Samantha, who was a recipient of the Malaysian Prime Minister’s Scholarship, has a degree in genetics, molecular biology and microbiology, and a PhD in cancer research from University College London.
She was diagnosed with ADHD at the age of 40, which led her to set up ADHD Girls, an organisation that helps people with ADHD access employment and works with businesses to help them understand ADHD.
Samantha's talk is part of a module on neurodiversity, which will open with an exploration of neurodiversity and the challenges of diagnosis, before looking at how you can better support those in practice teams, as well as neurodivergent clients and students.
The session will wrap up with a discussion about how to cultivate greater inclusivity and understanding around those who are neurodivergent within the veterinary professions.
Being neurodivergent means that your brain works differently from the average person, meaning there may be differences in social preference, ways of communicating, ways of learning and ways of perceiving the environment.
Samantha said: “No two brains are the same. But what if you were born with a brain that constantly makes you feel like everything you do differentiates you from everyone else?”
“My talk introduces neurodiversity in the context of society, casting light on ADHD and autism, and how this impacts the workplace and one’s quality of life, and what we can do to build a compassionate culture, starting with the conversations we have at work.
"I’m really excited to talk at the BSAVA Congress and meet other professionals in the veterinary field.”
After her lecture, she will be partaking in a panel discussion around the challenges of diagnosis of neurodivergence alongside Laura Playforth, a vet who has been diagnosed with both bipolar and autism and is currently Group Quality Improvement Director at IVC Evidensia.
Andy Green, Vice Chair of the BSAVA Congress Programme Committee chair said: “We are delighted to have Samantha delivering our keynote this year on such an important topic.
"Neurodiversity is becoming an increasingly important area of focus and understanding across society and we have a significant population of neurodivergent people working as vets, nurses and in other roles, many of whom may not as yet have a diagnosis.”
“We also need to recognise that many pet owners and clients are neurodivergent.
"Samantha is ideally placed to shine a spotlight on this subject, using her own story and life experience to deliver a greater understanding of what it actually means to be neurodivergent and how businesses/practices can understand, embrace and support neurodivergent members of the work force and community.”
Early bird tickets for BSAVA Congress 2023 are currently on sale with 3-day and 1-day tickets available to purchase. Get your ticket now: https://www.bsavaevents.com/bsavacongress2023/en/page/home.
The online risk checker, which is available at www.parassess.co.uk, asks pet owners a series of questions to assess their dog's risk from fleas, ticks, lungworm roundworm and tapeworm.
The test, which has been developed with parasitologists, takes a few minutes and appears to produce sensible results (not every test produces a "Danger, high risk, emergency, get to your vet NOW" result, as you might expect if this had been entirely produced bv the marketing department).
The subsequent report can then be shared with the vet to review it and make a treatment decision.
Being online, the test can be taken on a smartphone whilst in the practice waiting room, or on tablet or computer at home.
It might be worth sharing the test with your clients by email or social media, inviting them to book an appointment if their results suggest it is necessary.
To that end, Boehringer Ingelheim has produced a range of communication materials, such as waiting room displays and digital content for web, email, SMS, and social media.
For more information, contact your local Boehringer Ingelheim territory manager or phone 01344 746957 (UK) or 01 291 3985 (Ireland).
The company points to research which showed that 42% of cats and 28% of dogs have lesions which are only detectable on x-ray1.
Failing to identify teeth with root lesions can have a significant impact on patient welfare, causing ongoing pain and eventual tooth loss.
The first priority for the CVS clinical improvement project was to review how effective its first opinion small animal practices were at using radiography in dental examinations.
In July 2021, only 16.2% of dental cases had radiography performed and clinicians were mostly using visual examination to guide decision making.
The project then identified the barriers to using dental radiography as: a lack of dental radiography equipment in a practice, a lack of clinician confidence in taking and interpreting the radiographs and a belief that pet owners would not want to pay for it.
To address the first issue, CVS installed new dental radiography machines at over 104 sites, at a cost of £615,000 over the course of the year.
The company then upskilled its vets and nurses in dental radiography - looking specifically at getting good quality radiographs and interpretation.
Finally, the company conducted an audit of each participating practice’s dental radiology data, updating it each month and sharing the results with the practices..
One year on, CVS says the data shows that 43% of dental cases in project practices are now using dental radiography as part of their consultation.
In the best cases, some practices have been using radiography in 100% of cases.
Hub Clinical Lead Deborah Komianos said: “When you open a patient’s mouth and look inside, seemingly normal teeth are oftentimes not normal.
"So vets and nurses can risk missing periodontal disease.
“Dental radiology has historically been underutilised but we believe it adds valuable information to dental consultations and is an important decision-making tool.
“We’re thrilled with the early results in our practices.
"It shows there’s been a real change of mind-set and behaviour towards using X-rays in dentistry – as well as increased confidence in execution."
