Ministry of Science, Innovation and Higher Education
Transcription
Ministry of Science, Innovation and Higher Education
FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN VETSCHOOL SCHOOL OF VETERINARY MEDICINE AND ANIMAL SCIENCE AVMA COE Accreditation 2015 Self-Study Report FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN List of Content - LIST OF ABBREVIATIONS - EXECUTIVE SUMMARY 1. ORGANIZATION ........................................................................................................................... 1 2. FINANCES ...................................................................................................................................... 5 3. PHYSICAL FACILITIES AND EQUIPMENT .............................................................................. 9 4. CLINICAL RESOURCES ............................................................................................................. 16 5. INFORMATION RESOURCES.................................................................................................... 20 6. STUDENTS ................................................................................................................................... 22 7. ADMISSION ................................................................................................................................. 28 8. FACULTY ..................................................................................................................................... 31 9. CURRICULUM ............................................................................................................................. 34 10. RESEARCH PROGRAMS .......................................................................................................... 40 11. OUTCOMES ASSESSMENT ..................................................................................................... 42 Report prepared for the AVMA site-visit April 26th-30th, 2015 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN LIST OF ABBREVIATIONS Absalon UCPH Learning Management System ANIHWA Animal Health and Welfare BSc Bachelor of Science CLAB Central Laboratory for Clinical Pathology CT Computed tomography CULIS Copenhagen University Library Service CVO Chief Veterinary Officer DOCS Direct observation of clinical skills DVM Doctor of Veterinary Medicine EAEVE European Association of Establishments for Veterinary Education ECEIM European College of Equine Internal Medicine ECTS European Credit and Transfer (and Accumulation) System ECVCP European College of Veterinary Clinical Pathology ECVS European College of Veterinary Surgery Eduroam Common pan-European university wireless network EFSA European Food Safety Agency EU European Union EVA Danish Evaluation Institute FTE Full-Time Equivalent HEALTH Faculty of Health and Medical Sciences ICU Intensive Care Unit IKVH Department of Veterinary Clinical and Animal Science IPH Department of Large Animal Sciences IVS Department of Veterinary Disease Biology KOT KUnet LA-TH MCQ MOOC MSc OHS OSCE POMR REX SCIENCE The National Coordinated Admission System Copenhagen University Intranet Large Animal Teaching Hospital Multiple-choice question Massive Online Open Courses Master of Science Occupational Health and Safety Objective Structured Clinical Examination Problem-oriented medical record CULIS library catalogue Faculty of Science SPECT SPS STADS SU Single-photon emission computed tomography Special Educational Support National Student Registration System Danish State Educational Grant and Loan Scheme SUND The Danish abbreviation for HEALTH UCPH University of Copenhagen UH-CA University Hospital for Companion Animals VETSCHOOL School of Veterinary Medicine and Animal Sciences VMF Danish Association of Veterinary Students FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN EXECUTIVE SUMMARY The overall mission of School of Veterinary Medicine and Animal Sciences (VETSCHOOL) at the Faculty of Health and Medical Sciences (SUND) is, based on research, to educate highly qualified veterinarians to serve society through the continuous improvement of animal and human health. These veterinarians have knowledge of basic animal science, disease biology, diagnosis, treatment and prevention of animal diseases and food safety. The specific objectives are: to provide students with the qualifications necessary for authorization as a veterinarian in Denmark to provide students with the necessary qualifications to diagnose and treat diseased animals, including animals with communicable diseases, to prevent diseases, to evaluate animal welfare, to undertake food inspection and professional functions within food safety, environmental protection, , and to undertake other professional functions where veterinary competencies are relevant to provide students with the necessary qualifications to independently maintain and develop their professional and scientific competencies through lifelong learning to provide students with the necessary qualifications to identify, describe and solve or handle complex veterinary problems to provide students with more comprehensive knowledge, skills and competencies within a given veterinary curriculum tracking to provide students with the necessary qualifications to meet the day-one competencies described by EAEVE and AVMA to provide the knowledge, skills, values, attitudes, aptitudes, and behaviors necessary to address responsibly the health and well-being of animals in the context of changing societal expectations to provide students with the necessary qualifications to pursue PhD studies 1. ORGANIZATION The University of Copenhagen is an independent institution under public-sector administration and is supervised by the Ministry of Science, Innovation and Higher Education (pursuant to the Danish University Act). Since 2012 The University of Copenhagen has six faculties (fig.1.3.1). In 2012 the area of Veterinary Medicine and Animal Science was separated from the former faculty of Life Sciences and was merged into faculty of Health and Medical Sciences as School of Veterinary Medicine and Animal Sciences. The School is afforded the same recognition, status, and autonomy as the other schools at the faculty and the new organization has strengthened the identity of the School. The chief executive officer or School director is a Veterinarian and also head of one of the departments and refers to the dean. All department heads, the two hospital directors and the head of studies are veterinarians. All department heads refer to the dean, in accordance with the Danish University Act. 2. FINANCES The financial resources available to the VETSCHOOL have overall been quite stable over the years. The VETSCHOOL has a high degree (approx. 60%) of basic funding from state appropriations, which provides a solid economic foundation for the school and the veterinary education program. Moreover, basic funding is to a high degree performance-based, so the VETSCHOOL has a possibility to increase revenues from state appropriations. In addition the school is permitted to carry-over any revenue surplus at the end of each year and is allowed to maintain its own reserves. Basic funding from the Danish Government to the Danish universities is however decreasing, and an increasing part of research is funded by research grants. Till now this situation has not impacted our VETSCHOOL negatively since we have been successful in reducing our expenses and increasing our income. A weakness is that the Teaching hospitals have large capacity costs and therefore are highly sensitive to decreasing funding, as capacity adjustment is difficult on short term. i FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN 3. PHYSICAL FACILITIES AND EQUIPMENT VETSCHOOL has excellent physical facilities including two new teaching hospitals of high standard. The number of large classrooms for around 200 students is limited and shared with the Faculty of Science, which sometimes is challenging the booking and planning. 4. CLINICAL RESOURCES Both hospitals are new, well maintained, well equipped and offer a unique, well-functioning learning environment for the students. Student participation in every aspect of the case management is considered a major resource and students are allocated to as much hands-on involvement as their level of competency and skills allow, always under the supervision of faculty and hospital staff. The Faculty‟s location in the metropolitan area surrounded by a rural environment provides both a large caseload of primary and referral cases for the University Hospital for Companion Animals, a large referral area for the University Hospital for Large Animals and easy access to production farms, e.g. dairy cattle, pigs and mink. Thus, students graduate with clinical competences in most areas of small and large animal practice. 5. INFORMATION RESOURCES Faculty and students at VETSCHOOL have full access to the SCIENCE Library. SCIENCE Library is part of Copenhagen University Library Service – CULIS. CULIS gives users access to more than 50 million fulltext journal articles, and > 0.5 mio. digital books, and to the collections of printed books and journals at the CULIS libraries. In order to equip the veterinary students with basic information retrieval skills, the library offers special workshops in information retrieval for veterinary bachelor students writing their theses. In addition students are offered support and training in literature search including specific guidance for master students within the student‟s own subject. 6. STUDENTS The veterinary curriculum is 5.5 years. Since 2005, the education has been split in a 3 years program (bachelor - BSc) and a subsequent 2.5 years MSc program leading to the DVM – degree. Prior to this it was one united program. In September 2009, a new curriculum was introduced. This has gradually taken over the 2005 curriculum. Hence, the first students that were enrolled at the new MSc-program in September 2012 shall graduate from the new curriculum in January 2015. In 2006 enrolment into the DVM program increased from 140 to 180 students per year, with the opening of the new Large Animal Teaching Hospital facilities at Taastrup Campus in 2008 and the new Companion Animal Hospital facilities at Frederiksberg Campus in 2009, which have been designed for a class size of 180 students. Students enrolled at the Faculty of Health and Medical Sciences can access information on a range of sources, including websites dedicated to: Student and Career Guidance, Student Services, International Guidance, Curricula, Exam Schedules. The HEALTH Faculty service department for Studies and Students, has the administrative responsibility for all major student related services at the faculty. 7. ADMISSION The majority of students (Quota 1; normally 90%) at Danish university educations is by law enrolled solely on the basis of their academic grade points from their university entrance exam. A minority (Quota 2; normally 10%) is enrolled on the basis of other competencies than pure academic achievements. Since 2008, the VETSCHOOL has had a ministerial exemption from the general admission rules, meaning that 50 % of applicants are enrolled through Quota 1 and 50% through Quota 2. This admission procedure ii FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN was implemented in order to enhance diversity of applicants and increase the awareness of rural veterinary practice, veterinary public health and biomedicine among bachelor veterinary students. At the BSc-program the yearly intake is 180 students; 90 students via Quota 1 and 90 students via Quota 2. The “Quota 2” enrolment procedure includes pre-university performance admission test, and a structured interview. The outcomes of the admission procedure are monitored each year with respect to the performance of Quota 1 vs. Quota 2 students (see Standard 11.2.c). In 2014, the Faculty of Health and Medical Sciences launched a 3 year project assessing the consequences of Quota 2 enrollment into the DVM, MD, Dentistry and Pharmacy programs. On the basis of cohort studies of Quota 1 and 2 applicants from 2005 to 2014, the aim is to propose new admission procedures to enhance diversity; lower attrition rates; and support better matching of students to education. The project includes parameters as applicants‟ academic grade and social background prior to admission; performance and personal well-being during study; and, carrier choice after graduation. The project is led by the Head of Veterinary Studies. Based on the project outcomes and recommendations, the VETSCHOOL may decide to alter the current enrollment procedures including the ratio of Quota 1 to 2 students. 8. FACULTY The Copenhagen VETSCHOOL has a highly qualified academic staff with sufficient expertise to deliver the curriculum. The number of PhD positions and PhD students has increased to a very high level and the number and the qualifications of support staff are high and sufficient to fulfil the mission of our school. A weakness is that the number of residencies is limited. Overall the vast majority of the faculty is veterinarians holding a PhD degree and a number of these are also board certified. The number of faculty is sufficient to instruct 180 new students every year. Each year, all employees at HEALTH participate in a structured performance and development review with their closest supervisor. The aim of the review is to focus on the results of the employee, goals related to teaching and research, general job satisfaction and wishes for professional development and continuing education. 9. CURRICULUM The curriculum has been developed in order to fulfill the school mission and the more specific objectives mentioned in the beginning. The curriculum thus comprises 5½ year, equivalent to 330 ECTS (credits; 60 ECTS per year). The student will obtain a solid foundation of veterinary and scientific knowledge and skills. This includes the understanding of basics of science and ability to understand, retrieve, handle and critically evaluate scientific data and literature, which is essential for supporting self-regulated learning after graduation. Having completed the veterinary MSc program, the student is by law eligible to the Danish Veterinary License, which is recognized by all European Union countries, and to pursue a PhD study. The 2009 curriculum has been further adjusted in 2010, 2012 and 2014 to accommodate the educational strategies of the VETSCHOOL and in response to outcomes assessment from several sources: the annual course and curriculum evaluations, outcomes assessment by alumni and employers, specific inquiries and suggestions from students and faculty to the Veterinary Study Board. All changes have been decided by the Veterinary Study Board, processed in accordance with the Quality Assurance system (see standard 11), approved by the VETSCHOOL and finally granted by the Dean. 10. RESEARCH PROGRAMS University of Copenhagen is a research intensive university. In 2014 the University of Copenhagen was ranked as number 45 on the Times Higher Education-QS ranking list. Additionally, the university collaborates with some of the top research universities in the world through the International Alliance for Research Universities. All faculty at the university are research active. The main focus of the research is in the area of basic and applied research relevant for animal and human health, food production, and iii FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN environment. Within the veterinary domain, there are many different research programs and projects. Generally, these benefit the students greatly in attracting good academic staff and creating a study environment with strong emphasis on research and innovation. 11. OUTCOMES ASSESSMENT In all courses, students‟ outcomes are assessed in relation to the intended learning outcomes of the course, either at a final course examination (i.e. all BSc-courses and most MSc-courses), during the course through theoretical and practical course assignments, portfolios and compulsory participation (i.e. courses with practical / clinical elements) or both (i.e. most MSc courses and clinical rotations). Furthermore the VETSCHOOL follows the educational quality control procedures laid down by HEALTH in order to ensure dynamic improvement of outcomes. The system can be summarized as follows: All courses are evaluated by students every year, and subsequently the course leader evaluates and categorizes the course in one of 3 categories (A, B, C) on the basis of students‟ outcomes, students‟ course and exam evaluations and teacher‟s inputs regarding course outcome. If students‟ and/or course outcomes calls for improvement, the course leader evaluation report must be accompanied with an action plan for improvement of the course. Course reports and possible action plans are forwarded to the respective Department Teaching Committees for approval. The Director of Studies gathers all information about course outcomes and summarizes the conclusions in a yearly Curriculum Status Report, which is discussed and approved by The Veterinary Study Board. The Board makes final decisions on improvements of the curriculum including major changes in individual courses. If major revisions of curriculum are planned, the revised curriculum is sent for consultation to the VETSCHOOL, i.e. School Board, Head of Departments and External Advisory Board, and Student Administration prior to final decision. The revised curriculum is forwarded to the Dean for final approval. iv FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN 1. ORGANIZATION 1.1 Provide a college mission statement for the undergraduate, DVM, or equivalent program The overall mission of School of Veterinary Medicine and Animal Sciences (VETSCHOOL) at the Faculty of Health and Medical Sciences (HEALTH) is, based on research, to educate highly qualified veterinarians to serve society through the continuous improvement of animal and human health. These veterinarians have knowledge of basic animal science, disease biology, diagnosis, treatment and prevention of animal diseases and food safety. The undergraduate education includes the commitment to provide instruction and clinical opportunities for students in a wide variety of domestic species including both companion and production animals as well as tracking opportunities in companion animals, equine clinic, herd health, biomedicine, One Health / veterinary public health. To ensure the outcome of the programs, a set of day-one profiles have been drawn up that list the academic competencies that DVM candidates must have. Additionally, the VETSCHOOL wishes to ensure a continuous provision of veterinary infrastructure of high international standards to fulfil our educational and research mission. 1.2 Identify the body that accredits the university and the current status of accreditation The veterinary program was evaluated by the Danish Evaluation Institute (EVA) in 1998 and at European level by the EAEVE in 1988, 2001, and 2010. Detailed information about the European Establishments for Veterinary Education and their Standard Accreditation Procedures (SOP) can be found at the website http://www.eaeve.org . The Danish licensing authority for veterinarians - viz. the Danish Veterinary and Food Administration under the Ministry of Food, Agriculture and Fisheries - has fully approved the Danish veterinary program. On 1 September 2007, the Danish Ministry of Science, Technology and Innovation established a new and independent accreditation body - the Danish Accreditation Institution. The institution will accredit the program in veterinary medicine at HEALTH in 2015. 1.3 Provide a flow chart indicating the position of the college of veterinary medicine in the university structure and show lines of authority and responsibility, and give the names and titles of principal university administrative officers related to the college The University of Copenhagen (UCPH) is an independent institution under public-sector administration and is supervised by the Ministry of Science, Innovation and Higher Education (pursuant to the Danish University Act). Further information on the university management can be found here. 1 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN Figure 1.3.: Diagram of the administrative organization showing the Faculty in relation to the University and ministerial structure Ministry of Science, Innovation and Higher Education University of Copenhagen Rector Ralf Hemmingsen, MD, DSc, Professor Vice Rector for education, Lykke Friis, PhD Vice Rector for research, Thomas Bjørnholm, MSc, Professor University Director Jørgen Honoré, MSc, BCom, MPA Faculty of Theology Dean Kirsten Busch Nielsen Faculty of Science Dean John Renner Hansen Faculty of Law Dean Jacob Graff Nielsen Dean Ulf Hedetoft Faculty of Humanities Faculty of Social Sciences Dean Troels Østergaard Sørensen Dean Ulla Wewer Faculty of Health and Medical Sciences 1.4 Provide a flow chart of the organizational design of the college listing names, titles (deans, associate/assistant deans, directors, department heads, etc.), academic credentials, and assignments of the college administrators. Figure 1.4 The Faculty of Health and Medical Sciences (HEALTH) primary administrative officers (Dean’s office/Executive Board): 2 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN Faculty of Health and Medical Sciences Dean Ulla Wewer, MD, Professor, DMSc Figure 1.4.1Vice-Dean : Faculty organisation/ Educational organization for Education Hans Henrik Saxild, LicSc, Docent Vice-Dean for Research Birthe Høgh, MD, Professor, DMSc Vice-Dean for external affairs Sven Frøkjær, MSc Pharm , Professor Director of Faculty Arnold Boon, PhD, MSc Anim. Sci. Faculty Service Faculty management Forum Director of Educations Bitta Nielsen School of Veterinary Medicine and Animal Science Academic Council School Director: Birgit Nørrung, DVM, PhD Educational Council Chair: School Director Faculty Collaboration Committee Other members: Chair of Veterinary Study Board, Heads of Veterinary Departments, Heads of Studies within the School, Chairs of the Educational Committees of departments and a student from each School education Faculty Research Committee Veterinary Study Board • Peter Holm (Chair), Head of Studies, Assoc. Prof., PhD, DVM • Charlotte R. Bjørnvad, Prof., PhD, DVM • Maria V Johansen, Prof., PhD, DVM • Stine Jacobsen, Prof., PhD, DVM • Christian F. Hansen, Assoc. Prof. PhD, MSc Anim. Science • Mette O. Nielsen, Prof., PhD, MSc Anim. Science • Bonnie E. Hoelstad (Vice Chair), Vet stud. • 3 other Vet stud. • 2 Anim. Science stud. Faculty Occupational Health and Safety Committee Dept. of Large Animal Science Head of Dept., Hans Henrik Dietz, Assoc. Prof., PhD, DVM Students Forum External VETSCHOOL Panel of Employer Representatives Dept. of Veterinary Clinical & Animal Science Head of Dept. Asger Lundorff Jensen, Prof., PhD, DVM, DrVetSci Chair Per Henriksen, DVM., PhD, Chief Veterinary Officer, Danish Veterinary and Food Administration (12 members from major private practises, companies and organisations employing DVM graduates) Veterinary Admission Committee • Chair of Veterinary Study Board • Charlotte R. Bjørnvad, Prof., PhD, DVM • Julie Fjeldborg, Assoc. Prof., PhD, DVM • Line E. Thomsen, Assoc. prof., PhD, MSc. Molecular Biology • Bonnie E. Hoelstad, Johannes Fogh, Vet. students Dept. of Veterinary Disease Biology Head of Dept. Birgit Nørrung, Assoc. Prof., PhD, DVM School of Medical Sciences External Panel of Employer Representatives School of Oral Health Sciences External Panel of Employer Representatives School of Pharmaceutical Sciences External Panel of Employer Representatives 3 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN School of Veterinary Medicine and Animal Sciences (VETSCHOOL) administrative officers: As of February 2015, the key persons in the management of the veterinary programs can be seen from the flow chart 1.4 above. In addition, the managers of the Veterinary hospitals are: Hospital Director, (IKVH), Companion Animals, Merete Holst Nissen, DVM Hospital Director (IPH), Large Animals, Susanne N. Olsen, DVM, PhD Director of School of Veterinary Medicine and Animal Science (VETSCHOOL): VETSCHOOL is managed by the Educational Council chaired by the School Director. The School Director, who must be a veterinarian, is appointed by the Dean for a three-year period, upon recommendation from the VETSCHOOL Educational Council. The Heads of Departments are veterinarians and refer (according to the Danish University law) to the Dean. The positions as heads of department are filled by a process of public advertisement and application, both from internal and external applicants. Normally, the positions are filled with limited tenure of five years with the possibility of a three-year extension once. Each department is composed of sections with a Head of Section for each (see Appendix 1-A for details). A comprehensive description of roles, relations and decision-making forums at the University of Copenhagen in general, and at the Faculty of Health and Medical Sciences in particular, can be found here. The Head of Studies is appointed by the Dean upon recommendation from the Board of Veterinary Studies Pursuant to the Danish University Act, the Head of Studies “is responsible, in cooperation with the board of studies, for the practical organization of teaching and tests and other forms of assessment forming part of the exam.” Within the Faculty, the Head of Studies is Chair of the Study Board, with responsibilities as outlined in Appendix 1-C. Involvement of the veterinary profession and general public in the running of the VETSCHOOL: The external “VETSCHOOL Advisory Panel of Employer Representatives” is set up in accordance with the Danish University Act with special focus on the educational area. The members represent areas in which graduates of the VETSCHOOL find work. Several members are veterinarians in leading positions, including the Danish CVO (chairman). Statements from the panel contribute to ensuring that the graduates‟ competencies correspond to the current demand on the labor market. 