Moral Maze, a debate held by members at the British Equine Veterinary Association (BEVA) Congress earlier this month, has concluded that equine practice needs to adapt to accommodate family life.

92% of voters agreed with the motion: Equine practice needs to change to become more compatible with family life.

BEVA says the result may reflect in part the changing demographics of the profession, with females now accounting for 76% of new graduate intakes.

Traditionally vets have worked together in practices, able to share resources and expertise as well as the out-of-hours rota. Until recently, men from the Baby Boomer Generation dominated the profession and many vets focused their efforts on work at the expense of their family. However, as Generation Y takes hold and more females are joining equine practice, there are different personal expectations with many vets now wanting greater commitment to family life and a better work-life balance.

The session took the form of a moral maze debate, chaired by Malcolm Morley, in which expert witnesses were challenged by informed interrogators. The proposers contended that it is possible to achieve a good work-life balance as an effective vet in a successful equine practice by working smarter, not harder and adopting a flexible approach.

Carolyne Crowe, veterinary coach and mentor, said: “Choosing to be an equine vet shouldn’t go hand in hand with giving up the rest of your life. Allowing flexibility within job roles should result in more engagement, productivity and thus economic benefit for the practice.”

Job share that included a proportionate allocation of the out-of-hours rota, was cited as a tenable solution for those juggling maternity leave and parenthood. The consistency of attending vets so often demanded by clients could be achieved by introducing two vets of equal calibre to the client, from the outset. Members of the audience outlined successful examples of job sharing and the consensus was that the turnover generated by part time, job share employees was often higher than their full time equivalents.

Mark Bowen, President of BEVA, said: “I’m not surprised that 92% of voters supported the motion, given the fact that the recent Vet Futures survey has shown a high rate of job dissatisfaction in equine practice. It reiterates the importance of moving with the times to evaluate the needs of working parents and make the equine veterinary workplace more adaptable to family life.”

BEVA is already working on various projects to help address and support the needs of members who are striving for a better work-life balance. CPD on personal effectiveness, covering work-life balance and time management is scheduled for the New Year. Further information on other initiatives will be released towards the end of the year.

The debate can be viewed online for free at beva.org.uk in the webinar tab.

Zoetis has released new surveillance results which show that Mycoplasma bovis is becoming an increasingly significant pneumonia pathogen in cattle¹.

In more than 2,500 samples submitted by vets for analysis during 2014, 45% were positive, compared with 41% in 2013.

According to Dr Tim Potter MRCVS from Westpoint Veterinary Group, Mycoplasma bovis has emerged as an important pathogen of calves worldwide². He said: "It is associated with a number of clinical presentations including respiratory disease, otitis media and arthritis.

"The role of Mycoplasma bovis in pneumonia is well established and there are a number of reports in the literature of respiratory disease outbreaks where it was the predominant bacterium isolated. However, as with most causes of pneumonia, colonisation by Mycoplasma bovis alone is not always sufficient to cause disease and it may present in combination with other respiratory pathogens."

For other pathogens, the surveillance found 83% of samples positive for Para-influenza 3 virus (Pi3v), 76% Bovine Respiratory Syncytial virus (BRSv), 32% IBR, and 25% for BVD. Apart from BVD, which saw a three-point reduction from 28% the previous year - these show little change from 2013.

According to Zoetis vet Carolyn Hogan, in pneumonia outbreaks involving Mycoplasma bovis, many of the clinical signs are similar to those caused by other pneumonia pathogens: coughing, raised temperature, rapid breathing and lethargy.

She said: "This can make it difficult for farmers and vets alike to identify Mycoplasma bovis as a possible cause of disease based on clinical signs alone, unless calves are also showing some of the other distinguishing signs associated with Mycoplasma infection.

"These include ear infections, head shaking or tilting, and arthritis. Poor response to treatment, with resulting chronic respiratory cases, may also be suggestive of Mycoplasma infection. For a definitive diagnosis, of course, analysis of blood or respiratory tract mucous is required."

Whilst vaccination protection is available against the viruses (BRSv, Pi3v, BVD and IBR) and Mannheimia (Pasteurella) haemolytica, Carolyn points out that there is no ‘off the shelf’ vaccine available for Mycoplasma bovis. She adds that treatment can be challenging due to the insidious nature of disease, and lack of effectiveness of some antibiotics.

