ACVIM study plan
ACVIM · Give each week a clear focus.
8 weeks · About 7 hours per week
Cardiology & Neurology
Map the cardiology blueprint into subtopics and rank them by your baseline confidence
Review cardiac auscultation, murmur grading, and the physiology of pressure/volume overload
List the ACVIM consensus statements relevant to cardiology and neurology and note the year and key recommendation of each
Build a spaced-repetition deck covering cardiac and neurologic exam findings and localization terms
Your checkpoint
A one-page cardiology subtopic map with confidence ratings plus a 60-card deck seeded from weeks 1-2 material
Cardiology
Work through acquired and congenital heart disease presentations, differentiating by murmur timing and patient signalment
Compare staging schemes for myxomatous mitral valve disease and dilated cardiomyopathy and state the treatment trigger for each stage
Practice interpreting thoracic radiographs described in text (vertebral heart score, left atrial enlargement, pulmonary patterns) from written case vignettes
Explain the mechanism and monitoring parameters for diuretics, ACE inhibitors, pimobendan, and antiarrhythmics
Your checkpoint
A 20-item self-written case vignette set on cardiac disease with answer rationales, scoring at least 80% on a first pass
Neurology
Drill neuroanatomic localization using written lesion descriptions for forebrain, brainstem, cerebellum, and spinal cord segments
Differentiate intracranial from extracranial causes of vestibular signs and list the distinguishing features
Outline the diagnostic approach to seizures including when to start anticonvulsants and how to monitor therapy
Compare myelopathy, neuropathy, and neuromuscular junction disease by UMN/LMN pattern
Your checkpoint
A localization worksheet of 25 written vignettes with your localization and differential list, reviewed against references
Large Animal Internal Medicine (LAIM)
Organize large animal medicine into equine and food-animal subtopics and rate baseline confidence for each
Review equine colic decision-making including when surgical referral is indicated and what parameters drive it
Summarize the approach to bovine respiratory disease and the principles limiting antimicrobial resistance
Compare metabolic and electrolyte disorders across species (hypocalcemia, ketosis, grass tetany) by signalment and presentation
Your checkpoint
A comparative one-page table of large animal metabolic/electrolyte disorders plus a 15-question self-quiz scored and remediated
Large Animal Internal Medicine (LAIM) & Small Animal Internal Medicine (SAIM)
Work through equine infectious and respiratory disease presentations including strangles, EHV, and pleuropneumonia
Review small animal endocrine disease including thyroid, adrenal, and diabetes mellitus diagnostic testing and monitoring
Compare renal and hepatic laboratory patterns between large and small animal patients using written case data
Practice fluid therapy calculations and acid-base interpretation on provided written values
Your checkpoint
A 25-question mixed LAIM/SAIM quiz with a written error log identifying the reasoning gap behind each miss
Small Animal Internal Medicine (SAIM)
Review immune-mediated disease presentations including IMHA, ITP, and polyarthritis with their diagnostic criteria
Outline the approach to gastrointestinal disease including chronic enteropathy and pancreatitis in dogs and cats
Compare respiratory disease presentations in small animals by pattern (upper vs lower, restrictive vs obstructive)
Explain the workup of polyuria/polydipsia and the discriminating tests for each differential
Your checkpoint
A diagnostic algorithm sheet for polyuria/polydipsia and one for immune-mediated hemolytic anemia, each with at least five decision nodes
Oncology & Nutrition
Review oncologic staging principles and the indications, limitations, and adverse effects of chemotherapy, radiation, and surgery
Summarize paraneoplastic syndromes and how to recognize them before a diagnosis is made
Outline nutritional assessment and the calculation of resting energy requirements and feeding plans for hospitalized patients
Compare therapeutic diets for renal, cardiac, and gastrointestinal disease by their key nutrient modifications
Your checkpoint
A two-sided reference card covering oncologic emergencies and nutrient modifications in therapeutic diets
Cardiology & Large Animal Internal Medicine (LAIM) & Neurology & Nutrition & Oncology & Small Animal Internal Medicine (SAIM)
Complete a full-length timed mixed-domain practice set under exam conditions
Re-rank all six domains by performance and identify the three weakest subtopics per domain
Re-review every missed item and rewrite each as a one-line rule you can apply
Consolidate the spaced-repetition deck and retire cards you consistently answer correctly
Your checkpoint
A final performance report with per-domain scores, the top 10 remaining weak areas, and a one-page rule sheet
Milestones
Week 2: Complete a 25-question cardiology-only timed set and score at least 70%, with every miss converted into a written rule
Week 4: Correctly localize at least 20 of 25 written neurologic vignettes and explain the reasoning for each localization
Week 6: Score at least 75% on a 40-question mixed LAIM/SAIM set and show a written error log for all misses
Week 8: Score at least 75% overall on a full-length timed mixed-domain set with no domain below 65%