The British Equine Veterinary Association (BEVA) has clarified regulations on equine dental procedures following a survey which showed confusion, even amongst vets, over who is allowed to do what in a horse's mouth.
In the survey of BEVA members, more than half were unaware of the dentistry techniques that equine dental technicians (EDTs) are permitted to perform and the levels of veterinary supervision required.
In response, the association has put together a new information leaflet which explains the regulations surrounding equine dental care and describes where recommended practice differs from the letter of the law.
All diagnostic and treatment procedures in the horse's mouth are Acts of Veterinary Surgery under the Veterinary Surgeons Act 1966. The only exception is the manual removal of small dental overgrowths and sharp enamel points with hand instruments.
However it is acknowledged that there are a limited number of procedures that, despite being considered Acts of Veterinary Surgery, may be delegated safely to suitably qualified EDTs without compromising the horse's welfare and safety. In 2009 the RCVS, with assistance from BEVA, BVDA and BAEDT, listed these processes and categorised all dental procedures into three groups:
Despite there being no legal basis supporting non-vets performing Category 2 procedures, the RCVS has stated that there would be no public interest in prosecuting vets who collaborate with suitably qualified EDTs to perform non-invasive (Categories 1 and 2) procedures.
BEVA recommends that, for their own protection, all vets who deal with horses:
Vicki Nicholls, equine vet at Wright and Morten in Cheshire, chair of BEVA council's Paraprofessional Committee and member of the British Association of Equine Dental Technicians (BAEDT) said: "The lack of awareness is alarming and clearly emphasises the need to make vets and equine dental technicians fully conscious of current regulations regarding equine dentistry. Non-adherence to the regulations is a serious matter and could lead to prosecution of the veterinary surgeon, EDT and/or owner."
The number of vets taking the BEVA/BVDA exam in equine dentistry has increased in recent years with about 15% of those who have passed the exam being vets. BEVA says this is indicative of the growing awareness, amongst owners and vets, of the importance of dental health. It also reflects a desire to develop and demonstrate both practical skills and a theoretical understanding of equine dental care to augment the vet's broader medical knowledge. Expertise in equine dental care has, for many veterinary practices, become a valuable asset.
Copies of the dental regulations information leaflet can be downloaded from the BEVA website at www.beva.org.uk. BEVA also runs regular dentistry CPD courses, details of which can be found on the website.
Image source: Rachel C from Scotland
The College says the increase is needed to fund a number of ambitious projects and make sure the it is fit for the future.
The approved fee rise will apply to the 2020-21 annual renewal fee, which is due to be paid by 31 March 2020.
Increases will also be applied for those registering on or after 1 April 2020, including the restoration fee for those applying to re-join the Register.
Lizzie Lockett, RCVS CEO, said: "While we appreciate that asking people for more money is never going to be popular, I would like to reassure the profession that the fee rise is both a necessary piece of financial future-proofing and will also help fund current projects and future initiatives stemming from our new Strategic Plan.
"Many of our existing projects such as the RCVS Leadership programme, the ViVet innovation project, the Fellowship and the Mind Matters mental health initiative, have an increasing workload, often due to popular demand, which requires additional resources – including staffing – to meet those needs. There is also increasing demand on some of our core regulatory functions such as our concerns investigation and disciplinary processes, including the Veterinary Client Mediation Service (VCMS), and our Education Department which is responsible for ensuring standards in an increasing number of educational institutions both domestically and internationally.
"Furthermore, there is lots of additional work on the horizon, much of which relates to improving and enhancing aspects of the profession and stems from our newly approved Strategic Plan, which will be published soon. For example, RCVS Council has just agreed an ambitious overhaul of the Professional Development Phase to help graduates better transition to life in practice; we are carrying out an increasing amount of work on understanding the barriers to diversity and inclusion in the veterinary profession: and, we are looking to relocate the College in order to be better able to accommodate the increasing number of staff and functions the work we do requires.
"In terms of future-proofing, we also need to make sure we have sufficient financial security for a potential decrease in the number of veterinary surgeons currently registered with us, as well as the number of veterinary surgeons joining the Register on an annual basis, that may arise when the UK fully leaves the EU at the end of the transition period in December 2020."
The current levels of RCVS fees are able to view at: www.rcvs.org.uk/how-we-work/fees/, which will be updated with the new fees shortly.