Once Mycoplasma bovis is present on a farm, Carolyn cautions that eradication can be very difficult. "It can be transmitted in milk from carrier cows, and in saliva among calves, particularly when multiple animals suckle the same teat feeders.

"Minimising this pathogen's impact on health and productivity relies on reducing its exposure to susceptible animals and maximising their resilience against it. For a comprehensive programme of control measures, farmers should consult their vet."

Carolyn suggests that such a programme is likely to include: testing the farm's Mycoplasma bovis status; effective biosecurity; not feeding infected milk; ample ventilation for adults and youngstock alike; rapid spotting of sick animals, isolation and vet-prescribed treatment; vigilance for poor response to treatment and development of chronic cases; vaccination against main viral pneumonia pathogens; and low stress through good stockmanship.

References

1. Zoetis, April 2015. Pneumonia pathogen surveillance. Data on file.
2. Dr Tim Potter, October 2014. Mycoplasma bovis in calves. Presentation at BCVA Congress. Westpoint Veterinary Group.

Photo: By Y tambe (Y tambe's file) [GFDL, CC-BY-SA-3.0 or CC BY-SA 2.5-2.0-1.0], via Wikimedia Commons

The RCVS Disciplinary Committee has suspended two veterinary surgeons from the Register after finding them guilty of lying to clients and the College about the circumstances of a castration procedure which led to the death of a dog.

The Committee suspended Mr Mpho Donald Lesolle and Mr Georgi Cheshmedzhiev from the Register for four and two months respectively, following surgery undertaken on Benson, a two-year-old male Labradoodle belonging to Mr and Mrs Grayson.

During the proceedings, the Committee heard that, on 6 August 2013, Mr and Mrs Grayson brought Benson to the Swinfen Veterinary Centre in Stafford, where Mr Lesolle is the practice principal and Mr Cheshmedzhiev was his assistant, for the operation which was undertaken by Mr Cheshmedzhiev. Mr Lesolle did not directly supervise the procedure telling the Committee that he was confident that his colleague could carry out the castration, having permitted him to do so on previous occasions.

The Committee heard that, after the operation, a nursing assistant, Ms Bell, had noticed that there was blood on the bedding and that Benson had a swollen scrotum. Mr Lesolle then performed a scrotal ablation on Benson, who was discharged later that day.

However, on the morning of 8 August 2013, Mrs Grayson discovered that Benson had died during the night. An independent post-mortem concluded that he had probably died of intra-abdominal bleeding which caused circulatory collapse. Mr and Mrs Grayson raised a concern with the RCVS in September 2013.

The charge against Mr Lesolle relates to his actions following the operations and during the investigation. The four parts of the charge were that he failed to be sufficiently open with Mr and Mrs Grayson on the circumstances of Benson’s surgery; that, in September 2013, he wrote to the College indicating that he had in fact performed the castration and failing to state that there had been two operations; that, on 23 January 2014, he informed Pam Mosedale, a Veterinary Investigator employed by the College, that he had carried out both procedures; and that, on the same day, he also encouraged his veterinary nursing assistant Ms Bell to be dishonest with the College’s investigators. 

Mr Lesolle, who was present at the hearing, admitted all parts of the charge against him. He told the Committee that he decided to take responsibility for Mr Cheshmedzhiev’s operation out of a desire to protect his colleague whom he regarded as vulnerable and lacking in self-confidence. He also accepted that he had encouraged Ms Bell to lie during her interview. He told the Committee that he had persisted with the deceit until 15 January 2015, when he gave a full account of what had occurred.

The three parts of the charge against Mr Cheshmedzhiev, who was not in attendance or represented at the hearing, were that in a letter to the College sent in September 2013, he indicated that he had not undertaken the castration procedure on Benson; that on 23 January 2014 he had denied carrying out the operation while being interviewed by Pam Mosedale; and that, on 19 June 2014, while being interviewed by a solicitor instructed by the College, he said that Mr Lesolle had carried out both procedures.

The Committee found the charge against Mr Lesolle amounted to serious professional misconduct, falling far short of what is expected of a professional. The Committee highlighted the protracted nature of his deceit and the fact that he encouraged another member of staff to participate in it. However, it did accept that his motivation was to protect Mr Cheshmedzhiev.

