European College of Veterinary Microbiology
Application for Standard Residency Training Programme (SRTP) Approval
Date of application[1]:
Name of the applicant[2]:
Signature[3]:
Section A
Qualifications of the ECVM Specialist assigned to the position of Residency Programme Director:
Current position:
Address:
E-mail:
Tel:
Name of the ECVM Specialist assigned to the position of Residency Programme Supervisor[4]:
Qualifications:
Current position:
Address:
E-mail:
Tel:
Name of the ECVM Diplomate who will provide training[5]:
Qualifications:
Current position:
Address:
E-mail:
Tel:
Name of ECVM Associate Members who will assist withtraining[6]:
Qualifications:
Current position:
Address:
E-mail:
Tel:
Section B
Name of the Host Institution of the Standard Residency Training Programme:
Date the Host Institutionbecame an Approved Training Center of the ECVM[7]:
Finance[8]:
Five-year track record of the team providing the SRTP[9]:
Annual timetable and Specific activities[10]:
Section C
Name of Affiliated Institution[11]:
Date the Affiliated Institution was approved by the ECVM for training[12]:
Professional links[13]:
Contact Person:
Address:
E-mail:
Tel:
Name of the ECVM Diplomate responsible for the residents:
Complementary training[14]:
Suitability of the Affiliated Institution for the complementary training[15]:
[1] This application consists of three sections: Sections A, B and C. In Section A the applicant provides information required to assess the suitability of the ECVM Specialists and Diplomates for the roles they are assigned to within the context of the SRTP under evaluation. In Section B the applicant provides information regarding the Hosting Institution, the resources required for the SRTP, the annual timetable and the specific training activities. Details of Affiliated Institutions are supplied in Section C. All sections of the application need to be completed. Incomplete applications will not be evaluated.
[2]This application should be completed by the ECVM Specialist who will be assigned to the position of the Residency Programme Director and submitted electronically to the Secretary, ECVM – for details see website. Please refer to Appendix II of the Policies and Procedures of ECVM for guidance.
[3]Electronic signature is accepted.
[4] If more than one, please copy the specific paragraph of the application. If the Programme Director will be acting as Programme Supervisor, please fill in here only the name of the Programme Director/Supervisor; qualifications, current position etc., need not be reported again.
[5] If more than one, please copy this paragraph; please delete this paragraph if training is provided only by the Programme Director and the Programme Supervisor(s).
[6] If more than one, please copy this paragraph; please delete this paragraph if non-Members are not involved in the SRTP.
[7] SRTP must be hosted in an ECVM Approved Training Center. Satellite Training Centers must be affiliated with an ECVM Approved Training Center. At the time this application is submitted the Training Center must be licensed as Approved or an application for approval must accompany this application.
[8]Provide a description of the measures taken to ensure that the SRTP is adequately supported in terms of financial resources; indicate the source of the financial resources required to support the residency programme and their sustainability; indicate if residents are charged with bench fees or if they are supported financially e.g. stipend for residents; indicate if travel and subsistence is provided to the residents for their travel and stay in affiliated institutions or if the relevant expense is covered by them.
[9]Describe briefly the 5-year track record of the team providing the SRTP, including research activities (focus areas, on-going projects) and output (e.g. scientific papers, dissemination and patents).
[10] Outline the timetable and describe the various activities and responsibilities of the resident for each year. The timetable must demonstrate a minimum of 24 hours/week of activity in veterinary microbiology, over a minimum of 48 weeks a year, totaling 144 weeks over a 3-year residency programme. At least sixty per cent of the resident’s time will be spent in veterinary microbiology, at least twenty per cent of the resident’s time will be spent in research on veterinary microbiology and preparation of manuscripts and at least twenty per cent of the resident’s time will be devoted to study.
[11]Provide the name of institutions that will complement this SRTP (Affiliated Institutions); If more than one, please copy this paragraph; please delete this paragraph if Affiliated Institutions are not involved in the SRTP under evaluation.
[12] Affiliated Institutions must be either Approved or Satellite Training Centers of ECVM. At the time this application is submitted the Affiliated Institutions should be licensed as Approved or Satellite Training Centers or an application for approval must accompany this application.
[13]Indicate formal or established links between the Host Institution and the Affiliated Institution.
[14]Describe the particular complementary training that will be offered to the resident (type of activities, periods and responsibilities).
[15] Provide briefly information regarding resources and recent tract record, which substantiate the suitability of the Affiliated Institution for the complementary training.