New statistics from the Voice of the Veterinary Profession Spring 2022 survey showed that while veterinary work is often seen as a vocation, 77% of vets list pay among their top five priorities when choosing a job.
Other deciding factors include geographical location (74%), area of practice (62%), low staff turnover (45%) and structured career progression (28%).
However only 42% of vets who responded to the survey considered their pay and benefits to be either ‘good’, ‘very good’, or ‘excellent’.
BVA President Malcolm Morley, said: “Fair, transparent and equal pay is one of the keystones of good veterinary workplaces.
"Whether you’re an employee, a manager or an employer, it’s vital that everyone feels confident that their workplace approaches pay in a clear and consistent way.
"This isn’t about paying everyone more; it’s about using objective criteria and transparent pay scales to ensure the whole team understands how decisions about reward and recognition are made and what they can do to access higher pay.”
The new resource, created for BVA members as part of its Good Veterinary Workplaces campaign, includes information for veterinary employers on the benefits a clear pay structure can bring for the whole team.
It demonstrates the positive impact transparency around reward and recognition can have on employee fulfilment and retention, and outlines the legal requirements of employers to ensure that pay is equitable.
It also offers tips for employees and managers for approaching conversations about pay and emphasises the importance of considering ‘total reward’ during these conversations.
Total reward is the entire sum of a job’s offering including, but not limited to, salary, commission structure, benefits package, CPD, work/life balance, promotion opportunities, travel expenses, accommodation, and so on.
Malcolm added: “We know that pay can be a fraught, and even somewhat taboo, subject but it is one that we all have a responsibility to tackle if we want to ensure that veterinary professionals are fairly rewarded for their work.
"We hope that this new guide will support all our members and equip them with the knowledge required to ensure they can confidently navigate conversations about pay.”
https://www.bva.co.uk/talking-pay
Zoetis has announced the availability in the UK and Ireland of Poulvac IBQX, the first specific vaccine against the QX strain of the infectious bronchitis virus.
For the past two years the vaccine has only been available with a special import certificate from the Veterinary Medicines Directorate for use on flocks where the QX virus has been isolated.
According to the company, this variant IB strain has been an increasing problem in European countries over the last 10 years and was first seen in the UK in South-East England in 2007. Since then QX has been isolated from a number of commercial layer and broiler flocks, leading to inferior performance and increased mortality.
James Porritt, Zoetis Poultry Manager for the UK and Ireland said: "Poulvac IB QX adds another protection dimension to our extensive IB vaccine portfolio. The Zoetis IB portfolio offers the widest choice and with Poulvac IBMM + ARK we have the UK's only bivalent live vaccine licensed for day-old use providing a Massachusetts strain and protection against 793/B/91 variant type strains lasting for six weeks post vaccination. Other IB Vaccines include Poulvac H120 and the UK's only other bivalent live vaccine Poulvac IB Primer."
Poulvac IB QX vaccine is based on a live attenuated virus and is administered as a coarse spray to broilers from day-old and to layer pullets or broiler breeders from seven days of age. Protection has been demonstrated by challenge study to last for 63 days after vaccination.
Zoetis says the vaccine is often used on the farm, but can be administered to chicks at the hatchery if adequate controls are in place to avoid spread to other chicks that will be moved to non-QX exposed flocks.
Dr Stuart Andrews, Poultry Veterinary Manager for Zoetis said: "In countering the QX virus strain some existing vaccines have been used to provide a degree of cross-protection. However, it is important to appreciate that Poulvac IB QX is a vaccine homologous to any IB QX field strain and so will provide even better protection.
"Furthermore, our in-house PCR and DNA sequencing service allows us to monitor carefully the field situation to ascertain which IB strains are currently causing field outbreaks and enable us to recommend adaptations to particular vaccination programmes.
"The full approval for the Poulvac vaccine will make it easier and more effective to tackle specific QX infections without having to apply for an import certificate."
Stephen has been an elected member of RCVS Council since 2012, having previously been an appointed member of Council representing the Royal Veterinary College between 2001 and 2009.
In 2016 he was re-elected to Council to serve a further four-year term and currently chairs the Legislation Working Party.
Stephen graduated from Cambridge in 1980 and subsequently spent time as a large animal practitioner. After undertaking further training in equine surgery and diagnostic imaging at the University of Liverpool, he studied for a PhD at the Royal Veterinary College (RVC) before returning to Liverpool as a Lecturer in Equine Orthopaedics.
