VETERINARY MEDICAL ASSOCIATION, 9(8):1449-1453, 2005

Pereira PM, Camacho AA, de Morais HSA. Tratamento de insuficiência cardíaca com benazepril em cães com cardiomiopatia dilatada e endocardiose. ARQUIVOS BRASILEIROS DE MEDICINA VETERINÁRIA E ZOOTECNIA, 57(suppl 2):141-148, 2005

Trapp SM, de Morais HSA, Vidotto O. Babesiose Canina. REVISTA BRASILEIRA DE ANIMAIS DE ESTIMAÇÃO, 2(7):211-217, 2004.

de Morais HA, Hoskins JD, Almosny NR, Labarthe NV. Diretrizes gerais para diagnóstico e manejo de cães infectados por Ehrlichia spp. CLÍNICA VETERINÁRIA, 9(48):28-30, 2004.

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Dagnone AS, de Morais HSA, Vidotto MC, Jojima FS, Vidotto O. Ehrlichiosis in anemic, thrombocytopenic, or tick-infested dogs from a Hospital population in South Brazil. VETERINARY PARASITOLOGY, 117(4):285-290, 2003

Biondo AW, Ehrhart, EJ, Sisson DD, Bulmer B, de Morais HSA, Solter PF. Immunohistochemstry of brain and atrial natriuretic peptides in control cats and cats with hypertrophic cardiomyopathy. VETERINARY PATHOLOGY, 40:501-506, 2003

Oyafuso MK, Dagnone AS, Vidotto O, de Morais HSA. Characterization of ticks infecting dogs in a hospital population in North Paraná, Brazil. SEMINA – CIÊNCIAS AGRÁRIAS 23(1):87-90, 2002

Biondo AW, Zinglin LL, Wiedmeyer CE, de Morais HSA, Sisson DD, Solter PF. Genomic sequence and cardiac synthesis of feline atrial natriuretic peptide. AMERICAN JOURNAL OF VETERINARY RESEARCH 63(2):236-240, 2002.

Leisewitz AL, Jacobson LS, de Morais HSA, Reyers F. The mixed acid-base disturbances of severe canine babesiosis. JOURNAL OF VETERINARY INTERNAL MEDICINE 15(5):445-452, 2001

Ono MA, Bracarense APFRL, de Morais HSA, Trapp SM, Belitardo DR, de Camargo ZP. Canine paracoccidioidomycosis- infection: A seroepidemiologic study. MEDICAL MYCOLOGY 39(3):277-282, 2001

Dagnone AS, de Morais HSA, Vidotto O. Erliquiose nos animais e no homem. SEMINA – CIÊNCIAS AGRÁRIAS 22(2):191-201, 2001

de Morais HSA and Pereira PM. De onde vem este sopro? CLÍNICA VETERINARIA 6(32): 40-48, 2001

Bahr SE* and de Morais HSA. Pessoas imunocomprometidas e animais de estimação. CLÍNICA VETERINARIA 6(30):17-22, 2001

Muir WW, de Morais HSA, Constable PD. The effects of a hemoglobin-based oxygen carrier (HBOC-301) on left ventricular systolic function in anesthetized dogs. VETERINARY SURGERY 29(5):449-455, 2000

de Morais HSA and Faria MLE. Mitos y verdades acerca de las alteraciones del potasio. REVISTA DE MEDICINA VETERINARIA (Buenos Aires) 80:17-19, 1999.

de Morais HSA and Trapp SM. Fluido terapia: ¿Que? ¿Cuando? ¿Como? REVISTA DE MEDICINA VETERINARIA (Buenos Aires) 79(6):434-438, 1998.

de Morais HSA, DiBartola SP, Chew DJ. Juvenile renal disease in Golden retrievers (1984- 1994). JOURNAL OF THE AMERICAN VETERINARY MEDICAL ASSOCIATION 209(4): 792- 797, 1996.

de Morais HSA and Muir WW. The effects of medetomidine on cardiac contractility in autonomically-blocked dogs. VETERINARY SURGERY. 24(4): 356-364, 1995.

de Morais HSA and DiBartola SP. Mixed acid-base disorders. Part II: Clinical disturbances. COMPENDIUM ON CONTINUING EDUCATION FOR THE PRACTICING VETERINARIAN 16(4):477-488, 1994.

