The RCVS Disciplinary Committee has struck off a Wiltshire-based veterinary surgeon for charges relating to tuberculin (TB) testing on cattle that he undertook and certified at four farms during June and July of 2010.

At the end of the ten-day hearing, the Disciplinary Committee found Sorin Dinu Chelemen guilty of 32 charges relating to his work as an Official Veterinarian (OV) for Animal Health, while employed as a locum at Endell Veterinary Group, Salisbury. Mr Chelemen, who represented himself at the hearing, disputed all of the charges. He also said he had had poor knowledge and comprehension of written and spoken English at the time, which had since improved.

Mr Chelemen gave the Committee detailed accounts of what he said occurred in relation to the TB testing at all four farms. However, in almost all the points where the facts were denied, the Committee found a stark divergence between his evidence and that given by witnesses for the College.

The Committee was generally unimpressed by Mr Chelemen's account of events, finding many of his allegations and explanations for his actions to be incredible or unreliable. For example, he claimed that during his Animal Health training, he had not been given a copy of the 'Manual of Procedures' containing Standard Operating Procedures (SOPs) for TB testing. Although the Committee accepted Mr Chelemen's English had been poor at the time, leading to communication problems, he had satisfactorily demonstrated that he knew how to perform TB tests in accordance with these SOPs when he started work at the practice. Overall, the Committee found Mr Chelemen's attitude was that he had not done anything wrong and nothing was his fault, and that he had little understanding of the professional responsibilities incumbent on an OV.

By contrast, the Committee considered all the witnesses called by the College to have given clear, credible and consistent evidence. Complaints had been made about three farms that were separate and unconnected, and where the tests had been conducted on different dates. These complaints, if not identical, were very similar. The evidence was overwhelming that Mr Chelemen had not followed the SOPs when carrying out testing at three of the farms.

The Committee noted that the measurements recorded by Mr Chelemen did not show the differences which would be normally expected. Mr Chelemen had not measured the animals in accordance with the SOPs when he knew he ought to have, and he had been dishonest in certifying the tests.

When considering sanctions, the Committee found an aggravating factor was that Mr Chelemen's actions undermined procedures to prevent the spread of disease. In particular, he failed to notify the owners of animals on three farms that he had found reactors or inconclusive reactors, resulting in those animals not being isolated. Nor did he submit paperwork to Animal Health about these animals, which was a fundamental breach of his duties as an OV.

In mitigation, the Committee accepted that Mr Chelemen had no previous RCVS disciplinary findings against him; and, that the OV training he received was limited, having regard to English not being his first language and relative inexperience as a TB tester. It also took into account that this disciplinary case had been in progress for three years, his poor health and his financial and family circumstances.

Mrs Judith Webb, chairing and speaking on behalf of the Committee said: "The Committee is of the view that this is a most serious case, in which the integrity of TB testing was undermined, and animal health was put at risk, which may have resulted in the spread of disease. Furthermore, this case involves findings of dishonesty, which has been held to come at the top end of the spectrum of gravity of disgraceful conduct in a professional respect."

She directed that Mr Chelemen be struck off the Register.

CPD Solutions has launched a PgCert in Small Animal Diagnostic Imaging, which takes 12 months starting in March 2020. 

The new programme includes ten days of practical imaging sessions based at CPD Solutions' training centre in Studley near Birmingham, where participants will develop their existing imaging skills and learn additional techniques that they can use directly in small animal practice.

CPD Solutions says its PgCerts have unique benefits and key differences from other PgCert options available to vets, namely a strong emphasis on practical training (all attendance days are practical, with no lecture days), the way the attendance days are grouped into three sessions for convenience, and the 12 month duration of the programme.

Susie Coughlan, veterinary surgeon and MD at CPD Solutions has 21 years’ experience in providing practical training for vets. ‘Our experience is that vets get the most out of hands-on practical training in a structured and supportive environment, combined with reflective application of their new skills in practice. The new PgCert in Small Animal Diagnostic Imaging follows the same format – all attendance sessions are practical, and the course provides support for developing reflective work based learning that vets can use with all of their patients.’

For more information, contact CPD Solutions on 0151 328 0444 or visit www.pgcert.com 

Hannah Capon MRCVS and her team at Canine Arthritis Management (CAM) have launched the Big September Walks to raise awareness of arthritis in dogs.

