VEM5225 Small Animal Clinical Nutrition Elective
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12/17/2020 9:27 AM 1
VEM5225
Small Animal Clinical Nutrition Elective
SEMESTER: SPRING 2021
CREDIT HOURS: 1
GRADING SYSTEM: A-E GRADING
PHASE: 3
Course Coordinator
Name: Dr. Richard Hill, VetMB PhD DACVIM DACVN, UF CVM
Phone: 352-258-6733
Email: Hillr@ufl.edu
Office Hours: By appointment only.
Course Description
"Small animal clinical nutrition" (VEM 5225) is a 1 semester credit hour course, which covers the
nutrition of abnormal companion animals and normal reptiles and birds. The elective is very practical
with a mix of lectures and many case discussions. Several outside speakers are invited to present
lectures during the class. This class is designed not to be too onerous and encourages class participation
in nutritional decisions without requiring shy class members to speak in public. It is a complement to
"Basic veterinary nutrition" (VEM 5220)” which was taught in the Freshman year. The purpose of
VEM5225 is to define what nutritional factors are important in dogs and cats with common diseases,
and how diet can address those factors focusing on nutrient requirements rather than advertising. In
particular, how to choose between diets when there are competing requirements in patients with more
than one disease. The lectures on birds and reptiles focus on how to prevent nutritional diseases with
appropriate management.
Student Learning Outcomes
After successful completion of this course, students will be able to:
1. Describe the metabolic responses to starvation and common diseases
2. Identify the nutrient adaptations that benefit dogs and cats with common diseases such as
those of the intestine, liver, pancreas, heart, urinary or respiratory tract, as well as dietary
hypersensitivity, diabetes mellitus and neoplasia.
3. Decide how to nutritionally manage dogs and cats that with these common diseases using
commercial therapeutic, maintenance, or home-made diets
4. Explain when and how to provide enteral and parenteral nutrition to dogs and cats
UF | COLLEGE OF VETERINARY MEDICINE12/17/2020 9:27 AM 2
5. Describe the consequences of obesity and explain how to manage overweight dogs and cats
6. Explain how much and what to feed normal reptiles and birds, and identify clinical signs of
common nutritional deficiencies or excesses in these animalsCourse Schedule
This weekly schedule contains topics, assignments, and exams. Please refer to Canvas for updates and
announcements to any changes to this schedule.
Class meetings will be held in the Large Animal Auditorium unless otherwise specified.
Date and Time Topic/Module/Unit Faculty SLO # Instructional
Above Hours
1/11/21, 3:00- Introduction to commercial clinical Hill 1-3 2
4:50 pm diets, starvation and catabolism
1/12/21, 3:00- Enteral, parenteral critical care nutrition Hill 1-4 2
4:50 pm
1/13/21, 1:00- Practical Reptile Nutrition Brenner 6 1
1:50 pm
1/13/21, 2:00- Practical Avian Nutrition Fraess 6 1
2:50 pm
1/22/21, 1:00- Obesity management Heinze 5 1
2:50 pm
1/14/21, 3:00- Dental, GI disease nutrition Hill 2,3 1
3:50 pm
1/15/20, 1:00- Case discussion + Quiz Hill 1-5 1
2:50 pm
1/20/21, 1:00- Dietary management of lower urinary Queau 2,3 1
1:50 pm tract disease
1/20/21, 2:00- Dietary management renal disease Miscioscia 2,3 1
2:50 pm
1/21/21, 1:00- Case discussion + Quiz Hill 1-5 1
2:50 pm
1/26/21, 1:00- Case discussion + Quiz Hill 1-5 1
2:50 pm
1/27/21, 1:00- Case discussion + Quiz Hill 1-5 1
2:50 pm
1/29/21, 1:00- Case discussion + Quiz Hill 1-5 1
2:50 pm
Total 15
Required Textbooks and/or Course Materials
None
Recommended Textbooks and/or Course Materials
Resources (some of which can be found in the Reading Room:
Some petfood information is on the k drive under Public/shared/Petfood information (Hill)
UF | COLLEGE OF VETERINARY MEDICINE12/17/2020 9:27 AM 3
One of the primary objectives in this course is to teach you where to go and find information about food
and to evaluate that information critically. One of the most important sources now is the internet.
