Faculty of Veterinary Medicine – University of Milan (Italy) ECOVE Accreditation Process

2nd STATUS-QUO REPORT (April 2011) The Faculty of Veterinary Medicine of Milan, Italy, was evaluated by the EAEVE Auditing Team in the week of the 5th – 9th October, 2009. The Faculty was not approved and during the Meeting in Vienna (2-3 February 2010) the ECOVE members suggested to the Faculty to send a status quo report to the office every 6 months to have the progress “monitored”. This in order to have the Milano Faculty revisited as soon as the major deficiencies will be solved. A first report on the progress of the corrective actions has been presented last October and has been appreciated by the bureau. In this second report we provide other information about the current situation. If even the second report will be approved, we ask to have a team Eaeve revisits in the next month of June.

General considerations on the organization of the Corrective Actions The President of the Teaching Coordination Commission of the Veterinary School (Prof. Vittorio Sala) was responsible for the continuation of the work of non-compliance correction identified during the first audit has been entrusted to in collaboration with all those responsible (Prof. Carlo Maria Mortellaro, dr. Fabio Acocella, Prof. Angelo Belloli, dr.ssa Stefania Lauzi e dr.ssa Claudia Gusmara) and in full agreement with the Dean of the Faculty (Prof. Giorgio Poli). All decisions were approved by the Veterinary Teaching Coordination Commission and the Veterinary Faculty Council. The approval of the University Reform Law (January 30, 2010) by the national Parliament has caused some additional difficulties in the process of non-compliance resolving. Some administrative and organizational changes introduced by the reform have forced the Faculty to amend the existing projects but the commitment by all teachers involved made possible to continue the work.

Major Deficiency n. 1. No hospitalization of small animals Responsible for the implementation of the Corrective Action: Dr. Fabio Acocella (Full time Researcher – Surgery). Hospitalization and Intensive Care Unit Basing on excessive costs for the hospital renovation, we had to decide to convert on smaller but almost ready rooms for small animal hospitalization. They will be ready in early May 2011. At the end of the renovation the Hospital Unit HU will able to accept 8 small dogs or cats and 6 medium/large dogs (see  on the Annex 1). The Intensive Care Unit ICU (see  on the Annex 1) could accept 3 animals per day. The Infectious Disease Unit IDU (see  on the Annex 1) could accept 4 animals per day. 1

Budget The last December 2010 the Municipality of Milan has supported our Project called “Small Animal Hospital” and has allocated a sum of 200.000 euro as funding for this project. In return, the Faculty will take care of a fixed number of pets of needy people living in Milan. This will be a good chance to have more clinical cases for student learning and practicing. Student involvement As already explained in the last Report in the hospital rounds students of the 3rd, 4th and 5th year will be involved. Every older student will be a tutor for the younger. As already known the rounds will be of 12 hours each. Now a days we are formulating a dedicated logbook that the student will fill at the end of each round (for details see Annex 1) The found doctor, as daily supervisor, will sign the Student Logbook after revision of the individual case log. A second monthly evaluation of the student logbook will be performed by the Hospital Manager. The Hospital Manager will be elected by the Teaching Coordination Commission. The person selected will serve for one year and may be re-elected.

Major Deficiency n. 2. Lack of mobile clinic Responsible for the implementation of the Corrective Action: Prof. Carlo Maria Mortellaro (Full Professor – Surgery). Guidelines & Philosophy - To harmonize the emergency service on site with the lack of didactic activity on field - To standardize the n° of hours /student of the “on field practice” - To standardize the n° of patient /student (bovine and equine) for the on field surgery According to the guidelines and the philosophy proposed in the first report the experimental services described has been transformed into the definitive one by means of these actions: Organization of students: All the students of the 5th year have been subdivided in small groups (8 people each – see Annex 2) and the list of groups has been published on the Faculty web site. Each student of the group scheduled for the programmed visit of the Mobile Clinic receives an automatic e-mail in which the destination of the visit, the type of activity, the teacher and the practitioner involved in the practical activity are clearly indicated. To facilitate the student’ mobility the meeting point of the minibus is the Faculty in Milan with the departure scheduled for 7.30 am. The medical car with the teacher is based on the Large Animal Hospital and reach, together with the minibus, the farm where the action is requested. Activity of the practitioners and their role in the Mobile Clinic Services was approved the President's proposal to award the title of Adjunct Professor to 10 veterinary practitioners (seven on cattle, three on horses and one for pigs). Activity of the practitioners and their role in the Mobile Clinic Services In order to improve the number of the Teachers of the Faculty involved in the Mobile Clinic service, the Faculty Council of 29 March 2011 has approved the proposal of the President of the 2

