Y2 S1 Week 2: Revisiting Wise Coach, Clinical Pathology and Club Rush!
This week we hit the ground running, literally, Churro and I did a quick whirl around the block before diving into the first renal exam. After the conclusion of this fun little quiz, we transitioned into a lecture on acid base balance. This lecture was a nice review of the acid base physiology that we had learned in the gastrointestinal block last year with the addition of a few things that were relevant to the kidneys. The morning finished up with a lecture on tubular reabsorption and water balance. That afternoon we got to put our acid-base knowledge to the test and work through six different cases. This was a great way to apply our knowledge and understand why these calculations are clinically relevant! After our discussion session finished, the Symposium planning team hopped on a meeting with our event planning staff followed by another meeting with our AVMA advisors. These meetings are a great way to check in with the team and make sure that everything is progressing according to plan. We are roughly 7 months away from the event and the planning is in full-force! Once those meetings finished, I was able to take Churro on a long walk and gave him some “free time” on the field. The rest of the evening was spent reviewing the morning’s lectures.
Tuesday started off with a nice run with Churro followed by a lecture on the Renin, Angiotensin, Aldosterone System which is a lovely little system of hormones, proteins, and enzymes that helps control blood pressure and blood volume. We then had a lecture on calcium, magnesium, and phosphorus physiology. This was a nice way to dive a little deeper into these elements and how they impact the kidneys. The last lecture for the morning was on the endocrine functions of the kidneys with a focus on erythropoietin and calcium.
After the conclusion of these lectures, we transitioned into a few lectures on the “WISE COACH” model. This is an evidence-based veterinary consultation guide aimed to assist veterinarians in meeting the challenges of today’s practice. The WISE COACH acronym reflects a relationship where the veterinarian is an experienced and knowledgeable guide who educates and encourages clients, respecting their individuality while seeking the best outcome for the patient (JAVMA). The breakdown of this acronym can be seen below:
Welcome the client and patient
Investigate history
Summarize information
Explore for more details
Perform Exam
Convey exam findings and your thought
Outline a plan
Ask for feedback
Clarify expectations
Hold both client and patient interests in mind
This model is a nice template for client communication and ensures that crucial things do not get missed during routine client interactions. For more information on the WISE COACH model, and the evidence behind it, you can check out this article.
After this deep dive into the WISE COACH model, we had time to meet with our new small group members and discuss the upcoming case-based assignment.
That evening finished up with a SAVMA Symposium committee meeting. This meeting included members from all of the planning committees as well as the Core Four team. This was a great way to check in with everyone and make sure that we were all on the same page heading into the bulk of the planning season. After that meeting was over, Churro and I spent some time on the field followed by some lecture review.
Wednesday morning started off with a hot yoga session followed by a quick 3 miler with Churro. I then had a group mentor meeting with Dr. Melissa Macias Rioseco, a veterinary pathologist with a lot of interesting stories! The rest of the day was spent reviewing lectures, working on Symposium planning, and hanging with Churro.
Thursday started out with a nice 6 mile run with Churro followed by two lectures on laboratory evaluation of renal disease. These lectures were some of my favorites from this block because of their clinical relevance. The first lecture focused on identifying how kidney disease may appear on routine blood work. The second lecture focused on the urinalysis aspect and what urine samples can tell us about systemic disease. If you are interested in learning more, check out these notes.
During lunch the SAVMA Symposium team hosted a lunch talk and the attendance was wild! Our largest lecture hall was swarming with eager students wanting to learn more about the Symposium and how they could be involved in this legen-dairy event. The rest of the day was spent going over a case-based learning assignment and trying to put the new material from lecture to the test in a clinical setting.
Friday started off with an awesome hot yoga session followed by a fascinating lecture on diuretics. I have always had an interest in pharmacology, so this lecture was enjoyable and a great way to start the day. If you are also a pharmacology nerd or just want to know how certain drugs can increase urine production check out these notes! The following lectures focused on the pathology of renal disease. We looked through multiple histology images and began to understand the microscopic changes that occur when there is an underlying issue with the kidneys.
That afternoon we had a case discussion session to help cement Thursday’s clinical pathology lectures. We were split up into groups of about 6 people and had three cases to explore. Each case had some sort of renal disease, and it was up to us to analyze the patient history and laboratory work. This was a great way to clear up any confusion from the previous day and think critically about real-life situations.
That evening UC Davis had their annual club showcase! Every club tries to put their best foot forward during this event so that they can attract all the new and eager first-year students! It was a blast managing the Integrative Veterinary Medicine booth and Canine Medicine booth and getting to talk to all of the excited students! We also had a super special, and adorable, guest stop by and help promote our clubs.
Saturday started off with a quick three miler with Churro followed by Steve’s Inferno Hot Pilates class. The rest of the day was spent getting things done around the house and prepping for next week’s exam. Sunday followed a similar schedule and was filled with some lecture review and quality time with Churro
Quote of the week: “I kinda suck at mushroom ID so I just avoid all of them.” Dr. Keel after explaining how Death Cap Mushrooms cause coagulative necrosis due to the toxic compound amanitin.
Comments