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Certification Requirements

 

** Exciting News!  The 2015 cycle will feature a NEW ONLINE process.  While we encourage you to gather your requirements, please do not use any of the current forms, as we will provide updated forms at a later date.  Do not worry- once the online program is live, we will give applicants plenty of time to submit their requirements!**

 

 

  1. Minimum 5 years in full time practice (or equivalent) prior to sitting the certification examination.
  2. Minimum 1 year as IVAPM member prior to sitting the certification examination
  3. CV/Biography with picture of applicant
  4. Copies of current license or registration certificates
  5. Three Member Applicant Evaluation Forms/Letters of Reference

    Letters preferably written by a Diplomate (AVMA, AVA, ECV, or regional equivalent), CVPP, CVA, CCRP, CCRT, CCRA, VTS, or DAAPM 1

    Alternative option:

    For those members that lack access to any of the above veterinary pain related certified professionals, consider any licensed veterinary health professional or licensed human health professional 2

    Member should include a letter clarifying their need for this alternative option

    A standardized form will be provided by the IVAPM to facilitate the reference process

  6. CME requirements

    A licensed veterinary health professional or licensed human health professional and two years of clinical experience working with animals in pain

    90 hours pain management related CME during past 8 years

    1. Acceptable CME 3
      1. Major veterinary and human meeting pain related CME
      2. Judgments will have to be made, as inclusively as is reasonable, by the Applications Committee
    2. Rehab and acupuncture training programs
      1. Canine Rehabilitation Institute, University of Tennessee Rehab
      2. Chi Institute, MAS/Colorado, IVAS
    3. Internship/observation time spent at anesthesia/pain management services, up to a limit of 45 total CME equivalent hours. The candidate will need to include a letter describing the characteristics and capabilities of pain management related services at which they are observing patient care. The observational mentor will need to sign a log listing the days and hours the applicant spent on their service.
      1. Veterinary Teaching Hospital with Diplomate (ACVA, ACVECC, AVA, ECVAA, AAPM or regional equivalent), VTS (ECC, Anesthesia) conducting advanced pain management services.
      2. Private veterinary pain management practice with Diplomate (ACVA, ACVECC, AVA, ECVAA, AAPM or regional equivalent), VTS (ECC, Anesthesia) conducting advanced pain management services.
      3. Human pain management practice (with pain management physician). Approval will be on a case by case basis by the Applications Committee.
      4. Diplomates not listed above will be considered as suitable observational mentors assuming they are conducting advanced pain management services. Approval will be on a case by case basis by the Applications Committee.
      5. IVAPM Certified Veterinary Pain Practitioner or Certified Animal Pain Practitioner (CVPP) conducting advanced pain management services.
    4. Internship/observation time spent observing pain oriented patient management with a certified veterinary or licensed human rehabilitation professional --OR-- internship/observation time spent with a certified veterinary or human acupuncturist up to a limit of 20 total CME equivalent hours. The candidate will need to include a letter describing the characteristics and capabilities of pain management related services at which they are observing patient care. The observational mentor will need to sign a log listing the days and hours the applicant spent on their service.
    5. RACE approved onsite or online pain management CME hours
    6. Online pain related CME from all major veterinary and human pain related organizations (APS, IASP, WIP, ASRA, AAPM, IVIS, and VIN)
    7. Non-RACE approved online Industry based CME will be considered on a case by case basis by the Applications Committee
  7. The applicant must be able to demonstrate competency in any 10 of the following 29 pain management related skills4

