Supreme Petfoods has launched the VetCarePlus range of Monoforage® diets for rabbits.
According to the company, the new range represents an entirely new generation of rabbit food, made possible because of a breakthrough in production technology.
The big advance is the level of fibre within a mono-component style diet: 28%-34% across the range, along with the inclusion - uniquely - of essential long fibre particles. Supreme says the result is a less dense food that is beneficial for a rabbit's sensitive digestion system, with the added benefit of extending the feeding time, which is good for dental wear.
The company also says VetCarePlus performs exceptionally well in palatability tests and that it's been widely welcomed throughout the rabbit welfare community. Molly Varga BVetMed DZooMed MRCVS said: "This is exactly what convalescing rabbits need, an excellent level of fibre with no chance of selective feeding plus a good slow chew rate".
The range comprises three specific formulas for Weight Management, Urinary Tract Health and Digestive Health.
Supreme says feedback on samples sent to welfare organisations, veterinary schools and practicing vets so far has been very positive. Vets are delighted with the simplicity of the products, and have welcomed the way Monoforage encapsulates all the benefits of hay, with minimal processing compared to other diets.
Molly Varga added: "All the benefits of hay are preserved while this diet gives more volume of fibre per measurement of food than I have seen before, without increasing the weight (and therefore energy) components". VetCarePlus delivers the maximum possible crude fibre and long fibre content available to date.
Claire Hamblion, Marketing Manager for VetCarePlus said: "Supreme Petfoods feels that VetCarePlus is pushing forward the boundaries on specialist diets for rabbits. Monoforage provides completely unique levels of fibre and we're delighted that all the feedback we have received from a wide range of experts has been exceptionally enthusiastic and welcoming".
For more information on how to stock VetCarePlus products contact Supreme Petfoods at sales@supremepetfoods.com or visit http://www.supremeprofessional.com/
The new sections will sit alongside the Emergency and Critical Care (ECC) pages within the Practical and Clinical Skills section of the bank.
Dental subject areas include diagnosis, radiography and surgery. The new exotic subject areas include an overview, birds, small mammals and reptiles. Surgery subject areas include anaesthesia, peri-operative planning, abdominal surgery, ECC/trauma and post-surgical care.
New grad Ellie Morris MRCVS said: "There are some really good videos on emergency surgeries such as the A-Z of GDV, so when we’ve had quieter days I’ve had chance to look at some of these particularly excellent resources and I feel much more prepared for that situation.
"After watching the Anaesthesia of the Caesarean Section webinar, I discussed what I’d learned with my colleagues and how it compared to their approach. I’ve not done a caesarean yet, but I feel a lot more prepared for when the time does come."
BSAVA President Phil Lhermette said: "This fantastic resource is free to all our members with some sections open to non-members - especially employers, and is growing all the time providing great support for the whole profession at every stage of their career.
"The content is reviewed by committee who are currently helping to expand the Mentor & Employer pages, for practices supporting new graduates, which will be added to the site next."
For more information visit: www.bsava.com/pdp
The College says the online library, which is free to access, aims to encourage people to develop their leadership skills, regardless of what stage of their career they are at.
The Library has a range of materials that learners can work through at their own pace, including presentations, interviews, videos, blogs, articles and webinars on key leadership topics such as Delegation Skills, Difficult Conversations and Inclusive Leadership.
The RCVS Leadership Team will be adding more content to the library, and the profession will have opportunities to suggest topics that they would like to learn more about.
Gurpreet Gill, RCVS Leadership and Inclusion Manager, said: “In terms of veterinary CPD, importance often tends to be placed more on clinical and technical capabilities, but leadership skills are a critical aspect of every veterinary practice and organisation.
“It is also assumed that leadership is a condition of status or position, but this is not necessarily the case.
"Leadership is an everyday practice that is applicable to everyone, regardless of their role.
"The Leadership Library provides learning opportunities for anyone looking to develop and reflect on their leadership skills, which will also count towards the annual CPD requirement.”
The Leadership Library can be accessed now from https://www.rcvs.org.uk/lifelong-learning/rcvs-leadership-initiative/rcvs-leadership-library/
The divestment is expected to be concluded in mid-2020, and Bayer intends to exit its stake in Elanco over time.
Bayer says that combining Elanco and Bayer Animal Health will create the number two animal heath company, with top three positions across a broad range of species and geographies. It also enhances Elanco’s portfolio of leading global brands and bolsters its innovation capabilities and R&D pipeline.
