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Objective: To examine attitudes towards surgical safety checklists (SSCs) among American College of Veterinary Surgeons (ACVS) diplomates and to identify barriers to implementation., Study Design: Qualitative online research survey., Sample Population: A total of 1282 current ACVS diplomates., Methods: An anonymous online survey was distributed to current ACVS diplomates via email. ACVS diplomates were identified using publicly available data through the ACVS website. A total of 1282 surveys were electronically distributed, and respondents were given 4 weeks to respond. The survey consisted of 34 questions examining (1) demographic information, (2) current use of SSCs, (3) knowledge and attitudes towards SSCs, (4) perceived advantages and disadvantages to use of SSCs, (5) implementation strategies, and (6) potential reasons for noncompletion of SSCs., Results: Survey response rate was 20% (257/1282). A total of 169 of 249 (67.9%) respondents indicated using SSCs. Respondents generally agreed that SSCs were proven to reduce surgical complications (196/249 [78.7%]) and did not perceive any disadvantages to use (100/138 [75.2%]). Respondents not using SSCs were more likely to perceive them as a waste of time (p < .001). The most common reasons for noncompletion of SSCs were forgetfulness (21/52 [39.6%]) and time constraints (19/52 [36.5%]). Improved training (72/138 [52.2%]) and modifying the SSC based on staff feedback (69/138 [50%]) were suggested as methods to improve SSC uptake., Conclusion: Respondents currently using SSCs were generally satisfied. Time constraints and memory related issues were common causes for noncompletion of SSCs., Clinical Significance: Efforts to expand the implementation of SSCs in veterinary surgery should focus on improved engagement of relevant stakeholders and modification of the SSC to suit local conditions., (© 2024 The Authors. Veterinary Surgery published by Wiley Periodicals LLC on behalf of American College of Veterinary Surgeons.)

A story from early in Liz Barton's career demonstrates the high expectations those in the veterinary world often have of themselves - and the value of self-compassion. Being kind to oneself is something she and her colleagues are now trying to embed widely., (© 2022 British Veterinary Association.)

Both male and female calves that are not required in the dairy herd sometimes receive inadequate care on dairy farms. Veterinarians work with farmers to improve animal care, and farmers often view veterinarians as trusted advisors; however, little is known about the attitudes of veterinarians on surplus calves. This study investigated the perspectives of Canadian cattle veterinarians on the care and management of surplus calves, as well as how they view their role in improving care. We conducted 10 focus groups with a total of 45 veterinarians from 8 provinces across Canada. Recorded audio files were transcribed, anonymized, and coded using thematic analysis. We found that veterinarians approached surplus calf management issues from a wide lens, with 2 major themes emerging: (1) problematic aspects of surplus calf management, including colostrum management, transportation, and euthanasia, and suggested management and structural solutions, including ways to improve the economic value of these calves, and (2) the veterinarian's role in advising dairy farmers on the care of surplus calves, including on technical issues, and more broadly working with farmers to better address public concerns. We conclude that veterinarians are concerned about the care of surplus calves on dairy farms and believe that they have an important role in developing solutions together with their farmer clientele., (© 2022, The Authors. Published by Elsevier Inc. and Fass Inc. on behalf of the American Dairy Science Association®. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).)

Objectives: In many jurisdictions, ethical concerns require surrogate humane endpoints to replace death in small animal models of acute lung injury. Heterogenous selection and reporting of surrogate endpoints render interpretation and generalizability of findings between studies difficult. We aimed to establish expert-guided consensus among preclinical scientists and laboratory animal veterinarians on selection and reporting of surrogate endpoints, monitoring of these models, and the use of analgesia., Design: A three-round consensus process, using modified Delphi methodology, with researchers who use small animal models of acute lung injury and laboratory animal veterinarians who provide care for these animals. Statements on the selection and reporting of surrogate endpoints, monitoring, and analgesia were generated through a systematic search of MEDLINE and Embase. Participants were asked to suggest any additional potential statements for evaluation., Setting: A web-based survey of participants representing the two stakeholder groups (researchers, laboratory animal veterinarians). Statements were rated on level of evidence and strength of support by participants. A final face-to-face meeting was then held to discuss results., Subjects: None., Interventions: None., Measurements and Main Results: Forty-two statements were evaluated, and 29 were rated as important, with varying strength of evidence. The majority of evidence was based on rodent models of acute lung injury. Endpoints with strong support and evidence included temperature changes and body weight loss. Behavioral signs and respiratory distress also received support but were associated with lower levels of evidence. Participants strongly agreed that analgesia affects outcomes in these models and that none may be necessary following nonsurgical induction of acute lung injury. Finally, participants strongly supported transparent reporting of surrogate endpoints. A prototype composite score was also developed based on participant feedback., Conclusions: We provide a preliminary framework that researchers and animal welfare committees may adapt for their needs. We have identified knowledge gaps that future research should address., Competing Interests: Drs. McGinn, Fergusson, Barron, Liu, and Lalu institutions received funding from Canadian Institutes of Health Research (CIHR). Dr. Kristof received funding from Ottawa Hospital Research Institute (travel costs). Dr. Downey received support for article research from the National Institutes of Health. Dr. Brown received support for article research from CIHR. Dr. dos Santos disclosed that she is funded by CIHR. Dr. Lalu is supported by The Ottawa Hospital Anesthesia Alternate Funds Association and the University of Ottawa Junior Research Chair in Innovative Translational Research. All of work was completed at the Ottawa Hospital Research Institute in Ottawa, ON, Canada. The remaining authors have disclosed that they do not have any potential conflicts of interest., (Copyright © 2020 by the Society of Critical Care Medicine and Wolters Kluwer Health, Inc. All Rights Reserved.)

