PATHways - American College of Veterinary Pathologists

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O X I C O L O G I C P A T H O L O G Y
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February, 2011
Volume 3, Issue 1
PAT H way s
A newsletter for Students of
Veterinary Pathology
Welcome to PATHways!
University is given by
Gabrielle Pastenkos. Dr.
Gaurav Tyagi from
We haven’t had an issue of
Roche Pharmaceuticals
PATHways come out in a
shares an interesting
while, but plan on getting back
case report of an abto our regular biannual scheddominal mass in a Cynoule. Once again, we have an
molgus Macaque. We
issue jam-packed with interestalso include a compreing information. Dr. Anoop
hensive listing of upKavirayani from The Jackson
coming veterinary paLaboratory contributed a very
thology related events,
nice article discussing mentorgeneral
announcements
of interest, and a
ing from the mentees perspective. We have
a nice biosketch detailing the duties of Dr. pictoral synopsis of the 2010 STP Annual
Symposium Student Outing. Please be sure
Stephanie Corn, a clinical pathologist for
to check our pages 11 and 12 for some
IDEXX Laboratories. An overview of the
groups of interest on Facebook, and
student ACVP chapter at The Ohio State
Hello and welcome to the February 2011 issue of PATHways.
We’re on the Web!
www.toxpath.org
www.acvp.org
Did you know the STP website
has an section dedicated solely
to students? You can find information about membership, student opportunities and the NIH
Loan Repayment Program.
The STP is interested in hearing from students about how the
student section of the website
could be improved.
Please check out the website
by going to:
http://www.toxpath.org and selecting “For Students”
Please send any comments to
Sue Pitsch at STP Headquarters ([email protected]) with
“Student Website Feedback” as
the subject.
Page 12 for important information
on awards that are available, as well
as information on how to find a
roomate, to help defray the cost of
attending the 2011 STP Annual
Symposium.
Have fun reading the newsletter, and
please don’t hesitate to let me know
if you can think of a way to improve
it, or if you have a contribution to
make. I would love to include student contributions in the future!
Your editor, Sarah Tannehill-Gregg
Inside this issue:
Mentoring: A Former Mentees Reflections
2-3
A Day in the Life Of…… Dr. Stephanie Corn
4
Focus on Our Future… The Ohio State University CVM Student ACVP Chapter
5-6
Case Report: The Case of the Mass-Laden
Macaque
7-10
Announcements and Contact Information
11
Additional Items of Interest
12
A Litte Humor...
13
Upcoming Events
14
Fun at the STP Meeting!
15
If you would like to receive an electronic copy of PATHways, please send your e-mail address to Sarah TannehillGregg
Volume 3 ,
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Mentoring: A former mentee’s reflections
Contributed by Dr. Anoop Kavirayani, The Jackson Laboratory, Bar Harbor, Maine
The teacher is the prior form, the taught is the poste- longer staples, but vital supplements. Instruction in
rior form, learning is the intermediate form and
Pathology as it happens becomes the staple.
knowledge is the connection. Thus one should mediMentees can make the most of “instruction in Patholtate upon knowledge. (The Upanishads)
ogy as it happens” by realizing that Pathologists vary
Mentoring can be thought of as an augmentation of
in their styles of practice and instruction. They will
the learning process that results in the enrichment of a
find great diversity in mentoring styles and outputs
mentee’s knowledge in that discipline or pursuit. The
and it is only natural that different styles and outputs
mentee and mentor are integral components of such a
will suit mentees of different aspirations and mindmentoring equation that consists of dynamic impartasets. As illustrated in the opening quote, the primary
tion and imbibition of skill sets necessary for success
focus should then be on the dynamic flow of knowlin professional practice.
edge and sustained enrichment of skill sets. ReIn more specific terms, the Oxford Dictionary of Hu- sources and logistics permitting, mentees should try
to develop mentoring relationships with multiple
man Resource Management (© Oxford University
mentors in different capacities. In addition to primary
Press, 2010) defines mentoring as “the process,
mentors, namely the Pathology faculty to whom the
whereby a senior employee takes an active role in
developing a junior colleague. Typically, this occurs mentees are assigned for the duration of the residency
at managerial level or amongst professions. The men- program, it would be productive to have secondary
and tertiary mentors.
tor provides advice on how the mentee can develop
his or her skills, competencies, knowledge, and experience in order to progress along a successful career path. As well as giving advice, the mentor might
also prove useful in providing contacts that help the
mentee to engage in the process of networking.”