Jeffrey N. Simmons, president and chief executive officer of Elanco, said: "Combining Elanco’s strong relationship with veterinarians and Bayer’s leadership in retail and e-commerce will ultimately benefit all our customers. We look forward to joining our complementary portfolios and capabilities to build a fully focused animal health company, providing a sustained flow of innovation for farmers, veterinarians and pet owners."
The first is to confirm officially that Suprelorin, it's non-surgical alternative for neutering male dogs, may be implanted by RVNs under the direction of a veterinary surgeon under Schedule 3 of the Veterinary Surgeons Act.
The company is also hosting two free webinars for nurses to learn more about neutering: The Science of Canine Castration and Practical Tips for Clinics, presented by Dr Michelle Kutzler and Nicola Lakeman on Thursday 9th December 2021, and Behaviour in Post-Pandemic Puppies and Practical Tips for Clinics, presented by Stephanie Hedges and Nicola Lakeman on Thursday 16th December 2021.
Dr Neil Mottram MRCVS, Technical Product Manager at Virbac said: "A huge surge in dog ownership in the last two years, combined with the additional pressures of Covid-19, has massively increased pressures on veterinary teams.
"At the same time we know that pet owner attitudes to surgical neutering is changing with 1 in 3 pet owners saying that they would look at alternative methods to surgical castration1.
"Suprelorin offers practices the opportunity to utilise the skills of their RVNs to provide a choice to clients when it comes to neutering and help to ease pressures on surgical waiting lists".
Reference
The vaccine will be available to order directly from Merial on receipt of a Special Import Certificate (SIC) issued by the VMD to the named vet. The SIC is only required once but needs to accommodate all potential doses required, enabling Merial to supply to direct orders from the practice.
The product is available in 10 dose packs at a net price of £89.00 per pack.
For further information, contact Merial Customer Support Centre (UK) on 0870 6000 123 or your local equine territory manager.
Dr Guillaume Leblond, an American specialist in veterinary neurology at NDSR said: “Traditionally, bone cement has been used to provide support and stabilisation when treating veterinary spinal instability cases.
“Polyaxial pedicle screws have proven a very reliable and efficient way of treating such spinal problems in human medicine.
“These special screws can be inserted in the vertebrae and connected to strong metal rods instead of bone cement and we’re now very excited to be offering this new service to our patients.
“The main advantage to this cutting-edge procedure is its flexibility.
"Once cement is set in place it is obviously very hard to move, manipulate or remove should you need to adjust or correct.
“With the metal rod and screw system, it is more adaptable and you can adjust it far more easily and quickly.
“It may also be less prone to infection compared to cement, which has been known to harbour bacteria sometimes causing infections several years after the surgery.
"Another hope we have for this system is that it will be less prone to failure compared to cement, especially on extended stabilisation constructs.
Guillaume added: “The neurology team at NDSR has been training in applying this new system as soon as it became available and we have already used it to treat two dogs, both of them having surgery on the same day.
“One was a golden retriever treated by my colleagues Rodolfo Cappello (head of neurology) and Natalie West (neurology resident), and the other was a whippet under my care.
"They were two very different sizes of dog but both operations went well.
“We are grateful to OrthomedTM, the company manufacturing the stabilization system, provided all necessary details to plan the surgeries as precisely as possible.
“We also collaborated with Vet3DTM to create patient specific 3D printed guides to ensure the precise placement of screws and it proved a great solution in both cases.”
“Admittedly, it is still early days for the introduction of this new spinal stabilisation system but we are optimistic it will prove a significant advancement in treating many spinal problems.”
www.ndsr.co.uk
Ceva Animal Health has published Causes of scour in growing pigs: an overview, a technical review on pig scour.
The company says its aim is to provides vets with an easy-reference guide to the main causes and clinical signs of this common and potentially fatal condition.
At best, scour in growing pigs can cause significant weight loss and damage to the intestinal mucosa. At worst it will result in high mortality. Causes of scour in growing pigs: an overview summarises the causative agents of scour throughout the stages of growth, from sucking piglets through to finisher pigs.
Ceva adds that although it is difficult to be too prescriptive about assigning clinical signs to specific diseases because of variable immunity and the occurrence of mixed infections, the review provides useful guidelines to aid accurate diagnosis. Preventative management strategies are also discussed where applicable.
