Mike, an RCVS Queen’s Medal winner, will be in conversation with Catheryn Partington BVSc CertAVP(VC) MSc MRCVS, Jose Matos DVM DipECVIM (Cardiology) MRCVS European and RCVS Recognised Specialist in Small Animal Cardiology (canine and feline cardiology) and Paul Freeman MA, VetMB, Cert SAO, Dip ECVN, MRCVS (European and RCVS Specialist in Veterinary Neurology) (canine and feline neurology).
During the event, they will be explaining how Improve's new Academy Series can help vet professionals meet their annual CPD targets, learn through self-assessment and reflective study, and bring them to the forefront of medicine in several specialist areas.
Heber Alves, CEO of Improve International, said: “Here at Improve International, we are proud to be providing CPD training alongside the historic and prestigious University of Cambridge for our first Academy Series.
"We are excited to be working with many of its pioneering specialists at the Department of Veterinary Medicine and, as a former vet myself, I look forward to hearing how my fellow veterinarians handled the most difficult challenges of their careers.”
www.improveinternational.com
BVA has announced that it is launching a pilot of VETS.TV, and invites you to come and preview the service at its stand at BSAVA. Anyone willing to surrender their name and email address will also be entered into a prize draw to win an HP 530 Celeron M 440 laptop computer.
VETS.TV is an internet television site run jointly by the BVA and Ten Alps Publishing which will be available via a microsite of http://www.bva.co.uk/. The pilot includes custom-made videos on MRSA, litigation and stress management, a series of interviews with key veterinary figures and a number of specially acquired programmes.
The lower age limit for student veterinary nurses - previously set at 17 - has been removed by the Royal College of Veterinary Surgeons, in order to comply with age discrimination legislation.
The entry requirements remain unchanged: five GSCEs at grade C or higher, or five Scottish Standards at grades one to three (including English Language, Maths and a Science subject).
Candidates must also have a place with an RCVS-approved Training Practice or on a recognised veterinary nursing degree course.
Libby Earle, Head of Veterinary Nursing said: "We hope that the removal of this age barrier will be seen as a positive step that will serve to improve access to training. Practices remain free to recruit as they see fit to meet the particular demands of their business."
New veterinary nursing careers leaflets have been produced to reflect the change and are available from vetnursing@rcvs.org.uk / 020 7202 0711, or to download from RCVSonline: www.rcvs.org.uk/publications
The British Small Animal Veterinary Association is inviting its members to submit their views on DEFRA's recently revised and published draft Rabies Control Strategy.
The BSAVA says that while the general control options for dealing with a suspected or confirmed case of classical rabies are determined by law there are a number of issues raised in this document on which its members may wish to comment.
Details are in the Consultations area under the Advice link here at bsava.com.
Please return responses to s.everitt@bsava.com by Friday 9th December 2011 to allow time to collate the comments and produce a response.
The RCVS has announced a number of senior staff changes.
Gordon Hockey has been ratified by Council as Head of Legal Services and Registrar. This is a new role created when the post of Registrar and Secretary was split into two: Chief Executive and Secretary; and Head of Legal Services and Registrar.
Gordon, who was previously Assistant Registrar/Head of Professional Conduct, and then Acting Registrar, will have oversight responsibility for registration and professional conduct.
At the same time, Eleanor Ferguson, formerly Acting Head of Professional Conduct, has been confirmed in the position.
The post of Head of Registration has been made redundant, with a new role of Customer Experience Manager created to ensure that the customer (public and profession) journey improves across the organisation. This position will also report into Gordon Hockey.
There have been other changes on the Senior Team at the College. The post of Head of Corporate Services that had been vacant since the departure of Richard Holford last December will not be filled, and Head of Finance Corrie McCann has been promoted to the new role of Head of Operations, which will incorporate finance, corporate services (IT, mailing, reception) and facilities.
Two other posts have been made redundant: Special Projects Manager and RCVS Charitable Trust Director. A new post of Executive Director for the Trust will be developed, with a view to taking the Trust through a full strategic review.
Chief Executive Nick Stace said: "I believe that an engaged and well-purposed team of staff, with a focus on customer service and driving improvements, lies at the heart of any successful organisation. These changes will enable the College to move into the next stage of its development towards becoming a first-rate regulator."
The changes will mean that the Senior Team is reduced from 11 people to seven, being the Chief Executive plus Heads of Legal Services, Operations, Human Resources, Education, Veterinary Nursing and Communications.