Teaching Coordination Commission of the Veterinary School for 10 positions of Contract Professors. The teachers responsible for corrective actions will make a selection based on the professional curricula between the practitioners who already worked in the Mobile Clinic activity made to date. The chosen Colleagues will be soon qualified for a period of one year and their position will be revaluated at the beginning of each academic year. This condition allows having both a Faculty tutor and a practitioner directly involved in the didactic of the Mobile Clinic Their job is to help the teachers of clinical courses in tutoring the students in “on field” activity. Registration of clinical activity All the activities are doubly registered in a system in which both the student and the Faculty have the certification of the teaching activity with the signature of the teacher, of the student and of the practitioner together with the complete indication about the farm visited. All the recorded data followed the same system for the practical clinical rotation already approved. Working period and rotations of groups The activity of the mobile clinic has been scheduled all over the year and the e mail service is working to be sure that all student involved could be clearly and rapidly informed. This system will allow each student to have at least two visits. Type of clinical activity and N° of animals involved The serviced started the official activity on February 2011 and the data concerning the Mobile Clinic are summarized in the following table. N° of Visits

N° of farms involved

Students involved from March 2011

Activity on Bovine Clinics

Activity on Equine Clinics

10

12

80

6

4

Major Deficiency n. 3. Lack of propaedeutical animals and shortage in food animal patients with particular respect to swine medicine Responsible for the implementation of the Corrective Action: Prof. Angelo Belloli (Full Professor – Large animal internal medicine). During the first quarter of current year 146 bovine have been admitted in the Large Animal Hospital of Lodi Campus while in the same period of year 2010 they were 133. So the steady increase in admissions has been confirmed and many clinical cases are increasingly available to our students. The distribution of clinical cases hospitalized in animals is similar to that reported in the first report. However, thanks to the activities of the mobile clinic, students can observe several other diseases and clinical cases In Italy the hospitalization of pigs is not in use and therefore clinical cases of this species are part of the activities of the Clinic Unit under the supervision of Professor Sala, which is the specialist of swine infectious diseases of the Faculty. 3

LATH hospitalized animals January 1st 2011 to 31st 2011 = 146 CALVES CATTLE SWINE, SHEEP AND GOAT TOTAL AVERAGE ANIMALS/MONTH

109 33 4 146 48,6 Calves

Disease Diarrhoea And Bowel Diseases Ileum Bovine Neonatal Pancytopenia (Bnp) Respiratory Diseases Parasites Metabolic Diseases Rumen Drinking Umbilical Diseases Locomotor Diseases Cardiac Disorders Malformations And Congenital Defects Neurological Diseases Others

N° of animals 42 8 1 32 21 7 16 10 10 3 1 3 26 Cattle

Disease Left Displacement of Abomasum Right Displacement of Abomasum Traumatic Reticular Peritonitis Respiratory Diseases Udder Diseases Metabolic Disorders Gynaecological Problems Locomotor Diseases Neurological Diseases Cardiac Disorders Bowel Diseases/ Peritonitis Others

N° of animals 19 2 5 0 3 12 7 3 1 0 5 2

Some animals were simultaneously suffering from multiple diseases. The new Animal Husbandry Unit of the Faculty (called Livestock Experimental Centre) was not yet fully operational during the first EAEVE inspection. 4

Today many animals of different species are available for educational propaedeutical activities. Dairy cattle: there are 15 heifers, 11 lactating cows and 12 dry cows. The Faculty has decided to enter into a contract with a farmer and therefore the number of bovine animals is increasing. The dairy cattle unit has a milking parlour and therefore students can also attend to this type of activity. Pigs: 200 weaned piglets have been replaced last month and now are in the growing phase. Chickens: there are 1200 broilers, 46 chickens of local breeds 2 (38 females and 8 males), 5 turkeys, (3 females and 2 males) and 33 breeding cocks. Hatchery now has about 750 chicks to be raised from 1 to 40 days of life. Bee: several hives are now in production.

