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Faculty of Veterinary Medicine – University of Milan (Italy)
ECOVE Accreditation Process
2nd STATUS-QUO REPORT (April 2011) The Faculty of Veterinary Medicine of Milan, Italy, was evaluated by the EAEVE Auditing Team in the week of the 5th – 9th October, 2009. The Faculty was not approved and during the Meeting in Vienna (2-3 February 2010) the ECOVE members suggested to the Faculty to send a status quo report to the office every 6 months to have the progress “monitored”. This in order to have the Milano Faculty revisited as soon as the major deficiencies will be solved. A first report on the progress of the corrective actions has been presented last October and has been appreciated by the bureau. In this second report we provide other information about the current situation. If even the second report will be approved, we ask to have a team Eaeve revisits in the next month of June.
General considerations on the organization of the Corrective Actions The President of the Teaching Coordination Commission of the Veterinary School (Prof. Vittorio Sala) was responsible for the continuation of the work of non-compliance correction identified during the first audit has been entrusted to in collaboration with all those responsible (Prof. Carlo Maria Mortellaro, dr. Fabio Acocella, Prof. Angelo Belloli, dr.ssa Stefania Lauzi e dr.ssa Claudia Gusmara) and in full agreement with the Dean of the Faculty (Prof. Giorgio Poli). All decisions were approved by the Veterinary Teaching Coordination Commission and the Veterinary Faculty Council. The approval of the University Reform Law (January 30, 2010) by the national Parliament has caused some additional difficulties in the process of non-compliance resolving. Some administrative and organizational changes introduced by the reform have forced the Faculty to amend the existing projects but the commitment by all teachers involved made possible to continue the work.
Major Deficiency n. 1. No hospitalization of small animals Responsible for the implementation of the Corrective Action: Dr. Fabio Acocella (Full time Researcher – Surgery). Hospitalization and Intensive Care Unit Basing on excessive costs for the hospital renovation, we had to decide to convert on smaller but almost ready rooms for small animal hospitalization. They will be ready in early May 2011. At the end of the renovation the Hospital Unit HU will able to accept 8 small dogs or cats and 6 medium/large dogs (see on the Annex 1). The Intensive Care Unit ICU (see on the Annex 1) could accept 3 animals per day. The Infectious Disease Unit IDU (see on the Annex 1) could accept 4 animals per day.
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Budget The last December 2010 the Municipality of Milan has supported our Project called “Small Animal Hospital” and has allocated a sum of 200.000 euro as funding for this project. In return, the Faculty will take care of a fixed number of pets of needy people living in Milan. This will be a good chance to have more clinical cases for student learning and practicing. Student involvement As already explained in the last Report in the hospital rounds students of the 3rd, 4th and 5th year will be involved. Every older student will be a tutor for the younger. As already known the rounds will be of 12 hours each. Now a days we are formulating a dedicated logbook that the student will fill at the end of each round (for details see Annex 1) The found doctor, as daily supervisor, will sign the Student Logbook after revision of the individual case log. A second monthly evaluation of the student logbook will be performed by the Hospital Manager. The Hospital Manager will be elected by the Teaching Coordination Commission. The person selected will serve for one year and may be re-elected.
Major Deficiency n. 2. Lack of mobile clinic Responsible for the implementation of the Corrective Action: Prof. Carlo Maria Mortellaro (Full Professor – Surgery).
Guidelines & Philosophy - To harmonize the emergency service on site with the lack of didactic activity on field - To standardize the n° of hours /student of the “on field practice” - To standardize the n° of patient /student (bovine and equine) for the on field surgery
According to the guidelines and the philosophy proposed in the first report the experimental services described has been transformed into the definitive one by means of these actions: Organization of students: All the students of the 5th year have been subdivided in small groups (8 people each – see Annex 2) and the list of groups has been published on the Faculty web site. Each student of the group scheduled for the programmed visit of the Mobile Clinic receives an automatic e-mail in which the destination of the visit, the type of activity, the teacher and the practitioner involved in the practical activity are clearly indicated. To facilitate the student’ mobility the meeting point of the minibus is the Faculty in Milan with the departure scheduled for 7.30 am. The medical car with the teacher is based on the Large Animal Hospital and reach, together with the minibus, the farm where the action is requested.
