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AVDC Case Report Equivalent Point Requirements - Information For Trainees Page 1 CASE REPORT and “EQUIVALENT POINTS” REQUIREMENT Revised January 2016 This document applies only to AVDC Alternate Pathway trainees and residents whose training program registration date is December 31st, 2013 or earlier. For residents whose training program has a registered start date of January 1st, 2014 or later, the relevant Publication Requirements are in the Publication Requirements 2014 document, which is available in the Publication and Case Report section of the Information for Registered Trainees web page. Trainees with a registered training program start date prior to January 1st, 2014 can elect to meet the pre-2014 or 2014 Publication Requirements. Contents of This Document AVDC Policy for Case Reports and Equivalents Objectives of and Definitions for the Publication Requirement………………………………………………...Page 2 Introduction – the CREP system……………………………Page 3 Dental disciplines…………………………………………...Page 3 Minimum of two standard case reports required……………Page 3 Published articles permitted for CREP credit……………….Page 3 If a submission is not approved……………………………..Page 4 Standard AVDC Case Report Introduction Selecting Cases for AVDC Case Reports Standard AVDC Case Report Requirements General Content Format and Editorial Details Submitting a Case Report Publication of AVDC Case Reports Page 4 Page 4 Page 5 Page 5 Page 6 Page 9 Page 10 Page 11 Alternatives – Articles and Chapters Published or Submitted for Publication Introduction Page 11 Authorship Page 11 AVDC Case Report Equivalent Point Requirements - Information For Trainees Approval decision Items permissible for submission and CREPs awarded Book Chapters permissible for CREP point review Submitting a CREP item Page 2 Page 11 Page 12 Page 13 Page 14 “Delayed Submission” of a CREP article Page 14 AVDC Process Following Submission Page 15 Options if a Case Report or Article is not Approved Page 14 Objectives of the AVDC Publication Requirement This requirement is designed to show that all AVDC examination candidates can select a topic and write a case report or an article or book chapter on a veterinary dental or related topic that demonstrates their ability to write a scientific article clearly and coherently. The case report, article or book chapter must include accurate citations of relevant published material, and the conclusions or summary provided by the author must be supported by the content of the article. Definitions: In addition to Case Reports (see page 4 in this document), items submitted for AVDC Credentials Committee Publication Review are classified as either Solicited or Unsolicited. Unsolicited articles are articles submitted to a peer-reviewed journal that was not solicited by the Journal Editor and that will be subjected to peer-review by anonymous (to the author) reviewers selected by the Journal editor. Solicited items include: Book chapter: A chapter in a book that will be published as a distinct single-purchase publication. Prior to submission, the chapter will have been solicited and reviewed by the Book Editor or Section Editor, but the book chapter will not have been subjected to anonymous peer review. Solicited Periodical Article: The article will be published in a periodical that publishes issues that each cover a different topic. An ‘Issue Editor’ is appointed by Periodical AVDC Case Report Equivalent Point Requirements - Information For Trainees Page 3 Editorial Board, and the Issue Editor solicits authorship of the individual articles for that issue. Prior to submission to AVDC, the article will have been reviewed by the Issue Editor, but these articles will not have been subjected to anonymous peer-review. Example: Veterinary Clinics of North America. There are separate Supervisor Forms and Committee Review Forms for Case Reports, Book chapters, Solicited Articles and Unsolicited articles. Introduction and Overall Policy – Pre-2014 Requirements Case Report and Equivalent Points (‘CREP’) AVDC Case Report and Published Articles or Book Chapter Requirement 1. Case Report Equivalent Point (CREP) System: Accumulation of a minimum of four approved ‘case report equivalent points’ (CREP) is required. CREPs are accumulated by AVDC approval of either standard AVDC case reports or articles published or submitted for publication in peer-reviewed journals or as book chapters. Details of acceptable submissions are described below. 2. Dental disciplines of case reports and published items: The subject of three items (standard case reports or articles) is to be three of six AVDC core dental disciplines: Endodontics; Oral Medicine; Oral Surgery; Periodontics; Radiography; Restorative Dentistry/Prosthodontics. The fourth CREP point can be earned in any dentally-relevant subject (e.g. orthodontics or dental statistics, or a second item in a core discipline). One full CREP point is required to qualify for the ‘three discipline’ requirement- a single half-point item in a discipline is not sufficient. Two 0.5 CREP items in the same dental discipline can be counted as one CREP point to meet the three-discipline requirement. 