Revised 01/2014

AMERICAN COLLEGE OF VETERINARY RADIOLOGY

RECOGNIZED VETERINARY SPECIALTY OF RADIATION ONCOLOGY (ACVR­RO)

RESIDENCY TRAINING PROGRAM APPLICATION

NOTE: Some questions in this form are included for data collection purposes. The inclusion of an item does not necessarily imply that the item is a program requirement for ACVR­RO residency program. Please refer to the current Radiation Oncology Training Program Guidelines for comprehensive residency training requirements. This document may be downloaded from acvr.org, Members Only, Downloads. APPLICATION INSTRUCTIONS: Training program directors wishing to have their programs evaluated should electronically submit this form to the chair of the Radiation Oncology Residency Standards and Evaluation Committee (RSEC) and carbon copy the Executive Director of the ACVR (contact information is available at acvr.org, Members Only, Administration). The application must be received at least 60 days before the meeting of Executive Council at which the program will be evaluated. There are two meetings of Executive Council each year; a midyear meeting in April, and the Annual Meeting held in conjunction with the Annual meeting of the ACVR. Exact dates of Executive Council meetings are available at acvr.org, Calendars, and are also printed in each issue of Veterinary Radiology & Ultrasound. There will be no exceptions to the 60 day lead time requirement. The Residency Standards and Evaluation Committee will evaluate the application, a vote will be taken, and the results of the vote and the majority recommendation of the committee forwarded to the President of the Recognized Specialty of Radiation Oncology for consideration at Executive Council at one of the two annual meetings.

For the required ACVR and ACVIM Diplomates providing consultation in medical oncology and imaging, please provide a brief 2­page curriculum vitae and specify the number of weeks each year that the individual will be available to actively support the radiation oncology trainee.

ACVR­RO RESIDENCY TRAINING PROGRAM APPLICATION 1. Date of Application

August 17, 2016 2. Program Director(s):(Must be a Diplomate of ACVR Recognized Veterinary

Specialty of Radiation Oncology)

Jayme Looper, DVM, DACVR (RO)

Number of weeks per year faculty member is available to resident on a daily basis. 49

Program Director’s Contact Information: Work Phone: (225) 578­9600

Fax: (225) 578­8477 E­mail: jlooper@lsu.edu

3. Application is made for check one (see below):

Standard Program Alternative Program X

The following conditions define an Alternative Program:

a. If the program is not at least a minimum two­year continuous radiation oncology training program which fulfills all the trainee requirements of the training program guidelines, it will be defined as an Alternative Program.

b. If exemption from any other requirement for a Standard program is requested in the application, the program must be submitted as an Alternative Program.

4. Location of Primary Institution

Primary Site:

Department of Veterinary Clinical Sciences

Department

Louisiana State University

Hospital/University

Skip Bertman Drive

Address

Baton Rouge, LA 70803

City, State Zip Country

5. Cooperating Institution(s) (If applicable):

Department

Hospital/University

Address

City, State Zip Country

For cooperating institutions, attach letters of agreement signed on behalf of the

institution(s) by appropriate individual(s).

6. Length of Training Program (months):

24

If greater than 2 years, will this period include 24 months of continuous training in

radiation oncology?

7. Number of months dedicated solely to radiation oncology training (excluding time

on Medical Oncology service, Radiology/Imaging, etc.)

18

8. Advanced Degree:

Yes No Optional

Masters: X

PhD: X

9. Essential Program Faculty: individual faculty member may serve in only one

capacity

Please list all qualified faculty in support of program

a. Diagnostic Radiologist(s): (Must be Diplomate(s) of the ACVR)

Lorrie Gaschen, PhD, DVM, Dr.med.vet., Dr.habil. Nathalie Rademacher, Dr.med.vet. L. Abbigail Granger, DVM

Number of weeks per year faculty member(s) is/are available to resident on a daily basis.

Please list for each faculty member.

Lorrie Gaschen, PhD, DVM, Dr.med.vet., Dr.habil­ 24 weeks/year (50% clinic time) Nathalie Rademacher, Dr.med.vet.­ 24 weeks/year (50% clinic time) L. Abbigail Granger, DVM­ 24 weeks/year (50% clinic time)

Faculty member on site?

Yes No

X­ all

If off site, please explain relationship.

b. Medical Oncologist(s): (must be Diplomate(s) of ACVIM, Specialty of

Oncology)

Bonnie Boudreaux, DVM, DACVIM (O)

Number of weeks per year faculty member(s) is/are available to resident on a daily basis.

Please list for each faculty member.

36 weeks (70% clinic time)­ Boudreaux

Locums:

5 weeks­ Dr. Annette Smith, DVM, DACVIM

5 weeks­ Dr. Stephanie Schleis, DVM, DACVIM

4 weeks­ Dr. Marlene Hauck, DVM, DACVIM

Faculty member on site?

