Showing posts with label change. Show all posts
Showing posts with label change. Show all posts

Friday, February 10, 2012

AVMA: Horseshoeing Is No Longer an Excluded Profession in the New Model Veterinary Practice Act (But Farriery Is)

confusion

What's in a name?

The American Veterinary Medical Association (AVMA) Executive Board approved revisions to the new 2011 Model Veterinary Practice Act (MVPA) in November 2011, and those changes became official on January 7, 2012 when the AVMA's governing body, the House of Delegates, approved the document.

The Model Veterinary Practice Act is just that: an approved sample ("model") document that is promoted by the AVMA as reflecting the verbiage  and policies it would like to see adopted in each of the 50 states as the ideal state veterinary practice act.

That said, each state can and probably will make some changes; the states usually end up with documents that vary on some level related to how veterinary practice is conducted or regulated.

Each time the MVPA is changed, the AVMA opens a comment period for members and the public to have their say. That period has now passed.

The AVMA reported that it received "985 comments on individual sections of the model act.  About 70% of the comments were submitted by non-members, and 10% came from organizations as opposed to individuals.  The sections attracting the most comments are Section 2 (definitions, especially “complementary, alternative and integrative therapies” and “practice of veterinary medicine”), Section 6  (exemptions to the act), the preamble (general comments) and Section 3 (board of veterinary medicine)."

While horseshoeing had been previously excluded from practicing veterinary medicine, this year's edits (Section 6. Number 8) showed a line drawn through the word "horseshoeing". It was changed to "farriery".

The old document read

The document-in-progress showed the change:


The exemption now reads "Any person lawfully engaged in the art or profession of farriery."

No explanation is given for the change, and while other words are defined, "farriery" is not.

Although other professions, such as pharmacists and researchers, are also listed as exempt, farriers are one of only a few professions predicated by "lawfully engaged". And it is the only one described as an "art or profession".

Since farriery and other hoof-related professions are not regulated in the United States except on racetracks, the language begs the question of how it would be determined whether or not an individual was lawfully engaged in providing farriery care to an animal.

And what, exactly, farriery is.

The word change in the horseshoeing--or farriery--section is probably a minor matter in the big picture of things, but it should be duly noted. "Horseshoeing" is the word traditionally used in all US government documents; farriery is seldom mentioned. The word seems to have been dusted off, perhaps around the time of the formation of the American Farrier's Association and it has enjoyed a renaissance, particularly in the past 30 years or so.

That said, it remains poorly defined and some hoof-oriented professionals simply don't like the word, while others prefer it. You can call yourself whatever you please--except a veterinarian, unless you are one.

The general public, however, is behind the curve; people are usually convinced that a farrier either makes fur coats or carries people back and forth across rivers in a boat. They think "farrier" is a great word for "Words with Friends" on their iPhones.

Repeated calls and emails to the AVMA and its task force administrators were not acknowledged or returned except for one interchange with a media relations representative who referred me to the librarian. I did enjoy my conversation with Diane Fagen, AVMA librarian, who set out to find out if a farrier was defined anywhere by the association.

Being a good librarian, she cheerfully suggested we look up farrier in the ultimate reference, the Oxford English Dictionary. I warned her not to, and that attorneys roll their eyes at OED definitions, but she did anyway.

"Oh my," Ms Fagen murmured, reading aloud a lengthy definition of the term "farrier" that seems woefully outdated, though historically accurate. "It means horse doctor," she concluded.

"I can see why you called," she acknowledged. But no, she didn't have any information on why the word had been changed.

But that's how change happens, sometimes: it just does.


© Fran Jurga and Hoofcare Publishing; Fran Jurga's Hoof Blog is a between-issues news service for subscribers to Hoofcare and Lameness Journal. Please, no use without permission. You only need to ask. This blog may be read online at the blog page, checked via RSS feed, or received via a digest-type email (requires signup in box at top right of blog page). To subscribe to Hoofcare and Lameness (the journal), please visit the main site, www.hoofcare.com, where many educational products and media related to equine lameness and hoof science can be found. Questions or problems with this blog? Send email to blog@hoofcare.com.  
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Saturday, January 16, 2010

USEF Reduces Medications Levels: Only One NSAID Allowed in Competition Horses After This Year

16 January 2010 | Fran Jurga's Hoof Blog at Hoofcare.com

Horses showing in USEF-sanctioned horse shows will be subject to new drugs and medications policies beginning at the end of 2010 as more than 30 years of permissive use of pain medication is being restricted under a more conservative rule. Even with half the medication formerly allowed, US horse shows still have a very liberal policy compared to most countries.