Reference
At a black tie dinner held during BVNA Congress at the weekend, the winner and runners-up of the Hill's Pet Nutrition Veterinary Healthcare Adviser (VHA) of the Year 2008 were announced. The winner was Lisa Nix,RVN, from Holmefield Vet Clinic at Sherburn-in-Elmet, who won £1000 in holiday vouchers. As the standard of entries this year was so high, the judges decided this time to award two runners-up prizes to Samantha Kenny, RVN, Lancaster Vet Clinic, Lancaster, and Andrw Lipscombe, RVN from Park Vet Hospital, Sheffield and they were each given £500 holiday vouchers. Lucy Woodburn of Three Rivers veterinary practice in Beccles is the winner of the top exam marks in the VHA exams held throughout 2007. Picture shows (left to right): Andrew Lipscombe RVN, Park Vet Hospital, Sheffield (Runner-up); Samantha Kenny RVN, Lancaster Vet Clinic, Lancaster (Runner-up); Lisa Nix RVN, Holmefield Vet Clinic, Sherburn-in-Elmet, VHA of the Year 2008
whatstherisk.co.uk has been created for all practice staff and contains advice from parasitologists Ian Wright and Eric Morgan.
Topics include advice on practical risk assessments, how risk-based prescribing can work with health plans as well as how to get owners involved to make risk assessment and personalised prescribing quicker and simpler.
Boehringer says that all the materials and advice have been developed in line with RCVS Practice Standards and the BVA's guidance on the responsible use of parasiticides.1,2
Sharron Woods, NexGard brands Franchise Manager said: “With knowledge about parasitic risk low among dog owners, alongside increasing scrutiny on the potential overuse of parasiticides, we’re delighted to be at the forefront of supporting vets, pet owners and the wider industry in driving best-practice risk assessment and responsible parasite control."
References
The placebo-controlled study is designed to investigate whether or not a dog pheromone collar may help to reduce the severity or development of potentially problematic behaviours in puppies.
Participating owners will be sent collars (which may or may not contain pheromones) to put on their puppy for 6 months, during which time they will need to complete a monthly questionnaire.
As a thank you, all owners will receive a bag of doggy goodies and will be entered into a draw for a new iPad. There is more information for pet owners here: https://www.adaptil.com/uk/Puppy/node_49121
If you'd like to help recruit participants, you'll need to register your practice to take part here. Ceva has produced information packs and posters which will be sent out after registration.
Photo: Shutterstock
The NHS doctor, television presenter, author and columnist will be sharing his insights on the mental health challenges of working within a caring profession under the constraints of the pandemic.
Dr Ranj is the second keynote speaker to be confirmed, the first being Jenny Campbell and the third to be revealed next month. They will be joining a line-up of more than 100 UK and International contributors during the three days of the event.
Dr Ranj is familiar with the intense pressure that many veterinary professionals are facing when juggling working in a sometimes emotionally stressful environment with that of home life. When the pandemic started Dr Ranj took a step back from media work to focus on supporting the NHS in his role as a paediatric emergency medicine specialist. He said: "Maintaining wellbeing is all about doing the basics right.
“We are in a pandemic and people are under intense pressure - from work, from home life, from a health perspective and so much more. So, despite everything going on around you, make sure you have a routine every day.
"Get out and about safely. Build some physical activity into your schedule. Nourish your body with everything it needs, and make sure you allow yourself some treats too! Take a moment for yourself every day to do something that makes you feel good.
"Take time to connect with others safely and check in on the vulnerable too. Celebrate the little victories and achievements that you have. And at the end of the day, make sure you look after your sleep because that's when your brain and body recover from the stresses of everyday. Everything else we do is a bonus on top of those basics. And if you are struggling, make sure you reach out for help and speak to someone."
BSAVA President Ian Ramsey said: "We are delighted to welcome Dr Ranj as one of our three keynote speakers this year. One of the many advantages of Congress evolving into a virtual event for 2021 is that we can be more flexible and creative with our sessions and how we fulfil the needs and expectations of every member of the practice, from clinical, interactive, wellbeing and social perspectives. Our three keynote presentations are eagerly anticipated.”
Prices for BSAVA Virtual Congress start at £99 +VAT for members. To register visit https://www.bsavaevents.com/bsavacongress2021/en/page/home
Overall, there has been a 17% decline in Kennel Club registrations of all dogs so far this year.
However, new registrations of Pugs, French Bulldogs and English Bulldogs have declined by 42%, 39% and 34% respectively, putting these three breeds into the list of 'top five fallers' this year.
The Brachycephalic Working Group (BWG), which is made up of vets, national animal welfare organisations, scientists, and dog breed clubs has welcomed the news.
Dan O’Neill, Chair of the BWG said: “The drop in puppy registrations for these flat-faced breeds is a welcome step in the right direction, although these should be seen with some caution.