1.5 Describe the role of faculty, staff, and students in the governance of the college and list the major committees of the college, and their appointment authority As members of study boards and educational councils, the faculty and students actively participate in decisions impacting the development of the DVM program along with continuous course evaluations and the ongoing dialogue between faculty and students, all students have the opportunity to voice their opinions. See appendix 1-D for a detailed list of members of the respective committees described below. VETSCHOOL Educational Council consists of the School Director, the heads of the three veterinary departments, the chair of the Veterinary Study Board, the vice-chair of the Veterinary Study Board (always a student), the Heads of studies of the study programs within VETSCHOOL, student representatives from the major study programs and the chairs of the three veterinary departments‟ teaching committees. The VETSCHOOL Educational Council processes and coordinates educational issues related to the VETSCHOOL programs, taking into account strategic, educational and resource considerations. As chair of the Educational Council, the School Director is responsible for the overall strategic development of the VETSCHOOL programs. The main duties of the VETSCHOOL Educational Council appear from Appendix 1-B. The Veterinary Study Board comprises an equal number of representatives of the academic staff and students elected by and among the academic staff and students at the veterinary departments. The Veterinary 4 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN Study Board is responsible for the day-to-day organization and development of the DVM program and teaching activities. The main duties of the Veterinary Study Board appear from Appendix 1.C. The Academic Council is composed of the Dean (ex-officio chairman), academic staff, PhD students and BSc/MSc students. The Academic Council of the Faculty advises the Dean on the internal distribution of funds, central strategic research questions and educational issues. The Academic Council awards PhD and Doctor of Science degrees. Committees at the Department level (Department Advisory Board, Occupational Health and Safety Committee, Collaboration Committee). Each VETSCHOOL department has a Teaching Committee and an Occupational Health and Safety Committee with members elected among students and staff. In addition each department has a Collaboration Committee where staff members are elected and representatives from the department leader group participate. The two latter committees are chaired by the Department Head. 1.6 If the college plans to change its current organization, provide a summary of those plans. The present organisational plan with three Veterinary Departments was issued in 2012. An analysis of the economy related to hospital service, educational program and research programs organization has been initiated in the autumn 2014 and this analysis may or may not result in organizational changes. 2. FINANCES Overview The principal revenue of VETSCHOOL are: State appropriations (also called basic funding) Clinical revenue from clients of the teaching hospitals Research grants, including 100% of the overhead funding. The major grant sources are Danish research councils, European Union research programs, private foundations and the industry. Other revenues (e.g. diagnostic revenues) In Denmark, higher education is primarily funded by state appropriations (see Appendix 2 for more details on university funding in Denmark). The Danish government does not allow tuition fees in higher education for Danish and EU citizens. State appropriations are divided according to fixed allocation principles between the university level, the faculty level, and the school /departmental level depending upon the area for expenditures: The university level is responsible for all building costs (rent and maintenance) and the central university administration (including group finance, accounting, payroll, etc.) The faculty level is responsible for facility management and faculty shared services (including faculty finance, student administration, examination costs, it-services, etc.) The school/departmental level is responsible for all direct costs of education and research. In addition, the VETSCHOOL receives all clinical revenues, revenues from research grants (including 100% of the overhead funding) and other revenues. VETSCHOOL has autonomy in the management of positions. The hiring process of full professors and associated professors is completed after approval of the Dean‟s Office, whereas VETSCHOOL is responsible for all other hiring. VETSCHOOL has the ability to create new faculty and staff positions at will, subject to availability of funds. The annual budget process comprises both a top-down and a bottom-up process. In the top-down budget process, the Dean decides, after due discussion with the department heads, on a preliminary allocation of the 5 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN state appropriations to the schools/departments. The Dean ensures the funding balance between the four schools at the Faculty of Health and Medical Sciences. In the bottom-up budget process, the departments must budget all expected costs and revenues. The School Director oversees the budgeting of the costs of education. Finally, after a budget negotiation process, the Dean decides the final allocation of the state appropriations and approves the budget of the departments and schools. The departments and schools have to forecast their revenues and expenditures on a quarterly basis. The forecasts are subject to financial controlling of the faculty financial department. The VETSCHOOL is permitted to carry-over any revenue surplus at the end of each fiscal year, but is also responsible to absorb any budget deficits. 2.1. Complete Tables A and B for the past five years and analyze the trends for each category Tables A and B show all expenditures and revenues of the veterinary education programs, teaching hospitals and veterinary research activities, including a proportion of the faculty expenditures for shared services and facility management. However, the university expenditures for building costs (rent and maintenance) are not included in Table A and B. Figure A and B illustrate the 5 year trend. Table 2.A: Total expenditures for immediate 5 fiscal years – direct and indirect expenses (1,000 USD) Fiscal Year 2009 2010 2011 2012 2013 % change Instruction 27,920 28,568 30,033 27,183 29,324 5% Academic support 14,981 14,893 13,607 12,898 13,149 -12% Student Services 1,676 1,728 1,649 1,562 1,723 3% Services of Educational Activity Other Other TOTAL Teaching Diagnostic Unsponsored Sponsored Sponsored Sponsored Ext. & Public DIRECT Hospital Lab Amount Type Student Aid Student Aid Research Activity Services EXPENSES 6,145 212 1,461 pharmacy 0 0 9,785 2,125 75 64,381 5,534 196 1,427 pharmacy 0 0 11,103 2,018 100 65,568 5,423 145 698 pharmacy 0 0 11,689 813 48 64,105 6,198 447 34 diagnostic imaging 0 0 11,609 1,839 174 61,944 6,539 504 24 diagnostic imaging 0 0 11,505 277 196 63,241 6% 138% -98% 18% -87% 162% -2% Note: VETSCHOOL does not and is legally not allowed to provide any student aid, because tuition at Danish Universities is free, and support for students' living costs is awarded by the State Educational Grant and Loan Scheme (Danish acronym: SU). Table 2.B: Total revenues (sources of funds) from all sources for immediate 5 fiscal years (1,000 USD) Fiscal Year 2009 2010 2011 2012 2013 % change State Appropr 40,276 41,592 41,270 39,194 37,708 -6% Is tuition estimated amount? Tuition & Fees Benefits 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Sponsored Endowment Program Income Gifts for Income/Cost (current yr) Current Use recovery 0 0 14,668 0 0 16,625 0 0 16,231 0 0 16,915 0 0 15,402 5% Other 4,112 4,546 3,345 5,385 7,152 74% Sales and Services Other sources Teaching Diagnostic from sales & Hospital Lab services 2,743 174 1,721 2,600 209 1,387 3,113 258 929 3,264 500 787 3,671 520 164 34% 200% -90% Reserves and Transfers 0 0 0 0 0 TOTAL REVENUE 63,693 66,960 65,145 66,045 64,618 1% Note: Tuition at Danish Universities is free, i.e. universities are not allowed to charge tuition fees. Endowment income and gift are very rare at Danish universities. Figure 2.A. Total Expenditures Figure 2.B. Total Revenues Instruction, Academic and Student Support – Expenditures in this category are directly related to the FTE account at VETSCHOOL. For 2009-2013 VETSCHOOL has increased its faculty FTE involved in the education programs, but has slightly reduced the number of support FTE. Expenditures in student services have increased as the University of Copenhagen wishes to improve student services and the study environment at the university. 6 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN Services of educational activity expenditures – Expenditures in VETSCHOOL‟s teaching hospitals have increased with 6% over the period, related to an increase in the activities at the teaching hospitals. At the same time, the teaching hospitals continuously strive to optimize hospital procedures in order to cut expenditures. In the period, VETSCHOOL has invested in increasing its diagnostic lab activities. Sponsored research and other sponsored activities – The VETSCHOOL has increased its sponsored research activities in the period in accordance with the strategy of the University of Copenhagen to increase the sponsored research activities in order to strengthen the education programs of the university and to increase the contribution of the university to innovation and economic growth in the society in general. Extension and public services – Expenditures in this category have increased in the period, but VETSCHOOL only has a low level of activities in this category, mainly related to continuing education. State appropriations have decreased in the period due to several factors: The Ministry of Higher Education and Research reallocates each year 2% of the basic funding for education and research to a „restructuring fund‟, which is redistributed to the universities based on performance measures (see also Appendix 2). The Ministry of Higher Education and Research has decreased the state appropriations to universities, but increased overhead funding on grants from the Danish Research Councils. The University of Copenhagen has made considerable investments in the renewal and maintenance of the university buildings, which means that the university has allocated an increasing share of the state appropriations to finance the increasing building costs. Sponsored and Other Program revenues have increased, mainly due to the increased overhead funding from the Danish Research Councils. The decrease in Sponsored Program revenues from 2012 to 2013, and similar decrease in expenditures, is due to the closure of a research centre (Danish Bilharziosis Laboratory) at The Department of Veterinary Disease Biology. Sales and service revenues from clients of the CA teaching hospital and the diagnostic laboratory have increased due to an increase in the number of clients and to an increase in the price of the services. In 20102011, however, revenues stagnated and the similar expenditures decreased when the SA teaching hospital was rebuilt. As a consequence, the activities at the Diagnostic Lab were reduced accordingly. In 2012 and 2013, both revenues and expenditures for those activities have soared again. The revenues from other sources and the similar expenditures have decreased significantly due to the closure (outsourcing) of the pharmacy in 2011. Furthermore, the Animal Research Unit at the Department of Veterinary Disease Biology merged in 2012 with the Animal Research Facilities of the Faculty of Health and Medical Sciences and hence, these revenues and expenditures are from 2012 no longer part of VETSCHOOL. 2.2. Comment on the strengths and weaknesses in revenues over the past five years The VETSCHOOL has a high degree (approx. 60%) of basic funding from state appropriations, which provides a solid economic foundation for the school and the veterinary education program. Moreover, basic funding is to a high degree performance-based (see also Appendix 2), so the VETSCHOOL has a possibility to increase revenues from state appropriations. Also, the University of Copenhagen as well as the Faculty of Health and Medical Sciences has a high degree of transparency in the allocation of state appropriations, based on well-defined allocation principles. On the other hand, basic funding for education and research is decreasing, mainly due to the university investment plan for the renewal and maintenance of the university buildings. Furthermore, direct basic funding for research from Ministry of Higher Education and Research is decreasing, whereas grant-based funding for research from the Danish Research Council is increasing. Although the university investment plan implies a slightly lower share of basic funding for education and research, VETSCHOOL benefits from the investment plans through a modern infrastructure for its education programs and research activities. 7 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN The teaching hospitals of the VETSCHOOL are partly financed by state appropriations and partly by the clinical revenues. The teaching hospitals have a high level of fixed costs that are difficult to adjust on a short term. Thus, a decrease in state appropriations requires either an increase in clinical revenues and/or cost reductions. Both initiatives require a long-term strategy for the teaching hospitals in order to maintain a sustainable economic foundation for the teaching hospitals and the VETSCHOOL. The VETSCHOOL is permitted to carry-over any revenue surplus at the end of each year and is allowed to maintain its own reserves. This is a considerable advantage and allows for a long-term financial strategy and saving funds for investments. Reserves can be used to balance the annual expenditures over years and allow for gradual adjustments in revenues expenditures of the school, rather than trying spending the annual revenues just to prevent its loss. In addition, the VETSCHOOL can, if necessary, adjust expenditure structures over time, rather than having to implement radical cost cutting programs. 2.3. Provide a comprehensive trend analysis of revenue sources that have supported the professional teaching program over the past five years Revenue sources, presented in the table below, have been grouped together for review and comparison. Each group represents a percentage of the total revenue. Figure B above also illustrates the 5-year trend of the revenue sources. As mentioned before, state appropriations are decreasing and an increasing share of the total revenue originates from sponsored programs. Revenues from sales and services have more or less remained on the same level. Consequently, the VETSCHOOL has been able to maintain stable revenue sources over the period. Table 2.C: Revenues by group as percentage of Total Fiscal Year 2009 2010 2011 2012 2013 State Appropr 63.2% 62.1% 63.4% 59.3% 58.4% Sales & services 7.3% 6.3% 6.6% 6.9% 6.7% Sponsored Programs 29.5% 31.6% 30.0% 33.8% 34.9% Total Revenue (1,000 USD) 63,693 66,960 65,145 66,045 64,618 2.4. Describe how revenues over the past five years have impacted the college's ability to provide a contemporary professional teaching program and ancillary support services The high although slightly decreasing percentage of revenues from state appropriations means that the VETSCHOOL has solid funding to maintain and develop high quality in its teaching programs for veterinary students. The VETSCHOOL also has good opportunities to increase its revenues from sales and services as well as from sponsored programs in order to increase its revenues, which will further benefit the educational programs. 2.5. Compare the percentage of hospital income to total hospital operational costs The University Hospital for Companion Animals (UH-CA) income provides approximately 50% of the total operational costs for the teaching hospital. The Large Animal Teaching Hospital (LA-TH) income provides approximately 30% of the operational costs. 2.6. Describe anticipated trends in future revenues and expenditures It is anticipated that the aforementioned trends will continue in the coming years. State appropriations will decrease further, but will still be the main revenue source of the VETSCHOOL. Therefore, the VETSCHOOL is investigating the possibilities to further increase revenues from sales and services by increasing the number of patients at the teaching hospitals, by increasing the number of commercial activities in addition to and with respect for the education activities at the teaching hospitals and by increasing the 8 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN prices for the services at the teaching hospitals. Furthermore, the VETSCHOOL has to increase revenues from sponsored programs and may now have a competitive advantage with grant applications when collaborating with the other schools at the Faculty of Health and Medical Sciences in interdisciplinary projects on subjects such as One Health or antibiotic resistance. 3. PHYSICAL FACILITIES AND EQUIPMENT 3.1 Provide a brief description of the major functions of, or activities that take place in the facilities used by the college in fulfilling its mission VETSCHOOL is located at 290 hectares (716 acres): 17 hectares (42 acres) at Frederiksberg Campus, 220 (543 acres) at Taastrup Campus (20 kilometres or 12 miles west of Copenhagen). VETSCHOOL is comprised of three departments and their main functions and facilities are described below: Department of Veterinary Clinical and Animal Sciences (Institut for Klinisk Veterinær og Husdyrvidenskab- IKVH) is located in a building complex in the north western part of the old Frederiksberg Campus area (see appendix 3.A). The building complex contains the University Hospital for Companion Animals (UH-CA), the Central Laboratory for Clinical Pathology (CLAB), Diagnostic Imaging, Clinical Pathology Lab, Histology, Dissection hall, lecture rooms, laboratories and departmental offices. Veterinary services for companion animals, teaching, and research, services within basic and applied animal and veterinary sciences and biotechnology and administration are the main functions of the building complex. The Department of Large Animal Sciences (Institut for Produktionsdyr og Heste - IPH) is located partly in a new building complex at Taastrup Campus (see appendix 3-B and 3-C), partly at Frederiksberg Campus. The Taastrup buildings contain the Large Animal Teaching Hospital (LA-TH) (Equine Hospital, Teaching Unit, Mobile Practice), teaching and research facilities for Large Animal Medicine and Surgery, and Veterinary Reproduction and Obstetrics, and departmental offices. The main part of research and teaching within Ethology, Epidemiology, Bioethics, One Health, Production Animal diseases, and Animal Husbandry is situated at Frederiksberg Campus. The Department of Veterinary Disease Biology (Institut for Veterinær Sygdomsbiologi - IVS) is located in a building complex in the north eastern part of the Frederiksberg Campus area (see appendix 3A). The building complex contains pathology teaching theatres, microbiology laboratories, laboratory animal units, lecture rooms and departmental offices. The main functions of the Department are research and teaching within veterinary pathobiology, biomedicine and food hygiene and safety. 3.2 Provide an area map that indicates the principal facilities of the college and describe distance and travel time to off-campus facilities The distance between Frederiksberg Campus and Taastrup Campus is approximately 20 kilometres (12 miles). HEALTH provides shuttle buses for students and staff (primarily affiliated with the Large Animal Teaching Hospital) three times daily. Travel time is approximately 40 minutes. For students participating in the clinical rotation using slaughterhouse facilities in Aalborg HEALTH provides transport and housing. Busses are provided by HEALTH for herd visits during clinical rotations. See appendix 3-A and 3-B and the marked hyperlinks for area maps of Frederiksberg Campus and Taastrup Campus. 9 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN 3.3 Describe the college’s safety plan and facilities management plan including mechanisms documenting compliance The Faculty as well as the Departments comply with the strict safety measures and regulations required by Danish legislation. All of UCPH is overseen by the mandatory Occupational Health and Safety (OHS) organization, with each area being overseen by a local OHS group consisting of a staff representative and a management representative. The local OHS groups provide local knowledge and ensure that the safety is locally anchored. OHS processes are anchored in line management and each Department has an OHS committee consisting of members of the Departmental OHS groups and 1-2 student representatives. The committee deals with working environment and safety problems and investigates injuries at work and near-misses with the aim of prevention. All injuries at work must be reported to the University's Central OHS office. Faculty and University OHS Committees are chaired by the Dean and University Director respectively. At the Faculty and University level, there is a professional OHS section which supports the Departments' OHS processes, provide strategic OHS input and the ongoing, systematic work being done on occupational health and safety. The Faculty's OHS section has a professional Faculty Biosafety Officer with special expertise in biosafety. Students are formally not covered by the Danish OHS legislation, but VETSCHOOL students are considered and included in all OHS plans and regulations at HEALTH. Regular, systematic OHS processes - tools and methods: The University has organized its systematic OHS processes in accordance with OHSAS 18001 recommendations. Workplace risk assessments: A University-wide triennial risk assessment process is carried out, with all staff receiving a questionnaire focusing on their mental and physical working environments. A smaller UCPH wellbeing survey is run in the two intervening years. Faculty and Departmental level OHS action plans are drawn up on the basis of these risk assessments. The three Departments have recently drawn up action plans regarding biosafety information for students, GMOs, chemicals, fire and evacuation, first aid, ergonomics, pregnancy, indoor climate and stress The Faculty's ten strategic actions have focused on: Stress, employee performance appraisals, communication, evacuation, cleaning, pregnancy, chemicals, indoor climate, ergonomics and laboratory animals. Audits: Every second year, the University OHS section does a health and safety audit on all Departments. Detailed audit reports with recommendations are drawn up for each Department in addition to a general University-level summary. Annual OHS discussions: All University, Faculty and Departmental OHS committees carry out strategic occupational health and safety reviews every year. OHS discussions are mandatory and include the following four points: 1. OHS organisation - scope 2. OHS organisation - competencies (need for training) 3. Status of identified action areas 4. Action areas for the coming year OHS Checks: Departmental OHS groups carry out health and safety checks every year, with all locations being visited and assessed on the basis of a predetermined UCPH schedule. OHS Week: Every year, the Faculty has a health and safety week, with the overall focus being on the working environment and safety. Risk Assessments: There is a legal requirement for biological and chemical risk assessments to be carried out before work using biological agents and chemicals is started. The Faculty constantly works to improve the risk assessment process. 10 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN Chemical Safety Sheets: Danish universities have a shared database of chemical safety data sheets – “Kemibrug”. Safety data sheets are available in Danish and English. “Kemibrug” is also used as the system for registering departmental chemical stocks. Biosafety: The use of BSL2 organisms must be reported to the Danish Working Environment Authority. Danish legislation also requires any work with GMO BSL1 and transgender animals to be reported. Evacuation: UCPH has an overall evacuation concept and the Departments carry out annual evacuation drills. 