He went back to the RVC in 1993 to concentrate on equine clinical services and, in 1997, became Head of the Farm Animal and Equine Clinical Department. He was appointed the RVC’s Vice-Principal for Teaching from 2000 to 2013, Deputy Principal from 2013 to 2017 and currently holds the post of Senior Vice-Principal.
Addressing the need for a learning culture in his speech Stephen said: "Veterinary graduates have never had greater knowledge and technical skills than those graduating this year. But this can make their job so much harder when the certainty of scientific knowledge is confronted with the uncertainties of the sick animal, and the increasing number of possibilities for treatment have to be weighted alongside ethical and economic considerations.
"Of his age, but also prophetic of our age, the philosopher Bertrand Russell commented that 'habits of thought cannot change as quickly as techniques with the result that as skill increases, wisdom fails'.
"So it is important that our young professionals are well-prepared in terms of professional, non-technical skills to cope with the sheer variety of challenges that they encounter, and we, as a profession, within our professional model, provide a nurturing learning culture rather than the blame and cover-up culture that the current emphasis on external regulation fosters, so pervasively and distressingly."
Stephen added that his other priorities would be working with the British Veterinary Association and other stakeholders to uphold the College’s first Brexit principle that 'vital veterinary work continues to get done', a project on graduate outcomes, which flows from the Vet Futures project, and the Legislation Working Party.
The RCVS Inspiration Award is for a veterinary surgeon or veterinary nurse who has demonstrated the ability to inspire and enthuse others consistently throughout his or her career.
The award is open to those who have inspired and motivated individuals or groups or who have worked at a profession-wide level. It will recognise those who have gone 'above and beyond' what may normally be expected from a professional colleague or tutor.
The RCVS Impact Award is for a veterinary surgeon or veterinary nurse who has made a considerable impact that has affected the profession, animal health or welfare, or public health. Such impact could have been made through any field of veterinary endeavour, including clinical practice, research, education or veterinary politics.
Chris Tufnell, Senior Vice-President of the RCVS, said: "I am very excited to be introducing these two new awards for those veterinary surgeons and nurses who go above-and-beyond the call of duty for the benefit of their profession, animals and society as a whole.
"I am keen to emphasise that these two new awards are relevant for veterinary professionals from all walks of life and any stage of their career – these are not life-time achievement awards but are for those making a tangible difference whether that’s in their practice, their region or across the country as a whole.
"If you know someone like this then I would strongly encourage you to find out more on our website and fill out a nomination form."
These two awards join four others made by the College:
Nominations for all six honours are now open. Nomination forms and guidance notes can be downloaded from www.rcvs.org.uk/honours and any questions can be directed to Peris Dean, Executive Secretary, on p.dean@rcvs.org.uk.
The deadline for making nominations is Friday 22 September 2017.
Novartis Animal Health Inc. has completed an agreement with Luitpold Pharmaceuticals, Inc. that grants marketing rights for Adequan® Equine to Novartis in all major equine markets outside the U.S. The first launch of Adequan® Equine by Novartis will take place in Canada in June.
Adequan® Equine is indicated for treating joint dysfunction and lameness in horses caused by injury or degenerative problems. It is available for intramuscular and intra-articular administration. Adequan® is also indicated for treating joint dysfunction and lameness caused by injury or degenerative problems in dogs.
Mickey McDermott from Novartis' Communications Dept told VetSurgeon that the timing of Adequan's arrival in the UK depends on how long it takes to complete the registration transfers, but that the company hopes it'll be before the end of the year.
Veterinary nurse Beverley Burnett has launched North East CPD, a new CPD provider in the North East of England.
Beverley said: "It's not always time- or cost-effective to have to travel far and wide for courses, sometimes overnight, leaving surgeries short-staffed, and what with increasing travel costs, I decided to provide courses further North.
"Courses for both veterinary surgeons and veterinary nurses start in October. Our lecturers are all very experienced professionals, qualified to the highest standard within their chosen speciality, giving you the opportunity to receive only interesting and up-to-date courses.
"Our aim is to help you develop your knowledge and skills, whilst enjoying a relaxed and friendly environment, at an affordable rate."
