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All CPEs in 2018 2019 will be administered according to the 2018 MOA. Previous editions of the MOA should be discarded.
The 2018 2019 edition of the MOA includes a few language clarifying changes as well as the below significant changes:
Equine Practice
EQ03 – Language regarding candidates watch as a group the lame horse trotting was removed (no site was doing that)
EQ03 – Candidates must specifically identify the lame limb for the examiner after observation of movement and prior to use of nerve blocks. Requests for, and results of, nerve blocks can be used by the candidate to affirm that the correct limb was identified or to determine the lame limb.
Surgery
Breaks in asepsis – Candidates will now be allowed a total of 5 breaks in asepsis during the Surgery section, inclusive of both the ‘free’ initial break not identified by the candidate and/or all breaks in aseptic technique self-identified by the candidate. Candidates committing a 6th break in aseptic technique will be dismissed with a fatal flaw from the section. Examiners are to document a running tally with brief description of each break in the assessment sheet. As previously, candidates are only allowed 1 break in asepsis not identified by themselves and committed prior to surgical incision. Candidates committing a second break in asepsis that they do not recognize themselves will still receive a fatal flaw.
Anesthesia
Candidates will now be required to connect the patient’s endotracheal tube to the anesthetic machine within the 5 minute time period after induction (Activity/skill = Induce and Intubate Patient)
It is your responsibility to read the entire Manual of Administration to ensure that you understand what will be expected of you during the 2018 CPE. Anesthesia
• Thiopental has been removed from the list of available drugs
• Placement of the esophageal stethoscope is no longer required within the 100 minute time limit
• Language has been added to clarify that if the dog wakes up during transfer from pre-op to the Surgery suite and the candidate does not react appropriately, a fatal flaw can be awarded
• A Major skill has been added to the Anesthetic section assessment: Provide adequate analgesia to the patient throughout the surgical procedure and immediate post-operative period
Small Animal Medicine
• SAM03 – Candidates will be required to perform 5, rather than 4, skills in part B, resulting in a total of 7 skills to be assessed in this station.
• SAM03 – “interpreting cardiac sounds” and “describing/demonstrating jugular venipuncture” have been reassigned from Part A to Part B.
• SAM03 – Each of the Part A skills will involve the use of a model so that the candidate can physically demonstrate the activity. While candidates will still describe the procedure using a live animal (such as for demonstrating restraint, positioning, or showing landmarks), stuffed animals will be used for candidates to demonstrate the performance of Cystocentesis, Thoracocentesis, and Abdominocentesis. For passing the urinary catheter, examiners should supply a suction tube for the candidate to demonstrate passage of the catheter.
Should you have any questions regarding the new CPE Manual of Administration, please contact the NEB office via e-mail at neb-bne@cvma-acmv.org