Activity of the practitioners and their role in the Mobile Clinic Services was approved the President's proposal to award the title of Adjunct Professor to 10 veterinary practitioners (seven on cattle, three on horses and one for pigs). Activity of the practitioners and their role in the Mobile Clinic Services In order to improve the number of the Teachers of the Faculty involved in the Mobile Clinic service, the Faculty Council of 29 March 2011 has approved the proposal of the President of the
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Teaching Coordination Commission of the Veterinary School for 10 positions of Contract Professors. The teachers responsible for corrective actions will make a selection based on the professional curricula between the practitioners who already worked in the Mobile Clinic activity made to date. The chosen Colleagues will be soon qualified for a period of one year and their position will be revaluated at the beginning of each academic year. This condition allows having both a Faculty tutor and a practitioner directly involved in the didactic of the Mobile Clinic Their job is to help the teachers of clinical courses in tutoring the students in “on field” activity. Registration of clinical activity All the activities are doubly registered in a system in which both the student and the Faculty have the certification of the teaching activity with the signature of the teacher, of the student and of the practitioner together with the complete indication about the farm visited. All the recorded data followed the same system for the practical clinical rotation already approved.
Working period and rotations of groups The activity of the mobile clinic has been scheduled all over the year and the e mail service is working to be sure that all student involved could be clearly and rapidly informed. This system will allow each student to have at least two visits.
Type of clinical activity and N° of animals involved The serviced started the official activity on February 2011 and the data concerning the Mobile Clinic are summarized in the following table.
N° of Visits
N° of farms involved
Students involved from March 2011
Activity on Bovine Clinics
Activity on Equine Clinics
10 12 80 6 4
Major Deficiency n. 3. Lack of propaedeutical animals and shortage in food animal patients with particular respect to swine medicine Responsible for the implementation of the Corrective Action: Prof. Angelo Belloli (Full Professor – Large animal internal medicine).
During the first quarter of current year 146 bovine have been admitted in the Large Animal Hospital of
Lodi Campus while in the same period of year 2010 they were 133.
So the steady increase in admissions has been confirmed and many clinical cases are increasingly
available to our students. The distribution of clinical cases hospitalized in animals is similar to that
reported in the first report. However, thanks to the activities of the mobile clinic, students can observe
several other diseases and clinical cases
In Italy the hospitalization of pigs is not in use and therefore clinical cases of this species are part of
the activities of the Clinic Unit under the supervision of Professor Sala, which is the specialist of swine
infectious diseases of the Faculty.
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LATH hospitalized animals January 1st 2011 to 31st 2011 = 146
CALVES 109 CATTLE 33
SWINE, SHEEP AND GOAT 4 TOTAL 146
AVERAGE ANIMALS/MONTH 48,6
Calves
Disease N° of animals Diarrhoea And Bowel Diseases 42
Ileum 8 Bovine Neonatal Pancytopenia (Bnp) 1
Respiratory Diseases 32 Parasites 21
Metabolic Diseases 7 Rumen Drinking 16
Umbilical Diseases 10 Locomotor Diseases 10
Cardiac Disorders 3 Malformations And Congenital Defects 1
Neurological Diseases 3 Others 26
Cattle
Disease N° of animals Left Displacement of Abomasum 19
Right Displacement of Abomasum 2 Traumatic Reticular Peritonitis 5
Respiratory Diseases 0 Udder Diseases 3
Metabolic Disorders 12 Gynaecological Problems 7
Locomotor Diseases 3 Neurological Diseases 1
Cardiac Disorders 0 Bowel Diseases/ Peritonitis 5
Others 2
Some animals were simultaneously suffering from multiple diseases.
The new Animal Husbandry Unit of the Faculty (called Livestock Experimental Centre) was not yet
fully operational during the first EAEVE inspection.
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Today many animals of different species are available for educational propaedeutical activities.
Dairy cattle: there are 15 heifers, 11 lactating cows and 12 dry cows. The Faculty has decided to enter
into a contract with a farmer and therefore the number of bovine animals is increasing. The dairy cattle
unit has a milking parlour and therefore students can also attend to this type of activity.
Pigs: 200 weaned piglets have been replaced last month and now are in the growing phase.
Chickens: there are 1200 broilers, 46 chickens of local breeds 2 (38 females and 8 males), 5 turkeys, (3
females and 2 males) and 33 breeding cocks. Hatchery now has about 750 chicks to be raised from 1 to
40 days of life.
Bee: several hives are now in production.
Major Deficiency n. 4. No isolation facilities for farm animals Responsible for the implementation of the Corrective Action: Dr. Stefania Lauzi (Researcher – Microbiology Unit) and Dr. Claudia Gusmara (Researcher – Infectious Disease Unit).
For this deficiency it was necessary to find a solution other than the one presented in the first report.
The previous solution is still our ultimate goal, but now the university cannot fund the budget of
expenditure required.
This solution is clearly to have a provisional basis pending the final one. However we think that it can
be equally effective and we await the opinion of the bureau to proceed to final execution.