To find out more about current and future courses, and how to book, visit http://www.ne-cpd.co.uk/ or email: info@ne-cpd.co.uk
North East CPD is curently offering a 10% discount on your first booking!
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.
There are 15 candidates contesting six places in the RCVS Council; 16 if you include the perennial Dr Lonsdale. Three are existing Council members eligible for re-election and the remaining 13 candidates are not currently on Council:
Ballot papers and candidates’ details are due to be posted to all veterinary surgeons eligible to vote during the week commencing 13 March, and all votes must be cast, either online or by post, by 5pm on Friday 28 April 2017.
Once again the College is inviting members of the profession to ‘Quiz the candidates’ by putting their questions directly to all those standing for election. Each candidate will then be invited to choose two questions to answer from all those received, and produce a video recording of their answers. Recordings will be published on the RCVS website on Thursday 16 March.
The biographies and statements for each candidate in the elections can be found at www.rcvs.org.uk/vetvote17.
Eleanor Ferguson, RCVS Registrar, said: "This year we will be publishing the candidate biographies and statements online ahead of the start of the official voting period. This is to allow both veterinary surgeons and veterinary nurses to be better informed about the candidates and their reasons for standing before they put their questions forward.
"We would strongly encourage all members of the professions to review the candidate profiles and pose questions for them to answer. We hope it will spark some interesting debates about how the profession is regulated."
You can email your question (NB only one per person) to vetvote17@rcvs.org.uk, post it on the College’s Facebook page (www.facebook.com/thercvs) or on Twitter using the hashtags #vetvote17, by midday on Monday 27 February.
Vets4Pets says research has shown that 28% of cats between 11 and 15 years show at least one clinical sign of cognitive dysfunction, with this figure increasing to 50 per cent in cats over 15 years of age1.
The prevalence in dogs is also reported to be significant, with some estimates indicating that 28% of 11- to 12-year-old dogs and 68% of 15- to 16-year-old dogs are showing clinical signs of the condition2.
A 2010 study, which used data from pet owner questionnaires, also estimated that the prevalence of cognitive dysfunction was 14.2% in dogs over the age of eight years, yet only 1.9% of older dogs were clinically diagnosed with the condition3.
The survey of 2,000 owners, which was conducted for Vets4Pets by market research company OnePoll, found that half would not be confident identifying the early indicators of cognitive dysfunction, namely: confusion, anxiety, restlessness, and a decreased desire to play.
62% said they would put any significant behavioural changes in their pet down to them getting old, and more than three in five admitted they can find it difficult to understand the signs of when they should be taking their pet to visit the vet.
Up to 33% delay taking their pet to the vet as they worry they might get bad news
However, 35% said they have or will increase the number of routine visits to the vets as their pet gets older.
Dr Huw Stacey, Director of Clinical Services at Vets4Pets said: “It is only natural that many pet owners can have apprehensions about bringing their pet along to the vets, which is just a testament to how much they care.
"But this is also why it’s incredibly important that we as an industry have the expertise and training needed to properly support pet owners with this diagnosis."
“Our ultimate goal is to help educate vets and nurses across the nation and empower them in their decision making when diagnosing elderly pets, as well as helping pet owners to care for their pets so they live a longer, healthier and happier life.”
As part of its campaign, Vets4Pets has sponsored a free CPD webinar in which Dr Sarah Heath, RCVS and European Veterinary Specialist in Behavioural Medicine (pictured right), considers ways in which the veterinary profession can improve the detection of this condition, enabling them to offer practical advice and support for senior pets and their owners.
The recording consists of a 45-minute webinar and a 15-minute Q&A session which will be available for anyone to watch for a year.
To watch the webinar, visit: https://vimeo.com/684610594/3d9d258bcb.
References
The article argues that as the equine influenza (EI) vaccine supply returns to normal, there is sound scientific evidence why bi-annual vaccination schedules should be re-implemented promptly.
Whilst the scale and number of outbreaks has been relatively small since the introduction of mandatory EI vaccination by most competitive equestrian disciplines in the 1980s, disease events such as those experienced in the UK in 1989, 2003 and most recently in 2019 have demonstrated EI’s epidemic potential, even in vaccinated horse populations.
In their article 'Equine influenza bi-annual boosters: what does the evidence tell us?' Victoria Colgate and Richard Newton discuss what has been learnt from previous outbreaks and explain the evidence from mathematical models to show why bi-annual boosters are beneficial.