    Skills subcategories

    1. Allopathic oriented skills (12 options)
      1. Epidural drug selection for 3 different drug protocols ( may be in different species)
      2. Epidural needle placement
      3. Epidural catheter placement
      4. Basic local/regional anesthesia/analgesia drug selection (injectable, transdermal) and placement for blocks in at least three of the following subcategories
        1. Declaw ring block
        2. Dental blocks (3 minimum) – Infraorbital, Palantine, Mental, Inferior Alveolar
        3. Intra-testicular
        4. Intra-articular
        5. Intercostal
        6. Transdermal applications
        LARGE ANIMAL BLOCKS
        1. Cornual
        2. Palpebral
        3. Paravertebral
        4. Inverted “L” / Backwards 7
        5. Equine Limb blocks ( Palmar Digital/ High and low volar/ Median, Ulnar, Musculocutaneous, 
        6. Peroneal, Saphenous
      5. Advanced local/regional anesthesia/analgesia drug selection and drug placement in at least two of the following subcategories 1.    Brachial plexus or cervical paraspinal
        2.    Sciatic and femoral nerve
        3.    Intrapleural or intraperitoneal catheter placement and use
        4.    Bier Block
        5.    RUMM block
        6.    Continuous local anesthetic administration (Intrapleural, Soaker catheter)
      6. Use of nerve locator for regional anesthesia/analgesia application purposes of the aforementioned blocks
      7. Use of ultrasound for regional anesthesia/analgesia application purposes of the aforementioned blocks
      8. Constant rate infusion analgesic drug dose/volume calculations and administration for 3 different  drug protocols using a volume base syringe pump
      9. Constant rate infusion analgesic drug dose/volume calculations and administration for 3 different protocols using IV fluids (dripset method)
      10. Application of other pain management modalities: extra-corporeal shockwave therapy, LLLT for myofascial pain, LLLT for osteoarthritis
      11. Intra-articular injection:  3 different joints
    2. Physical medicine / rehabilitation skills (14 options)5
      1. Goniometry – Demonstration of skill and reproducibility with goniometric joint ROM evaluation – in 4 joints
      2. Identification and assessment of all types of joint end range feel (capsular, ligamentous, soft tissue, boney, springy, empty)
      3. Demonstration of skill and reproducibility with muscle girth measurement using Gulick Tape in 3 individual animals
      4. Conduct a Neurologic examination/assessment and arrive at a pathofunctional diagnosis (lesion localization) -  attach record or form used
      5. Ability to conduct an Orthopaedic examination / assessment and arrive at a pathofunctional diagnosis
      6. Low level laser utilization (LLLT) – for pain management in 2 different types of cases & ability to explain application techniques, type of LASER, dose, and knowledge of safety issues. Specify brand and settings used. (wavelength, times, number of points)
      7. NMES - muscle selection, proper placement, pulse frequency, duration, treatment frequency for 2 different conditions- Specify brand used
      8. TENS - electrode placement strategies for application in 2 different cases. Specify brand used and settings used ( pulse frequency, duration)
      9. Therapeutic U/S - Appropriate utilization, explain application and justification of settings and safety issues in 2 different types of cases .
      10. Joint compressions – Appropriate application of and justifications in 2 different cases.
      11. Joint mobilizations/traction – Appropriate application of and justifications for use of Spinal Joint Mobilization, Manipulation, or Traction  use in 2 different joints/ cases. Explain Joint mobilizations (grade I and II),Joint mobilizations (grade III-IV),Joint mobilizations (grade V).
      12. Therapeutic massage – Appropriate application of and justifications for use - Demonstration of knowledge and/or skill in performing 3 specific techniques - Effleurage, Petrissage, Friction Massage, Tapotement, wringing, rolling, kneading, ischemic compression
      13. MFTP’s - Clinical identification of major muscles origin, insertion and specific action for thoracic limb, pelvic limb, cervical, thoracic, lumbar and sacral regions of the trunk and release techniques for 3 MFTP’s
      14. Prescription and/or utilization of Therapeutic Exercise that directly address pain management and/or ‘function’ in 3 different pain management case scenarios.
    3. Acupuncture skills (4 options) 6
      1. Needle placement techniques – in 4 clinical scenarios
      2. Needle removal techniques  
      3. Pain related acupuncture point selection – in 2 LOCAL POINTS and 2 PROXIMAL or DISTAL POINTS
      4. Electro-stimulation unit utilization – in 2 different clinical scenarios. Specify  frequency, pulse form, and brand used
  8. Verification of skills competency