In deciding on the sanction for Mr Lesolle, the Committee considered the aggravating and mitigating factors. Ian Green, chairing the Committee and speaking on its behalf, said: “Having taken the calculated decision to deceive the College as to what had occurred, he abused his position of responsibility to obtain support for his deceit by involving a junior employee, without any proper consideration of the effect of that decision upon her. Instead he continued with the deceit until he was presented with incontrovertible evidence that he had not carried out both procedures on the dog. In the Committee’s view he showed a wilful disregard for the College’s investigatory process.”

However, in mitigation, it also accepted that he was protecting a colleague and that there was no financial gain. It also considered his personal circumstances, the fact that he is sole principal of a small mixed practice which provides his sole source of income and that the rented accommodation also provides a home for his wife and two children. Taking all factors into account, the Committee imposed a sanction upon Mr Lesolle of four months’ suspension from the Register.

In regards to Mr Cheshmedzhiev, the Committee did not find the part of his charge relating to the letter sent in September 2013 to be proven but, in respect of the other two parts of his charge, found that his conduct fell far short of what is expected of a professional. It highlighted his willing participation in the deceit over a protracted period and his failure to take responsibility for his own involvement in the operation on Benson. 

In deciding the sanction, the Committee said that the fact that Mr Cheshmedzhiev had lied to the College’s investigators on two occasions and did not admit that he had carried out the castration and apologise for his actions until February 2015, after he had returned to his native Bulgaria, was an aggravating factor.

Ian Green added: “The Committee accepts that he allowed himself to be persuaded by Mr Lesolle to provide a dishonest account of what had taken place to the College’s investigator Mrs Mosedale, and solicitor, Mr Hudson. It also accepts that he has been described by Mr Lesolle as a vulnerable person, lacking in self-confidence in his ability to practise as a veterinary surgeon in the United Kingdom.

“Nevertheless, Mr Cheshmedzhiev accepted the obligations contained in the Code of Professional Conduct when he registered as an MRCVS, which included an obligation to cooperate honestly with the College’s investigatory process. It has also noted that he has expressed a present intention not to work in or visit the United Kingdom again.”

Taking into account all factors, the Committee decided the appropriate sanction was to suspend him from the Register for two months. 

Ceva Animal Health has launched Hepaticare, a new liver support supplement for cats and dogs.

The company says Hepaticare contains the same high quality ingredients as Hepatosyl, but is now enhanced with micro-encapsulated SAMe to enhance product stability and patient acceptance.

Hepaticare contains the antioxidants of S-adenosylmethionine (SAMe), vitamin E and silybin to help maintain liver function, and vitamin K to support the normal blood clotting process. Ceva says these ingredients help neutralise damaging free radicals produced by the liver during times of stress, while the SAMe has been micro-encapsulated to enhance stability, reduce any bitter aftertaste and increase patient acceptance. 

Hepaticare capsules can be given whole or opened and sprinkled onto, or mixed with, food.  

Rob McLintock, companion animal business unit manager at Ceva Animal Health, said: “Following a change in supplier we have taken the opportunity to launch a new liver support supplement, ensuring that the new and improved product, Hepaticare, is as effective and as easy to administer as possible.”

Hepaticare pack sizes and pricing will remain the same as for Ceva’s Hepatosyl. Until the end of September, Hepaticare will be available on a buy one get one free offer.

For further information, contact your local Ceva territory manager or phone 01494 781510.

The RCVS has asked 6,700 veterinary surgeons to submit their CPD records for 2012-2014 as part of its second annual CPD audit.

The news came at more or less the same time that VetSurgeon.org announced that it is developing a new feature to make it easy for veterinary surgeons to document time they spend on the website towards their CPD requirement.

Under the RCVS Code of Professional Conduct for Veterinary Surgeons, members of the profession must undertake at least 105 hours of CPD over a rolling three-year period, averaging 35 hours per year.

Those being audited include 5,568 vets who failed to confirm whether or not they complied with the CPD requirement in this year’s annual renewal process; 488 vets who failed to respond to last year’s audit and did not confirm their compliance this year; 43 pre-2012 graduates who have not yet completed the Professional Development Phase; and 184 veterinary surgeons who specifically declared they were not compliant during this year’s annual renewal process.

