NEWSLETTER Veterinary Board of the Northern Territory AUGUST 2013 Goff Letts Building, Berrimah Farm, Berrimah NT GPO Box 3000, DARWIN, Northern Territory 0801 Email: vetboard@nt.gov.au Phone:08 89992028 Web: www.vetboard.nt.gov.au Fax: 08 89992089 ______________ Depending on the legislative priorities of the new government, the goal is to have an Amendment Bill for public consultation by mid to late 2014. BOARD MEMBERSHIP Malcolm Anderson (President) (ex-officio - Chief Inspector of Livestock) Ian Gurry (Vice President) (elected veterinarian) Shane Bartie (Member) (elected veterinarian) Dick Morton (Member) (appointed veterinarian) Marion Davey (Public Interest Member) (appointed non-veterinarian) As an interim measure, some of the outcomes of the review and the national recognition of veterinary registration have been achieved through amendments to the Veterinarians Regulations, which came into effect on 3 August 2012. These included an up-dated Code of Conduct which has been widely circulated to the profession. It is incumbent on all registered veterinarians to be conversant with and abide by all professional and statutory obligations relevant to veterinary practice, including codes of conduct, and the need to maintain current veterinary practice standards. Administrative Support Bernadette McKirdy (Board Registrar) Board Happenings Welcome to New Members The Board welcomes the new Board President, Dr Malcolm Anderson and the recently appointed Public Interest Member, Dr Marion Davey. Impending Retirement of Board Registrar The Board Registrar, Mrs Bernadette McKirdy intends to retire at the end of September 2013. Mrs McKirdy has held the position since January 2007. Her management of the office and service to the Board and veterinary registrants are acknowledged and much appreciated. Anticipated Appointment of New Registrar It is anticipated that a new Registrar will be appointed in time to administer the annual renewal of veterinary registration process which commences at the end of October. LEGISLATIVE AMENDMENTS REVIEW OF VETERINARIANS ACT Full copies of the Veterinarians Act, Veterinarians Regulations, the code of conduct, the guidelines promulgated by the Veterinary Board, and all legislation impacting on veterinary practice in the Northern Territory are available on-line at the Board website: www.vetboard.nt.gov.au and copies of all Northern Territory legislation can be viewed on the Northern Territory Government website: http://www.nt.gov.au/dcm/legislation/current.html PRESCRIBED FEES Veterinary Registration Fees are prescribed in the Veterinarians Regulations as “revenue units”. The monetary value of a revenue unit is reviewed annually under the Revenue Units Act based on the Consumer Price Index (CPI). A recent review determined that the monetary value of a revenue unit should be raised from $1.05 to $1.07. As a result, there was a slight increase in Veterinary Registration Fees from 1 July 2013. Advice on the review of the Veterinarians Act and proposals emanating from the review has been provided to the new Northern Territory Government and approval will be sought to draft an amendment Bill VETERINARIANS: Primary Registration (for majority practice in Northern Territory) Initial Registration $160.00 (AUD) Annual Renewal $107.00 (AUD) Page 1 of 7 VETERINARY SPECIALISTS: Primary Registration (for majority practice in Northern Territory) Initial Registration $213.00 (AUD) Annual Renewal $160.00 (AUD) The National Recognition of Veterinary Registration (NRVR) cannot be fully adopted until the Veterinarians Act is amended. However, amendments to the Veterinarians Regulations that commenced on 3 August 2012 have resulted in NO FEES being payable for secondary registration (ie registration to undertake locum/periodic practice in the Northern Territory). In the interim, it is still necessary to lodge an application to apply for secondary registration and to renew existing secondary registration. Predicted Increase in Fees for Primary Registration With the cancellation of fees for secondary registration (which represents roughly half of the veterinarians on the Northern Territory Veterinary Register), the fees for primary registration will need to be increased to a level commensurate with those levied by other Veterinary Boards in Australia. Accordingly, a substantial increase in fees for annual renewal of veterinary registration to something in the order of $250.00/$300.00 is anticipated. REGISTRATION STATISTICS In the 2012-13 financial year the Board received and approved 44 applications for registration. Of these, 13 applications were lodged under the Veterinarians Act, 29 were lodged under the Mutual Recognition Act (MRA) and 2 were lodged under the Trans-Tasman Mutual Recognition Act (TTMRA). Registration under the MRA and the TTMRA provide an alternative pathway to registration that requires registration authorities to “mutually recognise” the applicant’s current veterinary registration and good professional standing in another State or Territory in Australia or in New Zealand as a sufficient qualification for the grant of registration under local laws. A total of 15 applicants were granted primary registration for majority practice in the Northern Territory (including one who was granted limited registration to practise veterinary pathology and undertake research in