3.4 Describe the adequacy (pertains to all facilities used by the college whether on-campus or off-campus) 3.4.a Classroom, laboratories and other instructional environments and related equipment The excellent campus facilities sufficiently meet the needs that a class size of 180 students presents. Department of Veterinary Clinical and Animal Sciences (IKVH) facilities include: The microscopy clinical pathology laboratory can accommodate 45 students with a digital camera equipped microscope and laptop computer for each student. Instructors can interact electronically with individual students or more students and the students can interact electronically with the instructor as well as with other students. Skills/surgery laboratory: The UH-CA has a combined surgical skills/ surgery laboratory that can accommodate 36 students. Teaching laboratory: The teaching hospital is equipped with a student laboratory in which students can examine skin scrapings, cytologies, bloodsmears, fecal and urine samples as well as perform standard blood analyses. Teaching rooms: The UH-CA has a large auditorium that can accommodate 94 students as well as 4 other auditoriums, two of which also function as clinical rounds rooms, capable of accommodating 2545 students each. In addition to this, the UH-CA is equipped with three “flex” rooms that function both as rounds rooms for the specialty services, as well as work rooms for students participating in specialty service rotations. A histology hall fully equipped for 180 students including teacher controlled A/V-equipment A dissection hall with adjacent small rooms for discussion of dissected preparations A dedicated building for preparation of dissection material and for topographical anatomical practices (Anubis). These facilities are equipped with an audio-visual teaching system. The Department also provides two wet-laboratories and one dry laboratory with capacity for 20 – 30 students. At the Taastrup campus, the department houses a fur animal facility for educational and demonstration purposes. The Department of Veterinary Disease Biology (IVS) has two teaching laboratories, a pathology teaching theatre for all animal species, and teaching rooms for experimental animal science. These are briefly described below. Teaching laboratories: The two main teaching laboratories are located in building 1-20. They can each accommodate 60 students in laboratory-based exercises. They are equipped with 20 teaching light microscopes each in addition to a number of loop microscopes and a few specially equipped microscopes (dark field microscopy and the like). The laboratories are built to allow students to handle infectious agents (class two safety level) and genetically manipulated microorganisms (class one). Complete sets of molecular biology equipment (centrifuges, pipettes, electrophoresis equipment) are available for teaching. The laboratories are used for training students in practical bacteriology, clinical pathology, immunology, parasitology and virology. In addition to the two large teaching laboratories, two smaller laboratories exist in building 1-05 (parasitology) and 1-35 (bacteriology) for up to 20 or 24 students, respectively. The latter is also used for infectious substances and for students handling genetically modified organisms (class 1). It is primarily used for post-graduate courses and smaller courses for other degree programs. For teaching laboratory animal science and biomedicine, teaching facilities for up to 45 students are located at Dyrlægevej 43. 11 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN Main pathology teaching theatre: This facility is housed in a building from 2001, which contains two state-of-the-art necropsy rooms and a laboratory for histology. Next to and included in the largest necropsy room is an auditorium with 120 seats, from which the room can be overlooked. Both necropsy rooms are well equipped for simultaneous necropsy of 2-3 large animals (e.g. horses and cattle) and 2-4 small animals (e.g. dogs and cats). In connection to the necropsy facilities there are two cold-rooms, rooms for taking pictures, modern locker room facilities for students and support rooms. The laboratory for histology includes equipment appropriate for conventional and fluorescence microscopy, processing of cryostate sections, and research histology/immunohistochemistry. This is, however, not used for basic training of students in histopathology. In addition to this there is a video-link from the teaching theatre to the large animal hospital in Taastrup, making it possible for students and faculty in Taastrup to communicate with pathologists and to follow the necropsy of animals at the Frederiksberg Campus. The Department of Large Animal Sciences (IPH) has teaching facilities at both campuses comprising a total of two large teaching laboratories, six teaching rooms for theoretical teaching and one larger auditorium, where direct transmission from the pathology theatre at Frederiksberg is shown on large plasma screens. Teaching laboratories: The Department has teaching laboratories at both Frederiksberg and Taastrup Campus. At Taastrup one teaching laboratory with 12 workstations, each equipped with standard laboratory equipment for haematology, fecal analysis and cytology, including microscope and access to in-lab broadband transmission screens. The other teaching lab used by Reproduction, is situated at Frederiksberg. It can accommodate 18 students in laboratory-based semen exercises. It is equipped with 8 bright field microscopes with phase contrast and heating plates and one similar teaching microscope for four students connected to a monitor. The laboratory is used for teaching basic semen studies and has all the necessary equipment for this purpose. Rooms for clinical teaching: At the Teaching Unit at Taastrup, three specially designed teaching rooms are available. One big multipurpose room for different clinical teaching situations: four moveable stocks are available (gynaecology in mares), facilities for inhalation anaesthesia of up to eight pigs at a time. Two other rooms at LA-TH are equipped with safety equipment for handling large animals and are used for teaching general clinical examination, embryotomy, and one room is used as a skills lab. Teaching rooms: At Taastrup Campus, three rooms fully equipped with beamer, PC, etc and with the possibility of accommodating approx. 40 students are available. A large auditorium with 85 seats is also available. This room is fully equipped with all A/V facilities and also houses the two screens used for direct transmission from the pathology theatre at Frederiksberg. At Frederiksberg, three additional rooms are available for teaching (for approx 12, 20 and 40 students) in close proximity to the staff offices. Each is fully equipped with video projector etc. 3.4.b Teaching hospital(s), pharmacy, diagnostic imaging, diagnostic support services, isolation facilities, intensive/critical care, necropsy, and related equipment The University Hospital for Companion Animals (UH-CA) can provide class sizes of 180 students with an enhanced learning experience and adequately supports the needs of both the core and tracking programs. The UH-CA includes a large reception area with an information shop. There are ten clinical examination rooms for community practice and ten examination rooms for the specialty services (internal medicine, soft tissue surgery, and orthopaedic surgery), as well as a hospital treatment room area (ten tables). Furthermore, there are dedicated rooms for cardiology (3D ultrasound, color doppler and ECG), oncology (chemotherapy treatment), neurology, and ophthalmology (darkroom). The UH-CA has an intensive care unit (ICU) located in the centre of the hospital in proximity to a fully equipped student laboratory containing emergency/cage side laboratory equipment. For surgical procedures, the UH-CA accommodates a preparation room in connection with five fully-equipped separate surgical theatres, and there is an additional room specially equipped for dentistry (including digital dental X-ray), as well as a dedicated room for the hospital‟s bloodbanking unit and endoscopy. The UH-CA also has a physiotherapy service equipped with a water treadmill as well as an exercise treadmill that can accommodate a wide range of patient needs. There are six normal wards for hospitalised dogs and two smaller wards for hospitalised cats. Additionally, there is an isolation ward separate from the other wards and contains a dedicated changing room as well as its own examination room. An additional isolation ward is expected to be completed in the beginning of 2016. The 12 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN ward will have a dedicated entrance isolated from the regular reception area so that patients suspected of infectious disease will not come into contact with other areas of the hospital. The UH-CA also contains a cold storage room for cadavers that are utilised for teaching purposes or saved for necropsy. The diagnostic imaging unit is integrated within the UH-CA and includes digital radiography, C- arm fluoroscopy, advanced ultrasound, CT, MRI, SPECT scanning, Dexa scanning. There is a dedicated PACS and viewing stations are located throughout the diagnostic imaging service area. Images can also be retrieved on screens in the teaching hospitals. Three ultrasound units are available for instruction in ultrasonography. The diagnostic imaging unit also provides iodine-131 treatment of feline hyperthyroidism – with purpose equipped facilities for housing. The Central Laboratory for Clinical Pathology (CLAB) is located in the same building complex as the UH-CA. The CLAB is a fully equipped state-of-the-art ECVCP-approved clinical pathology research laboratory. Apart from equipment for routine bloodwork, the laboratory performs advanced diagnostic analyses of hemostatic and inflammatory disorders, flow cytometry, and advanced endocrinological assays. The CLAB will move into a newly renovated and larger location at the northern end of the UH-CA complex in the beginning of 2016. There is no on-campus pharmacy. Contractual agreements exist with Trekroner Pharmacy and Glostrup Pharmacy, two privately owned pharmacies, to meet the needs of each of the teaching hospitals. However, all drugs at both locations are dispensed and prescribed by veterinarians as required by Danish law. Additionally, narcotics and controlled substances are kept in a narcotic vault. All dispensations including waste are logged. Certified technicians are responsible for filing, auditing and monitoring any discrepancies. Pharmaceutical product shelf life is monitored and out-dated products are removed from the inventory. All chemicals and pharmaceutical products are stored, labelled, dispensed or disposed of according to Danish law. The Large Animal Teaching Hospital (LA-TH) is designed to provide classes of 180 students with stateof-the-art clinical facilities. The Equine Hospital includes 6 examination rooms, all fully equipped with stocks, each room designated for a primary function (emergency examination, x-ray, scanning, endoscopic examination and reproduction), two operation theatres offering advanced anaesthesia monitoring and each theatre having two recovery rooms, ICU for approx. 15 horses, capability for handling horses in slings, distribution pharmacy, an emergency/after-hours laboratory (acid/base equipment and standard clinical chemistry), etc. An annex to the equine hospital contains stable facilities for an additional 31 horses, available in four sections as well as a room for treadmill examination and a well-equipped smithy. The diagnostic imaging unit includes digital radiography, C-arm fluoroscopy, advanced ultrasound,and scintigraphy. LA-TH is supported by Imaging at UH-CA and shares the PACS. Images can be retrieved on screens throughout the teaching hospitals. An improved and enlarged Isolation-unit is planned for 2015. The Teaching Unit houses animals owned by LA-TH for teaching purposes (the use is subject to the Danish law regarding research animals) and ruminant patients. It provides space for a herd of 10 horses and 16 cows and calves, but has multifunction as the stalls are used according to the present need for teaching. Yearly LA-TH buys approx. 75 cattle and 150 pigs. Additionally 70 calves are bought for fetotomy, but these calves never enter the stable. The mobile practice is situated in a building with no other animals. Rooms for morning rounds, offices, garage for two cars (each with seating for five students) and storage rooms are provided. A cold storage room for cadavers (necropsies at Frederiksberg) are available at LA-TH. Outdoor area: Paddocks, lounging areas and a roofed trotting up area is available adjacent to the buildings in Taastrup. 3.4.c Facilities for maintenance of teaching and research animals The Department of Veterinary Clinical and Animal Sciences has large outdoor enclosures as well as wards for the maintenance and housing of dogs and cats used for teaching purposes. Dogs and cats for 13 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN teaching purposes are owned by private owners/staff/breeders, who bring them in on the days when the instructional course requires them. At Taastrup Campus HEALTH‟s Department of Experimental Medicine (AEM) has stables that are used for the maintenance of research animals. Additionally, the Department of Veterinary Clinical and Animal Sciences runs a fur farm at the Taastrup Campus. The facilities of the Department of Large Animal Sciences for teaching animals at the LA-TH have been described in 3.4.b. In addition to traditional teaching, the department has access to comprehensive health and production data from Danish pig farms and cattle facilities which are used in both teaching and research. 3.4.d Research facilities and equipment The Department of Veterinary Clinical and Animal Sciences (IKVH) In addition to digital radiography and fluoroscopy, the imaging section is equipped with CT, MRI, DEXA, SPECT scanning, scintigraphy, and ultrasound. The surgery section is fully equipped to perform minimally invasive surgery and the cardiology section has an advanced echocardiography unit. The Central laboratory (CLAB) is fully equipped with state of the art equipment to carry out research in biomarkers of inflammation and hemostasis, as well as endocrinology. CLAB also houses and maintains a biobank. The department has 38 up-to date equipped research laboratories for molecular genetics; nutrition; bioinformatics; and cell biology research. Additionally, the department has facilities for indirect calorimetry, transmission electron microscopy, and electrophysiological and bioimaging research of live cells. At the Department of Large Animal Sciences (IPH) the research laboratories (approximately 75 sqm) are equipped for protein research with new ELISA equipment, electrophoresis units, as well as blotting equipment. Moreover, facilities necessary for short and long-term cell culturing are available (flow bench, incubators, and sterile facilities). Recently, equipment for quantitative PCR analysis was purchased. The teaching laboratory in Taastrup is also used for research purposes (cytology and parasitology). All routine and research equipment is covered by a yearly quality assurance schedule. Students working on their MSc thesis and PhD students have access to the research facilities. One full time technician is permanently allocated to this task; more technicians are enrolled on a non-permanent basis according to the funding situation. At Frederiksberg Campus, the research laboratories for Veterinary Reproduction and Obstetrics consist of two sections separated with an air lock between the sterile and the non-sterile areas. All laboratories are modern and equipped with up-to-date apparatus, including a micromanipulator. These laboratories have recently been modernised and classified by the Danish authorities to carry out GMO-class 1 research. A laboratory for histology, immunhistochemistry and in situ hybridisation is under construction. The equipment from LA-TH is for a large part used for research projects. Furthermore, the Department of Large Animal Sciences has video equipment for recording of animal behaviour and equipment for continuous monitoring of heart rate. The Department of Veterinary Disease Biology (IVS) has around 80 equipped research laboratories for molecular bacteriology, virology, parasitology, immunology, general and veterinary pathology, pharmacology and toxicology. Furthermore, the department has experimental animal facilities specialized in experiments at large animals, modern research facilities for necropsy of small and large animals. 3.4.e administrative and faculty offices The IKVH has 122 offices that provide a total of 67 desks/workstations for faculty, staff, and PhD students. In addition it has 33 service rooms. IVS has 126 offices that provide a total of 160 desks/workstations for faculty and PhD-students. IPH has 106 offices for faculty and PhD students. Further, the Faculty Administration at HEALTH holds numerous offices, with staff members dedicated to the administration of VETSCHOOL. 14 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN 3.4.f service areas for students (for example, lounges, cafeteria, etc.) There are several service areas for veterinary students around Frederiksberg (see also Standard 6), including: Two student cafeterias at Frederiksberg Campus; One student café run by members of the student union at Frederiksberg Campus; One student bar run by the different academic student unions, including the veterinary student union, at Frederiksberg Campus; The Frederiksberg Campus gardens; Library with several study areas (see standard 5); One book store at Frederiksberg Campus; Wireless internet at Frederiksberg. Service areas at Taastrup Campus include: Staff and students cafeteria with limited opening hours; 2 rest rooms each for 2-3 students on night shift at LA-TH, Taastrup; One lounge area in Taastrup with coffee- and snack machines; Outdoor sitting area; One small area for cooling and heating food; One small lounge area exclusively for students. 3.4.g building infrastructure (for example, air handling, vented hoods, etc.) Safety measures in all areas are carried out in accordance with Danish safety legislation. 3.5 For safety and educational purposes, protocols must be posted in the isolation facilities and the facilities must be used for instruction in isolation procedures (biocontainment) New staff members receive practical instructions about all isolation, bio-security and hygiene procedures at employment. Students learn about infectious disease and biocontainment through lectures, laboratory work, and clinical rotations. All students are instructed in laboratory safety practices, with a comprehensive manual being provided in their electronic course catalogue. Prior to clinical rotations, all students receive practical instruction regarding zoonoses, hospital hygiene, MRSA/MRSP and isolation protocols. Protocols are posted in the isolation facilities for safety and educational purposes and the facilities are used for instruction in isolation procedures (biocontainment). At the UH-CA isolation protocols are available on-line throughout the hospital. A protocol is posted in the isolation ward in the event of zoonotic threat. When patients are hospitalised in the isolation ward, isolation protocols are discussed during rounds. A written description of the safety precautions for working in the necropsy facilities is available for the students on the webpage for the course. On the first day in the necropsy facilities, the teacher provides instruction in safety precautions together with the students. Animal parts and solid biological remains after necropsy are stored in a locked-up cold room until being picked up by the two national rendering companies, i.e. DAKA (production animals), Bragesvej 18, 4100 Ringsted and ADAS Kæledyrskrematorium Aps (companion animals), Højvangsvej 15, 2640 Hedehusene. 3.6 Describe current plans for improvement At the Department of Veterinary Clinical and Animal Sciences a new isolation ward for zoonotic diseases at the UH-CA is planned to be completed in 2016. Diagnostic imaging is planning to acquire a multi-slice CT scanner and a high field MRI. The demand for PET-CT studies will increase in the future. For the time being, oncology patients requiring radiation therapy are treated at Rigshospitalet. In order to meet the growing demand, a radiation unit for cancer treatment at the UH-CA is being planned. The Department of Large Animal Sciences expands in Taastrup in 2016 with a new office and lab. building (900 m2) for Veterinary Reproduction and Obstetrics, which will move to Taastrup from Frederiksberg. A new expanded Equine Isolation Unit has been approved and will be completed in 2016. Funding for a new riding arena has just been provided and this is planned to be established in 2015. The demanding need for equine advanced imaging to attract equine patients creates a need for facilities and equipment within CT and MRI. A student-house in Taastrup including multiple overnight facilities (dormitory), living room etc. would create optimal student facilities. Two vision documents for Taastrup and Frederiksberg Campus have been developed and are in the approval process. The future plans include establishment of new buildings for animal facilities 15 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN 4. CLINICAL RESOURCES 4.1 Complete table A, B, and C for the past five years and analyze trends1 Table A: Teaching hospital. Animal Species Number of Patient Visits* Year 2009 2010 2011 2012 2013 2009 2010 2011 2012 2013 2009 2010 2011 2012 2013 Bovine 99 104 76 29 171 180 146 162 143 153 2000** 1971 2171 1444 1844 Canine 12599 12193 14563 16439 17877 1938 1716 2116 2222 2347 2677 2059 3581 2462 3044 54 54 40 38 101 19 7 26 21 27 250 66 208 242 293 Equine 1746 1513 1645 1466 1291 1060 805 861 842 904 5000** 4589 4736 5473 4674 Feline 4808 4568 4659 4730 4656 765 786 738 818 635 1212 1039 1170 1147 1075 Ovine 38 38 49 57 51 6 1 9 16 35** 33 11 58 160 Porcine 20 20 25 22 20 0 0 1 0 0 0 1 0 3 Caged Pet Birds Caged Pet Mammals Avian Wildlife Other LA-TH Other UH-CA 69 49 47 47 56 8 1 5 2 3 13 2 5 4 4 424 404 369 270 264 63 36 37 30 18 123 44 59 32 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 200** 202 68 203 166 9 2 0 0 1 1 1 0 0 2 46 27 43 31 31 1 2 2 1 1 4 3 2 1 1 Caprine Number Hospitalized 5** Number of Hospital Days 2 * Large animals examined/treated by the mobile practice, LA-TH. ** Estimation Table A1: Animals and animal material bought for teaching purposes. 2009 2010 2011 2012 2013 63 93 77 85 76 Porcine 9 15 13 7 9 Pregnant sows 34 48 39 47 34 Bovine 8 12 12 14 17 Pregnant cows 149 177 153 159 64 Calves 2 4 0 0 0 Bulls 4 4 6 2 4 Sheep 6 3 2 2 0 Visiting stallion 3 4 7 0 6 Horses 1088 1877 978 671 975 Equine legs/hoofs* 277 76 73 8 no data Mare -organs no data no data no data no data 104 Cow-organs 1 Table “B” with data on the ambulatory/field service program is included in the appendix report. 16 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN Table C: Production Medicine Describe your clinical resources for production medicine training by production group below Dairy All students are introduced to production animal medicine and systematic herd health counseling by a one day visit to a private dairy farm. They perform a pilot analysis of a private farm. All students (group of 22) visit a dairy herd with special focus on calf herd management and claw health management in dairy cows. Students dehorn and do clinical examination of 30-60 calves. Additionally they perform lameness examination of 150 dairy cows. All students /groups of 12) spend four days at a slaughterhouse training rectal palpation (genital structures, pregnancy/non-pregnancy, stage of estrus and common pathological conditions). All students (groups of 45) spend 3 days in 3 different commercial dairy herds training clinical examination of selected groups (e.g. calves, post-partum cows, dry cows) including special focus on milking procedures and clinical udder/teat examination. Each student examines 15-20 animals and additional screening of all groups in the herd while evaluating housing system and management. Herd Health tracking students perform in-depth analysis of a private sow herd in collaboration with local veterinarians. Beef Feedlots No Cow-Calf Se dairy Small Ruminants No Swine All students (groups of 45) spend 2 days in herds training clinical examination on individual animals and selected groups (e.g. sows, weaner, finishers), necropsies and introduction to herd consulting. Herd Health tracking students perform in-depth analysis of a private sow herd in collaboration with local veterinarians. Poultry No Fish No Equine All students participate in a herd visit doing routine examination and vaccination. All students spend at least one day in an equine reproduction practice examining mares. Equine tracking students spend at least one day in a herd doing dentistry. Other 4.2 Adequacy of normal and clinical diseased animals used for DVM teaching programs The caseloads of animals are largely generated from the clinical services provided by the two hospitals; UHCA) and LA-TH. Both hospitals provide an emergency service 24/7, 365 days a year. UH-CA has a large community practice as well as a referral service, whereas LA-TH has a referral hospital and a mobile practice. Initiatives to ensure adequacy of healthy animals include a visiting corps of healthy dogs and cats; maintaining a flock of teaching horses. To ensure adequacy of clinical diseased ruminants these are offered treatment for free. Further off-campus clinical instruction in private herds by faculty and hospital staff is an important part of the large animal clinical training. The caseload does not provide ample learning opportunities for reptiles, caged pet birds and other avian wildlife species. Students with an interest in these species are referred to externships or to specialize within this subject in their final master project. 