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SEPTEMBER-OCTOBER 2020
Cypress View
Veterinary Clinic 26
In This Issue 20 Practices during COVID-19
Celebrating Alberta Veterinary
24 Practice Management:
Is Telemedicine Here to Stay? 28 Focus on Wellness: A Community
Approach to Suicide Prevention
Inside this Issue VOL. 22, ISSUE 5
The ABVMA Members’ Magazine is
a bi-monthly publication of the Alberta
FEATURES Veterinary Medical Association delivered
free of charge to members of the ABVMA.
20
Celebrating Alberta Veterinary
Practices during COVID-19
24
Editor’s Notebook
26
Practice Management:
Is Telemedicine Here to Stay?
WORKING REMOTELY FROM HOME FOR THE
past four months has given me an extra two hours per
day that I am not behind the wheel of my car. To fill
28
the void (and to compensate for my teenagers not really
Focus on Wellness: A Community On the Cover
Approach to Suicide Prevention Cypress View Veterinary Clinic needing me much anymore), I have become an avid
news hound. At first, it began with normal curiosity
and interest, and has developed into a fascination with
REGULAR ARTICLES what is occurring in the world today.
My primary revelation was that your news depends
Editor’s Notebook..............................................................................................3 upon where you obtain it. I have always known
that some news sources lean to the right politically
President’s Report...............................................................................................4
while others lean to the left; I had not realized how
Registrar’s Report...............................................................................................5 extremely polar opposite their views could be until
Council Highlights............................................................................................6-7 you start to compare them. Two different news sources
Keeping You Current........................................................................................8-9 reporting on the same event can have radically different
conclusions. Even the edited video from the same event
Complaints Director’s Report......................................................................10-14
can show different realities. A political rally recorded
Membership Matters........................................................................................16 from the back of the stadium looks entirely different
PIPS Tip.............................................................................................................16 from one recorded from the podium. One view shows
CVMA Report...............................................................................................18-19
people packed in front of the stage, the other shows
the empty tiers of seats in the background. The truth
Public Recognition Corner................................................................................22
is often blatantly sacrificed to support the political
In Memoriam.....................................................................................................25 leanings of the source.
Dean’s Corner (UCVM & WCVM).................................................................32-33 The most troubling discovery for me, however, was
Student’s Corner (WCVM & UCVM)............................................................34-35
the lack of accountability for many of the officials and
politicians that are running our governments. I look
ABVTA News................................................................................................36-39 south of our border and see a train wreck unfolding
CE Opportunities.........................................................................................41-42 in slow motion on a daily basis. You know that it is
Classified Ads...............................................................................................43-50 happening, but you just cannot look away. Thinking
that it could not occur in Canada, I look to the east,
Go Green..........................................................................................................50
and see scandal after scandal from our federal leaders
Advertiser’s Index.............................................................................................50 with seemingly no consequences. No one wants to
ABVMA Communication to Members..............................................................51 accept accountability for their actions.
With the physical reopening of the ABVMA
office, I am happy to note that I am back driving the
PRODUCTION CONTACT US two hours per day to attend there. I am also much
Editor – Dr. Darrell Dalton Alberta Veterinary Medical Association
Design, Layout & Printing – Burke Group Bldg. 3, Elm Business Park
happier to be back into an environment where truth
Communications and Professional Suite 104, 9452 – 51 Avenue, NW and accountability do matter — in the veterinary
Enhancement – Kathy Naum Edmonton, AB T6E 5A6 profession. This is why professional associations exist.
ADVERTISING Phone: 780-489-5007 Working with veterinary professionals eases my
Display Advertising – Sarah Munn Toll-Free: 1-800-404-2862
Classified Advertising – Mandi Duggan Fax: 780-484-8311 political skepticism and reminds me that there are still
EDITORIAL POLICY Return Undeliverable
good and honest people out there. Never change.
The ABVMA Members’ Magazine Canadian Addresses to:
welcomes article submissions, letters to Alberta Veterinary Medical Association Darrell Dalton, DVM
the editor and advertising requests Suite 104, 9452 – 51 Avenue, NW
on topics and products related to the Edmonton, AB T6E 5A6 Canada Registrar, Alberta Veterinary Medical Association
veterinary profession.
Canadian Publication Mail
The editor reserves the right to reject Agreement 40014637
submissions if they do not meet the
ABVMA’s editorial criteria.
The editor also reserves the right to edit
submissions (including letters to the
editor) for clarity, length and correction
of factual inaccuracies.
WWW.ABVMA.CA 3
PRESIDENT’S REPORT
with cyberbullying and other threatening Health care professionals such as doctors,
behaviour from the public. Many people are nurses and veterinary professionals tend to
experiencing multiple sources of stress such do well with short-term resiliency. We are
as financial difficulty, health concerns and good at putting our heads down and plowing
family issues, and additional stress such as a through an acute crisis, coming up for air
pet requiring emergency care can cause them once it is over and then putting the rest of our
to lash out. This can be a large contributor to lives back together. However, the long-term
the stress of our profession, and it decreases effects of this stress are not as easily handled
our ability to practice veterinary medicine in the same manner. Stressors such as injury,
effectively. Even prior to the pandemic, verbal relationship stress, poor health, family issues
abuse towards veterinary staff had been noted or a pandemic lasting months, make it
to be commonplace. In a survey published impossible to power through the entire time
by the British Veterinary Association in without burning out.