The authors say that epidemiological data from previous natural EI outbreaks have repeatedly demonstrated the impermanent nature of the protection provided by vaccination and observational field studies have repeatedly highlighted the potential for 12-monthly boosters to leave a vulnerable immunity gap at both the individual animal and population level.
Mathematical models of EI transmission confirm that six-monthly rather than annual EI booster vaccinations are preferable to establish and maintain effective population level immunity to EI.
Ideally vaccine strains should be updated in a timely manner to ensure inclusion of the most epidemiologically-relevant strains, however, this is a slow and expensive process for equine vaccine manufacturers.
In the absence of updated vaccine strains, bi-annual vaccination is strongly recommended to help compensate for antigenic drift between vaccine and circulating EI viral strains
Professor Celia Marr, Editor of the EVJ said: “Although the recent EI vaccine shortage has necessitated a temporary relaxation of competition vaccine schedules, we must now renew the message that six-monthly boosters are optimal and necessary.”
The Editorial can be found at https://beva.onlinelibrary.wiley.com/doi/10.1111/evj.13898 and is free to view.
Two related articles can be found here: https://beva.onlinelibrary.wiley.com/doi/10.1111/evj.13874 and here: https://beva.onlinelibrary.wiley.com/doi/10.1111/evj.13885
Merial has launched a limited trial pack version of Equioxx® (firocoxib), the company's COX-2 specific NSAID for horses, which contains 10 tubes of the oral paste.
According to the company, Equioxx is the only equine NSAID that is highly COX-2 selective, acting to reduce pain and inflammation whilst preserving the natural physiological effects of the COX-1 enzyme, at therapeutic levels.
The company also claims that field studies have confirmed that firocoxib is highly effective at controlling pain and improving function in horses with chronic osteoarthritis.
Jim Tipp BVSc MRCVS, partner at Shropshire based Fyrnwy Equine Clinics said: "As a COX-2 specific NSAID it is not only a good analgesic, but is also an excellent anti-inflammatory. In addition, the COX-1 sparing properties of Equioxx are beneficial where there is increased risk of ulceration."
Equioxx is also available as a low dose injectable solution. For more information contact Merial Customer Services on 0870 6000 123.
The trial is the result of a six-week consultation held by the College in June 2016, asking for the profession’s views on a proposed new system of CPD - one that concentrates less on hours logged and more on interactive, reflective learning and measuring the impact that CPD has on the individual’s practice and patient health outcomes.
The College says that while an overall majority of the 3,357 people who responded to the College’s consultation agreed with the proposed changes to the CPD requirement, certain elements received less support than others. The lowest amount of support was received for the ‘reflection’ component with 35% of respondents disagreeing with it.
The RCVS Education Committee and VN Council therefore agreed that a pilot of a new outcomes-based approach should be held during 2017 before making a recommendation to RCVS Council. The RCVS Council approved this proposal at its meeting on 10 November 2016, after which 117 volunteers were recruited, 60 of whom were able to attend the training days.
A veterinary surgeon who signed up for the pilot and works in veterinary industry, Gina Dungworth, said: "I really appreciate the acknowledgement of non-clinical CPD practices, and while I was originally sceptical of the proposed system the pilot day has so far been clear and helpful."
A veterinary nurse volunteer, Lindsey Raven Emrich, said: "CPD is such a varied part of a veterinary professional’s career, and it very much depends on the person how easy it is to do. I find myself doing a lot of reflection as a natural part of reading articles, and I’m hoping this new system will expand that way of thinking into other areas of CPD."
The volunteers will now pilot the new proposed system and report to Education Committee, VN Council and RCVS Council.
The extension will triple the size of the hospital's waiting room and nearly double the number of consultation rooms to seven, including one cat-only consult room and a cat-only waiting area.
The work to improve facilities for felines will also enable NWVS to apply for the International Society of Feline Medicine (ISFM) gold award.
Clinical director Prue Neath said: “This work will serve to further enhance the modern facilities we have on offer and add to our wide range of cutting-edge equipment which is all aimed at delivering the very best of care and treatments to our pet patients.
“We are always looking to expand our expert team and recruit new specialists, clinicians and vet nurses, as well as extending our in-house opportunities for residents and interns to fulfil their veterinary ambitions.