People are invited to organise or join a walk to raise money for Canine Arthritis Management and its work to educate both dog owners and veterinary professionals about how even the smallest of changes can help to enhance the life of a dog with arthritis.

CAM highlights recent work from the Royal Veterinary College and University of Sydney through VetCompass, which highlighted some of the biggest welfare challenges facing our pet population including obesity, dental disease and osteoarthritis, with osteoarthritis identified as one of the most severe conditions.

Hannah said: "We need to start more conversations about arthritis; both dog owners and vets need to be more aware of the steps we can take to help prevent arthritis, and where dogs are affected, how we can take positive action to help them live fulfilled and comfortable lives."

Hannah says that arthritis is currently one of the biggest causes of owners choosing to euthanise their dogs, and she hopes that owners taking part in the walks will help spread the word that arthritis can be managed.

To find out more about the Big September Walks visit www.facebook.com/CAMBigSeptemberWalks  

Yeson UK had announced the launch of a new range of autoclaves priced at a point which the company hopes is going to disrupt the marketplace.

The company says the new range performs as well as the leading brands and delivers consistently reliable sterilisation, but at a much lower price point than the market has seen before. The entry level 8 Litre machine retails at £1,100.

The Yeson machines range in size from an 8 litre to a 22 litre capacity and offer quiet Class B operation, 7 pre-set sterilisation programs, B&D Helix testing and a choice of printer or USB reporting.

Yeson UK MD Will Thomas said: "The autoclave market has been dominated by a few major players for many years and until now they’ve been largely unchallenged. Many people are now asking “why should I pay thousands more for a utility machine such as an autoclave? We’re just hoping that we can meet the demand."

For more information, visit www.yeson-uk.com

The BSAVA has shared 18 ways veterinary surgeons can manage time more effectively.

The tips, put together by Tessa Plagis (communication advisor at St. Anna Advies), Alan Robinson (director of VetDynamics) and Rebecca Robinson (coach at VetDynamics and senior clinician in veterinary anaesthesia at the AHT), are being shared to set the scene for Congress 2023, where international experts will be exploring how time management at organisational, systems, teams and an individual levels can lead to drastic improvements in performance, job satisfaction and wellbeing.

The Association points to the demands on the profession caused by the fact that veterinary professionals have been saying 'yes' to everything for years: yes to more clients, more patients and more overtime.

This, says BSAVA, is taking its toll: experienced practitioners and recent graduates are leaving the profession, and many more are suffering mental and physical health issues associated with sustained high stress.

Tessa Plagis, communication advisor at St. Anna Advies, said: “We are at a tipping point and can’t keep doing what we’ve always done. If we want sustainable veterinary businesses going forward we need to change the structure of how we work.”

Tessa says the issues are both organisational and individual: “Many veterinary professionals struggle to give boundaries.

"We are people pleasers and tend to say ‘yes’, even if that means compromising other important aspects of lives, such as family.

"This set against a background of too few vets, which means that there’s nobody to help us out when there’s too much to-do.”

To find out more about time management, book your ticket for BSAVA Congress at: https://www.bsavaevents.com/bsavacongress2023/en/page/home, and in the meantime, here are Tessa, Alan and Rebecca's time management tips. 

Tessa's tips

• Measure what’s happening now. Double appointments, vets running over, late closing time; pinpoint the problem and get insight into its scale by analysing the current situation.
• Measure how long it takes to do routine procedures from start to finish. Is everyone sticking to their roles and fulling utilising their expertise?
• Keep to time in consults by prioritising and not always doing those extras. When a client comes in for a vaccine but also wants you clip claws, empty anal glands and look at a lump, assess which is urgent and what needs to be dealt with in a second appointment. This does need to be a team-wide approach, otherwise you tend to hear ‘but the other vet will do it.’
• Cluster appointments.  For example, have a morning of cat spays rather than bouncing from a dental to a castration to a spay.  It’s more efficient and has the advantage of giving you, and the nursing team, comparable outcomes to monitor, making anomalies easier to spot.
• Learn to say ‘no’. Focus on what is possible, rather than what’s not.  Instead of ‘we’re fully booked today, the next appointment is tomorrow,’ try ‘the next available appointment is tomorrow.’ Don’t rearrange your schedule to fit theirs.  It’s doesn’t work in the long term.
• Introduce firebreaks. A good technique that stems from human medicine accounts for emergencies. Another tip, which requires a team-wide approach.
• Make clients aware of the length of appointments. ‘We’ve booked you in for a 15min appointment at 4pm on Thursday,’ for example.  It sets expectations at the start.

