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DateTypeResidentFacultySectionTopicResources

Once per week until 8/25 - BR on Tuesdays at 8pm via Zoom until 8/25 then move to

3p

3-4:30p Tuesdays. Second session

3p

3-4p Thursdays.

Meeting ID: 917 5072 0516
Password: eccboard
7/7/20BRVCRGNeurologyNeurolocalization, congenital & degenerative malformations (hydrocephalus, chiari-like malformation, A-A lux, Wobblers, Degenerative Myelopathy, Lumbosacral stenosis)

Neurolocalization, congential degenerative disease.docx

7/14/20BRTWRGNeurologyIVDD (all types, central cord syndrome), FCE, spinal neoplasia and trauma (vertebral luxations/fractures)Acquired Myelopathies.pptx
7/21/20BRCTRGNeurologySeizure management, clusters, status epilepticusREADING: SACCM: Chapters 82, 166, ACVIM 2015 seizure consensus, JVECC 2017 Status epilepticus review
7/28/20BRSGRGNeurologyTBI, brain tumors, vestibular diseaseVestibular Disease_TBI_Neoplasia BR.docx
8/4/20BRNHRGNeurologyInfectious/inflammatory (MUE/GME/NME, SRMA, diskospondylitis, cuterebra, toxo, neospora, distemper, crypto/fungal, rabies)
8/11/20BRAS
 

NeurologyNeuromuscular/ LMN Diseases (Myasthenia gravis, acute polyradiculoneuritis, tick paralysis, envenomations, botulism, neospora/toxo, myositis/myopathies)LMN .pptx
8/20/20BRJBRGShock/TraumaPhysiology of shock & trauma
 
8/25/20BRVCRGShock/Trauma

Physiology of lactate

Reading: Either SACCM Ch 56 or Textbook of Small Animal Emergency Medicine Ch 156, JVECC 2018 Lactate review

Lactate.pptx

Start two meetings per week: Board Review on Tuesdays at 3-

4pm

4:30pm. Additional Session on Thursdays at 3-

4:30pm

4pm.

 Faculty have a meeting the first Thursday of every month.

Meeting ID: 917 5072 0516
Password: eccboard
9/1/20BRJS
 

Shock/Trauma

Ischemia & reperfusion injury

Approach to trauma in the ER/ICU (incl. global perspective, stabilization, initial treatment, diagnosis – comparing imaging modalities, etc.)

JVECC 2004 Ischemia-reperfusion injury review: Pt I and Pt II

Textbook of SA Emergency Medicine Chapt 158 (Ischemia-reperfusion injury

JVECC 2006 Assessment and Management of the severely polytraumatized SA Patient review

Recording of presentation: https://vod.video.cornell.edu/media/Board+Review/0_bbpcevce

9/3/20ASAllDFVent SimRespiratory mechanics
 

9/8/20BRTWRGShock/Trauma

Maxillo/frontal/facial trauma

Cervical trauma (incl. subcutaneous emphysema, tracheal tear, pneumomediastinum, treatment of wounds in these regions, etc.)

Appendicular trauma (eg general orthopedic & soft tissue principles)

(TBI & spinal fx/lux discussed in Neurology Section)

(Ocular trauma discussed in Ophtho section)

head-neck trauma.pptx

jvet.2000.9138.pdf

wound manag.pdf

9/10/20ASAllDFVent SimRespiratory mechanics
 

9/15/20BR------Off - IVECCS "week"------
9/17/20ASAll---Literature Review: all
  


9/22/20BRAllAllWhat I learned at IVECCS
  


9/24/20AS----Cancelled------
9/29/20BR

KS

NPShock/Trauma

Thoracic trauma: thoracic wall, pleural space & parenchymal trauma (rib fractures, flail chest, pneumothorax, tension pneumothorax, pulmonary contusions, diaphragmatic hernias)

Thoracic Trauma.pptx

10/1/20AS-----Cancelled----
10/6/20BRCTRGShock/Trauma

Abdominal trauma: (organ laceration/rupture/entrapment; prepubic tendon rupture; hemoabdomen & uroabdomen stabilization & treatment)

Drobatz text: 84, 103

SACCM text: 138

JVECC uroabdomen review.pdf.

