My background is food animal preventive medicine and infectious disease control. Early in my career, I had a chance to work in jurisdictions with little veterinary infrastructure. This experience stayed with me and was the nidus for pursuit of a late career PhD focused on EBVM and knowledge translation. I’m motivated by helping communities of practice come together to build an evidence based ecosystem that supports iterative learning and efficient sharing of effective knowledge. It needs to be easier for decision makers to keep up and to manage uncertainty in veterinary medicine. The Board is committed to helping the profession evolve to meet today’s and tomorrow’s challenges. I welcome and invite your help, comments, and feedback. Sheila Keay,DVM, MBA, MPH, PhD |
What is EBMVA doing now? |

Announcements
A huge thank you to each of our departing Board members, Dr. David Ramey, Dr. Martin Whitehead, and Laura Rey, for their dedicated service. Although I’m also delighted to report that each will continue to help the Board on both ongoing and new initiatives. RCVS Knowledge is holding a free live webinar Nov 6 on Contextualised care. You can register to join at https://mailchi.mp/rcvsknowledge/contextualised-care-report-live-launch-webinar?e=5192ceddde |
Want to get involved?
Open volunteer positions:
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So we’re all on the same page...Point-of-Care Testing (POCT) involves diagnostic testing performed in close proximity to the patient —frequently at the patient’s bedside —in a primary care environment or community setting, rather than in a centralized clinical laboratory. https://nccid.ca/cphln-point-of-care-testing-poct/
Point-of-care information tools are decision-support resources that”bridge the gap between medical research and clinicians, facilitating the exchange and application of research in clinical settings by integrating and adapting research evidence into formats relevant to practitioners in specific clinical environments. Point-of-care resources help clinicians overcome the obstacles of time, limited search skills, and limited critical appraisal skills”. Toews, L. J Vet Med Educ. 2011 38:2, 123-134
Evidence-based point-of-care information resources “are compiled using systematic, explicit methods to locate, critically appraise, and synthesize all relevant research evidence for a clinical problem. These resources present conclusions and practice recommendations from this synthesis in concise, easily searchable formats that align with clinicians' decision-making processes and workflows and are continuously updated as new evidence becomes available”. Toews,L. J Vet Med Educ.38(2):123-34. doi: 10.3138/jvme.38.2.123. PMID: 22023920.
Spectrum of Care (US)/Contextualised Care (UK):There are numerous definitions of the Spectrum of Care/Contextualised Care1,2,3,4, all of which recognize a veterinarian’s responsibility to provide a wide range of diagnostic and treatment options for clients and their pets. These options must ideally be based on the best available evidence. Spectrum of Care recognizes the unique circumstances of each case, including the client’s financial resources.
1 https://www.aavmc.org/resources/spectrum-of-care/
2 The American Animal Hospital Association (AAHA) defines the spectrum of care (SOC) as “a patient-centered, evidence-based approach to veterinary medicine that provides a range of acceptable treatment and diagnostic options tailored to the individual pet and owner's circumstances, including emotional, physical, and financial resources.”
4 https://knowledge.rcvs.org.uk/evidence-based-veterinary-medicine/contextualised-care/
Access to Care: refers to the efforts veterinarians, veterinary hospitals, animal protection organizations, and society make to increase the availability of veterinary care to the pet-owning public. As a progressively larger percentage of the pet-owning public finds preventative, emergency, and tertiary veterinary care unaffordable, access-to-care initiatives recognize that the most important thing we can do to improve the health and welfare of our patients is to address potential barriers to care and get them through the hospital door.
Standard of Care: In veterinary tort law, Standard of Care is typically defined as "the care provided by the average, reasonably prudent, competent veterinarian in the community". There is increasing recognition that in clinical veterinary practice, that the standard of care, rather than representing a single baseline for the minimum accepted level of care, should instead reflect a continuum of acceptable care that takes into account available evidence-based medicine, client expectations of care, and financial limitations that may limit diagnostic and treatment options. Block, G. 2018. JAVMA, 252(11), 1343-1344
What projects would you like to see come to life?We’re in building mode and welcome collaborations. Do you have a paper/research topic you have been dying to work on, but haven’t had collaborators? Do you have a topic of interest you would like to develop or a project to address? Please share.
| Send us an email if you have evidence-based items you'd like to see featured in the newsletter. Contact the EBVMA at: info@ebvma.org |