“We hope this is a sign that more and more puppy buyers, owners and breeders are considering the serious health and welfare implications for flat-faced dogs.
ukbwg.org.uk
Trilotab is licensed for the treatment of pituitary-dependent hypercortisolism (PDH) caused by an adrenocorticotrophic hormone (ACTH)-secreting pituitary adenoma, which accounts for 85% of spontaneous cases of Cushing’s, and for the treatment of adreno-dependent hyperadrenocorticism (ADH) caused by a cortisol-secreting adrenocortical tumour (ACT), which accounts for the remaining 15% of spontaneous cases1.
The new tablet is divisible into halves and quarters to facilitate dose adjustment and make administration easier.
Divided tablets remain stable outside of the blister packaging until the next dose is due, thereby avoiding wastage.
Trilotab tablets are chewable and chicken-flavoured to help improve treatment compliance.
They contain hydrolysed chicken flavouring so they can be prescribed for pets allergic to chicken.
Trilotab is administered once daily with food with a starting dose of 2mg trilostane/kg bodyweight.
The new tabs are available in three presentations: 10mg, 30mg, and 60mg presentations, which Virbac says should help practices reduce their dispensary stockholding.
Andrew Connolly, Marketing Director – UK & Ireland at Virbac, said: ‘The complex nature of Cushing’s syndrome in dogs can make it a challenging condition to manage for both the clinician and the pet owner.
"With the requirement for lifelong treatment, it is our hope that Trilotab’s easy administration and simplified dosing protocols will genuinely help to improve the lives of dogs affected by the disease, whilst making the clinician and pet owner’s lives just a little bit easier too!"
The two cases came from Bristol and Kingsbridge, Devon, taking the total number this year to five countrywide.
David Walker, American, RCVS and EBVS European specialist in small animal internal medicine, who leads the team at Anderson Moores, said: “We’re very sad to confirm two further cases of CRGV.
"Unfortunately, we find ourselves at the time of year when cases are most commonly identified."
There were 47 confirmed cases in 2020 and 28 in 2021.
The two new cases bring the total to 284 since the disease was first detected in the UK in 2012.
Anderson Moores has launched a website dedicated to Alabama Rot, which offers advice and information for owners and veterinary professionals, including a live map of confirmed cases across the UK: www.alabama-rot.co.uk.
At the hearing, the Disciplinary Committee considered whether she had accepted the findings of the Committee at the original inquiry hearing, the seriousness of those findings, whether she had demonstrated insight into her past conduct, and the protection of the public and the public interest.
In her restoration application, Dr Burrows included continuing professional development (CPD) certificates for the courses she had completed since her removal from the Register, letters/informal witness statements from the veterinary surgeons and nurses she had worked who had expressed a willingness to employ her again, together with character references and reflection statements.
She also made a detailed opening statement in support of her application, in which she said that the period since her name was removed from the Register was extremely difficult and also that she now unconditionally accepted all the Committee’s original findings in May 2021, some of which she had previously denied and had failed to acknowledge.
Dr Burrows went on to state that she only had herself to blame for her actions and that she now understood and accepted that the original sanction of removal from the register had needed to be severe given the serious breach of trust to the public, to the veterinary profession and the insurance industry that was a direct consequence of her dishonest actions.
Since removal from the Register, Dr Burrows had taken on the role of receptionist in a Vets4Pets practice in Cardiff, which required her to deal directly with the public and their insurance requests and entitlements.
She stated that as a result of her involvement over the past 18 months in processing insurance claims, she acknowledges the “delicate” relationship between veterinary surgeons, clients and insurers.
Additionally, working as a receptionist, had allowed her to recognise the need for contemporaneous and clear clinical notes.
She also highlighted her CPD, which was relevant to insurance, as well as the fact she’d undertaken a professional ethics course to assist her rehabilitation, reflection, and insight.
In support of Dr Burrows’ restoration to the Register, the Committee took into account three witness accounts from people who work at the Vets4Pets branch where Dr Burrows works as a receptionist.
All witnesses gave positive reflections on Dr Burrows’ character and assured the Committee that they would provide the correct level of support to allow her to return to work safely and that they would have all the necessary safeguarding measures in place to ensure that the public’s and the profession’s interest is always at the forefront.
Judith Way, chairing the Disciplinary Committee and speaking on its behalf, said: “The Committee was impressed by the fact that busy professionals chose to give up their time to provide witness statements and give evidence in support of Dr Burrows’ application.
"All witnesses were clearly supportive of Dr Burrows’ request for restoration to the Register.
“The Committee found Dr Burrows to show remorse and she does now accept the findings of dishonesty that were made against her in the original enquiry hearing and stated that her conduct was dishonest.