Objective: Euthanasia represents a procedure with high responsibility for veterinarians in equine practice. The procedure should avoid pain and suffering for the horse and be carried out with the least possible stress for the patient and its owner. The presented study investigated the emotional impact of a horse's euthanasia procedure on the owner in order to enable development of future recommendations in improving the management of this procedure in horses., Material and Methods: Questionnaires concerning euthanasia of a horse for horse owners and veterinarians, respectively were developed and sent by mail or published online., Results: Questionnaire for veterinarians: A total of 12 equine clinics participated. The main reason for performing euthanasia was stated to be acute disease, especially colic. In 75 % of the cases the owner was present. The location of the euthanasia procedure as well as the premedication used varied strongly between hospitals. In most clinics (n = 8) T61™, a combination of embutramid, tetracain hydrochloride and mebezoniumiodid, was used for euthanasia. Muscle twitching and "final gasps" were frequently observed during the procedure. Analysis of the 273 completed owner questionnaires revealed chronic disease, especially in older patients and colic as main reasons for euthanasia. Most owners assessed the attending veterinarian's empathy as being good and felt well-informed about the procedure. In addition, 64.8 % of the owners stated that their presence during the euthanasia aided them to emotionally cope with the loss of their horse. A subset of owners that had their horse euthanized in an equine clinic criticised the hospital's atmosphere as well as being insufficiently educated about the procedure., Conclusions: According to the obtained data, detailed information of the horses' owners regarding the euthanasia procedure and its costs is advisable. In addition, owners should be educated about possible accompanying symptoms, such as muscle twitching or "final gasps"., Competing Interests: Die Autoren bestätigen, dass kein Interessenkonflikt besteht., (© Georg Thieme Verlag KG Stuttgart · New York.)

Aims: To provide a descriptive analysis of all notifications and complaints received by the Veterinary Council of New Zealand (VCNZ) during 1992-2016 and to use a thematic analysis of complaints made by clients to the VCNZ during 2013-2015 to determine the underlying reasons for their complaints., Methods: A mixed methods approach was used. Notifications and complaints against veterinarians between 1992-2016 (n=1218) were summarised based on complaint categories and by gender of the veterinarian respondents, the number of years registered with the VCNZ and the animal species to which the complaint related. In-depth thematic analysis was made of the content of clients' complaints between 2013-2015 (n=141) to identify details of the key themes and subthemes underlying the complaints., Results: The VCNZ categorised 595/959 (62.0%) of the complaints made between 1992-2016 as related to technical competency, and 308/959 (32%) to professional behaviour. Of the 1,218 complaints, 818 (67.2%) were not investigated or were dismissed, and 18 (1.5%) cases were upheld due to technical competency concerns. Of the complaints in which animal species was identified, 623/738 (84.4%) involved companion animals and 104/738 (14.1%) involved large animals. Male veterinarians were the subject of 855/1,218 (70.2%) complaints. Of the complaints that recorded the number of years the respondent had been registered, 488/1,121 (43.5%) involved veterinarians who had been registered ≥21 years. Thematic analysis identified client expectations as the one overarching theme, within which were four subthemes; a veterinarian would be trustworthy and honest, provide good quality care, communicate in a way that the client finds acceptable, and charge fairly., Conclusions and Clinical Relevance: Notifications and complaints against male practitioners outnumbered those against female practitioners, and companion animal practitioners were over-represented. Many complaints that were ostensibly related to technical failures, were shown by thematic analysis to also represent underlying failures of professional behaviour. Key issues included lack of trustworthiness, honesty, good quality care and acceptable communication with the client. These data should not be interpreted as an accurate indicator of the prevalence of misconduct in practice, as the proportion of dissatisfied clients who did not raise a notification or complaint is unknown. Accurate classification of complaints will enable veterinary regulators and educators to identify competencies that could be developed or improved through training and experience.

