Zoë Coker, a co-founder of VETbytes alongside Bronwen Eastwood, said: "This new feature will allow users to access real-time updates to the app so they can be assured they are following the most up-to-date clinical guidance."
The app, which was launched in partnership with the BSAVA earlier this year, covers more than 100 topics and includes other features such as drug (and CRI) calculators, a quick reference section and links to hundreds of source abstracts, as well as CPD accreditation for reflective learning.
It is available at a discount to BSAVA members and free to veterinary students.
BSAVA President Professor Ian Ramsey said: “The latest addition to the app advances our joint goal with VETbytes, to provide the latest practical, accessible, evidence-based resources for the small animal veterinary community.”
To view the ‘latest updates’ feed: https://vetbytes.co.uk/latest-updates.
For more information, visit: www.vetbytes.co.uk.
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.
Medivet Veterinary Partnership has announced the acquisition of a two-branch practice in Bedfordshire, Ridgeway Veterinary Centre, Flitwick, and Kempston Veterinary Clinic, Bedford, belonging to John Wakely, BVetMed MRCVS.
Current practice vets, John Wakely and Leo Weindrich, as well as all the nursing and reception staff, will remain at the practices. John said: "We are very pleased to be joining the Medivet Group. We will be able to offer our clients a wider range of services and expertise, as well as pass on price reductions for some services, which being part of a larger group enables us to do."
"On a practical level, our clients won't notice much difference. Our staff will remain the same and I will still be their main vet. On a professional level, because the day-to-day administration will be handled by the Medivet head office, I am looking forward to spending more time being a vet. It will give me the time to acquire more expertise in the areas I have always been interested in."
Medivet partner John Smithers said: "John Wakely's practices enjoy an excellent reputation. They will remain local veterinary practices, based, as they always have been, on the high standards of care and strong relationships the staff have developed with their patients and clients over many years. Becoming part of a group will give the practices access to additional skills, facilities and support of staff at other local branches."
This acquisition brings the total number of practices Medivet owns in Bedfordshire to four, the others situated in Biggleswade and Sandy, and brings the total number of practices in the Medivet group to 80.
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.
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
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).
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.
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.
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
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."
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.
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.
Trinity Vet Centre has launched an Android version of its iPhone / iPad app: Veterinary Care of Exotic Pets.
Designed for veterinary surgeons, veterinary students and veterinary nurses, the app gives the viewer an interactive experience in the care of exotic animals and includes videos of blood sampling, images of sex determination and images of common conditions including avian radiographic interpretation.
The app also contains formularies for all the commonly encountered exotic species, lists of commonly seen conditions (and their treatment) and biological data all at the touch of the screen. In addition the latest update for the iPhone / iPad features new sections on birds of prey and poultry which will also be available on the android version.
The app's developer, zoological medicine certificate holder Mark Rowland said: "This app is here to help vets offer the same high level of service offered to dog and cat clients to exotic animals which are becoming even more common. Data such as gestation periods and drug doses for exotics can easily be accessed. The videos are there to show in more detail how to blood sample exotics from Guinea Pigs to Tortoises"
The app is available from your iPhone or Android App store, priced at £7.99
Vétoquinol has launched Flexadin, a new range of joint support products for cats and dogs with osteoarthritis (OA)
Robert Simpson, Flexadin Product Manager said: "This new range is made up of two products: Flexadin Plus and Flexadin Advanced, both are dietetic complementary feeds which are members of a small group of joint support products which contain Omega-3 fatty acids and Vitamin E. These ingredients are proven to aid the support of the metabolism of joints in the case of OA. Although many different joint support aids are available, not all of them contain these extra ingredients."
Vétoquinol says that in addition to Omega-3 fatty acids and Vitamin E, Flexadin Plus contains the traditional ingredients: glucosamine, chondroitin and devil's claw. Flexadin Advanced contains the novel ingredient, UCII - a type of undenatured type II collagen which has been manufactured using a patented process.
Flexadin Plus comes in two formulations, the first is specifically designed for cats/small dogs and the other is for medium/large dogs. Flexadin Advanced is specifically for dogs.
Robert added: "Flexadin Advanced has a specific property which means that the administration rate is only one chew per day whatever the weight of the dog. This has an important impact on the price per day for medium and large dogs which may require more than one tablet of traditional joint support products. This property also makes Flexadin Advanced a convenient option for owners. In addition to this benefit, UCII is becoming more and more popular due to the results of scientific studies in dogs, horses and even humans.
"We are all very excited about the advances this range can bring to veterinary practices."
Both Flexadin Plus and Advanced are presented as palatable, shaped, soft chews which come in zip-lock packs to keep the soft chews fresh and tasty. Flexadin Plus comes in packs of 90 chews whilst Flexadin Advanced comes in packs of 30 chews.
For further information about Flexadin, contact Vétoquinol on: 01280 825424.
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."