veterinary virology and work towards completion of the veterinary pathology examination for membership of the ANZCVS); 26 were granted secondary registration to undertaken locum/periodic practice in the Northern Territory; and 3 were granted “deemed only” registration to undertake a brief period of clinical practice as volunteers in the animal health program operating in remote Indigenous communities. The majority of the applications determined in the 2012-13 financial year were from graduates from Australian Veterinary Schools, with the exceptions being 10 graduates from 7 overseas schools. The breakdown was as follows: Melbourne x 9 Murdoch (Western Australia) x 8 Charles Sturt (Wagga Wagga) x 5 Queensland x 6 Sydney x 5 James Cook (Queensland) x 1 Dublin x 3 London x 2 Edinburgh x 1 Massey (New Zealand) x 1 Utrecht (the Netherlands) x 1 Munich (Germany) x 1 Uganda x 1 As at 30 June 2013, there were 219 veterinarians registered to practise in the Northern Territory. Of these, 123 held primary registration for majority practice in the Northern Territory and 96 held secondary registration for locum/periodic practice in the Territory. These numbers include 6 veterinary specialists with secondary registration who specialise in diagnostic imaging, ophthalmology, dermatology and behavioural medicine, and 1 with primary registration who specialises in small animal surgery. _________________________________________ MANAGING COMPLAINTS The importance of compliance with the Code of Conduct and Board Guidelines, coupled with the maintenance and application of contemporary veterinary standards in the delivery of veterinary services to minimise the potential for complaints being lodged with the Board, cannot be overstated. As many problems stem from misunderstandings that may be resolved by seeking clarification and talking things through, it is Board policy to encourage prospective complainants to discuss the issue in question with the veterinarian concerned and/or the practice owner in the first instance. In turn, veterinarians are encouraged to facilitate this conciliatory approach by being willing to keep the Page 2 of 7 lines of communication open for further discussion and explanation, where appropriate, to possibly diffuse the problem before it escalates to a formal complaint to the Board. It is very pleasing to report that, despite receiving a number of general queries (which appeared, in the main, to relate to inadequate communication and monetary matters that fall outside the Board’s jurisdiction), the Board has received no new complaints alleging misconduct against any Northern Territory registered veterinarians since mid-2012. CONTINUING PROFESSIONAL DEVELOPMENT (CPD) The Case for Undertaking and Recording CPD Whilst CPD is not mandatory for annual renewal of registration, there is a professional obligation and expectation that registered veterinarians should undertake (and record) some form of continuing education relevant to their area of professional practice each year. CPD is an important contributing factor in the Board’s assessment of alleged misconduct in the event of a complaint. It is generally expected that the level of participation in CPD programmes should be sufficient to maximise the individual’s competency in his/her chosen field of veterinary practice. CPD Diary Most Veterinary Boards promote the use of a CPD Diary based on the AVA’s standard form. This form provides for the recording of CPD points accrued through both structured and unstructured professional development activities. (Structured: conferences, seminars, workshops, formal courses, presentations to peers, written assessment tests, journal publications, post graduate qualifications in veterinary science. Unstructured: unassessed audio or computerbased courses, private reading of journals/texts, mentoring students or post graduate candidates. Legislative Imperatives for Requiring CPD The case for requiring CPD lies in the imperatives prescribed in the legislation governing veterinary practice. In the Northern Territory’s case, these obligations are prescribed in the following extracts from the Northern Territory Veterinarians Act, Regulations and Code of Conduct: Failure to uphold or maintain contemporary professional standards constitutes incompetence within the meaning of misconduct as defined in section 28 of the Veterinarians Act. The Code of Conduct prescribed at Regulation 9 of the Veterinarians Regulations requires at Clause 1 that registered veterinarians must be familiar with and abide by all legislation pertaining to veterinary practice; and must maintain current standards of practice in their chosen areas of veterinary practice to the level expected by their professional peers, the users of veterinary services and the public; and carry out all veterinary services in accordance with the Board’s guidelines. Clause 4 provides at 4(1) and 4(2) that registered veterinarians must maintain current standards of veterinary practice in their areas of veterinary practice; “always carry out veterinary services in accordance with those current standards and in accordance with the Board’s guidelines”; and “base professional decisions on evidence-based science or well-recognised current practice, or both.” Clause 20 requires that “Before undertaking practice in a particular area of veterinary science, a