For further product information contact your local Ceva representative or Ceva Animal Health Ltd, Unit 3, Anglo Office Park, White Lion Road, Amersham, Bucks, HP7 9FB, Telephone +44 (0) 1494 781510.
The RCVS has published Fitness to Practise - A Guide for UK Veterinary Schools and Veterinary Students, a guide for veterinary students which aims to introduce them to the concept of fitness to practise and help prepare them for professional life.
The guide was developed by an RCVS working party in conjunction with the UK's seven veterinary schools that currently offer an RCVS-approved veterinary degree. It has also received approval from the Veterinary Schools Council, a new body which represents the interests of the country's veterinary schools.
The guide is split into two parts: the first part provides guidance for veterinary schools on how to recognise and address fitness to practise concerns; the second part sets out the broad principles of fitness to practise that students should follow and which veterinary schools should uphold.
Laura McClintock, an Advisory Solicitor from the RCVS Professional Conduct Department, said: "While we don't regulate veterinary students themselves, we hope that this guidance will prepare future vets for the requirements and standards that we expect from members of a regulated profession and for adhering to our Code of Professional Conduct and its supporting guidance.
"The guide also recognises that each university will have its own specific disciplinary guidelines and procedures, but we hope that this will help promote consistency in their fitness to practise regimes.
"Although we expect any adverse findings made in university fitness to practise proceedings to be declared to us upon application to register, we would take into account the fact that a student is not a fully-fledged professional and would therefore make some allowance for any mistakes and poor judgement when considering whether or not they should join the Register."
The guide can be downloaded for free from www.rcvs.org.uk/studentguide
The RCVS is also in the process of forming a working party to produce equivalent guidance for student veterinary nurses.
The survey of 1,019 dog owners was conducted by petbuzz in December 2022.
Veterinary cardiology specialist, Dr Rachel James, said: “The CKCS has long been a very popular breed of dog in high demand, due to their loving and placid nature making them perfect family pet.
"We know that sadly at least 50% of CKCS have evidence of MVD disease by the time they are five, with 98% of dogs affected in their lifetimes.
"However, we can help our clients when selecting this breed to choose a puppy that is less likely to develop MVD at an early age, by utilising the heart testing scheme (Doppler heart testing).
"Prospective owners should be asking to see test results for the parents, grandparents, and even better great grandparents too, on both maternal and paternal sides.
"In addition breeders need more support and education to encourage the use of the heart testing scheme and how this can enable them to choose the best dogs to breed from.
"Furthermore we should be encouraging breeders to breed from dogs only when they are at least 3 years of age.”
Vita Animal Health commissioned the survey to raise awareness of the condition and to remind owners to use their vet’s expertise.
Vita’s veterinary nurse, Tara Evans, said: “The CKCS is a very popular breed of dog, perhaps set to be more so now King Charles III is reigning monarch.
"This survey has shown that awareness of mitral valve disease – which is very common in this breed – is not as good as it could be.
"We want to support vets in raising awareness and have useful resources such as our heart disease infographic (www.vitaanimalhealth.com/common-signs-of-heart-disease) that we welcome all vets in using.”
An amendment to the EU's draft budget for a €2 million pilot research project into homeopathy and phytotherapy for farm animals has been approved today by the European Parliament's Agriculture Committee.
BVA President Harvey Locke, said: "Millions of Euros have already been spent on trying to prove the scientific efficacy of homeopathic medicines. To date we have not seen any data to prove they can be effective in the treatment of bacterial infections.
"Whilst it is unlikely that €2 million will be able to determine whether or not there is a basis for claiming homeopathic products can work, we welcome European investment in veterinary research and hope that the results of the pilot will be useful."
Global names in gastroenterology will be sharing the latest knowledge to help veterinary surgeons and nurses support the work of the BHS and Nottingham University’s REACT to colic campaign, which is designed to help vets and horse owners work together for colic patients.
On Friday 13th September there'll be a two-hour session chaired by Harry Carslake, a diplomate of the American College of Veterinary internal medicine (ACVIM). The session will involve five experts speaking about aspects of colic, followed by discussion and the opportunity for questions from delegates.
Natasha Jocelyn, Internal Medicine Specialist, Sussex Equine Hospital, will speak about managing the acute colic in the field: what to do when flunixin doesn’t work.
Prof. Dr. Gunther Van Loon European Veterinary Specialist in Equine Internal Medicine, Ghent University, Belgium, will discuss managing acute colic in the equine hospital.