4.3. Describe unique clinical educational resources or programs that enhance the educational mission Both hospitals are new, well maintained, well equipped and offer unique well-functioning learning environments for the students. The small animal caseload is predominantly primary cases. Student participation in every aspect of the case management is considered a major resource and students are allocated to as much hands-on involvement as their level of competency and skills allow, always under the supervision of faculty and hospital staff. Both hospitals are utilized by students enrolled in the Bachelor program as well as the Master program. With regard to the tracking students only students enrolled in the companion animal track attend the UH-CA and only equine tracking students attend LA-TH. 17 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN The pre-clinical training combining handling and clinical examination on normal/healthy animals and the pre-clinical skills lab expands the students learning platform and, thereby, their confidence and skills prior to entering the in hospital clinical rotations. The skills lab provides a unique learning environment by incorporating e-learning, video, demonstrations, phantoms and role play. Skills labs are situated at both hospitals. The Teaching Unit at LA-TH houses normal/healthy and diseased production animals, (many bought as research animals) and these offer the students‟ excellent possibilities for training basic skills for their clinical rotation. To ensure all students – no matter the caseload – has trained basic large animals skills, several unique initiatives have been taken: All students do abdominal surgery on cattle bought for teaching purposes, and all students do cesareans on cows bought for teaching purposes and they train basic surgical skills on live pigs. To ensure that all students have the necessary skills in gynaecology/rectal palpation, students train on teaching horses and have an extramural course on a cattle slaughterhouse. The Central Laboratory for Clinical Pathology is located in the same building as the UH-CA, allowing students the synergy and interdependence between the clinic and the laboratory with regard to both case workup and research projects. Both hospitals also offer the students the possibility to familiarize themselves with in-house diagnostics equivalent to or beyond practice level. Necropsies from the student clinical rotations are demonstrated in collaboration with the pathologist either on site (UH-CA) or by direct videoconference (LA-TH) (2013: 233 companion animals and 95 large animals). 4.4 Off-campus clinical instruction sites used regularly by multiple students. (Tables 4D and 4E – see appendices) As part of their clinical rotations all students spend two weeks in private companion animal practice (seeing practice) and four days in large animal practice seeing practice. Students are specifically asked to focus on and evaluate working environment and routines, communication, case number and categories as well as diagnostics and treatment strategies for common diseases. These focus areas are discussed prior to or at later clinical rotations, during rounds and case discussions. Companion animal and equine tracking students have 3/2 weeks of elective rotations. Here they have the opportunity to either do informal externships in private practice or participate in an extra weeks in the inhospital services. Students are encouraged to do externships. It is a prerequisite that at least one veterinarian in the chosen companion animal practice is a certified specialist in companion animal medicine (minimum holding a Master in Companion Animal Sciences). 4.5 Involvement and responsibilities of professional students in the healthcare management of patients (and clients) in clinical programs of the college Students participate in all phases of patient examination, and practical handling during diagnostic work up and treatment. It is the goal to allocate the students as much hands-on involvement in all aspects of patient management as their level of competency and skills allow, while under the supervision of faculty and hospital staff. The clinical program is designed to ensure progress in learning and skills, and master students are given responsibilities commensurate with their skills and competences under direct supervision of a staff veterinarian. The tracking student (CA and Equine) enters the program with the Day 1 competences provided during the Core program. They are seen as “rookie” clinicians and the teacher‟s function is an experienced colleague coaching a younger colleague. Students are permitted to take on as much case management responsibility as deemed possible from their proficiency level. The students participate actively in requesting, collecting and submitting diagnostic materials (blood, urine, effusions, skin scrapings etc.), as well as performing diagnostic tests and procedures together with clinicians and the hospital support staff. The students are expected to enter all relevant data in the electronic patient record and based on the collected data they are expected to write the records following the POMR format, including problem lists and assessments leading to relevant actions. All students are evaluated on their ability to do so. It should be mentioned that the hospitals maintain only one electronic patient record per patient common to students and faculty. At UH-CA track students are permitted to give a cost estimate after having consulted with the clinician responsible for that patient. 18 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN 4.6 Integration of subject-matter expert and clinical resources into clinical instruction All faculty members within the clinical area as well as staff clinicians participate in the case management and clinical instruction in accordance with the service roaster. Professors, associate professors, assistant professors and other veterinary staff members assist on a consultative level when not on the roster. At UHCA either board certified specialists (European, American or both), board qualified specialists, or experts in specialty fields are always available in internal medicine, cardiology, oncology, neurology, surgery, anaesthesiology, diagnostic imaging, clinical nutrition and clinical pathology and part of the time in dermatology, exotics and dentistry . Although the UH-CA maintains services in anaesthesiology, dermatology, exotics, dentistry and emergency/critical care, they are not staffed with clinicians with formalized specialty training, but the clinicians have obtained specialty expertise through many years of dedication to their subject area or through a PhD degree within their field. AT LA-TH either board specialists or experts in specialty fields are available during daytime in internal medicine, surgery, reproduction and diagnostic imaging (tele-medicine from Frederiksberg), cardiology, respiratory medicine, dentistry. The off-campus clinical herd health instructions are carried out by faculty members or Danish Veterinary Diploma certified vets. 4.7 Adequacy of the medical record system used for the hospital(s) May 2014 a new electronic medical record system (VetNetManagement by Tang Data) was introduced at both hospitals and in the mobile practice at LA-TH. This system provides all students and staff members with continuous access to patient records including lab. tests, discharge letters, billing information etc. A fully paperless electronic medical record has not yet been implemented as results from pathology and some external diagnostic services are archived in paper format, but are expected to become fully electronic in the near future. Diagnostic images are archived in an open source PACS which will be interfaced with the electronic patient record. Records are detailed and safely stored and accesses to files are under strict control. Retrieval for teaching and research purpose is often used. For analysis of technical data from herds several commercial record keeping systems available on the farm or veterinary practice (Agrosoft, bedriftsløsningen, VPA, Sim Herd) are used. Data sources from national databases are CHR, Vetstat, SPF-sus, Landmandsportalen, kvægdatabasen, salmonelladatabasen etc. are included in the herd analysis. 4.8 How the college has responded to increasing/decreasing clinical resources The skills labs and its‟ continuous development and expansion has increased the students outcome compared with only working with the normal and diseased clinical material provided in the education. All students have mandatory teaching 24/7 in the emergency services at both hospitals. Increased focus on assessment/evaluation of the students‟ academic and practical skills and intellectual development as well as increased focus on student self-assessment by the use of multiple evaluation procedures (Continuous individual feedback, performance evaluation, self-assessment test, case-analysis, multiple choice, individual logbooks etc.) has increased the students learning experience. The increased performance and dedication of the students have been to the benefit of patients, clients, staff and students. The “seeing practice” initiative for all 180 students (2 weeks in companion animal, 4 days in large animal) has improved the students‟ knowledge of the profession. Both hospitals are currently re-evaluating their fees to meet future economic demands Both hospitals engage in the veterinary postgraduate education, local meetings for vets etc. to increase the mutual knowledge and interaction. UH-CA: An improved 24/7 emergency duty has increased the case-load. UH-CA: Formalized co-operations with private practitioners have increased in the case-load. UH-CA: 2013 the Master of Companion Animal Clinical Science was introduced. LA-TH: Despite the economic crisis in equine practice, the hospital has succeeded in turning the declining case curve; new initiatives in the mobile practice are expected to increase the caseload here as well. 19 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN LA-TH: Formalized co-operation with a large slaughterhouse has increased the student‟s access to cattle and cows (students are during a 4 days extra mural study period exposed to approximately 150 cows for clinical examination, rectal palpation and insemination practice). LA-TH: To maintain a caseload of diseased cattle, treatment and transportation to the hospital is free of charge. LA-TH: Cattle are bought for training in abdominal surgery as are term pregnancy cattle for training Csections with small groups of students to ensure all students independent of the case load has gained experience with the procedure. LA-TH: The introduction of 8 practical clinical workshops (colic, lameness etc.) covering the skills in relation to the most often seen clinical cases has increased the students skills and knowledge. LA-TH: To increase the students‟ access to routine procedures hospital staff do extra-mural teaching in herds within the area of equine dentistry, dehorning etc. 4.9 The means used to maximize the teaching value of each case across the curriculum Within the teaching hospitals, the teaching value of each case is maximized by the fact that new students in other services come in contact with the patient as the workup of each particular case demands. At UH-CA the first opinion patients in the core curriculum may be internally referred to specialty services in which tracking students are involved in the more detailed workup. At LA-TH, the core curriculum students work together with a tracking student, thereby increasing the value of the case-handling. During rounds students are encouraged to share and involve in other cases than their own. Case material is an integral part of the clinical lectures, basic clinical training, e-learning, and clinical case presentations during rounds. Formalized use of case material across the entire curriculum does not occur per se. However, case material from the clinical departments may be included in courses outside the clinical departments, thereby including clinical case material in microbiology, pathology, histopathology and ethics instruction either directly or indirectly. Large datasets derived from clinical case material are available for MSc thesis students both within and outside the clinical departments. 5. INFORMATION RESOURCES Faculty and students at VETSCHOOL have – due to historical library service allocation at Frederiksberg Campus - full access to the SCIENCE Library. SCIENCE Library is part of Copenhagen University Library Service – CULIS. CULIS gives users access to more than 50 million full-text journal articles, and + 0.5 mio. digital books, and to the collections of printed books and journals at the CULIS libraries. The core user groups of CULIS are scientists and students at UCPH. Furthermore CULIS grants public access to its collections, including walk-in-access to the digital collections. The library is open 74 hours per week during term. Term opening hours are 08:00-20:00, Monday - Friday, and 10:00-17:00 during weekends. 2 weeks adjacent to the examination period (four times a year) the library offers extended opening hours; Monday - Friday 08:00-21:00, weekends 09:00-20:00. During summer the library is open from 10:00-18:00 on Mondays and 10:00-14:00 Tuesday-Friday and closed during weekends. 5.0. Description of the acquisition policies regarding scientific information resources provided by the library In Denmark, the role for scientific libraries as principal repositories of literature within specific topics has been abandoned some years ago, due to the comprehensive and growing accessibility of digital material – mainly scientific journal articles in full text, but also digital books. In principle, most scientific libraries have changed acquisition policy from the classic principle of “Just-in-case” acquisition to the “Just-in-time” principle. In 2014, SCIENCE Library spent USD 950,000 on licenses to digital full text, but only USD 25,000 on printed books - out of a total library budget of USD 2.7 million. These figures demonstrate that the 20 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN difference between resources spent at digital versus print materials has rapidly increased. Acquisition of scientific journal articles in digital full text is now business-as-usual, but in the recent years also digital books are emerging as the preferred medium of book-acquisition. The business model for acquiring eBooks is integration of whole catalogues of books from selected scientific publishers. Each year the libraries downpay a negotiated amount and later select the books which have been downloaded most frequently by the library users, within the agreed downpayment. This model is called the EBS – Evidence Based Acquisition, a version of the broader concept Patron Driven Acquisition. This model differs from the well-established eJournal acquisition model, which comprises acquisition of packages of eJournal titles, bundled in broad or narrow subject areas. 5.1 Describe and comment on the adequacy of SCIENCE Library´s information retrieval and learning resources Due to the above described acquisition models – large packages of scientific eJournals, and Patron Driven Acquisition of eBooks, the library assesses the adequacy of information retrieval and learning resources to be sufficient. , The library still maintains a collection of curriculum material/ reading lists, primarily in print, accessible in the library building, as a supplement to the general access to digital scientific information. 5.2 Briefly describe the availability of SCIENCE Library´s learning and information technology resources support for faculty and students, including personnel and their qualifications The digital collections are available at a 24/7-basis. The 12 librarians teach at the library courses, conduct counter duty, maintain the library website, and conduct a interlibrary loans service. A team of 4 out of the 12 librarians furthermore conducts bibliometric services, and validate the database which comprises faculty‟s production of scientific publications. 5.3 Describe the methods of access to library information resources for faculty and students when they are on and off campus CULIS runs a remote access service which enables students and staff members at the University of Copenhagen to access all its e-resources from anywhere in the world, via the CULIS library catalogue, REX. Furthermore the users can retrieve and order material via REX, which is not comprised by the library collections. SCIENCE Library has gradually transformed its building into a study environment, as the demand for space for physical library collections decreased while more and more information is provided via servers. Today the library building comprises an extensive study environment, with app. 260 workplaces, suitable for both self-studies and students‟ group work. The library is covered by a wireless network (Eduroam, the common pan-European university network) as anywhere else at campus. Furthermore the library provides 60 public computers with access to digital resources accessible for students (and other users). All working areas are wired with power and network points for the users‟ own laptops. The Library Service Agreement between SCIENCE and HEALTH comprises the condition that 1/3 of the annual budget allocation from SCIENCE to the library must benefit the veterinary area. In order to monitor the percentage of veterinary student visitors in the library building, the library measures where the visitors come from, four different weeks each year – split in SCIENCE visitors, HEALTH visitors and others. The percentage of veterinary visitors lies quite stable at 1/3 of the total number of visitors. 5.4 Describe the resources (training and support) available to students for improving their skills in accessing and evaluating information relevant to veterinary medicine for sources in any media In order to facilitate the veterinary students with basic information retrieval skills, the library offers special workshops in information retrieval for veterinary bachelor students writing their theses. Additional training and support provided by the library is: - Literature search for all students: Introduction to literature search, primarily in article databases. 21 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN - Literature search for Master students: Introduction to systematic literature search following guidance in literature search within the students own subjects. - Ad Hoc courses/workshops in information retrieval methods: Groups of minimum 5 students can require an ad hoc course in information retrieval methods. - RefWorks workshops: RefWorks is a web based reference managing tool. At the workshop the most important features are introduced, followed by exercises in importing references to RefWorks, and instructions how to generate in-text citations and a literature list with the application to Word - called Writen-cite. - Bibliometric service and support regarding registration of the faculty’s production of scientific publications: The Library runs a unit for bibliometric services for the VETSCHOOL, which also validate the data describing the annual research production (scientific articles etc.) of the faculty. 5.5 Describe current plans for improvement In order to improve basic skills and knowledge within source criticism regarding scientific information, the library is currently developing an online tutorial for veterinary students. During this work, the librarians are in contact with one of the professors at HEALTH, who is lecturing in academic writing and research ethics. This collaboration will ensure the quality and topical relevance of the tutorial. This collaboration between the library and the professor is also aiming at an improved embedding of the library in the course for veterinary students on academic writing. An area has been dedicated for the veterinary students for access to the HEALTH Net and the HEALTH print service. This initiative became necessary as the faculty network at SCIENCE/HEALTH was divided into two separate networks, with their own separate data and services. During the summer 2014 the SCIENCE faculty granted the establishment of a much desired and requested separate reading room on the 1st floor in the study environment. This will enable the library to offer 54 of its 260 study places in silent surroundings. Last year the library introduced a new service; screen share based consultations for scientists. This concept is based on the fact that as the library collections have become digital, and thereby accessible directly from the scientists PCs, this user category no longer visits the library, and the scientists are therefore no longer aware of the information retrieval counseling which the library staff can offer. 6. STUDENTS 6.1. Complete Tables A, B, C, and D, and analyze trends2 The veterinary curriculum is 5.5 years. Since 2005, the education has been split into a 3 years bachelor (BSc) program and a subsequent 2.5 years master (MSc) program leading to the DVM – degree. Prior to this it was one united program. Students from the united veterinary program are included in a separate row in Table A2, as they do not fit into the common Year (ECTS) structure of the separated curricula the 2005 BSc and MSc Curricula and the current 2009 BSc and 2012 MSc curricula. The new 2009/2012 curricula has gradually taken over the 2005 curricula. In 2006, enrolment into the DVM program increased from 140 to 180 students per year with the opening of the new Large Animal Teaching Hospital facilities at Taastrup Campus in 2008 and the new Companion Animal Hospital facilities at Frederiksberg Campus in 2009 designed to allow for a class size of 180 students. Since 2009, the total number of applicants for the veterinary (BSc) program has increased from 610 to 673 in 2013. However, the enrolment into the BSc-program is regulated by law (ie. 180 students per year plus “overbooking” of 4-6 extra positions). Due to the increase in intake in 2006, there has been a minor rise 2 Table D is included in appendix 22 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN in total number of veterinary students from 2009 to 1108 in 2013, and a subsequent rise in number of students graduating from the MSc-program to 181 in 2013. Table A1: Veterinary BSc-program – Students numbers 2009/10 2010/11 2011/12 2012/13 2013/14 Total Admitted 191 186 181 185 187 ”1st Year students”* (0-59 ECTS) 276 257 256 272 259 ”2nd Year”* (60-119 ECTS) 161 147 191 168 208 ”3rd Year”* (120-179 ECTS) 177 383 340 287 305 Total number of BSc-students 781 776 717 761 754 Graduated from BSc-program 156 217 114 163 120 BSc-graduates triggering ”finishing bonus” ** 131 144 174 104 125 st *Students that have passed BSc-courses equivalent to the respective credit range (ECTS) per Oct. 1 of the specified study year. **The VETSCHOOL receives an extra bonus from the Ministry of Education & Research for each student finishing the BScprogram within 3 years + 10 months. Table A2: Veterinary MSc-program – Students numbers Study year 2009/10 2010/11 2011/12 2012/13 2013/14 Total admitted 141 160 218 112 160 ”1st Year students”* (0-60 ECTS) 165 204 245 179 183 ”2nd Year”* (61-120 ECTS) 62 156 211 263 226 ”3rd Year”* (121-150 ECTS) 4 32 144 173 225 Students on the united veterinary program 218 82 34 14 9 Total students 449 474 634 629 643 Graduated as DVM 142 127 151 151 181 MSc-Graduates triggering ”finishing bonus” ** 15 93 92 80 57 *Number of students at curricula 2005 and 2012 that have passed MSc courses equivalent to the respective credit range (ECTS) per Oct. 1st of the specified study year. **Graduated The VETSCHOOL receives an extra bonus from the Ministry of Education & Research for each student finishing the MSc-program within 2.5 years + 1 months. The fluctuations in “class sizes” seen in Tables A1 and A2 have many causes. Firstly, relative attrition is very prominent as there has until 2013 been no regulatory or economical incitements for students to finish 23 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN the programs within the nominated period (see below and standard 11.1.b. for more details). Secondly in 2011, when the last courses of the former BSc-curriculum was offered, an increased number of delayed 2005-curriculum students finished there BSc-program in order to enroll in the last class of the 2005 MScprogram. This created a large fluctuation in last BSc-year‟s class size. Thirdly, the 2005 curriculum students that did not finish their 2005 BSc-program in 2011 were transferred to the new 2009 MSc-curriculum following a special course plan, which required them to supplement the 2009 MSc-program with compulsory courses that formerly were part of the MSc-program (e.g. Special Pathology and Poultry diseases). These students did therefore enter the 2012 MSc-program with superfluous credit points, which subsequently has caused some fluctuations in the “class sizes” on the MSc-program. Within the next 5 years period, it is expected that a higher proportion of students will graduate from the veterinary educations within the prescribed time, as University legislations, which came into force in 2013, will regulate study progression for all university students more strictly. Hence, from September 2015, all students will automatically be enrolled into next semester‟s courses and course exams, and students that do not obtain the prescribed credits within a semester will temporarily lose their State education grant. Table B – Interns, Residents, and Graduate Students (enter each person in only one category) per year for last five years (appendix 6-1) The number of interns and residents is small, and linked to the clinical departments, where programs and facilities/sections have been approved for residency training. The main reason for the low number is that the concept of interns and residents is very difficult to adapt to the Danish legislation and labor market regulations. There are no interns, but employed “KlinikVets” who have much the same functions, but are not linked up to any career path in this regard. Resident MS & Resident PhD are not allowed in most of the colleges, including ECVS & ECEIM. Rather, the predominant Danish scientific career path is the PhD program, embedded at the Graduate School at the Faculty of Health and Medical Sciences. The graduate program lasts three years, and includes an independent research project, course work, teaching or other types of science communication, the possibility for a stay at a foreign research institution, and a thesis. Table C. DVM Students per year for last five years Danish legislation for universities (and in general) leaves no room for affirmative action in relation to student enrolment, be it in relation to gender, ethnicity or age – and no registration takes place reflecting e.g. ethnicity. The table C thus reflects the number of Danish and non-Danish citizens, as the term “minority” is non-existing in the university uptake. The non-Danish (“minority groups”) are mainly of Swedish nationality, and to a lesser extent Norwegians. Academic year Total Minorities (Other nationalities* than Danish) % Minorities 2013 187 9 5% 2012 185 20 11% 2011 181 13 7% 2010 186 38 21% 2009 191 37 19% * Mainly Swedish and to a lesser degree Norwegian. The average of foreign students on the present veterinary program is app. 100 out of 1128 veterinary students. The vast majority of these students are from the Scandinavian countries Sweden, Norway and Iceland. In 2005 and 2006, this Nordic group of students accounted for 40-50% of the admitted students. Since then, the uptake of particularly Swedish students has declined, due i.e. to adjustments in the European 24 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN Grade Conversion Scale. Hence, the number of students with Swedish nationality generally enrolled at Danish Universities has decreased from 503 in 2010 to 347 i 2014. 