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Veterinary License Exams




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Veterinary Licensing Exams needed for Veterinary practice in foreign countries

Veterinarians and veterinary science is the constant eccentric point of my blogs which leads me, to write my another blog on the  exams needed to practice in major developed countries like the U.K., Australia & New Zealand, USA & Canada etc. This blog will be referring to the various veterinary license exams which are conducted by some of the developed nations to allow foreign-educated veterinarians for their routine practices in those nations. Generally interested Indian vets targets few nations in the world for their immigration due to the monetary benefits and visa friendly procedures. 
The USA, Canada, UK, Australia, and New Zealand records the second-largest number of immigrants from India. Mostly these countries are targeted by the Indian students due to their quality of education, the student-friendly system of education, and nice employment culture. These countries hold license exams for the Indian Vets, so they can practice in those countries and their level of education and clinical skills meet their standards. This blog mainly focuses on three license exams that have been conducted by these countries. I am writing about three license exams in detail which are worldwide known in the field of veterinary medicine.
1. RCVS (Royal College of Veterinary Surgeons)
United Kingdom
RCVS  is not the name of the exam instead it is the conducting authority that conducts the license exams for the veterinarian who graduated in foreign countriesfor granting the license to veterinary surgeons who want to practice in the United Kingdom. The students holding B.Vet Med / BVSc & AH degrees from Canada, USA, South Africa, Europe, Australia, and New Zealand are exempted from the statutory membership examination, and they can directly register for the membership. The students not holding degrees from these countries must need to sit for the statutory membership examination conducted by RCVS once a year. 
Statutory membership examination 
The first step is, you should inform the RCVS of your intention to sit.
Then you should meet the English requirements of the RCVS, it can be done either sitting in the International English Language Testing System (IELTS) exams or Occupational English Test (OET). You should need to score 7.0 bands in IELTS and 7.0 bands in each of all four components listening, writing, speaking, and speaking for being eligible to sit in the license exam. For OET you should need to achieve grade B in the listening, reading, writing, and speaking sections of the Veterinary version. Once you achieve the minimum English requirements standards then you should need to submit evidence of your good professional standing. The evidence of your good professional standing is issued on a form of a letter or a certificate by your veterinary licensing authority and it should be notarized. If you are a recent graduate and you are currently not holding permanent registration then the letter or certificate can be issued on the behalf of the dean or the principle of the college where you had completed your primary veterinary education.
Written Exam 
Written exams contain three clinical parts (companion animals, production animals (including veterinary public health) and equine) as well as an examination related to the RCVS code of professional conduct. Written exams have been conducted for three consecutive days. The clinical part contains 350 multiple choice questions (MCQ's) that test both reasoning and clinical knowledge of the candidate. Companion animals account for around 50% of total questions, Production animals(including veterinary public health) around 30% of the exam, and Equine around 20%. One should need to clear the minimum standard score of all three parts, if anybody is failing in any clinical part of the exam he should be considered as fail for the exam. The questions will be asked from clinical vignette ( clinical case questions on a day to day basis). The clinical part of the written exam will be covered in the first two days with a total time of 08 hours. On the first day exam for the companion animal part should be conducted with a total of 04 hours duration starting at 10 AM and having a lunch break from 12.00 PM to 1.00 PM. On the very next day exams for the production animal (including veterinary public health) and equine will be conducted. On the last day of the written exam, the RCVS professional code of conduct examination will be scheduled. This test is an open book MCQ biased having a time period of 02 hours and 15 minutes. In the written test there is no negative marking.
Objective Structured Clinical Examination (OSCE)
The practical and clinical analysis test is conducted in the form of OSCE. The exam is conducted usually for two days and contains 13 stations circuit which assesses your range of skills, including handling of large animals, clinical skills, technical skills ( surgical skills, injection techniques), communication, professionalism, clinical reasoning, and other RCVS day one competence. 20 minutes is given for each station, it is the duty of the candidate to maintain the time at every station. A candidate is expected to bring his own stethoscope and wristwatch. The dress code for companion animals, production animals and equine is different.
How to prepare for the exam?
Once you have met all the requirements laid down by RCVS and successfully obtain the intention to sit a certificate then you will have access to the RCVS knowledge library. Examination candidates have given special access to the library which allows them to borrow the books for their preparation. The fee for the membership is 25 pounds for 06 months and special fee will be charged for sending books via post. You may be eligible for the reader's pass of British Library science collection.
Seeing practice a term used for gaining clinical and practical exposure in the UK. Under the Veterinary Surgeons (Practice by Students) (Amendment) Regulations 1993 students preparing for the examination are eligible for seeing the practice.
"The Regulations provide that students may examine animals, carry out diagnostic tests under the direction of a registered veterinary surgeon, administer treatment under the supervision of a registered veterinary surgeon, and perform surgical operations under the direct and continuous supervision of a registered veterinary surgeon. "

