Proposal for a veterinary presidium to support public authority in responding to catastrophic events in the Italian context.

The ultimate goal of any disaster response, or a natural or a man­made event, is to get the best outcome for the highest number of people. From a veterinary point of view, the best outcome includes either the protection of animals (conventional and unconventional pets) or the safeguarding the wholesomeness of food supplies in the "One Health" perspective. The evolution of the Italian veterinary role in disaster management has changed across the last 35 years and has grown with the awareness that animals and human beings share the same vulnerability to disasters. The University of Teramo, following its experiences in different disaster scenarios, proposes a veterinary presidium to support Public Authority in responding to catastrophic events in the Italian context, in order to rescue small, large and unconventional animals. The proposed veterinary presidium is made up of 3 skilled people certified to react to different population needs. Indeed we propose different teams to rescue small, large or non­conventional animal, trained to work together in a stress situation and under coordination of the Civil Protection Function 2. This presidium with its 3 different skilled teams under the supervision of the advanced veterinary medical center (AVMC) and by reporting to it will provide the best competences based on the needs of the population and the authorities, in view of the "One Health" perspective.

'The RCVS should not change the standard of proof in disciplinary cases'.

Gillian Nevin argues that vets would be unfairly disadvantaged if the RCVS changes to a civil standard of proof in disciplinary cases.

LWP update 4: towards a 'fitness to practise' regime.

In this article exploring some of the key recommendations from the RCVS Legislation Working Party (LWP), RCVS registrar and director of legal services Eleanor Ferguson discusses disciplinary reform.

LWP update 3: revalidation and limited licensure.

In this series, key recommendations by the RCVS Legislation Working Party (LWP) are explored by those directly involved in making them. Here, former RCVS council member Amanda Boag discusses proposals for revalidating vets and limited licensure.

[Antidoping rules in equine sports and pharmacological aspects of rule-consistent medical treatment and feeding of sport horses]. / Anti-Doping-Regeln im Pferdesport und pharmakologische Aspekte der regelkonformen Therapie und Fütterung von Sportpferden.

Veterinarians play an essential role in the prevention of doping in equine sports, both as attending clinicians as well as official competition veterinarians. This complex task requires comprehensive knowledge concerning the pertinent regulations. These include official laws, such as the animal protection and medicines laws as as well as rules issued by the responsible equine sports authority. Furthermore, veterinarians are required to determine adequate withdrawal times following the legitimate use of medications in sport horses. This may be performed by applying appropriate data published by the respective equestrian sports authorities. In case such data is not available, pharmacokinetic heuristics elucidated in this article may be utilized in order to define suitable withdrawal times. Furthermore, veterinarians are recommended to advise horse owners concerning the risk of feed contaminants that may cause inadvertent positive anti-doping samples. In this context, the prevention of botanical contaminations in roughage is of importance in central Europe. Official veterinarians fulfil the task of anti-doping sampling during competitions. In order to guarantee a correct procedure, precautions for the avoidance of sample contamination are warranted and correct identification of the samples must be ensured. These procedures are described by means of the rules of the German Equestrian Federation.

Quantitative and thematic analysis of complaints by clients against clinical veterinary practitioners in New Zealand.

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.