"In the Committee’s view, the evidence given by Dr Burrows on affirmation was very believable and she now accepts her dishonesty together with the gravity of her dishonesty.
“The Committee also formed the view that the steps she has taken to address her dishonesty serve to confirm that she is passionate about the prospect that she be allowed to return to practise.
"The Committee was impressed by Dr Burrows and the evidence given and is now satisfied that she will ensure the highest standards of probity and honesty in the future.
“Having taken all evidence into account, the Committee is satisfied that the future welfare of animals under Dr Burrows’ responsibility will be properly protected, and that her future dealings with insurers will be honest in all respects and that the interests of the public will be met.”
https://www.rcvs.org.uk/concerns/disciplinary-hearings
Neptra contains florfenicol, an antibiotic which Bayer says is ideal for dealing with the Staphylococcus pseudintermedius found in the majority of otitis externa cases, together with terbinafine hydrochloride, which is effective against Malassezia pachydermatis, and mometasone furoate, a corticosteroid that provides anti-inflammatory activity to improve patient comfort.
A single, 1ml dose in each affected ear treats dogs of all breeds and in trials, continuous clinical improvement was seen until day 28.
Neptra was approved for use in the USA back in 2015, where it has apparently gone down a bit of a storm, becoming the number one product for otitis externa in the country, with over 4.7 million doses prescribed since 2017.
Dr Ken Kwochka, DVM, DACVD, President of the World Association for Veterinary Dermatology (pictured right) said: "This solution is trusted by thousands of vets across the USA, it’s now time for UK vets to benefit from the convenience and confidence Neptra offers. Neptra is the ideal and easier way to treat the majority of otitis externa cases you see and can (and should) be used first-line."
Donna Tomlinson, Senior Brand Manager at Bayer said: "It’s not every day that you’re able to launch a solution that has the potential of Neptra to change treatment practices for the better and improve outcomes for dogs. Across the UK and Europe, our brilliant team at Bayer have put months of effort into this launch and developed an exciting marketing support package. Our veterinary business managers are already out on the road, ready to talk to you all about it."
Neptra is available now to order as one SKU via your regular wholesaler or speak to your Bayer veterinary business manager.
Practice support materials are also available via www.vetcentre.bayer.co.uk.
Zoetis has added a dermatology application to its Vetscan Imagyst, which promises to reduce the time it takes GP veterinary surgeons to analyse skin samples by as much as half.The new Vetscan Imagyst AI dermatology application analyses impression smears and ear and skin swabs to identify yeast, inflammatory cells and bacteria.
It provides results in about ten minutes, depending on your upload speeds, which VetSurgeon understands is probably how long a dermatologist would take to perform the task (compared to a GP, who might take twice as long, depending on skills, available equipment, volume of tests, etc).
In terms of accuracy, Zoetis says the application is comparable to that of a clinical pathology expert.
In addition, it fires out a report, including images, which can be shared with the client, adding more value to the consultation.
According to a 2006 study, something like 72% of vets' derm diagnosis and treatment recommendations are based on presenting clinical signs and physical examination alone1.
Vetscan Imagyst list price is just shy of £18,000, but there are a variety of commercial deals that can be discussed with your Zoetis Account Manager. Each AI analysis costs in the order of a tenner.
So the question is whether the new system is worth the investment - for the 72% in terms of a more accurate diagnosis over an educated guess, and for the 28% in terms of the time-savings over a manual analysis.
Sophie Duguid, Diagnostics National Veterinary Manager at Zoetis UK said: “The ability to accurately and reliably identify inflammatory cells, bacteria and yeast, at the time of visit can make a huge difference for busy clinics, ensuring better outcomes and happier patients and owners.
"Performing cytology is a critical component of the dermatology work-up, however this can often be challenging for veterinary healthcare teams to deliver given the considerable time pressures in clinical practice.
"Vetscan Imagyst AI dermatology allows clinicians to rapidly detect the presence or absence of skin infection in canine and feline dermatology cases which allows for clinically informed decision making."
Hill PB et al; Survey of the prevalence, diagnosis and treatment of dermatological conditions in small animals in general practice. Veterinary Record (2006) 158, 533-539
Organised by The Veterinary Edge in association with Simon Guiton of VETcpd, there will be three streams running throughout, with delegates able to gain 14 hours of CPD – or 16 if prepared to skip the tempting two-course lunches.
Speakers include:
Sessions run from 10am to 6pm on the first day (followed by a happy hour in the exhibition) and from 9am to 5.15pm on day two.
A two-day pass for vet nurses costs £195 and a one-day pass £110 plus VAT.
The prices will increase after 31st August.
Passes include access to all three streams, a two-course lunch, other refreshments and the congress handbook, which will include summaries of the sessions.
Accommodation is available at the recently opened Courtyard by Marriott Hotel at Sandy Park; other hotels nearby include a Premier Inn and Holiday Inn Express.
www.theveterinaryedge.com.
