Compliance - whose “problem” is it?

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Presentation transcript:

Compliance - whose “problem” is it? (Getting PI buy-in & increased involvement, self-reporting & issue resolution). Ron E. Banks, DVM Duke University Animal Care & Use Program

Who’s the Problem? (A clinical care conundrum!) An animal fails to respond appropriately to a treatment Vet: Blame the failure on a lack of owner compliance Owner: Blame the vet or the vet’s treatment as faulty Outcomes: Vet: That was the best treatment for the animal's problem based on the latest scientific knowledge. I wasted my time and energy .. And gave them a discount! Owner: I wasted time and money and the animal didn’t get better. Must be a crummy vet. Problem: Breakdown in client-practitioner communication No sharing of the same view of the situation or similar anticipated goals Bias suggest ‘ours’ or ‘theirs’ as two treatment options … not the ‘right’ one

Consider An Adage … … and a few corollaries 1. It doesn’t matter how good the food is … if they won’t eat it 2. It doesn’t matter how great the therapy … if they don’t use it 3. It doesn’t matter how fine the plans … if plans are not followed 4. It doesn’t matter how smooth the design … if it is long or complex

Are there secrets to veterinary medical care compliance? To ensure owner compliance, there must be acknowledgement of four distinct issues: The animal's physiological needs. The animal's behavior. The relationship between any care-givers and the animal. The care-giver's lifestyle.

But what does this mean to ACUPs? To ensure institutional compliance, we need to acknowledge that successful treatments address four distinct issues: The institution’s physiological needs. The PIs behavior. The relationship between any IACUC and the research community. The research community’s lifestyle.

But what does this mean to ACUPs? QUESTION: What are the institution’s physiological needs? QUESTION: How can we address those needs?

But what does this mean to ACUPs? QUESTION: What is the PIs behavior. QUESTION: How can we work with that behavior? Or change it?

But what does this mean to ACUPs? QUESTION: What is the relationship between any IACUC and the research community? QUESTION: How can we encourage mutually beneficial partnership?

But what does this mean to ACUPs? QUESTION: What is the research community’s lifestyle? QUESTION: How can we shepherd the institution toward a ‘Culture of Compliance?’