The Disciplinary Committee of the Royal College of Veterinary Surgeons has postponed judgment on sanction for 12 months in the case of a Hampshire veterinary surgeon found guilty of serious professional misconduct for cumulative failures to provide adequate professional care, and insufficient regard for animal welfare whilst treating a dog.

At a hearing which concluded last Thursday, Peter Ardle MacMahon MRCVS faced a six-part charge after working as a locum for Vets Now at North End in Portsmouth where, on the night of 14/15 July 2009, he treated Wilfred, a Cocker Spaniel who had ingested broken glass along with raw mince. 

The Committee found that, having decided that surgery was an appropriate treatment, Mr MacMahon had not removed the glass identified on a radiograph. Nor had he even superficially searched the stomach contents he had evacuated to check that a large piece of glass he had previously identified on the radiograph had been removed. He had also not taken adequate steps to prevent contamination of Wilfred's abdominal cavity prior to the incision to the stomach.

Mr MacMahon admitted he knew there had been considerable spillage of stomach contents into Wilfred's abdomen. The Committee found that, with this knowledge, for Mr MacMahon to use only 250ml of fluid to lavage the abdomen was inadequate. This contributed to the Spaniel developing chemical peritonitis which might have developed into septic peritonitis but for a second operation the next morning, after the dog had been returned to the care of his usual veterinary practice. The Committee also expressed concern that Mr MacMahon had failed to effectively communicate the abdominal contamination to Wilfred's usual vets when he was handed back into their care. 

Taken as individual allegations, these would not, in the opinion of the Committee, constitute serious professional misconduct. However, the Committee was of the view that, taken cumulatively, the charges were proved, and therefore the treatment given to Wilfred, fell far short of the standard to be expected in the profession.

When considering mitigating and aggravating factors, the Committee accepted that Mr MacMahon and the veterinary nurse assisting him were unfamiliar with the premises in which they were working, resulting in a difficulty in locating important equipment, and there were also multiple urgent cases during the evening the operation took place. The Committee also noted that 17 months had passed since the operation, and no further complaints against Mr MacMahon had been received by the RCVS.

The Committee further took into account that Mr MacMahon had little recent experience, having returned to practising veterinary medicine in January 2009, following almost ten years spent outside the veterinary profession. During this hiatus he undertook no continuing professional development (CPD), and completed only a five-week period of supervised practice prior to re-entering the profession. 

Mrs Caroline Freedman, Chairman of the Disciplinary Committee said: "The Respondent placed himself in this situation: he knew that he had been out of practice for ten years, had not done any formal CPD during that time and chose to accept an appointment to work as a locum in a sole-charge out-of-hours emergency clinic. A foremost aggravating factor is that animal welfare was adversely affected. A non-critical patient was placed at risk by the Respondent's failures."

The Committee reiterated that the purpose of sanctions was not to be punitive, but to protect animal welfare, to maintain public confidence in the profession and to maintain professional standards.  "A postponement of judgment, with suitable undertakings from the Respondent, is the correct course of action," said Mrs Freedman. Mr MacMahon has subsequently signed undertakings relating to CPD in both surgical and medical disciplines, and the Committee has postponed for 12 months its judgment as to any further sanction.

A new study published in Scientific Reports has found that machine learning has the potential to improve veterinary surgeons’ ability to diagnose herd mastitis origins accurately and reduce mastitis levels on dairy farms.

The study, which was led by Robert Hyde MRCVS from the School of Veterinary Medicine and Science at the University of Nottingham, aims to create an automated diagnostic support tool for the diagnosis of herd level mastitis origin, an essential first step of the AHDB mastitis control plan. 

Mastitis data from 1,000 herds’ was inputted for several three-month periods. Machine learning algorithms were used to classify herd mastitis origin and compared with expert diagnosis by a specialist vet. 

The machine learning algorithms were able to achieve a classification accuracy of 98% for environmental vs contagious mastitis, and 78% accuracy was achieved for the classification of lactation vs dry period environmental mastitis when compared with expert veterinary diagnosis. 

Robert said: “Mastitis is a huge problem for dairy farmers, both economically and in welfare terms. In our study we have shown that machine learning algorithms can accurately diagnose the origin of this condition on dairy farms. A diagnostic tool of this kind has great potential in the industry to tackle this condition and to assist veterinary clinicians in making a rapid diagnosis of mastitis origin at herd level in order to promptly implement control measures for an extremely damaging disease in terms of animal health, productivity, welfare and antimicrobial use."