02. National Veterinary Examination (NVE)
Australia
NVE is conducted by the Australian Veterinary Board Council (AVBC) for granting the license to those overseas graduates who are not exempted from the license test. AVBC is the veterinary license granting authority of Australia and New Zealand. You should need to sit in NVE if you want to do your vet practice in  Australia and New Zealand.
Eligibility criteria for sitting in the exams are, your degree should be recognized and hold registration in your country and language proficiency test with minimum standards score as prescribed by AVBC. The English benchmark level for eligibility is 07 bands in all four components of IELTS, grade B in all four components of OET, at least 24 in listening, 24 in reading, 27 in writing and 23 in speaking in Test of English as a Foreign Language iBT (TOEFL iBT) or  65 in each of the communicative skills of Pearson Tests of English (PTE). Once you met all the eligibility as laid down by the AVBC you are prepared for the next step i.e Preliminary (MCQ) Examination
Preliminary (MCQ) Examination
Preliminary (MCQ) examination test is multiple choice questions based test usually conducted in one whole day consisting of two papers and each paper should be completed within three hours. Paper 01 is the test for the base knowledge (general knowledge of veterinary science) comprising of 120 questions. Whereas Paper 02 has 100 questions which test the clinical reasoning (clinical judgment and the ability to apply specific knowledge
Paper 01 Base Knowledge
 Topic Sub Topic Approx Number of Questions   
 01. Anatomy Anatomy 04
 02. Physiology 01. Physiology
 02. Pathophysiology
 10
 03. Husbandry & Welfare 01.Nutrition
 02. Reproduction
 03. Welfare
 04. Animal Behaviour
 05 Other
 10
 04. Pathology and Clinical Pathology 01.Other
 02.Alimentary Tract
 03. Cardiovascular
 04. Nervous
 05. Musculoskeletal
 06. Reproductive Male & Female
 07. Endocrine
 08. Urinary
 09. Respiratory
 10. Skin and Mammary
 11. Lymphoreticular
 12. Special Sense
 13.Hepatobiliary/Pancreas
 14. Haemotology
 15. Cytology
 16. Biochemistry
 17. Body Fluids
 18. Serology
 15
 05. Infectious Diseases 01. Bacterial
 02. Viral
 03. Protozoal
 04. Parasitic
 05. Fungal
 06. Exotics
 07. Others
 15
 06. Toxicology 01. Natural occurring toxins
    (plants, feeds)
 02. Envenomation
 03. Pollutants/ Poisons
 06
 07. Pharmacology/ Therapeutics 01. Antimicrobial
 02. Prophylaxis
     (worm treatment,vac.)
 03. Anti-inflammatory
   / analgesics drugs
 04. Drug Interaction
 05. Others
 10
 08. Public Health 01. Principles of epidemiology
 02. Zoonoses
 03. Food Safety
 10
 09. Professional Practice 01. Therapeutic Regulations
 02. Radiation Safety
 03. EHS/PPE
 04. Ethics
 05. Euthanasia
 06. Other Legal
 05
 10. Surgical/ Anaesthesia/ Imaging Principles 01. Principle of asepsis
 02. Wound healing
 03. Surgical technique
 04. Anaesthesia- Monitoring
 05. Anaesthesia- Effects
 06. Pain assessment and management
 07. Radiographic Practice
 08. Other Imaging