6.2 Listing of student services, including registration, testing, mentoring (advising), counseling, tutoring, peer assistance, and clubs and organizations. 6.2.a Admission and counseling of potential new BSc-students On the national websites regarding Admission (www.optagelse.dk) and Higher Educations (https://www.ug.dk) potential students find information about and links to all National educational services. University of Copenhagen provides information on admission requirements for all BSc-programs at http://studies.ku.dk/bachelor/. The National admission service is further reviewed and explained in chapter 7 – Admission. The UCPH office for Student Guidance and Admission (University Education Services) is responsible for advising and counseling of potential UCPH students on application procedures, admission requirements and study choice for all UCPH educations. Potential applicants for an education at HEALTH can access information on all available study programs at healthsciences.ku.dk/education. Furthermore HEALTH annually arranges an “Open House” where potential students can visit the Campuses, talk to the students and get information about the study programs, life as a student etc. 6.2.b Registration, Mentoring and Counseling Services for students at HEALTH The HEALTH Faculty service department for Studies and Students has the administrative responsibility for all major student related services at the faculty. The department is organized into 6 sections and within each section, specific staff members are appointed to the tasks regarding the different schools, e.g. the VETSCHOOL. Students can access information on a range of sources, including websites dedicated to: Student and Career Guidance. Student Services International Guidance Curricula Exam Schedules Furthermore the students can access other services at University of Copenhagen: The Student ambassador is independent of the University of Copenhagen and can look after the interests of the students. If the veterinary students feel unjustly treated or believe that an error has been made the Student ambassador can provide guidance on and handle complains for the students. The Student Counseling Service (a free national service offered to students at the higher education programs) offers sessions to students struggling with e.g. loneliness, stress and depression during the course of their studies. Religious professional counseling to all students - irrespectively of religious belief - is offered by the University Chaplains. They are available for counseling all work days except Monday, either at Panum Campus or at other University locations. 6.2.c Disability Accommodations The University of Copenhagen Special Support by Disability unit offers special support and counseling to students with disabilities such as dyslexia, poor hearing, ADHD or other physical or psychological ailments in close collaboration with HEALTH Student and Career Guidance. All disabled students enrolled at an university program are eligible for support matching their specific, individual needs (Special Educational Support, SPS), e.g. special computer software and hardware, sign language interpreters during teaching sessions, a mentor or support teacher etc. In addition, disabled students at HEALTH are eligible for extended examination time granted by their respective Study Board if they need it. Enrolled students with disabilities are also entitled for extra financial support through the State education grant (SU), administered by the Ministry of Higher Education and Research. Students on exchange programs have access to the same services, but have to cover the costs of the support themselves. In 2013, the first severe hearing impaired veterinary student graduated; in this process SPS supported by providing a special stethoscope. A total of 117 students at HEALTH are receiving SPS support (November 25 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN 2014); details on how many veterinary students have been granted extended examination time cannot be provided due to the law on personal data. Finally all new building projects take account services to disabled. 6.2.d Computing support The Faculty service department SUND-IT provides computer and IT-support of students (and staff), including wireless internet access, access to computer rooms, printers and copiers at all campuses. The IT Help-Desk service at Panum Campus is open to personal and phone inquiries and support all week days from 8 AM to 4 PM. In addition, veterinary students can get IT support at Frederiksberg Campus. The Frederiksberg library has a dedicated area for the veterinarian students in the study environment for access to the SUND Net and the SUND print service. 6.2.e Financial support. Every Dane over the age of 18 is entitled to public support for his or her further education . Tuition at Danish public and most private educational institutions is free for Danish students and for EU/EEA students as well as for students participating in an exchange program. Danish students not living with their parents receive DKK 70,068 every year in SU - state grant for education. In Denmark, students do not receive insurance coverage from the University and are thus to be covered by their own private insurance. However, members of the student‟s organization (VMF) are covered by a group life insurance (more than 90% of students are members of VMF). 6.2.f Physical facility Services The Faculty service department Campus Service SUND is responsible for the physical facilities used by students (and staff), e.g. auditoria, group study rooms, student leisure areas, catering, facilities at Panum and Taastrup Campuses. At Frederiksberg Campus, this responsibility is shared with Campus Service SCIENCE, Faculty of SCIENCE. Veterinary students have access to rooms and buildings with long historic ties to the veterinary field and may use these for receptions, parties, student arrangements etc. (e.g. the buildings “Gimle” and “Ridesalen”). 6.2.g Peer Assistance New students are introduced to VETSCHOOL through a formalized “get-acquainted event for new students”. 6.2.h Students Clubs and Organizations A veterinary student association (Danish Association of Veterinary Students - VMF) and a magazine edited by veterinary students. More than 90% of students are members of VMF. International veterinary students‟ organization - International Veterinary Students Association Denmark (IVSA) Numerous on-campus and unofficial student organizations and networks, e.g. a student sports club and a hunting club. A student bar (A-vej) run by the different student organizations Tuesdays, Thursdays and Fridays. 6.3 Provide a summary of college activities in support of placement of graduates The Student and Career Guidance and the International section have specialist advisers who advise HEALTHs students about career opportunities, internships during a program and contacts to employers of veterinary graduates. The Student and Career Guidance has one full-time employee who is responsible for the creation of links between the Faculty and employers of professional academics as veterinary graduates. DVM students get in touch with potential future employers in several ways: External lecturers from future employers take part in the teaching at different levels of the veterinary curriculum, both in preclinical, clinical and paraclinical courses, and the VETSCHOOL support and encourage students, under academic supervision, to do their thesis work in collaboration with extramural veterinary institutions, companies and practices. 26 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN The VETSCHOOL has since 2009 arranged a special Career Day (“INPUT”) for veterinary students in late September. The event is planned and organized by VMF and in 2014 approximately 600 students and 25 companies participated on the day. HEALTH organizes annual Career Days where graduate students get in touch with businesses and organizations that could be attractive in terms of future career choices. 6.4 Provide academic catalogue(s) (or an electronic address for this resource) and freshman/upper-class orientation materials The Copenhagen University Intranet (KUnet) provides information to the students. At KUnet all academic and study related information is available for the current DVM students. Students can access updated information regarding e.g. Study message/“the latest news” from the VETSCHOOL and HEALTH faculty. Furthermore the students can access information about Curricula, academic calendar, teaching plans, information about exams and Exam Schedules, general educational legislation, including appeal rights and procedures, study activity requirements, study planning tools, international study exchange, tuition and fees, State education grant, student activities, student and study facilities, job and carrier options including Ph.D. studies, administrative contacts and miscellaneous templates and on-line forms, e.g. application for exemptions and exchange programs, thesis contracts, anonymous suggestions or complains, exam complains etc. The students also have access to a Course Catalog where they can find information regarding courses offered by University of Copenhagen, e.g. course content, examination type, goal descriptions and Learning Outcome, teaching and learning methods, teaching materials, teachers etc. From KUnet students have access to the Learning Management System Absalon. Absalon contains all online course rooms used by lecturers and students. The system has many different features that support classroom-based teaching, from basic document exchange facilities to options for audio and video features. In addition KUnet provides access to the students‟ own data and self-service at the National Student Registration System (STADS)-website for registration information. STADS allows access for students and administrative employees to administrative processes regarding admission, enrolment, course registration, examination and diplomas. Through STADS, students have online access to register (and unregister) for courses, including student course team, and exams and to access all the information about themselves. 6.5 Describe the system used on an ongoing basis to collect student suggestions, comments, and complaints related to the standards for accreditation Students‟ input, comments and complaints regarding the veterinary curriculum, courses and study environment are collected and evaluated continuously and systematically and are an important integral part of the management of the education. Student representation in academic boards and educational boards at the Universities is required by Danish University legislation with a 50% representation in the latter. HEALTH has a long tradition for and positive experiences with involvement of students at almost all levels of strategy and decision making (see list of veterinary student representations in Faculty Boards in Appendix 6.E). Furthermore, each student class has their own representatives, who maintain contact and dialogue with the Director of Studies; the Head of studies, course leaders and teachers. Students‟ complaints about assessments, decisions and exemptions going against the wish of a student are handled according to procedural regulations, laid down by the University of Copenhagen in accordance with the national laws regarding public administration. The outcome evaluation and assessment procedures are discussed in further details in Chapter 11 – Outcomes Assessments. In 2009 (following the AVMA pre-visit), the VETSCHOOL established a mailbox at Frederiksberg Campus where student anonymously were able to post suggestions, comments and complaints in relation to the DVM program. However, as no-one used this opportunity, in 2014 an on-line mailboxes for veterinary BSc and MSc students has been established, where they anonymously can submit suggestions, comments and 27 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN complaints (see KUnet online BSc mailbox; online MSc mailbox). The anonymous inputs are collected by the Student and Career Guidance, and forwarded to the Head of Studies to be part of the yearly course and curriculum evaluation process. The students can do anonymous online evaluations for each course and examination. The evaluations will be reviewed annually. If students express dissatisfaction, a dialogue will be initiated by the teacher and, if necessary, changes of content and/or teaching will be made. In addition to this the University of Copenhagen makes a satisfaction and well-being survey every year where the students can evaluate their well-being, student life, the facilities etc. anonymously. The university evaluates the survey results and based on these improvements are made. In 2013 the students were dissatisfied with the processing time for credit transfer and therefor HEALTH streamlined the process. The goal is to obtain a processing time of maximum 6 weeks. In 2014 the students were more satisfied with the processing time and HEALTH is working on improving the process even more. Finally if any student believes that an error has been made they can anonymously contact the Student ambassador and get support. 6.6 Describe current plans for improvement in resources for students. Improvements planned for 2015 include: Renovation of student‟s dining rooms (Frederiksberg); Installation of benches for bathrooms (Frederiksberg); Outdoor coating and outdoor recreation area, e.g. ping pong table (Taastrup); Improvements of outdoor environment and facilities (Taastrup); Identification of indoor air problems in lecture halls (Taastrup and Frederiksberg). These plans, as well as other longer-term plans, are included in an action plan “the Student in Focus”, which has been developed based on the results of the regular satisfaction and well-being assessments. 7. ADMISSION 7.1 State the minimum requirements for admission The class size each year is limited and dictated by the Government. It is therefore not possible to offer all qualified applicants, Danish or foreign, admission to the BSc program in Veterinary Medicine. The Ministry of Higher Education and Science coordinates application and admission to all Danish University educations, see www.optagelse.dk (in Danish and English), and decides on minimal academic requirements. The minimum academic requirements for Health and Medicine educations, including veterinary medicine are similar. In all professional educations (Medicine, Veterinary Medicine, Odontology, Pharmacy, Law etc.) students, who obtain the BSc degree, are guaranteed admission to the MSc program of the particular education. 1.General admission requirements: A nationally recognized university entrance examination from one of the member countries of the European Union or other diplomas/certificates from countries which have signed the European Convention on the equivalence of diplomas leading to admission to universities. Detailed lists of recognized entrance examinations are accessible on the admission website of the University of Copenhagen and the Ministry of Higher Education and Science. All applicants with entrance exams different from the ones listed at the respective websites are encouraged to contact University of Copenhagen prior to applying. 2. Specific admission requirements: In addition to the general admission requirements, some supplementary levels in specific subjects are required. Foreign applicants must also meet these specific admission requirements. All applicants must show competence in Mathematics, Physics and Chemistry in the secondary school qualification or in specific entrance examinations. Applicants must include information and transcripts about the level (A/O level, Higher/Subsidiary level, number of years studied at secondary school or university) in relevant subjects. 3. Danish language requirements: Both the BSc and MSc programs in Veterinary Medicine are taught in Danish. Hence all foreign applicants must show proficiency in Danish pass a Danish language test before 28 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN being admitted. The required Danish test is the “Higher Education Exam – the study exam in Danish for adult foreigners” General information about admission for foreign students can be found at the Danish Ministry of Higher Education and Science webpage, and at the UCPH webpage. Students from the Nordic countries with Danish, Norwegian or Swedish included in their final pre-university examination are not required to complete a Danish test. 7.2 Describe the student selection process, including measures to enhance diversity General principles: The Ministry of Higher Education and Science coordinates all enrollments of students into all Higher Educations in Denmark on the basis of a central on-line application, in Danish and English. This process is managed by the Danish coordinated on-line application system (KOT). KOT sorts and selects students for admission according to the minimal requirements, number of available positions and admission procedure set by the individual educations, faculties and universities, and forwards lists of students, who subsequently will be offered admissions within the respective admission requirements of the specific program. The majority of students (Quota 1; normally 90%) at Danish university educations is by law enrolled purely on the basis of their academic grade points from their university entrance exam (see 7.1.). A minority (Quota 2; normally 10%) is enrolled on the basis of other competencies than pure academic achievements. Until 2013, exemptions from the Quota-distribution had to be approved by the Ministry; but since 2013, the faculties have been permitted to regulate the distribution themselves, in accordance with rules laid down by the university. Since 2008, the VETSCHOOL has had a ministerial exemption from the general admission rules, meaning that 50 % of applicants are enrolled through Quota 1 and 50% through Quota 2. This admission procedure was implemented in order to enhance diversity of applicants and increase the awareness of rural veterinary practice, veterinary public health and biomedicine among bachelor veterinary students. At the BSc-program the yearly intake is 180 students; 90 student via Quota 1 and 90 students via Quota 2 Quota 1 uptake at the Danish Veterinary education Applicants who apply in Quota 1 are evaluated exclusively on the basis of their qualifying examinations (in 2014 the cut-off grade point for the top 90 applicants was 11.0 on the 7-step scale). This process is by law carried out by “the Coordinated Admission System” (KOT), which is a unit within Danish Ministry of Higher Education and Science managing Quota 1 admission to all higher education programs in Denmark. Applying through quota 1 is possible only when the grading system of the applicant's qualifying examination is translatable to the Danish grading system. Applicants with qualifying examinations from countries with grading systems that are incompatible with the Danish grading system must apply in quota 2 instead. Quota 2 uptake at the Danish Veterinary education Applicants who apply in Quota 2 are evaluated on the basis of both academic and personal competences in a step-wise evaluation procedure. - 1. General pre-university (high-school) grade point score Valid entrance examinations with an average grade point of “6” or above on the 7-step scale (or equivalent for students with foreign exams). This part of the selection procedure is carried out and validated by the “Coordinated Admission System”, which subsequently forward the information on qualified Quota 2 to the Veterinary Admission Committee. - 2. Entrance test All of the qualified quota 2 applicants are invited to a MCQ-entrance test. The 180 applicants with the best scores are invited to admission interviews. The MCQ-entrance test focuses on: General pre-university (high-school) knowledge within Biology, Genetics, Chemistry, Physics and Mathematics / Statistics Specific knowledge about domestic animals and livestock production in Denmark Specific knowledge about veterinary public health topics discussed in the press within the past year (eg animal welfare cases, outbreaks of zoonotic and epizootic diseases, cases of antibiotic resistance and food poisoning) 29 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN - 3. Semi-structured interview The interview is carried out by panels of 3 members, i.e. a faculty member appointed by the veterinary departments, a student appointed by the Veterinary Students Association and an DVM (including state veterinarians) appointed by the Danish Veterinary Association. New panel members are instructed in the interview at a seminar held every year prior to interviews. The semi-structured interviews focus on 10 competence areas (see 7.3). Each panel member scores individually the applicant (A – E; A being the highest score) within each competence area, and subsequently give the applicant an overall score. - Ranking of Quota 2 applicants On the basis of the MCQ-entrance test score (weight: 1/3 of ranking score) and interview scores (weight: 2/3 of ranking score), a final ranking list of applicants is calculated and forwarded to “the Coordinated Admission System”, who invites the top 90 quota 2 applicants not enrolled through quota 1 to enrollment in the DVM BSc-program. 7.3 List factors other than academic achievement used as admission criteria during the semi-structured admission interview The Quota 2 applicant must be able to explain personal motivation for choosing the DVM-program and must be able to account for and reflect on qualifications and experiences in regard to admission. The following areas are specifically evaluated at the semi-structured interview: Experience and knowledge with veterinary profession and it‟s carrier possibilities; Practical experience with domestic and laboratory animals Practical experience within veterinary work areas Specific knowledge and experience within veterinary public health (One-Health) Specific knowledge and experience within biomedicine Reflection on animal welfare issues Personal and social competences, e.g. motivation, communicative skills, self-efficacy, personality (e.g. extro- or introvert) 8. Extra-curricular activities, e.g. leadership experience, sports, teaching / tutoring experience, voluntary work experience 9. Study and learning styles, e.g. team worker, study technique, handling of high work load, ability to plan 10. Study preparedness, e.g. plans for moving to Copenhagen 1. 2. 3. 4. 5. 6. 7. 7.4 Number of students applying and admitted into the veterinary BSc-program. Table A. YEAR 2009 2010 2011 2012 2013 STATE RESIDENTS NONCONTRACT RESIDENTS*** STUDENTS A1/P* O/A** A1/P* O/A** A/P 310/- 135/- 173/50/0 342/- 135/- 151/49/0 398/- 163/- 121/21/0 420/- 159/- 120/26/0 480/- 1701/- 93/101/0 O/Ac 0 0 0 0 0 TOTAL A1/P* 483/180 493/180 519/180 540/180 573/180 A2/P* 610/180 654/180 702/180 733/180 763/180 O/Ac3 185/191 184/186 184/181 185/185 185/187 1 A = Applicants with Veterinary medicine as their 1st priority in the Danish coordinated on-line application system for Higher Educations (KOT). 2 A = Total number of KOT-applicants, including students with veterinary medicine as their 2 nd, 3rd, 4th and 5th educational choice. 3 Ac = Accepted of students per Oct. 1st, including students offered admission through KOT (O) plus (i) a small number of veterinary students from foreign veterinary-programs and (ii) former Danish veterinary students that are re-admitted intro the BSc-program. *P = Positions available. All positions are allocated on the basis of Quota 1 and 2 admission criteria. Admission on the basis of residency, nationality, ethnicity, gender etc. is not allowed according to Danish law. **O/Ac = Offers Made by the Danish coordinated on-line application system /Acceptances. *** Non-residents are calculated as number of applicants with a non-Danish entrance exam or persons with foreign citizenship Both the total number of applicants and the applicants with veterinary medicine as their first choice have risen slightly over the last 5 years. Consequently the average grade point from the entrance examinations 30 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN have increased from 10.5 to 11 at our “7-step scale” (average score of the scale is “6”). The decrease in 1st priority applications from non-residents is mainly due to a decline in applications from Swedish citizens. It is believed that this is a reflection of KOT changing the formulas for converting entrance exam scores from the Swedish university entrance examination system into the Danish “7-step” system around 2008-2009, thus making it harder for Swedish students to enter directly through Quota 1. The official number of positions is 180 per year. However, KOT offers up to 5 extra students a position, knowing that the major attrition of students take place within the first year of the study. Therefore, the number of Offered positions (O=184-185) by KOT, is higher than the number of positions (P=180). The vast majority of students, e.g. residents and non-residents, accept the admission when offered. If students decline the offer before Sept. 1st, available positions are immediately offered to students on a “Quota 1 waiting list”. 