This definition seems to readily apply to Pathology
training programs in which practicing Pathologists
and Pathology educators facilitate in various ways,
the favorable metamorphosis of students to Pathologists through the critical stage of residency.
With the above perspective, it seems appropriate to
reflect on the mentee side of the equation as applicable to Pathology mentoring. Once students transform
to residents, they typically become units of a smaller,
much more interconnected training group in which
timed lectures and tailored laboratory sessions are no
S
J
h
g
w a n , W y o m i n g
a m e s P . B l a i r
t t p : / / p h o t o g r a p h y . n a t i o n a l
e o g r a p h i c . c o m
Volume 3 ,
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Page 3
Mentoring: A former mentee’s reflections, Cont.
Secondary mentors would be visiting faculty or faculty at a collaborating institution with whom the mentees could interact periodically and primary mentors
could facilitate such interactions. When feasible,
mentees could also interact with tertiary mentors who
would be members of organizations such as the
American College of Veterinary Pathology, American Society of Investigative Pathology and Society of
Toxicologic Pathology. Such interactions would typically be remote (electronic / telephonic) and should
ensure that conflicts of interest are avoided. Annual
and regional meetings could serve as venues of periodic follow-up on tertiary mentoring interactions.
Through all these possibilities, mentees could prudently take it upon themselves to find the “intuitioninstruction equilibrium,” and assimilate and integrate
as much as they can of the various styles and skill
sets in line with their aspirations and long-term goals.
I’ll now conclude my reflections and suggestions as a
former mentee with the hope of transforming myself
into a mentor. With a final note of gratitude to those
who have mentored me in Pathology I wish all Pathology mentees-to-be the very best in finding productive “knowledge connections.”
C o r m o r a n t
J o s h E x e l l
h t t p : / /
p h o t o g r a p h y . n a t i o n a l
g e o g r a p h i c . c o m
“The capacity to
blunder slightly is the
real marvel of DNA.
Without this special
attribute, we would
still be anaerobic
bacteria and there
would be no music”
- Lewis Thomas
(American physician, author
of “The Lives of Cells: Notes
of a Biology Watcher”)
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A day in the Life of…...
Stephanie C. Corn, BS, DVM, Diplomate ACVP (Clinical Pathology)
Who is your current employer?

I am a clinical pathologist at IDEXX Laboratories,
Inc. in Worthington, OH.
Where did you do your training?
 1992 – 1996, BS, Zoology, The Ohio State University
 1996 – 2000, DVM, The Ohio State University
 2002 – 2005, Clinical Pathology Residency , The
Ohio State University
 2005 – Diplomate, American College of Veterinary
Pathologists

I do consults with Veterinarians about results
from cytology, hematology, or flow cytometry samples that I have evaluated as well as any other laboratory results that they need help interpreting.

Our laboratory shares the building with a small
animal specialty clinic (MedVet Medical and Cancer
Center for Pets), and I train surgery, internal medicine, and oncology residents in pathology.

I participate in tumor rounds with the specialists
from MedVet. I also attend clinical pathology semiWhat are some of your day-to-day duties?
nar with the clinical pathologists and clinical pathol I spend most of my time examining fine needle aspi- ogy residents at The Ohio State University.
rate slides from a variety of lesions. Most of these are
 I train a clinical pathology resident that is in a
skin or subcutaneous masses and peripheral lymph
dual program with IDEXX and The Ohio State
nodes, but I also see many ultrasound-guided aspirates
University.
of internal organs or masses. Most of the samples are
from dogs and cats, but I also get samples from horses,
What do you like most about veterinary paruminants, llamas/alpacas, exotics, and zoo animals.
thology? Making a diagnosis in a tough case. It’s
 I evaluate fluid samples from the abdominal, pleural,
very rewarding to be able to give the submitting Vetor pericardial space, as well as cerebrospinal fluid and
erinarian a specific diagnosis that can guide treatjoint fluid.
ment. My favorite cases are infectious diseases that
 I review abnormal blood smears flagged by technimimic neoplasia. It can be very hard to differentiate
cians that perform the initial evaluation of CBC slides in between these based on the clinical presentation
the lab. These patients may be diagnosed with leukemia, alone, and the treatment and prognosis are comblood parasites, or a specific etiology for their anemia
pletely different.