Called the RCVS Academy, the new platform offers training in the following areas:
The College says the content has been developed in partnership with members of the profession to make sure it meets the needs of the veterinary team, including new graduates and registrants, and those who have been in the profession for many years.
Lizzie Lockett, RCVS Chief Executive, said: “As part of our ambition to be a compassionate regulator, we would like to ensure that all veterinary professionals have access to learning resources that will help them meet the standards set by their peers on RCVS Council.
"We’re aware of the pressures that veterinary professions are facing and the Academy has been built to respond to changing learning needs.
“The learning resources available on the platform have been designed to help vet teams develop their understanding of the RCVS professional guidelines and also how they can apply them in their everyday role. "
https://academy.rcvs.org.uk/
Merial has announced the launch of Nexus (http://merialnexus.co.uk), a new online information resource which offers large animal vets and Suitably Qualified Persons (SQPs) CPD training modules, webinars, technical articles, product information, marketing tools and support materials.
Victoria Hudson, Marketing Manager for Merial’s Large Animal Portfolio said: "We know that it can be difficult for busy vets and SQPs to find the time to attend CPD sessions in the evenings. Our new Nexus online portal gives access to resources and training modules that can help vets and SQPs stay up-to-date with the latest thinking, best practice, and enhance their knowledge in the field of large animal health at a time that suits them.
"Merial is committed to providing high quality Continuing Professional Development (CPD); bringing the knowledge, expertise and experience which backs up our well-known brands online, to help support professional development."
The Nexus portal includes a range of online courses and modules aimed at SQPS in particular, participation in which can earn AMTRA points. The company says it will be adding further CPD throughout the year, including AMTRA accredited courses.
Merial is offering the chance to win £200 in Amazon vouchers to eligible individuals who register at merialnexus.co.uk from now until the 22nd April 2016.
The company, which has added over 50 practices to the business this year alone, puts its success down to the group's family feel, and the 'hub and spoke' model it operates.
Arnold Levy, CEO at Medivet, said: "There are lots of things that have led to us being in the position we are now: our wonderful team and partners across the country, our passion for offering the best treatment, and the opportunities we offer vets wanting to run and own their practice."
"Much of that stems from our unique hub and spoke model. Without it, we wouldn’t be where we are – it really is central to all we do."
Medivet’s hub and spoke model is comprised of nine 24-hour centres (hubs) located around the UK with state-of-the-art facilities. The rest of the Medivet group consists of an integrated network of practices, or 'spokes'.
Medivet says the model allows smaller branches to offer pet owners services that otherwise wouldn’t be possible – referrals or specialist diagnostics, for example, can be passed on to another nearby practice or the bigger 'hub' if needs be.
Alison Jones heads up Medivet’s 200th practice in Gloucester and celebrated the opening in October with the practice team and other senior partners from Medivet.
Alison said: "The vast expertise in both the clinical and management fields that Medivet has to offer can take a huge strain off a busy practitioner. In addition, the inter-site communications, along with help via the Support Centre from a team of specialists in areas such as health and safety, employment law and marketing means each clinic can still operate as a local practice, but has the back-up of the whole Medivet team when needed.
"I have been impressed by how even the managers have not forgotten what it means to be a practising veterinary surgeon and have not lost their compassion for animals or passion for our profession. I feel I am working with people 'like me' and that makes me feel secure and understood."
For the study “Comparative accuracy of two veterinary-calibrated point-of-care glucometres for measurement of blood glucose concentration in dogs” blood was sampled from client and staff-owned dogs above 6 months of age, of various breeds and health status.
The samples were then used to compare the accuracy of both PGBMs against a reference method - the hexokinase reaction method.
The authors say this was the first study to investigate AccuTell and the first published evidence comparing AlphaTrak2 with a reference method.
The study also sought to determine how useful the monitors are in clinical decision making and to assess the effect that packed cell volume (PCV) (known to affect the reliability of blood glucose concentration measurement in dogs) has on blood glucose concentration using the two PBGMs.
AccuTell was found to be more accurate and useful in a clinical setting than AlphaTrak2.
Both PBGMs were inaccurate in comparison with the hexokinase reaction method, and although they have potential for standard clinical use, unexpected blood glucose concentrations need to be checked by the hexokinase reaction method.
In addition, measurement of blood glucose concentration by the AlphaTrak2 was affected by PCV whereas measurement by the AccuTell was not.
Nicola Di Girolamo, Editor of JSAP said: “We oftentimes think that an instrument that is developed specifically for our patients will provide satisfactorily results on most occasions.