Alan's tips

• Simplify the jobs and their outcomes. In consults, outsource non-clinical elements, to other internal teams. Vets are compassionate and will take on the responsibility for the management of emotions when they don’t have too and without due regard for their own needs.  Compliance is another area which doesn’t necessarily need to fall to the vet.  Multi-functional teams can support and assist, offering an ‘ecosystem of care’.  The financial side of consults can be moved outside of the clinical sphere through pet clubs, insurance and full subscription models.
• Develop efficient systems. Draw from other businesses, lean, six sigma and business design reengineering processes are efficient and proven.  Do things you have to do well, delegate, outsource or automate other elements. Simply stop doing those things you don’t need to do.
• Consider reducing the number of active clients per vet.  We’ve found the optimum is between 500-700.  It means more time with fewer people. While it is hard to say no to the ever-increasing demand, there are ways to develop a strong client base. Healthy pet clubs ensures you’ve clients who are engaged in preventative care and are committed to the well-being of their animals, for example.
  “There’s a lot of work happening in the realm of mental health at the moment,” notes Alan. “But we’re treating stress as an individual problem not an organisational or system one.”

Rebecca's tips

• Set long-term goals for you and your business. One important aspect of effective time management is knowing that you’re achieving the right things.
• Invest in your team. By building a team and using it in a constructive way, I’ve found it’s helped my own time management.  I’ve gone from trying to organise me and my time to realising that by helping others, I can improve my own work life.
• Prioritise your own tasks. By prioritising what I need to do, I can help my team feel more valued and motivated to prioritise what they need to do.  It means we end up with a more productive team.
• Try not to get embroiled into the other’s to-dos. While they might be both important and urgent, it doesn’t necessarily mean that you have to action them. Helping them to do it themselves has made a massive difference to them and me.
• Set SMART goals and boundaries for achieving them. Make sure everybody knows the outcome that you are working towards.  It prevents people from going off in a completely different direction to the one you’re expecting.
• Don’t rely on your head to remember everything. It’s too busy, so write it down. Likewise, draft your case notes at the time of the consultation.
• If it takes less than 2 minutes, just do it. Don’t try and remember the to-do all day, it requires a lot of energy and means you’ll be actioning it when you’re already feeling exhausted.  
• Take time for a little self-care. Rather than trying to keep going until you grind to a halt, make a little time for yourself.  You’ll be more productive overall.

The Animal Protection Agency (APA) is highlighting the publication of new, evidence-based guidelines for the inspection of animal establishments such as pet shops, breeding centres, boarding kennels and sanctuaries.

For decades, animal welfare and public health issues have been reported at a variety of animal establishments. The Animal Protection Agency says that inconsistent inspection methods and a lack of objective guidelines have contributed to a situation it describes as unacceptable.

The new report, ‘Guidelines for Inspection of Companion and Commercial Animal Establishments', which was part-funded by the APA and is published in Frontiers in Veterinary Science¹, offers guidelines for animal husbandry (including invertebrates, fishes, amphibians, reptiles, mammals and birds) and inspection protocols for a variety of commercial and non-commercial establishments.

Space for animals, responsible handover, facility layout and human health and safety are among the issues detailed in the publication, which also offers a scoring tool.

The APA says the publication is believed to be the most objective information resource of its kind anywhere in the world. It is freely accessible to anyone, whether for formal governmental, professional managerial or private use.

Lead author and biologist Clifford Warwick said: "Clear, definitive and objective guidance for animal care and facility inspection has long been needed to enable responsible authorities to oversee animal health and welfare with confidence, and hopefully many will welcome and find helpful this new report."

Co-author and veterinary expert Mike Jessop MRCVS said: "Animal welfare and improved public health are the clear winners from a standardised inspection system that is applicable to all companion animal establishments. Moving to a more objective and evidenced system of inspection is long overdue. The same principles and protocols are readily adaptable to encompass inspection of any animal holding facility."