Reference
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
Vetlife is independent of all other veterinary organisations and is managed by a Board of 11 elected Trustees, all of whom are veterinary surgeons.
The charity employs a small number of staff, so trustees are often asked to undertake operational as well as strategic work and the role demands a substantial time commitment, including attendance at four board meetings in London each year. Trustees also act as ambassadors for Vetlife and to represent the charity within the UK Veterinary community.
Danny Chambers MRCVS is a trustee. He said: "Given the unique challenges facing veterinary professionals it is vital that the mental health support is delivered by people who understand the specific issues facing those working within the veterinary industry.
"This is why Vetlife is so important. We are a mental health charity run by the veterinary community, for the veterinary community. Being a trustee of this charity is a very hands-on role, where you get to influence all aspects of the charity’s work. If you want to help support your friends and colleagues, this is a great and fulfilling way to give back to the profession."
Vetlife President Geoff Little said: "Being a Vetlife trustee allows you to work with other members of a team dedicated to the welfare of others in the veterinary community."
The charity is currently seeking to co-opt a twelfth trustee to sit on the board until the next AGM in September 2020. Their appointment for the following three years would then need to be ratified by the membership. Any veterinary surgeon wishing to stand who is not an existing Vetlife member will be required to become one before applying. If you do not know any current members to propose you, contact the Vetlife office for assistance.
Submissions must be received by 20th January 2020. Interviews will be held in London on 3rd February 2020.
Further information, including an application form is available on the Vetlife website: vetlife.org.uk/support-us/volunteer/ or via the Vetlife office, 020 7908 6382 or info@vetlife.org.uk.
This year’s programme includes five live streams running in parallel throughout the conference with clinical research presentations also returning after the Covid-enforced hiatus.
The first plenary lecture will be presented by Pat McCue who will review events that have shaped current practice in equine reproduction before looking at what the future holds.
The second plenary lecture, being delivered by Celia Marr, will look at 'evidence in perinatology'.
David Lloyd, Congress Scientific Programme Chair, said: “Whilst we are sure most delegates will be clamouring to attend the lectures and discussions in Liverpool in person, the programme also includes a virtual stream available live online.
“Also, to help reduce our carbon footprint, we are holding one virtual session concurrently across all lecture theatres.
"Global leaders in the field of infectious disease, imaging, nursing, reproduction and sports medicine and rehabilitation, will present virtually to the lecture hall rather than travelling to the congress.
"This session will have 25 of the “best of the best” speakers, presenting and discussing topics that challenge us in practice.”
Early bird tickets for BEVA Congress are available from 28th February 2022.
Early bird BEVA member prices are £499 for vets and £187 for vet nurses for all three days (with concessions available for those in their first three years post graduation or on a lower salary).
Virtual tickets are £199 for vets and £40 for nurses.
BEVA has a 'peace of mind' bookings policy to reassure those who are concerned that the Covid-19 situation may change between booking their ticket and the event.
For more information, or to book, visit http://www.bevacongress.org/
The University of Bristol's Langford Veterinary Services (LVS) has announced the completion of its new clinical facilities.
The first phase of the £13 million development includes a new small animal surgery building, comprising five theatres, an ICU, a dedicated anaesthesia induction and recovery and an imaging suite.
The imaging suite comprises a 16-slice CT scanner, for small animals and horses, conventional digital radiography with a DR system, a high-resolution fluoroscopy, diagnostic ultrasound, echocardiography, scintigraphy and a high resolution 1.5 tesla MRI scanner available seven days a week.
Lynne Hill, Chief Executive of LVS, said: "The new facility provides state-of-the art diagnostic imaging facilities at all times, to help the animals under our care."
LVS highlights the case of Gainsborough, an eight-year-old Irish draught gelding, to illustrate the benefits of its new facilities. The horse, used for jumping and endurance, was initially presented to the Equine Hospital in October 2010, with clinical signs including nasal airflow obstruction and discharge, which was limiting his athletic capabilities.
Using videoendoscopy and radiography, a space-occupying mass was diagnosed in the paranasal sinuses impinging into the nasal cavity. With the horse conscious, but sedated, using regional local anaesthetic nerve blocks, the bulk of the mass was removed and he returned to work. However, the owner reported a recurrence of the clinical signs and he was returned to the clinic for reassessment.
The new imaging suite, only one of a few such units in the UK, has been adapted to enable the imaging of a horse's head while conscious using a frictionless air plinth. The adaptation allows detailed imaging of both bone and soft tissue structures within a horse's head, without requiring a general anaesthetic.
Using the new imaging suite, Gainsborough's CT examination revealed a portion of the mass, which had been inaccessible to the previous keyhole surgery, had expanded into the nasal cavity. The detail of the images enabled careful planning of a second operation that facilitated removal of the large remnant of the mass, which appeared to be benign, with minimal collateral trauma.