"Instead, studies such as the one presented here, are critical to understand whether the ‘numbers’ provided by an instrument are reliable for clinical use.
"The authors provided 95% limits of agreements to their results.
"This value is of great help for clinicians, since it shows the difference expected between the instrument and the reference standard in the majority of occasions.”
The study can be read online here: https://onlinelibrary.wiley.com/doi/epdf/10.1111/jsap.13491
Reference
Fort Dodge (makers of Equest equine worming brands, and Deosect), is launching a new Equine Parasites Reference Manual.
The manual, which is supported by AHDA, AMTRA and BEVA, is billed as 'an objective and comprehensive reference guide covering endoparasites and ectoparasites and their control, as well as offering prescribing tips, a glossary of terms and reference sources'.
Fort Dodge has produced the manual to provide an ‘all in one’ guide to support veterinary professionals and Suitably Qualified People (SQPs) involved in prescribing equine parasite treatments. It brings together, in an A5 spiral bound booklet, all the information they may need on the full range of licensed veterinary medicines to control equine parasites of concern in the UK. It will be launched at BETA (17-19 February at the NEC).
For further information about the manual (or to get a copy), please contact Fort Dodge on 01489 781711.
A new study carried out to look at the efficacy of spinosad (Comfortis) in cats has shown that they can acquire a flea infestation even when kept in a controlled laboratory environment.
The study was conducted on a laboratory colony of 15 cats that had been kept strictly indoors for at least a year, four of which had presented to the dermatology clinics of the Small Animal Hospital of the Toulouse Veterinary School, two with miliary dermatitis lesions and two with symmetrical alopecia.
Further investigation revealed that despite these animals having been confined to quarters for so long, adult Ctenocephalides felis and flea dirt were found on coat brushing.
All the cats were then combed meticulously twice at the start of the study using an extra fine comb and fleas counted before being replaced on each cat. In total 60 fleas were counted. On the cats showing no lesions there was an average of 5.2 fleas per cat and on the cats exhibiting flea allergy dermatitis it was less than one. Two of these cats had no fleas on them, probably due to excessive grooming caused by pruritus.
Spinosad was found to be 100% effective, with no adult fleas found on any cat from day 15 of the study through to day 90.
The cats with skin lesions were assessed for pruritus levels using the SCORFAD system, an extent and severity scale for feline hypersensitivity dermatitis. The SCORFAD value rapidly decreased throughout the study and achieved 98% reduction by day 90. The skin lesions in the flea allergic cats completely resolved during this time without the use of any other flea control or the use of anti-inflammatory products on the cats.
Researchers Maria-Christine Cadiergues and Charline Pressanti from Toulouse Veterinary School also noted a greater level of palatability than previously reported in clinical trials and there were no side effects in any of the cats.
Reviewing the study, David Grant MBE BVetMed CertSAD FRCVS said: "This study confirms that indoor cats, even in a tightly controlled laboratory environment, can still acquire an infestation of fleas. These can be brought in on the clothes of owners of cats if they have been in the garden, for example, particularly in the summer.
"In addition, flea allergic cats may have few fleas on them due to excessive grooming caused by pruritus, and it is often very difficult to persuade owners of the diagnosis, even more so with indoor cats. This study provides precise data to support the above statement.
"This study also demonstrates that spinosad can be used as a stand-alone treatment for mild to moderate flea infestation in an indoor environment without the need for environmental insecticides or anti-inflammatory treatment of the cats. This would be a major consideration for many cat owners."
Marie-Christine Cadiergues and Charline Pressanti, "Efficacy of Spinosad Tablets Administered to a Colony of 15 Indoor Cats Naturally Infested with Fleas," ISRN Veterinary Science, vol. 2014, Article ID 484308, 4 pages, 2014.doi:10.1155/2014/484308
The object of the exercise is simply to find out whether a significant number of veterinary professionals feel that they have been bullied, and look at the impact it has had on them.
If a significant number of people say they have, the hope is that the survey will trigger constructive discussion on the subject, both amongst key opinion leaders in the profession and in practice.
One of the biggest challenges in measuring the incidence of bullying in practice is the highly subjective definition of the word. For this reason, the survey asks whether you've been on the receiving end of very specific types of behaviour, ones which most people would agree are at best unconducive to a happy and effective working environment, and at worst, outright bullying.
VetSurgeon.org Editor Arlo Guthrie said: "Early responses to the survey have already shown, if we didn't know it already, that bullying is going on, and how bullies can make life utter hell at work. We just don't yet know the scale of the problem.