(e.g. Heinz body anemia).

I interpret results of immunophenotyping by flow
cytometry for dogs and cats with lymphocytosis in the
peripheral blood. This can help differentiate between
reactive lymphocytosis and lymphoid leukemia (chronic
or acute). Lymph node samples from dogs diagnosed
with lymphoma on cytology are also examined to differentiate between B-cell and T-cell lymphoma, which has
prognostic value.
Advice for students interested in veterinary pathology as a career?
Learn about as many species
as you can, and spend Vet
school learning how to be a
well-rounded Veterinarian.
You can wait to specialize
until your residency.
Stephanie and Kira
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Focus on our Future…. Showcasing our Veterinary Schools and Pathology
Programs
tion to pathologic diagnosis of disease. These informal meetings are an excellent forum for general discussions about the profession. Formal lunch lectures
are regular events, often hosted jointly with other
clubs with the intention of demonstrating the interContributed by Gabrielle Pastenkos
face of pathology and clinical medicine. Dr. Donald
H. Schlafer, from Cornell College of Medicine, recently visited as a lecturer, at an event co-sponsored
The Ohio State University College of Veterinary
by the Pathology and Theriogeneology clubs. Dr.
Medicine’s chapter of the ACVP was founded in
Schlafer gave an engaging lecture on placental abnor2000. The club has a small core of dedicated members and maintains contact with a large portion of the malities. The club is looking forward to a lecture by
student body through its listserv. Current officers are the College’s own Dr. Christopher Premanandan on
ruminant abortion, co-hosted by the Food Animal
Dillon Muth (President), Gabrielle Pastenkos (Vice
Club. Dr. Premanandan’s food animal pathology lecPresident) and Amy Gagat (Treasurer). Dr. Paul D.
Stromberg is faculty advisor, and Drs. Kristin Lewis tures are popular events.
and Sarah Chaney are the 2010-2011 resident mentors. The club does not charge dues for membership Our professors and residents take an active role in
and welcomes all students to its events. Our goal is
directing students with specific interests in clinical
that the majority of OSU veterinary students experi- and anatomic pathology towards shaping and achievence the interface of pathology and clinical medicine. ing their professional goals. A recent lecture featured
Most events are made possible by the generosity of
Dr. Krista La Perle ,Director of the Comparative Paour residents and professors, who freely share their
thology and Mouse Phenotyping Shared Resource,
time and expertise. Funds come from participation in discussing her professional history. Dr. Premanandan
monthly Hills food sales in addition to grants from
led several wetlabs that showed students how to sethe University.
lect tissues from the necropsy floor for slide prepara-
The Ohio State University College
of Veterinary Medicine: Student
Chapter of the ACVP
The OSU SCACVP strives to provide experiential
opportunities to students who are looking forward to
clinical practice as well as to those planning on a career in pathology. Weekly slide readings with our
residents keep pace with the first year histology curriculum, and club members run reviews before first
year exams. Members of the pre-veterinary club join
us for a wetlab where they get a hands-on introduc-
G o s s
L a b o r a t o r y
tion. Students chose tissues, cut samples, fixed them
and sent them for slide preparation, and participated
in a slide review.
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Focus on our Future…. Showcasing our Veterinary Schools and Pathology
Programs, Cont.
The club makes a yearly presentation at the College’s
open house program. The microscope lab is set up
with slide cases, gross photos are displayed on a projector screen, and club members make themselves
available to prospective students to answer questions
both about the pathology field and veterinary school
life in general.
The club’s members take active roles in College research. Over the past two years, three members have
participated in the College’s Summer Veterinary
Scholar Research Program (supported both by an
NIH T35 grant and the Morris Animal Foundation)
and attended the Merck-Merial NIH National Veterinary Scholars Symposium to present their research.