3. One Standard AVDC Case Report is required (see Standard AVDC Case Reports, page 2 in this document). One CREP point will be awarded per approved standard AVDC case report. All four CREPs may be earned by approval of standard case reports, or 1-3 CREP points can be earned by approval of articles or book chapters as described below. 4. Request for Clarification: The Credentials Committee review team has the option of requesting clarification prior to making a final decision to Approve or Not Approve an item. The trainee will be sent notification of the Request for Clarification via DMS email. A response will be expected within 10 days. If a response from the trainee is not received within 10 days, and there is no request for an extension because of exceptional circumstances, the trainee risks the item being returned unreviewed without possibility of resubmission. AVDC Case Report Equivalent Point Requirements - Information For Trainees Page 4 5. If a submission is not approved. As for any adverse decision made by AVDC or its committees, an appeal against a non-approval decision can be lodged with AVDC. Details of the Appeal procedure will be provided in the communication notifying the trainee of the non-approval decision. Standard AVDC Case Report Introduction: As one means of ensuring that AVDC trainees have reached a level of competence appropriate for an entry-level specialist, AVDC requires that a minimum of one standard case report submitted by the trainee has been reviewed and approved by the Credentials Committee. The AVDC Board of Directors adopted the following purpose of case reports on August 11, 2002: Case Reports are a required part of the credentials application that provide a means to evaluate the trainee’s level of competence in veterinary dentistry through the report of a clinical case. The Case Report is to demonstrate proficiency, skill, and expertise in the proper management of a veterinary dental case. Case Reports also allow assessment of the trainee’s ability to think through and perform veterinary dental and oral surgical procedures, making clinical decisions that are supported by published literature or for which valid justification is provided by the author.” Case reports can be submitted prior to the submission of the completed credentials application package; read the Pre-Approval web page for more information. Submission for Pre-Approval review is strongly encouraged. The standard by which a case report will be judged will be the same whether the report was submitted for Pre-Approval or with the Credentials Application package. Selecting Cases for Standard AVDC Case Reports A case report is an opportunity for a trainee to show that s/he has learned dental concepts during her/his training period, and is able to integrate these principles as they apply to specific veterinary patients. Thus, the report is to be a well-written and well-documented scientific paper about a case that the trainee has managed well by current standards. It must be sufficiently detailed that it would be possible for a reader to repeat any procedures from the description given. Specific requirements are given below. Only one case report may be submitted per patient. If a case report is not approved, a second case report based on the same patient cannot be submitted under a different dental discipline. When reviewing a case report, the Credentials Committee considers the dental and surgical skills and diagnostic abilities of the trainee and the ability of the trainee to AVDC Case Report Equivalent Point Requirements - Information For Trainees Page 5 evaluate the patient as a whole, as demonstrated in the report. Approval of a case report depends on documentation of excellence and thoroughness in managing the case from presentation through follow-up. It is not necessary to select a complex case, or one in which advanced technology or procedures were used. However, since the standard required is that of an entry level specialist, dental cases that are limited to procedures commonly performed by veterinarians who are not dental specialists, such as routine scaling and extraction, will likely be considered too simple for approval. The form used by the Credentials Committee to evaluate case reports is available for your examination (see the link to Case Report Evaluation Form in the Case Report section of the Information for Registered Trainees web page). AVDC strongly recommends that trainees carefully read through the Requirements for Case Reports given below and the evaluation form before selecting a case and preparing a case report. After the case report is prepared, AVDC recommends that the trainee and supervisor read through the evaluation form again and then read through the case report as a self-evaluation process prior to submission to AVDC. As you consider whether a case you are working on may be appropriate for an AVDC case report, keep in mind the need for documentation of the case (photographs, radiographs), and the need for documented follow up. Keep in mind that a minimum of one case report is required. Should one or more of your submitted case reports not be approved, keep a “back-up” list of suitable cases with available follow-up, so that you can promptly prepare an additional report at short notice. There is no limit to the number of case reports that may be submitted for Pre-Approval. Questions or comments about case reports or any other AVDC policy are to be addressed to the AVDC Executive Secretary ([email protected]), who will respond to them or distribute them to the appropriate committee for response. Standard AVDC Case Report Requirements 1. The trainee must have been the primary clinician on each standard AVDC case reports. 