DuoTox is the first product to combine activated charcoal and diosmectite, providing a wider spectrum of absorbency against various toxic substances.
Accidental poisoning poses a significant threat to pets, with vets in the UK reporting over 30001 cases a week and making an average 60 calls a day to the VPIS for assistance2
In 2020, 7.1 million pets fell ill after eating something poisonous1 and the VPIS reported a 40% increase in poisoning enquiries in 20212.
The most commonly used product for accidental ingestion is activated charcoal, but it only has affinity for certain substances.
Diosmectite also only binds to select substances, but is not as widely used.
Up until now, the two have not been used together in one product, leaving situations where the chosen binder has no effect.
NVS says that in cases of potential ingestion, identifying the exact substance consumed, and relying on vets to know which binder to use for each substance, is a barrier to successful toxin binding.
Malcolm Dickinson, Category Manager for Select from NVS, said: “Activated charcoal has affinity for substances that are, for example acidic, non-ionised or poorly water soluble, leaving a gap for substances that are alkaline, cationic, hydrophilic etc.
"This is where the absorbency profile of diosmectite comes in to create one product with a much wider spectrum of adsorbency.”
“This will be hugely beneficial to vets in practice: vets can reach for one product, knowing it will be effective.”
DuoTox is available in both paste and liquid forms, designed with palatability in mind.
https://www.nvsweb.co.uk/product-brand/select-healthcare/
References:
The survey follows the launch last year of a new feature on VetNurse Jobs and VetSurgeon Jobs which allows employers to highlight the salary and benefits they offer. Specifically, the system allows practices to display a 'minimum offer', described to the job seeker as the starting point for a discussion, or a salary range.
Still, currently only 16% of the job adverts on VetNurse.co.uk and 10% on VetSurgeon.org include the salary, despite some evidence that broadly speaking, advertising a salary can improve response rates.
But do veterinary job seekers want to see the salary advertised, and if so, how much of a different could it make? These are questions this survey seeks to answer.
My guess is that it may be more important to veterinary nurses than veterinary surgeons, because there is probably a greater variability in salaries amongst nurses, and more jobs where you'd struggle to pay the mortgage.
It'll be interesting to see.
To take part in the survey, which is completely anonymous, visit: https://www.surveygizmo.com/s3/5110214/Should-veterinary-salaries-be-advertised. It's 4 quick fire questions which should take you less than a minute.
The company says VeggieDent Zen provides the same dental benefits as VeggieDent FR3SH Dental Chews, but also includes L-theanine.
L-theanine is an amino acid which Virbac says is known to positively influence GABA levels in the brain to help reduce anxiety and increase mental focus. According to the company, one VeggieDent Zen chew daily can help to calm and reduce anxiety in dogs whilst also providing regular oral care.
VeggieDent Zen is free from GMO corn, wheat, gluten and meat, and contains no colourants or artificial ingredients. The new chews also hold the Veterinary Oral Health Council (VOHC) seal for tartar control.
Claire Lewis, Product Manager at Virbac said: "Dental chews are a great way for pet owners to provide passive dental care at home. With VeggieDent Zen we are pleased to be able to offer pet owners a convenient, multi-functional approach to supporting their pet’s health and well-being."
VeggieDent Zen comes in 4 chew sizes (Extra-Small, Small, Medium & Large) and is available from the veterinary wholesalers now.
For information on VeggieDent Zen, contact your Virbac Territory Manager.
The petition follows the news that IVC is to launch its own telemedicine service, joining three others already in the game, at least one of which is pushing for a relaxation of the rules surrounding the prescription of POM-V medicines.
For clarity, veterinary surgeons are currently allowed to remote prescribe medicines for animals that meet the definition of 'under his care' (i.e. seen immediately before, or "recently enough or often enough for the veterinary surgeon to have personal knowledge of the condition of the animal or current health status of the herd or flock to make a diagnosis and prescribe").
In other words, there is nothing to stop bricks and mortar practices offering video consultations and prescribing medicines to those of their existing clients that they have seen recently enough.
What Shams and the BVU are petitioning against is the idea of allowing companies staffed by veterinary surgeons to prescribe veterinary medicines for animals that they have never seen in the flesh.
They argue that remote prescribing will:
First and foremost risk animal patient welfare and herd health
Create a two-tier system of care within the profession
Break down the practice-based vet-client relationship
Disrupt veterinary services due to complications related to out-of-hours emergency cover, transfer of patient and patient histories etc. of remotely treated patients
Cause clients to face increased costs by paying for telemedicine consultations and then requiring examination and treatment in practice
Negatively impact the financial condition of veterinary practices and professionals.
These all seem very possible consequences of allowing remote prescribing, indeed some have already come to pass in the world of human medicine following the launch of Babylon.