In addition to these, a random sample of 400 veterinary surgeons who did declare they were compliant this year will be asked to share their records.

For last year’s audit, the College wrote to 3,975 veterinary surgeons, of whom 82% were found to be compliant. However, 910 veterinary surgeons did not respond to the request at all.

Gordon Hockey, RCVS Registrar, said: “The purpose of the exercise is not only to gauge levels of compliance, but also to gain a greater understanding of why some people are unable to meet the requirement. Therefore, we will be asking those who are still non-compliant to provide us with an explanation as to why, and to submit a learning and development plan outlining the steps they will take to become compliant.

“Since 2012, the Code of Professional Conduct has made it very clear that, as professionals, veterinary surgeons have an obligation to maintain and improve their skills and experience so as to provide a better service to their patients and clients.

“Last year’s audit proved that the majority of the profession do take CPD seriously and do engage with it over-and-above what is required, but a small minority do not. It is important to remind this small minority that persistent failure to comply with CPD requirements, or to respond to requests from the College, may result in them being reported to the Preliminary Investigation Committee.”

Christine Warman, Head of Education at the RCVS, added: “This audit is also an opportunity to remind people that we are not prescriptive when it comes to CPD and that it is not the case that we only count attendance at courses as learning and development.

“Broadly, any activities that you undertake to further your competence and provide tangible learning that can be put to use in your professional life, can be classed as CPD. For example, this could include private reading, webinars, clinical audit activities, mentoring, work-based observation and many more activities besides.

“What we ask is that you record and document these activities, reflecting on what you learnt and how it will affect your practice.”

Veterinary surgeons who are being asked to submit their records can do so by allowing the RCVS to access their online Professional Development Record (PDR) or to send in their CPD record card via email or post. The deadline for responding is Friday 13 November.

Those who wish to sign up to the free, online PDR can do so by visiting www.rcvs-pdr.org.uk. More information about what constitutes CPD and the Code of Professional Conduct requirements can be found at www.rcvs.org.uk/cpd.

Willows, the Solihull-based multidisciplinary referral centre, has announced that it has acquired The Veterinary Cardiorespiratory Centre, the renowned referral service run by Mike Martin MRCVS, RCVS Specialist in Veterinary Cardiology (pictured right).

Mike, together with Chris Linney and their team will shortly be moving half-an-hour up the road to join the team at Willows. 

The company says that the move will offer a number of benefits to referring practitioners. Chief amongst these is the speed with which an accurate diagnosis can be made and treatment given, both as a result of having RCVS Specialists in neurology, imaging, medicine, soft tissue surgery (and now cardiology) under one roof and because of the state-of-the-art equipment at their disposal, including CT, MRI and digital fluoroscopy.

Lynne Hill, CEO, Willows Group said: ”I’m thrilled that Mike, Chris and their team are joining us at Willows. I have always held Mike in the highest regard and this is a tremendous opportunity for the practice to provide a truly collaborative ‘one-stop-shop’ for both clients and referring veterinary practices”.

Mike said: “I’m really looking forward to working at Willows Referral Service and being part of a multidisciplinary team. It's a logical move to provide Willows with the missing discipline of cardiology and I'm delighted Lynne Hill has allowed us to fulfil that role. There has been an increasing number of referrals between the two centres due to the complexity of cases - now that will be all under one roof and we can manage these much more effectively and offer the best service to our clients and their patients.” 

For more information, visit www.willows.uk.net 

The RCVS Disciplinary Committee has restored a veterinary surgeon who had previously been convicted of fraud to the Register, after finding him fit to resume practising.

Matthew Morgan had pleaded guilty to four counts of fraud in July 2013 having fraudulently claimed over £200,000 in pet insurance claims between November 2009 and December 2012. In August 2013 he was sentenced to two years’ imprisonment, for which he served 12 months and was then released on licence.

Following his conviction and sentence, his case was brought to the RCVS Disciplinary Committee in February 2014 where it was decided to strike him off the Register. When his licence period expired on 18 August 2015, Mr Morgan applied for restoration to the Register.