2017, nine out of 10 veterinarians reported It is important to look for techniques
that they or a member of their team have that may work for you to improve your
felt threatened by someone’s language or long-term resiliency. Everyone has different
behaviour while in practice. Numerous coping mechanisms — mine tends to be
articles published by VIN, AVMA, CVMA running or biking — and finding what allows
and others confirm this is an issue in North your brain to enter into a calm space is key.
America as well. Some techniques recommended for health
As a veterinarian and a mentor, I want professionals to cope during the pandemic
to help promote resiliency in students and involve trying to promote our ability to
new graduates as they start their careers as grow during the changing environment.
I WANT TO COMMEND ALL OF MY veterinarians and RVTs. Managing the stress This can include taking a step back to focus
colleagues and their staff on doing an of difficult client interactions is one of the your attention on the environment and
amazing job at continuing to provide care for tougher skills to master, and something that allow yourself to be fully present, curious
animals of all species during the challenges can significantly impact happiness within and interactive. If you can promote a calm
of COVID-19. As essential service providers, this career. We have to work together as response to what is around you, your ability to
we have safely ensured animal welfare and colleagues and as a profession to deal with control your reactions and responses increases.
public health needs are met. This is no negative interactions such as threats, violence Allow yourself brief pauses in your day to
small task during the ongoing stress of the and cyberbullying. Having a veterinarian or take in and reflect on your feelings and your
pandemic. At the time of this writing ( July clinic encountering verbal on online threats reactions. Actions such as grounding yourself,
22), our provincial daily case numbers are or a violent client is difficult on all team acknowledging your reaction to what is
once again increasing, and we must continue members. Keeping the ABVMA informed around you, and then setting these reactions
to remain vigilant in following physical aside to start fresh with the next task can help
distancing and infection prevention. AS ESSENTIAL your mind from becoming overwhelmed.
Recently, a veterinarian was struck by an SERVICE PROVIDERS, Remember that kindness and support for
emotional and angry client. The majority WE HAVE SAFELY your work team will help reduce negativity
of small animal practices are busier than ENSURED ANIMAL and stress in the workplace. Working on a
ever, and ensuring that both staff and WELFARE AND positive attitude and trying to remain focused
public are kept safe makes everything take PUBLIC HEALTH on the big picture are techniques that can
longer. Emergency practices are frequently NEEDS ARE MET. help build resiliency. As we work through this
overwhelmed, and wait times can be long. time of change, remember that change brings
Curbside appointments make communication of these trends is also important, as this opportunities as well as disruptions, and is a
take longer, so situations that are already allows Council and staff to work on potential part of life. All of us at the ABVMA wish to
emotional can potentially become combative. solutions, develop courses and can help direct support our members as we continue to adapt.
I am very concerned that we will see members to resources to help themselves,
more of these types of interactions, along their workplace and their families.
4 ABVMA MEMBERS’ MAGAZINE | SEPTEMBER-OCTOBER 2020
REGISTRAR’S REPORT
ONE OF THE RECURRING ISSUES veterinarian or technologist performing Following a number of complaint cases that
that the Practice Inspection and Practice the procedure is also the person resulted from the anesthetic death of an
Standards (PIPS) Committee has been monitoring the anesthetic, informed animal, the Complaint Review Committee
dealing with for the past six years is the consent (verbal or written) acknowledging (CRC) and the Hearing Tribunal both
requirement for a designated anesthetist the absence of a dedicated anesthetist clearly expressed the opinion that a
to be present during any prolonged deep must be obtained from the owner and designated anesthetist must be available
sedation or anesthesia. The problem arose appropriately documented.” for all routine procedures. They opined that
from the wording of the 2014 PIPS Bylaw: The intent of the task force that developed a veterinarian concurrently acting as both
this Bylaw was that the exception was only surgeon and anesthetist cannot properly
“A designated anesthetist (separate
to be used in an emergency situation, and assess ventilation, circulation, temperature,
from the veterinarian or veterinary
not as a practice model. Unfortunately, some perfusion, oxygenation and depth of
technologist performing the procedure)
members interpreted this to mean that if anesthesia while competently performing
must be available for each procedure.
verbal or written consent was obtained, they surgery, and is therefore inappropriate.
The anesthetist must be a registered
were within the intent of the Bylaw. This was Failure to provide a dedicated anesthetist,
veterinarian or a registered veterinary
not accurate, and the PIPS Committee is particularly for a routine or scheduled
technologist under the supervision of a
seeking to resolve this issue. procedure, may result in allegations or
veterinarian. In the circumstance where the
In order to correct the misinterpretation, findings of unprofessional conduct in the
the 2019 PIPS Bylaw revision made the event of a complaint. Documented informed
following changes (changes in bold): consent is only acceptable and applicable for
exceptional circumstances.