The counter argument is that remote prescription will improve access to veterinary care as people don’t have to flog down to the practice for a flea treatment and the cost of a consultation is reduced. There is surely truth in that.
The other point that is fundamental to this debate is the type of drug being prescribed remotely. With so many small animal parasiticides having already gone OTC, is it really necessary to talk to a veterinary surgeon before buying a POM-V flea treatment? Perhaps not.
However, that doesn’t necessarily present a case for remote prescribing such drugs; if they don’t need veterinary input, then you could equally argue they just need reclassifying.
So, should you sign this petition? Well, I think so, yes. Remote prescribing will come. It’s inevitable. But given the risks, surely the pragmatic starting point is to trial remote prescribing amongst existing clients of bricks and mortar practices, and only if that is successful to broaden it to non-clients of bricks and mortar practices.
If both those proved successful, and with technology advancing in the background, it might then be sensible to look at whether non bricks and mortar practices could remote prescribe. But that’s quite a big ‘might’.
Meantime, you can sign the petition here: https://www.change.org/p/royal-college-of-veterinary-surgeons-stop-authorising-prescription-of-pom-v-without-physical-examination-of-the-patient
You can discuss the petition with Shams here: https://www.vetnurse.co.uk/nonclinical/f/5/t/31671.aspx
Dr Kalisz faced a total of nine charges (including 41 sub-charges).
The first was that in July 2020, she failed to carry out a clinical examination of the dog, failed to adequately interpret test results, failed to ask for help interpreting the results, and undertook an emergency Caesarean section without sufficient need to do so.
The other charges related to undertaking a colotomy without sufficient justification and without exercising sufficient clinical judgment throughout the procedure.
For both the Caesarean section and the colotomy, Dr Kalisz faced charges that she failed to obtain informed consent from the owners and failed to inform them that the colotomy had been carried out, or of the potential risks of the procedure, and also failed to provide enough information about aftercare.
It was also alleged that Dr Kalisz had demonstrated continual lapses in professional judgement, including failing to appropriately manage the spaniel’s worsening condition when it was presented to the practice again later, and that the clinical records in relation to the surgery were dishonest and/or misleading.
Dr Kalisz admitted serious professional misconduct, admitting to 29 of the sub-charges, while the remaining 12 sub-charges were denied.
The Committee found 30 of the sub-charges proven, with the remaining 11 not proven.
The Committee the considered aggravating factors, including the fact that Dr Kalisz's conduct led to the spaniel’s death, the colotomy was reckless and Dr Kalisz did not take steps to inform anybody or make a clinical record for the colotomy.
In mitigation, the Committee considered the fact that it was single and isolated incident (albeit one that spanned a number of days), that no other members of the clinical team involved raised concerns during the procedure, and the effect Covid had upon the veterinary profession.
The Committee found that of those charges proven, the ones relating to performing the colotomy, failing to manage the spaniel’s subsequent care and failing to mention the colotomy amounted to serious professional misconduct.
On deciding the sanction, the Committee took into account the mitigation submitted on behalf of Dr Kalisz and the written testimonials produced including the fact that she was young and inexperienced, had admitted her failings at an early stage, had made subsequent efforts to avoid a repetition of such behaviour and that a significant amount of time had passed since the incident.
The Committee also considered that Dr Kalisz had shown an exemplary level of insight, showing remorse for her actions, undertaking substantial continuing professional development, and finding appropriate ongoing professional mentorship.
The Committee was impressed by the character testimonials from veterinary co-workers, both current and at the time of these events, as well as from clients.
It was, the Committee said, apparent from those testimonials that Dr Kalisz had been open and honest with them about the charges and was considered to be an excellent, committed veterinary surgeon.
Paul Morris, chairing the Committee and speaking on its behalf said: “The Committee found that this was a single isolated incident, which involved serious lapses of clinical judgement.
"It was therefore concluded that, despite Dr Kalisz’s actions being reckless, the extensive mitigation and the high level of insight, coupled with steps taken to avoid repetition, meant that there was negligible future risk to animal welfare.
“The Committee did not consider it necessary to issue a warning to Dr Kalisz about her future conduct, on the basis that the Committee has concluded that there is little risk of repetition, so considered that a reprimand would be an appropriate sanction in this case.”
The Vet Wellbeing Awards, which are now in their fourth year, are designed to highlight positivity within the profession by sharing stories and initiatives from veterinary workplaces that demonstrate commitment to improving staff wellbeing.
The Awards also aim to support all practices to take a structured approach towards evaluating their own wellbeing support systems.
This year, for the first time, feedback will be given to practices that enter about the areas where they are doing well and those where they can improve. The organisers hope that this change to the Awards process will encourage practices to think of wellbeing support as an area of continuous development.
However, they also hope that practices will use the entry process as an opportunity to audit wellbeing even if they don't plan to enter.
