Internship

Contact: Laura H. Javsicas, VMD, DACVIM

E-mail: externs@rhinebeckequine.com

 

Type of Practice

Equine exclusive, full- service referral hospital and ambulatory practice.

Number of Intern Positions

4

Staffing

2 Board-certified Surgeons, Board-certified Internal Medicine specialist, Board-certified Theriogenologist, consulting Board-certified Ophthalmologist, 6 General Practitioners, 4 Interns, 6 Veterinary Technicians, 7 Veterinary Assistants, 4 Barn Staff/Attendants (full-time), 3 Barn Staff/Attendants (part-time), 8 Office Staff.

Facilities

State-of-the-art hospital. Facilities include: two large treatment/outpatient examination areas, spacious operating room with overhead hoist/monorail system, 19 stalls including divided mare and foal stalls, 4 isolation stalls, including a stall for neurologic cases with a sling,  diagnostic imaging suite, full-service in-house laboratory, extensive pharmacy, and capability for all regenerative medicine modalities. Equipment includes: 300 mA radiology system, digital radiography, Nuclear scintigraphy,    video endoscopy and gastroscopy, complete ASIF (Synthes®) orthopedic instrumentation and implants, videoarthroscopy and laparoscopy with the full array of accessories/instruments, Nd:YAG surgical laser, Ligasure® system, focused HMT® extracorporeal shock wave unit, arthoplasty equipment, telemetry, tonometry, and multiple ultrasound units.

Case Load

Ambulatory Case Load

Approximately one third of the ambulatory caseload is derived from the Thoroughbred industry and includes everything from breeding management and neonatal care to horses in training.  We also service several Standardbred operations. 

Another third of the ambulatory caseload is composed of high-caliber show/sport horses of various breeds to whom we provide lameness work-ups and prepurchase examinations, as well as a wide range of treatment modalities for the diagnosed conditions. The remainder of the caseload is composed of pleasure horses. Complete wellness services are provided and several practitioners have advanced training in dentistry. 

Hospital Caseload

The hospital caseload is derived from patients within our practice as well as referral cases and is comprised of about 85% in-patients and 15% outpatients. Of the inpatients, 50-60% are elective, and 40-50% are emergencies. The emergency caseload consists primarily of colics, but also frequently includes neonates, dystocias, wounds/ lacerations, synovial infections, and fractures. Typically we perform 5-15 elective surgeries and 3-8 emergency surgeries weekly. Of the elective surgical cases, approximately 50% are orthopedic, 25% are soft tissue, and 25% are respiratory/other. 

The medicine case load includes a full spectrum of cases seen both in the field and the hospital, with a concentration on neonatology in the spring. Elective medicine cases often include respiratory evaluations, gastroscopy, ultrasonography, and echocardiography.

We offer comprehensive reproductive services for all horse breeders. The varied caseload ranges from basic breeding management to evaluation of the problem mare. In addition to breeding management, mares can be enrolled in our high-risk pregnancy program and a variety of reproductive surgeries are performed at the clinic.

Our consulting ophthalmologist is available approximately once a month to perform complete evaluations and provide advanced medical and surgical treatments.

Philosophy and Goals of the Internship

The goal of the internship is to provide recently graduated veterinarians the opportunity for an intense year of clinical experience in an equine private practice setting with both ambulatory and referral hospital services. The practice is committed to providing the interns with a rewarding educational experience as well as valuing what the interns teach us. Mentoring is provided by boarded specialists in multiple disciplines and seasoned ambulatory practitioners. We expect our interns to rapidly transition to working independently under the guidance of senior clinicians, although the scope and depth of hands-on experience will vary based on the aptitude and skills of each intern. Our interns have ample opportunity for hands on experience in all aspects of the program. The surgery rotations allow the intern to follow common elective and emergency cases from initial evaluation, through surgery and post-op care, to discharge and follow-up. The interns learn anesthesia alongside an experienced veterinarian and, as skills progress, will be responsible for managing the anesthesia of elective and emergency cases. The internal medicine rotation exposes the interns to a wide variety of cases, both in the hospital and in the field, and is particularly busy in the spring due to the large neonatal foal caseload. The interns have the opportunity to learn breeding management and advanced reproductive techniques from a boarded theriogenologist.  Our growing ophthalmology caseload is an excellent learning opportunity. During the ambulatory rotation, the interns will become familiar and comfortable with common ambulatory emergencies, routine wellness care, reproduction, dentistry, and lameness evaluation. While the large and varied case load will expose the interns to a wide range of routine and emergency calls, the interns also have the opportunity to focus on their areas of interest while on the ambulatory rotation.  The program affords the opportunity for interns to assume a primary role in client communication and patient care when providing emergency field care. Case rounds and weekly journal club/teaching rounds provide additional learning opportunities. The internship will provide excellent preparation for individuals seeking admission to residency programs or a career in general equine practice. Former interns have gone on to pursue residency training in surgery, internal medicine, reproduction, and ophthalmology.

Internship Duties in the Practice

The intern schedule consists of bi-weekly rotations through surgery, medicine, and ambulatory services. Primary responsibilities will vary depending on rotation. While in hospital, the interns will be responsible for assisting with the evaluation of each patient, including all diagnostic imaging and procedures. The interns assume a primary role in daily patient care and in developing appropriate treatment plans under the guidance of the board certified hospital clinicians. The surgery interns will directly assist in surgery and manage anesthesia. A 7-day work week is the norm, and interns may be called upon to perform some after-hours treatments and observation of hospitalized patients as needed. However, we do employ hospital staff 24 hours a day; our interns are not treated as technicians. While on the ambulatory rotation, the interns shadow field clinicians as well as seeing emergencies and performing routine calls independently.

Emergency Duty Requirements

The interns on hospital rotations will be expected to be available to receive and assist the hospital doctors with all emergencies. Interns on ambulatory rotations will assume on-call responsibilities when confidence and skill levels have been established. The intern on the ambulatory rotation has weekends off.

Amount of Supervision

The intern will have as much supervision and instruction/mentoring available to them as they desire and we deem necessary. We recognize that this is an important year for learning and development. With time, we will also expect the intern to function independently in monitoring and managing hospitalized patients, and in seeing ambulatory cases. The degree of independence and supervision will vary with the intern. We will never leave the intern without clear and available mentorship.

Externship Available

Yes. An externship is a prerequisite to internship.

Prerequisites of Application and Internship

All applicants must be senior veterinary students in good academic standing at an accredited college of veterinary medicine OR a graduate of an accredited college of veterinary medicine. Students are expected to graduate on time and have obtained the DVM/VMD degree by the start of their internship. All candidates must be eligible for licensure in the State of New York, and must successfully pass the licensing examination prior to, or within 6 months of the start of employment. Interested applicants should submit (by e-mail or standard post) a brief letter of intent, curriculum vitae, most current transcript  from veterinary college, small passport type photo and a list of at least 3 persons, along with contact information, who will act as professional references. Letters of reference should be sent separately by the person providing the reference.

Notification of Acceptance

Successful applicants will be notified the first week of November.

Employee Benefits

Professional liability insurance, medical insurance, housing in one of the clinic apartments, ten vacation/sick days, continuing education expenses and membership in AVMA and AAEP.

Employment Contract

A standard contract of employment will be offered for the 1-year internship.

Term of Employment

1 year (June-June)

Living Quarters

We have two large apartments for interns in the clinic building. Each apartment has two bedrooms and a full bath. There is a shared common living area, as well as laundry facilities.

Please see AAEP Avenues Internship – Externship Listings for further details.