Reference

1. Hyde, R.M., Down, P.M., Bradley, A.J. et al. Automated prediction of mastitis infection patterns in dairy herds using machine learning. Sci Rep 10, 4289 (2020). https://doi.org/10.1038/s41598-020-61126-8

The Royal Veterinary College has announced the appointment of Professor Stuart Reid as its new Principal and the successor to Professor Quintin McKellar.

Professor Reid BVMS, PhD, DVM, DipECVPH, FRSE, MRCVS, joins the RVC from the University of Glasgow, where he was Professor of Veterinary Informatics and Epidemiology and Head of the School of Veterinary Medicine.  He will take up his new role on 1st January 2011.

Professor Reid began his career in 1987 as an Assistant Veterinary Surgeon before joining the University of Glasgow as a Clinical Research Scholar in 1988. In 1992 he assumed the role of Post Doctoral Research Fellow at the University and was promoted to Senior Post-Doctoral Research Fellow in 1994. He was appointed to the first joint Chair between the Universities of Strathclyde and Glasgow in 1997, as Professor of Veterinary Informatics and Epidemiology. In 2004 he became Associate Dean of Research and, in 2005, he became Dean of the Faculty of Veterinary Medicine at the University of Glasgow.

"I am delighted and honoured to be joining the Royal Veterinary College at this important time." said Professor Reid. "The RVC has an enviable heritage and is a world leader in terms of its innovation and leadership in veterinary education, research and clinical service. I recognise that I am enormously privileged to be moving from a great School to a great College and I look forward to building on the successes achieved by RVC under Principal McKellar at the same time as rising to the challenges of a new funding environment."

Professor Quintin McKellar was appointed Principal in August 2004. He leaves the RVC to take the post of Vice-Chancellor of the University of Hertfordshire.

Chairman of the RVC Council, The Right Hon the Baroness Shephard of Northwold, said: "Great strides have been made under Professor McKellar's dynamic leadership, and I am sure I speak for all at the College when I say we will be sad to see him go.  We look forward to welcoming Professor Stuart Reid, and firmly believe that his experience and distinguished academic record will assist the Royal Veterinary College in strengthening its position over the coming years."

TVM had announced that its annual Pet Eye Health Awareness Week will take place from 22nd-28th September this year, focusing on brachycephalic pets which are particularly prone to eye problems. 

To help practices make the most of the week, TVM is providing waiting room displays, client leaflets, social media packs and online information to help educate pet owners on the symptoms of poor eye health.

The company will also be holding an webinar for vets and nurses which will be published during the week.   

Will Peel, Product Manager at TVM said: "Eye problems in pets are common and brachycephalic breeds are particularly prone to them due to a number of compounding factors. 

"They commonly suffer from corneal ulcers and are nearly four times more likely to develop dry eye than other breeds, so Pet Eye Health Awareness Week is focused on helping pet owners understand the issues, identify eye problems early and seek veterinary advice quickly". 

www.tvm-uk.com/eyehealth

Vetoquinol has just launched its Marbocyl 10% online case study competition in which veterinary surgeons are being invited to provide information about how they treat E.coli mastitis. Two winners (one in the UK and one in Ireland) will win a BCF EASI-SCAN cattle ultrasound scanner with goggles worth over £6000. 

Vetoquinol's large animal product manager, Susan Mitchell said: "We hope that this case study competition will help us gather further information on how E.coli mastitis is treated by veterinary surgeons in the UK and Ireland.  I would encourage large animal veterinary surgeons to be part of this UK and Irish survey to highlight the severity of the disease and share their success stories." 

The competition will run until the end of October 2011.

For your chance to win a BCF EASI-SCAN and goggles visit http://www.vetoquinol.co.uk/.

Barrettine Environmental Health has launched MiteMax, a new treatment for poultry red mite (PRM) with a physical mode of action. 

Charles Phillips from Barratine said: "PRM poses a significant threat to laying hens particularly, with infestation costing the UK egg industry in excess of an estimated €3 million per annum through PRM control and lost production. In the UK, PRM is prevalent in varying percentages according to the rearing system used. Caged birds are estimated to have a variable 7.5 to 87.5 % prevalence. Free range systems are estimated to have 60 % prevalence of PRM, with organic systems higher at 78 %. Less intensive systems have a greater prevalence of PRM due to the higher number of cracks and crevices associated with a more enriched environment¹."