High-quality clinical practice requires veterinarians to stay abreast of new research and integrate relevant findings into patient care. Clinicians can achieve this goal using evidence-based practice (EBP), the stepwise process of integrating best research evidence into existing clinical decision-making processes. This article provides explanations and recommendations for performing key steps of the EBP process, with a focus on issues the exotic animal practitioner might encounter. Key areas of discussion include the development of focused PICO questions, types of literature and search strategies, and basic clinical epidemiology principles, including chance error, bias, confounding, and generalizability., (Published by Elsevier Inc.)

Building capacity is synonymous with sustaining development. Both are required to fuel progress and propel efforts towards heightening health and security. The urgency to build capacity has been catalysed by an increasing number of sanitary crises, threats, and disease outbreaks that have spanned countries, regions and continents. Education has often bridged the gaps in learning, but it has also divided the ways in which learning is practised. Differing cultural, religious and political beliefs, together with alternate economic priorities, have meant that countries have been advocating for education to meet their own specific needs, and not necessarily those of the international community. The varying contents of veterinary curricula around the world do not always demonstrate that the initial education of veterinary students provides them with the necessary skill sets to fulfil their responsibilities as key actors in the private and public sectors of national Veterinary Services. This has resulted in discrepancies in the competencies acquired by veterinarians and their capacities to uphold good veterinary governance and practices. To address this educational imbalance, the World Organisation for Animal Health (OIE) has drafted recommendations and guidelines to assist Veterinary Education Establishments worldwide with improving the breadth and depth of their veterinary curricula in order to strengthen their national Veterinary Services. The OIE has, furthermore, developed a twinning programme for Veterinary Education Establishments, under which learning opportunities for teaching staff and students are created and shared. Twinning has, to date, proved to be an effective and powerful mechanism through which developments in veterinary education through mutual capacity and confidence-building can be sustained.

Background: Despite the growing prominence of professional (non-technical) competencies in veterinary education, the evidence to support their importance to veterinary graduates is unclear., Aim: To summarize current evidence within the veterinary literature for the importance of professional competencies to graduate success., Methods: A systematic search of electronic databases was conducted (CAB Abstracts, Web of Science, PubMed, PsycINFO, ERIC, Australian and British Education Index, Dissertations & Theses) from 1988 to 2015 and limited to the veterinary discipline (veterinar* term required). Evidence was sought from consensus-based competence frameworks, surveys of stakeholder perceptions, and empirical evidence linked to relevant outcomes (e.g. employability, client satisfaction or compliance). Data extraction was completed by two independent reviewers and included a quality assessment of each source., Results: Fifty-two sources were included in the review, providing evidence from expert frameworks (10 sources), stakeholder perceptions (30 sources, including one from the previous category), and empirical research (13 sources). Communication skills were the only competency to be well-supported by all three categories of evidence. Other competencies supported by multiple sources of empirical evidence include empathy, relationship-centered care, self-efficacy, and business skills. Other competencies perceived to be relatively more important included awareness of limitations, professional values, critical thinking, collaboration, and resilience., Conclusions: This review has highlighted the comparatively weak body of evidence supporting the importance of professional competencies for veterinary graduate success, with the exception of communication skills. However we stress this is more indicative of the scarcity of high-quality veterinary-based education research in the field, than of the true priority of these competencies.

Objective: To investigate the preparedness of small animal veterinary personnel to communicate with Spanish-speaking pet owners with limited English-language proficiency (LEP)., Design: Cross-sectional telephone survey., Sample: Data from 383 small animal veterinary practices., Procedures: Telephone surveys were conducted with veterinarians and office or practice managers from a random sample of US small animal veterinary practices in 10 states to estimate the number of Spanish-speaking pet owners with LEP visiting these practices, proportion of practices that used services to facilitate communication with Spanish-speaking clients with LEP, and degree of veterinarian satisfaction with their communication with those clients., Results: Responses were obtained from 383 of 1,245 (31%) eligible practices, of which 340 (89%) had Spanish-speaking clients with LEP and 200 (52%) had such clients on a weekly basis. Eight percent of practices had veterinary personnel who were conversant or fluent in spoken Spanish. Veterinarians who depended on clients' friends or family to translate were significantly less satisfied with client communication than were those who could converse in Spanish with clients directly. Availability of Spanish-speaking staff and offering of Spanish-language resources were associated with an increase in the number of Spanish-speaking clients with LEP seen on a weekly basis. Industry- and practice-generated Spanish-language materials were offered at 32% (124/383) and 21% (81/383) of practices, respectively; 329 (86%) practices had no Spanish-language marketing., Conclusions and Clinical Relevance: Opportunities were identified for improving communication with pet owners with LEP in the veterinary clinical setting, which could ultimately positively impact patient well-being and client compliance.