During the course of the hearing, the Disciplinary Committee heard evidence from Mr Morgan, who accepted the findings of the Committee, describing the evidence as ‘fair’ and acknowledging the seriousness of his actions.

The Committee felt that Mr Morgan’s criminal conduct was very grave, as reflected in his custodial sentence and the fact that, as an Australian citizen, he had been issued with a deportation notice by the Home Office. It also felt that his crime had struck at the heart of public confidence in a profession for which honesty and integrity is expected.

However, the Committee considered that Mr Morgan, if restored, would pose few risks in respect of protection of the public, having no concerns about his competence as a veterinary surgeon, and accepted that there was little future risk to animal welfare if he were to be restored.

The Committee also considered that, since his release from prison, Mr Morgan has taken extensive steps to rehabilitate himself, has undertaken continuing professional development and has been working as a veterinary care assistant at two veterinary practices to keep up-to-date with current practice.

Furthermore, the Committee was satisfied that there was public support for Mr Morgan continuing as a veterinary surgeon given the references and testimonials submitted on his behalf.

In coming to its conclusion the Disciplinary Committee reiterated the seriousness of Mr Morgan’s criminal offending, saying that it had caused it “the greatest concern”. However, it also felt that issues of rehabilitation needed to be considered.

Professor Alistair Barr, chairing the Committee and speaking on its behalf, said: “The Committee cannot emphasise enough the fact that veterinary surgeons who commit acts of fraud in the exercise of their practice can expect severe consequences, both in the criminal courts and within their own College and there can be no doubt that the decision to remove the applicant from the Register was a proper reflection of the seriousness of his offending.

“Given all of the matters referred to above, however, the Committee considers that the applicant has demonstrated sufficiently that he has learned the lessons required and is now fit to be restored to the Register.”

Idexx Laboratories has launched a total T4 dry-slide test, giving veterinary surgeons real-time access to additional chemistry information.

The new test is compatible with all the company’s in-clinic laboratory analysers.

Simon Wootton, UK Marketing Manager from Idexx says that it is important for vets to be able to update a patient’s chemistry during a visit: “Conditions like hyper- or hypothyroidism require intervention and careful long-term monitoring. It is also important to assess the possible effects on other relevant medical parameters. This is why vets often want to update a patient’s chemistry data during the clinic visit. To accommodate this need, accurate and dependable chemistry, electrolyte and T4 test results can now be delivered in as little as 15 minutes.

“By adding thyroid screening to diagnostic protocols – which may already include fructosamine, phenobarbital, and urine P:C testing – practices can now get comprehensive chemistry, electrolyte and T4 measurements from a single sample, in a single run. This will let vets detect abnormalities sooner and respond more effectively.”

For more information, visit: https://www.idexx.com 

Tails.com, a UK pet nutrition company run by a team of people with backgrounds working for well known names as innocent, lovefilm.com and graze, has launched an innovative service delivering dog food optimised for each individual animal, direct to your door.

The concept behind tails.com was born when the company’s co-founder and head vet saw the impact of different diets on the pets in his surgery and realised that the best way to deliver effective health benefits through nutrition was to create unique diets for each animal.

Using research which included analysis of detailed pet growth curves and nutritional requirements based on a wide variety of physical and lifestyle variants, tails.com developed a system which it says offers an optimised feeding plan for each individual dog.

Visitors to tails.com are invited to complete a questionnaire which is then used to calculate their dog's individual feeding plan and the price. After that, the food is delivered to your door in packaging which displays the name of the dog it's for. Nice touch.

Another nice touch in these times of spiralling pet obesity is the inclusion of a free, vet-designed Perfect Portion Scoop, together with an individual feeding plan to help customers feed the correct amount of food in each meal.

The team’s lead nutritionist is Dr Samantha Ware MSc BSc (Hons), a pet nutritionist with over 15 years of experience in the pet food industry. She said: “Tails.com can create a bespoke diet and feeding plan to fulfil the unique nutritional needs and specific feeding preferences of your dog, for life. As a pet nutritionist, the most common question I face is ‘what is the best food that I can feed my pet?’ Despite the plethora of brands and products available in the market it can often be quite a challenge to find and select that perfect product to fit that specific pet, let alone within the budget of the owner. Bespoke diets are the ideal solution. With the ‘Tailored Nutrition’ proposition Tails.com has challenged the status quo, and has fully embraced and acknowledged that each pet is an individual and has its own unique nutritional needs.”