1) ACVN website www.acvn.org
2) AAVN website www.aavn.org (membership is free to students if you are interested)
3) WSAVA nutrition guidelines: https://www.wsava.org/Guidelines/Global-Nutrition-Guidelines
4) FDA/CVM website: www.fda.gov/AnimalVeterinary/default.htm
Recall info: www.fda.gov/Safety/Recalls/EnforcementReports/default.htm
5) AAFCOwebsite:www.aafco.org/
;www.aafco.org/Portals/0/Public/COMPLETE_INSPECTORS_MANUAL.pdf
6) Ohio State website www.nssvet.org : Ohio State University website
7) BalanceIt: www.balanceIt.com: company run by Sean Delaney DACVN that sells vitamin
mineral supplements. Site helps with diet calculations and with home-cooked food formulation
(part of the site is subscription only)
8) Colorado State Web energy calculator (OK for calculation but make your own mind up about
how much energy and protein is needed): www.cvmbs.colostate.edu/clinsci/wing/enteral.html
9) Human food energy content and nutrient information and calculations:
www.nal.usda.gov/fnic/foodcomp/search/; www.fitwatch.com/caloriecounter.html;
http://nat.illinois.edu/mainnat.html; www.room42.com/nutrition/basal.shtml;
http://nutritiondata.self.com/
10) Pet nutrition alliance https://www.wsava.org/Guidelines/Global-Nutrition-Guidelines
11) Pet food company sites:
a. Mars: www.pedigree.com; www.royalcanin.us/nutrition.asp; http://www.waltham.com
(To access the protected areas for veterinarians use Waltham as the name and nutrition as
the password)
b. Hill’s http://www.hillspet.com
c. Nestle Purina: www.purina.com; www.nestle.com
d. Iams www.iams.com/
e. Delmonte: www.delmonte.com
f. Heinz: www.9lives.com/
12) Human enteral diets: www.abbott.com; http://www.nutricia-na.com/
13) Parenteral nutritional products
14) Treats: www.milkbone.com; www.greenies.com; www.meatybone.com
15) Reptile foods, info and equipment: www.herp.com/nature/nature.html; www.pythons.com
16) Bird food: www.lefaber.com,
17) Dietary supplements: http://www.integrativeinc.com/; www.purecaps.com/
To see where many get their information from: https://www.dogfoodadvisor.com/
Books:
The Royal Canin Encyclopedias of Canine and Feline Clinical Nutrition (good but some bias) Online
version at http://www.ivis.org
Small Animal Clinical Nutrition V, MMI (good but some bias and still talk in DM terms) Free downloads
at http://bookstore.markmorrisinstitute.org/products
Proceedings of Waltham, Purina and Iams Nutrition Symposia (multi author, great material)
Feeding guides of major manufacturers (try to pick new versions up at NAVC)
These can also be found on the k://Public/Shared/Petfood Information (Hill). This location also contains
some spreadsheets to help you calculate the approximate composition of diets for which you only have a
guaranteed analysis.
UF | COLLEGE OF VETERINARY MEDICINE12/17/2020 9:27 AM 4 Computer programs: Food processor 2 plus. Human software that I have adapted for use in making home-cooked diets for dogs and cats. Some of you may like to play with this to help answer some of the scenarios. Iams interactive nutrition program. WSAVA site Methods of Evaluation Grades will be calculated based on the following: Item Weight Questionnaire for each lecture 30% Take home assignment 32% Quizzes 38% Total 100 % Note: Late assignments will not be accepted. Grading Scheme Course grades will be assigned based on the following grading scheme. This grading scale is final. Letter Scale A 100.00 – 93.00 A- 92.99 – 90.00 B+ 89.99 – 87.00 B 86.99 – 83.00 B- 82.99 – 80.00 C+ 79.99 – 77.00 C 76.99 – 73.00 C- 72.99 – 70.00 D+ 69.99 – 67.00 D 66.99 – 64.00 D- 62.99 – 60.00 E 59.99 – 0 Course Policies This course will be delivered in-person in the large animal auditorium to a group of students on a rotating basis. Faculty who are lecturing in the classroom will be required to wear a mask. The members of the class who are not physically present in the classroom will be attending the live synchronous lecture via Zoom. The group of students who attend physically each day will follow physical distancing and masking requirements. Eating or drinking while in the classroom during lecture is prohibited. Additional guidelines for online learning and face-to-face learning are detailed below: Online Learning Policies: The College of Veterinary Medicine asks that students, when possible, have cameras turned on for courses in the professional curriculum, which facilitates participation and professional communication. UF | COLLEGE OF VETERINARY MEDICINE
12/17/2020 9:27 AM 5
Our class sessions may be audio visually recorded for students in the class to refer back and for enrolled
students who are unable to attend live. Students who participate with their camera engaged or utilize a
profile image are agreeing to have their video or image recorded. If you are unwilling to consent to have
your profile or video image recorded, be sure to keep your camera off and do not use a profile image.