"Either way, there are two ways I think this survey could make a difference. Firstly, by discussing the subject openly, so it creates an environment in which bullying behaviour is less likely to happen. Secondly, I suspect that a significant amount of bullying may happen as a consequence of poor communication. For example, if one member of the team thinks another is underperforming but is uncomfortable having a candid but constructive discussion. If there is no other process in place to resolve the issue, they may resort to other types of behaviour which can have a profoundly negative effect on their colleague."
To take part in the survey, please visit: http://www.surveygizmo.com/s3/3783698/Behaviour-In-Practice
The ESVE has become aware through its Endocrine Quality Assurance (EQA) Scheme that there will be a permanent change in the antibody used for the cortisol test for the Siemens Immulite 2000.
The change affects the antibody pool from kit Lot 550 onwards, meaning that it has already affected some laboratories and others will be affected in the next few weeks to months. At present, the new antibody lots are not being released to the USA market. Other analysers are unaffected.
The ESVE has been working with the laboratories in its EQA scheme to quantify the impact on results and reference limits. The Society says an initial review by the ESVE-EQA based on >400 canine serum and >40 urine results suggests that canine serum cortisol results are lower (average bias -23% in canine serum) than diagnostic laboratories and clinicians have been used to in the past. The effect is more marked in canine urine cortisol (average bias -70%).
Since being alerted by the ESVE-EQA, the manufacturer has derived mathematical adjustment factors that laboratories can incorporate into their systems to mitigate the impact on results. If the manufacturer adjustment is used, then the results will be around 8% lower on average in serum and around 60% lower in urine. Cut-offs to diagnose hyperadrenocorticism and rule out hypoadrenocorticism may need to be validated again with the new assay. There is not yet sufficient data in the ESVE-EQA collaboration to assess the impact on feline and equine samples.
Professor Ian Ramsey, President of the BSAVA and one of the founders of ESVE, said: “Individual laboratories may have different ways of dealing with this change and therefore it is important to keep in touch with your laboratory provider concerning their approach. Some may choose to make the mathematical adjustments to results so that common and historic cut-off values can continue to be used. Others may report their results directly but change their guidance on interpretative cut-off values."
Dr Peter Graham, ESVE-EQA Co-ordinator, concluded: “ESVE advises that all cortisol results from Siemens Immulite 2000 assays that are close to a threshold are interpreted cautiously. ESVE also advises that all endocrine results should be interpreted in the light of clinical findings and would like to remind clinicians that spurious results may occur in any assay, though this is rare.”
The BSAVA and ESVE encourage laboratories to tell clinicians which analyser they are using. Suitable wording regarding the interpretation of any values of cortisol based on Siemens Immulite 2000 results should be provided by laboratories for the foreseeable future.
Photo: A dog with hyperadrenocortism, courtesy Professor Ian Ramsey
The book, titled Health and Welfare of Brachycephalic Breeds: A Guide for Veterinary Professionals, includes contributions from 29 internationally recognised experts on a wide range of aspects related to brachycephalic health.
The authors say that dogs in particular are now suffering from a ‘perfect storm’ because the welfare harms from conformation-related predispositions to several health issues are being amplified by a population boom for certain brachycephalic breeds, such as the French Bulldog, Pug and English Bulldog.
Although flat-faced dog breeds were invented by man over a century ago, they are currently rising rapidly in popularity. From 2000 to 2020, Kennel Club registrations for English bulldogs rose by 488%, for pugs by 601% and a staggering 17,198% for French bulldogs, breeds which have been shown to be predisposed to things like corneal ulceration, difficulty giving birth, slipping kneecap, dry eye, upper respiratory tract disorders and heatstroke.
The book provides the context of how and why we are in this flat-faced animal crisis, offering in-depth historical, social, ethical, communication, nursing, welfare, epidemiological, genetics and international perspectives. It also provides clinical support, covering the background, diagnosis, treatment and prevention of the unique healthcare needs of flat-faced (brachycephalic) animals.
Rowena Packer, Lecturer in Companion Animal Behaviour and Welfare Science said: “We hope this book helps veterinary and animal professionals globally, who are faced with the often challenging task of protecting the welfare of brachycephalic animals. Most importantly, we hope this book is another step towards improving the lives of so many animals who have been impaired by the body shape they have been bred for.”
The book is available as an ebook, paperback or hardback, priced from £35.99 to £88.99: https://www.routledge.com/Health-and-Welfare-of-Brachycephalic-Flat-faced-Companion-Animals-A-Complete/Packer-ONeill/p/book/9780367207243
Epiphen, Vétoquinol's canine anti-epileptic drug, has been re-launched with new packaging and a useful dosing syringe.