    Signed off by Diplomate (AVMA, AVA, ECV, AAPM or regional equivalent), CVPP, CVA, CCRP, CCRT, CCRA, VTS, DAAPM 7

    Alternative option:
    For those members that lack access to any of the above pain related certified professionals, consider any licensed veterinary health professional or licensed humanhealth professional 8

    Member should include a letter clarifying their need for this alternative option

    Video documentation may be considered as an option for applicant when an AVMA Diplomate, AVA/ECV Diplomate, CVPP, CVA, CCRP, CCRT, CCRA, VTS, DAAPM, or other licensed veterinary or human health professional are not available

    The applicant must list and include digital images of the following pain management related elements based upon the particular pain related services provided by the applicant

  9. Images of available pain management drugs for those providing allopathic based therapy
    1. List should reflect drugs from the major analgesic categories listed below
      1. Opioids
      2. NMDA antagonists
      3. Na channel blockers
      4. Ca channel blockers
      5. NSAIDs
    2. Pictures should include the controlled drug storage and record keeping as required by regional laws and regulations
    3. For drugs that are not available onsite, member must describe their access to these medications
  10. Images of equipment based on the pain management related services provided by the applicant
    1. Allopathic oriented examples (3 required)
      1. IV fluid pump or IV syringe pump
      2. Epidural supplies
      3. CRI calculators/recipe resources
      4. Nerve locator
    2. Rehabilitation; Rehab equipment (7 required)
      1. Goniometer
      2. Gulick tape measure
      3. TENS
      4. NMES
      5. Therapeutic U/S
      6. Low level laser
      7. Cavaletti rails
      8. Therapy balls, therapy bands
      9. Balance boards
    3. Acupuncture/TCVM (2 required)
      1. Needles
      2. Herbals
      3. Electro-stimulation unit

    Alternative pathway option:
    The IVAPM acknowledges that some members are not currently in a setting that allows access to any of the above drugs and equipment. An example would be those in a purely teaching oriented position. A waiver will be considered for those in similarly limited settings with such waivers being extended by the Applications Committee on a case by case basis.

    Member should include a letter clarifying their need for this alternative option

  11. Case reports
    1. Two total case reports are required and are due at time of application (by January 15th of each year)
      1. Case reports may pertain to perioperative, major acute medical or traumatic, or chronic pain management.
      2. Case reports must present different pain related scenarios.
      3. Case reports should employ a well-structured, balanced analgesic strategy.
    2. Review criteria will be the same for all applicants.
    3. Should involve patient care delivered during the 5-year period preceding the application date.
    4. Must be submitted with certification application.  (Deadline:  January 15th of each year)
    5. Each case report should reflect a coherent, cogent thought process regarding PAIN MANAGEMENT, patient assessment and management, and presented in a manner such that would be published in a peer reviewed journal above and beyond what is consistent with publication in JAVMA or other peer reviewed journals indexed in Pubmed.  Grammar, punctuation and spelling should be on a level consistent with that of a professional journal.
    6. Must be saved in PDF format, and emailed to This e-mail address is being protected from spambots. You need JavaScript enabled to view it by January 15th of each year.  Please save each case report in the following format:  ARN XX-XXXXXX-XX Case Report 1; ARN XX-XXXXXX-XX Case Report 2.
    7. Must be in English, typed in 12-font Times New Roman, double-spaced, and limited to 10 pages.
    8. Format (in order):
      1. Cover page to include Title and Applicant Registration Number. Do not write your name anywhere on the report.
      2. Applicant Registration Number: Please include in the upper right hand corner of each page.
      3. Introduction: Include on a separate page. Introduction should state the type of pain management case featured in the report, a brief listing of therapeutic modalities and/or pharmaceuticals used and outcome. The IVAPM looks favorably upon an integrated, multidisciplinary and/or multimodal approach to the management of pain with the use of physical modalities (including but not limited to: physical rehabilitation, physiotherapy, acupuncture, etc.) as well as pharmacologic interventions whenever possible.
      4. Clinical Report: Should consist of signalment, clinical history, findings, subjective assessments, objective assessments (including measurements, diagnostic findings, etc.). A detailed description of the pain management protocol employed including all therapeutic modalities and/or pharmaceuticals (to include dosages and references), and responses to therapy. All laboratory data should be formatted in a table.
      5. Clinical Outcome: A subjective and objective response to therapy (use of a pain- or disability-scoring system required). In chronic pain patients include recommended long-term pain management.
      6. Discussion: Author’s subjective critique. Can include rationale for use of analgesics and physical modalities, critical evaluation of patient care, deficiencies, and areas of possible case management improvement
      7. Summary: Provides an interpretive summary of the case report.
      8. References: MUST BE INCLUDED FOR ALL INFORMATION DERIVED FROM TEXTS OR SEARCH OF PAIN RELATED LITERATURE. Placed as Endnotes to document. Reference page numbers are required. References may include standard reference texts, online reference material (e.g. www.ivis.org, www.vin.com), published conference proceedings, and peer-review literature as indexed in PubMed (www.pubmed.org).
    9. Case Report will be graded by the following scores:
      1. Pass
      2. Fail
      3. Resubmit with revisions or clarifications