Animal Protection Agency Director Elaine Toland said: "Britain has been called a 'nation of animal lovers', and many want the best for their pets. But there is also a nation of 'animal traders and keepers' out there who often aim to provide the most 'cost effective' and therefore lowest possible standards of space, habitat and general care that they can get away with, and that mindset needs to change."

Reference

1. Warwick C, Jessop M, Arena P, Pilny A and Steedman C (2018) Guidelines for Inspection of Companion and Commercial Animal Establishments. Front. Vet. Sci. 5:151. doi: 10.3389/fvets.2018.00151 

The RCVS Mind Matters Initiative has published A Guide to Enhancing Wellbeing and Managing Work Stress in the Veterinary Workplace.

Written in association with Dr Elinor O’Connor, Senior Lecturer in Occupational Psychology at Alliance Manchester Business School, University of Manchester, the guide is designed for anyone with an interest in the wellbeing of the veterinary team. It provides practical advice to veterinary workplaces on managing stress and promoting wellbeing, alongside examples from the three winning practices of the 2016 MMI/SPVS Wellbeing Awards.

Elinor said: "Addressing stress in veterinary work not only has benefits for the health and wellbeing of each person in the veterinary team, but the business case for reducing work-related stress is clear; stress is associated with poorer performance, increased absenteeism and higher employee turnover. The wellbeing guide provides information about proven techniques for reducing stress at work combined with suggestions for how they might be applied in veterinary workplaces."

Lizzie Lockett, RCVS CEO and Mind Matters Director, said: "Stress at work is an important issue right across the veterinary team. It is sometimes considered just an acceptable part of working in an environment that can be difficult to control, but things can change.

"By making wellbeing a priority practices can support individuals and help their team work better together, and thus provide the best treatment for the animals under their care. This leaflet unpacks some of the root causes of work-related stress and may be of particular interest to practice managers, line managers or health and safety officers."

Good to see that the guide includes a recommendation that practices have measures in place to identify and resolve conflict at work and a clear policy on harassment or bullying, something which research by VetSurgeon.org, VetNurse.co.uk and ex-BSAVA Head of Scientific Policy, Sally Everitt MRCVS found correlated with reduced reports of sustained unpleasant behaviour in practice, a significant source of stress.

The guide can be downloaded here: https://www.vetmindmatters.org/wp-content/uploads/2018/01/MMI-12pp-web.pdf.

A campaign to reform English libel law to allow for robust criticism of scientific and medical claims without fear of legal action has been launched by journalist and author Simon Singh. It's a campaign which anyone working in the caring professions might wish to support. 

The campaign comes as a consequence of legal action taken against Mr Singh by The British Chiropractic Association, which took exception (perhaps unsurprisingly) to an article he'd written in The Guardian. In the article, Mr Singh denounced claims on the BCA website that its members could use spinal manipulation to treat children with colic, ear infections, asthma, sleeping and feeding conditions, and prolongued crying as 'bogus', and criticised the BCA for 'happily promoting' these claims.

Out of curiosity, VetSurgeon rang the BCA press office this morning, and asked to be given the references for studies which it feels would support the original claims made on its site. Non have been forthcoming so far, which is a surprise. Under the circumstances, we'd have expected the BCA would have a raft of supporting evidence readily available.

But this isn't really about whether or not chiropractic works or not. The case seems to hinge upon whether Mr Singh's article implied that the BCA was being deliberately dishonest, or just delusional. He say's the latter. Unfortunately for him, Mr Justice Eady recently ruled the former, leaving Mr Singh with a bill for £100,000 worth of legal fees.

Mr Singh is to appeal.  At stake is the freedom to be able to challenge scientific claims without fear of being sued. If you'd like to support this campaign, visit senseaboutscience.com and add your name to the 7000 others (including some pretty illustrious names) who have already done so.

The Pig Veterinary Society's revised 2009 edition of Casualty Pig, funded by the BVA Animal Welfare Foundation (BVA AWF) is now available.

This booklet is intended for the use of stock keepers on farms, staff in abattoirs, veterinary surgeons, and by transporters, to give guidance and knowledge in care, treatment, and euthanasia of the casualty pig. It also indicates the responsibilities and decisions related to the "Casualty Pig", as well as the legal requirements.