Dr Nathan Slovis member of the American College of Internal Veterinary Medicine, Director of the McGee Medicine Department and a partner at Haygard Equine Medical Institute in Lexington, Ky will explain colic guidelines – can ‘algorithms’ help?
Prof. Dr Lutz Goehring European Veterinary Specialist in Equine Internal Medicine, Ludwig-Maximilians University Munich, will explore the question ‘is there an evidence-based approach to managing enteritis?’
David Rendle European Veterinary Specialist in Equine Internal Medicine, Rainbow Equine Hospital, North Yorkshire, will look at parasitic disease as a cause of colic and methods of management.
All BEVA Congress delegates get a certificate of attendance worth seven hours of CPD.
If you're struggling for time or torn between several lectures you can use the BEVA Congress Encore Room to play back missed lectures at your convenience. BEVA Congress is also providing day crèche for children between the ages of 0-8 years. Find out more here.
Anyone who registers for Congress before 8 May 2019 will receive significantly reduced booking fees, and BEVA members save up to £379 on their Congress passes.
New research released today by Petplan has revealed that at a time when marriage is in decline and the average child bearing age is increasing, a new breed of pet owner has emerged: women between the ages of 25 and 34 who bought their pet as a substitute for a child.
More than 10,000 pet owners were surveyed for the research and the results apparently reveal 'pet parenting' as a growing trend. According to the survey, women not only look to their furry friend for companionship but also treat them like they would a child, with nearly 70% buying them birthday and Christmas presents, 28% adapting their homes for their pet and 20% changing their holiday destinations to allow their pet to come along too.
Just like working parents, owners worry about leaving their pet alone when they're working. So much so that they make a concerted effort to make sure their pet is not left alone for more than five hours a day - employing dog walkers and cat sitters to stem their concern (approaching 1 in 7). When an 8 hour working day is the national norm and the average parent only spends 49 minutes a day with their children, this demonstrates considerable pet commitment.
Dr Deborah Wells, expert in the study of the psychology of the pet-human relationship said: "Dogs and cats can offer their owners many of the benefits frequently provided by children, including companionship, entertainment and happiness. For some owners, notably women, pets can provide a useful training ground in 'motherhood', in some cases helping to shape important decisions on whether or not children are to be a part of their future. For others, pets can serve as a child 'substitute', offering people who choose not to have, or cannot conceive, children, an outlet for emotional attachment and nurturing behaviour."
Petplan's marketing manager Alison Andrew said: "This pet parenting theme is one of the most significant trends to come out of Petplan's biggest body of research to date - the Petplan Pet Census - which looks into the realities of pet ownership. We see the amazing lengths that owners go to for their pets every day and the level of worry that goes with it. Our job is to give owners peace of mind through our insurance plans, so they can be confident their beloved companion will always receive the best care and treatment without having to worry about the financial costs. We want to use this research to truly understand modern pet ownership in the UK so that we can better provide help and guidance for our nation of pet lovers!"
If you'd like to take part in the Petplan Pet Census, documenting the picture of pet ownership in Britain, visit www.petplan.co.uk
The British Veterinary Association has responded to the announcement of a recruitment drive by the newly-formed British Veterinary Union (BVU) and Unite.
Harvey Locke, President of the BVA, said: "Those working in veterinary practice have always been able to join Unite or any other trade union, and it is unclear whether vets are actually being offered anything new in this recruitment campaign.
"The BVA provides the majority of services traditionally offered by a union and we are constantly working to improve our services to support the veterinary team. In the last two years we have developed mediation and legal representation services to help members through difficult issues in the workplace. The BVA's 24/7 legal helpline remains one of our most valued services with up to 600 calls year on employment and personal issues. We also produce and update a wide range of advice and guidance on all aspects of veterinary employment.
"All of our services continue to be developed using the expertise and experiences of our members.
"In addition to these support services the BVA package incorporates much more. The BVA is a key stakeholder of the RCVS, Defra, Welsh, Scottish and Northern Ireland administrations, the VMD and other bodies, representing members on issues as diverse as pet travel, bovine TB and medicines regulations. This is not a role Unite could play for our profession."
The Animal Health Trust has begun a pilot study to investigate a possible link between seasonal canine illness (SCI) and harvest mites, continuing an initial study on the possible cause of SCI funded by the Kennel Club.
SCI is a mystery illness which in recent years has made a number of dogs walked in woodlands suddenly become ill.