Yes No

X

If off site, please explain relationship

c. Surgeon(s): (must be Diplomate(s) of the ACVS)

Karanvir Aulakh, DVM, Dipl. ACVS, Assistant Professor

Kate Barnes, DVM, Dipl. ACVS, Assistant Professor

Colin Mitchell, BVM&S, Dipl. ACVS (Equine), Associate Professor

Laura Riggs, DVM, PhD, Dipl. ACVS (Equine), Associate Professor

Charles C. McCauley, DVM, Dipl. ABVP; ACVS (Equine), Assistant Professor

Britta Leise, DVM, Dipl. ACVS (Equine), Assistant Professor

Mustajab H. Mirza, DVM, MS, Dipl. ACVS (Equine), Assistant Professor

Number of weeks per year faculty member(s) is/are available to resident on a daily basis.

Please list for each faculty member.

Aulakh­ 24weeks (50% clinic time)

Barnes­ 24 weeks (50% clinic time)

Mitchell­ 35 weeks (70% clinic time)

Riggs­ 24 weeks (50% clinic time)

McCauley­ 35 weeks (70% clinic time)

Leise­ 24 weeks (50% clinic time)

Mirza­ 35 weeks (70% clinic time)

Faculty member on site?

Yes No

X, all

If off site, please explain relationship.

d. Pathologist(s): (must be Diplomate(s) of the ACVP)

Stephen D. Gaunt, DVM, Dipl. ACVP, Professor (Clinical)

Dawn E. Evans, DVM, Dipl. ACVP, Associate Professor (Anatomic)

Nobuko Wakamatsu, DVM, Dipl. ACVP, Assistant Professor (Anatomic)

Ingeborg M. Langohr, DVM, PhD, Dipl. ACVP, Associate Professor

(Anatomic)

Britton Grasperge, DVM, PhD, Dipl. ACVP, Assistant Professor (Clinical)

Number of weeks per year faculty member(s) is/are available to resident on a daily basis.

Please list for each faculty member.

Gaunt­ 25 weeks

Evans­ 35 weeks

Wakamatsu­ 30 weeks

Langhor­ 26 weeks

Grasperge­ 26 weeks

Faculty member on site?

Yes No

X

If off site, please explain relationship.

10. Please list all additional board certified specialists in direct support of the

program. If offsite, please explain relationship.

Name Certifying College / Board

Frederic Gaschen, Dipl. ACVIM­SAIM, DECVIM­CA ACVIM­ SAIM

DECVIM­ CA

Amy M. Grooters, BA, DVM, Dipl. ACVIM­SAIM ACVIM­ SAIM

Kirk Ryan, Dipl. ACVIM­SAIM ACVIM­ SAIM

Mark J. Acierno, DVM, Dipl. ACVIM­SAIM ACVIM­ SAIM

Jon Fletcher, DVM, Dipl. ACVIM­SAIM ACVIM­ SAIM

Aliya Magee, Dipl. ACVIM (Cardiology) ACVIM­ Cardiology

Rebecca S. McConnico, DVM, PhD, Dip ACVIM (LAIM), ACVIM­ LAIM

Susan C. Eades, DVM, PhD, Dipl. ACVIM (LAIM), ACVIM­ LAIM

Ann Chapman, DVM, MS, Dipl. ACVIM (LAIM) ACVIM­ LAIM

Frank Andrews, DVM, MS, Dipl. ACVIM (LAIM) ACVIM­ LAIM

Jeannette Cremer, Dr. med. vet, Dipl. ACVA ACVA

Anderson da Cunha, MV, MS, Dipl. ACVA ACVA

Sandra R. Merchant, DVM, Dipl. ACVD ACVD

Cherie M. Pucheu­Haston, DVM, PhD, Dipl. ACVD ACVD

Michelle Woodward, DVM, MS, Dipl. ACVD ACVD

Renee T. Carter, DVM, Dipl. ACVO ACVO

11. How will resident receive training in Medical Oncology? What is time allotted

for this training. Please provide description of formal and informal training experiences?

Formal training will consist of 2 months of medical oncology rotations. The medical

oncology and radiation oncology services are a combined service and share twice daily

rounds and caseload daily. The radiation oncology resident will have primary caseload

responsibility when on both medical and radiation oncology rotations. While on medical

oncology, the resident will manage both outpatient and inpatients as needed.

12. How will resident be trained in diagnostic imaging? What time is allotted for this

training? Please provide description of formal and informal training experiences.

