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The Future of Veterinary Medicine

Educational Session I

Friday, March 14, 2014, 1:30 p.m.–5:30 p.m.

1:30–2:15 p.m. Interprofessional Integration and Sustainability of One Health in Education and Beyond
Kaja Abbas, Virginia-Maryland Regional College of Veterinary Medicine
Francois Elvinger, Virginia-Maryland Regional College of Veterinary Medicine

One Health recognizes the dynamic interdependence of human, animal, and environmental health, and encompasses the interdisciplinary efforts of professionals in health, science and engineering to protect, promote, and improve health. The challenge is to identify best practices for integrating One Health in diverse disciplines to address common challenges in disease prevention and promotion of health and well-being with improved resource efficiency and health equity.

The Virginia Tech Public Health and MPH Program in the College of Veterinary Medicine, in partnership with the Carilion School of Medicine, responded to the One Health challenge by integrating human, animal, and environmental health competencies into core and concentration courses, experiential learning and professional preparation activities. Integration of One Health concepts is enhanced by diverse experiences and perspectives of students from multiple disciplines, including full-time MPH students, medical and veterinary students, PhD students in various disciplines of science and engineering, and mid-career health professionals.

To further expand horizons, students can participate in projects managed through the Center for Public Health Practice and Research that foster interdisciplinary partnerships with communities, local health departments, medical and veterinary organizations, community-based organizations, academic institutions, government, and other public and private institutions. Students have the options to enhance their education and professional competencies through relevant graduate certificate programs, like the Graduate Certificate in Global Planning and International Development, offered collaboratively by urban affairs and planning, population health sciences, geography, and building construction.

The broad concept of One Health needs to be operationalized effectively and sustainably through recruitment of future One Health professionals in their formative stage as students in multiple disciplines. Panel participants with their broad range of experiences will present their viewpoints as educators, and approaches to allow integration of the One Health concept into various curricula.

2:15–2:30 p.m. Imagine! One Health, One World, One Future—The Solution for a World at Risk
Eleanor Green, Texas A&M University
Michael Chaddock, Texas A&M University

It takes an entire community to build a One Health educational, research, and outreach program.  This presentation will take the audience on a journey from a vision to the reality of the Texas A&M University (TAMU) One Health program and beyond to the TAMU One Health Grand Challenge.  The Grand Challenge unites co-equal collaborations between scientists and professionals in human health, animal health and environmental health in a synergistic way enabling individual initiatives to have a bigger and broader impact on global health.  This One Health program travelogue will highlight visioning and planning on what could happen instead of focusing on roadblocks and potholes along the way.  Like any successful journey, planning for a One Health program requires the support and focused expertise for the vision to become a reality.  Every long journey always includes side trips to locations that provide challenges and also wonderful unexpected new experiences.  As one planned journey comes to an end there are always new horizons that appear and areas which to explore and upon which to expand.

This presentation will describe how the vision for the TAMU One Health program evolved; how a foundational transdisciplinary coalition of support was built; the importance of developing and nurturing personal relationships; the need for support of the vision and the program from the top administrators of the university and of the colleges; building grass roots support from faculty; bringing on board a One Health core team; developing identity, branding, and a home for the program; integrating One Health opportunities into a capital campaign and college development; the creation and implementation of educational, research, and outreach opportunities for students and faculty; and the evolvement of the One Health Grand Challenge at TAMU.

2:30–2:45 p.m. Strategies for Developing a Successful One Health Initiative
Mark Stetter, Colorado State University

“One Health” initiatives have recently been developed at many institutions, and the definition and scope of these efforts have been very broadly defined. Exploration of One Health themes at our institution were initiated by a steering committee formed in the College of Veterinary Medicine and Biomedical Sciences.  A comprehensive survey was distributed to 106 ‘virtual stakeholders’ from the One Health community representing expertise in infectious disease, veterinary medicine, ecology, sociology, and environmental issues. Questions aimed to assess opinions and collect recommendations from these experts. The top five “One Health” issues identified as most acute included Infectious/Zoonotic Disease, Food Safety/Security, Wildlife/Ecosystem/Environmental, Climate Change, and Human Impact.   The most neglected “One Health” problem identified was Holistic/Systemic Solutions.  The survey further identified areas of expertise at CSU that could be leveraged to develop successful “One Health” initiatives.  Based on this feedback, a smaller community of participants was recruited to attend a one-day retreat to develop tangible strategic goals for organization of a “One Health Institute” building upon institutional and regional strengths, and focusing on unmet needs. Other synergistic activities that have occurred during the planning process have included: “One Health” grant writing sessions; submission of a One Health Development Project Proposal; hosting speakers, an international workshop, and colloquium on One Health; and support of student-led initiatives.  Early discussions of a CSU ‘One Health Institute’ have elicited excitement around this topic and revealed huge potential. Faculty and administration from all eight CSU colleges have volunteered to take leadership roles and have expressed interest in collaboration.   These efforts will provide important groundwork for next steps, including development efforts, planning for a One Health physical space, and hiring of key administrative and faculty positions to lay groundwork for a stable, innovative, and productive One Health Institute.