Cases of SCI are usually seen from August to November, with dogs showing clinical signs of vomiting, diarrhoea and/or lethargy within 24 to 72 hours of walking in woodland. Dog owners are advised to seek immediate veterinary advice should they see these signs in their dog following a woodland walk.
So far this year, there have been 49 cases in total reported to the AHT, from across all of its current investigation sites. A number of cases reported to the charity have shown evidence of harvest mite infestation.
Charlotte Robin, SCI Research Co-ordinator at the AHT, said: "To enable us to eliminate harvest mites as a potential cause of SCI, we are advising dog owners to treat their dogs with a fipronil spray directly before walking in woodlands."
There are currently no licenced products that will specifically prevent against harvest mites, however fipronil spray is believed to be effective in preventing other mites. The researchers believe that it is important that dog owners use the spray and not the spot-on treatment, which may not provide the same level of localised protection on vulnerable areas.
Charlotte added: "Dog owners need to be aware that using fipronil spray may not protect their dog from SCI, but it could protect them from harvest mites and other external parasites. What we are trying to do with this study is eliminate the harvest mite and other external parasites from our enquiries.
In addition to advising all dog owners walking their dogs in woodlands during autumn to use fipronil spray as an external parasite treatment, the AHT is working with the Sandringham Estate in Norfolk to offer to offer dog owners who wish to participate in the study access to the spray free of charge, if deemed appropriate by their veterinary surgeon.
As this is a prescription only medicine, the charity is issuing vouchers to dog owners which they can redeem for fipronil spray through their local vet practice, on the proviso their dog is deemed a suitable candidate by their vet.
Dog owners who meet the criteria and wish to participate in the study will be required to complete a SCI online questionnaire following their visit to the Estate, and an additional follow-up questionnaire regarding the pilot study, regardless of whether their dog was taken ill or not.
You can register to take part in the pilot study at www.aht.org.uk/scipilotstudy
Image courtesy: Luc Viatour / www.Lucnix.be
Zoetis says the new product is designed to stimulate both cell-mediated and antibody-based immunity, providing a broad immune response that mimics a natural infection.
The company says CircoMax Myco has demonstrated robust performance in field conditions, delivering improvements in average daily gain (ADG) and close-out weights versus negative controls, helping producers get more kilograms of pork to market.
CircoMax Myco comes in a ready to use single-dose combination with a duration of immunity (DOI) of 23 weeks against both PCV2 and M. hyopneumoniae.
Alvaro Aldaz, Director, Global Commercial Development, Swine, Zoetis, said: “The swine industry needs to adapt to evolving challenges and our research has consistently demonstrated that with its unique technology CircoMax Myco offers robust protection against PCV2 and M. hyopneumoniae.
"It also shows that this new product offers the best chance at protection against continuously evolving PCV2 genotypes – providing a broader umbrella for pig health and productivity.
"Analysis of new European PCV2 strains isolated in multiple countries confirm that CircoMax Myco offers broader coverage than competitor vaccines based on PCV2a only.”
The Boehringer Academy (www.boehringer-academy.co.uk) contains hundreds of hours of CPD material on equine, companion and production animals. It comprises a mixture of webinars, podcasts, short videos and downloadable documents, which can be viewed at any time. The site keeps a CPD log for each user and provides downloadable certificates.
Boehringer’s Small Animal Marketing Team Leader, Jemima Mead said: "We already have just over 15,000 vets and nurses in the UK and Ireland currently registered with the Academy.
"New and existing members are eligible to receive the Boehringer Academy colouring book. They simply have to visit www.boehringer-academy.co.uk and complete their profile. In addition, everyone completing their profile will be entered into a draw to win an iPad Pro and Apple Pencil."
At the heart of the campaign is a website - www.beatdogheartdisease.co.uk - where dog owners can learn more about mitral valve disease and dilated cardiomyopathy, find out which breeds are most at risk and read more about the diagnosis and management of canine heart disease.
Boehringer has also created a Facebook page - www.facebook.com/beatcanineheartdisease - offering regular updates on heart health and a platform for owners to share their stories. Owners can also use the ‘Love Your Dog’s Heart’ Facebook profile frame to help spread awareness of the disease.
The aim of the campaign is to get pet owners thinking about mitral valve disease and having it treated whilst it is still in the asymptomatic phase, in order to slow the disease progression and delay the onset of heart failure1.
Vetmedin practices can access additional ‘Love Your Dog’s Heart’ campaign materials via the Boehringer Ingelheim Resource Hub at boehringer-ingelheim-resourcehub.co.uk.