“A designated anesthetist (separate Council has discussed this issue at
from the veterinarian or veterinary length and is in agreement with the PIPS
technologist performing the procedure) Committee, CRC and Hearing Tribunal.
must monitor patients under general Previously a compliance approach has been
anesthesia and or prolonged and/or taken to institute this change since 2014, but
deep sedation. The anesthetist must be now will move to an enforcement stance.
a registered veterinarian, or a registered Council recognizes that there are ways to
veterinary technologist under the achieve compliance by most practices as
supervision of a veterinarian. If, in the has been demonstrated in the past six years,
exceptional circumstance where the for example, having a locum come in part
veterinarian believes the procedure time and grouping all surgeries on that
must be done without an available day. Practices that do not have a registered
designated anesthetist, informed veterinary technologist, employ locum
Darrell Dalton, DVM consent must be documented in the veterinarians or locum technologists to act
medical record. Written informed as a designated anesthetist, will not pass the
Registrar, Alberta Veterinary consent acknowledging the absence of a PIPS inspection to provide SC-4: Anesthesia
Medical Association dedicated anesthetist, and the increased services. A designated anesthetist saves animal
risk to the patient, must be obtained from lives and that is what this is all about.
the owner, appropriately documented
and be very clear to the client.”
OUR VISION OUR MISSION
Healthy animals and people in Serving the public by regulating, enhancing and providing leadership in the practice of the
a healthy environment. profession of veterinary medicine in Alberta.
OUR VALUES
PROFESSIONALISM INTEGRITY LEADERSHIP INCLUSIVITY RESPECT
Demonstrating ethics, fairness, Exemplifying honesty, Inspiring a path that is Fostering a safe, positive and Interacting with empathy,
responsibility and accountability trust and transparency adaptable and visionary collaborative environment compassion and dignity
WWW.ABVMA.CA 5
COUNCIL HIGHLIGHTS
2020 ABVMA Council
Back row, left to right: Tracey Ruzicka, RVT, Karen Melnyk, RVT, Dr. Natasha Kutryk, Dr. Noel Ritson-Bennett, Dr. Gurmeet Singh Tuli, Dr. Colleen Pratt, Dr. Daren Mandrusiak, Kate Simon, RVT
Front row, left to right: Dr. Chris Berezowski, Mick Howden, Dr. Pat Burrage, Dr. Kirsten Aarbo, Dr. Lisa Lomsnes, Dr. Louis Kwantes, Dr. Jonathan Leicht, Ross Plecash
Missing from photo: Dr. Darrell Dalton, Dr. Douglas Freeman, Dr. Keith Lehman, Dr. Baljit Singh
June 24-25, 2020 – Virtual Meeting
Jonathan Leicht, DVM
Council strategic thinking session: planning mechanism in case COVID does representative of many veterinarians’ views
continuing professional development not allow full reopening in coming months. in Alberta, and additionally the CVJ was
• What defines continuing education (CE) • ABVMA will be an Organizational becoming more companion animal focused.
in 2020 and related competency skills. Member of the CVMA. There are no • ABVMA sent letter of response to
Limits on ability to audit, best methods separate CVMA fees on member invoices. the CVJ for publishing in the next
for auditing; peer advisory roles, how The Organizational Membership fee CVJ edition.
best to track competency assessments. is expected to be similar to what was
Is the gathering of data leading to previously remitted as individual member ABVTA report
purposeful outcomes and what are we fees and therefore will have minimal • Discontinuation of the current Canadian
trying to measure? impact on the budget. Vet Practice Magazine to members
• CE and relationship to area of practice; • Five per cent reduction is provided for • Continued discussion with a number of
discussion on applicability of particular in COVID draft budget in registration the graduated students that are awaiting
CE and whether ABVMA tracking and # revenue (RVT and DVM combined). VTNE examination changes with
of hours is relevant to 2020. • Expenses: To remain consistent in 2021, COVID and planning contingency for
• Outcome of discussion: Current 20 COVID budget outlines worst case AGM event
hours (DVM)/15 hours (RVT) to remain scenario if meetings continue virtually;
while emphasizing continued support for effects on CanWest, AGM, registration UCVM report to Council
applicable CE by ABVMA. days, etc. • Expansion of DVM program; new
• Goal is to pass budget by August 2020, building is complete at Spyhill and
Audit Committee review which will allow for further knowledge of expansion of DVM students to fifty
• Financial guidelines: A change in wording COVID situation. for 2021 is approved by the Council
will allow investing in higher return/low on Education.
risk stocks if council decides this is a good Canadian Veterinary Journal (CVJ) • Six professorships and four staff positions
decision in future, but not at present. (Up ethical question discussion by Council are posted for hiring by September 2020
to 10 per cent of reserve investment pool) • ABVMA was contacted by a number • Diagnostic Unit - $3.5 million grant for
of member veterinarians that were additional support and workload. This
Draft 2021 normal budget and draft distraught by the CVJ ethical question of is the first time government has made
2021 COVID budget the month member letters published in investment in this area in decades and will
Dr. Dalton prepared a normal budget as CVJ (May 2020). Major concerns were allow additional surveillance, testing and
well as COVID budget scenario to provide raised that remarks were inflammatory, not diagnostics resources in Alberta.