 15

Paper 02- Clinical Reasoning 
For each species, questions will be based on case presentation
 Species Presentation of case
 01. Equine
 02. Cats
 03. Dogs
 04. Cattle
 05. Other Ruminants
  (eg. Sheep, goats, alpacas) 
 06. Pig and Poultry
 07. Pockets pets and birds
 08. Other
01. Lameness
02. Red eye, blind eye or manky eye
03. Fistula, fistulae and abscesses
04. Lumpy, hairy, bald and ithcy
05. Diarrohea
06. Abdominal pain distension
07. Vomiting/ regurgitation
08. Dyskinesis, constipation and straining (tenesmus)
09. Jaundice/pallor, bleeding
10. Dyspnea, nasal discharge
11. Stridor / cough 12. PUPD (Polyurea/Polydypsia)
13. Urinary incontinence, stranguria, haematuria
14. Nervous signs (seizures, tremors, ataxia, abnormal behaviour etc)  
15. Syncope, collapse, weakness
16. Sudden death
17. Prolapse
18. Weight loss & dysphagia
19. Poor performance
20. Lethargy / anorexia
21. Pyrexia
22. Trauma
23. Dystocia, still birth, infertility, abortion
24. Neonates

Final (Clinical) Examination
Once you passed the preliminary (MCQ) examination, then you are eligible for the final clinical examination and you may apply for the conditional registration, so you can gain some clinical exposure before the final clinical examination. This exam usually tests the clinical skills and basic animal handling skills. Most emphasis is placed on the dog, cattle, sheep, and horse. This examination consists of 12 sections and each section has an average time between 01 to 02 hours. The candidates have expected to bring their own gumboots, scrubs, stethoscope, and other necessary items.
Twelve sections for the final exams are
 01. COMPANION ANIMAL MEDICINE
 02. FOOD ANIMAL MEDICINE & SURGERY
 03. FOOD ANIMAL MEDICINE - MANIPULATIVE PROCEDURES 
 04. FOOD ANIMAL MEDICINE & PRODUCTION - INTENSIVE/EXTENSIVE 
 05. EQUINE MEDICINE & SURGERY
 06. EQUINE CLINICAL SKILLS
 07. COMPANION ANIMAL SURGERY AND ANAESTHESIA
 08. REPRODUCTION - ALL SPECIES
 09. PATHOLOGY & CLINICAL PATHOLOGY
 10. PREVENTIVE AND NATIONAL/STATE REGULATORY MEDICINE
 11. PRACTICAL ANAESTHESIA
 12. PRACTICAL SMALL ANIMAL SURGERY

Fee structure of exams in the given link
03. North America Veterinary License Examination (NAVLE)
NAVLE is a licensure granting requirement in the USA and Canada. NAVLE is conducted by the International Council of Veterinary Assessment (ICVA). Eligibility for the NAVLE is pre-requirement up to step 03 of the Educational Council of Foreign Veterinary Graduates (ECFVG) or Program for the Assessment of Veterinary Education Equivalence (PAVE) for being eligible to sit in the NAVLE examination. For Canada, you need to sit in the National Education Board (NEB) basically it is the same as ECFVG.
ECFVG
ECFVG is a certification program by Americal Veterinary Medicine Association (AVMA) for the overseas veterinary graduates whose degrees are not accredited from the AVMA. This program doesn't grant the license instead it is meant for the educational pre-requisite or certain types of employment.
The examination contains four steps
STEP 01
Enrolment, provide proof of educational qualification and verify your credentials.
STEP 02
English proficiency test as mentioned in RCVS and NVE
STEP 03
Basic and Clinical Sciences Examination, 225 questions based test consisting MCQ, matching, drag and drop and hotspot having 220-minute duration testing your veterinary skills
 Test Content
 Area/ Domain
 Subdomains included within each area  Number of Questions 
 01. Anatomy  Anatomy 18-20
 02. Pharmacology, Physiology, and toxicology  Pharmacology, physiology, and toxicology 28-32
 03. Pathology Anatomic pathology, clinical pathology, and  pathophysiology 20-23
 04. Medicine Etiology, pathophysiology, diagnosis, and treatment 50-55
 05. Anesthesia Anesthesia 20-23
 06. Surgery Surgery 20-25
 07. Diagnostics Diagnostic techniques and diagnostic imaging 22-25
 08. Animal Welfare Euthanasia, species-appropriate behavior, abnormal animal behavior, pain assessment and management, signs of abuse, species-specific husbandry, and restraint techniques 6-7
 09. Preventive Medicine Disease prevention, epidemiology, nutrition, public health, and regulatory programs 14-15

