Using Learning Theories to Develop a Veterinary Student Preparedness Toolkit for Workplace Clinical Training

Learning theories are logically related statements designed to explain what should or could be aspired to in establishing ideal learning conditions. Multiple theories can inform our understanding of a single concept, in this case: veterinary workplace clinical training (WCT), which occurs just prior to students’ graduation as competent veterinary surgeons. The competency movement has strongly influenced reforms in veterinary education and is considered important. In reflection of this, the term “preparedness” is operationalised here as a measure of the likelihood that the veterinary student is going to be a competent learner and participant during WCT. Preparedness itself is therefore important because it directly impacts performance. Workplace clinical training is explored through the lenses of cognitivist, social constructivist and socio-culturalist learning theories and used to inform student preparedness characteristics in terms of their behaviours, personal attributes, knowledge and skills, and awarenesses to optimise learning and participation.

Considerations for hand hygiene to reduce hospital acquired infections in practice

As veterinary nurses, our role as set out in the professional conduct guidance by the RCVS states that when providing care, veterinary surgeons and veterinary nurses should ‘ensure a hygienic and safe environment’. This means that we should actively contribute to the careful consideration of day-to-day practices within the clinic that safeguard patients to ensure that when they enter they clinics, they are not exposed to increased risk from infection. Understanding the need for good hand hygiene in clinic, along with the appropriate considerations, means that we are able to implement good practice.

Weight management: insights from the science of human behaviour change

Helping animal owners to recognise and manage obesity in their animals is a particularly complex area of communications in veterinary medicine. Several studies have outlined the difficulty veterinary professionals face in such discussions, including frustration with the client, embarrassment (particularly if the owner is also overweight), and a sense of inevitable failure. However, obesity continues to be a serious and prevalent welfare problem in dogs, cats, and probably other companion animals as well — hence those discussions will only continue. This review considers veterinary surgeon–client interactions around obesity from the perspective of behaviour change psychology and motivational interviewing, in order to determine how veterinary surgeons and nurses can best assist owners. We consider how an approach based on a supportive and empathetic conversational style could be best suited to these discussions, leading to tailored weight management solutions. Nurses are ideally placed to work with owners in this way.

Some skin conditions in pigs: types, control and prevention

Skin conditions in pigs are common problems presented to the veterinary surgeon. A careful clinical examination, especially considering the age of the pig and the distribution of the lesions, all aids making an accurate diagnosis and treatment plan. Pain management is essential in clinical management. Sarcoptic mange is a condition that can be eliminated from pigs and should be considered a welfare problem. Ear necrosis and trauma injuries can be particularly problematic and must be treated aggressively. African swine fever (ASF) presents with a range of clinical signs including skin lesions, and all veterinary surgeons must be able to put ASF as a differential where appropriate.

Transfer of passive immunity in dairy calves

Colostrum intake is vital for the transfer of immunoglobulins from dam to calf, enabling a functional immune response when required during early life. Colostrum management is therefore a key part of preventing disease and mortality in young dairy calves. Additional benefits of adequate colostrum provision include improved growth and future milk yield. Research indicates the need for more stringent targets with respect to both colostrum provision for calves and when monitoring calves for transfer of passive immunity (TPI). The extent of TPI in calves is reflected in the concentration of immunoglobulin G (IgG) in serum, and is under the influence of a multitude of factors, many of which may be managed by farmers and veterinary surgeons in order to improve TPI on farms.

Treating clinical mastitis in dairy herds: a role for on farm culture?