6 ABVMA MEMBERS’ MAGAZINE | SEPTEMBER-OCTOBER 2020
WCVM report to Council • Council was provided information that multiple E-News bulletins framing
• Council received update on COVID Alberta veterinary numbers are falling to the application of the bylaw. Prior
management at WCVM behind population growth, possibly worse “informed consent” guidelines when an
• Application process update for than many jurisdictions throughout North anesthetist could not be made available
2020 DVM intake including non- America, therefore project is very timely. was also discussed.
interprovincial agreement intake. • Council approved motion for PIPS
There will be nine students from Alberta Discussion on majority ownership of Committee to develop guidelines for an
in the incoming class at the non- permit holders exemption that practices could only apply
interprovincial agreement tuition rate. • A lively discussion occurred on what for in “exceptional” circumstances.
• A new curriculum is being introduced defines majority ownership, who is the
this year to enhance clinical education. responsible veterinarian in practice, what CanWest update
Additional labs/physical skills would allow for RVTs to own shares in a • Council was provided an update on
development. Removal of histology, veterinary practice entity in Alberta and ABVMA’s contractual obligations to the
embryology and biochemistry. what defines a veterinary permit holder. Banff Springs Hotel relative to hosting
• Discussion on visibility of permit CanWest and commitments to the
Presentation by UCVM Dr. Jacob holders and transparency; Council conference venue and proposal to deliver
Thundathil and Dr. Tessa Baker on a was provided information on where all CanWest in virtual format.
combined degree program proposal: permit holder information is accessible
DVM/MSc and DVM/PhD on ABVMA website. Edmonton Humane Society (EHS)
• Goal to expand opportunities for • Outcome of discussion was to move into microchip program for reclaimed pets
practicing veterinarians and other committee to answer the following: Council reviewed and approved EHS
DVM professionals. (1) Further clarify ownership definition proposed microchip program for reclaimed
• Graduate certificates as well as part-time (2) Explore options provided by other pets. EHS will be able to provide a microchip
graduate studies. No graduated programs professions in Canada and the US for stray animals presented to EHS from
of this manner in Canada with multiple (3) Develop “ABCs of corporate outside the city at time of reclaiming with
programs already in place in the US. ownership structures.” the informed consent of owners.
• Goal to enrich clinical skills, provide a
complement graduate program, potential Discussion and motion approved on Public euthanasia
source of income for DVMs and allows PIPS requirement for “designated EHS proposal on ability to provide end-of-
for additional credentialling. There was anesthetist” bylaw life services for low income individuals who
also positive discussion on the appetite • Council discussed memo provided by cannot afford services otherwise and for
in the community for these types of PIPS Committee based on 2019 approved removal of aggressive dogs from the public.
programs to exist. bylaw update as well as letter of review Council provided feedback that
by Complaint Review Committee that would rely on confirmation of intent and
Veterinary Profession Labour Market clinics no longer be given approved status
clarification back from EHS.
Workforce Project when there is not a separate dedicated
• Approved grant now in place. Consulting anesthetist during procedures requiring
company has now been hired to identify sedation or anesthesia.
“scoping interviews” to determine survey • Council provided timelines for prior
questions to be developed. notices to membership, inclusion in
DR. JONATHAN LEICHT COMPLETED HIS DVM AT WCVM IN
2009. His career began in small animal practice before joining Novartis
Animal Health in multiple sales and key account management positions.
In 2015, Jonathan started with VCA Canada in ever-growing operational
roles, including Senior Regional Operations Director Specialty, Western
Canada. In October 2019, he moved back into private practice as well as
joined Mosaic Veterinary Partners as Director of Operations. Starting
in July 2020, he’s co-hosting a new interview style podcast called the
Veterinary Project. When not in clinic, you will find him working on a
renovation project or outside playing and travelling with his wife and two
young kids.
Jonathan Leicht, DVM
Member of Council, Calgary Region
WWW.ABVMA.CA 7
KEEPING YOU CURRENT
Announcements and Member Engagement
WCVM DEAN STEPS DOWN CALL FOR ANNUAL GENERAL MEETING (AGM)
As announced by the Western College of Veterinary Medicine RESOLUTIONS
(WCVM) on June 24, 2020, Dr. Douglas Freeman, dean of WCVM, • See the full notice published on page 4 of the July/August 2020
stepped down on June 30, 2020. Members’ Magazine
Freeman served as the regional veterinary college’s leader for two • Members who wish to submit a resolution for consideration for
five-year terms from 2010 to 2020. For personal reasons, he decided the AGM in February 2021 must submit this to the ABVMA
not to pursue a third term. office by: Tuesday, Oct. 15, 2020
WCVM faculty member Dr. Gillian Muir became the college’s 2020 CANWEST VETERINARY CONFERENCE,
acting dean for one year beginning on July 1. Muir is a professor OCT. 17-20, 2020
and head of the WCVM’s Department of Veterinary Biomedical Registration for the 2020 CanWest Veterinary Conference is now
Sciences. She received her DVM at the WCVM in 1988 and open. For details, visit: www.canwestconference.ca.
