Gravy Form Page – Scholarship Application for Veterinarians Who are Members of ASV or HSVMA to Complete Discounted Online Euthanasia by Injection (EBI) Training and Receive CE Hours » Maples Center for Forensic Medicine » College of Medicine

Scholarship Application for Veterinarians Who are Members of ASV or HSVMA to Complete Discounted Online Euthanasia by Injection (EBI) Training and Receive CE Hours

Are you a licensed veterinarian who is an active ASV or HSVMA member and who is willing to support trainees at your local animal shelter as they learn to become certified euthanasia technicians (CETs)? If so, please complete this application for a scholarship that will permit you to complete the same online Euthanasia by Injection (EBI) training course that shelter trainees take, and earn 18 hours of continuing education credit in jurisdictions that recognize RACE approval for only $50 That's a savings of $350!!

If you are selected for a scholarship, you will be notified promptly by email. Check that email for a personalized link to enroll in the online course for the discounted price of $50. Please do not share that link.

Background

The Online Graduate Program in Shelter Medicine refers animal shelters that do not have a veterinarian of record or a staff veterinarian to state-licensed veterinarians who are willing to help them complete the EBI training. We want the veterinarians to whom we refer to be familiar with the expectations of this online training so everyone is on the same page. The University of Florida does not compensate veterinarians for this service and we suggest that you make arrangements with your local shelters as to whether you will charge a consulting fee to them for your time spent overseeing the skills of trainees or whether you will donate your time.

Taking the EBI course will familiarize you with the performance expectations and documentation required as the shelter trainees become proficient with 4 core competencies and 11 clinical skills that they must master in order to become CETs). The course requires that a local veterinarian witness shelter trainees performing each skill and sign a scoring rubric that they then submit to the online instructors of the course. Trainees further document their proficiency by submitting a self-made video of them performing each skill to the online instructors of the online course for grading and verification of competency.

It will take you several hours to complete Part 1 of online EBI course and you will be able to review Part 2 of the course but will be exempted from needing to document your clinical skills. We do suggest that you download copies of all of the scoring rubrics from Part 2 for future reference when overseeing shelter trainees as they demonstrate their clinical skills for you.

Please complete this application in its entirety in order to be considered for a scholarship. Priority for awarding these scholarships is reserved for ASV and HSVMA member veterinarians who are licensed to practice in geographically diverse locations.

Your Name(Required)

First Last

Your Email Address(Required)

Email Address Confirm Email Address

This is the email to which your discounted enrollment link and your RACE CE certificate will be sent once you complete the course.

Are you an active member of the Association of Shelter Veterinarians (ASV)?(Required)

Yes

Are you an active member of the Humane Society Veterinary Medical Association (HSVMA)?(Required)

Yes

Provide your veterinary license number.(Required)

Needed for RACE tracking of continuing education hours.

Provide the jurisdiction for that veterinary license number.(Required)

Needed for RACE tracking of continuing education hours.

Provide your mailing address.(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Needed for RACE tracking of continuing education hours

Please indicate in which states you are licensed to practice veterinary medicine in and willing to support local animal shelter trainees to document their proficiency with core competencies and clinical skills needed to perform humane euthanasia. (You can select more than one location.)(Required)

Hidden

Other

Are you willing to let the University of Florida (UF) refer animal shelters to you from the states in which you are licensed to practice?(Required)

Yes

Please tell us about your availability to work with shelter trainees in those states. (e.g., Are you limited to certain days of the week or months? Do the trainees need to travel to your location or are you willing to travel a particular distance to them? What is your rate or are you willing to volunteer? etc.) We will share these details with shelters that inquire. And you are welcome to change your details at anytime!(Required)

Thank you for your responses. You will be notified promptly by email if you are selected to receive a scholarship to enroll in the online Euthanasia by Injection (EBI) training course for the discounted rate of $50. If you do not receive the link, or if you have any questions, please contact Dr. Terry Spencer by email to: tspencer@ufl.edu .