2. Each case report is to have a specific dental discipline category as its primary subject, which is to be noted as the first word in its title (For example: “Endodontics: Standard Endodontic Treatment of a Maxillary Fourth Pre-Molar Tooth in a Dog”). The categories of items submitted for CREP review are to include three of the following core disciplines: endodontics, oral medicine, oral surgery, radiology, periodontics and restorative/prosthodontic dentistry. The primary subject of a fourth CREP submission is the trainee’s choice. 3. When a trainee submits a case report to AVDC DMS, an e-mail message is automatically sent to the Supervisor to notify him or her that a Supervisor Form is to be submitted. Case reports cannot be approved if the completed Supervisor Form is not received by AVDC. Even though an automatic e-mail will be sent to the AVDC Case Report Equivalent Point Requirements - Information For Trainees 4. 5. 6. 7. 8. 9. Page 6 supervisor, AVDC recommends that you remind your supervisor to complete and submit the form. Cases selected for an AVDC standard case report do not have to be included in the trainee’s AVDC case-log. Thus cases treated prior to registration in an AVDC Training Program or in a period that is no longer permitted for case log purposes (i.e. beyond the permitted six years prior to Credentials Application or during a leave of absence) can be presented as case reports. However, for all case reports, the techniques and materials used must meet the “standard of care” as would apply to an entry-level veterinary dental specialist at the time of submission of the case report. Submission: Case reports may be submitted with the Credentials Application Package or for Pre-Approval consideration. Submission of case reports to AVDC for Pre-Approval consideration is strongly recommended; read the Pre-Approval document in the Information for Registered Trainees page for details. See page 8 below for further details about submission. Case reports are reviewed by the Credentials Committee after they have been assigned a code number by the Executive Secretary, to maintain anonymity of the trainee during the review process. Thus, the case report must not include any reference to the trainee’s name, practice or other identifying details. Case reports are to be submitted as electronic files (see below for submission details). Although subsequent submission for publication of AVDC-approved case reports is encouraged, AVDC strongly recommends that standard AVDC case reports intended for AVDC Credentials review are not submitted for publication until the Credentials Committee review process is completed for that report. Case reports that have already been subject to a peer-review process for publication in a journal are not to be submitted as standard AVDC case reports, because the case report may no longer be primarily the original work of the trainee (they may, however, be submitted as a published article for CREP credit). Case reports that have been approved by the Academy of Veterinary Dentistry or published in an un-reviewed meeting proceedings book may be submitted to AVDC, and will be subject to the standard AVDC Case Report review process. When items for which AVDC-approved nomenclature is available are mentioned, the AVDC-approved terminology is to be used. Veterinary Dental Nomenclature approved by AVDC is available at http://www.avdc.org/Nomenclature.pdf or by clicking the Veterinary Dental Nomenclature link on the AVDC Home page. Content of a Standard AVDC Case Report Case reports will normally be presented in the following sequence: 1. Title: Dental discipline category, followed by a brief description. For example: Endodontics: Apexogenesis of a Fractured Canine Tooth in a Two Year Old Dog. DO NOT INCLUDE YOUR NAME IN THE TITLE. 2. Introduction: Introduce the topic of your case report. A brief statement describing why you selected this particular case may be relevant. A concise literature review is AVDC Case Report Equivalent Point Requirements - Information For Trainees Page 7 not required in the Introduction, though it may be appropriate depending on the subject of the case report. 3. History: a. Signalment. b. Presenting problem or chief complaint, as reported by the owner. c. Past dental history. d. Past medical history, if relevant. e. Describe any other relevant problems. 4. Diagnostics: a. Include physical and oral examination findings, laboratory reports, radiographs, MRI, etc. (when appropriate). (Relevant detailed reports can be included as appendices). b. Radiographs: All radiographs relevant to the subject of the report and mentioned in the text of the report are to be included as figures, with interpretation of the radiograph in the text or in the legend accompanying the figure. If a full-mouth radiograph series was taken of the patient, specific radiographs that are not relevant to the subject of the case report do not have to be included as figures. c. Demonstrate attention to the patient as a whole. Report appropriate pre-operative diagnostics and laboratory tests. 