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From March 2013 to December 2019, 1,585 cases were reviewed encompassing 36 histologic types. More than 300 cases were reviewed per year from 2017 to 2019. Opaganib ic50 Survey results of referring physicians demonstrate that the VMSCC enhanced the confidence of treating physicians, and its recommendations frequently led to treatment changes. Conclusion Establishing a valuable community-based VMSCC is feasible. VMSCC recommendations frequently led to treatment changes and improved the confidence of treating physicians.Competency-based medical education is an educational innovation implemented in health professions worldwide as a means to ensure graduates meet patient and societal needs. The focus on student-centered education and programmatic outcomes offers a series of benefits to learners, institutions and society. However, efforts to establish a shared, comprehensive competency-based framework in veterinary education have lagged. This article reports on the development and outcome of a competency-based veterinary education (CBVE) framework created through multi-institutional collaboration with international input from veterinary educators and veterinary educational leaders. The CBVE Framework is designed to reflect the competencies expected of new graduates from member institutions of the Association of American Veterinary Medical Colleges (AAVMC). The CBVE Framework consists of nine domains of competence and 32 competencies, each supplemented with illustrative sub-competencies to guide veterinary schools in implementing competency-based education in their local context. The nine domains of competence are clinical reasoning and decision-making; individual animal care and management; animal population care and management; public health; communication; collaboration; professionalism and professional identity; financial and practice management; and scholarship. Developed through diverse input to facilitate broad adoption, the CBVE Framework provides the foundation for competency-based curricula and outcomes assessment in veterinary education internationally. We believe that other groups seeking to design a collective product for broad adoption might find useful the methods used to develop the CBVE Framework, including establishing expertise diversity within a small-to-medium size working group, soliciting progressive input and feedback from stakeholders, and engaging in consensus building and critical reflection throughout the development process.A 5-year World Organisation for Animal Health Veterinary Twinning Program between Massey University, New Zealand, and the University of Peradeniya, Sri Lanka, was initiated in 2014. The key aims of the project were renewal of the curriculum, rejuvenation of teaching methodology, and creation of a platform for sustainable clinical and extension livestock services within the teaching program The project succeeded in facilitating the development of a new veterinary undergraduate curriculum that was based upon student-centered and problem-based approaches to teaching and learning. Key reasons for the success of the project were (a) perceptions for the necessity of changes at the University of Peradeniya; (b) the management of expectations of both partners in the program along with their key stakeholders; (c) allowing sufficient time (i.e., 5 years) for agreement, establishment, and implementation of the changes; and (d) the development of the relationships of trust between faculty of the partner institutions at both decision-making and grassroots levels. From a project management perspective, the project required bringing about significant change in another organization, in a foreign country, and with a distinctly different culture. Moreover, notwithstanding the value of a long project, project managers should be prepared for significant political, organizational, and personnel change over the duration of such a project.This collaborative partnership aimed to enhance the quality of veterinary education at both Sokoine University of Agriculture (SUA), College of Veterinary Medicine and Biomedical Sciences (Tanzania), and Kansas State University (KSU), College of Veterinary Medicine (United States), by facilitating exchange of knowledge, experience, and ideas. One project objective was to integrate the World Organisation for Animal Health (OIE) Guidelines on Veterinary Education Core Curriculum into the SUA education program so veterinary graduates would be equipped with the minimum competencies needed to support their National Veterinary Services (OIE Day One Competencies). Curriculum mapping revealed that partners addressed different OIE Day One Competencies to varying degrees and they had complementary strengths and weaknesses. The partners' practical and educational experiences were also complementary, providing each opportunities to learn from the other and a solid basis for long-term mutually beneficial collaboration. Through structured exchanges, the collaboration allowed SUA and KSU students and faculty to broaden their perspectives by exposing them to veterinary medicine, culture, ecosystems, teaching environments, and farming systems in each other's country. Visiting faculties and students from both universities were exposed to different livestock systems, varying dynamics at the human-livestock-wildlife interface, different teaching systems, and a veterinary profession with a different culture and focus than that in their own country. Students and faculty learned about the relative social and economic importance of different types of animal production in each country and their influence on veterinary education priorities. Partnership outcomes include a continuing professional development course at SUA for private and public sector veterinarians and a clinical club to expose students at both colleges to a broader range of clinical cases and knowledge.This article introduces the Special Issue of the Journal of Veterinary Medical Education (JVME) on the OIE Veterinary Education Establishment Twinning Programme. It provides some background on the origins of the program, information on its implementation, and some of the outcomes and benefits already identified.