CT CUHA abd trauma.pdf

10/8/20ASAll---

Literature Review: all

 


Lit Review 10-8-2020.docx

 


10/13/20BR------
postponed
Postponed

---

 


10/15/20ASTWAll

Journal Club:

CURATIVE

CURATIVE.pptx

CURATIVE GUIDELINES.docx

 


10/20/20BRSGGLSInfectious Diseases

Part 1: Tick-borne/Rickettsial & Protozoal infections (lyme, rickettsia, erhlichia, anaplasma, RMSF, babesia, giardia, coccidia, hemotropic mycoplasmas)

(Toxoplasma & Neospora likely covered in Neuro section; Heartworm disease covered in Cardio section)

 
PowerPoint uploaded to Box
10/22/20BRSGGLSInfectious DiseasesPart 2 of above
 

10/27/20BRSDGLSInfectious Diseases

Viruses: (FeLV, FIV, FIP, Panleuk, Feline URIs, Canine infectious tracheobronchitis, influenza, Parvoviral enteritis, Distemper, Rabies)

(Distemper & Rabies likely covered in Neuro section)

 
viral diseases BR.pptx
10/29/20BRCTAllInfectious DiseasesBacteria & Fungal infectious (mycoplasma, brucella, botulism, tetanus, bartonella, blastomycoses, histoplasmosis, cryptococcus, coccidiomycosis, candida)Bacterial and fungal infections CUHA.pdf
11/3/20ASAllDFVent Session 1/3Over Zoom
 

11/5/20ASAllAllGroup Check-InOver Zoom - brainstormed ideas for virtual vent sessions
 

11/10/20BR

NH

JM

Pharmacology

Part 1: Antibiotic Principles: (time vs concentration dependent; bactericidal vs static; classes, MOA & spectrum of action of antimicrobials; submitting cultures; breakpoints & interpreting MICs)

11/12/20BRNHJMPharmacoloyPart 2 of above
 

11/17/20ASAllRGVent Session 2/3Over Zoom with video on if possibleVentilator variables
Control variables - the variables you control: pressure, volume (https://derangedphysiology.com/main/cicm-primary-exam/required-reading/respiratory-system/Chapter%20534/control-variables-volume-and-pressure)
Phase variables - determine the phases of the breath: trigger, limit, cycle, PEEP (https://derangedphysiology.com/main/cicm-primary-exam/required-reading/respiratory-system/Chapter%20533/phase-variables-triggering-limits)
Triggers - https://derangedphysiology.com/main/cicm-primary-exam/required-reading/respiratory-system/Chapter%20535/triggering-mechanically-supported-breath

Ventilator modes:
https://derangedphysiology.com/main/cicm-primary-exam/required-reading/respiratory-system/Chapter%20541/modes-and-targeting-schemes
Volume and pressure control:
https://derangedphysiology.com/main/cicm-primary-exam/required-reading/respiratory-system/Chapter%20542/practical-differences-between-pressure-and-volume-controlled-ventilation
Summary of modes:
https://derangedphysiology.com/files/Modes%20of%20Mechanical%20Ventilation.pdf

Tobin and Pilbeam are also good resources as well
11/19/20BR
JBJM

POSTPONED

Pharmacology

POSTPONED

Use of specific antibiotics

Reviews of treating common diseases (resp & urinary working group guidelines)

https://onlinelibrary.wiley.com/doi/epdf/10.1111/jvim.14627

http://downloads.hindawi.com/journals/vmi/2011/263768.pdf

11/24/20ASAll---
------

Postponed

---

---

11/24/20ASAll---Mock exam- Cancelled
Mock exam
Neurology, Shock/Trauma, Infectious Diseases
(Pharmacology on next one)
Material Added to Next Mock Exam
 
11/26/20AS------ThanksgivingNo additional session this week
 

12/1/20BR
AS
JBJM
 Sepsis/SIRS

SIRS: classification & manifestation

 

Pharmacology

Use of specific antibiotics

Reviews of treating common diseases (resp & urinary working group guidelines)

12/3
12/3/20AS

All

---

Benchmark Exam

  12/8/20BRVC Sepsis/SIRSPathophysiology of Sepsis Part 1 12/10
/20AS

All

---Literature Review: all 
NP

Benchmark Exam

 