Dillon Muth’s project developed regulatory dendritic
cells with the pregnancy estrogen Estriol. Gabrielle
Pastenkos performed sequencing and phylogenetic
analysis of three major surface antigens of
Neorickettsia risticii. Bonnie Harrington’s project
differentiated biologically high grade mast cell tumors from their biologically low grade counterparts
based on molecular biology. Fourth year member
Lauren Mattei received the OSU CVM 2010 Advances in Veterinary Medicine day basic research
travel award for her poster, "Innate Immunity to Oral
Salmonella Infection in Absence of IL-17." Club
members attend the annual ACVP conference with
financial assistance from the ACVP. At this year’s
conference, Dillon Muth will be presenting a poster
titled, “Synovial Cell Sarcoma in a Marmoset”.
The club makes a yearly presentation at the College’s
open house program. The microscope lab is set up
with slide cases, gross photos are displayed on a projector screen, and club members make themselves
available to prospective students to answer questions
both about the pathology field and veterinary school
life in general.
The combination of outstanding pathology faculty, an
excellent resident training program, and strong student interest facilitates exposure to a wide variety of
practical pathology experiences for OSU students.
V e t e r i n a r y M e d i c a l
B u i l d i n g
R e s e a r c h
P o s t e r s
A c a d e m i c
o n
D i s p l a y
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Case Report
The case of the Mass-Laden Macaque
The presentation…………….
Signalment: 10 year old, female, naive, cynomolgus macaque (Macaca fascicularis).
History: On routine external examination, a mass was palpated in the caudal abdomen.
Examination of a fine needle aspirate from the mass was non-specific and contained
erythrocytes, hemosiderin-filled macrophages, and rare neutrophils. The animal was
euthanized and necropsied. Clinical pathology (hematology, coagulation, routine
clinical chemistry) identified a slightly decreased hematocrit (31%).
Necropsy: The urogenital tract and colon/rectum were consolidated into a mottled,
firm, irregular, approximately 4 x 4 x 5 cm mass that contained many blood filled cysts.
Gross appearance of endometriosis in a human. The rectum is adherent to the left uterosacral ligament and the
back of the cervix with endometriosis. (http://www.gynaecology.spotmysite.com/page/649/)
Special thanks to Dr. Gaurav Tyagi, Senior Principal Scientist, Roche Pharmaceuticals, for contributing this case.
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Case Report
The case of the mass-Laden Macaque
Subgross Appearance…………….
*
*
*
*
Uterus
5000µm
The perimetrial surface of the uterus was covered by variably
sized cystic masses (*). Some of the cysts were filled with extravasated erythrocytes.
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Case Report
The case of the mass-Laden Macaque
Microscopic Appearance…………….
200µm
At higher magnification, the wall of the cysts was composed of ectopic endometrial tissue with epithelium, glands, and stroma.
Histopathology: The outer surface of the uterus, ovary, broad ligament and colon
were distorted and covered by many small coalescing cystic masses. The cysts were
variably filled with erythrocytes, few neutrophils, macrophages and cellular debris and
were lined by a single layer of well-differentiated glandular epithelium, morphologically consistent with endometrium. This epithelial layer was supported by spindleshaped endometrial stromal cells which merged into the adjoining smooth muscle or
connective tissue. There were multiple interspersed areas of fibrosis expanded by
chronic inflammation containing macrophages (some of them containing hemosiderin),
lymphocytes and plasma cells.
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Case Report
The case of the mass-Laden Macaque
And the answer is…………….
Microscopic diagnosis: Chronic endometriosis with adhesions
Comments:
Endometriosis is the ectopic growth of endometrial tissue, outside the uterus
(Fanton et al., 1986). Endometriosis is a common disorder of sexually mature female macaques with a reported incidence of up to 30% in some colonies (Zondervan et al., 2004). Reported clinical signs in macaques with endometriosis are non-specific and include body weight loss, anorexia, constipation, decreased fertility and anemia. The masses in the abdominal and pelvic cavity can occasionally be palpated externally or by digital rectal examination. Grossly, endometriosis is often observed as mottled, tan, cystic
masses in the pelvic and abdominal cavity over the surface of uterus, urinary
bladder, distal colon and ovaries. Histologically, these masses are composed
of ectopic endometrial glands and stroma with hemorrhage. This ectopic endometrial tissue undergoes cyclical changes in response to estrogen and progesterone, however the endometriotic lesions have been reported to have defective hormonal regulation (Sternfeld et al., 1988)
Though an exact mechanism for the development of endometriosis is not
known, it has been proposed that retrograde menstruation through the fallopian tubes causes the spread of endometrial tissue to the pelvic and peritoneal cavity (metastatic theory). Another hypothesis is that ectopic endometrium arises directly from the mesothelium of pelvis or abdomen
(metaplastic theory). Risk factors for endometriosis reportedly include genetic predisposition, hysterectomy, whole body irradiation and exposure to
toxins (Cline et al., 2008, Zondervan et al., 2004). Endometriosis is an important clinical condition of women and can cause infertility, pelvic pain and
dysmenorrhea among other complications. Non human primates have been
used as a model to investigate human endometriosis.