registered veterinarian must ensure that he or she has the knowledge and competence necessary to practise in that area.” Board’s Expectations Ongoing CPD relevant to the veterinarian’s scope of practice is expected by the Board, in order to uphold contemporary professional standards as described in clause 1 of the Code of Conduct and Section 28(2) of the Veterinarians Act. The commitment of all States and Territories to the National Recognition of Veterinary Registration (NRVR) commands a consistent approach to CPD requirements across all States and Territories. The Board expects all veterinarians practising in the Northern Territory to: undertake some form of CPD each year maintain a record of their CPD take cognizance of the relevance of CPD in the Board’s assessment of alleged misconduct in the event of a complaint Page 3 of 7 note that CPD may comprise: o formal continuing education o peer group activities (eg within the workplace and within the profession) self-directed learning be aware that CPD need not be restricted to veterinary services and may include such related areas as practice management, stress management, communication skills, cultural awareness etc. PROFESSIONAL COLLABORATION AND PROVISION OF CLINICAL RECORDS There is a general expectation at the legislative, professional and community level that, in providing suitable management and treatment of animal diseases and conditions, registered veterinarians will: - have the welfare of animals as their primary concern (Code of Conduct clause 1(1)(c); ACCESS TO CONTROLLED SUBSTANCES BY NON-VETERINARIANS Authorisations may be issued by the Northern Territory Department of Health for Schedule 4 or Schedule 8 Drug Use under section 28(6) of the Poisons and Dangerous Drugs Act (which provides that: “(6) The Chief Health Officer may, by instrument in writing, authorise a person to obtain from a pharmacist, possess and use a Schedule 4 or 8 substance for a purpose and in accordance with the conditions, if any, specified in the instrument and the person may obtain, possess and use that substance accordingly.”) There appears to have been an increase in the number of requests for veterinarians to assist animal researchers and the like (and their sponsoring agencies) to facilitate their applications for authorisations to possess and use schedule 4 and schedule 8 veterinary drugs in the course of their work. One example was the use of Lethabarb for wallabies. Veterinary Oversight of the Use of Restricted Drugs by Non-vets The associated process requires veterinary input into the establishment and review of standard operational procedures and guidelines for the use of the specified drugs and attendant training and supervisory responsibilities. There is a potential risk that this could leave the veterinarians legally vulnerable in the case of future misuse of a drug by persons they have trained and/or deemed as competent for the purpose of receiving an authorisation to possess and use a restricted veterinary drug. It is recommended that veterinarians who are contemplating taking on this role (1) re-familiarise themselves with the legislative requirements outlined in the Board’s advisory note on prescribing obligations to be met and borne by registered veterinarians; and (2) seek independent legal advice on the potential risk of liability. - be prepared to utilise the skills of their colleagues, by consultation or referral, when appropriate (Code of Conduct clause 6); - comply with clients’ requests for a second opinion (Code of Conduct Clause 10); and - will not “mislead, deceive or behave in such a way as to have an adverse effect on the standing of any registered veterinarian or the veterinary profession” (Code of Conduct Clause 7 – Professional Conduct). The following relevant extracts from the Board’s Guidelines on Record Keeping (which include references to Clauses 11, 12 and 16 of the Code of Conduct prescribed in the Veterinarians Regulations that refer to the provision, return and maintenance of veterinary records), are provided in response to recent queries concerning the legislative requirements and expectations for the provision of full veterinary records (including x-rays and all diagnostic test results) when clients request a second opinion. Clause 11 PROVISION OF RECORDS “A registered veterinarian who has previously treated an animal must, when requested to do so, and with the consent of the person responsible for the care of the animal, provide copies or originals of the case history records directly to another registered veterinarian who has taken over the treatment of the animal.” Clause 12 RETURN OF RECORDS “A registered veterinarian to whom another registered veterinarian has referred an animal for treatment or a second opinion must return the records provided by the referring registered veterinarians as soon as practicable. Clause 16 RECORDS (1) A registered veterinarian must ensure that a detailed record of any consultation, procedure or treatment is made as soon as practicable. (2) The Board has the power to audit records. Page 4 of 7 (3) The record must: (a) Be legible and in sufficient detail to enable another registered veterinarian to continue the treatment of the animal; and (b) Include the results of any diagnostic tests, analysis and treatments. (4) A registered veterinarian must ensure that all records of any