The focus on the rational use of antibiotics in dairy herds has meant that mastitis control has received renewed interest, particularly around prevention of new infections and alternative treatment strategies. The former has seen the development of a new industry initiative (QuarterPRO) to help advisors and farmers reduce the rate of new infections and index cases. The latter has seen widespread uptake of the selective use of intramammary antibiotic for infected cows at drying-off, a reminder to the veterinary profession as well as clients about the general lack of evidence for the use of parenteral antibiotic in combination with intramammary antibiotic for mild and moderate clinical mastitis events, and finally the potential to select intramammary antibiotic treatment for clinical mastitis using on farm culture (OFC). It is important that veterinary surgeons are aware of the research around the development and use of OFC and the suitability of individual herds for this approach. Whereas antibiotics may not be required for mild clinical mastitis events caused by some pathogens, particularly Escherichia coli, it is important that clinical mastitis events (particularly first cases in a lactation cycle) caused by Gram-positive pathogens such as Streptococcus spp. and Staphylococcus aureus are treated with intramammary antibiotic to optimise chance of cure and reduce risk of transmission. With this in mind, we need to consider individual herd cell count data, herd pathogen profile and ensure careful monitoring of outcomes for clinical mastitis cases in herds that are selecting treatment based on OFC, particularly for index (first) cases in a cow's lactation.

Is the end in sight for bovine viral diarrhoea virus, or is it just a mirage?

Bovine viral diarrhoea (BVD) is an infectious disease that significantly affects the health, welfare and productivity of cattle. Elimination of bovine viral diarrhoea virus (BVDV) is technically feasible. There are mandatory BVDV elimination programmes in Ireland, Northern Ireland, Isle of Man and Scotland. There are voluntary BVD programmes in England and Wales. The main focus of BVDV elimination programmes is the identification and slaughter of cattle persistently infected with BVDV (PIs). PI animals shed large amounts of virus in all excretions and secretions and are the main source of infection for other cattle. BVDV elimination can only succeed within a realistic timescale if PIs are removed quickly enough to minimise the risk of infection resulting in the generation of further PI animals. Maintaining stakeholder cohesion, commitment and engagement is also key in a BVD programme. All cattle farms need to be free of BVDV to eliminate the risk of infection and voluntary programmes are unlikely to reach all farms. The mandatory programme in Ireland started in 2013 and it is aiming to seek a declaration of freedom under the EU Animal Health Law in 2023. The other programmes are at various stages along the pathway to BVDV elimination. The stated intention of the cattle industry in the UK is elimination of BVDV by 2031. This will be a stretch target, particularly in England, but should be possible if the approach is science-based and the delivery programmes have the committed support of farmers and veterinary surgeons.

Sheep abortion – a roundtable discussion

Foreword Abortion takes a heavy toll on the sheep industry, not only economically, but in emotional terms too. Enzootic abortion in ewes is consistently the most frequent diagnosis followed in descending order by infection with Toxoplasma gondii, Campylobacter spp., Salmonella spp. and Listeria spp. Causes of abortion also lead to increased barren rates, and the birth of weak lambs, so the impact of these pathogens is greater than just abortion. Fortunately there are vaccines for the two most common causes of abortion, providing farmers and the veterinary surgeons advising them with effective and sustainable tools in the control of enzootic abortion and toxoplasmosis. The uptake of these vaccines, however, remains lower than might reasonably be expected. In this roundtable discussion the barriers to the implementation of the extant measures of abortion control were discussed and suggestions made as to how abortion can better be prevented.

Identifying the Barriers to Incorporating Reflective Practice into a Veterinary Curriculum

A portfolio with good reflective content can play a large role in learning and setting up the lifelong learning practice required by veterinary surgeons in practice or in research. The aim of this project was to investigate students’ experience with their reflective diaries within an electronic portfolio (e-portfolio). Focus groups were conducted with veterinary students at the University of Liverpool in years 1–4 to explore student perceptions of the e-portfolio, with an emphasis on reflection. Three themes emerged from the qualitative analysis: assessment, understanding the assignment (i.e., is it a useful and fair exercise?), and student well-being (i.e., stress, professional accountability, anxiety). Students had clear concerns about the assessment and did not see the relevance of the reflective diaries to their future career and learning. This has led the university’s School of Veterinary Science to restructure the reflections on professional skills in the portfolio.

What Matters Most to Residency and Intern Selection Committees in Veterinary Medicine?

A recent survey of members of residency selection committees for the American College of Veterinary Internal Medicine and American College of Veterinary Surgeons boards found letters of recommendation to be the most important factor when reviewing a resident’s application followed by class rank as the second most important factor. These statistics indicate an interesting, but possibly troubling trend. This Letter to The Editor discusses the major problems concerning these findings and what residency program committees might consider as an alternative.