The College has confirmed that it has now received an official complaint about the matter and it is now investigating under its normal 'concerns' investigation process.
Professor Argyle made a private statement about the allegations to RCVS Council at its meeting today, having already answered written questions from a number of Council members in the preceding days.
The Council did not ask Professor Argyle to step aside, but acknowledged that this was his choice, made for personal reasons.
The College said that in line with its normal protocols, and to ensure fairness for all parties, it will not make any further public comment about the investigation for the time being. However, it wanted to stress that it remains firmly committed to following due and proper process in all its regulatory activities.
The toolkit includes a 15-minute CPD webinar: ‘How to best use ProZinc to successfully manage diabetes in cats and dogs’, hosted by Dr Jamie Adams BVSc PhD MRCVS, Senior Brand Technical Advisor at Boehringer Ingelheim.
Vets who watch the webinar can enter a competition for a coffee machine for their veterinary practice by answering three questions at the end.
The toolkit also has a diabetes management reference guide covering how to make a confident diagnosis and start treatment with ProZinc, how best to monitor and reassess the patient and how to adjust the dose for optimal control.
There are also glucose curve charts, pet owner guides, home care journals and a link to the ProZinc pet owner website, www.prozinc.co.uk, which contains information to help owners feel confident in managing their pet’s diabetes.
The webinar and toolkit are available from: www.boehringer-academy.co.uk.
Stone Lion Veterinary Hospital, a first opinion and referral practice in Wimbledon, has announced that European Specialist in Veterinary Neurology Dr Sergio Rodenas, DVM DipECVN has joined the team to work alongside the Hospital's existing Veterinary Neurologist Dr Clare Rusbridge BVMS PhD DipECVN MRCVS RCVS and European Specialist in Veterinary Neurology.
The practice says that this will allow it to offer a full neurology referral service five days a week.
Sergio joins Stone Lion from his current post as Clinical Instructor in Neurology and Neurosurgery at the Veterinary College, St Hyacinthe at the University of Montreal. Before moving to Canada, he worked at the Southern Counties Veterinary Specialist (SCVS), a small animal specialist referral practice in Ringwood, Hampshire. He qualified at the Veterinary School, University of Extremadura, Spain, in 1996 and has also worked in both Spain and France.
The Stone Lion Veterinary Hospital is part of the Goddard Veterinary Group. It offers referrals in neurology, ophthalmology and physiotherapy. The Neurology Referral Practice is run by Clare Rusbridge and was established in 1997. She said: "Neurology is our busiest referral practice, drawing patients from across the South East of England and sometimes further afield. We see it as a growth area and wanted to offer our clients a five day a week service to make it easier for them to come to us. Sergio's experience especially in spinal surgery will be a huge asset to us and will enable us to meet this goal. We're delighted to welcome him."
Sergio added: "I am delighted to join the Neurology Service at the Stone Lion Veterinary Hospital. The facilities, team and professionalism of the staff and the track record of the Goddard Veterinary Group will make an excellent environment in which to practice small animal Neurology at the highest level and to offer the best care to patients."
The Stone Lion Veterinary Hospital can be contacted on 020 8946 4228.
The Action Plan presents what the College is doing to tackle the issue and explains how collaboration, culture change, career development and leadership, among other things, could help with workforce shortages by improving retention of current members of the professions, encouraging more people to join, and making it easier for those who have left the professions to return.
The report lists seven main areas to be addressed:
The full list of actions, with context about what has fed into ambitions, can be found in the Action Plan which is downloadable at www.rcvs.org.uk/publications.
Dr Sue Paterson FRCVS, Junior Vice-President and Chair of the RCVS Advancement of the Professions Committee, said: “This is a very complex, broad and multi-faceted area of concern so the Action Plan has been a long time in the making to ensure that we adequately capture what needs doing and how, in order to enable us to work collaboratively with all veterinary organisations going forward.
"This is not a finished list, but gives all within the veterinary sector the ability to look at the key areas of work that need to be done and prioritise the ones that most suit their organisational needs."
Elanco Animal Health is reminding vets about the importance of correctly interpreting oocyst counts in the diagnosis of coccidiosis during the post lambing period.
The company says scouring lambs that are failing to thrive should immediately ring the alarm bells for coccidiosis. Typically, oocyst counts of >20,000 per gram are cited as diagnostic for coccidiosis in sheep, but counts of up to 100,000 oocysts per gram have been reported in apparently healthy lambs and disease can also occur in the presence of low or negligible counts where there is gut damage but before oocysts have been shed.1 These discrepancies can lead to misdiagnosis and as such, oocyst counts should always be interpreted with care.