12/
15
8/20BR
JS
AS
 
RGSepsis/SIRS

Pathophysiology of Sepsis Part 2

 
- CancelledSIRS: classification & manifestation

Systemic pro-inflammatory response in sepsis.pdf

Inflammatory response in sepsis.pdf

SIRS review.pdf

SIRS (StatPearls).pdf

SIRS (Molecular pathophysiology).pdf

12/10/20ASAll---Literature Review: allPresenting: Chu, Beverly, Tong, Sands and Herrera
12/15
12/17/20BRTW Sepsis/SIRSVasopressors: receptors, indications, side effects 12/22
/20BR
KS Sepsis/SIRSSurviving Sepsis Campaign 12/24/20
------Postponed
AS
------
Christmas EveNo additional session this week 
12/
29
17/20BR
CT
VC
 
JFSepsis/SIRS
Other pertinent human lit on Sepsis/SIRSEx of sources include New Eng J of Med, J of Crit Care Med
Pathophysiology of Sepsis Part 1

Sepsis pathophysiology part 1.docx

ppt version is in box folder

12/22/20BRJSJFSepsis/SIRSPathophysiology of Sepsis Part 2
12/24/20AS------Christmas EveNo additional session this week
12/29/20BR------Winter holidayNo session this week
12/31/20AS------New Year's EveNo additional session this week
1/5/21BRTWRGSepsis/SIRSVasopressors: receptors, indications, side effects

Vasoactive agents.pptx

vec.12282.pdf

Nakata_et_al-2019-Journal_of_Veterinary_Pharmacology_and_Therapeutics.pdf

vasopressin in dopamine resistant.pdf

Recording: https://cornell.zoom.us/rec/share/nDxs9jWe03oAfgfa1UsalyqIpqyYSdWdjI2zNtErl-hpt-lzAGDRDfK3lBdPwd-N.aPFQ7hd-X8WwWb8P

1/7/21ASAll---Literature Review: all

Presenting: Davis, Summers, Gradilla, Williams

Vet surg 12_2020 - 1_2021.pdf

Lit Review 1.5.21.docx

1/12/21BRKSRGSepsis/SIRSSurviving Sepsis Campaign
1/14/21BRCTRGSepsis/SIRSOther pertinent human lit on Sepsis/SIRS

Sepsis literature BR cwt.pdf

Ex of sources include New Eng J of Med, J of Crit Care Med

1/19/21BRSGAllSepsis/SIRSSeptic Peritonitis + vet med lit: part 1 of 2
1/21/21BR

SD

SRSepsis/SIRS

Review of antibiotic selection in sepsis incl. HAI/MDR/MRSP/MRSA

Q&A of case studies selecting the best choices based on location of infection/type of infection prior to having a susceptibility panel back and then also after to revise our choices based on resistance.

Q&A review antibiotic spectrums/penetration 

board review MDR.pptx



1/26/21ASNHDF

Journal Club:

Prospective eval of RECOVER

First 30 minutes to finish part 2 of SG's presentation


Prospective evaluation of CPR.pdf
1/28/21ASAll---Mock Exam

Added Topics: Neurology, Shock/Trauma, Infectious Diseases

Original Topics: Pharmacology, Sepsis/SIRS


2/2/21BRPS
Respiratory PhysiologyWest Physiology Ch. 1, 2, 3

 Additional sources: Levitsky's Pul Phys & Nunn's applied Resp Phys

2/4/21ASAllAllResidency App Discussion------
2/9/21BRNH
Respiratory PhysiologyWest Physiology Ch. 4, 5, 6

Additional sources: Levitsky's Pul Phys & Nunn's applied Resp Phys

Deranged physiology Haldane Effect

Deranged physiology Bohr Effect

Sixth cause of hypoxemia (decreased SvO2)

2/11/21ASAllAllVent Sims (1/3)Katie, Sam and Tommy in person
2/16/21BRJB
Respiratory Physiology- PostponedWest Physiology Ch. 7, 8, 9
2/18/21ASJB
Respiratory PhysiologyRescheduled West Physiology Ch. 7,8,9Additional sources: Levitsky's Pul Phys & Nunn's applied Resp Phys
2/23/21BRVC
Respiratory PhysiologyHypoxemia: pathophysiology, types of respiratory monitoring (arterial blood gas, sp02, capnography, advanced monitoring procedures)

Johnson's Canine and Feline Respiratory Medicine 2nd ed.