2:45–3:00 p.m. Operationalizing One Health
Susan Sanchez, University of Georgia

The concept of One Health is gaining significant support within and outside the US. While the response from many stakeholder segments is encouraging, the awkward growth and potential dilution of the initiative threatens its potential impact and long-term strength. In addition, the uncoordinated use of the “One health” label by organizations and interest groups has the potential of creating confusion among other possible stakeholders, which may eventually lead to disinterest. This is similar to what has happened with to the “green movement” despite the promise it holds. The proposed first step to consider in operationalizing One Health in the US is to establish a common platform for collaborating among all potential partners. This concept does not presuppose ownership or control of the initiative.  The need for coordination in One Health formed the basis of a project tasked to a group of University of Georgia MBA students; their job was to develop value propositions as marketing tools for potential partners. The considered stakeholder responsibilities in this project included operational, financial, educational, advocacy, and legislative responsibilities. Proposed partners under consideration included organizations across impact segments of the human, animal and ecosystem health space. During this presentation, the results of this project will be presented and discussed. 

3:00–3:15 p.m. Building a One Health Program: The Public Engagement Side of One Health
John Herrmann, University of Illinois
Yvette Johnson, University of Illinois

The Center for One Health Illinois (COHI) at the University of Illinois College of Veterinary Medicine conducts a One Health public engagement program that provides education and training opportunities for several segments of the community, from the general public to public health professionals and local health departments. In an effort to educate and inform the general public about timely topics related to human, animal, and environmental health, COHI sponsors a series of lecture, discussion, and question and answer sessions throughout the state. Subject matter experts provide information on diverse public health topics such as avian influenza, legalization of marijuana, the safety of energy drinks, climate change, environmental toxins, antimicrobial resistance and animal welfare. COHI has also been involved in the education and training of public health professionals.  With the aid of federal and state funding, and through collaborative relationships with local, state and federal agencies, COHI has developed and hosted both on-site and internet based functional outbreak response training opportunities. Additionally, faculty members from COHI have facilitated the community assessments that are required every five years for local health department certification from the State. Through a discussion of the public engagement activities of the COHI, this presentation will  discuss opportunities for public engagement with community stakeholders and how a university-based One Health Program can assume a leadership role in educating and training community members  while demonstrating the importance of understanding the interconnectedness of human, animal and environmental health. 

3:15–3:45 p.m. Break

3:45–4:15 p.m. One Health Initiative at Iowa State University – Connecting Education, Research, and Outreach
Qijing Zhang, Iowa State University
Lisa Nolan, Iowa State University
Claire Andreasen, Iowa State University

Iowa State University and the College of Veterinary Medicine (CVM) have embraced One Health. A University-wide One Health Symposium was organized in 2011 to improve the interconnected health of humans, animals, and plants.  The organizers brought together multi-disciplinary colleagues that informed the Iowa State community about health research on campus; and identified frontiers, strengths, and barriers to ensure successful collaborations. Built on the One Health Initiative, the University’s Health Research Initiative is creating a number of opportunities for researchers to apply their expertise, and integrate education and outreach. The CVM One Health focus was supported by the University, in 2013, by awarding the CVM faculty eight of the 12 funded Health Research Initiative projects. These projects cover diverse topics that impact the health of humans, animals, and the environment, including diseases at the animal-human interface and developing novel and effective intervention strategies. Public and community awareness has included the first One Health Endowed Lecture at The World Food Prize Conference, October 2012, presented by 2010 World Food Prize Laureate David Beckmann (Bread for the World), titled, “One Health: World Health Through Collaboration.” In April 2013, Iowa State CVM hosted the second lecture in the One Health Endowed Lecture series, established in honor of Dr. Roger Mahr, founding CEO of the One Health Commission and former AVMA President.  In addition, the authors of the book “Zoobiquity” spoke with the community, and held a special lecture for veterinary students, about the common health conditions shared by animals and human beings documented by medical and veterinary science, as well as, evolutionary and molecular biology.  Iowa State CVM has integrated the One Health approach to augment collaboration among colleagues in human and animal health, and produce educational materials, opportunities, and outcomes.