MiteMax is applied directly to a shed’s inner surfaces via knapsack sprayer, rendering the surfaces sticky and permanently immobilising red mites that come into contact with them.

According to the company, the new product - which is designed to fit into and encourage integrated pest management practices - provides rapid knock-down of poultry red mite.

Charles added: "The physical mode of action of MiteMax makes it effective against pesticide-resistant mites. MiteMax is specifically formulated to penetrate surface dust making it highly effective at reaching mites harbouring deep in crevices."

In conjunction with robust cleansing practices, Ian Whelan an expert in physical insect control techniques says MiteMax fits neatly into an integrated pest management style of husbandry: "Using treatments with different modes of action together as part of a flock health plan ensures each one fulfils its potential."

MiteMax is available nationwide from Barrettine Environmental Health's appointed distributors.

Reference

1. Statistics 2009- Exp Appl Acarol 48:3-10. 

Following the Prime Minister’s decision to reintroduce national restrictions across England from 5 November until 2 December 2020, the RCVS has updated its guidance which explains the type of work that can be carried out by veterinary practices under varying government restrictions around the UK during the pandemic.

Generally, veterinary practices may remain open, but there are national variations in what services should be offered and how, including the conditions under which remote prescribing can be used to help support a case.

Wales currently has the tightest ‘firebreak’ restrictions, meaning practices can only provide essential and urgent work until midnight on 8 November 2020, thereafter, returning to usual operations in line with Wales’ standard measures around workplace safety.

England and Northern Ireland are under national restrictions (4 Nov – 2 Dec, and 16 Oct – 12 Nov, respectively), meaning practices can provide treatment essential for maintaining animal health and welfare, along with non-urgent work providing that social distancing measures and safe working can be maintained.

Veterinary surgeons practising in these three countries may also choose to support a case remotely at an earlier stage, for example, through the remote prescribing of POM-Vs without first having conducted a physical examination.

Scotland remains the only country under regional tiered restrictions, meaning practices can continue to provide treatment whilst maintaining social distancing; however, before remote prescribing is offered, veterinary surgeons should first consider whether the animal can be brought under their care.

The full guidance and corresponding flowcharts should be consulted together and are available at www.rcvs.org.uk/covidfaq2and www.rcvs.org.uk/covidfaq4.

An accredited General Practitioner Advanced Certificate (GPAdvCert) in Small Animal Medicine has been launched by Improve International.

The course is aimed at veterinary professionals across Europe who want to advance their knowledge and diagnostic skills, progress their academic qualifications and gain recognition in their field.

The GPAdvCert in Small Animal Medicine is for veterinary surgeons who have already completed a General Practitioner Certificate in Small Animal Medicine (GPCertSAM) or a Postgraduate Certificate (PgC) in Small Animal Medicine.

Accredited by the European School of Veterinary Postgraduate Studies (ESVPS) and validated by Harper Adams University, the programme will be delivered in three, five-day blocks of training by globally recognised experts in three European training centres - Sheffield, UK; Porto, Portugal and Berlin, Germany. The programme includes a practical session in which delegates will perform an upper and lower gastrointestinal endoscopy under the guidance of their tutor.

David Babington MRCVS, Business Development Director of Improve International (pictured right), said: "Delegates attending our first GPAdvCert in Small Animal Medicine will enhance their skills and confidence in dealing with complex animal medicine cases.  Each module will take their knowledge beyond Postgraduate Certificate level with more in-depth and advanced content covering topics as diverse as mycobacterial and ureteric disease. They will also learn how to design a detailed diagnostic plan and build an understanding of nuances in interpreting laboratory findings to enable them to manage cases requiring complex therapeutic management with confidence."

He added: "The qualification is a natural ‘next-step’ for veterinary surgeons wanting to further progress their knowledge of small animal internal medicine.  It will help them to reduce the number of patients which are referred, retaining a higher level of income for their practice and will also provide them with skills which they can pass onto their team."

Improve says the successful achievement of the GPAdvCert will enable delegates to progress from a Postgraduate Certificate in Small Animal Medicine (or equivalent) to the Postgraduate Diploma in Advanced Veterinary Practice Sciences in the UK, which is awarded by Harper Adams University. This can, in turn, be used towards the award of a Masters Degree (MSc) in Advanced Veterinary Practice Sciences.