References available on page 13.
Page 10
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References for Case Report
Check out the ACVP Student
Chapters group on Facebook!
Cline, J.M., Wood, C.E., Vidal, J.D., Tarara, R.P., Buse, E., Weinbauer, G.F., de Rijk, E. & van Esch, E. (2008). Selected Background Findings and Interpretation of Common Lesions in the Female Reproductive System in Macaques. Toxicol Pathol, 36, 142164.
Fanton, J.W., Hubbard, G.B. & Wood, D.H. (1986). Endometriosis:
clinical and pathologic findings in 70 rhesus monkeys. American
journal of veterinary research, 47, 1537-1541.
Sternfeld, M.D., West, N.B. & Brenner, R.M. (1988). Immunocytochemistry of the estrogen receptor in spontaneous endometriosis in
rhesus macaques. Fertility and sterility, 49, 342-348.
Zondervan, K.T., Weeks, D.E., Colman, R., Cardon, L.R., Hadfield,
R., Schleffler, J., Trainor, A.G., Coe, C.L., Kemnitz, J.W. & Kennedy, S.H. (2004). Familial aggregation of endometriosis in a large
pedigree of rhesus macaques. Human reproduction (Oxford, England), 19, 448-455.
A m e r i c a n C o l l e g e
V e t e r i n a r y
P a t h o l o g i s t s
o f
S o c i e t y o f
T o x i c o l o g i c
P a t h o l o g y
2810 Crossroads Drive
Suite 3800
Madison, Wisconsin 53718
1821 Michael Faraday Drive
Suite 300
Reston, VA 20190
Phone: 608-443-2466
Fax: 608-442-2474
Email: [email protected]
Phone: 703-438-7508
Fax: 703-438-3113
Email: [email protected]
http://www.facebook.com/#!/group.php?gid=1238795976443
10
This is a great site for student chapters to:

Exchange ideas about meeting topics

Get ideas for fundraising

Look for housing for externships

Find roommates for meetings
Newsletter Committee Members
Feel free to contact committee members with questions or for advice
ACVP Recruiting Committee
Student Chapter Subcommittee
Chair: Brett Saladino
([email protected])
Newsletter Group:
STP Career Outreach Committee
Student Interactions Subcommittee
Chair: Sarah Tannehill-Gregg
([email protected])
Newsletter Group:
Krista La Perle
([email protected])
Stephanie Corn*
Sarah Tannehill-Gregg*
([email protected])
Lyn Wancket
([email protected])
Amanda Fales-Williams
([email protected])
([email protected])
Chris Palgrave
([email protected])
Alok Sharma
([email protected])
Susan Van Tongeren
([email protected])
* Contributed to this newsletter
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Additional Items of Interest…...
STP Student Travel Awards
Student Travel Awards are available to Graduate Students for participation in the Annual Symposium of the Society of
Toxicologic Pathology. Each of the students who are chosen will receive a $1000 stipend to defray travel and lodging
costs associated with attending the convention, complimentary meeting registration, and complimentary student membership (for the following year). Recipients will be honored at an Awards Ceremony prior to the Annual Business
Meeting on Wednesday.
Submit an abstract on-line by April 1, 2011, (should be limited to 250 words) describing your original work involving
clinical or experimental research that relates to experimental or toxicologic pathology, at http://www.toxpath.org/
AM2011/awards.asp and please remember to fill out the Student Travel Award Flyer and Application.
Additionally at http://www.toxpath.org/AM2011/awards.asp, please check out the information on the Young Investigator Awards and the Charles Capen Travel Award.
More STP Fun!!