5. Diagnosis and/or Problem List: a. Provide an accurate assessment. Use appropriate classifications, if applicable. b. Mention differential diagnoses and their rule-outs. c. Mention all other lesions observed in the mouth. Photographs of other lesions do not need to be included if they are not directly relevant to the subject of the case report. The dental chart may be included as an appendix if desired. 6. Treatment Plan: a. Describe different modalities of treatment and their prognosis. Justify your treatment plan based on the information available to you when you made the decision. b. Address any potential genetic impact of the condition. For malocclusion cases, a report of the pre-treatment bite evaluation and a signed Owner Consent and Release Form are to be included. To maintain anonymity of the case report, do not include information identifying the hospital, veterinarian and owner – fold over the hospital information part of the form when scanning or photographing the form, or make a copy of the form and cut out the information that is to be excluded before scanning or photographing the form. 7. Treatment: a. Describe the anesthetic and patient support protocols, including: AVDC Case Report Equivalent Point Requirements - Information For Trainees Page 8 i. Pre-op, intra-op and post-op drugs (generic name, with trade name and name and city of manufacturer in footnote), dosages and route of administration. ii. IV fluid support. iii. Body temperature support. iv. Monitoring techniques and frequency. v. Pay particular attention to any need for pain recognition and management. b. Describe the oral-dental procedures in detail, including: i. Technique, instruments and materials, using correct terminology (generic name of materials in the text, with trade name and name and city of manufacturer in footnote). Treatments and materials used must be currently accepted techniques supported by published references cited in the case report, or, if an alternative or novel technique or material was used, thorough justification must be provided by the author, with supporting references if available. If you performed a technique that could be considered non-standard, describe the variation in detail, and justify your selection here or in the Discussion. ii. For procedures involving surgery, describe the incision (location, type, length) and pertinent anatomical landmarks. Describe suture pattern and material. iii. Include dosages and routes of administration of any medications used or prescribed. Indicate generic names (with trade names and name of manufacturer and city in footnotes). If an antibiotic drug is used, justification must be included. iv. Include radiographs with interpretation of the radiographic findings in endodontic, periodontic, restorative, orthodontic and surgical cases. For endodontic cases, also include and label selected intra-operative radiographs. v. Describe the recognition, severity and management of any complications. vi. If other lesions were treated, briefly summarize the treatment. Photographic documentation of treatment of lesions not directly relevant to the subject of the case report is not required. 8. Post-operative care: Describe instructions given to the client, including medication dispensed for home use and dental home care procedures. 9 Follow-up: a. Describe the timing, extent of examination and results of follow-up examination. Six months is the minimum follow-up period required for endodontic, orthodontic, periodontal surgery, oncologic surgery and other oral surgery cases. Three months is the minimum period required for restorative and prosthodontic cases. Longer follow-up is encouraged if it will augment the case report. Appropriate follow-up radiographs and clinical images are to be included. Include assessment of the treatment and your short- and long-term prognoses. a. Were any other treatments recommended or given since your described procedures? b. Describe compliance with and efficacy of oral home-care instructions. AVDC Case Report Equivalent Point Requirements - Information For Trainees Page 9 10 Discussion: a. If appropriate, briefly review the literature on the disease condition and/or procedure that is the subject of your case report. b. Discuss important aspects of the diagnostic work-up, technique and results. c. If you had to change your treatment plan during the therapy or if, looking back on your case, you think another therapy, material or technique would have given better results, discuss those points. d. Comment on the results, short and long term. Did it/will it work? Why? e. If applicable, discuss the likelihood of recurrence of pathology, or the ethics of providing the type of treatment used (orthodontics, genetic problems), etc. f. Provide references to support your statements. (See under Format and Editorial Details, below). Be clear about what is theory or anecdote (yours or someone else’s) and what is established fact. g. Discuss any unusual features of or difficulties encountered during the case. Was the case different from what was expected? How did you manage any problems or complications encountered? 