completed a PhD degree in neuroscience at the University of
British Columbia. MEMBER WELLNESS PROGRAM
The university will begin an international search for the next The program offers members that qualify access to recovery treatment
dean in the fall of 2020. due to incapacitation from addictions through interest-free loans
The full release can be found at: https://wcvmtoday.usask. for residential treatment. This program is funded entirely through
ca/articles/2020/06/dean-steps-down-from-usask-veterinary- voluntary member donations. Thank you for your support. Watch your
college.php or for more information, contact: Myrna MacDonald, renewals this November to donate or contact the ABVMA office.
Communications, Western College of Veterinary Medicine For more information on the member wellness program contact
(WCVM), 306-291-9950 | myrna.macdonald@usask.ca darrell.dalton@abvma.ca.
MALATEST LABOUR MARKET WORKFORCE PROJECT
The ABVMA and ABVTA are conducting a labour market study
In his role as Dean of WCVM, Dr. Freeman served to address the current shortage of veterinarians and veterinary
as Ex-Officio on ABVMA Council from 2010 to 2020. technologists in Alberta. The study is funded through a grant from
The ABVMA would like to thank him for his service. the Alberta Ministry of Labour and Immigration.
Having the right number of people, with the right skills, in
COUNCIL ELECTION NOMINATIONS the right places, at the right time is essential for the stability
• Nominations for 2020 Council vacancies are now open and sustainability of the veterinary profession in Alberta. The
• Visit Announcements & News > Announcements on your member project will collect data, provide data analysis and components
portal to view a letter about Council from Dr. Kirsten Aarbo, for a complete veterinary professional workforce study and plan
the Council Nomination Form and Council Terms of Reference. for Alberta. The following is being considered: projected growth,
(Login required.)
the current workplace, recruiting and retention, retirement and
• Nominations close: Sept. 18, 2020
succession planning.
ABVMA AWARD NOMINATIONS To inform this study, we ask for your participation in an
• Nominations for 2020 ABVMA Awards are now open. online survey that will be administered from the end of August to
• Visit Announcements & News > Announcements on your member November. Your experiences and perspectives as veterinarians and
portal to view the Nomination Form. (Login required.) veterinary technologists are essential to this study.
• Nominations close: Sept. 18, 2020
Association Activities
The Registrar, Deputy Registrar, Assistant Registrar and Communications Manager (R/DR/AR/CM) participated in regular meetings to discuss COVID-19
information for members and the public.
ABVMA Leadership and Council represented the association through numerous activities over the last two months:
JULY 2020 8: P/PP/R/DR/AR Executive 10: R/DR CCVR teleconference
2: R/DR/AR/CM Labour Market Council Meeting CM teleconference with ABVTA
Workforce Project Teleconference R/DR CCVR teleconference Executive Director
CM teleconference meeting with 9: R/DR/AR/CM CVMA Virtual Annual 13: R/DR COC (Appeals-Registration
ABVTA, Executive Director General Meeting Committee)
6: DR virtual hearing R/DR CCVR teleconference 14: DR Tails of Help Board of Director’s
R/DR/AR Labour Market Workforce CM bi-weekly call with ev+ Digital teleconference
Project Key Informant Interview Marketing Agency R/DR AARCS Edmonton
CM teleconference with UCVM Facility Meeting
Director of Student Services
8 ABVMA MEMBERS’ MAGAZINE | SEPTEMBER-OCTOBER 2020
15: R/DR/AR Executive meeting with AUGUST 2020
Dr. Simon Otto - One Health Antimicrobial 5: R/AR/CM Executive Meeting with Dr. Simon Otto - One Health
Stewardship Conference Antimicrobial Stewardship Conference
17: R/AR/CM Labour Market Workforce Project Update Meeting CM bi-weekly call with ev+ Digital Marketing Agency
20: R/AR/CM Program Planning Committee Meeting - One Health 12: P/PP/R Executive Council Meeting
Antimicrobial Stewardship Conference 14: R Labour Market Workforce Project Update Meeting
21: P/PP/R/DR/AR Executive Council Meeting 18: DR Tails of Help Board teleconference
R/AR/CM Executive meeting with Dr. Simon Otto - One Health 19: R/CM Executive Meeting with Dr. Simon Otto - One Health
Antimicrobial Stewardship Conference Antimicrobial Stewardship Conference
CM bi-weekly call with ev+ Digital Marketing Agency CM bi-weekly call with ev+ Digital Marketing Agency
AR Project meeting teleconference with ev+ Digital 20: DR Hearing
Marketing Agency
CM CVMA Communications Meeting
27: R/DR/AR/CM Government relations meeting with Pam Cholak