               Examples: Case Report #1, Case Report #2, Case Report #3

  1. Examination9

    100 multiple choice, time limited (3 hour), closed book examination

    1. Exam administered online. Locations and dates available TBD.
    2. Examination fee due 30 days prior to taking the exam. The exam fee is $250.00 for DVM/PT and $150.00 for LVT/RVT/PTA.
    3. The test will be the same for all qualified applicants
    4. This test would emphasize foundational pain related principles while including elements specific to physical rehabilitation therapy and acupuncture as they relate to pain management
    5. Develop second year test while aiming toward larger test pool
    6. Develop an example test at some point in the future
  2. Future planning and adaptations

    A lab animal/exotics subcommittee will be convened to adapt this program, if needed, to this area of veterinary practice

    A large animal/food animal subcommittee will be convened to adapt this program to this area of veterinary practice

    An international subcommittee will be convened to adapt all aspects of this program to other regions around the world

    This subcommittee will need to work with the Examination Committee to structure the most appropriate deployment of our examination to other regions of the world.

If you have any questions check here first for Certification FAQs

Footnotes

Click on appropriate number to return to previous spot

1. This encourages networking with colleagues who are often well positioned to be supportive of pain related case management

2. This option removes any restriction associated with professionals in more remote settings while helping the applicant network with their colleagues on the subject of pain management

3. The intent here is to parallel the established North American certification programs to establish legitimacy within our current core membership with adjustments considered as needed by the International subcommittee as this program is deployed around the world. In addition, we need to be VERY broad based in our early acceptance of CME equivalence as an acknowledgement that this discipline is in its infancy and that it is currently very difficult to gain 90 CME hours in a lecture setting, especially for technicians.

4. One hoped for aspect of the skills list is to encourage networking with allied pain related professionals. An allopathic only practitioner will be encouraged to gain a few physical rehab skills or learn more about acupuncture’s ability to enhance pain management.

5. PTs and PTAs will need to accomplish all of their skills within the physical rehabilitation therapy category. I do not think that they will be able to legally perform the allopathic related techniques or acupuncture on animals.

6. In general, the acupuncturists should also be DVMs making them eligible to perform all of the allopathic techniques listed.

7. This encourages networking with colleagues who are often well positioned to be supportive of pain related case management

8. This option removes any restriction associated with professionals in more remote settings while helping the applicant network with their colleagues on the subject of pain management

9. An Examination Committee will be formed to develop this specific component



For assistance please e-mail ivapm@xmi-amc.com.