Major Deficiency n. 4. No isolation facilities for farm animals Responsible for the implementation of the Corrective Action: Dr. Stefania Lauzi (Researcher – Microbiology Unit) and Dr. Claudia Gusmara (Researcher – Infectious Disease Unit). For this deficiency it was necessary to find a solution other than the one presented in the first report. The previous solution is still our ultimate goal, but now the university cannot fund the budget of expenditure required. This solution is clearly to have a provisional basis pending the final one. However we think that it can be equally effective and we await the opinion of the bureau to proceed to final execution. Two completely separate holding rooms will be obtained, one for large animals (cows) and one for small animals (calves, sheep and goats). The manure will be collected and stored in four existing silos where they are manually chlorinated and subjected to microbiological control prior to disposal. Premises are accessed through a changing room. The new project is shown in Annex 3. Milan, April 7, 2011

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Annex 1

mercoledì 6 aprile 2011

ANNEX 2 ORGANIZZAZIONE DEI GRUPPI PER LA CLINICA MOBILE SECONDO SEMESTRE A.A. 2010 – 2011 Gruppo 1 Anastasia Luca Cagnà Giacomo Costa Devoti Chiara Demarchi Giulia Ferrari Francesca Galli Serena Giometti Luca Malosio Mario

Gruppo 6 Bedognetti Katia Capitani Letizia Carnevale Lara Caspani Alice Daniele Giulia Ergoli Fabrizia Galimberti Cristina Ghilardi Danilo

Gruppo 2 Mangili Angela Marotto Stephanie Masson Tiziano Meroni Giulia Nason Chiara Pizzati Sartorelli Valentina Roncoroni Cristina Russo Andrea

Gruppo 7 Lodi Giorgia Maniaci Miriam Marchetti Camilla Martinelli Laura Mazzoni Laura Messina Lara Rabbogliati Vanessa Ramundo Francesca

Gruppo 3 Andretta silvia Spallacci Susanna Strada Laura Tedoldi Francessca Angeloni Valentina Bassanini Luca Bellaviti Anna Maria Bottai Guido

Gruppo 8 Rotondi Barbara Samarani Francesca Sturlesi Na ama Trivella Alessia Asiag Ley Nimrot Audino Tania Benedetti Edoardo Tomarelli Carlotta

Gruppo 4 Capasso Barbara Cazzaniga Nadia Conti Federica Daffonchio Alessandra Fe Eleonora Ferri Daniele Pietro Mantova Elisa Marchini Alessandro

Gruppo 9 Centonze Simone Dotti elisa Cibra Elisa Fiscon Silvia Guarnieri Ilaria Kuster Cristina Longo Maurizio Longobardi Simone

Gruppo 5 Masetti Barbara Mirandola Danilo Montrasio Daniela Morelli Elena Pomodoro Francesca Rabaglia serena Visintin Valeria Zamboni Clarissa

Gruppo 10 Macrelli Michele Mencarelli giulia Nava Martina Oggiooni Fabio Perzoli Chiara Tarzi Stefano Villani Elena Cavallini Michele

Gruppo 11 Bartolomei Cristina Casalini Jacopo Facchinetti Valentina Fanfani Martha Formenti Mattia Giacomel Astrid Lavia Stefania Mancuti Ilary

Gruppo 16 Bossetti Erika Broggi Andreas Cattaneo Flavio Cogliati Elisa Antunes Diana Mazzola Flavia Locatelli Deborah Martinelli Elisa

Gruppo 12 Milani Lucia Mondello Emanuele Pellegrini Chiara Piazza Francesca Pregnolato Loredana Radice Francesca Rampoldi Dinusha Ruggerone beatrice

Gruppo 17 Mazzoleni Elena Mogni Francesca Piccolo Martina Raccagni Davide Salvato Sara Triggiani Chiara Vedovato Sara Agnesi Carlo

Gruppo 13 Secchi Simona Tecilla Marco Zaccaria Andrea Agostini Giulia Airaghi Elisa Balzano Simona Cagnolati Marco Casali Silvia

Gruppo 18 Anzini Mirko Belloli Roberto Carenzo Lucrezia Drago Alessandro Lavore Cristina Librizzi Matilde Luraschi Claudia Macchioni Chiara

Gruppo 14 Coletto Marta Faggioli Pertra Galli Francesco Gardin Giulia Leila Luise Mignolli Enrica Mocchi Edoardo Puglia Annalisa

Gruppo 19 Marcatili Marco Munari Francesco Murolo Chiara Salvato Simona Scotti Stefano Sirtoli Lisa Sottocorno Carlo Stranieri Angelica

Gruppo 15 Russo Riccardo Sironi Lorenza Vanzulli Federico Maria Vegetti Fabio Verzoni Francesca Zaghetti Ilaria Bellani Francesca Bernabei Valeria

Gruppo 20 Sudati Rudy Trovò Chiara Vallarino Sara