"Some of our customers reported that they were having difficulty administering the drops accurately," explains Slavica Sobot, Product Manager. "So with this in mind, we have introduced a new plug-on syringe which will make it even easier for pet owners to dose accurately. The syringe will prevent the risk of inaccurate dosing through ‘flooding' from the dropper."
For more information, please call the Vétoquinol help line on 0800 169 8197 or contact your Vétoquinol representative.
Success in Veterinary Practice by Dr. Bradley Viner DProf BVetMed MSc(VetGP) MRCVS is now available from Wiley Blackwell at £28.99. Teeside general practitioner Rob Reid BVM&S MRCVS has reviewed the book for members of VetSurgeon.org:
There are many self-help books available in a variety of fields, covering topics which range from stress management and emotional control through to furthering one's career and professional development. Until now, there has been no such publication that has covered these issues in the veterinary context, and it is here that Bradley Viner has identified a niche in the market with his new book Success in Veterinary Practice.
The aim of book is to help veterinary practitioners of all levels to develop and nurture their professional skills, both on a personal and at a practice level. The book will be of interest to vets in all fields and contains a lot of information that will be particularly relevant to vets who are embarking on the Professional Key Skills Module of the RCVS CertAVP. It may also be of interest to other members of the veterinary practice team and is also marketed at individuals who are considering a career in the veterinary field.
The book is organised into nine chapters, with the first eight providing content matter on areas such as personal development, communication techniques, improving clinical performance and developing leadership skills, with the final chapter summarising the information presented. The first eight chapters are structured in such as way that information is presented in a digestible format. The material is detailed enough to provide understanding without being overburdening and the summary and exercise sections presented at the end of each chapter help the reader to review what they have read and pick out the key ideas.
There were many areas of the book I found interesting and I liked the way that the author has looked at the psychological and sociological aspects of one's actions, both in relation to colleagues in the workplace and in relation to dealing with clients. From a personal point of view, I also liked the section on communication skills - an area which probably doesn't receive enough coverage in both undergraduate and postgraduate education.
On the negative side, there are some minor typographical errors and I feel some of the diagrams could have been better produced. The pure academics among us may also be somewhat critical about the author's stance towards the relevance of some aspects of clinical research. And of course some people may be put off by the price, with the truly cynical among us possibly seeing the close relevance of the content to the syllabus of the CertAVP 'A' module as a cunning marketing ploy!
As a general practitioner, however, I found the book to be informative and thought-provoking. I have found it has encouraged me to take a look at certain aspects of my work which I have almost done instinctively in the past, analyse my reasons for doing them and then look at how I can improve on these in the future, for the good of patients, my clients, the rest of the working team and of course for myself. It is certainly an interesting read, and I would recommend it to be of value to any vet who sees the term 'professional development' to mean far more than a simple sharpening of one's clinical skills.
Andy Trevan, a veterinary surgeon at the Gayton Veterinary Group in Redhill, has won the VetSurgeon.org prize draw to win an Apple iPad.
The draw was held to raise awareness in the profession of the growing community on VetSurgeon.org, and all UK-based veterinary surgeons that joined the site before 1st November 2010 were entered.
VetSurgeon.org welcomed nearly 600 new members to the site whilst the draw was open, bringing the site to just shy of 6000 members.
Congratulations to Andy - the shiny new toy will be winging its way over in the next few days.
There are 14 candidates standing in this year’s election, including one current RCVS Council member eligible for re-election and 13 candidates not currently on Council. They are:
In 2018 changes were made to the governance arrangements of the RCVS after a Legislative Reform Order changing the size and composition of Council was passed by Parliament. The changes mean that, in most years, there will be three elected places available for the candidates. However, this year the four candidates with the most votes will be starting their four-year terms on Council. This is to ensure that elected RCVS Council members remain in the majority.
Emails containing links to the secure election voting websites which are unique to each member of the electorate, were sent on 17 March 2021 by Civica Election Services (CES) (formerly Electoral Reform Services) which runs the election on behalf of the College.
All votes must be cast online by 5pm on Friday 23 April 2021. The small numbers of veterinary surgeons for whom the RCVS does not hold email addresses have been sent letters in the post containing instructions on how they can vote online, including contact details for CES to provide further advice.
The biographies and statements for each candidate can be found at: www.rcvs.org.uk/vetvote21.