Keyes ML, Rush JE, de Morais HSA, Couto GC. Ventricular arrhythmias in dogs with splenic masses. JOURNAL OF VETERINARY EMERGENCY AND CRITICAL CARE 3(1):33- 38, 1993.

de Morais HSA and DiBartola SP. Mixed acid-base disorders. Part I: Clinical approach. COMPENDIUM ON CONTINUING EDUCATION FOR THE PRACTICING VETERINARIAN 15(12):1619-1626, 1993.

de Morais HSA. Chloride ion in small animal practice: The forgotten ion. JOURNAL OF VETERINARY EMERGENCY AND CRITICAL CARE 2(1):11-24, 1992. 34 de Morais, HSA. Diagnóstico assistido por computador em medicina veterinária. HORA VETERINARIA 10(60):58-62, 1991.

de Morais HSA and DiBartola SP. Ventilatory and metabolic compensation in dogs with acid-base disorders. JOURNAL OF VETERINARY EMERGENCY AND CRITICAL CARE. 1(2):39-49, 1991.

Bracarense APFRL, Tudury EA, Viotti NMA, de Morais HSA. Schwannoma do plexo braquial em cães. COMUNICAÇÕES CIENTÍFICAS DA FMVZ USP 14(1):18-20, 1990.

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de Morais HSA, Faria MLE, de Carvalho CB. Efeitos do decúbito latral direito, lateral esquerdo, dorsal e esternal no eletrocardiograma de cães. REVISTA DO CENTRO DE CIÊNCIAS RURAIS DA UFSM 19(3):247-259, 1989.

Dr. Kris K. Otteman Brant, DVM – Director of Shelter Medicine, Oregon Humane Society

EDUCATION/TRAINING

Institution Degree/

Certification Year

Completed Field of Study

Oregon State University DVM 1986 Veterinary Medicine

Oregon State University BS 1982 Animal Sciences

Professional Positions

2006 – Present Director of Shelter Medicine and Humane Investigations, Oregon Humane Society. Responsible for oversight of the Animal Medical Learning Center, OSU Partnership and the Humane Investigations Department: Provided leadership for design and set up of the new on site veterinary

hospital. This facility provides the complete medical and surgical needs of the shelter animals.

Developed, implemented & provide oversight for Oregon State Primary Care Course, Shelter Medicine Internship and Shelter Medicine Residency which take place at OHS.

Developed Medical Records System and Medical & Surgical Protocols for the shelter.

Developed and implemented Shelter Medicine and Residency Programs. Provides leadership to the Humane Investigations department comprised of

full-time police certified Special Agents commissioned by the Governor of Oregon with peace officer authority to enforce Oregon's animal cruelty statutes.

Developed and implemented low income spay neuter program community wide.

Conducts medical examinations and necropsies as the lead veterinarian for animal cruelty cases. Authors reports and provides expert medical testimony for prosecution of cases.

2001 – Present Board Member, Executive Director and Chief Medical Officer of Cat Adoption Team, Sherwood, OR: Provided leadership for design and set up of the new on site veterinary

hospital for CAT. This facility provides the complete medical and surgical needs of the feline population housed there.

Recruited, trained and supervises our full service on site medical team. Provided on site surgical and medical care of all cases including preventive care, routine surgeries and complex medical and surgical cases.

1994 – 2001 Co-founding officer and veterinary practitioner, Banfield, The Pet Hospital. Vice President of Human Resources and Training for MMI. Inc.

1986 – 1994 Owner, Operator of Brant Hill Veterinary Hospital, Klamath Fall, OR

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Professional activities & scientific organizations

Member AVMA, AAHA, Oregon VMA, Portland Veterinary Medical Association Founder and acting member of the Animal Shelter Alliance of Portland Member American Association of Shelter Veterinarians Board of Directors, Cat Adoption Team, Sherwood, Oregon Charter Member of the International Veterinary Forensic Sciences Association District Representative and Board Member for the American Veterinary Medical Law Association

Industry experience

Veterinary Medicine-Operations & Management

Human Resources and Training

Software Development and Quality Assurance

Organizational Development Medical Quality Assurance Pharmaceuticals Medical Standards Board- Banfield

OVMA – Board of Directors, first shelter/veterinary summit coordinator

PetSmart Charities- national fundraising and spay neuter program

Banfield Charitable Trust Board, Board Member and Treasurer

Klamath Lake County VMA Officer, AVMA Leadership Conference

Portland Shelter Leaders Association- founder and member

Licensed to Practice in OR and WA

Addenda

A. List of Diagnostic & Therapeutic Equipment B. Program Evaluation by Current Resident

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Addendum A: List of Diagnostic & Therapeutic Equipment

OHS Animal Medical Learning Center:

4,000 sq. ft. hospital

2 exam rooms complete with computers, exam table and basic examination equipment (ophthalmoscope, otoscope, thermometer, etc)

Dispensary including oral and injectable pharmaceuticals

Laboratory, including 2 microscopes, IDEXX LaserCyte CBC machine, VetTest 8008 Chemistry machine, IDEXX VetLab urinalysis machine, centrifuge, fecalyzers, sediment stain, glucometers (x3), and refrigerator; blood work is also sent to IDEXX when needed