Any UK-based veterinary surgeon that would like to try tails.com free for 2 weeks (with a one-off £1 delivery charge), visit the site and enter the code VETSURGEON, valid from now till 28th September 2015.

Mark Bowen, Associate Professor at The University of Nottingham, has been appointed as President of the British Equine Veterinary Association (BEVA) for 2015/16.

Mark will take over the role from Andrew Harrison at the end of BEVA Congress on 12th September. Vicki Nicholls, Veterinary Assistant at Wright and Morten Vets, Cheshire becomes President Elect.

He said: "BEVA’s strengths lie in its members, who are committed to the welfare of the horse and the advancement of clinical practice. With new benefits for members, a new website, a new role for the BEVA Trust and the highest quality of education, BEVA is now an even more forceful and effective voice for the equine profession, both internally and externally. 

"Whilst the profession attempts to shape its future for the next 15 years, we must continue to support the innovative individuals in the profession who look ‘outside the box’ and make sure that the future of our profession, the next generation of veterinary surgeons, does not become restricted by dogma and tradition; that they too can replicate the level of innovation seen in equine practice over the last 50 years. 

"It is vital that we continue to strengthen our relationships with the British Horseracing Authority and contribute to the development of a funding body to replace the Horserace Betting Levy Board. Our relationship with the BVA, the regulation of allied professionals, the rescheduling of ketamine, the new EU animal health regulations and EU medicines regulations, even the role of Europe, are key areas where BEVA will make veterinary voices heard for the benefit of equine welfare. 

"Lastly, employment and retention of veterinary graduates in the profession is a cause of concern to us all. Over the next year we will enhance the Internship Awareness Programme and provide support and mentoring for the younger members of the profession. BEVA council is full of individuals committed to working on your behalf and I am looking forward to working alongside them all for the benefit of us all."

Vet Futures has published a guest blog by Laura Kidd MRCVS which asks how the profession can increase the number of veterinary nurses entering and staying within the profession?

In her blog, Laura, a VN lecturer and clinical skills tutor for veterinary students, argues that the year-on-year increases in the number of veterinary nurses seems to be insufficient to meet demand. Furthermore, there is a trend towards people leaving the profession relatively early, with the average age being just over 30.

She writes: “Identifying the reasons for VNs leaving the profession at a young age and addressing these, is one potential way of increasing VN numbers in the future.”

Laura argues that poor pay, stress, not feeling rewarded or valued and perceived lack of career progression all contribute to people leaving the profession, although she welcomes initiatives from the British Veterinary Nursing Association (BVNA), BVA, RCVS and others to increase the status of the profession, create more diverse career opportunities and improve the profession’s mental wellbeing. 

However, she adds that: “perhaps we may, reluctantly, have to accept that, for the time-being, veterinary nursing is a young profession with a high turnover.”

With this in mind she suggests that training more veterinary nurses will be the key to increasing the number of qualified members of the profession in the immediate future. In order to do this she believes that more practices need to be supported to become RCVS-approved Training Practices offering clinical training and work experience for student veterinary nurses and that an alternative training pathway for veterinary nurses may need to be looked at.

She adds: “The entry requirements for the VN Diploma are relatively low, yet the qualification is academically demanding: the volume and depth of knowledge is considerable for the level and qualification and the requirement to demonstrate critical reflection through academic writing can be challenging.

“It is regrettable that some student veterinary nurses, who appear to have the qualities to be very good VNs, are lost to the profession, unable to pass awarding body exams. Should we be developing an additional VN training pathway which allows more students to demonstrate they have the required skills to provide high quality nursing to their patients?”

In response to her proposal, this month’s poll will ask visitors “Is there a need for another VN training option?” To read the blog, leave a comment and take part in the poll please visit www.vetfutures.org.uk/discuss

Last month’s poll asked if vets always acted as animal welfare advocates. This was in response to an article by animal welfare expect Professor David Main in which he argues that the profession should do more to demonstrate its animal welfare credentials and introduce safeguards against excessive profit-seeking. Although just 22 people took part in the poll, around two-thirds (68%) of them said that vets do not always act as animal welfare advocates.