This year the College invited RCVS Council candidates to produce a video in which they answered up to two questions submitted directly to the RCVS from members of the electorate. The videos have been published on the RCVS website as well as on the RCVS YouTube channel (www.youtube.com/rcvsvideos).
This, say the authors, could lead to shorter hospitalisation time and less stress for donor cats.
For the study, researchers at the Royal Veterinary College measured the systolic blood pressure of 100 client-owned cats which had been randomly assigned to receive IVFT or no fluid after blood donation.
Owners were also contacted following donation to record any changes in their cat.
The results showed no significant difference in blood pressure between cats that received post-donation IVFT and those that didn't.
The main reported changes were minor bruising at the venepuncture site and mild lethargy, with no significant difference between the IVFT and no-IVFT groups.
These findings suggest that IVFT post-blood donation may not be necessary, as haemodynamic stability appears to be maintained despite the loss of blood.
Dr Guedra Allais, lead author of the study, said: "Our study showed no significant difference in blood pressure at different time points in feline donors that received intravenous fluid compared to others that didn’t receive any fluid.
"Other perfusion parameters such as capillary refill time, heart rate and pulse quality were not evaluated, and we recommend considering intravenous fluid in any feline donors if any major changes are detected on post donation physical examination.”
Freelance Surgical Ltd has announced that it is now the sole UK distributor for IMEX Veterinary, Inc. external fixation products.
In fact, Freelance Surgical has been a supplier of IMEX products for over a year, but says that most customers had been buying from Animalcare, which has now ceased selling the products.
The company says external fixation is an effective method of orthopaedic fracture repair which has gained popularity in recent years. An external skeletal fixator (ESF) can be used as a primary fracture fixation device or to enhance stability provided by another primary fixation product. In some cases and when used correctly, the company says they can have a number of advantages over other fracture repair techniques.
The IMEX Veterinary, Inc. product portfolio includes an array of external skeletal fixation components, intramedullary pins, K-wires, orthopaedic wire and other related veterinary products. The modular ESF system is comprised of linear, hybrid and circular fixation with linear components common to all three and instrumentation interchangeable between the hybrid and circular external fixation systems.
James Towler, Veterinary Director at Freelance Surgical Ltd has received professional training with IMEX Veterinary, Inc. to ensure the UK market has access to up-to-date product and ordering information.
For more information contact Freelance Surgical Ltd on 0845 050 4147.
The campaign was officially launched at an event at the Palace of Westminster sponsored by Kevan Jones MP (Labour, North Durham) who has spoken about his own experiences with depression, and featured first-hand testimonials from senior veterinary surgeons and doctors who have experienced mental ill-health.
‘&me’ is a collaboration between the RCVS Mind Matters Initiative, which seeks to address mental health and wellbeing issues within the veterinary profession, and the Doctors’ Support Network, which provides peer support for doctors and medical students with mental health concerns.
Introducing the campaign, Mr Jones said: "The key message I have today in regards to mental health is talking about it and trying to get it out of the dark corners rather than it being something you are ashamed to talk about. That is how we get people to help themselves with their own condition and to seek help. The other key thing is not to write people off if they have a mental illness."
The floor was then opened to personal stories from those who have lived experience of mental ill-health. Dr Louise Freeman is Vice-Chair of the Doctors’ Support Network and was diagnosed with depression in 2009 as a result of the way in which her return to work was handled after having time off work as an emergency medicine consultant following a bereavement.
She said: "This experience made me think that doctors with mental health problems were in a small minority and that it was probably our own fault anyway. Both impressions are completely wrong. The incidence of mental health problems is one in four people in any one year and is actually higher for doctors, who are often slower to seek help than non-medics. The good news is that well supported doctors have excellent treatment outcomes.
"During my own return to work, I was told by my clinical lead that they had 'always thought that I was a mental health problem waiting to happen.' I think this says more about them than it did about me! On reflection, yes that was true, but only inasmuch as this applies to all of us during our lives.
"I hope that the ‘&me’ campaign can start to address this by encouraging senior healthcare professionals, who are currently well, but have experienced mental health problems, to disclose that they have 'been there themselves'. I think that this will help to normalise mental ill health for healthcare professionals and therefore remove some of the barriers to unwell professionals seeking help at an earlier stage. Overall this would be better for healthcare professionals, their colleagues and their patients."
David Bartram, Director of Outcomes Research for the international operations of the largest global animal health company and a member of the Royal College of Veterinary Surgeons' governing Council, spoke next. He gave his perspective on coming to terms with a mental health condition in a profession that has some stigma attached to it.