consultation, procedure or treatment are retained for at least 3 years after the records are made. veterinary skills and an increasingly sophisticated knowledge base. However, it is unrealistic for an employer to expect that new graduates will be competent in all veterinary skills, procedures and techniques upon graduation. Knowing how to apply their knowledge base and skills and to communicate effectively, takes time and experience. GUILDELINES UNDER SECTION 6(e) OF THE VETERINARIANS ACT - RECORD KEEPING Contemporary professional standards for veterinary practice require that case notes should provide sufficient details to enable another veterinarian to continue the treatment of the animal at any time. This includes (but is not necessarily limited to) full details of: any condition or injury any examination, procedure, treatment any provisional or definitive diagnosis the results of any diagnostic tests estimates on likely extent and cost of treatment, given prior to treatment (as required by clause 17 of the Code of Conduct) any drugs prescribed and directions provided instructions given when the animal is discharged any drugs administered (including amount and route) anaesthetics given. On a cautionary note, veterinarians are reminded that contravention of, or failure to comply with the Veterinarians Act, Veterinarians Regulations or a prescribed code of conduct constitutes “misconduct” within the meaning of section 28 of the Veterinarians Act, which is a ground for possible disciplinary action under the Act. published New graduates should not be expected to perform after-hours duty or remain in sole charge until they are fully conversant with work place procedures and back-up facilities and have achieved adequate levels of competence. A new graduate should not be required to attend after-hours calls without adequate support until he/she is competent to undertake independent practice. New graduates will become independent after different time frames, largely determined by the experience they gain in their jobs. In the event of a complaint it will be up to the employer to demonstrate that the new graduate has been adequately trained and supported. New graduates must accept that an “on-the-job” learning curve exists and should seek assistance from within the practice when they find themselves out of depth or at the limit for their experience and knowledge. It is reasonable for the employing practice and the practice clients to expect that new graduates will be supported by the senior veterinarians. New graduates have this expectation and so does the Veterinary Board. The Board’s Guidelines on Staff published on the Board website – www.vetboard.nt.gov.au provide further guidance. In addition, new graduates may benefit from participation in the mentoring program offered by the Australian Veterinary Association (AVA). SUPPORT FOR NEW GRADUATES (A re-print of article Newsletter July 2011) Employers have an obligation to supervise inexperienced veterinarians at all times until competency is achieved. in Board Email: avant@ava.com.au Web: 13-0527-sec_attach A.docx Employing a new graduate carries certain responsibilities and requires greater input and support from the practice than employing an experienced graduate. Not every practice has the resources to employ and appropriately support a new graduate. Employing veterinarians are reminded that veterinary graduates are provided with core Page 5 of 7 NATIONAL VETERINARY WORKFORCE SURVEY UNDERTAKEN BY THE AVA In 2012 the AVA conducted the first national survey of the veterinary workforce in Australia. The report analysing the results of the survey is available on the AVA website at http://www.ava.com.au/about-us/policy-andpositions/topics-2. It is intended that the survey will be conducted on an annual basis to gather the data required to develop relevant insights into workforce trends, educational needs and other issues relating to the future of the veterinary profession. All veterinarians are encouraged to assist this endeavour by participating in the 2013 on-line survey, which can be accessed directly at: http://ava.informz.net/survistapro/s.asp?id=2134 NATIONAL RECOGNITION OF VETERINARY REGISTRATION (NRVR) The NRVR process has been operating in Victoria and New South Wales since 2011 and commenced in Tasmania in December 2012. This essentially means that a veterinarian who both resides and practises in Victoria, New South Wales or Tasmania must be registered with the relevant State Veterinary Registration Board. Veterinarians who reside and practise outside these three States who wish to undertake short term practice or locum placements in Victoria, New South Wales or Tasmania are “deemed” to be registered to practise in those States provided they hold on-going registration in another jurisdiction in Australia. In other words, they may practise in Victoria, New South Wales or Tasmania without the need to formally register with the local State Veterinary Board, provided they abide by the local laws governing the provision of veterinary services and comply with the prescribed Code of Conduct. Veterinarians who wish to work in jurisdictions other than Victoria, New South Wales and Tasmania are still required to formally register in each of those jurisdictions. Veterinarians practising in the Northern Territory, Queensland, South