11. Conclusion (optional): What conclusion, if any, can be drawn from this case? Format and Editorial Details for a Standard AVDC Case Report 1. Case reports must be written in English. 2. To maintain anonymity of the trainee, standard AVDC case reports must not include any reference to the trainee’s name, practice or institution, or other identifying details. 3. Text: Use 1.5 line spacing, 12 point Times New Roman font, 1 inch margins on 8.5”x11” paper throughout. Pages are to be numbered in the top right-hand corner. 4. The text of each case report is to be no more than 12 printed pages (not including the title page). References are limited to two pages. Foot-notes can be included on a separate page. Figures can be included on separate pages; each figure is to have a figure number and legend adjacent to the image, and the figure number and page containing the figure are to be cited within the main text. 5. Include “margin line numbering” to facilitate reporting of comments by the reviewers. In MS Word, click Page Layout, then Line Numbering, then Continuous. The line number will be inserted in the left side margin. 6. Reports that do not meet the requirements in items 1-5 above will be returned to the trainee unreviewed. The report can be revised and resubmitted, but the review will be delayed as a result of not meeting the formatting requirements 7. When items for which AVDC-approved nomenclature is available are mentioned, the AVDC-approved terminology is to be used (click the Veterinary Dental Nomenclature link on the AVDC web-site Home Page). References: 1. A reference is a statement made in a published source (e.g. journal article, textbook or meeting Proceedings book). AVDC Case Report Equivalent Point Requirements - Information For Trainees Page 10 2. References are to be limited to 2 pages, using 1.5 line spacing, 12 pt font, 1 inch margins, Times New Roman font. 3. Number references consecutively in the order in which they are first mentioned in the text. Identify them in the text as arabic numbers either as superscript or in (parentheses). 4. References are to be specific citations (author, page number, journal volume or book title, year) of work that is in the public domain. If several separate items are referenced in a book or an article, list the book or article in the Reference list once, and insert the page number with the reference citation in the text of the report, e.g. …..endodontic file3(page 45). 5. Other attributable but unpublished statements are to be used sparingly, with the source identified in a foot-note. Submitting a Case Report All standard AVDC case reports are to be submitted electronically to the AVDC Executive Secretary via DMS. Submission details: a. Formats: The case report is to be submitted as a single file with images embedded in the file. The file can be either a Word or an Acrobat .pdf file. If submitting as a .pdf file and radiographs are included, be sure to use the High Quality Print setting in Adobe Acrobat, to prevent pixilation of the radiographs. b. Maximum file size is 50 MB. Contact the Executive Secretary prior to submission if the finished file size will be greater than 50 MB. c. Name the file that you will upload to DMS: YourLASTNAME,FirstName CaseReport Category, Short Title, Year. E.g. WILLIAMS,Chuck, CaseReport, Endo, Standard Endo of #104, 2008. d. Radiographs may be included in a case report as digital dental radiography images, or as an image obtained by photographing a non-digital radiograph directly from a viewbox using a digital camera. Recommendations to improve the quality of photographed images: Use a camera with macro focus option so that only the radiograph is framed. Black out the unwanted areas on the view-box (use two right angle pieces of black poster-board to vary the frame size). Check that the long axis of the lens is perpendicular to the radiograph surface. Turn off the camera flash. Turn off the lights in the room. Use a tripod, because a long exposure time may be needed (be sure to place the radiograph close to the edge of the radiograph viewer to maintain the camera axis perpendicular to the plane of the film). e. Log in to DMS, click Begin a New Document for Submission to DMS and follow the on-screen instructions. DO NOT INCLUDE YOUR NAME IN THE “TITLE” LINE ON THE DMS SCREEN, as this line is seen by the reviewers. AVDC Case Report Equivalent Point Requirements - Information For Trainees Page 11 Publication of AVDC Case Reports Once a case report submitted as an AVDC Credentials case report has completed AVDC review, trainees are encouraged to consider submitting the report to the Journal of Veterinary Dentistry or to another journal if the content merits publication. Unusual cases or management of complications are examples of reasons for considering publication of the case report. A case report involving standard technique may also make a useful submission for the Foundations, Step-by-Step or Veterinary Dentist At Work features in J Vet Dent. Individual radiographs from a case report may make appropriate submissions for the Veterinary Dental Images feature in JAVMA. Once AVDC action on the case report is completed, you and your mentor are welcome to edit the case report in whatever manner is appropriate for publication, and the author list on the manuscript submitted for publication can include other individuals in