Oocysts of the fourteen Eimeria species described as specific to sheep are indistinguishable from each other by eye and only two species - E. ovinoidalis and E. crandallis, are actually pathogenic.1 For this reason, diagnosing coccidiosis based on clinical signs of diarrhoea and oocysts in their faeces alone can generate false positives. This could lead to important differentials, such as Nematodirus battus infection (for lambs at pasture) being left untreated.
According to the company, false negatives are also a concern, particularly as prompt treatment of clinical cases with an anti-coccidial, such as diclazuril (Vexocan® 2.5mg/ml oral suspension) has been proven to reduce the convalescence period.2 Shedding of oocysts varies with disease progression and faecal counts can fluctuate significantly.3 For example, a delay between the development of clinical signs and oocysts appearing in faeces is common. Another possibility is sub-clinical disease, with affected lambs showing no typical outward signs. The gut damage caused by the parasite can be significant in these animals though, adversely affecting growth rates.
Elanco says that for reliable diagnosis of coccidiosis, faecal oocyst counts should be considered alongside disease and farm history, followed with Eimeria species identification if possible. The disease typically affects groups of lambs aged between 3-8 weeks old and is often triggered by a stressor such as castration, weaning, turnout and/or bad weather. If clinical signs appear around three weeks after such an event, the suspicion of coccidiosis can be heightened. For some farms, predictable stressors cause disease outbreaks year after year and in these cases, a metaphylactic dose of Vecoxan® can be administered to susceptible lambs 14 days after the trigger event.
Finally, the company says veterinary surgeons should also not forget the importance of good management when advising farmers about coccidiosis control. Lambing pen and high traffic area hygiene and age batching lambs are essential for long term control.
References
From the start of 2016, the RCVS will no longer allow veterinary surgeons or veterinary nurses to enter undocumented continuing professional development (CPD) on their records.
Under the RCVS Codes of Professional Conduct, veterinary surgeons are required to record a minimum of 105 hours of CPD over a three-year period, while veterinary nurses are expected to carry out 45 hours of CPD over the same period.
Historically, vets and nurses have been able to record 10 and 5 hours as undocumented private study per annum respectively. The RCVS Education Committee decided to discontinue the allowance for vets in May and the Veterinary Nursing Committee followed suit in June.
Julie Dugmore, RCVS Head of Veterinary Nursing, said: “As with the veterinary surgeons, this decision was made because it was felt that all CPD, including private study, should be properly documented on the CPD records of veterinary nurses.
“This change, however, is not intended to discourage private study which we recognise extends across a range of different types of learning, including reading, and can be very valuable for personal development, but merely that it should be properly documented.”
The College says it hopes the changes will also clear up uncertainty around the respective allowances for veterinary surgeons and veterinary nurses, as some were under the impression that private study, even if it was documented, could only be classed within that category.
The Education Department is also in the process of reviewing the information available to veterinary surgeons and veterinary nurses regarding what counts as CPD, in order to clear up uncertainty and provide more specific examples for each learning category.
Information about CPD for veterinary surgeons can be found at www.rcvs.org.uk/cpd, while for veterinary nurses the information is available at www.rcvs.org.uk/vncpd
The RCVS Disciplinary Committee has reprimanded Gloucestershire veterinary surgeon Adele Lewis for failing to pass on information about a horse’s clinical history to a potential buyer during a pre-purchase examination.
Ms Lewis, the sole principal of the Cotswold Equine Clinic in Lechlade, Gloucestershire, carried out the examination of a pony called Luke on 13 February 2014. Luke was owned by Mrs Booth who was a long-established client of Ms Lewis, both at her previous practice, Bourton Vale, and at her current practice. The examination was carried out on behalf of the prospective purchaser, Mrs Grieve.
Upon examination Ms Lewis certified that, in her opinion, Luke’s veterinary history did not increase the risk of purchase.
Following the purchase of Luke, Mrs Grieve attempted to obtain insurance for Luke and found out from a pet insurance company that a claim had been made by Mrs Booth in September 2013. She subsequently found out that, following concerns expressed by Mrs Booth and her trainer about Luke’s movement and their wanting an expert opinion, Ms Lewis had referred him to Dr Kold, a Specialist in Equine Orthopaedics, in September 2013. Dr Kold had diagnosed Luke with lameness and had given him intra-articular medication. Luke had also had a follow-up appointment with Dr Kold about four weeks later in October 2013.