Knowledge of nutrition is vital for veterinarians to inform owners about care of healthy pets and management of disease. Owners wish to have information from the veterinary health care team (VHT), and graduate veterinarians should be sufficiently educated to provide evidence-based information. Many veterinary practitioners feel that their veterinary school education in small-animal nutrition was insufficient. This survey presents the information on nutrition education in 63 European veterinary schools, including attitudes about teaching of nutrition, importance of nutrition, satisfaction of graduate performance and skills in nutrition, existing and required curriculum hours in nutrition, existing and required teaching staff, and barriers to achieving adequate teaching. The questionnaire was provided online to university deans and faculty members. The majority of schools felt that nutrition was important, but lacked staff numbers or knowledge to teach adequately. Many were also restricted by a crowded curriculum. Potential solutions include hiring a nutritionist, outsourcing nutrition education, and/or using online materials.

According to the American Pet Products Association, in the USA there are an estimated 86.4 million owned cats, and approximately 40% of these are allowed to roam outdoors. Little has been written about the contribution of owned cats to problems attributed to feral cats, including wildlife predation, spread of zoonotic diseases and overpopulation. A recent study found that 64% of cats have visited the veterinarian within the past year, suggesting frequent opportunity for veterinarians to communicate risks and benefits of indoor vs outdoor living. We conducted the following survey to evaluate current views about this role of veterinarians, by surveying veterinary school faculty (n = 158). Our objectives were to assess (i) the degree to which veterinary teaching faculty believe that the issue of clients maintaining owned cats indoors vs outdoors is appropriate for discussion with students within the veterinary school curriculum; (ii) the degree of agreement and understanding there is among the faculty as to the reasons that clients maintain cats either inside or outside the home; and (iii) the degree to which veterinary faculty believe owned cats that are allowed to go outdoors contribute to various identified problems. The results indicated that many participants believed that the discussion of maintaining cats indoors is relevant to the profession, that it belongs in the veterinary school curriculum, that they understand client motivations, that they feel that more practicing veterinarians should discuss cat housing practices with clients and that cat overpopulation continues to be a significant concern for owned cats being outdoors. Additional ways to help maintain the health and wellbeing of cats that are primarily housed indoors is briefly discussed, including through such means as environmental enrichment or by providing cats access to safe areas while outdoors., (© ISFM and AAFP 2014.)

The objectives of this study were twofold: to assess the demand for animal welfare education by open and distance learning (ODL) and to identify content to be covered in an ODL animal welfare programme. Through email, personal interviews and online surveys, data were collected from 161 respondents. The key survey questions were on: the need and reasons for providing animal welfare education through ODL; entry-level qualifications; job/career prospects; duration of the programme, and suggestions on course content. The majority of respondents felt that there was a need for a one-year ODL academic programme on animal welfare. In the light of the findings of this study and related discussions, the authors recommend that online and ODL programmes in animal welfare be developed to meet the continuing educational needs of veterinary students, working veterinarians, para-veterinarians and other stakeholders closely related to animal welfare.

Objective: To determine how American College of Veterinary Surgeons (ACVS) small animal surgery residency programs are teaching and assessing technical skills, and ascertain the perceived value of those methods., Study Design: Internet-based survey., Sample Population: Residents and Diplomate supervisors of ACVS small animal residency programs., Methods: Residents and supervisors were surveyed on their experience of surgery instruction, use of different resources for teaching, type and frequency of feedback, and perceived effectiveness of their programs in imparting technical proficiency., Results: A total of 130 residents (62%) and 119 supervisors (44%) participated. Both residents and supervisors estimated the resident was the primary surgeon for a mean of 64% of cases, although this proportion varied widely between participants. The majority of residents and supervisors considered that direct intraoperative guidance was the most effective way for residents to develop technical skills. Verbal interactions between supervisor and resident occurred frequently and were highly valued. Regular wet laboratories and access to simulation models were uncommon. Despite over 90% of all participants reporting that a sufficient level of technical aptitude would be attained, only 58% of residents were satisfied with their technical skills training., Conclusion: Residents relied on direct interaction with supervisors to develop technical skills. The traditional mode of instruction for veterinary residents is the apprenticeship model, which is partly driven by ACVS requirements of supervisory support. Exposure to other teaching and assessment methods was variable. The current structure of residency programs is successful in imparting technical competency as perceived by supervisors and residents. However, consideration of a more formal method of residency training with structured assessment of technical skills as in human medicine should not be dismissed., (© Copyright 2015 by The American College of Veterinary Surgeons.)