In addition to imaging the heads of conscious horses, dogs and cats are able to undergo complete body scans using the same unit while anaesthetised. As well as enabling detection and diagnosis of lesions without invasive or painful tests at an earlier stage, the unit will facilitate operative planning and add to the body of knowledge of disease pathogenesis.
For more information about LVS, visit: http://www.langfordvets.co.uk/
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/
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.
RCVS President, Dr Jerry Davies, has committed to prioritise the establishment of a new Audit and Risk Committee, following publication of the recommendations of a report into two overspends at the College.
Earlier this year, outgoing President Peter Jinman had announced that a review would be carried out into the circumstances that led to higher-than-expected expenditure on the College's new database and building development works in the Lower Ground Floor at Belgravia House.
The RCVS Officer team asked Professor Bill McKelvey - a member of the College's Governance Review Group - and two of the College's Privy Council-appointed Council members to look at all aspects that related to its budgeting and expenditure process of those projects, and propose lessons that should be learned.
Dr Davies said: "That such a review was required is regretted, but I would like to thank Professor McKelvey, Richard Davis and Judith Webb for their diligence in this work. Their recommendations will be a very helpful addition to the work that is currently underway to ensure corporate governance is fit for purpose and, in particular, that the management of capital projects within the College is optimised."
The full Overspend Report (one sentence was redacted on legal advice) was considered by Council at its meeting on 3 November. Council agreed that the recommendations should be made public. The College is currently seeking further legal advice on whether it is proper for the report to be made available under the Freedom of Information Act.
Dr Davies added: "The recommendations of the report are under consideration by a group of five past Presidents, together with Richard Davis and Judith Webb as lay members of Council, under the Chairmanship of Peter Jinman, and their proposals will be considered by Council in due course.
"The recommendation that an Audit and Risk Committee be set up will be prioritised, as this was highlighted as an imperative. Other related activities, such as the development of a protocol for the management of major projects, had already been put in place by Officers prior to the overspend review."
Regarding the two projects at the heart of the report, the College says building work in the Lower Ground Floor at Belgravia House has been complete for some time and the new rooms and their facilities are being used, particularly when Disciplinary Committee hearings render much of the rest of the building out of bounds. The new data management system is also in use and an external consultant is currently looking at the work that has been carried out so far, and will make recommendations for the future.
"Meanwhile, although there are many lessons to be learned from the report, it's business as usual in terms of bringing to a conclusion many of our important ongoing initiatives, such as the introduction of the new Code of Professional Conduct, the consultations on the recommendations of the Specialisation Working Party and a draft Performance Protocol, and, of course, the ongoing work of the Disciplinary and Preliminary Investigation Committees," said Dr Davies.
The recommendations of the report, which were adopted by Council, can be downloaded from www.rcvs.org.uk/McKelvey.
Moral Maze, a debate held by members at the British Equine Veterinary Association (BEVA) Congress earlier this month, has concluded that equine practice needs to adapt to accommodate family life.
92% of voters agreed with the motion: Equine practice needs to change to become more compatible with family life.
BEVA says the result may reflect in part the changing demographics of the profession, with females now accounting for 76% of new graduate intakes.
Traditionally vets have worked together in practices, able to share resources and expertise as well as the out-of-hours rota. Until recently, men from the Baby Boomer Generation dominated the profession and many vets focused their efforts on work at the expense of their family. However, as Generation Y takes hold and more females are joining equine practice, there are different personal expectations with many vets now wanting greater commitment to family life and a better work-life balance.
The session took the form of a moral maze debate, chaired by Malcolm Morley, in which expert witnesses were challenged by informed interrogators. The proposers contended that it is possible to achieve a good work-life balance as an effective vet in a successful equine practice by working smarter, not harder and adopting a flexible approach.
Carolyne Crowe, veterinary coach and mentor, said: “Choosing to be an equine vet shouldn’t go hand in hand with giving up the rest of your life. Allowing flexibility within job roles should result in more engagement, productivity and thus economic benefit for the practice.”
Job share that included a proportionate allocation of the out-of-hours rota, was cited as a tenable solution for those juggling maternity leave and parenthood. The consistency of attending vets so often demanded by clients could be achieved by introducing two vets of equal calibre to the client, from the outset. Members of the audience outlined successful examples of job sharing and the consensus was that the turnover generated by part time, job share employees was often higher than their full time equivalents.
Mark Bowen, President of BEVA, said: “I’m not surprised that 92% of voters supported the motion, given the fact that the recent Vet Futures survey has shown a high rate of job dissatisfaction in equine practice. It reiterates the importance of moving with the times to evaluate the needs of working parents and make the equine veterinary workplace more adaptable to family life.”
BEVA is already working on various projects to help address and support the needs of members who are striving for a better work-life balance. CPD on personal effectiveness, covering work-life balance and time management is scheduled for the New Year. Further information on other initiatives will be released towards the end of the year.
The debate can be viewed online for free at beva.org.uk in the webinar tab.
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
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