7.5 Current plans for assessing the success of the selection process to meet the mission of the college The outcomes of the admission procedure are monitored each year with respect to the performance of Quota 1 vs. Quota 2 students. See Standard 11.2.c. In 2014, the Faculty of Health and Medical Sciences launched a 3 year project assessing the consequences of Quota 2 enrollment into the DVM, MD, Dentistry and pharmacy programs. On the basis of cohort studies of Quota 1 and 2 applicants from 2005 to 2014, the aim is to propose new admission procedures to enhance diversity; lower attrition rates; and support better matching of students to education. The project includes parameters as applicants‟ academic grade and social background prior to admission; performance and personal well-being during study; and, carrier choice after graduation. The project is led by Peter Holm, Head of Studies. Based on the project outcomes and recommendations, the VETSCHOOL may decide to alter the current enrollment procedures including the ratio of Quota 1 and 2 students. 7.6 Policies and procedures for admitting transfer students who will receive a degree from your institution, and state the number of transfer students admitted per year for the last five years Students from other veterinary educations are admitted into the veterinary MSc-program, if their veterinary BSc-education or equivalent veterinary education equalizes the Danish veterinary BSc-program and they fulfill the Danish Language requirement (see 7.3). The VETSCHOOL Admission Committee evaluates and recommends the applicants. Within the last 5 years, 2 students have been admitted into the full the veterinary MSc-program on the basis of a foreign 3 years veterinary BSc-program (or equivalent). Furthermore, a number of graduates from non-EU countries take single MSc-courses in order to fulfill specific FVFArequirements regarding their veterinary degree, if it is not readily recognized as by the Danish Veterinary and Food Administration (FVFA) as equivalent to the Danish DVM degree, and therefore does not qualify for obtaining a Danish Veterinary License, However, these students do not graduate from the VETSCHOOL; they only supplement their foreign degree with pass single MSc-courses. 8. FACULTY 8.1 Complete Tables A and B, and assess the strengths of the faculty and support staff in fulfilling the college mission (See Appendix 8-A and 8-B) The Copenhagen VETSCHOOL has a highly qualified academic staff with sufficient expertise to deliver the curriculum. The number of PhD positions and PhD students has increased to a very high level and the number and the qualifications of support staff are high and sufficient to fulfil the mission of our school. A weakness is that the number of residencies is limited 8.2 State the current number of academic faculty (head count) who possess credentials as listed in Tables C and D (See Appendix 8-C and 8-D) Overall the vast majority of the faculty are veterinarians holding a PhD degree and a number of these are also board certified. The number of faculty is sufficient to instruct 180 new students every year. Staff members are all highly qualified. 31 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN 8.3 Assess the challenges for your college in maintaining faculty numbers and quality In Denmark, veterinarians have a long tradition of high employability. Salaries in the private sector are generally higher than they are in the public sector but in general, and especially within basic and paraclinical sciences, we are able to attract and maintain highly qualified faculty. In some areas, especially within the clinical areas, there are however few qualified candidates and therefore we increase our scouting procedures in order to attract faculty from abroad. The decrease in basic funding and the increased dependency on external funding for research is a major challenge for the senior scientific staff. 8.4 Provide information on the loss (discipline/specialty) and recruitment of faculty (See appendix 8-A) There has been an overall loss in the number of faculty members during the last five years, which is explained by budget cuts in basic funding. In the same period there have been increases in the number of PhD students which, to some extent participate in teaching of students. 8.5 Provide a concise summary of promotion and tenure policies, and the policy to assure stability for non-tenured, long-term faculty The “Job Structure for Academic Staff at Universities” stipulates the framework and contents of the job positions and their length, which may be assigned to academic staff at Danish universities. According to the Fixed-term Employment Act (Ministerial Order no. 907, section 5 (2), 2008) fixed-term employment contracts can be renewed a maximum of two times, the maximum number of successive periods of employment is thus three. This means that researchers/teaching staff in non-permanent positions cannot subsequently be appointed to the same position for additional period(s) of employment. It is possible to appoint the researcher/lecturer to a new position at the university. The Fixed-term Employment Act applies to each level of the job structure. Only staff employed in positions stipulated in the “Job Structure for Academic Staff “ may perform teaching and research activities at Danish universities. It is the responsibility of the university management to ensure the balance between research and teaching. Moreover, academic staff has academic freedom and is free to conduct research within the university‟s strategic research framework. This is elaborated on in detail in the University Act (2013). Academic staff is appointed through a four-step procedure: 1. Vacancy announcement formulated and made public with the intention of attracting a broad range of eligible applicants 2. Independent and informed academic assessment of candidates carried out by a scientific committee 3. An appointment committee interviews candidates and makes recommendations to the Dean 4. Appointment decision made by the Dean after consultation with the Department Head. UCPH has common guidelines for teaching portfolios when appointing academic staff. Teaching portfolios are to be submitted when applying for positions at the associate professor and professor levels. The guidelines are to be seen in connection with the Guidelines for the University of Copenhagen teacher training program for assistant professors. These guidelines specify how assistant professors are to receive teaching and practical training in the development and ongoing use of a teaching portfolio. The development of a teaching portfolio is an obligatory and integrated aspect of the assistant professor teacher training. The work with teaching portfolios in the assistant professor teacher training can form the basis for the development of a portfolio for use in applications to positions at the associate professor and professor levels. 8.6 Provide an estimate of the weight assigned to promotion/tenure and or compensation for teaching, research, service, or other scholarly activities The appointment of academic staff in the above positions is highly regulated by Danish legislation and university guidelines. To progress from one position to another depends on individual, peer- reviewed 32 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN assessment regarding research, teaching and communication qualifications. In addition the university is especially focussed on attracting and retaining talented researchers. Progression from one academic position to the next is based on individual appointment. An independent, informed and confidential assessment of whether applicants possess the relevant academic qualifications in research, teaching, communication, and services that are stipulated in the above mentioned job structure and the vacancy announcement is carried out by an assessment committee. For the permanent posts described above the vacancy announcement is formulated by the head of department and approved by the dean. Once the assessment committee has made its academic assessment the appointment committee can select candidates to interview. The appointment committee is headed by the vice-dean for research, the department head, the head of studies of the veterinary program, and a student. The appointment committee makes a recommendation to the dean based on the personal interview and the academic assessment. The dean makes the final appointment decision. The University of Copenhagen has recently introduced a new tenure-track assistant professor program to attract younger, talented researchers. The intention is to provide a certain level of employment security for a longer period of time, while following a tenure track plan. The departments are organized in sections defined by research activities. The responsibility for the research and teaching output lies within these sections. Teaching and research activities are shared among section members and it is agreed that it is the total output from the section rather than the individual output which is used to ascertain the quality of research and teaching. Superior quality in research, teaching and services is acknowledged by the department through the annual salary negotiations and yearly performance and development reviews. 8.7 Briefly describe faculty professional development opportunities available in the college/university The recruitment and development of researchers is a strategic priority at HEALTH. HEALTH uses its dynamic research culture to attract, motivate, develop and retain the highly valued Faculty by offering the development opportunities required to attract and retain faculty. Each year, all employees at HEALTH participate in a structured performance and development review with their closest supervisor. The aim of the review is to focus on the results of the employee, goals related to teaching and research, general job satisfaction and wishes for professional development and continuing education. Both the employer and the employee have a responsibility for the employee‟s professional development. The development opportunities are not limited to a certain set of options. It is important for HEALTH that all employees must be able to impact their own development as much as possible and that it can be defined in close cooperation between the employer and the employee. Possible development activities could be participation in national or international courses or master programs. Additionally, it is important that the individual development is coordinated with the strategic goals of the VETSCHOOL, the department, the sections and the local research group that the employee is a part of. 8.8 Describe current plans or major changes in program direction that would be affected by faculty retirements, recruitment and retention The Faculty works with long-range staff plans to anticipate staff flow. This includes strategic PhD programs, strategic Post Doc programs and tenure-like positions at the level of assistant professors. In 2013 all departments were allocated specific funding (3 million DKK) for strategic staff recruitment. 8.9. Describe measures taken to attract and retain a diverse faculty Positions at HEALTH are broadly advertised with the intention of attracting a broad range of eligible applicants. During some years there have been a minority of women among professors and there have therefore been focus on recruiting women to apply for these positions. In all cases the appointment procedure described in 8.5 is followed. 33 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN 8.10. Describe programs for on-campus delivery of curricular content by individuals not employed full time by the institution (other than occasional guest lecturers), including subjects taught. Estimate the percentage of core curricular content delivered in this way VETSCHOOL has made a strategic collaboration with the National Veterinary Institute at the Danish Technical University to ensure that research based teaching can be given within certain areas of veterinary virology and microbiology and that students are given an equal opportunity to perform their master project within these areas. The percentage of core curricular delivered this way is less than 1 %. 8.11. Describe the role of interns, residents, and graduate students in teaching and evaluating veterinary students In the clinical rotations, interns (“klinikdyrlæger”; typically graduate students with a few years of practical experience as veterinarians) and residents actively contribute to the practical clinical teaching where they give students clinical instruction and discuss clinical cases with the students individually and at rounds. The opinions of the interns and residents are also included in the weekly evaluations of the students made by the clinical scientists. 9. CURRICULUM Please see Appendix 9 for Curriculum Digest overviews of BSc and MSc obligatory and elective courses. 9.1 State the overall objectives of the curriculum and describe how those objectives are integrated into individual courses The overall mission of the VETSCHOOL is to educate highly qualified veterinarians that benefit society through the improvement of animal and human health. These veterinarians should have knowledge of basic animal science, disease biology and food safety as well as knowledge of the diagnosis, treatment and prevention of animal diseases. The specific objectives are: to provide students with the qualifications necessary for authorization as a veterinarian in Denmark to provide students with the necessary qualifications to diagnose and treat diseased animals, including animals with communicable diseases, to prevent diseases, to evaluate animal welfare, to undertake food inspection and professional functions within food safety, environmental protection, , and to undertake other professional functions where veterinary competencies are relevant to provide students with the necessary qualifications to independently maintain and develop their professional and scientific competencies through lifelong learning to provide students with the necessary qualifications to identify, describe and solve or handle complex veterinary problems to provide students with more comprehensive knowledge, skills and competencies within a given veterinary curriculum tracking to provide students with the necessary qualifications to meet the day-one competencies described by EAEVE and AVMA to provide the knowledge, skills, values, attitudes, aptitudes, and behaviors necessary to address responsibly the health and well-being of animals in the context of changing societal expectations to provide students with the necessary qualifications to pursue PhD studies For detailed list of intended outcomes of the BSc and MSc-programs, see Appendix 11-A. The veterinary educational program is governed by the Danish Act on Universities, which requires that all university education must be divided into a BSc program (3 years) and a MSc program (2½ year for 34 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN veterinary medicine). The veterinary curriculum thus comprises 5½ year in total, equivalent to 330 ECTS3 (credits; 60 ECTS per year). The student will obtain a solid foundation of veterinary and scientific knowledge and skills. This includes understanding of foundation of science, and ability to retrieve, handle and critically evaluate scientific data and literature, which is essential for supporting self-regulated learning after graduation. Having completed the veterinary MSc program, the student is by law eligible to the Danish Veterinary License, which is recognized by the countries of the European Union and to pursue a PhD study. For details about the core and elective courses, see appendices 9-A to 9-C. 2009 Curriculum, adjusted in 2011, 2012 and 2014 Core courses comprise the majority of both the BSc- and MSc-programs. In the BSc program, 277.5 ECTS are mandatory courses, while 22.5 ECTS are electives. To be admitted to the veterinary MSc program, the student has to select a 22.5 ECTS package of three specific veterinary courses (see appendix 9-A). In the veterinary MSc program, 26.5 ECTS are electives. The electives have been combined into 5 tracking programs (so-called “differentiation modules”): Advanced Companion Animal Clinic, Equine Clinic, Herd Health, One Health and Biomedicine. For students, who would like international experience, it is possible to design their own elective program, consisting of clinical rotations and other final year veterinary MSccourses at AVMA and EAEVE accredited Colleges, including the possibility of maximal 3 months supervised externship. The veterinary BSc-education provides the scientific knowledge necessary for the student to launch an intensive study of animal health and diseases, and develops the specific biochemical, anatomical, physiological, pharmacological, pathological and clinical principles necessary to understand normal and abnormal structure and function and their relation to the clinical manifestations, diagnosis, treatment, management and prevention of disease. The fourth year (i.e. MSc education, Year 1) is devoted partly to core techniques courses (lectures on companion animal and large animal diseases as well as practical training in clinical examination and surgical techniques and skills), where students are taught theoretical and practical skills relevant for diagnostic workup in veterinary practice; partly to in-practice rotational courses on the diagnosis and treatment of diseases of the major domestic species, many of which are taught using a problem-oriented approach. The latter rotational courses continue into Year 5. The second half of the fifth year and Year 6 are mainly dedicated to the elective tracking courses and the MSc-thesis. Clinical experience is an integral part of veterinary medical education and a major part of the core rotations and it includes emergency service. In the community practices of the University hospitals for Companion Animals and Large Animals, students have primary patient responsibility under close supervision. They take patient histories, conduct health examinations, vaccinations, learn the art and science of diagnosis, and make recommendations for treatment or referral to other services for further evaluation as well as participate actively in case management and client communication. All of these activities are performed under the supervision of clinical or scientific faculty, who are specialists in their field. In field services, faculty and students evaluate and treat farm livestock, horses, and exotic animals. The herd health program is conducted by regular, clinical, and adjunct faculty in farms and businesses around Zealand. The BSc project (10 ECTS) and the MSc thesis (30 ECTS) have as their didactic/pedagogical basis a projectbased approach, thus favoring accommodative and divergent learning. This is aimed to help the students obtaining the necessary qualifications to independently maintain and develop their scientific and professional competencies and qualifications to identify, describe and solve or handle complex veterinary problems. Furthermore, the projects are regarded as an essential step in initiating and promoting lifelong learning in each professional degree candidate. 3 European Credit Transfer System. One year full time study equivalents 60 ECTS, which in Denmark is translated into 1650 hours study load 35 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN 9.2 Describe major curricular changes that have occurred since the last accreditation The current 2009 curriculum is based on a major curriculum revision that was initiated in October 2007 and incrementally implemented between 2009 and 2013. Hence, the first students following the 2009 curriculum have graduated in January - February 2015. In 2009, the 2009-curriculum was presented and evaluated prospectively by the AVMA pre-visit team (see AVMA pre-visit team comments and recommendations, and subsequent actions taken in Appendix 9.E). In December 2010, the 2009-curriculum was approved and accredited by EAEVE. The original 2009 – curriculum has been further adjusted in 2010, 2012 and 2014 to accommodate the educational strategies of the VETSCHOOL and in response to outcomes assessment from several sources: the annual course and curriculum evaluations, outcomes assessment by alumni and employers, specific inquiries and suggestions from students and faculty to the Veterinary Study Board. All changes have been decided by the Veterinary Study Board, processed in accordance with the Quality Assurance system (see standard 11), approved by the VETSCHOOL´s council on education and finally granted by the Dean. In 2010, two adjustments were made in the BSc-curriculum: 1. Minor adjustments regarding laboratory animal science teaching, so students graduating from the BSc-education hold the Danish and EU license4 to assist in animal experiments. 2. Re-location of practical tutorials within “Basic clinical theory, large animals” to 3rd quarter from 2nd quarter of Year 3 in order to allow more even distribution of students and practical animal tutorials at the University Teaching Hospital for Large Animals, Taastrup Campus. 3. In 2012, a series of adjustments of courses were implemented, based on Students and teachers evaluations. 4. Re-establishment of more discipline oriented course modules and exams on some BSc-course, e.g. Veterinary Ethics & Science Theory and Veterinary Zoology, Cytology & General Histology and Veterinary Genetics, Animal Nutrition and Animal Breeding, Applied Ethology and Veterinary Jurisprudence. These courses had been assembled in 7.5 ECTS courses in the original 2009 curriculum. 5. Re-location of the BSc- course Special Pharmacology (former Veterinary Paraclinics-1) to the last quarter of Year 2 from the last quarter of Year 3, in order to obtain a more even study load through the last Year of the BSc-education. 6. Lectures in client communication were included in several courses as a consequence of alumni survey. 7. 2 weeks extra mural “seeing practice” rotation was added to the MSc- course General Clinical practice, companion animals‟ course. 8. In 2014, the Veterinary Study Board decided that from February 2015: 9. Integration of the BSc-courses on pharmacology and toxicology into one course and major renewal of teaching and exam forms in order to exploit the synergy between the basic issues of the two disciplines, achieve a more even study load and to obtain better learning alignment between learning goals, teaching and assessment. 10. 4 days extra-mural "seeing practice" rotation has been added to the course General Clinical Practice, Large Animals with focus on large animal practice management and client communication. 9.3 Describe the process used for curriculum assessment (including course/instructor evaluation) and the process used to assess curricular overlaps, redundancies, and omissions Aspect set by the Danish Act on Universities: The Dean shall manage the main academic area, and ensure the interaction between research and education and quality of education and teaching. The Dean shall approve curricula, subject to proposals from the Study Board. 4 Issued by the Danish Ministry of Food, agriculture and fisheries in accordance with regulations set by the Federation of European Laboratory Animal Associations (FELASA). 36 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN The Study Board shall comprise equal numbers of representatives of the academic staff and the students, selected by and from the academic staff and the students respectively. In co-operation with the Study Board, the Head of Studies shall undertake the practical organization of teaching and assessments forming part of the exams. The Study Board shall ensure the organization, realization and development of educational and teaching activities (see appendix 1-C for a detailed description of the duties for the chair of the Study Board). The Head of Departments shall ensure the quality and interaction between the research and education of the department, and in consultancy with the Study Board and the Head of Studies, the Head of Department shall follow-up on evaluations of education and teaching. Aspects set by HEALTH and University of Copenhagen (UCPH): As a school within the HEALTH faculty, the VETSCHOOL follows the Educational quality control procedures laid down by the HEALTH and UCPH for outcomes assessments including course and exam evaluation and curriculum assessment. This is described in details in Standard 11.1. Apart from these formal aspects, a variety of informal aspects also contribute. At any time, the Head of Studies can on his/her own initiative, or following decision in the Veterinary Study Board, conduct an evaluation of larger parts of the curriculum. An example of this was meetings with students, BSc-course leaders and pre-university teachers within physics and chemistry, in order to evaluate the present role of supportive subjects in the BSc-curriculum. Another example was a series of meetings with students, teachers and course leaders of the clinical rotations at the MSc-curriculum, with focus on the summative assessment forms. These were accompanied by a workshop on Clinical examination with emphasis on OSCE examination. 