SACCM Ch 21, 22, 26

uploaded to box

2/25/21ASAllAllVent Sims (2/3)Jeff and Jess in person
3/2/21BRJS
Respiratory PhysiologyHypoxemia: types of oxygen supplementation & when a patient qualifies for each (O2 cage, nasal prongs, cannulas, high flow, mechanical vent)
3/4
12/31/20AS------New Year's EveNo additional session this week 1/5/21BRSD Sepsis/SIRSHAI/MDR/MRSP/MRSA 1/7/21ASAll---Literature Review: all  1/12/21BRSG Sepsis/SIRSSeptic Peritonitis + vet med lit 1/14/21ASTWAllECC Trivia  1/19/21BRPS Sepsis/SIRSParvovirus + vet med lit

 

1/21/21AS

All

AllSepsis SIRSplaceholder for any additional sepsis/SIRS discussion or literature 1/26/20ASNHDF

Journal Club:

RECOVER

  1/28/20ASAll---Mock ExamPharmacology, Sepsis/SIRS 2/2/21BRAS Respiratory PhysiologyWest Physiology Ch. 1, 2, 3

 Additional sources: Levitsky's Pul Phys & Nunn's applied Resp Phys

2/4/21ASAll---Literature review: all  2/9/21BRJB Respiratory PhysiologyWest Physiology Ch. 4, 5, 6Additional sources: Levitsky's Pul Phys & Nunn's applied Resp Phys2/11
/21ASAllAllVent Sims (
1
3/3)
  
Vicky and April in personRecording: https://cornell.zoom.us/rec/share/wuamnmu0aFpFt6QZsREFklNDTbH4Z0jxtXPVA4hYX7zeoQNEntUIYagZZ5uxH3kV.7CYlWHrCClpVmX2E
3/9/21BRTW
Respiratory PhysiologyImaging modalities (XR, CT, fluoroscopy); Respiratory sampling (nasopharyngeal swab, TTW vs endotracheal wash, etc.); Interventional radiology; Documenting pharyngeal/tracheal/bronchial collapse & hiatal hernias; etc.Imaging of Resp System.pdf
3/11/21

AS

All---Literature Review: allPresenting: Chu, Beverly, Tong, Sands, Herrera, SotosSotos Lit Review, J Vet Cardiol, 2 4 21.docx
3/16/21BRKS
Respiratory Physiology

Upper Respiratory Disease (stertor, stridor, bacterial/fungal/neoplastic/inflammatory rhinitis, foreign bodies, brachycephalic airway disease, laryngeal paralysis, laryngeal collapse/stenosis, tracheal collapse)


(Upper Resp Infectious Diseases (Feline URIs & Infectious Tracheobronchitis) covered in Infect Dz section)

Recording: https://cornell.zoom.us/rec/share/_AoMXnfw5CsT2xuKnm9M_wMwSI9XwWXRbvEvbBtfxwGpQSS67_OWoOO5N3Oy-AI.k0IbgBBezKwjNAHr

3/18/21ASJS

Journal Club:

CRASH trials



3/23/21BRCT
Respiratory PhysiologyLower Respiratory Disease (bronchial collapse, bronchiectasis, bronchomalacia, chronic bronchitis, feline asthma, bronchogenic pneumonia & other infectious diseases)

Lower resp tract dz BR 2021 cwt.pdf

Johnson chapter 5, SACCM 20, 22,172; Drobatz 31, 33, 34, 37

3/25/21ASAllAllLiterature Review: allPresenting: Davis, Summers, Sotos, Gradilla, Williams
3/30/21BRSD
Respiratory Physiology

Pulmonary Parenchymal Disease (pulmonary fibrosis/ILD, aspiration pneumonia, cardiogenic pulmonary edema, noncardiogenic pulmonary edema)