Two completely separate holding rooms will be obtained, one for large animals (cows) and one for
small animals (calves, sheep and goats).
The manure will be collected and stored in four existing silos where they are manually chlorinated and
subjected to microbiological control prior to disposal. Premises are accessed through a changing room.
The new project is shown in Annex 3.
Milan, April 7, 2011
ANNEX 2
ORGANIZZAZIONE DEI GRUPPI PER LA CLINICA MOBILE
SECONDO SEMESTRE A.A. 2010 – 2011
Gruppo 1
Gruppo 6
Anastasia Luca
Bedognetti Katia
Cagnà Giacomo
Capitani Letizia
Costa Devoti Chiara
Carnevale Lara
Demarchi Giulia
Caspani Alice
Ferrari Francesca
Daniele Giulia
Galli Serena
Ergoli Fabrizia
Giometti Luca
Galimberti Cristina
Malosio Mario
Ghilardi Danilo
Gruppo 2
Gruppo 7
Mangili Angela
Lodi Giorgia
Marotto Stephanie
Maniaci Miriam
Masson Tiziano
Marchetti Camilla
Meroni Giulia
Martinelli Laura
Nason Chiara
Mazzoni Laura
Pizzati Sartorelli Valentina
Messina Lara
Roncoroni Cristina
Rabbogliati Vanessa
Russo Andrea
Ramundo Francesca
Gruppo 3
Gruppo 8
Andretta silvia
Rotondi Barbara
Spallacci Susanna
Samarani Francesca
Strada Laura
Sturlesi Na ama
Tedoldi Francessca
Trivella Alessia
Angeloni Valentina
Asiag Ley Nimrot
Bassanini Luca
Audino Tania
Bellaviti Anna Maria
Benedetti Edoardo
Bottai Guido
Tomarelli Carlotta
Gruppo 4
Gruppo 9
Capasso Barbara
Centonze Simone
Cazzaniga Nadia
Dotti elisa
Conti Federica
Cibra Elisa
Daffonchio Alessandra
Fiscon Silvia
Fe Eleonora
Guarnieri Ilaria
Ferri Daniele Pietro
Kuster Cristina
Mantova Elisa
Longo Maurizio
Marchini Alessandro
Longobardi Simone
Gruppo 5
Gruppo 10
Masetti Barbara
Macrelli Michele
Mirandola Danilo
Mencarelli giulia
Montrasio Daniela
Nava Martina
Morelli Elena
Oggiooni Fabio
Pomodoro Francesca
Perzoli Chiara
Rabaglia serena
Tarzi Stefano
Visintin Valeria
Villani Elena
Zamboni Clarissa
Cavallini Michele
Gruppo 11
Gruppo 16
Bartolomei Cristina
Bossetti Erika
Casalini Jacopo
Broggi Andreas
Facchinetti Valentina
Cattaneo Flavio
Fanfani Martha
Cogliati Elisa
Formenti Mattia
Antunes Diana
Giacomel Astrid
Mazzola Flavia
Lavia Stefania
Locatelli Deborah
Mancuti Ilary
Martinelli Elisa
Gruppo 12
Gruppo 17
Milani Lucia
Mazzoleni Elena
Mondello Emanuele
Mogni Francesca
Pellegrini Chiara
Piccolo Martina
Piazza Francesca
Raccagni Davide
Pregnolato Loredana
Salvato Sara
Radice Francesca
Triggiani Chiara
Rampoldi Dinusha
Vedovato Sara
Ruggerone beatrice
Agnesi Carlo
Gruppo 13
Gruppo 18
Secchi Simona
Anzini Mirko
Tecilla Marco
Belloli Roberto
Zaccaria Andrea
Carenzo Lucrezia
Agostini Giulia
Drago Alessandro
Airaghi Elisa
Lavore Cristina
Balzano Simona
Librizzi Matilde
Cagnolati Marco
Luraschi Claudia
Casali Silvia
Macchioni Chiara
Gruppo 14
Gruppo 19
Coletto Marta
Marcatili Marco
Faggioli Pertra
Munari Francesco
Galli Francesco
Murolo Chiara
Gardin Giulia
Salvato Simona
Leila Luise
Scotti Stefano
Mignolli Enrica
Sirtoli Lisa
Mocchi Edoardo
Sottocorno Carlo
Puglia Annalisa
Stranieri Angelica
Gruppo 15
Gruppo 20
Russo Riccardo
Sudati Rudy
Sironi Lorenza
Trovò Chiara
Vanzulli Federico Maria
Vallarino Sara
Vegetti Fabio Verzoni Francesca Zaghetti Ilaria Bellani Francesca Bernabei Valeria