Australia, Western Australia and the ACT must apply for registration with the respective State/Territory Veterinary Board. Those who require primary registration for majority practice in the Northern Territory must register with the Veterinary Board and pay a prescribed fee. Those who require secondary registration for periodic/locum practice must register with the Board, but there is no fee. AUSTRALASIAN VETERINARY BOARDS COUNCIL (AVBC) All Veterinary Boards in Australia and New Zealand are members of the Australasian Veterinary Boards Council (AVBC) and contribute to, and are guided and assisted by Council’s recommendations to the extent permitted by the individual State and Territory Acts regulating veterinary practice. Under the Northern Territory Veterinarians Act, persons seeking registration are required to hold a veterinary qualification recognised by the AVBC. The Veterinary Board of the Northern Territory is represented on the AVBC by Dr Richard (Dick) Morton. The AVBC is responsible under its Constitution for accrediting veterinary schools and courses; assessing the suitability for practice in Australia, of persons with foreign veterinary qualifications; conducting the National Veterinary Examination; making recommendations on uniform criteria for the recognition of qualifications for registration of veterinarians and veterinary specialists; and the standardisation and quality assurance of veterinary services to the community. CHANGES TO EXPORT PREGNANCY TESTING REQUIREMENTS On 4 July 2013, the Northern Territory Department of Primary Industry and Fisheries (DPIF) received notification from the Australian Department of Agriculture, Fisheries and Forestry (DAFF) of changes to the identification and reporting of the pregnancy status of cattle sourced and presented for export. These changes took effect from 1 August 2013. Under the new requirements, exporters must provide pregnancy or spey declarations that clearly and individually identify any female cattle that are presented for export, their pregnancy status (slaughter/feeder and breeder) and stage of pregnancy (breeder) as well as the date that cattle were pregnancy tested or speyed. This will require changes in procedures during the preparation of female cattle for export. Under the Northern Territory Veterinarians Act and Regulations, all veterinarians practising in the Territory must register with the Veterinary Board of the Northern Territory. Page 6 of 7 Accredited pregnancy testers and veterinarians will need to: 1. Ensure all animals pregnancy tested are individually identified. 2. A record of the pregnancy status for each individual animal is recorded which is linked to their individual identification. 3. The date that each individual animal is pregnancy tested is recorded. This information will need to be provided to the exporter. Radio Frequency Identification Devices (RFIDs) and National Livestock Identification System (NLIS) readers should be used for this purpose. Exporters have requested that a hard copy of this information is provided, together with the vendor declaration. DAFF has advised that if there is evidence that a pregnancy status declaration is inaccurate; all cattle identified in that declaration may be re-tested to confirm their pregnancy status and stage of pregnancy. REQUEST FOR ASSISTANCE WITH TICK RESEARCH – MURDOCH UNIVERSITY Ticks Wanted! With the tick season fast approaching in eastern Australia, and with an all-year round tick season in the north, a team of researchers at Murdoch University is investigating potentially pathogenic microorganisms in the ticks that bite companion animals. Whilst some pathogens like Babesia and Anaplasma are well documented in certain regions of Australia, our research aims to investigate the diversity and distribution of a wider range of bacterial and protozoal organisms including Bartonella spp., Borrelia spp., Coxiella spp., Ehrlichia spp., Francisella spp., Rickettsia spp. and Theileria spp., using the latest molecular diagnostic tools. A FEW REMINDERS Public Register Northern Territory registered veterinarians are encouraged to check the accuracy and currency of their registration details recorded on the public register published on the Board’s website at http://www.nt.gov.au/d/vetboardnt/applications/regi ster/ and to advise the Board of any amendments required. Annual Renewal of Northern Territory (NT) Veterinary Registration and need for accurate mailing address Notices regarding the annual renewal of registration to practise as a veterinarian in the NT in 2014 will be posted out on 31 October 2013 to all veterinarians on the NT Veterinary Register (in both categories of primary and secondary registration) to the last known postal address recorded in the Board Register. Please advise the Board Registrar if your postal address has changed or you do not wish to renew your NT Veterinary registration and do not wish to receive a renewal notice. The researchers would welcome your assistance with this research by collecting ticks for them off your patients. If you would like to be involved, please contact Associate Professor Peter Irwin by email at P.Irwin@murdoch.edu.au or by phone on (08) 9360 2590. The researchers will send you a tick collection kit together with instructions on how to remove, preserve and transport the little critters to Murdoch! Page 7 of 7