Formal training will consist of 6 weeks of diagnostic imaging. Focus will include

radiography, ultrasound, CT, MR, and nuclear medicine. Resident will be required to

write imaging reports for all available modalities (radiography, CT, MRI, ultrasound,

nuclear scintigraphy) when on diagnostic imaging rotations. Resident will be required

to attend known case conferences weekly during the radiology rotation, and

encouraged to attend known case conferences weekly when on other rotations, as

available. Resident will routinely evaluate and discuss all imaging studies of radiation

oncology and medical oncology patients that they manage while on medical and

radiation oncology rotations.

13. How will resident be trained in radiation biology?

Formal course offered by LSU Health Sciences: MDEP 7121 Radiation Biology in

first year of residency.

Weekly topic rounds in radiation biology will consist of weekly discussions of

biology topics including Hall: Radiobiology for the Radiologist in the second year of

residency.

14. How will resident be trained in cancer biology?

Resident will attend topic rounds with medical oncology residents biweekly to cover

cancer biology topics when on clinics (radiation oncology, medical oncology,

pathology, or diagnostic imaging rotations as allowed). These rounds systematically

cover the textbooks “The Basic Science of Oncology” (Tannock, Hill) and “The

Biology of Cancer” (Weinberg) and are taught by Dr. Boudreaux and myself.

15. How will residents be trained in radiation oncology physics?

Formal course offered by LSU Health Sciences: MDEP 7121: Radiological physics in

first year of residency.

Weekly topic rounds on radiation physics will occur in 2nd year of residency.

16. Please list any formal courses and their instructors included in the residency

training curriculum. Please attach syllabi and instructor credentials for each listed course.

Radiological Physics for Residents Description: This course covers the curriculum for Diagnostic Radiology Residents recommended by AAPM Subcommittee of the Medical Physics Education of Physicians Committee (Report of May 2009) ; see also 2013 version with added Q&A. Topics include: review of atomic structure and radiation; radiation interactions with matter; concepts for radiation protection; biological effects of radiation; x­ray production; radioisotope decay; fundamentals of image science; physics of x­ray imaging, fluoroscopy, and CT; physics of ultrasound; physics of MRI; physics of nuclear medicine. Instructors: Joyoni Dey, PhD; LSU­Baton Rouge Guang Jia, PhD DABR; LSU­Baton Rouge Stephen Lokitz, PhD; Biomedical Research Foundation of Northwest Louisiana Kip Matthews, PhD DABR; LSU­Baton Rouge Wei­Hsung Wang, PhD CHP CSP CLSO; LSU­Baton Rouge Resources: Textbooks: Bushberg et al., The Essential Physics of Medical Imaging, 3rd ed. ISBN: 978­0­7817­8057­5; Huda, Review of Radiologic Physics, 3rd ed. ISBN­13: 978­0781785693 Online: RSNA­AAPM Physics Modules, http://physics.rsna.org Format and Meeting Times: Typically 3 hours of lecture per week, with Powerpoint format presentation. Most lectures are videoconferenced; remainder will be in­person at LSUHSC­NO. Meeting days and times are listed in the topical outline. Most lectures will be Mondays­Wednesdays, 4:30­6:00 PM; in­person lecture will be 2 hours in length, with dates listed in bold on the schedule.

17. Will the resident participate in clinical rounds on a daily basis while on clinical

rotations? Is a supervising Diplomate available for the majority of rounds? If no, please

describe how rounds are attended and supervised.

Yes No

X

Comments: Attending DACVIM (O) and DACVR (RO) present for most clinical

rounds as a combined service. Attending DACVR present for daily

radiology rounds.

18. Are formal conferences, such as clinicopathologic conferences, journal clubs, or

seminars held on a weekly basis?

Yes No

X

Comments:

19. Please provide a description of the conferences, etc., that are provided and the

typical schedule.

1) Oncology Journal club: Weekly with medical and radiation oncology, typically

Wednesdays 8:15­9:15 am

2) Internal Medicine Journal Club: Weekly Mondays at 12:30 pm. All ACVIM

disciplines and ACVR (RO) participate and rotate presenting throughout the

year.

3) House Officer Seminars: Weekly Fridays 8:00 am, 3 weeks per month. All house

officers present 30 minute rounds (two per seminar) at least twice yearly. All

house officers are required to attend.

4) Radiology rounds: Daily formal rounds are given in morning and attendance is

required while resident is on radiology rotation.

5) Pathology rounds: Daily rounds while on pathology rotation

6) Chart rounds: Once weekly on Friday afternoon to review all current or follow

up radiation oncology patient charts for the week including port films.

20. Is the resident required to give one or more formal presentations at a conference

or in an educational setting on a yearly basis?

21.

Yes No

X

Comments: Resident required to present 2 house officer seminar presentations per

year.

Resident encouraged to present abstract on research project at ACVR or

VCS in their 2nd year of residency.

22. How many major veterinary medical or medical meetings is each resident able to

or expected to attend during his/her training program?

None One Two > Two

X

Comments: ACVR, VCS, or ASTRO are encouraged, one conference per year.