addition to the trainee who submitted the original AVDC case report. It is expected that the published case report will differ from the case report as submitted to AVDC, as a result of changes made by the author and because of editorial changes required by the journal. Published or Submitted Articles or Book Chapters as Alternatives to Standard Case Reports Introduction: Only articles or book chapters published in English will be accepted for review for CREP points. The Credentials Committee will determine: whether a submitted CREP item is appropriately categorized, whether the content is of sufficient quality for AVDC acceptance, the number of CREP points to be awarded for an approved submission. AVDC permits delayed submission of a CREP journal article following submission of an otherwise complete credentials application. See Delayed Submission of CREP Articles, below. Authorship: Must the CREP item be substantially or only the work of the AVDC trainee submitting the article? The trainee must be the solo or first author of the article. The trainee’s Supervisor is to submit a report describing the involvement of the trainee in producing the CREP item. The CREP Solicited Article Supervisor Form, the CREP Unsolicited Article Supervisor Form and the CREP Book Chapter Supervisor Form are available for download in the AVDC Case Report Equivalent Point Requirements - Information For Trainees Page 12 CREP-Case Report section of the Information for Registered Trainees page on the web site. AVDC recognizes that original research projects or major prospective case report series may be primarily the work of a trainee or of the trainee’s supervisor or others. If the report from the supervisor states that the trainee is the author of an article that is primarily the work of the supervisor or others, the article will be considered under the trainee’s name but will not receive the full CREP credit. For example, an original research article whose content is approved by AVDC and that resulted from a project on which the trainee was an active team member but not the project leader, one CREP point would be awarded instead of two CREP points. CREP items will not be reviewed by AVDC if a CREP Article or Book Chapter Supervisor Report has not been submitted. Approval Decision: The AVDC Credentials Committee decision whether to award CREP points for a journal article is independent of the decision of the journal to accept or reject the article, except that the content of articles accepted by or published in JAVMA, J Vet Dent, J Am Anim Hosp Assoc, Am J Vet Res, J Small Animal Pract, J Comp Orthop and Tramatol, J Feline Medicine & Surgery, J Vet Internal Medicine, Veterinary & Comparative Oncology, Veterinary Pathology, Veterinary Radiology & Ultrasound and Veterinary Surgery (as evidenced by a copy of the published article or by a letter of acceptance from the Editor accompanied by the manuscript as submitted to the journal) will be automatically approved for CREP points; for these articles, the Credentials Committee review will be limited to determining the number of CREP points to be awarded. AVDC will consider articles in additional peer-reviewed journals for CREP review. The forms used by the Credentials Committee to review a solicited or unsolicited journal article are available to trainees in the Case Report section of the Information for Registered Trainees page of the AVDC web site. External Review: An AVDC Credentials Committee review team member may request review of an article by an outside expert (e.g. microbiologist, statistician) when content of an article is beyond his or her range of expertise. Except for articles already published in approved journals (see above), the Credentials Committee will consider the content and the writing skills evident in the article in deciding whether to approve an article for CREP. Items Permissible for Submission for CREP points A. Articles that may earn up to 2 CREP points per approved item: i. An article resulting from an original research project, prospective case series or involved retrospective case series that has been submitted to a peerreviewed journal and for which the trainee is the lead investigator and sole or first author. ii. The Credentials Committee will determine whether the submission meets the standard of content required for approval of a 2 CREP submission, and AVDC Case Report Equivalent Point Requirements - Information For Trainees Page 13 whether the supervisor has justified that the trainee is the ‘primary author’; the Credentials Committee may elect to approve the article for one CREP point instead of two. B. Items that may earn up to one (1) CREP point per approved item: i. Article reporting a study of a case or retrospective study of a small series of cases submitted or published in a peer-reviewed journal. ii. Review article submitted for publication in a peer-reviewed journal. To qualify for CREP, review articles are to include mention of all directly relevant previously published original content articles, and conclusions or recommendations that the author draws from the review. iii. Book chapter – see below for specific details for book chapters. C. Items that may earn 0.5 (one-half) CREP point per approved item: i. “Veterinary Dentist At Work” (VDaW) or “Step-by-Step” (SbS) photo