The Disciplinary Committee hearing commenced on Tuesday 13 October 2015. At the outset, Ms Lewis admitted several parts of the charges (charge A and charge B) against her. In regards to charge A, she admitted that she had failed to inform Mrs Grieve that, when she examined Luke on 24 September 2013, his then owner Mrs Booth had complained firstly that Luke was “not tracking up and going forward” and, secondly, that he had improved significantly when put on a Phenylbutazone trial. She also admitted that she had referred him to Dr Kold for a poor performance investigation and that she ought to have informed Mrs Grieve of these matters.
In regards to charge B, she admitted that she completed a Certificate of Veterinary Examination in which she had declared that Luke’s veterinary history did not increase the risk of purchase and allowed the vendor’s declaration to include assertions that there had been no previous lameness and no intra-articular medication given in the last 12 months. Ms Lewis admitted that she ought to have known that her declaration that Luke’s veterinary history did not increase the risk of purchase was incorrect.
However, Ms Lewis denied being aware that Dr Kold had diagnosed lameness, administered an intra-articular corticosteroid to Luke and examined and noted a problem with his breathing, including upper airway disease and possible lower airway disease. Furthermore, she denied dishonesty in regards to both the charges against her and in relation to vendor declarations made on the Certificate of Veterinary Examination regarding previous lameness and intra-articular medication.
During the course of the hearing, Ms Lewis told the Committee that she had not received the reports about the two consultations by Dr Kold (despite their having been sent to her by letter and, with respect to the second report, also by email) and that she was therefore unaware of his findings when she carried out the pre-purchase examination. She also stated that she had not been informed of these by Mrs Booth. During her evidence, Ms Lewis also admitted having entered inaccurate information on a veterinary report to assist with an insurance claim.
The Committee did not find Ms Lewis to be an impressive witness citing the fact that her “explanations as to her practice showed a worrying absence of probity in the completion of veterinary reports for the purposes of insurance claims, and an absence of any effective practice management, consistent with acceptable practice.”
However, the Committee felt it did not have the evidence to conclude that Ms Lewis had acted dishonestly during the pre-purchase examination. It cited the fact that her actions, when informed by the purchaser Mrs Grieve of Dr Kold’s examination, did not appear to be those of someone trying to cover their tracks.
In regards to charge A, the Committee also found that the “apparently chaotic manner in which Ms Lewis ran her practice, and her own opinion that the pony was sound, would appear to have led her to wrongly disregard these matters from disclosure.”
In making its decision on her conduct and sanction, the Committee said that Ms Lewis’ failure to fully communicate to Mrs Grieve all the relevant information about Luke’s veterinary history fell far short of the conduct expected from a veterinary surgeon. It also cited the utmost importance of a complete and accurate certification process, as made clear in the RCVS Code of Professional Conduct and the Twelve Principles of Certification.
Chitra Karve, chairing the Committee and speaking on its behalf, said: “The Committee continues to emphasise the importance of maintaining the integrity of veterinary certification in any aspect of practice. Mrs Grieve told this Committee that if she had been fully informed about Luke’s veterinary history she would not have purchased the pony. It is clear from the evidence that it affected Mrs Grieve’s ability to insure the pony. Ms Lewis has accepted that the information about Luke’s veterinary history, not having been disclosed, was capable of affecting the risk of purchase. The public are entitled to rely upon veterinary surgeons providing complete and accurate information, when certificates and reports are prepared.”
In mitigation, the Committee paid regard to Ms Lewis’ inexperience at running her own practice and found no issue with her competence or clinical ability as a veterinary surgeon. It concluded that she had acted out of character and that there was no financial motivation for her actions. It also found it “highly relevant that the facts admitted and found proved related to a single pre-purchase examination.”
It also noted that Ms Lewis has now put in place a practice management system and has shown insight into her actions, by taking active steps to better comply with her obligations under the Code of Professional Conduct. She had also made early admissions of guilt and made a full apology to both Mrs Grieve and the RCVS both at the outset of the hearing, and in her evidence.
Chitra Karve added: “Having had the opportunity of observing her demeanour at this hearing, the Committee believes that it is unlikely that she will repeat her conduct.... The Committee has concluded that an appropriate and proportionate response in this case is to reprimand Ms Lewis.”