Congratulations to Kent-based Pennard Vets, an employee-owned, seven-practice group which has become the first veterinary practice in Europe to become B Corp certified.

Certified B Corps are companies that meet exceptionally high standards of social and environmental performance, transparency and accountability.

The process examines a company’s full range of processes, from supply chain to charitable giving and employee benefits.

Other well-known names that have achieved B Corp status include Patagonia, The Body Shop, BrewDog, TOMS, Ben and Jerry’s and Innocent Drinks.

Dr Caroline Collins, from Pennard Vets, said: “We’re extremely proud to achieve B Corp status and there’s no doubt that it will be transformational for the business, in the same way that becoming an employment ownership trust has been.

"Being employee owned and socially minded is a huge draw for vets and nurses seeking a change in their career, who want to be part of an organisation where they can have a real say in the running of the practice and make a tangible difference to the environment.

“It also means that we can now make very long-term decisions, that could even take several decades to pay off, which would be very difficult to do in a traditional shareholder business, and that gives our team the authority to always do the right thing.”

Kit Sturgess, RCVS Specialist in Small Animal Medicine, will present a webinar for vets: “Diagnosis of inflammatory disease in cats and dogs – Getting the most from your practice laboratory?”, on Thursday 2nd March, 7:30 - 9:00pm

In the Horiba-sponsored webinar, Kit will draw on personal experience and case study examples to illustrate how the innovative use of adjunctive tests can support rapid clinical decision-making when triaging patients.

For example, Kit will consider whether inflammation markers such as C-reactive protein (CRP) and serum amyloid A can be used to assess if current signs are likely associated with inflammatory diseases, such as pancreatitis, or whether further investigation is required to determine cause of illness.

Kit will also consider the case of Ollie a 10-year-old German shorthaired pointer presenting as vaguely unwell with reduced appetite.

Is this just a flare-up of his chronic osteoarthritis and likely to respond to pain relief and anti-inflammatory treatment, or something else?

Attendees will be able to questions in a live Q&A session at the end of the webinar.

Horiba's team will also be on hand to answer questions on in-house diagnostics.

For free registration, visit: https://bit.ly/3wGADcm 

The RCVS Disciplinary Committee has dismissed a case against a Kent veterinary surgeon convicted of tail-docking and also charged with misleadingly altering an owner's record relating to tail dockings.

At the outset of the four-day hearing, David Smith, of Lakeview Veterinary Centre, Deal, admitted he had been convicted of an offence of tail docking on 14 December 2010 at the Channel Magistrates Court.

He said that, in 2008, he had misinterpreted the legislation about tail docking and as a result had removed the tails of a litter of 13 Rottweiler puppies. He was subsequently convicted of illegal docking.

Mr Smith also accepted he had altered the owner's record, at the owner's request, when the RSPCA was investigating the circumstances of the docking by adding the words "for law enforcement", but maintained this alteration was to clarify the record to which he had initially added the words "for security selection"; he denied any attempt to mislead, or that he ought to have known it may mislead.

The Committee accepted that Mr Smith misinterpreted the legislation and had taken some steps to satisfy himself that the tail docking was legal, namely: he had asked an employee colleague to make enquires of the College and, as advised, he had downloaded a copy of the AWA 2006 to read and to make his own decision with regard to legality; some enquiry had been made by the practice of the Department for Environment, Food and Rural Affairs (Defra) at Reigate; and, Mr Smith had himself researched dog breeds on the Kennel Club website.

The Committee also accepted that he had asked and been told that the client had previously supplied dogs to the police.

However, the Committee found that these steps were inadequate; in particular, he should have contacted the College and Defra himself and not delegated this to administrative staff. Furthermore, that he should have obtained confirmation of the advice given in writing.

Regarding the alteration of the owner's record, the Committee was satisfied that this annotation was added for clarification. The Committee was not satisfied that the addition 'for law enforcement' altered the meaning of what was already stated on this form, and found the wording confirmed Mr Smith's misapprehension at the time of the legality of the tail docking.

This charge, which alleged that the alteration had been carried out misleadingly, was dismissed. 

The Committee also said that Mr Smith's reluctance to engage with the police and the RSPCA during their later investigation had been regrettable: as a professional he had had a duty to co-operate fully. However, it concluded that this had been "of little probative significance".

The Committee would like to make it clear that it is the responsibility of every practising veterinary surgeon to ensure that tail docking is legal in each and every instance before carrying out the procedure. If there is any doubt, then tail docking should not take place.