STEP 04
Clinical Proficiency Examination (CPE) is a hands-on performance based on CPE for 03 days in 07 sections where clinical skills are examined by the assigned college. Before appearing in CPE you should need some surgical experience that requires at least 01 ovarian hysterectomy as primary surgeon and at least five additional surgical procedures as primary surgeon or assistant surgeon. Specifically, candidates are required to submit documents signed by one or more license veterinarian licensed to practice veterinary medicine in any international jurisdiction.
National Examination Board follows the same procedure as of ECFVG only conducting authority changes from AVMA to Canadian Veterinary Medicine Association (CVMA)
PAVE
PAVE is conducted by the American Association of Veterinary State Boards (AAVSB) and it is a pathway program for the international veterinarian who possesses a degree from non-accredited veterinary college. This exam step 03 also prerequisites for the NAVLE exam.
Step 01 
Check your Jurisdiction
Step 02
Complete your English Proficiency as laid down by the PAVE
Step 03
Take the Qualifying Science Exam which consists of 200 multiple choice type questions and should be completed within a 220-minute single block session. The blueprint of the exam is given below
 Domain Content Area  Domain % 
 01. Anatomy  Gross Anatomy, Microscopic Anatomy, Physical Examination  10%
 02. Physiology  Organ Physiology, Genetics, Theriogenology, Physiological Chemistry, Endocrine Physiology 15%
 03. Pharmacology Pharmacokinetics, Pharmacodynamics, Pharmacologic Therapeutics, Toxicology 13%
 04. Diagnostics Microbiology, Pathology, Diagnostic Imaging, Parasitology 22%
 05. Surgery Surgery Principles, Anesthesia Principles, Analgesia, Emergency Medicine/Intensive Care 12%
 06. Medicine, Ethics, and Communications Diagnosis and Treatment of Disease, Dentistry, Etiology, Client Communication, and Ethics 15%
 07. Preventative Medicine and Public Health Animal Welfare, Behavior, Epidemiology, Regulatory Medicine and Programs, Nutrition 13%

STEP 04
Evaluated Clinical Experience, you should need to gain clinical experience in AVMA accredited college. You should need to find the enrolment institutions listed on the website of your choice and fill the dues directly to the university and gain clinical experience there.
Once you had passed all the steps you get the PAVE certificate
Once you had obtained your prerequisites then NAVLE exams prep starts which embraces 06 blocks, each block consisting of 60 questions each and 65 minutes will be allotted for each block. For syllabus, fee, and detailed information check the given links.

N.B. : Please see the latest official website of the above licensing exams for recent and authentic updates and knowledge.


Special thanks to Dr. Sandeep Gulia Sir for sparing his valuable time to emend this blog.

 The youtube video for this blog is available on "The Palleidoscope" youtube channel.


Regards
Shubham Narwal
Pursuing B.V.Sc&A.H from Indian Veterinary Research Institute Bareilly







 

Comments

  1. Knowledgeable...
    Appreciate ur work...

    ReplyDelete
  2. Good job sir..it's a very valuable information for the veterinarian among the india. Those veterinarian who wants to practice in foreign country please read this information.

    ReplyDelete
  3. Thanks for such an informative blog sir

    ReplyDelete
  4. Thank you for updating us😄

    ReplyDelete
  5. It's nice that you have presented many important things in one go... Informative for vets those desire to practice in abroad👍

    ReplyDelete
  6. Adorable work shubham. Seems , you put your endless efforts in course of preparing this blog. keep it up!!

    ReplyDelete
  7. Sir also provide study material for bcse exam

    ReplyDelete
  8. Very informative mate,keep it up .....this is a go_to_spot for my all queries regarding foreign veterinary license exams...
    Great work.

    ReplyDelete
  9. Whats the fee structure for rcvs exam ??

    ReplyDelete
  10. Is the PTE English approved for the ECFVG ?? or Only IELTS is approved ??....Thank you

    ReplyDelete

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