23. Does the training program require a research project? Please indicate the number

of research projects required.

Yes No Optional Number

X 1

Comments:

24. Are one or more publications required as part of the training program?

Yes No Number

X 1

Comments: While publication not required for residency certificate, resident is

encouraged and given research time to gather research data and author

one peer­reviewed journal article.

25. Please indicate the availability of the following facilities or equipment. Indicate if these are available at the primary training site, or at a different location. For facilities that are not on­site, please describe the situation and availability in the space at the end of this section.

Equipment / Service

Available? On­Site?

Yes No Yes No

Megavoltage Teletherapy Machine

Please specify manufacturer and model:

Varian 600C with multileaf collimator (until Spring 2017)

Varian 21EX with 120 leaf MLC, OBI, CBCT (Spring

2017), vault presently under construction as of August 2016

X X

3D ­ Computer based treatment planning system

Please specify manufacturer and model:

Varian Eclipse

X X

2D/2½ D ­ Computer based treatment planning system

Please specify manufacturer and model:

Varian Eclipse capable of simulating 2D manual setups

X X

LDR Brachytherapy treatment and planning

X X

HDR Brachytherapy treatment and planning

X X

Diagnostic Radiology / Imaging Services

X X

Conventional Radiography X X

Fluoroscopy X X

Ultrasound X X

Nuclear Medicine X X

Computed Tomography X X

Magnetic Resonance Imaging X X

Positron Emission Tomography X X

Intensive Care Facility ­ 24 hours X X

Clinical Pathology capabilities: (includes CBC, serum

chemistries, blood gases, urinalysis, cytology, parasitology,

microbiology, and endocrinology)

X X

Veterinary Library w/Literature Searching Capabilities

X X

Medical Library w/Literature Searching Capabilities

X X

Computerized Medical Records w/Searching Capabilities

X X

26. If any of the above equipment or facilities are available off­site, please explain

how the resident can access them for case management, research, or study.

27. Please list numbers of patients treated in the last 12 months using the listed

radiation treatment modalities.

Modality Number Treated*

Megavoltage Gamma / X­ray Teletherapy 86

LDR Brachytherapy n/a

HDR Brachytherapy n/a

Injectable Radionuclide therapy

Radioiodine: performed by Internal Medicine Service

Other (please specify)

90Strontium Pleisotherapy 5

Other ­ please specify

* indicate N/A (not applicable) if the treatment modality is not available

28. Describe procedures for resident record recording of radiation treatment details of

all patients.

Resident will record all patient notes including intake, discharges, and orders. Resident

will log all patient radiation information including tumor type, grade, location,

radiation prescription, fractionation, dose % to GTV and PTV, anesthesia, and toxicity

as per VRTOG toxicity guidelines for the medical record. Digital photography of

tumor location, setup, portal images, DRRs, weekly physics QA, and dose

administered will be stored in record and verify software (ARIA).

29. What procedures are in place to facilitate collection of follow up information of

patients treated?

Recheck examinations are recommended 2­4 weeks post treatment to evaluate tumor

response and toxicity.

Recheck examinations are encouraged every 1­3 months for examinations +/­ restaging

depending on diagnosis and prognosis.

For recheck examinations not performed at LSU CTU, follow up with family

veterinarians or other referral institutions are performed quarterly to semiannually.

Specifically, ongoing toxicity scoring logs will be kept with VRTOG scoring scheme and

kept in medical record along with any pertinent follow up diagnostic testing.

30. By what mechanisms and how often will trainees be evaluated? Please attach

form used in this evaluation (required).

Resident will be evaluated at 3 months and then every 6 months until completion of

program.

31. If applicable, please list the residents who have completed the training program

within the last five years, including the year that each individual’s training program

ended. If at all possible, please provide an address, and any information you have on the

status of each individual with respect to the board certification process.

32. Please list any additional information of interest in support of this residency

application.

I was program director of a standard residency program at VCA Aurora Animal

Hospital, 2009­2011.Catie McDonald, DVM, DACVIM (O), DACVR (RO) completed

her residency in 2011 and was board certified in 2011.

Attachments:

Please attach the following documents to the application if applicable. Please mark box to

indicate which documents are included. Please list any addition documents attached in support

of this application.

Attached?

Documents

X Twenty­four (24) month calendar of resident’s activities ­ Required

X CV ­ ACVR­RO Diplomate ­ Program Director(s) ­ Required

X CV ­ ACVR­R Diplomate(s) ­ Required

X CV ­ ACVIM­O Diplomate(s) ­ Required

X Syllabi of formal course work included in the training program – Required

X Credentials of instructors providing formal course work ­ Required

X Forms used in resident evaluation ­ Required

n/a Letters of agreement from cooperating institutions ­ Required