Liz Barton, SPVS Board Member, said: "Going through the entry form and evaluation process is valuable for every vet practice, even if they don’t feel they’re ready to enter the Awards just yet. Sitting down as a practice team for a few hours and working through the questionnaire is a highly useful exercise for facilitating celebrating areas where your practice is doing well for wellbeing, and also highlighting some areas for improvement for years to come."
"We recommend all practices get into the habit of going through the process annually and choosing areas to focus and improve on, to build towards better wellbeing across all areas for all staff."
There are three award categories that practices can enter depending on the number of employees: small practice (15 or fewer full time equivalent team members (FTE)), medium practice (16 to 50 FTEs) or large practice (51 or FTEs).
The Award application form covers six aspects of work that, if well-managed, can promote wellbeing and reduce the risk of work-related stress, and the Award judges will be looking for evidence of commitment to enhancing wellbeing for each of these.
They are:
Promoting physical and psychological health at work
Relationships at work
Communication at work
Career development
Workload and work scheduling
Work demands
More examples of the type of evidence and initiatives that the Awards are looking for, together with the entry form, are available on the Vet Wellbeing Awards website: https://vetwellbeingawards.org.uk.
Winning and Highly Commended practices will receive a dedicated logo and certificate for display. The winners in each category will also receive two registrations and banquet tickets for SPVS/VMG Congress 2020.
In addition to the Wellbeing Awards, the RCVS and SPVS are also running the Practice Star nominations, which are open to all veterinary practices.
These nominations aim to support practices to thank someone in their team who has gone the extra mile to make the practice a happy place to work, whether this be through introducing an initiative that makes everyone’s work life better, going out of their way to support a colleague going through a tough time, or just making everyone smile.
To enter, practices need to send in their nominee’s name, job title and contact details, and a short paragraph explaining why they have been chosen. They will then receive a certificate congratulating them for being nominated as the practice’s very own ‘Practice Wellbeing Star’.
The closing date for both the Wellbeing Award entries and Practice Star nominations is Friday 22 November 2019.
Written by 16 internationally renowned cat welfare experts and endorsed by the European Society of Veterinary Clinical Ethology (ESVCE), the programme is the start of a journey to becoming an iCatCare Behavioural Health Practitioner and replaces the Advanced Feline Behaviour for Veterinary and Cat Professionals courses.
The modular course is designed to fit into a busy schedule and includes up-to-date cat welfare science (including areas of behaviour, cognition, emotions, human-animal interactions and genetics)
On completing each module, participants will earn certificates which build up to the Level 1 Cat Behavioural Health Practitioner, which comprises four learning modules and a final project module.
Planning is currently underway for Level 2, which will build on the skills acquired in Level 1 with a focus on people-centric skills, such as communication, professionalism and ethics, and will include practical case studies.
International Cat Care says the programme will also help those interested in becoming an ABTC Animal Behaviour Technician, because it covers some of the knowledge and understanding requirements.
Sarah Ellis, Head of Cat Mental Wellbeing and Behaviour at iCatCare and course director said: "Across the world are cats that are misunderstood due to a lack of caregiver understanding of their behaviour.
"Sadly, this can lead to inappropriate husbandry and interactions, which can, in turn, lead to problem behaviours.
"Preventative advice and early recognition of problem behaviours are both key to improving cat welfare.
"This programme allows anyone who works with cats, either directly or in a remote advisory role, to gain the knowledge and understanding required to help promote cat behavioural health.’
https://go.icatcare.org/catbehealth
Human Factors is the application of human psychological and physiological principles and limitations to the design of processes and systems to reduce human error, increase productivity and enhance safety.
Trainetics has operated in various sectors such as aviation, ergonomics and human healthcare for many years.
As part of its move into the veterinary sector, it is working with a team of team of well-known figures in the profession: Bradley Viner, Holger Volk, Vicky Lipscombe, Tom Cardy and Andy Fiske-Jackson.
Tom said: “The potential impact of human factors on the veterinary industry is huge. What we are able to offer delegates is a unique experience to improve their situational awareness and decision-making.
“It is something which I believe delegates will find incredibly insightful as part of their career progression and it can improve how we treat our patients every day.
“Within the veterinary profession, human factors is still relatively new, however, its true scope within the industry lies in understanding and applying systems-thinking methodology to our complex, adaptive profession.”
Holger said: “When I first had the chance to become consciously incompetent in a flight simulator at BA with Trainetics, it was a fantastic opportunity to learn about my own limitations and how to better overcome them.
“Part of the immersive experience is learning about human factors, situational awareness, decision-making, workload management, system performance and health and wellbeing.
“We can learn so much from the aviation industry and vice-versa, and these unique courses can provide real opportunities to better ourselves as a profession and as individuals.
www.trainetics.co.uk
Entries should take clients through the microchipping journey, from microchipping through to registering the microchip, changing contact details and subscription services for when pets go missing.