Likewise, students who un-mute during class and participate orally are agreeing to have their voices
recorded. If you are not willing to consent to have your voice recorded during class, you will need to
keep your mute button activated and communicate exclusively using the "chat" feature, which allows
students to type questions and comments live. The chat will not be recorded or shared. As in all courses,
unauthorized recording and unauthorized sharing of recorded materials is prohibited.
Face-to-Face Learning Policies:
In response to COVID-19, the following policies and requirements are in place to maintain your learning
environment and to enhance the safety of our in-classroom interactions.
• You are required to wear approved face coverings at all times during class and within buildings.
Following and enforcing these policies and requirements are all of our responsibility. Failure to
do so will lead to a report to the Office of Student Conduct and Conflict Resolution.
• Sanitizing supplies are available in the classroom if you wish to wipe down your desks prior to
sitting down and at the end of the class.
• Follow your instructor’s guidance on how to enter and exit the classroom. Practice physical
distancing to the extent possible when entering and exiting the classroom.
• If you are experiencing COVID-19 symptoms (https://www.cdc.gov/coronavirus/2019-
ncov/symptoms-testing/symptoms.html), please use the UF Health screening system
(https://coronavirus.ufhealth.org/screen-test-protect/covid-19-exposure-and-symptoms-who-
do-i-call-if/) and follow the instructions on whether you are able to attend class.
o Course materials will be provided to you with an excused absence, and you will be given
a reasonable amount of time to make up work (https://catalog.ufl.edu/UGRD/academic-
regulations/attendance-policies/).
Curriculum Policies
DVM curriculum policies are consistently held and reinforced across all DVM courses. Please visit the
DVM webpage and review the curriculum policies listed within the Online Student Handbook.
Students with Accommodations
Students with disabilities who experience learning barriers and would like to request academic
accommodations should connect with the Disability Resource Center by visiting
www.disability.ufl.edu/students/get-started. It is important for students to share their accommodation
letter with their instructor and discuss their access needs, as early as possible in the semester. Students
in UF Health Sciences programs should be mindful that unique course accommodations may not be
applicable in a clinical, fieldwork or practicum setting. Thus, planning a semester in advance with the
DRC Health Sciences Learning Specialist, Lisa Diekow ldiekow@ufsa.ufl.edu , is highly encouraged.