BR resp .pptx
4/1/21ASAll---Literature Review: allPresenting: Chu, Beverly, Tong, Sands
4/6/21BRSG
Respiratory PhysiologyPulmonary hypertension (all types)Pulmonary Hypertension BR SG 2021.pdf
4/8/21ASAllAllVent Sims (1/3)
In person: Tong, Chu, Sands
4/13/21BRPS
Respiratory PhysiologyThoracic Wall & Pleural Space Disease (any of the thoracic trauma not covered in Shock/Trauma section; all types/causes pleural effusions; congenital pericardial/diaphragmatic hernia; etc.)
4/15/21ASAllAllVent Sims (2/3)
In person: Gradilla, Williams, Davis, Herrera
4/20/21BRNH
Respiratory PhysiologyPyothorax, Lung lobe torsion
4/22
2/16/21BRVC Respiratory PhysiologyWest Physiology Ch. 7, 8, 9 Additional sources: Levitsky's Pul Phys & Nunn's applied Resp Phys2/18/21ASAllAllVent Sims (2/3)  2/23/21BRJS Respiratory PhysiologyHypoxemia: pathophysiology, types of respiratory monitoring (arterial blood gas, sp02, capnography, advanced monitoring procedures)

Johnson's Canine and Feline Respiratory Medicine 2nd ed.

SACCM Ch 21, 22, 26

2/25/21ASAllAllVent Sims (3/3)  3/2/21BRTW Respiratory PhysiologyHypoxemia: types of oxygen supplementation & when a patient qualifies for each (O2 cage, nasal prongs, cannulas, high flow, mechanical vent)

 

3/5/21ASAll---Literature Review: all  3/9/21BRKS Respiratory PhysiologyImaging modalities (XR, CT, fluoroscopy); Respiratory sampling (nasopharyngeal swab, TTW vs endotracheal wash, etc.); Interventional radiology; Documenting pharyngeal/tracheal/bronchial collapse & hiatal hernias; etc. 3/11/21

JS

AllAll

Journal Club:

CRASH trials

  3/16/21BRCT Respiratory Physiology

Upper Respiratory Disease (stertor, stridor, bacterial/fungal/neoplastic/inflammatory rhinitis, foreign bodies, brachycephalic airway disease, laryngeal paralysis, laryngeal collapse/stenosis, tracheal collapse)

 

(Upper Resp Infectious Diseases (Feline URIs & Infectious Tracheobronchitis) covered in Infect Dz section)

 

3/18/21ASAllAllOpen  3/23/21BRSD Respiratory PhysiologyLower Respiratory Disease (bronchial collapse, pulmonary fibrosis, bronchiectasis, bronchomalacia, chronic bronchitis, feline asthma, bronchogenic pneumonia & other infectious diseases) 3/25/20ASAllAllOpen  3/30/21BRSG Respiratory Physiology

Pulmonary Parenchymal Disease (aspiration pneumonia, cardiogenic pulmonary edema, noncardiogenic pulmonary edema)

 4/1/21ASAll---Literature Review: all  4/6/21BRPS Respiratory PhysiologyPulmonary hypertension (all types) 4/8
/21ASAllAllVent Sims (
1
3/3)
  

In person: Summers, Sotos, Beverly
4/27/21BRJB
Respiratory PhysiologySmoke inhalation, carbon monoxide, oxygen toxicity
4/29
4/13/21BRNH Respiratory PhysiologyThoracic Wall & Pleural Space Disease (any of the thoracic trauma not covered in Shock/Trauma section; all types/causes pleural effusions; congenital pericardial/diaphragmatic hernia; etc.) 4/15
/21AS
AllAllVent Sims (2/3)  
------CancelledNo meeting this week to allow for ECC resident meeting with Dean Warnick---
5/4
4/20 
/21BR
AS
VC
Respiratory Physiology
Pyothorax, Lung lobe torsion 
ALI & ARDS
5/6
4/20
/21AS
All
ALL
AllVent Sims (3/3)  
ALL

Radiology After Hours Discussion 

after hours imaging discussion ECC and Radiology Residents to attend
5/11
4/27 
/21BR
JB
JS
Respiratory
PhysiologySmoke inhalation, carbon monoxide, oxygen toxicity 
PhysiologyPhysiology & Principles of Mechanical Ventilation
5/13
4/29
/21ASAll
All

NP

Open 
Benchmark Exam------
 
5/
4
18/21BR
VC
All
 
SR/DF
Respiratory
Resident Physiology
ALI/ARDS
Rounds: GlycocalyxSepsis & the Endothelial GlycocalyxQuestions emailed by Dr. Fletcher
 
5/
6
20/21
ASTBD---

Journal Club:

PROPPR/ALBIOS/PROMT

  
ASTW

Respiratory Physiology

Ventilator Waveforms

Ventilatory waveforms in small animals.pdf

SACCM - chapter 33

https://litfl.com/ventilator-waveform-analysis/

dyssynchronies table.pdf

Ventilator Waveforms.pdf

Monitoring Mechanical Ventilation Using Ventilator Waveforms - Jean-Michel Arnal

5/25
5/11
/21BR
JS Respiratory PhysiologyPhysiology & Principles of Mechanical Ventilation
KS
Renal Physiology/ClinicalVanders Ch. 1-4 & drug MOA/receptors
 

5/
13
27/21ASAll---
Benchmark Exam  
Resident meeting to go over BR schedule

6/1
5/18
/21BR
TW Respiratory PhysiologyVentilator Waveforms 
CT
Renal Physiology/ClinicalVanders Ch. 5-7 & drug MOA/receptors
6/3
5/20
/21ASAll
All
---Literature Review: all
  
Presenting: Davis, Summers, Sotos, Gradilla, Williams
6/8
5/25 
/21BR
KS
SG
Renal Physiology/Clinical
Rose Ch. 14 (question)Group/Faculty to discuss best source/chapters to cover for Renal

Management of obstructive uropathies (feline urethral obstruction; canine urethroliths, cystoliths, ureteroliths, renoliths; neoplasia (TCC); hematuria)

Obstructive uropathies BR SG.pdf
6/10
5/27
/21ASAll
---Mock ExamRespiratory 
DFVent Sims (1/3)Practice setting up new humidifier, etc.In person & on Zoom 
6/15/21
------Meeting moved to 6/17------
6/17
6/1/21BRCT Renal Physiology/ClinicalRose Ch. 15 (question) 6/3/21ASAll---Literature Review: all  6/8
/21BRSD
 
JFRenal Physiology/Clinical
Rose
Vanders Ch.
16
8-10 & drug MOA/receptors

Was originally

(question) 6/10/21ASAllAll

Vent Sims (

1

2/3)

→  Dr. Goggs' recorded lecture on novel ventilator modes shared with group

PPT with diagrams from Rose on urinary acid secretion

vanders 8-10.pptx

  

6/
15
22/21BR
SG
PS
 
JFRenal Physiology/Clinical
Management of obstructive uropathies (feline urethral obstruction; canine urethroliths, cystoliths, ureteroliths, renoliths; neoplasia (TCC); hematuria) 
AKI (causes- lepto, pyelonephritis, sepsis, NSAIDs, other drugs, grapes/raisins, pancreatitis, lyme nephritis, anesthesia, hypovolemic shock, ethylene glycol, lilies, ureteral obstruction, lymphoma, etc; diagnosis; treatment)
6/24
6/17
/21ASAll
AllVent Sims (2/3)  
DFVent Sims (3/3)Vent SimAll welcome in person, also on Zoom
One meeting per week until after IVECCS - Board review on Tuesdays from 3-4:30pm
6/29
6/22
/21BR
PS Renal Physiology/ClinicalAKI (causes- lepto, pyelonephritis, sepsis, NSAIDs, other drugs, grapes/raisins, pancreatitis, lyme nephritis, anesthesia, hypovolemic shock, ethylene glycol, lilies, ureteral obstruction, lymphoma, etc; diagnosis; treatment) 
NHJFRenal Physiology/ClinicalCKD (differentiation from AKI; diagnosis; treatment; acute on chronic; terminal stages)

Acute on chronic cats.pdf

Acute on chronic dogs.pdf

7/6/21BRJBJFRenal Physiology/ClinicalHemodialysis, Peritoneal dialysis, CRRT (Part 1)
7/13/21BRJBJF
6/24/21ASAllAllVent Sims (3/3)  One meeting per week until after IVECCS - Board review on Tuesdays6/29/21BRNH Renal Physiology/ClinicalCKD (differentiation from AKI; diagnosis; treatment; acute on chronic; terminal stages) 7/6/21BRAS 
Renal Physiology/ClinicalHemodialysis, Peritoneal dialysis, CRRT (Part
1
2)
 
7/13/21BRJB Renal Physiology/ClinicalHemodialysis, Peritoneal dialysis, CRRT (Part 2) 

7/20/21BRAll
All

Mock Exam

(last meeting with 3rd years)

Renal
SRRenal Physiology/ClinicalRenal Review with Dr. Robbins

Changed Mock Exam on Respiratory and Renal to a take home test to allow for Renal Review Session with Dr. Robbins