26: P/PP/R/DR/AR Executive Council Meeting
28: R/DR/AR/CM Project Advisory Team Labour Market
27: R Triplicate Prescription Program Steering Committee
Workforce Project
28: R/DR/AR Labour Market Workforce Project Update Meeting
CM call with Meltwater, media monitoring company
31: P/PP/R/DR/AR/CM UCVM Virtual Welcome to the
29: P/PP/R/DR/AR Executive Council Meeting
Profession Ceremony
30: DR Consent Discussion
Aug. 31 - Sept. 1: P/PP/R/DR/AR Virtual Council Meeting
DR Companion Animal Disaster Response Committee Steering
Committee Meeting LEGEND
31: R/DR/AR/CM Program Planning Committee - One Health
P = PRESIDENT PP = PAST PRESIDENT VP = VICE PRESIDENT
Workshop, teleconference with One Health Workshop, One R = REGISTRAR DR = DEPUTY REGISTRAR
Health Consortium organizers AR = ASSISTANT REGISTRAR CM = COMMUNICATIONS MANAGER
R/DR/AR/CM Labour Market Workforce Project
Update Meeting
WWW.ABVMA.CA 9
COMPLAINTS DIRECTOR’S REPORT
COMPLAINT CASE #19-17 CONSENT ORDER
A letter of complaint was received against AGREED STATEMENT OF FACTS:
a veterinarian regarding the care provided
1. At all material times, the veterinarian has
to a cat that had a complaint of diabetes
been a registered veterinarian with the
and presented with a complaint of lethargy Alberta Veterinary Medical Association
and anorexia. (ABVMA) since 1999.
The veterinarian undertook diagnostic 2. The veterinarian is the responsible
testing and treatment, with the cat returning veterinarian for the veterinary practice.
approximately two weeks later with a
3. SG and MJ were the owners of a 14-year-
complaint of not eating. The veterinarian old cat who was a diagnosed diabetic.
undertook further diagnostics and prescribed
4. On Feb. 20, 2019, the cat presented to
treatment. There was no record that diagnostic the veterinarian with a complaint of
imaging was contemplated or offered. lethargy and anorexia. The cat had a
Another two weeks later the cat was history of diabetes, was being treated
presented again with more severe signs at with Caninsulin and on presentation had
which point abdominal radiographs were a temperature of 39.1oC.
taken and the owner ultimately decided to 5. The veterinarian undertook blood testing
proceed with euthanasia. The owner was including blood glucose, CBC, chemistry
concerned with how the euthanasia was (general 17) and T4. The CBC showed
undertaken and proceeded. an elevated white blood cell count and
The complaint was investigated and the low packed cell volume (PCV). The
report of the investigation was provided to veterinarian prescribed an antibiotic,
Clavaseptin and Famotidine with a plan
the Complaint Review Committee (CRC)
to recheck blood glucose and PCV in
for review. The CRC made a decision that one week.
the matter be referred to the Hearings
6. The veterinarian re-examined the cat on
Director for a hearing. March, 2019, with the complaint of not
The member entered into consent eating well. The cat’s temperature was
discussions with the members of the now at 38.3oC , the PCV had increased
CRC. The member provided an admission and he was dehydrated. The veterinarian
of unprofessional conduct and signed a noted that abdominal palpation was
Consent Order. normal with no mass palpable. The cat
was treated with subcutaneous fluids to
address the dehydration. The veterinarian
COVID-19 prescribed Cyproheptadine and two cans
of recovery food.
The COVID-19 pandemic response
7. There is no documentation in the
necessitated the temporary pause to some medical record of a recommendation
aspects of the complaints and discipline and/or discussion of diagnostic imaging
process. The receipt of complaints was not related to the Feb. 20, 2019, or March 7,
interrupted, and investigations have resumed. 2019, examinations.
Hearings that normally require in-person 8. On March 18, 2019, the client became
attendance in meeting rooms for extended concerned about the cat being constipated.
periods are not possible while adhering to It was presented again to the veterinarian
social distancing requirements. The ABVMA, on March 19, 2019, with concerns of foul
like many professional regulatory bodies and smelling vomit and constipation. Blood
civil courts, has turned to virtual hearings. glucose and PCV were evaluated and
This matter proceeded to hearing within normal limits. Following a lengthy
held virtually through the online discussion, the client consented to
abdominal radiographs, which indicated a
videoconferencing platform WebEx on
distended small bowel and a possible mass
May 6, 2020. at the ileocecal junction.
9. After further discussion, the client
agreed to euthanize on March 19, 2019.
There is no record of these discussions in
the medical record.