The DRC is located on the main UF campus. ASA (Office for Academic and Student Affairs) works closely
with the DRC to ensure student accommodations are met in the classroom and during exams. Melissa
UF | COLLEGE OF VETERINARY MEDICINE12/17/2020 9:27 AM 6 Cox in ASA assists in coordinating exams and meeting recommended disability-related requirements for students with accommodations (melissacox@ufl.edu). Course and Instructor Evaluation Students are expected to provide professional and respectful feedback on the quality of instruction in this course by completing course evaluations online via GatorEvals. Guidance on how to give feedback in a professional and respectful manner is available on the GatorEvals Webpage. Students will be notified when the evaluation period opens, and can complete evaluations through the email they receive from GatorEvals, in their Canvas course menu under GatorEvals, or via the Online Platform. Summaries of course evaluation results are available to students at the GatorEvals Public Results Webpage. UF | COLLEGE OF VETERINARY MEDICINE
12/17/2020 9:27 AM 7 Appendix A: Faculty Lecturers Guest lecturers (please address questions to Dr Richard Hill, the course coordinator) Dr Garrett Fraess DVM, UF CVM Dr Emily Brenner DVM, UF CVM Dr. Cailin Heinze DVM DACVIM, Tufts CVM, courtesy of Mark Morris Institute Dr Yann Queau DVM PhD DACVN, Royal Canin Dr Erin Miscioscia DVM, UF CVM UF | COLLEGE OF VETERINARY MEDICINE
12/17/2020 9:27 AM 8 Appendix B: Other Information This elective course assumes that participants have participated in small animal clerkship. The more you put into the class, the more you will get out. There are 2 sections: (1) Ten 50 min lectures designed to provide cohesive information. Some given by invited speakers. (2) Five 2 h case discussions of case scenarios that will be provided at the start of the class and which students will be expected to read in advance and develop a rational course of action for each scenario, in preparation for participation in the discussions. It is expected that students will work in groups of approximately four and elect a spokesperson for each case scenario. It is expected that students will research their answers using the suggested texts, computers or videos in the library and the tables in the formulary. Possible management options will be reviewed during the discussion sessions. A list of spokespersons will be requested to facilitate a healthy discussion of various options. There are no stupid questions or answers. Clinical nutrition is a controversial subject because there is more speculation than solid science. The discussion hopefully will show where the areas of controversy lie. (3) There is no final exam: I want this class to be fun more than onerous. The tasks that are required for a pass are, therefore, designed to help you focus during class rather than to be difficult. Marks will be awarded for three submissions: (a) A simple questionnaire after each lecture evaluating the speaker and content and asking you what you learned and what you did not understand. You will be asked to answer and return this questionnaire during or shortly after the lecture (2 questionnaires after a double lecture). Each completed questionnaire will be worth 3 points/lecture to a total of 30 points. The items that were not understood will be addressed collated by my assistants into an anonymized document that I will provide written answers to for the whole class to read. (b) A quiz: There will be a 4-6 question quiz at the start of each of five case discussions (worth approximately 3 marks per lecture and 2 points for each of 4 discussions for a total of 38 points). Each quiz will be 10 minutes in length (c) A take home exam will be worth 34 marks (16 marks per question for a total of 32 points). For the take-home exam, you must invent two multiple choice clinical nutrition questions ie based on subjects considered in this class. Only bird or reptile questions can involve an animal which is not clinically ill in some respect ie questions that involve simple deficiencies in otherwise normal animals are not acceptable unless the animal is a bird or reptile. Only one question can be about birds or reptiles. Each question must be typed and have 4 reasonable alternatives but only 1 correct answer. You must explain briefly WHY each alternative is correct or incorrect ie I expect four different NUTRITIONAL explanations each with a different nutritional principle within a question. Reciprocal alternatives are not acceptable, i.e. alternative a is high sodium then alternative b cannot be low sodium. Writing an answer a about sodium, potassium and calcium and then an answer b about sodium, potassium, and calcium with a small change in more than one nutrient burns your boats on both nutrients. Instead, make each answer about a different nutrient eg a is about protein, b is about water, c is about energy. Repetition is not acceptable. Saying something is correct or not correct does not represent an explanation. You need to explain the metabolic or UF | COLLEGE OF VETERINARY MEDICINE
12/17/2020 9:27 AM 9 nutritional reason why it is not correct. The marks come from giving the nutritional biochemistry or physiology behind the statement as to why it is right or wrong. Non-nutritional alternatives such as use of drugs or physiotherapy etc., are not acceptable alternatives. PAY ATTENTION TO THESE RULES AS YOU LOSE 4 POINTS FOR EACH ALTERNATIVE THAT DOES NOT CONFORM OR 16 IF THE WHOLE QUESTION DOES NOT CONFORM. If the matter is controversial then a reference or explanation of the controversy is essential to help you get the marks. Marks are not awarded for verbosity. Writing more sometimes increases your chances of being wrong. You must submit the take-home exam to Canvass before the last discussion. I shall be using turnitin to check for plagiarism. UF | COLLEGE OF VETERINARY MEDICINE
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