Big news from Louisville, Kentucky tonight: At the annual convention of the United States Equestrian Federation (USEF), the governing body of most equestrian sports in the United States, a significant rule change is being agreed upon which will reduce the number of medications that a horse can have in its system when competing.

Various committees within USEF have been working toward a compromise on this issue throughout the convention, which began on Wednesday. Current USEF rules allow two non-steroidal anti-inflammatory medications to be used simultaneously; that policy has been in place for more than 30 years.

The change was not without its opponents; the US Hunter Jumper Association's Open Hunter Task Force had filed for a rule change (GR410.1) that would have allowed two medications if written notification was given, but then withdrew its proposal on December 9.

Some breed and sport representatives felt that limiting medication is a penalty to older horses or to lower-level shows that do not have the best footing. Perhaps some horses will now show in fewer shows, or be entered in fewer classes. Some arguments were made that the current low value of horses makes it a hardship to sideline horses that could be competing if medicated. It remains to be seen if the new rule will affect horse show revenue; it is not expected to take effect until December 2010.

In most European countries, no medications are allowed; no medications are allowed in competitions sanctioned by the Federation Equestre International (FEI), the world governing body of horse sports. A recent vote to change the FEI medication policy caused an international uproar.

There is a lot to this story, and more will emerge in the days and weeks to come as the official final wording of the rule and dates are made public. One thing is known, and that is that the push to make the change came from veterinarians, who are often accused of promoting drug use in show horses.

Dr. Kent Allen, longtime chair of the Drugs and Medications Committee for USEF, commented on the obvious rise in joint injection that may be the result of a limit on medication. In a document available on the USEF website he offered this insight: "First, it is important to understand that a joint injection properly performed in experienced veterinary hands is the single most effective anti-inflammatory treatment we have for (an) equine joint.

"Secondly, there are numerous medications to inject into joints. Often it is hyaluronic acid in combination with a variety of cortisones, or bioregenerative therapies such as IRAP. Some of these medications are extremely safe and all of them will significantly reduce joint inflammation.

"On the question of 'are joint injections going to be overused', the answer is that is already happening today! In some cases joint injections are being used as treatments in 4, 6 or 8 joints without a diagnosis of joint inflammation ever being established. This is dangerous not only from the standpoint of increasing the number of joint injections in the horse and potential side effects but you may or may not be treating the real problem. Accurate diagnosis, including lameness examination, nerve blocks, joint blocks and diagnostic imaging is the most effective method of determining what the problem is and if the horse needs joint injections. This also has the benefit of reducing the cost to owners as well as the risk to the horse."

USEF approved the use of Surpass, a topical anti-inflammatory recently; there's no prediction so far if there will be a trend to more specific treatments rather than generalized medication for pain, stiffness or soreness.

While rumors of a compromise were circulating today, equestrian journalist Nancy Jaffer broke the news tonight in her column for the Star-Ledger in New Jersey that the new medication policy would be adopted. More insight into the process of the rule change can be found in Nancy's article.

The new rule will affect most breed shows, including Arabians, Saddlebreds and Morgans, plus USEF-sanctioned hunter-jumper, dressage, driving, endurance and eventing competitions and individual breeds and sports who are under USEF's umbrella. It will not affect Quarter horse, Paint, Tennessee Walking horse or Appaloosa shows, as well as many other breeds, or the sports of reining, cutting and barrel racing, unless they are held at a USEF event or as part of a USEF-member breed show.

The medication policy change is endorsed by the American Association of Equine Practitioners, the American Veterinary Medical Association and by the Humane Society of the United States.

USEF assembled an impressive bank of articles and information on medications in sport and performance horses for the delegates to the convention. Since medication policy is sure to be a topic of conversation throughout the coming months, you might want to save some of those documents for reference.

© Fran Jurga and Hoofcare Publishing. Please, no use without permission. You only need to ask.

Fran Jurga's Hoof Blog is a between-issues news service for subscribers to Hoofcare and Lameness Journal. This blog may be read online at the blog page, checked via RSS feed, or received via a digest-type email (requires signup in box at top right of blog page).

To subscribe to Hoofcare and Lameness (the journal), please visit the main site, www.hoofcare.com, where many educational products and media related to equine lameness and hoof science can be found.

Questions or problems with this blog? Send email to blog@hoofcare.com.