10 ABVMA MEMBERS’ MAGAZINE | SEPTEMBER-OCTOBER 202010. The veterinarian sedated the cat prior to this Order, the following additional the complaint and failed to comply with a
the euthanasia with medetomidine, continuing education obligations, as request of the appointed investigator.
ketamine and butorphanol. The cat approved by the Complaints Director: The matter of the veterinarian failing
unexpectedly vomited soon after i. an additional five hours of to comply with a request for a response
sedation, resulting in the client being continuing education on feline and interview was referred to the hearings
upset. The veterinarian injected
medicine; and director for a hearing.
euthanasia solution intra renal once the
cat was fully sedated. ii. an additional five hours of The member entered into a consent
continuing education on discussion and ultimately signed an
11. The cat was euthanized on March 19, 2019.
medical records. admission of unprofessional conduct and
AGREED FINDINGS OF 3. The veterinarian shall pay a fine in consent order. During which he provided a
UNPROFESSIONAL CONDUCT: the sum of $500 with respect to the final explanation as to his failure to respond
Pursuant to s. 35.1 of the Veterinary Profession insufficient medical records. This fine to the complaint.
Act (VPA), as the result of negotiations shall be paid within six months of A hearing was held on March 6, 2020.
between the parties and as reflected in the the date of this Order.
4. The veterinarian shall pay costs in AGREED STATEMENT OF FACTS:
“Agreed Findings of Unprofessional Conduct”
section of the Consent Order, the veterinarian the amount of $4,000 within six 1. The veterinarian has been a registered
made an admission of unprofessional conduct months of the date of this Order. veterinarian with the Alberta Veterinary
5. If the Complaints Director deems Medical Association (ABVMA) since 1981.
concerning the following two allegations:
there to be a violation of this Order, 2. The veterinarian was the responsible
Medical Management and Treatment the veterinarian, upon notice by the veterinarian for the veterinary practice
1. That the veterinarian failed to offer Complaints Director and/or the during the relevant period of time being
proper diagnostic options to the owners Registrar, shall be suspended from March 2019.
of the cat on Feb. 20, 2019, and/or the practice of veterinary medicine 3. A complaint was received by the
March 7, 2019, and/or March 19, 2019. pending a Hearing into allegations ABVMA on March 20, 2019, from the
of unprofessional conduct resulting owner of a short-haired black male cat.
Medical Records
from the breach of this Order. 4. Veterinary medical services were
2. That the veterinarian failed to create or provided by an associate veterinarian
The Complaints Director and/or
maintain appropriate medical records for to the cat at the veterinary practice
the cat. the Registrar shall maintain this
where the veterinarian was the
discretion until such time as all responsible veterinarian.
ACKNOWLEDGMENT OF provisions of this Order are satisfied.
5. An investigation was initiated into the
RESPONSIBILITY: 6. There shall be publication of this complaint pursuant to a decision of the
It is acknowledged by the ABVMA and the Order on a without-names basis (and Complaints Director on April 26, 2019.
veterinarian that his conduct as described without identifying information). The veterinarian received notice of the
above constitutes unprofessional conduct. investigator appointment and a request
The veterinarian has accepted responsibility was made for a response to the letter of
for his conduct pursuant to s. 35.1 of the complaint and all relevant medical
COMPLAINT CASE #19-13 records. A response was requested by
VPA. The sanctions set out below are jointly
A complaint was received from a member May 21, 2019.
agreed to and based upon, in part, the
responsibility accepted. of the public concerning the care provided 6. Further requests for a response to the
to a cat with a diaphragmatic hernia. The complaint were forwarded to the
NO RIGHT TO APPEAL: complaint was submitted against four veterinarian on June 10, 2019, and July 2,
parties and resulted in four complaint 2019. No response to the complaint was
The ABVMA and the veterinarian agree that received by the ABVMA.
there shall be no right of appeal from this cases. One against each of two veterinary
practices involved in providing care and one 7. The investigator, through a series of
Consent Order.
emails, requested an opportunity to
veterinarian working at each practice.
ORDERS AS TO SANCTIONS: interview the veterinarian with respect
The complaint was investigated and the to the complaint. The veterinarian
The Hearing Tribunal orders that the issues raised by the complainant were all refused to undertake an interview with
appropriate sanctions in the circumstances of dismissed in the four complaint cases. the investigator.
this matter are as follows: The Complaint Review Committee 8. At a consent discussion meeting with the
1. A written reprimand shall be issued (CRC) was able to make the decision that CRC on Jan. 23, 2020, the veterinarian
against the veterinarian. the complaints raised by the complainant provided a final explanation as to his
2. The veterinarian shall be required to could be dismissed even though the failure to respond to the complaint.
successfully complete, at his own responsible veterinarian for one of the
cost, within six months of the date of practices failed to provide a response to
Continued on next page
WWW.ABVMA.CA 11PRESIDENT’S REPORT
COMPLAINTS DIRECTOR’S REPORT CONTINUED
The Hearing Tribunal received a copy ORDERS AS TO SANCTIONS: OF THE ALBERTA VETERINARY
of a letter that the veterinarian provided to The Hearing Tribunal orders that the MEDICAL ASSOCIATION,
the CRC during the consent discussion. The appropriate sanctions in the circumstances of AND IN THE MATTER OF THE
Hearing Tribunal ordered that this letter this matter are as follows: REVIEW OF THE PRACTICE
outlining his personal circumstances that 1. A reprimand will be issued against OF THE VETERINARIAN AS
occurred at the time he was notified of the the veterinarian. APPROVED BY COUNCIL OF
complaint be sealed. The Hearing Tribunal 2. The veterinarian shall pay a fine THE ALBERTA VETERINARY
decided these were private matters that do in the sum of $500 within six MEDICAL ASSOCIATION.
not need to be part of the public record. The months of the date of this agreement.