“This work will be another piece in the jigsaw which allows us to meet those ambitions, both in terms of the care we deliver to pets and the opportunities we offer to outstanding clinicians.”
www.nwspecialists.com
Photo: Sarah Hardy, client services team leader at NorthWest Veterinary Specialists
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.
The Waltham Centre for Pet Nutrition has announced new research - published in BMC Vet Research1 - which examined the progression of periodontal disease in miniature schnauzers and found that without effective and frequent oral care, dental disease developed rapidly and advanced even more quickly with age.
Over the course of 60 weeks, full mouth examinations were conducted on 52 miniature schnauzers ranging in age between 1.3 and 6.9 years. Prior to the study, each dog had a regular oral care routine that included tooth brushing. This was suspended a week before the initial dental assessment. Of the 2,155 teeth examined, all entered the study with some level of gingivitis, while only 23 teeth entered with periodontitis.
Every 6 weeks, levels of gingivitis and periodontitis were assessed around the whole surface of each individual tooth by measuring periodontal probing depth, gingival recession and furcation exposure. Teeth were assessed for the level of gingivitis (scored between 0 and 4) and periodontitis (PD1 - up to 25% attachment loss and PD2 - between 25 to 50% attachment loss). Teeth from only one dog in the study did not progress to periodontitis.
Researchers found that, without regular oral care, the majority of dogs developed the early stages of periodontal disease within six months and dogs above the age of four developed periodontal disease even faster. The degree to which periodontal disease progressed varied based on the type of tooth and location on the tooth.
Furthermore, the study showed that periodontitis developed regardless of the visible signs of gingivitis, which had previously been believed to reliably precede it. Therefore while a visual inspection may be sufficient to detect a disease like gingivitis, it is not useful in detecting the onset of periodontitis and may not reveal the areas at greatest risk for dental disease.
Dr Stephen Harris, leader of the oral care team at WALTHAM, part of Mars Petcare said: "We all want to do the very best for our pets' health, and the study showed us that there's more than meets the eye when it comes to small dogs' oral health.
"Some pet owners "lift-the-lip" and look at a dog's gums to get a sense of its oral health, but this research shows they could be missing important early signs of dental disease. The findings should encourage all dog owners to establish an oral care routine that consists of regular tooth brushing supplemented with dental chews and veterinary checks. It's important for all dogs, but we know that small dogs like miniature schnauzers are at an even higher risk of developing severe dental problems."
Reference:
The event offers over 80 hours of CPD across seven streams – with everything from hypotension and sepsis to breaking bad news to clients – as well as world-renowned speakers and networking opportunities.
Søren Boysen from the University of Calgary in Canada and Sophie Adamantos from Paragon Referrals in Wakefield, are among several high-profile speakers at this year’s Congress.
Chief Executive for GB Snowsport, Victoria Gosling OBE, will open Congress as keynote speaker where she’ll focus on perseverance, resilience and teamwork.
Also speaking are Prof. John Williams, Richard Casey, executive director at the World Small Animal Veterinary Association and VDS trainer Elly Russell.
Arlene Connor, an RVN and head of clinical operations at Vets Now and IVC Evidensia has planned the programme alongside national ECC lead Dan Lewis (pictured right).
She said: “We’re so excited to be returning to the Royal Armouries for our 19th Vets Now ECC Congress – around a theme which celebrates us all being together again.
"The past two years have been a challenge for all of us in the veterinary professions and we hope to mitigate that with a return to face-to-face learning and networking, as well as the chance to have some fun.
"Events like this can be hugely inspirational — for the organisers as well as the attendees — and we truly can’t wait to welcome everyone through the doors like old times.”
Dan added: “There’s a brilliant line-up of live speakers, workshops, a packed exhibition hall and more opportunities than ever for delegates to meet old friends and make new ones, as well as to learn from some of the world’s leading veterinary experts discussing emergency and critical care.
“Our programme again this year has been carefully tailored to provide an inclusive learning experience for vets and vet nurses no matter what stage they’re at in their career, from students through to specialists.
Tickets range in price from £45 + VAT for exhibition-only tickets, up to £470 + VAT for a vet to attend for 2 days plus the Gala dinner.
To book your ticket, go to www.vets-now.com/congress2022
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.”