The company is also urging practices to highlight the new law requiring that all cats are microchipped before they reach 20 weeks, which comes into force on 10th June 2024.
To take part in the competition, post pictures of your waiting room/window display on Facebook in June with the hashtag #MyNMMDisplay and tag @identibase.
Identichip has also launched a social media toolkit which can be downloaded via – https://drive.google.com/drive/folders/15lHGJ2dhB_-sjSJjeJegw-Q9GuTVdFPB.
The toolkit contains a series of social media posts and images for practices to use on their social media channels.
Identichip says it will also have offers on its range of microchips throughout June.
For further info, email: contact@identichip.co.uk.
www.identichip.co.ukwww.identibase.co.uk
In a separate statement, Mr Stevens said: "Anything that gives homeopathy a veneer of credibility risks chancers being able to con more people into parting with their hard-earned cash in return for bogus treatments which at best do nothing, and at worst can be potentially dangerous."
One of the dangers Mr Stevens referred to was the "rise in misinformation about vaccines - some of which is apparently promoted by homeopaths - and which poses a significant danger to human health."
In other words, anyone gullible enough to believe that a dilution of 1,000,000,000,000 parts of water to one part of crude oil, or skimmed milk, or human placenta, or condoms, or anything else for that matter, is going to cure them of anything, is more likely to believe all sorts of anti-vaccine, anti-pharmaceutical company nonsense, something which is very dangerous at a time when vaccination rates have been declining.
Human medicine does not have the monopoly on nonsense, of course. There are those who continue to peddle the lie that homeopathy can cure cancer in animals, and as the declining rates of human vaccination would tend to suggest, no shortage of people prepared to believe them.
Niall Taylor MRCVS, author of No Way To Treat a Friend, said: "The situation in the veterinary profession mirrors that in the medical profession: a small number of people preaching the benefits of a discredited belief system to vulnerable people.
"Some in the profession argue that we should humour those owners who practise homeopathy in animals, as to challenge them would drive them underground. The problem is that if we don't challenge them, we help foster a belief system which doesn't just harm animal health, but human health too. So the skill here is to find ways to challenge these beliefs in a way that is empathetic and constructive."
The new service was reported in The Times, in an article titled "How much should your vet cost? Pet owners bitten by untamed fees."
Since launch, VetHelpDirect has offered owners information to help them pick a veterinary practice, including reviews, ratings (including a value for money score), RCVS accreditation, cat/ rabbit friendly status, health plan details and how out of hours cover is provided.
It has now added some basic information about each practices' charges, specifically the first consultation fee, a dog castrate and health plans, and then categorised them according with £££££ signs to indicate how far above or below the average they sit.
Susie said: “Most practices will give out these prices over the telephone, but there’s no way for the client to find them without directly getting in touch, something people are less and less likely to want to do nowadays.
"Our research data suggests that people want to find this information online, just as they would in any other service industry.
"When they can’t find any information at all on pricing, there can be a perception of secrecy that can do damage to the vet-owner relationship.”
Susie added: “True comparison for vet practices is of course very complex and no basket of services is ever going to capture the whole complexity.
"Every practice is different, from facilities and team qualifications; to the time allotted for consultations; to monitoring equipment for surgery; and of course the level of investigations undertaken which can also vary from vet to vet.”
“We can’t solve all this straight away but we started from a good place, over the years we have built up more information about vet practices than any other website.
"The aim is to provide commonly requested prices for owners to easily access and to add more and more detail on the vet practices over time so that owners can make the most informed choice on the vet that's most appropriate for them and their pet”.
VetHelpDirect says it will soon be adding prescription fees and out of hours consultation, and a much wider range of species-specific fees in the near future.
The company also points to the Competition and Markets Authority investigation into pricing in the UK, highlighting that in its 2019 Report into Funerals in the UK, the CMA noted that weaknesses in the sector included the fact that less than 40% of funeral directors posted any form of pricing online, and those that did were frequently not in a form that made for easy comparison.
Susie says the veterinary sector has an even lower rate of online pricing transparency.
To add your pricing information to VetHelpDirect, email: info@vethelpdirect.com.
COMMENT
Whilst greater transparency over pricing in almost any field is surely to be welcomed, it seems questionable whether comparing prices for consultations and standard procedures will be of much help to pet owners, because things like the level of investigations, how defensively a clinician practises and the owner's own relationship with risk are likely to have a far greater impact on the bill than whether a consult costs £20 more or less up the road.
There is perhaps also a risk of practices rated as '£££££ / more expensive than average' will be seen as just that. Expensive and nothing more.
It's not like a restaurant where £££££ usually means particularly delicious.
Whilst this may not matter much whilst so many practices are having to turn away business, it may become more important in the future.