A number of years ago David attempted suicide following the breakup of his marriage and explains what happened from there: "I just thought I was stressed – after all, who wouldn’t be in those circumstances? But in fact I was becoming progressively more unwell. What started as worry, early waking and palpitations – which I recognised – led to patterns of thinking which I did not recognise as being disordered. I felt trapped and worthless – suicide was the only escape. From a medical perspective, my biological, social and psychological risk factors had converged and tipped me into major depression.
"That was the first of multiple suicide attempts and several prolonged stays in hospital. Over a three-year period I spent 12 months as a psychiatric inpatient. I was treated with antidepressants, antipsychotics, mood stabilisers, talking therapies and electroconvulsive therapy.
"But now thankfully I am well – and I have been for 14 years…. To what do I attribute my recovery? A mixture of medical treatment, psychological therapies, supportive friends and family, rest and time – they all contributed, probably in similar measure."
He added that while his episode of mental ill-health does not define him it has changed him in a positive way and that no one is immune from it.
Dr Jonathan Richardson is Group Medical Director for Community Services at the Northumberland, Tyne and Wear NHS Foundation Trust who had a mental health condition when he was a medical student and spoke about how it is possible to flourish in your career with a mental health diagnosis.
"I was unwell as a teenager with a physical illness and later as a medical student with a mental illness… these two experiences crystallised my drive to become a doctor and my own approach to healthcare. I wanted to be able to deliver the care that I was fortunate to receive. I wanted to be as patient-centred and compassionate with the patients I would serve, in the same way as the teams who delivered my care. I was lucky to have support when I was unwell from very good friends, some from school and some from university; and a very close family. I have been able to recover.
"It is 24 years since my mental illness. I now work in Northumberland, Tyne and Wear NHS Foundation Trust, one of the largest mental and learning disability health trusts in England – and one of only two to be rated outstanding by the Care Quality Commission…. I do not feel that my illnesses have stopped me."
Dr Angelika Luehrs is the chair of the Doctors’ Support Network and a consultant psychiatrist who was diagnosed with bipolar affective disorder while she was a trainee psychiatrist. She said: “When I asked for advice about how to access help one of the answer I got was one of ‘whatever you do, make sure that you don't have any mental illness in your medical records otherwise you will never go anywhere in your medical career. However, getting the diagnosis and help from a Consultant Psychiatrist was the best thing that ever happened.”
She added: "The reality is that my diagnosis has not stopped me – I have been a consultant psychiatrist since 2010 with the Avon and Wiltshire Mental Health Partnership NHS Trust, last year I was appointed as medical lead for West Wiltshire including early intervention, intensive services and primary care liaison services. I have a special interest in supporting doctors with mental illness and I am delighted to be appointed by the newly launched GP Health Service as a special advisor for complex mental health cases."
The last speaker was veterinary surgeon Neil Smith who chairs the RCVS Mind Matters Initiative and outlined how to participate in the campaign. He said: "This event is just the start… the real challenge is to start to get this message out to the wider professions. Stigma is a difficult thing to tackle, but the good news is that changing our minds is within the power of every individual to do."
Following the launch the ‘&me’ campaign is now encouraging other senior health professionals to step forward and talk about their own experiences with mental ill-health, especially as both medical doctors and veterinary surgeons have higher suicide rates than the general population but often have more reluctance to seek help because of the impact it may have on their career.
The campaign is interested in hearing from not only doctors and veterinary surgeons but also nurses, veterinary nurses, dentists, pharmacists and other healthcare professionals who want to open up about their experiences of mental ill-health. To participate in the campaign email Dr Louise Freeman on vicechair@dsn.org.uk.
Further information about the ‘&me’ campaign can be found at www.vetmindmatters.org/&me
Janssen Animal Health has made what I am told is a 'very large' donation of Ripercol, a pour-on 20% levamisole w/v broad spectrum anthelminitic for cattle, effective against gastro intestinal nematodes and lungworm, to the Worldwide Veterinary Service (WVS) – a UK registered charity (No.1100485) committed to improving the treatment and welfare of all animal species throughout the world.Nigel Underwood, Livestock Marketing Manager at Janssen said: 'We are very pleased to be able to help improve the health of animals in the developing countries and in turn to help those people who need it most. I’d encourage other pharmaceutical companies and practices to support WVS whenever they can, as they do a fantastic job.'Annie Cook, WVS Director of Veterinary Operations said: 'So far this year we have been able to help over 64 associated charities with nearly £73,000 worth of donated items. This incredibly generous donation of Ripercol from Janssen Animal Health will allow us to provide production animal welfare charities in India, East Africa and South America with a much needed resource'.WVS is currently arranging a Disaster Emergency Response team of veterinary professionals to visit the Internally Displaced People Camps in Kenya created following the election violence. Luke Gamble, WVS Chief Executive Officer, who will be coordinating the team said: 'The high concentration of animals in these camps combined with poor sanitation will promote the spread of disease between animals and is also a public health concern. Simply deworming these animals will improve their productivity and survival, which is vitally important as they are an essential resource to the people in the camps.'