9.4 Describe the strengths and weaknesses of the curriculum as a whole Strengths: The existing curriculum exposes students to all aspects of veterinary medicine, and this broad-based coverage is its primary strength. Dedicated, motivated and active teachers as well as students are also primary strengths. Furthermore, the unique uptake of 50% of the students via the quota 2- admission procedure ensures a broader student background, which is highly appreciated by VETSCHOOL and the employers. Despite the comprehensive nature of the curriculum, tracking opportunities within companion animals, equine clinic, herd health, One Health (veterinary public health), and biomedicine are available for students in the last year of the MSc program. The curriculum provides a wide didactic variety for our students, i.e lectures, practical exercises, clinical practicals and rotations, project-based learning, case-based learning, e-learning, and clinical skills laboratory. A dynamic curriculum allowing that the Veterinary Study Board is able to efficiently implement changes to courses and curriculum on the basis of course and curriculum evaluations and outcome assessments. Vertical integration between parts of the Anatomy syllabus into propaedeutic and clinical courses, e.g. Basic Clinical Theory Large Animals, Medicine, Surgery and Reproduction, Companion Animals and Veterinary Imaging. Weaknesses: No teaching-free periods prior to summative course exams within the ordinary quarter structure stresses students and reduce time for exam preparation. Redundancies between the syllabi of physics and chemistry of the required pre-university secondary high school education and the biophysics and chemistry modules within the 1st Year BSc-degree curriculum. Inadequate use of available post-mortem specimens for teaching BSc-degree students. The course of Special Pathology and Poultry Diseases is only taught during the fall semester (2 quarters) meaning 37 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN that BSc-degree students do not utilize and take actively part in post-mortem examinations during the spring semester. The quarter structure of the teaching year results in blocks with less than 9 full week‟s teaching, as public holidays in some years collides with a block week. This creates problems on the clinical rotations as well as in organizing laboratory work in smaller teams for 180 students during a 8 week block. A curriculum revision procedure is currently taking place in order to address the weaknesses described above. 9.5 Describe preceptor and externship programs (including the evaluation process) The core clinical MSc-courses, General Clinical Practice, Companion Animals and Large Animals have extra mural “seeing practice” rotations of 2 weeks and 4 days, respectively. During these rotations, students are asked to focus on client communication and practice management. During the external rotation, the students are asked to make a brief portfolio on patients seen and to answer specific questions to make them reflect on the working environment and patient handling in the external clinics. Within the elective (tracking) MSC-courses students can select extra mural rotation / externships as part of their course program: Advanced Companion Animal Tracking: Three weeks in an approved external specialized Companion Animal Practice, where at least one veterinarian should hold a specialization in companion animal medicine. Equine clinic tracking. At the Equine Clinic track the students have two weeks of seeing practice. The students select the practice them self and the cases of the practice should be large animals with special focus on horses. During the stay the students obtain a log book including all cases. This log book must be approved by the course responsible. Additionally the students also have three weeks of seeing practice in the field practice allocated to the University Herd Health tracking. The students are further introduced to herd health and veterinary public health during a preceding 5 ECTS course. 17.5 ECTS of the main course is project-based and entirely extramural. Centered on an industrialized dairy or sow herd, the students do traditional clinical work and study all aspects of herd health management. The students are required to collaborate with farm personnel and the local herd veterinarian. The outcome of the course is a comprehensive herd health report, which is assessed by means of a 4-hour written examination. The remaining 4 ECTS is elective to allow the students to pursue specific interest. Currently, many students work with mink and most of the rest go with veterinarians in farm animal practice. A log book must be approved by the course responsible. One-Health tracking. The students are further introduced to herd health and veterinary public health and acquire an in-depth knowledge about the One Health approach when solving national, regional as well as global challenges, with special focus on health problems associated with the spread of pathogens between animals and humans ('zoonoses'). Through case work the participants will learn how to develop systematic, stepwise approaches into cost-efficient and sustainable disease control programs based on evidence from literature and new/own investigations of zoonotic diseases. Alternative Elective Program: With the alternative elective programs, there is a maximum of 12 weeks (15 ECTS) allotted for supervised externship / trainee service. This Externship / trainee service program must be work in a graduate-like position. It may take place in private veterinary practices, veterinary state laboratories and organizations, biomedical industries etc. The student is supervised by a faculty as main supervisor with a co-supervisor at the workplace. The work must be of such a nature that it contributes to the development of the student‟s theoretical and practical knowledge in relation to the DVM-studies themselves. The student must deliver a reflective report (portfolio) which is assessed by the main supervisor. The externship program must be approved by the main (subject) supervisor and the externship program coordinator of the supervising department. Furthermore, the Study Board represented by the Head of Studies must subsequently approve the whole alternative program (see 38 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN course descriptions Veterinary Project in Practice (7.5 credits) and Veterinary Project in Practice (15 credits) Except for short extramural “seeing rotations” with the compulsory clinical courses General Clinical Practice, Large Animals and Companion animals, no compulsory extramural clinical work is included in the curriculum. However, as BSc students increase their calculated grade used in the selection process for admission into the different tracking programs, a large part of the students engage themselves in veterinary trainee service for 3 or more weeks during the summer holidays. The handson practical training in meat inspection and food safety inspection in the second semester of year 4/the first semester of year 5 is outsourced to the Danish Meat Trade College in Roskilde (see standard 4.1.5). The course on Equine clinic includes and extra mural practice, and in the other clinical tracking programs, extramural clinical work may be incorporated into the course program by individual students, i.e. Advanced companion animal (up to 3 weeks), Herd Health (up to 6 weeks) and OneHealth (up to 4 weeks). Furthermore, MSc students may, with approval from a clinical veterinary supervisor and Head of Veterinary Studies, compile their own special tracking program based on extramural work. The assessment is based on a project report. 9.6 Curriculum Digest A Curriculum Digest is provided in Appendix 9-A and B, which hyperlinks directly to all veterinary courses in the course database). In appendix 9-C, D and E, course descriptions of a BSc program course and two MSc program courses, a clinical rotation course and a tracking course, are shown. The descriptions follow the standard layout of all veterinary program courses that are published at the University Course Database. 9.7 Describe current plans for curricular revisions On the basis of the continuous monitoring of the outcomes of the 2009 BSc-curriculum, the Veterinary Study Board has in 2014 initiated a revision process for BSc-curriculum that shall result in adjustments meeting the identified weaknesses (see 9.4, above). Work groups shall deliver suggestions for new course syllabi in June 2015. As the first DVM-students enrolled on the 2009 curriculum will graduate in 2015, the Veterinary Study Board has planned a comprehensive analysis and review of the MSc-curriculum and outcomes, and will subsequently initiate necessary adjustments. From 2015, the teaching blocks (quarters) that collide with public holidays will be prolonged accordingly by including teaching days within the free weeks between blocks. 9.8. Provide a description of the testing/grading system (scoring range, pass levels, pass/fail) and the procedures for upholding academic standards The June 2014 Ministerial Order on University Examinations and Grading (the Examination Order) specifies in detail all rules and regulations in this regard . The veterinary programs are competence based educations (see Standard 11 and Appendix 11-A), with constructive alignment between intended learning goals and assessment. The examination after each course tests student performance in relation to intended learning goals; most veterinary examinations are written and practical skills are either included in the summative examination or tested in formative assessments during the courses. Exams and assessment are regulated, the grading scale being a 7-step grading scale with a Pass/fail system, as laid down in the ministerial grading scale order. 9.9 Describe the opportunities for students to learn how different cultural and other influences can impact the provision of veterinary services The veterinary students are introduced to impact on cultures on veterinary services and animal handling at the first year course Veterinary Ethics and Science Theory. Furthermore, knowledge of different religious slaughtering practices and the EU and National regulations regarding these practices are an integrated part of the curriculum. As part of HEALTH, veterinary students are part of a multicultural educational environment, even though the cultural religious diversity among students at veterinary program is less than found at other programs as Dentistry, Pharmacy and Medicine. 39 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN 10. RESEARCH PROGRAMS The College must maintain substantial research activities of high quality that integrate with and strengthen the professional program The main focus of the research is in the area of basic and applied research relevant for animal and human health, food production, and environment. Within the veterinary domain, there are many different research programs and projects. Generally, these benefit the students greatly in attracting good academic staff and creating a study environment with strong emphasis on research and innovation. 10.1. Describe up to five programs of research emphasis and excellence 10.1.a New strategies for combating antimicrobial resistant bacteria. Antibiotic use in humans and animals has the unavoidable side effect to promote selection of resistant bacteria. The use of antibiotics and the development of resistant bacteria therefore affect both animal and human health. At the VETSCHOOL we perform research to find effective solutions to this problem including reduction of the use of traditional antibiotics and the risk of zoonotic transmission from animals to humans. The research program is conducted in a true One Health perspective and includes faculty from veterinary science as well as human medicine and animal science. It focuses on translational research bridging the gaps between basic science, clinical research, and patient care. 10.1.b Animal Health and Welfare There is an increasing focus on animal health and animal welfare. The research in this field goes across several levels: from settling on how animal health or animal welfare may be defined, over the identification of indicators that may be used to detect disease or bad welfare, over the detection of causes of poor health or welfare, to the clarification of how to set ethical limits to animal use. By using diverse methods from applied animal behavior, epidemiology and bioethics, approaches for preventing or limiting risks of poor health and welfare are being developed. This research is conducted in close collaboration with animal science research. 10.1.c Experimental animal models The EU uses 15 million laboratory animals every year. Most studies are models for human diseases. At VETSCHOOL we contribute to reduce the use and refine the experimental animal models. We do this by adapting the animal models to a high degree of resemblance with human diseases, by trying to lessen stress on the individual animal and reducing the uncontrolled variation in the animals. The work is concentrated on models using mice, rats, guniea pigs and pigs. 10.1.d Domestic animal genomics and epigenomics The research is focused on a generation of novel information on genetic components that can be applied to improve animal and human health and support sustainable animal breeding. The group has a longstanding interest in studies of host-pathogen interaction, comparative genomics, molecular pathology, and development of animal models for human diseases. The research establishes novel information within the area of genetics and genomics that contribute to generation of novel basic biological insight in mammalian genome organization and function. The researchers interact with veterinary clinics and breeding organizations and prioritize translational projects, which benefit production and companion animals as well as the human genetic field. Therefore, the group delivers truly research-based teaching, that is continuously improved and updated with the newest developments within the field of genetics and genomics. 10.1.e Healthy companion animals Companion animals are often considered family members, and the veterinary clinics and the pet industry experience increasing growth despite the financial crisis. Our research has focus on improved diagnostics, treatment and prevention of the most serious diseases for cats and dogs, which are also the diseases frequently seen in humans. The diseases show basic pathophysiological mechanisms, which can be studied across disciplines and species. To a large extent cats and dogs share the environment and life style with their families. Their short life span and natural ageing, makes it possible to study the disease mechanisms and the triggering factors, arising spontaneously and with the same complexity as in humans. The environmental 40 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN impact interacting with the molecular basis, genetic and epigenetic, can be studied over a short period. At the same time this approach offers a unique platform for new diagnostic modalities and treatment strategies that benefit both animals and humans without afflicting diseases upon the animals. 10.2. Provide evidence for the breadth and quality of the college research program 10.2.a. The number of individual faculty members within each department involved in research, total research FTE, and research productivity (tabulate below for each of the last three years). The Academic staff members listed in Appendix 10.A are active in research, and the research output is listed as peer reviewed papers. 10.2.b. A description (one page or less) of other measures of faculty research activity (e.g., faculty participation and presentation of original research in scientific meetings, involvement of faculty in panels, advisory boards or commissions, and national and international research awards received). The research priorities of the veterinary science area adhere to the HEALTH research strategy named from MOLECULE TO SOCIETY. As strength, the Copenhagen area contains the largest concentration of medical and biotechnology companies in Northern Europe, and generally top-researchers at HEALTH are in the international lead. Among these are several members of faculty at the Veterinary Departments. Research is conducted broadly into most areas of veterinary science, as documented by the publication record. Interdisciplinary research initiatives help us address the broad, complex themes and challenges that lie outside the range of the individual disciplines. HEALTH‟s research is conducted to high professional standards, within a culture that complies with both Danish and international standards for good scientific practice. As part of their academic appointment, faculty at VETSCHOOL are expected to develop independent basic and/or clinically oriented research and publish their results in professional/scientific peer review journals. Furthermore, most faculty are involved in research committees for international meetings, congresses and national and international commissions. Specifically faculty employees are represented in the Danish Council for Independent Research, The Danish Council for Strategic Research, agricultural levy funds for several animal species (cattle, swine and mink). Further, faculty employees are represented in boards and expert committees in several countries as well as EU organisations (e.g. EFSA) and funding bodies (e.g. ANIHWA). 10.3. Describe the impact of the overall research program on the professional program and on professional students Research is an indispensable and essential part of all activities within the veterinary programs. Research results are used in all parts of the veterinary courses to provide the students with the most recent and evidence based information. The students are taught how to critically evaluate sources and experience research first hand through their veterinary MSc thesis work. Through this exposure, they experience the full impact of research on the veterinary profession as well as inspiration to pursue a research education program. 10.3.a Describe courses or portions of the curriculum where research-related topics are covered (literature review/interpretation, research ethics, research methods or techniques, and study design. In the BSc-project (thesis) and the MSc-thesis at the final year of the respective programs, students are explicitly engaged in research topics, either through writing of a literature review of a veterinary scientific topic (BSc-project) or by performing independent veterinary research work (MSc-thesis). In addition, students are involved in research-related topics in several courses throughout the programs, e.g. Bio ethical project assignment within the Veterinary Ethics and Science Theory courses and study design with the Basic Statistics and Epidemiology course at Year 1 and 2, respectively, of the BSc-program. Within the MScprogram students are engaged in research related topics in relation to the elective courses, e.g. Biomedicine and One-Health, during which students either design or participate in research projects. 41 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN 10.3.b. Describe/list the current or proposed opportunities for participation in research All veterinary students actively participate in research through their veterinary MSc thesis project which includes an experimental research part, either a laboratory experiment, a clinical study, or an analytical activity. In addition, many students participate or are involved in research during their clinical or other rotations in the tracking programs. The MSc program is concluded with a thesis, where the student works independently with a problem which is an important part of the individual student‟s academic profile. The thesis equals 30 credits (1 semester) and it must include independent experimental and/or analytical work. The main supervisor must be an employee at HEALTH and must as a minimum be an Associate Professor. Supervision is based on mutual agreement and on the student‟s individual needs. The supervisor supervise with respect to the structuring of the assignment, the method of analysis, important sources etc. 10.3.c. Describe efforts by the college that facilitate the link between veterinary medical student research and subsequent or concurrent graduate education, and that enhance the impact of college research on the veterinary professional program. By law, the program has to be research-based so examples of current research are included in single courses and lessons when applicable. This goal is reached by integrating research and research results in the veterinary curriculum at bachelor and master level as described above. 10.3.d. Describe college research seminars and presentations for DVM students Formal, recurring research seminars and presentations for DVM students are not established. Students attending courses at the University Hospital are invited to join the weekly research seminars/presentations made by faculty and veterinarians working at the University hospital. DVM students make oral presentations of their research at the examination of their bachelor's and master's theses. Furthermore, supervisors encourage their bachelor and master students to publish their work in peer reviewed journals and offer their guidance during the process. As part of the Biomedicine track, DVM students are required to prepare posters (in groups) that are presented and discussed in plenum. Furthermore, in the Companion Animal Hospital, DVM Master Students have the opportunity to attend the weekly faculty seminar including presentations of PhD research. 11. OUTCOMES ASSESSMENT In all courses, students‟ outcomes are assessed in relation to the intended learning outcomes of the course, either at a final course examination (i.e. all BSc-courses and most MSc-courses), during the course through theoretical and practical course assignments, portfolios and compulsory participation (i.e. courses with practical / clinical elements) or both (i.e. most MSc courses, including clinical rotations). Furthermore, the VETSCHOOL follows the educational quality control procedures laid down by the Faculty (HEALTH) and UCPH in order to ensure dynamic improvement of outcomes. The system can be summarized as follows: All courses and exams are evaluated by students every year using an electronic survey, and subsequently the course leader evaluates and categorizes his/her course in one of 3 categories (A, B, C) on the basis of students‟ outcomes, students‟ course and exam evaluations and teacher‟s inputs regarding course outcome. If students‟ and/or course outcomes calls for improvement, the Course Leader Evaluation Report must be accompanied with an action plan for improvement of the course. 42 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN Course reports and possible action plans are forwarded to the respective Department Teaching Committees for approval. Improvements that do not require syllabus or curriculum changes are immediately implemented. The Head of Studies gathers all information about course outcomes and summarizes the conclusions in a yearly Curriculum Status Report, which is discussed and approved by The Veterinary Study Board. The Board makes final decisions on improvements of the curriculum including major changes in individual courses. If major revisions of curriculum are planned, the revised curriculum is sent for consultation to the VETSCHOOL, i.e. School Board, Head of Departments and External Advisory Board, and the Faculty Service Section of Studies and Students prior to final decision. Finally, the revised curriculum is forwarded to the Dean for final approval. The marked hyperlinks provide access to exam questions, summaries of outcomes of course exams, the annual report from the chairman of the external examiners, students‟ course- and exam evaluations (available at Absalon), the Curriculum Status Report and summaries (minutes) from Study Board Meetings and the overall UCPH evaluation plans. 11.1.a NAVLE school score report data and passage rates over the past five years As the Vet-school has not yet been accredited by AVMA, we do not have NAVLE score data to report in Table A. 11.1.b Student attrition rates with reasons. Tables B1 and B2 below show attrition of the specific BSc and MSc program classes, respectively. Table B1: Attrition at the BSc Program 2009-2013§ Entering Class (year) 2009 2010 2011 2012 2013 Admitted students§ (per Oct. 1st in entering year) 191 186 181 185 187 Attrition* Reason for Absolute Attrition** Absolute Attrition** per December 1st, 2014 Academic Failure/Additional Program*** Number 76 (40%) 72 (39%) 97 (54%) 77 (41%) 52 (28%) Personal # 12 7 8 1 0 7 14 29 9 9 Percentage 19 21 37 10 9 9.95 % 11.29 % 20.44 % 5.41 % 4.81 % § All admitted students follow the new BSc-curriculum (2009) * Students that are either withdrawing from the program or have not progressed the prescribed 60 ECTS per year after entering the BSc-program. ** Students who leave and never return *** Number of students for which the faculty terminated the enrolment in the program due to academic failure # Number of students that decided by themselves to terminated the enrollment in the program 43 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN Table B2: Attrition at the MSc Program 2009-2013§ Entering Class (year) Admitted students (per Oct. 1st in entering year) Attrition* Reason for Absolute Attrition** 2009§ 141 Academic Failure / Additional Program*** 86 (61%) 1 2010 § 160 83 (52%) 2011 § 218 2012 $ 2013 $ Absolute Attrition** per December 1st, 2014 Personal # Number Percentage 0 1 0.71 % 0 0 0 0.00 % 157 (72%) 0 1 1 0.46 % 112 27 (24%) 1 1 2 1.79 % 160 42 (26%) 0 0 0 0.00 % § Following old curriculum (2005), $ Following new MSc-curriculum (2009) * Students that are either withdrawing from the program or have not progressed the prescribed 60 ECTS per year after entering the MSc-program.