ACVIM study materials
ACVIM study resources

ACVIM study plan

ACVIM · Give each week a clear focus.

8 weeks · About 7 hours per week

Week 1

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

Week 2

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

Week 3

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

Week 4

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

Week 5

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

Week 6

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

Week 7

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

Week 8

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%