William McEwan BSc MRes PhD, now working at the MRC-Laboratory of Molecular Biology in Cambridge, has been awarded the ABCD and Merial Young Scientist of the Year Award 2010 for his work on the replication and cross-species transmission of feline immunodeficiency virus infection in domestic cats and lions, and the restriction factors in these species in particular.
Dr McEwan said: "Understanding the means by which host species are able to prevent viral replication gives us insight to the mechanisms of infection and may allow us to engineer therapy based on similar mechanisms or by enhancing immune responses."
The award was presented by Professor Marian C. Horzinek, Chair of the European Advisory Board on Cat Diseases (ABCD) and of the award jury. He said: "William McEwan presented a very original, high quality paper. His research has indicated the ability of hosts to potently restrict retroviral replication - given sufficient evolutionary time. It has also highlighted felids as a taxon that is potentially highly prone to cross-species transmission of immunodeficiency viruses".
The ABCD and Merial Young Scientist Award, created in 2008 and worth 1000 €, is funded by Merial and is presented to a young scientist in veterinary or biomedical science, who has made an original contribution in the field of feline infectious diseases and/or immunology. Applicants should have published their findings in a journal listed in PubMed or Web of Science or have had them accepted by another recognised assessing body.
Candidates should be based in Europe, have completed a veterinary or biomedical curriculum, and be under 35 years of age at the time of application. Applications for the 2011 award are now being invited (deadline 15 January 2011). For more information, visit: www.abcd-vets.org
Bicester Vets in North Oxfordshire has become the first to install Improvet, a touch-screen unit through which the practice can gather client feedback.
Improvet is one of a range of services offered by Pfizer as part of Vet Support+. It's designed to help small animal practices gather information, interpret client feedback and ultimately provide targets to drive business improvements. Located in the practice's reception area, the pre-programmed survey takes a few minutes of a pet owner's time to complete and is apparently proving a hit with clients.
The survey covers all aspects of the service the client has received, from booking through to the consultation, payment and administration of their appointment. Client comments are collected into a report assessing the standards of customer service delivered across the practice team.
Jason Williams, veterinary surgeon at Bicester Vets, said: "We have felt for a long time that we needed to make some changes at the practice in order to move forward and be well placed for future challenges and opportunities. With this in mind we undertook a review of our practice with the help of a Pfizer Business Consultant and during this process our staff identified that client communication and gauging client experience was something we were struggling with.
"When our Pfizer Business Consultant explained Improvet it seemed a logical next step. The completely paperless, anonymous nature and automatic report generation means it's taken the hassle out of surveying our pet-owning clients so that now instead of simply talking about the need for a client survey, we actually have one underway. We will use this information to get a clear picture of how we are performing and communicating as a practice before and after improvements are made."
Improvet gives practices a way of surveying clients completely independently of staff. Armed with this data about what clients truly think, a practice can:
Practices that think they would benefit from having an Improvet unit in their reception area should contact their Pfizer Account Manager or call 0845 519 4977.
The GDP offers one-to-one mentoring, alongside professional and clinical skills development in primary care practices across the UK.
Chloe Roberts, clinical and educational development manager at Linnaeus, said: “This fourth cohort of graduates is looking likely to be the biggest yet, which is testament to how successful the programme has become over recent years.
“We’ve received so many high-quality applications and look forward to welcoming many of them into our practices.
“There’s still time left for people to apply via our online portal, so we’d love to hear from any prospective candidates interested in roles in the Midlands and Yorkshire.”
Linnaeus delivers all clinical training in-house through its extensive network of specialists, referral clinicians, certificate holders and experienced primary care clinicians.
Graduates take part in 20 core educational days as part of their clinical and professional skills training, with access to an additional 10 CPD days to undertake training of their own choice over the course of the programme.
For more information about the Graduate Development Programme, visit https://graduates.linnaeusgroup.co.uk.
Photo: Bristol University graduate Abigail McCarthy, a vet at Blacks Vets in Dudley