essay with explanatory figure legends or a ‘Foundations’ article submitted to the Journal of Veterinary Dentistry or to an alternative peer-reviewed journal. If the article has not already been accepted by or published in the Journal of Veterinary Dentistry, the Credentials Committee will determine whether it is in VDaW, SbS or Foundations style and determine whether the content is appropriate for AVDC approval for CREP. ii. “Diagnostic Images in Veterinary Dental Practice” (DIVDP) report submitted to JAVMA or to an alternative peer-reviewed journal. If the article has not already been accepted by or published in JAVMA, the Credentials Committee will determine whether it is in DIVDP style and determine whether the content is appropriate for AVDC approval for CREP. D. Book Chapters Permissible for Submission for CREP points i. Book chapters will only be considered for CREP item review if the trainee is the sole author or first author of the chapter. ii. No more than one CREP point can be counted towards the four CREP point requirement by submission of a book chapter. iii. Book chapters may only be submitted in final form, either as submitted to the publisher following review by the Editor or as a scanned copy of the chapter in the published book. iv. A separate Book Chapter Supervisor Form is to be used. It is available in the CREP-Case Report section of the Information for Registered Trainees page of the web site. v. A separate Book Chapter Review Form will be used by the Credentials Committee when reviewing book chapters, to ensure standard review of content, references etc. E. Other Articles: The Credentials Committee may, at its discretion, consider articles published or submitted for publication in other formats in peer-reviewed journals. There must be a veterinary dental focus to the article. AVDC Case Report Equivalent Point Requirements - Information For Trainees Page 14 Submitting a CREP Item The item will be reviewed blind (the reviewers will not be aware of the names of the authors, and the Executive Secretary will redact the Supervisor Report before it is forwarded to the review team so that blindedness is maintained). AVDC accepts that an item that has already been published may have been read by members of the review team, and thus blindedness may not be possible to maintain for items that have already been published. Confirmation of Submission: It is not necessary to obtain and submit a letter from a journal editor confirming receipt of the submission by the journal. The CREP Supervisor form requires the Supervisor to confirm that the article has been submitted to the journal named in the Supervisor form. For an article that has been submitted to a journal but not yet published: Submit the manuscript electronically after deleting the author name(s) and address(es) from the cover page and replacing any identifying comments such as …referred to the XYZ University Teaching Hospital… with ….referred to *******…. The article is to be submitted as a single Word document with embedded images, or as a single .pdf file. Maximum file size 50 MB. Contact the Executive Secretary before submitting the item if the number of images causes the file size to be greater than 50 MB. Name the file YourLASTNAME,FirstName CREP Journal, ShortTitle; for example: EMILY,Peter, CREP Article, JAVMA, Malocclusion management. For articles that have already been accepted or published: Submit a scanned copy of the publisher’s copy-edited proof or of the published article as a single .pdf format file, naming the file as noted above. Blank out the authors’ names and addresses prior to scanning the article. For book chapters: Submit a single .pdf format file of the version as submitted to the publisher following review by the Editor, a publisher’s proof copy-edited version of the chapter or a scanned copy of the published chapter. Blank out the authors’ names and addresses prior to scanning the chapter. Delayed Submission of a CREP Article If a trainee has completed all other training program requirements, submission of a CREP article to complete the CREP requirement after the credentials application deadline is permitted, with the following stipulations: 1. Delayed Submission is available only for a ‘2 point CREP Article’, as defined in this CREP document. The purpose of Delayed Submission is to encourage AVDC residents to undertake research or clinical investigation projects that may not be able to be completed during the residency program period, because of the nature of the project. AVDC Case Report Equivalent Point Requirements - Information For Trainees Page 15 2. A completed Request for Delayed Submission of a Publication form must be submitted at the time that the Credentials Application is submitted. The form is available as a link in the 2014 Publications Requirements section of the Information for Registered Trainees web page. The Request for Delayed Submission of a Publication form will be redacted by the Executive Secretary, so as to permit anonymous review by the Credentials Committee chair. 3. The maximum time permitted for delayed submission of the article is two years from the July 15 Credentials Application deadline of the original credentials application, except that if a candidate has passed the certification examination, the candidate will be allowed an additional year for a total of 3 years to submit a paper on the same topic or an article on another topic. 