4:15–4:30 p.m. One Health Track in the Danish Veterinary Medicine Curriculum
Liza Rosenbaum Nielsen, University of Copenhagen

Denmark is a small Nordic country in Europe with approximately 5.3 million inhabitants. There is one veterinary school located in Copenhagen. The school is among the largest in Europe with 180 students being admitted every year. This calls and allows for opportunities for students to specialize in topics of special interest in the last part of the curriculum, which is organized according to the European Bologna Declaration into a 3-year bachelor (180 ECTS (credit points)) and a 2½ year master program (150 ECTS). Currently there are four tracks, including Herd Health and Food Safety, Equine Clinic, Advanced Companion Animals, and Biomedicine, allowing 26.5 ECTS (17 weeks) of specialization during the master program. However, we are planning a change in the curriculum to allow students to choose a One Health track from 2015. We anticipate 30 students to follow the One Health track and obtain strong competences in public health-related topics and methodologies. The first four weeks of the One Health track will be taught together with the Herd Health track to cover the responsibilities and duties of private herd health veterinarians and state veterinarians, and the interactions between them. One Health track students will then be introduced to global preparedness by working with essential topics and methods, such as surveillance and disease control, molecular typing methods, outbreak investigation, food safety, zoonoses and role of the external environment, antimicrobial use and resistance in livestock production and companion animals, neglected zoonotic and vector-borne diseases, and translational medicine. Parts of the 13 One Health-oriented weeks will be open to students from other tracks and other master programs. Furthermore, a 5 ECTS (two weeks) One Health Summer School will be offered from 2014 to veterinary medicine students and other national and international participants.

4:30–5:15 p.m. Fostering One Health Approaches through Public-Private-Academic Partnerships
Will Hueston, University of Minnesota
Tracey Lynn, U.S. Department of Agriculture
Linda Valeri, University of Minnesota
Sylvia Wanzala, Makerere University

One Health is usually discussed in the context of the human, animal and environment interface. Multiple disciplines are absolutely necessary but not sufficient to address complex problems at the interface. Neither can these complex problems be addressed by a single institution, be that a university, a government agency, a non-governmental organization or a private business. Successful One Health approaches demand dynamic partnerships that span the public, private, and academic sectors (PPAP) as well as different disciplines. This session will discuss a cross-section of public-private-academic partnership activities addressing a number of different needs. Each example will be discussed by a key participant who can provide personal perspective and insights, and who will highlight key learnings about the power of public-private-academic partnerships and provide guidelines for development of future successful PPAPs.

5:15–5:30 p.m. Professional Certificate in Global Animal Health at Washington State University: an Opportunity to Combine One Health Training with Traditional Veterinary Education
Gretchen Kaufman, Washington State University

Traditional veterinary professional training in the United States is rigorous and time intensive.  Currently the standard of preparation for veterinary licensure requires a certain level of competency in nearly all mainstream areas of veterinary medicine, which leaves very little room and opportunity for additional focus or change to existing accredited curricula.  It is clear that parts of the veterinary mainstream curricula should incorporate One Health principles in order to reorient and update traditional teaching to the issues facing society today: such as veterinary public health, food animal medicine and production systems, and wildlife medicine.  However, some students who want to pursue careers following One Health issues will need more than can reasonably be offered within traditional frameworks.  

Washington State University (WSU) has a long history of supporting students with international veterinary medicine interests. With the addition of the Paul G. Allen School for Global Animal Health, veterinary students now have increased exposure to important global one health issues in the classroom, laboratory, and the field. WSU has taken advantage of expanded training opportunities by creating a Global Animal Health Pathway leading to a Professional Certificate degree for selected students that are seeking careers in global animal health.  To gain a the certificate, students are required to complete a minimum of 15 course credits, including project work, carried out concurrent with their 4 year DVM curriculum.  The program is coordinated through the Paul G. Allen School for Global Animal Health with cooperation from and in partnership with the University of Washington, Department of Global Health, Schools of Medicine and Public Health. Any DVM student enrolled at WSU is eligible to apply to the program. The structure of the Pathway, requirements for the certificate and examples of student learning outcomes will be detailed in the presentation.

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