Growing Forward 2 - Final Report Project II | Page 39

PHASE B: MULTI-STAKEHOLDER FORUM
Results
The feedback on the Draft Tactics for Priority Initiatives – for
Forum Discussion was reviewed and collated. The collated
results were utilized to draft the next version of the tactics,
which were provided to the Project Advisory Group for review
and input. Following this review, Draft Tactics for Priority
Initiatives - for Stakeholder Consultation was established and can
be seen in Table 14.
Table 14: Draft Tactics for Priority Initiatives - for Stakeholder Consultation
Initiative Draft Tactics
Voluntary
veterinary
CE Create the course content to provide graduate veterinarians and student veterinarians:
1. with the latest information on appropriate antibiotic use that:
a. has clearly defined objectives (eg stewardship versus prescriptive guidelines)
b. is updated annually
c. utilizes information from review of existing modules (eg in Quebec and New Brunswick, continuing professional education for
physicians, etc.)
d. is evidence-based
e. includes information on the regulatory environment
i. includes information on how veterinarians can adapt to their role as stewards of antibiotic use, including its potential impact
on their relationship with producers and how to educate individual producers
ii. includes core content for all veterinarians, with species-specific components to be accessed as needed depending on scope
of practice
f. with the skill sets related to the development, updating and implementation of SOPs to ensure optimal knowledge transfer to,
and uptake by, the producer community
g. with the skill sets related to the development, evaluation and teaching of producer education programs, which may differ by
commodity group
h. with the skill sets to interpret the data provided in laboratory reports on antibiotic sensitivity
2. Design an implementation strategy for delivery of course content to veterinarians, including:
a. delivery of course content at the provincial level
b. assessment of opportunities for delivery, including:
i. in conjunction with existing continuing education events, including species-specific meetings such as OABP
ii. as a collaborative program with organizations such as OVC
iii. online modules, plus options for other means of flexible access
c. recognition of the need to accommodate multiple generations of veterinarians and geographic locations
d. consideration of program status being voluntary versus mandatory
i. if mandatory, consideration of length of time before re-taking course is required
e. consideration of opportunities for recognition/certification of course completion
3. Define and measure indicators for success of program
Develop/
update
farm SOPs Veterinarians and producers:
1. Share best practices for SOPs, including important aspects such as:
a. good science i.e. evidence-based
b. practicality
c. clarity
d. effectiveness
e. inclusion of preventive/prophylactic protocols
f. tailored to farm management practices
g. include alternative management techniques to reduce antibiotic use
2. Review and evaluate existing SOPs from current quality assurance programs
3. Identify minimum standard templates for on-farm SOPs for appropriate antibiotic use, by species and by commodity
4. Develop and update species and commodity-specific SOPs as needed, building on existing programs
5. Establish and implement review cycles to regularly update SOPs for appropriate antibiotic use, by species and by commodity:
a. taking in to account any changing regulatory impacts
b. linking ongoing updating of SOPs to a current veterinarian-client-patient relationship
6. Define and measure indicators for success of SOPs
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Setting an Action Agenda for Veterinary Stewardship of Antibiotic Use in Food-Producing Animals in Ontario