4. The article must be submitted to the selected peer-reviewed journal before or at the same time as submission for AVDC Credentials review. 5. Delayed submission articles will be reviewed as for any other Pre-Approval item they will not be identified as a ‘delayed submission’ article. 6. A trainee/resident whose credentials application (including an approved 2 point CREP article delayed submission request) is approved is a candidate for the AVDC examination. However, if the candidate passes the examination, s/he will not be recognized as a diplomate and will not receive the diploma or be able to refer to her- or him-self as a veterinary dental specialist until the delayed submission article is approved by the normal Credentials Committee approval process. Acceptance for publication in an AVDC-approved journal (see below) will result in AVDC approval of the article without need for Credentials Committee review, subject to review by the Credentials Committee Chair to determine the CREP point value of the article. Approval by an AVDC Credentials Review team as a 2 point CREP article does not have to await notification of acceptance for publication by the journal to which the article was submitted. AVDC Process Following Submission All standard AVDC case reports and CREP items will be evaluated blindly, whether they are sent for Pre-Approval review or as part of a Credentials Application Package. The CREP item is assigned a code number by the Executive Secretary, and a .pdf file is made available to a Credentials Committee review team via DMS. Review team members use the appropriate review form to ensure consistent review by team members. The blank review forms (one for standard case reports, one for AVDC Case Report Equivalent Point Requirements - Information For Trainees Page 16 CREP articles and one for CREP book chapters) are available to trainees in the CREP - Case Report section on the Information for Registered Trainees web page. Comments and recommendations are forwarded by the review team members to the Chair of the Credentials Committee, who reviews the team’s comments. If three or four members recommend approval, the CREP item is approved and an Approval Certificate is sent to the trainee. If two members recommend approval and two do not, the Chair reviews the CREP item and review team comments and casts a deciding vote. The Credentials Committee may, at its discretion, request a response from the trainee if there are minor specific issues that would otherwise prevent approval of a case report or article. This Clarification Requested notification is sent to the trainee via DMS email. A final decision will be withheld until a response to the Clarification Request is received from the trainee. A 10 day window is available for responding to an Action Required notification. If a response, or a note requesting an extension as a result of exceptional circumstances is not received, the item will be returned unreviewed and will not be eligible for resubmission. For case reports or articles that are Not Approved, the Committee prepares a list of reasons for non-approval. The trainee is informed of the results of the review by the Executive Secretary, including reasons for non-approval. The AVDC will, whenever practical, report the results of the review within 10 weeks of receipt of the case report or article. Options if a Case Report or CREP Item is Not Approved Resubmission of a Not Approved case report or CREP item is not permitted. Rebuttal Option Following receipt of a non-approval decision, the trainee may submit a Rebuttal, which is to include reasons why the trainee considers each of the major concerns listed by the Credentials Committee to be inappropriate. A maximum of 30 days is permitted for receipt by the Executive Secretary of a Rebuttal. A Rebuttal is not considered as an appeal by AVDC, and is sent to the members of the Credentials Committee review team who originally reviewed the item. Additional images may be included in or with the Rebuttal file. Name the Rebuttal file YourLASTNAME,FirstName Case Report or CREP Codenumber Rebuttal and upload it to DMS as a Miscellaneous Document. The Rebuttal file will be forwarded to the review team as a blinded document – do not mention your name in the Rebuttal file. AVDC Case Report Equivalent Point Requirements - Information For Trainees Page 17 If the rebuttal does not result in approval of the case report, the trainee has the right to request that the original case report or CREP article and the rebuttal are considered as an Appeal of an Adverse Decision, which will be handled according to the procedures stated in the AVDC Appeals document. If a rebuttal is submitted and not approved, the 20 day window for submission of an appeal starts when the trainee is notified of the nonapproval of the rebuttal. Appeal The trainee may elect to submit a formal Appeal to the AVDC Executive Secretary. The appeal is to be received within 20 days of receiving electronic notification of an adverse decision. The Appeal procedure is described in the Appeals document, available in the document list in the Information for Registered Trainees web page.