Surgery suite complete with 4 surgery tables, 4 isoflurane machines in room with observation, computer and large observation window for public viewing

Second surgery suite with 2 surgical tables, 2 anesthesia machines and computer

Digital radiography (APR-VET) with stationary anesthesia machine, computer with Cornerstone software

4 clinic/triage exam stations with tables, supplies and 2 anesthesia machines

8 computers throughout clinic with Shelter Buddy software and Cornerstone software

Surgical pack cleaning and preparation room with 2 autoclaves

Special procedure room including digital dental radiography, ultrasound, dental cleaning unit (Dentalaire) and isoflurane anesthetic machine

Anesthetic monitoring equipment includes 1 Surgivet, 6 WelchAllyn ProPAQ encore pulse-oximeters, and 3 small mobile pulse-oximeters

3 Autoclaves

8 Small mobile pulse-oximeters Oregon State University Veterinary Teaching Hospital:

Multiple stationary and mobile x-ray machines with a Fuji digital radiography reading unit

64 slice helical CT scan

Two C-arm fluoroscopy with digital subtraction and road map

Invasive radiology and invasive endoscopy

Digital radiography

Ultrasound machine with spectral, color flow, Doppler, harmonic and 3D imaging

Two mobile ultrasound machines

Nuclear medicine (IS 2 gamma camera mounted to a free float lift system)

Resting and ambulatory electrocardiography

Color flow and tissue Doppler echocardiography

Cardiac catheterization and angiography

Videoendoscopes: bronchoscope, cystoscope, otoscope, rhinoscope, arthroscope, thoracoscope, laparoscope

Operating microscope

Blood bank

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Addendum A: List of Diagnostic & Therapeutic Equipment

Full anesthesiology and pain Management service

Interventional endoscopy and Interventional Radiology (instead of invasive)

Interventional cardiology

Minimally-invasice surgery

3-D echocardiography

Holmiun Laser lithotripsy

HD laparoscopes

1.5 Tesla MRI unit

Intensive care unit

Small Animal Rehabilitation Unit with therapeutic exercise equipment, hydrotherapy, underwater treadmill, therapeutic laser, therapeutic ultrasound, and transcutaneous electric nerve stimulation

Veterinary Diagnostic Laboratory: a public-supported facility providing a full range of animal disease diagnostic services

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Addendum B: Program Evaluation by Current Resident

Resident commentary:

Zarah Hedge, DVM

Performed over 3,500 spay/neuter and other special procedures to ensure happy adoptions for pets who might otherwise not have been adopted into the community.

Seen over 1000 medical cases, gaining broad understanding of the spectrum of shelter pets’ needs.

Helped teach Oregon State University veterinary students and students from other universities spay/neuter procedures, other essential surgeries, and medical cases.

Traveled to rural areas within the United States as well as abroad to teach spay/neuter surgery to veterinary students through HSVMA RAVS program.

Assisted in several animal cruelty investigations, gaining experience in managing a large-scale rescue, including retrieval, documentation of rescued animals’ condition, triage, ongoing care, and providing testimony during court proceedings. In addition to experience with neglected and abused cats and dogs, one rescue of 169 animals allowed me to gain experience in caring for a variety of reptiles and other exotic species.

Participated in the first ever Shelter Consult Institute, along with shelter medicine residents from UC-Davis, University of Florida and Mississippi State University. At this Institute, I gained invaluable knowledge on the process of performing a shelter health consultation.

Participated in the first ever Center for Shelter Dogs Shelter Behavior Workshop for shelter medicine residents, a 1 week training workshop with veterinary behaviorists at the Animal Rescue League of Boston.

Participate in weekly National Shelter Medicine rounds with UC-Davis and University of Florida and present at rounds 3-4 times per year.

I am starting to perform small scale shelter health consultations to help regional shelters and hope to expand these consults throughout my final year of the residency program.

“During the past two years, I have pioneered in our Shelter Medicine Residency program, and designed the program so that a resident will have training in various aspects of shelter medicine. Some of the experiences I have had so far in my two years in the residency program include:

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Addendum B: Program Evaluation by Current Resident

Currently working on a research project focused on rabies prevention protocols in animal shelters in the US, as part of my ABVP residency requirement and MPH degree.

In the upcoming year I hope to expand my experience in shelter health consultation, by helping more shelters throughout Oregon and Washington. I also plan to teach OSU veterinary students surgery and provide public health education on their annual service trip to Nicaragua through IVSA. I feel I have gained invaluable experience and knowledge in many facets of shelter medicine so far in my residency. This knowledge and experience will enable me to be a well rounded and confident shelter veterinarian in my future endeavors.”