Reference
Her Royal Highness The Duchess of Cornwall made her first visit to the RVC's Camden campus today, in her role as patron of the College's charity, the Animal Care Trust.
The Duchess became Patron of the Animal Care Trust in 2005, and was visiting to see how funds raised by the charity help to provide cutting edge equipment for the College's hospitals, provide assistance to the College's research teams and support the commitment to excellence in veterinary education.
During the tour of the Beaumont Sainsbury Animal Hospital (BSAH), the Duchess saw how donations from the ACT have helped to purchase laparascopic surgical equipment enabling the hospital to provide key-hole surgery for routine neutering procedures, bringing welfare benefits to the animals and allowing students to develop their first-day skills needed in veterinary practice.
The Duchess also met the specialist exotics team that forms part of a newly launched Small Animals Referral Service based at the BSAH and which receives funding from the ACT.
Professor Stuart Reid, Principal of the RVC, said: "The generous donations to the ACT are invaluable in helping us to deliver the best possible care to our patients and world-leading veterinary education to our students. We were delighted to welcome The Duchess of Cornwall to our teaching hospital in Camden so that she could see just how much of an impact these donations have on the work that we do."
As well as spending time in the hospital the tour also took in the RVC's anatomy museum where the Head of Anatomy Service at the College, Andrew Crook MBE, demonstrated how an investment from the ACT in plastination facilities is helping the College to preserve valuable anatomical samples in a form that can be handled by students without fear of decomposition.
The visit finished with a reception, where supporters and donors of the Trust, as well as some of the College's students had the chance to meet the Duchess.
The RVC says that until now, there has been little reliable evidence on the frequency and severity of syringomyelia in the overall dog population, which has limited veterinary surgeons’ ability to diagnose and manage the condition.
It's not just syringomyelia for which there is a lack of data. Scientists have for years struggled to identify the true extent and severity of diseases seen in the wider general dog population because the main source of veterinary health data on dogs has come from universities and referral hospitals.
While this referral data is useful, the types of animals and conditions that are referred to these referral centres is unrepresentative of the wider dog population, making it very difficult to extrapolate any findings to the general population. The vast majority of animals are managed perfectly well by the primary vet practitioners without ever being referred or even being ill at any one time.
However, through VetCompass, the RVC is now collecting anonymised clinical data from first opinion veterinary clinics across the UK; data which is being analysed to answer a wide variety of previously unanswerable health questions.
The VetCompass syringomyelia study published in the Veterinary Record is a case in point. It highlights for the first time the frequency and severity of syringomyelia seen in general practice in the UK.
At an overall dog population level, syringomyelia is not that common, affecting just one in 2,000 dogs. But among Cavaliers, the frequency of syringomyelia is much higher, affecting one in every 60 of the breed. VetCompass data reveals that almost 2,000 Cavaliers suffer from clinical syringomyelia in the UK at any one time.
Syringomyelia is a severe condition for affected dogs, with the VetCompass study showing that 72% of affected dogs were recorded as showing pain. The study showed that these dogs would often yelp or scream when they were picked up or when their necks were touched. Many of them also showed ‘phantom scratching’ where they would try to scratch at their necks with their hindlegs but without ever even making contact with the skin. Some people refer to this action as ‘playing an air guitar’.
The RVC is urging veterinary surgeons and owners alike to be aware of the symptoms of syringomyelia, so that clinically affected dogs can be recognised and treated earlier and better. Symptoms include:
Dr Dan O’Neill, Companion Animal Epidemiologist at the RVC, said: "I loved being a first opinion practice vet for over 20 years where I could help animals on a one-by-one basis. But now, with VetCompass, we can help animals by their thousands. An example is this syringomyelia study which may lead to many affected dogs getting treatment much earlier and therefore making their lives so much better."
Professor Holger Volk, Professor of Veterinary Neurology and Neurosurgery, said: “These VetCompass data are an eye-opener; we very frequently see Cavaliers with clinical signs of syringomyelia at RVC’s referral hospital but now we know how common it is in the real world, outside of the referral world."
Dr Ludovic Pelligand, Senior Lecturer in Clinical Pharmacology and Anaesthesia, said: “VetCompass allows us to identify how Cavalier King Charles affected by syringomyelia are treated for pain every day, nationwide. This will help us to understand optimal management and we are currently working on new ways to monitor pain and working towards developing new treatment options to further improve their pain relief and quality of life in the future".