Speaking on behalf of the charity, BVA AWF Chairman and veterinary surgeon, Carl Padgett, said "This updated version has more emphasis on the care of and welfare of the casualty pig than earlier editions. This is a useful and easy to use guide that gives details of 'decision options' with a series of examples related to care, treatment and euthanasia."

Individuals can obtain copies of The Casualty Pig by contacting BVA AWF trustee David Chennells, via email at acornhousevets@btconnect.com.

Professor Steve Dean MRCVS has been elected as the 14th Chairman of the Kennel Club. He is the first veterinary surgeon to hold the post.

Professor Dean has been a Member of the Kennel Club since 1992 and has been a member of the General Committee since 2005. He has served on the Crufts and Finance & General Purposes Sub-Committees for the past two years and previously spent four years on the Disciplinary Sub Committee.

Professor Dean said: "I am honoured to be elected as Chairman of the Kennel Club and to be given the opportunity to help improve the lives of dogs by ensuring that they live healthily and happily with responsible owners.

"I am aware of the scale of some of the challenges that we face but am excited about the opportunities that exist to help us make a real difference for dogs. I look forward to supporting and working with the millions of responsible dog breeders and owners that there are in this country, and to standing shoulder to shoulder with vets and other individuals and organisations, who are dedicated to improving the health and welfare of dogs."

Professor Dean, who turns 60 in August, is currently the Senior Veterinary Surgeon at Crufts each year. He is a breeder, exhibitor and judge of Border Terriers and has been involved in the breed for 30 years. He is currently Chairman of the Southern Border Terrier Club as well as the overall breed health co-ordinator for all seven breed clubs. He is also President of Windsor Dog Show Society.

Away from the world of dogs, Professor Dean is a keen reader and gardener and is an avid supporter of rowing, treasuring his Henley Regatta medal equally to his achievements in the show ring.

Cats Protection, the UK’s leading cat charity, is looking for an experienced veterinary or animal welfare professional to join its team of Trustees.

The charity, which helps around 200,000 cats and kittens in the UK each year needs someone with animal welfare skills to join its team of nine trustees who are responsible for the charity’s strategy, policy and oversight.

The ideal candidate will have a degree in veterinary medicine, animal behaviour or an equivalent qualification, together with an understanding of the voluntary sector and management experience gained at a large national organisation, university or veterinary practice.

Sue Field, Cats Protection’s Director of Volunteering, said: "This is an exciting role which focuses on further improving cat welfare, whether that be cats in Cats Protection’s care or the services that we offer to cat owners to help them better care for their pet.

"We deliver our work through over 10,000 volunteers and staff so we’re hoping to attract a strong team player who would enjoy the challenge of shaping strategy and policy across our large and multi-faceted organisation.

"In return we can offer the opportunity to develop new and existing skills at trustee level plus the opportunity to make a real difference to the welfare of cats and kittens. If this sounds like a challenge you’d relish, then we’d love to hear from you."

To apply for the role, visit https://www.cats.org.uk/get-involved/volunteering/find-an-opportunity?id=3954.

If you would like an informal chat about the role, contact Clare Radlett on 01825 741211 or email: claire.radlett@cats.org.uk 

The closing date for applications is 5pm on Monday 19^th February 2018. 

Boehringer has launched Frontline Wormer for cats and dogs.

Frontline wormer for cats contains praziquantel and pyrantel embonate, and for dogs it also contains febantel.

According to the company, Frontline Wormer is effective agains all types of intestinal worms found in the UK: roundworms, tapeworms, hookworms and whipworms.

It is presented as a palatable tablet which can be given as a treat without food, or mixed with food. 

The press release from the company says the new product "gives pet parents an easy way to worm their cats and dogs".

"Pet parents?"

Someone please pass me the sick bag.

If I get one more press release describing cat or dog owners as 'pet parents", so help me god I will turn up at the press office and chain myself - naked - to the photocopying machine in protest.

It's a ghastly, patronising, cloying way to refer to people who own an animal, besides which, if I really was the parent of a pet, I would expect to be serving time at His Majesty's pleasure.

Frontline Wormer is available in packs of two tablets for 3 pet sizes. 

As an AVM-GSL-licensed product, it can be sold off the shelf.