There will be a student outing to the Denver Museum of Nature & Science on Tuesday afternoon, June 21. This will be
a fun opportunity to meet fellow students and interact with mentors. This function has been the highlight of past meetings for many students. Details will be e-mailed to student registrants when available. See Page 15 for pictures of the
2010 Student Outing!
Need Some Help with Housing at the STP Meeting?
If you would like to save costs by sharing a room with another student at the 2011 Annual STP Meeting, please fill out
the PDF found at http://www.toxpath.org/AM2011/housing.asp and return it to headquarters via fax (703.438.3113) or
email by May 17, 2001 to the attention of Krystle Correll. Once we hear from other students, we will contact you with
possible roomate contact information.
Veterinary Pathology Residents on Facebook!!
Group description:
This group was created to foster communication between residents of both clinical and anatomic pathology programs.
Gross, histology and cytology pictures can be posted to show classic/interesting/unusual diseases, lesions or simply to
ask questions. This group can also be used to aid in board preparation and study, in which study materials can be
shared.
We will also institute a gross and/or histology/cytology picture of the month, and will accept submissions up to the 2nd
to last Monday of every month.
Please feel free to offer any comments or suggestions in order to make this group as beneficial for everyone possible.
Go to Veterinary Pathology Residents (VPR):
http://www.facebook.com/n/?
home.php&sk=group_187061557991078&mid=3b4cf56G6063b467G204860dG7a&bcode=5lrV4&n_m=amycd%
40vet.upenn.edu
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A Little Humor…...
OK, so this one’s a joke (at
least I hope so….), but I got a
good laugh out of it!
Pet Vet Barbie:
Just what I wore to the office
when I was in private practice
– the ultra-short miniskirt
and heels were so practical.
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Upcoming Events………………..
March 24-26, 2011 SAVMA Annual Symposium
University of California, Davis
June 19-23, 2011
30th Annual STP Symposium,
Toxicologic Pathology of the Immune System.
Davis, CA
http://savmasymposium2011.com
Hyatt Regency, Denver, CO
April 9-13, 2011
http://www,toxpath.org/
American Society of Investigative
Pathology (ASIP) Annual Meeting
Washington, D.C.
July 11-18, 2011
http://www,asip.org/
CL Davis Gross Pathology/General
Pathology Review Course
Sirata Beach Resort
April 13-16, 2011
St. Pete’s Beach, FL
CL Davis Workshop and Symposium
on Laboratory Animal Diseases
http://www,cldavis.org/
Chicago, IL
http://www,cldavis.org/
April 21, 2011
July 25-29, 2011
Industrial Toxicology and Pathology
CL Davis 28th Annual West Coast
Subdivision Meeting
University of Illinois
Asilomar Conference Grounds,
Champaign, IL
Pacific Grove, CA
http://www,vetmed.illinois.edu/ope/
itp
[email protected]
May 18-20, 2011
3rd Annual Clinical Pathology Workshop for Pathology Residents
August 11-12, 2011 Midwest Association of Veterinary
Pathologists Annual Meeting
Illinois Beach Resort and
VA-MD Regional CVM
Conference Center, Zion, IL
Virginia Tech Student Chapter ACVP
http://vetmed.illinois.edu/MAVP/
http://www.cpe.vt.edu/reg/cpaw/
May 23-27, 2011
CL Davis 2011 Descriptive
August 21-25, 2011 Canadian Council on Animal Care
Cornell University CVM
8th World Congress on Alternatives and Animal Use in the Life
Sciences
Ithaca, NY
Montreal, Canada
[email protected]
http://www,wc8.ccac.ca
Veterinary Pathology Course
June 5-11, 2011
9th Biennial Short Course on
Current Lab Animal Science
Seminar/Pathology of Lab Animals
Course
Sheraton Oceanfront Hotel
Virginia Beach, VA
http://www,cldavis.org/
h t t p : / / w w w . s c o t t k r o e ke r . c o m /
Sept 20-22, 2011
American College of Veterinary
Pathologists Certifying Exam
Ames, IA
2010 Society of Toxicologic Pathology Symposium
Chicago, IL
Student Outing
to the Shedd Aquarium
We hope to see you at the 2011 STP Symposium held
June 19-23 in Denver, CO. We will have a student outing
where you can spend the afternoon with STP members
acting as mentors– it’s fun and informational!
Special thanks to Krystle Correll for the beautiful pictures!