** Students who leave and never return *** Number of students for which the faculty terminated the enrolment in the program due to academic failures # Number of students that decided by themselves to terminate their enrollment Absolute attrition At the BSc-program, absolute attrition has - with the exception of Class 2011 - been below 10 percent for each class since 2009. The reason for the high attrition in Class 2011 is unknown. However, the Class also had a higher relative attrition spread, as only 78 students in the Class had graduated within normal time. The majority of drop-outs, caused by personal reasons, takes place within the first 2 years of the BScprogram and are evenly spread over these first 4 semesters (see appendix 11). In contrast, academic failure will normally not lead to termination of enrollment until 2-5 years after admission, when legislation allows the VETSCHOOL to terminate students‟ program enrollment. This will happen if students have not fulfilled the study activity requirements, i.e. more than 3 examination attempts in a course, failing to pass first year‟s BSc-courses within 2 years from admission or failing to pass the entire BSc-program or MSc-program within 5 years. The Study Board may in extraordinary circumstances grant exemption from the legislation. Relative attrition caused by study delay About 40% of BSc students (24-54%), 2/3 of MSc-students on the old curriculum and 1/4 of MSc-students on the new curriculum delay their study with one or more years. University educations in Denmark are tuition-free and until 2013 students have been able to receive the governmental study grants (SU, see Standard 6) for 6.5 years in total, when admitted into the veterinary program. Furthermore, the BSc- and MSc curricula allow 5 years for both programs, as long as the first year of courses is passed within two years. Therefore there have only been minor economical and regulatory incentives for students to finish the education within 5.5 years, as reflected in the tables. With the new MSc-curriculum implemented from 2012, students have to participate and pass the first semester propaedeutic courses in order to enroll in the clinical rotations; and clinical rotations must be approved in order to start the elective courses. These compulsory prerequisites most likely explain the drop in relative attrition at the MSc-program from 2012. From 2014, new legislation regarding students‟ study progression has been implemented for all freshmen. From 2015, this legislation will cover all university students. This means that at the beginning of each semester, all students will automatically be enrolled in new courses and subsequent exams equivalent to 30 ECTS. Furthermore, students must pass 30 ETCS courses per semester in order to maintain the governmental study grant. This is expected to reduce study delay significantly. However, it is also expected that the new legislation may cause an increase in absolute attrition, as it will put pressure on both academically weak students and students with suboptimal performance due to personal problems. 44 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN A survey in 2010 among veterinary and other students at the former Faculty of LIFE Sciences (UCPH) showed that the two main reasons for students dropping out or being delayed were high workload and personal problems. This has been supported in a recent Satisfaction Survey among students (2014), showing that 55% of veterinary students responding to the survey experience stress-related symptoms (stomach ache, depression, difficulty in concentrating, difficulty in sleeping, etc.). Similar response patterns are seen at the medical education. HEALTH initiated in 2014 an investigation of the effect of different admission procedures (Quota 1 vs. Quota 2) at Veterinary Medicine, Medicine, Pharmacy and Odontology on student performance and career (see Standard 7. 5) including a prospective cohort-study of students‟ well-being in order to explore the possibilities of better matching of students and study through increased and improved Quota 2 uptake. Results from this investigation will be available in 2016. The VETSCHOOL monitors and assesses the outcomes of the 2009 curriculum, and has consequently initiated a number of enhancements to courses and curricula to meet identified challenges. This includes several adjustments of the 2009 Curriculum (see Standard 9.2 and appendix 11) 11.1.c. Evidence of students’ outcomes for each of the nine listed competencies The quality control system regarding curricular outcomes, outcome assessments and subsequent procedures for evaluation and improvement actions regarding the veterinary program are explicitly defined and described in the faculty quality control system. The veterinary curriculum (see Standard 9) is competence based. Hence, competences required by the Danish Veterinary and Food Administration for authorization, as well as Day 1 competences required by EAEVE and AVMA for obtaining international accreditation, are incorporated as learning outcomes in the curricula of the BSc- and MSc programs. Furthermore, each course is constructed around a set of intended learning objectives regarding knowledge, skills and attitudes / competences that feed into the outcomes of the overall programs. After and/or during each course, students are assessed on their performance in relation to the intended outcomes of the course. The intended learning outcomes, the related assessment criteria and exam procedures are all laid down in the course descriptions. In all BSc-courses, students‟ outcomes are tested directly through summative written or oral course exams, of which some include practical elements (i.e. Infection Microbiology, Anatomy and Physiology and Special Pathology and Poultry Diseases). In courses with theoretical or practical exercises and/or assignments, the summative assessment is supplemented with formal or informal formative assessments. Moreover, learning outcomes of most BSc-courses with practical elements are indirectly supported through compulsory participation in these activities. Final summative course assessments are present at all MSc-courses, except at the core clinical rotation course “Companion Animal General Clinical Practice” and the elective clinical course “Advanced Companion Animals”, at which students are solely assessed by direct observation of clinical skills (DOCS). All other MSc courses and rotations have a final summative written or oral exam, supplemented with formative assessments of students based on portfolios, case-based written assignments, case presentations, clinical rounds and specific skills tests including OSCE-based tests. In addition, outcomes in all MSc-courses are indirectly supported by the compulsory participation in all practical and clinical work. On the basis on the various forms of formative assessments, students‟ course performance is approved / not approved at the end of each course. Hence, passing most MSc-course requires both an approved “course certificate” and a passed “summative exam.” In appendix 11-A, examples of competence matrices for the nine AVMA competences are listed illustrating how the intended learning goals and assessments of MSc-courses feeds into the EAEVE and AVMA competences. The complete BSc- and MSc-course competence matrices in relation to the AVMAcompetences and EAEVE Day 1 competences can be found on the VETSCHOOL website. 45 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN 11.1.d Employment rates of graduates (within one year of graduation) Table 11.C: Unemployment rates Year (December) 2010 Students graduated 142 Within one year of graduation * 15/57 = 25.6% At 6 months after graduation** 16% Of all insured DVM* 2011 127 12/57 = 21.7% 17% 66/1866 = 3.6 % 2012 137 19/70 = 27.5% n/a 86/1902 = 4.5 % 2013 145 19/68 = 27.8% n/a 73/1959 = 3.7% 2014 178 40/ 97 = 41.2% n/a 89/ 2006= 4.5 % 60/1851 = 3.2% (September record) * Data collected and published monthly by Danish Confederation of Professional Associations (AC Akademikerne) based on registrations of unemployment among alumni that are members of one of the public unemployment funds. It is estimated that more than 50% of all Danish DVMs and at least 80% of newly graduates are member s of an unemployment fund. ** Official national statistics from Ministry of Education and Research. Table 11.C shows a summary of the last 5 years‟ unemployment rates among veterinarians. The global economic crisis hitting Denmark in 2008 has influenced the job situation for veterinarians, both in private practice - particularly equine practice in which a 30 % reduction in gross turnover has been reported (source: Danish Veterinary Association) - and within the public services sector, where technical staff has taken over many inspection and control functions within meat and food hygiene control (source: Danish Veterinary and Food Administration). During the same period, more students have graduated due to the increased uptake from 140 to 180 students per year from 2006. As a result, the unemployment among newly graduated veterinarians is among the highest in Denmark compared to other academic groups. However, the overall unemployment rate for DVM‟s is still low compared to the same academic groups. The VETSCHOOL is at present focusing on unemployment among newly graduated candidates and possible ways to ensure that the intake of freshman matches the societal needs. At the VETSCHOOL, a strategic project, “Sustainable Veterinary Education” was launched in November 2014, which includes possible reduction of student intake and adjustment of curriculum as part of its terms of reference in order to match the future labor market and societal needs for veterinarians. The project work groups comprises key Faculty and executive officers within the VETSCHOOL, study directors, heads of the departmental teaching committees, students officers from HEALTH, administration and DVM‟s from the External Panel of Employer Representatives of the VETSCHOOL. 11.1.e. Assessments of graduating seniors; and assessments of alumni at some post-graduation point (for example, three and/or five years post-graduation) assessing educational preparedness and employment satisfaction Outcome surveys among alumni has until now been carried out every 4 years, i.e. in 2010 and 2014. However, according to the new Copenhagen University Quality Control Program that will take over in September 2015, outcome surveys will be carried out every year among all students at one year after graduating from the BSc-program, and all alumni at one year and 4 years, respectively, after graduating from the MSc-program. The first veterinary program survey (in 2010) included all alumni that had graduated 2007-2010 (n = 501) of which 41% (n = 204) responded to the on-line questionnaire. The second survey (in 2014) included 478 alumni graduating 2010 -2014, of which 40% (n=171) responded. The on-line questionnaires comprise queries about employment status, job satisfaction, educational preparedness and continuing education, mainly in a closed questions format using a 4 or 5-step “Likert scale”, supplemented with a few open questions, where the alumni may qualify some answers. The queries regarding educational outcomes and their relevance in the present job situation of the responder were identical in both surveys, and based on questions about educational preparedness in relation to Day One skills. 46 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN In 2009 and 2014, 58 and 59% of the respondents, respectively, worked in clinical practice. The second largest groups (15% in both years) were PhD students, while 7% and 9%, respectively, were unemployed at the time of surveys. The remaining 16-17% were working either in Biomedical or Pharmaceutical industry, Veterinary Public Health Sector, Teaching colleges or were on maternity leave. Overall, 93% and 91% of the respondents of the respective surveys answered that the education had prepared them for their professional life to “some extent” (about 40%) or “high to very high extent” (more than 50%). The remaining responders answered to “lesser extent” or “not at all”. In general, the majority of alumni in the 2010 survey assessed that their educational preparedness was satisfactory or adequate, both in relation to the academic / theoretical outcomes and to the practical / clinical outcomes of the education. However, a majority of alumni working in clinical practice answered that their educational outcomes were inadequate in relation to client communication, interdisciplinary team work, the ethical dilemmas regarding euthanasia in practice, surgical skills in relation to explorative laparotomy, neutralization and castration and the use of ultra sound equipment, which, except for the latter, were skills that the alumni at the same time assessed as very important in their present work situation. Conclusions from the latest survey indicate that the majority of alumni now feel adequately prepared with respect to client communication and dilemmas around euthanasia in clinical practice. However, a majority of alumni assessed that they were inadequately prepared in relation to general practice management and ethics. It must be mentioned that the represented alumni have graduated from the old veterinary curricula. With the implementation of the 2009 Curriculum, the education outcome regarding the mentioned skills has been enhanced significantly, as the core clinical rotations have been improved and expanded and outcome assessment of practical / clinical skills have changed, from being mainly indirectly based on compulsory participation and theoretical examination, to now including various direct formative and summative assessments of clinical skills (see above). The results of the outcome surveys are published at the HEALTH website. 11.1.f. Assessments of employers of graduates to determine satisfaction with the graduates Assessments among employers of graduates are planned to take place every fourth year. In relation to the 2014 alumni survey, employers were identified and asked about their satisfaction with the newly graduated alumni. Of the 101 employers that were invited to join the survey, 44 responded to the on-line questionnaire that contained queries about the alumni performance in relation to the 30 EAEVE Day 1 competencies (as used in the alumni survey). The employers‟ answer pattern were very similar to that of the newly graduates. Employers were generally more satisfied with the graduates‟ level of preparedness to the veterinary profession than the graduates themselves, as 50% answered “high to very high extent” and 43% answered “to some extent” to the question “Are the newly graduate educationally prepared?”. The majority of the responses regarding the specific Day 1 competences were positive, meaning that more than 50% of the responders (excluding responders answering “not relevant”) found that graduates had obtained the competences to a “high or very high extent”. The only exception was surgical competences (ie. explorative laparotomies) where just 50% of employers were satisfied with the graduates‟ outcomes. Moreover, several employers called for more hands-on clinical training during education and better graduate skills regarding client communication and practice economy. 11.1.g. Assessments of faculty (and other instructors, for example interns and residents) related to such subjects as adequacy of clinical resources, facilities and equipment, library and information resources, etc.; and preparedness of students entering phases of education In relation to the yearly course evaluation and revision process (see 11.1. Students outcome and Standard paragraph 9.3), course leaders assess the various resources needed to fulfill the intended course outcomes as described in the Curriculum (i.e. course descriptions) as approved by the Study Board. The updated course budgets are submitted to the respective Head of Department for approval. Subsequently, the veterinary course budgets are verified and commented by the School Director after consultation with the Head of Departments, The Head of Studies and finally the School Board, and forwarded to the Dean together with the 47 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN revised curriculum agreed by the Veterinary Study Board. The Dean finally approves the curriculum and the overall course budget and allocates on this basis the financial resources regarding courses to the departments. Faculty are also assessed in relation to performance, well-being, adequacy of resources, facilities etc. at the yearly “Performance and development reviews”. The adequate preparedness of students entering the different phases of the veterinary program is assured through a series of administrative procedures based on students‟ outcomes: Students must pass the first year‟s courses within two years in order to continue at the BSc-program (National regulation) Students cannot proceed in the program if they fail an exam 3 times (National Regulation). Students must graduate from the BSc-program and MSc-program within 5 years of start, respectively (Curricular regulation) Students cannot enter the MSc-program unless they have graduated from the BSc-program (National regulation) Students participation and performance at the propaedeutic first semester MSc-courses has to be approved (obtained course certificate) in order to continue at the subsequent clinical rotation courses on the MSc-program (Curricular regulation) Students must have passed (= obtained certificate plus passed the summative exams) the propaedeutic first semester MSc-courses and obtained course certificates from all the following 2 semesters‟ core clinical rotations in order to proceed to the elective courses (Curricular regulation) The MSc-thesis must finalize the MSc-program. This means that students engage in their thesis work during the last year of the program, either just after or before the elective courses. The Veterinary Study Board exempts from the above regulations, if special circumstances are present, e.g. illness, maternity leave and military service. 11.1.h. Additional assessments that might assist the college in benchmarking it’s educational program. VETSCHOOL is the only veterinary school in the kingdom of Denmark. Students‟ outcomes and course outcomes are assessed regularly by a corps of external censors. External assessments take place at more than half of the BSc-courses (equivalent to 130 of 180 ECTS) and MSc-courses (equivalent to 101.5 of 150 ECTS). According to government legislation, a minimum of 1/3 of the program credit transfer scale (ECTS) must have external censorship. The corps of censors examines and assesses the performance of the individual students as well as evaluates the exam procedures and overall results. The chairman of the Censor Corps submits an annual Censor Evaluation Report to the Faculty. This report is discussed by the VETSCHOOL Board and the Study Board. Hence, the Censor Evaluation Report is included in the decision making procedure regarding curriculum revision. The External Examiner Evaluation Report is published on the HEALTH website (link to 2013 report). 11.2. Institutional outcomes 11.2.a. Describe how the college evaluates progress in meeting its mission (for example, benchmarking with other institutions, etc.). The VETSCHOOL is engaged in three accreditation programs, two international and one national, in order to evaluate and support progress of the program (see below). The conclusions and recommendations from these program accreditations are discussed within the VETSCHOOL, i.e. School Board, the Study Board, and the External Panel of Employer Representatives, and also within HEALTH, i.e. the Section for Studies and Students and the Deans Office. Subsequently, necessary actions to improve the veterinary program are taken in order to meet its mission and societal requirements. Appendix 11-B lists the recommendations from the former AVMA evaluation process and the subsequent actions taken by the VETSCHOOL. EAEVE- evaluation and accreditation The veterinary program was evaluated at European level by the EAEVE in 1988, 2001, and 2010. In 1988 and 2001 at Stage One level, and in 2010 on both Stage One and Two level. For details see the 2010 SelfEvaluation report and related EAEVE comments. The next EAEVE accreditation visit is due for 2020. 48 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN AVMA-accreditation In 2009, the VETSCHOOL was visited by AVMA in order to be allowed to apply for the present AVMA site visit and full accreditation. The pre-visit Self Study Report and Appendices, and the AVMA-evaluation report can be found here. Danish accreditation The Danish Accreditation Institution has the mission to ensure and develop quality and relevance in higher education degrees and institutions in Denmark. The Danish Accreditation Act on higher education institutions was passed unanimously by the Danish Parliament in 2013 and it replaces the original Accreditation Act from 2007 (prior to that, the veterinary program was evaluated by the Danish Evaluation Institute in 1998). Consequently the first accreditation of the Veterinary program will take place in the autumn of 2015, and preparation of the Self Evaluation Report is in progress. In the future, institutions rather than programs will be nationally accredited, and the University of Copenhagen is currently preparing for its accreditation in 2016. As a consequence, a new common quality control framework has been implemented within the last year for all of the university‟s educations, including the veterinary program. 11.2.b. Describe the adequacy of resources and organizational structure to meet the educational purposes (dean should provide). VETSCHOOL has an effective organizational structure and sufficient resources to ensure an excellent educational program with outstanding clinical facilities and a sufficient caseload for all students. The yearly budget process comprises a top-down and a bottom-up process. In the top-down budget process, the Dean decides, after due discussion with the VETSCHOOL director and the heads of departments, on a preliminary allocation of the funding for education to the departments and to the financing of the facility costs and other indirect costs. The Dean ensures the funding balance between the four Schools. In the bottom-up budget process, the departments have to budget all expected costs to the educational programs. The School Director oversees the budgeting of the costs of the Veterinary education. Although the basic governmental budget is being reduced with 2% per year the overall budget to the area of Veterinary Medicine has been quite stable. Due to strategic recruitment of faculty to the VETSCHOOL in 2013 we have during some years had a high level of activities compared to the level of our future budget. Therefore we are presently mapping all our activities (educational program, research areas and activities, hospital service and administration) in order to ensure balance between our total income and expenditures. 11.2.c. Describe outcomes assessed for college activities that are meaningful for the overall educational process (for example, scholarly activity of the faculty, faculty awards, faculty and staff perception of teaching resources, student satisfaction with the educational program, teaching improvement benchmarks, and others). If your program assesses other outcomes, briefly describe the results. The outcomes of the Admission procedure is monitored and discussed by the Admission Committee in relation to the performance of Quota 1 and Quota 2 students, e.g. attrition, study progression, average grade points. Overall, the Quota 2 procedure has resulted in greater diversity of students, as older students, more students from country districts, more male students and more foreign students (e.g. Swedish students) are enrolled through Quota 2 than Quota 1. There is a non-significant lower absolute attrition rate at the BScprogram among Quota 2 students compared to Quota 1. However, Quota 2 students‟ study progression tends to be a little slower and their average grade point score is significantly lower compared to Quota 1 students. See Standard 7.5 for details about on-going project on Quota 2 admission procedures at HEALTH. UCPH makes an annual “satisfaction and well-being survey” among students, faculty and staff, and every third year an “Educational Environment Assessment” (next time in 2016). On the basis of these, action plans for improvements in college activities are formulated and implemented. Further, all courses are evaluated by students and the outcomes of the evaluations discussed and followed up for improvements by the Teaching Committees and the Study Board. The Center for Online and Blended learning at HEALTH promotes learning tools for teachers and instructors and educates and supports the use of the virtual tools. The Department of Science Education offers a variety of courses in teaching, including the Teaching and Learning in Higher Education Programme (“Universitetspædagogikum”), which is a full year course (app. 49 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN 175 hours of work) through which university teachers become able to work continually to increase student learning. At the annual UCPH Commemoration, there are prize-giving‟s, including the Teaching Award (“Harald”), the Innovation Award and the International Study Environmental Award. At VETSCHOOL, the annual prize “Saly‟s Horse” is awarded by the Student Association (VMF) to appreciate an outstanding teacher. 11.2.d. Describe how outcomes findings are used by the college to improve the educational program (give examples) The procedures regarding improvement of the educational program on the basis of students‟ and course outcomes and outcomes from institutional accreditation processes have been briefly described above (11.1 and 11.2a, respectively). Examples of curriculum changes made in 2010, 2012 and 2014 on the basis of students‟ and course outcomes are given in Standard 9.2. Examples of curriculum and organizational changes made in order to improve the curriculum according to the recommendations in the 2009 AVMA report are listed in appendix 11-B. 50 FACULTY OF HEALTH AND MEDICAL SCIENCE UNIVERSITY OF COPENHAGEN VETSCHOOL SCHOOL OF VETERINARY MEDICINE AND ANIMAL SCIENCE AVMA COE Accreditation 2015 Self-Study Report