In deciding whether Mr Smith was fit to practise, the Committee took into account two previous RCVS Disciplinary Committee findings involving tail-docking.

It concluded these were significantly different. In the first case, the respondent knew that the tail docking he had carried out was illegal. On the contrary Mr Smith had misguidedly believed the docking he carried out was permitted.

In the second case there had been several charges, in addition to the charge of tail docking.  In this case no charges other than those related to tail docking had been alleged against Mr Smith.

It further noted that no issues of clinical competence were raised, and that the dockings were undertaken less than 12 months after the new legislation came into force. 

Speaking on behalf of the Committee, Vice-Chairman Beverley Cottrell, who chaired the hearing, said: "The Committee has expressed its disapproval about Mr Smith's failure to make adequate investigations of the College and of Defra, and his erroneous interpretation of the Act. 

"In reaching its decision, the Committee has paid particular attention to issues of animal welfare, maintaining public confidence in the profession and the upholding of proper standards of conduct.

It has concluded that Mr Smith's conduct fell short of that to be expected of a veterinary surgeon but does not consider that it fell far short." 

After directing that the case should be dismissed, Mrs Cottrell added: "The Committee would like to make it clear that it is the responsibility of every practising veterinary surgeon to ensure that tail docking is legal in each and every instance before carrying out the procedure. If there is any doubt, then tail docking should not take place."

Zoetis has announced the launch of Sileo (Dexmedetomidine hydrochloride), a new prescription-only medicine for the treatment of noise anxiety in dogs. 

Sileo provides a micro-dose of dexmedetomidine hydrochloride, a selective alpha-2 adrenoceptor agonist which Zoetis says helps a dog calm down or remain calm yet fully functional in situations involving fear-eliciting sounds.

Sileo is presented as an oromucosal gel formulation in a 3ml oral syringe that can be used to apply multiple doses.

Zoetis says that its user-friendly application means that, once prescribed, it can be given by the dog owner and used only when needed for each noise anxiety event. It takes effect within 15 - 60 minutes and last for 2-3 hours. Should the fear-eliciting noise continue, further doses can be given at two hour intervals up to a total of five times during each noise event.

The company says that even when the full dosing limit is used, the dog will remain functional during treatment; the clinical effects of dexmedetomidine are dose-dependent and the anxiolytic effect is reached before the sedative effect.

Animal behaviourist, Jon Bowen BVetMed DipAS (CABC) MRCVS, said: "Fear of seasonal loud noises such as fireworks, thunder and gunshots are known to affect around 50% of the UK dog population but the prevalence of fears of other everyday noises and the extent to which those fears contribute to nuisance and problem behaviour in dogs is something we are researching at the moment. Sileo is ideal as an acute anxiolytic for planned or expected events such as fireworks or thunder, but it has an even wider range of potential applications in planned events that involve stressful noise exposure including travel, social gatherings and even visits to the vet."

Sileo is available to order now via your veterinary wholesaler.

For more information contact your Zoetis account manager or customer support on 0854 300 8034 or visit www.zoetis.co.uk/Sileo. 

The RSPCA reports that it has saved nearly 400 animals from flooding, including 40 fish, in the last 3 days alone. 

The koi carp were rescued from a pond in Wraysbury, Berkshire, which was being overcome by rising floodwater.

Other rescues have included:

• 30 chickens
• Five cats rescued from a property and returned to their owner who was evacuated on Tuesday.
• Two cats removed from a property and boarded for the owners.
• Two cats and two people rescued from a house and taken to safety.
• Three chinchillas rescued from a flooded garage and taken to animal center.
• One elderly gentleman found walking in floodwater and returned to safety.
• Fifteen chickens rescued from a scrap yard and boarded by a volunteer.
• Three stray cats rescued. One swimming in flood water ; one rescued from a tree and another found shaking on a doorstep. All given vet treatment.

The charity says its flood rescue team has helped 586 animals affected by floods since Jan, with 386 of those in the last three days alone. Their efforts were praised by Labour leader Ed Milliband yesterday, who was at the scene with an RSPCA water rescue team in Wraysbury.

RSPCA flood rescue co-ordinator Jason Finch said: "The water rescue teams on the ground are doing an amazing job with limited resources. We will continue to do everything we can to help animals, and humans, during this difficult time and are so grateful for all the support our workers have received from the public."

Photograph courtesy RSPCA