The course offers veterinary surgeons and students six hours of CPD covering the five stages of EBVM and an overview of its evolution.
Users can progress through the six modules in order, or dip in and out of individual sections to deepen their knowledge in particular areas. The course includes a number of practical examples and quizzes, and there's a certificate of completion at the end.
The course can also be used as a reference tool for specific aspects of EBVM, such as how to search the literature effectively.
RCVS Knowledge says the new release of EBVM Learning has been well received by veterinary surgeons and nurses who helped test the course. Lucie Goodwin MRCVS said, simply: “This course is excellent.” Chris Gush, Executive Director of RCVS Knowledge (pictured right), said: “This fresh iteration of our EBVM Learning course is the culmination of a huge amount of committed work from an international network of leaders in EBVM, and we are proud to launch it on our new, accessible platform RCVS Knowledge Learn. The course constitutes an important way in which the charity supports all veterinary practitioners to advance the quality of care they provide through evidence-based veterinary medicine, regardless of their role, location or background.”
EBVM Learning can be accessed for free at http://learn.rcvsknowledge.org/ebvm-learning
A Pet Obesity Task Force, the first of its kind in the country, has been launched at the European Pet Obesity Conference, hosted by Hill’s Pet Nutrition to help tackle the growing number of obese and overweight pets and put in place strategies to help overcome the condition.
The Task Force hopes to raise awareness of the growing health implications of obese and overweight pets, such as diabetes and osteoarthritis. The fact that pets are obese or overweight is often overlooked by owners and the group also aims to encourage them to identify weight problems and seek appropriate advice from vets.
Mark Evans, chief veterinary adviser at the RSPCA, who will be sitting on the board, comments: “We’ve been trying to treat and prevent pet obesity for 20 years, but the problem hasn’t gone away. In fact it seems to have got worse despite everyone’s efforts. It’s incredibly frustrating. So, is there any point in fighting on in the same old way if we’re not winning the battle?
“Let’s take a step back, review our knowledge, re-evaluate our approaches, think outside the box and innovate. What could we learn from social scientists, human psychologists and others engaged in trying to tackle the very same problem in people – especially children?”
Members of the Pet Obesity Task Force include:
Mark Evans, chief veterinary adviser, RSPCA BVetMed MRCVS Professor John Innes BVSc PhD CertVR DSAS(Orth) MRCVS Professor Danielle Gunn-Moore BSc BVM&S PhD MACVSc MRCVS Daniel Chan DVM DipACVECC DipACVN MRCVS Nicola Ackerman BSc(Hons) RVN Cert SAN MBVNA Rachel Casey BVMS Dip(AS)CABC MRCVS Dr Ian Campbell GP Mike Jessop BVetMed MRCVS Dr Jacques Debraekeleer DVM, DipECVCN Simon Wheeler Head of marketing at Petplan
Animalcare has announced that a new indication for chronic renal insufficiency in cats has been approved in the licence for Benazecare 5mg.
Benazecare is a POM-V ACE (angiotensin converting enzyme) inhibitor containing benazepril hydrochloride, which was originally launched in the UK in 2007 for the treatment of congestive heart failure in dogs.
For more information, contact Animalcare at www.animalcare.co.uk
MDC Exports has launched the Soft E Collar in a small size suitable for rabbits.
According to the company, the Soft E Collar provides an effective barrier to a treatment area while ensuring an animal can eat, drink and sleep in comfort. It allows free movement of the head, neck and body so an animal can carry on as normal, being less likely to get depressed during recovery.
MDC says that unlike a traditional 'Elizabethan' collar, the Soft E Collar is flexible, lightweight, can withstand chewing, folds flat for easy storage and springs back into shape when needed.
Sandra & Steve Ayers, RSPCA Rabbit Rehoming, Reading Branch said: "We fitted the collar for a few days on a newly spayed rabbit. It didn't appear to get in the way when she was feeding and looked less cumbersome than the traditional plastic buster collars."
Melvyn Driver, Managing Director of MDC Exports said: "The design of our Soft E Collars has proved to provide great relief for dogs and cats post op, giving them a better quality of life at a difficult time. We're delighted that vets and rabbit welfare officers are championing the Soft E Collar too, as rabbits deserve the best care too."
For more information about the Soft E Collar, visit www.mdcexports.co.uk.