Hearing Tribunal agreed with the members of WHEREAS as a result of a failed Practice
This fine for failure to comply with a
the CRC in attendance at the Jan. 23, 2020, Inspection and Practice Standards
request from an investigator is lower
consent discussions that these were significant (PIPS), the PIPS Committee referred
than what would normally be sought
and challenging personal circumstances for the veterinarian’s practice to the Practice
by the ABVMA given the personal
the veterinarian. He demonstrated remorse, Review Board (PRB) in accordance with
circumstances that mitigated for the
and he was very apologetic and candid about s.55(2) of the Veterinary Profession General
lower fine. Although the Hearing
his lack of response to the complaint. He Regulation, RSA 2000, as amended.
Tribunal is very sympathetic of the
agreed to take responsibility for his actions. veterinarian’s personal circumstances, AND WHEREAS on May 28, 2019, the
they are of the opinion that this PRB met and agreed that a review of the
FINDINGS OF THE HEARING
TRIBUNAL could have all been avoided. veterinarian’s practice should be undertaken
3. The veterinarian shall pay costs in the in accordance with s. 11(1)(b).
Failure to Cooperate with an Investigator amount of $4000 within six months AND WHEREAS Council of the ABVMA
1. That the veterinarian failed to of the date of this agreement. approved this on April 24, 2019.
provide a response to the complaint 4. If the Complaints Director deems
notwithstanding ABVMA requests there to be a violation of this Order, AND WHEREAS on June 28, 2019, on
of April 26, 2019, June 10, 2019, and the veterinarian, upon notice by a voluntary basis the veterinarian attended
July 2, 2019. the Complaints Director and/or before the PRB and agreed to proceed with
2. That the veterinarian failed or Registrar, shall be suspended from the review.
refused to comply with the request of the practice of veterinary medicine AND WHEREAS on Sept. 16 and Oct. 22,
the investigator of the ABVMA to pending a hearing into allegations 2019, an ABVMA inspector undertook an
respond to the complaint. of unprofessional conduct resulting inspection of the veterinarian’s practice.
from the breach of this Order.
ACKNOWLEGEMENT OF AND WHEREAS the reports of the
The Complaints Director and/or
RESPONSIBILITY: inspector were provided to the PRB.
the Registrar shall maintain this
It is acknowledged by the ABVMA and the discretion until such time as all AND WHEREAS the PRB met on Nov.
veterinarian that his conduct as described provisions of this order are satisfied. 28, 2019, for the purposes of evaluating the
above constitutes unprofessional conduct. The 5. There shall be publication of this inspections undertaken by the inspector.
veterinarian has accepted responsibility for his Order on a without-names basis (and AND WHEREAS the PRB determined that
conduct pursuant to s.35.1 of the Veterinary without identifying information). the veterinarian has taken appropriate steps
Profession Act (VPA). The sanctions set out
to be in compliance with the PIPS Bylaw and
below are jointly agreed to and based upon, in
accordingly on the basis that the veterinarian
part, the responsibility accepted.
PRACTICE REVIEW BOARD agrees to the terms as set out below will
The Hearing Tribunal appreciated the
(PRB) conclude the review of her practice.
cooperative nature that the veterinarian
displayed during the hearing. ABVMA Bylaws provide that a member
AGREEMENT
who fails to satisfactorily comply with
SANCTION OF THE HEARING the Practice Inspection and Practice 1. A caution will be issued against the
TRIBUNAL Standards (PIPS) inspection and satisfy veterinarian, which will remain in
As a result of the findings of the Hearing the requirements of the PIPS Bylaw will be the ABVMA member file.
Tribunal with respect to allegations of referred to the PRB. 2. The veterinarian shall pay costs of
unprofessional conduct, the Hearing The following is an agreement entered the PRB process in the amount of
Tribunal makes the following orders in into by a member and the PRB. $4,000 by Sept. 30, 2020.
accordance with s.41.1 of the VPA. 3. The veterinarian shall be
IN THE MATTER OF THE responsible for successful passing
NO RIGHT TO APPEAL: VETERINARY PROFESSION ACT, of the PIPS inspections in the
R.S.A. 2000, c. V-2, As Amended regular inspection schedule.
The ABVMA and the veterinarian agree that
there shall be no right of appeal from this AND IN THE MATTER OF A 4. There shall be publication of
Consent Order. PRACTICE REVIEW BOARD this Agreement on a without-
REVIEW INTO THE CONDUCT names basis (and without
THE VETERINARIAN, A MEMBER identifying information).
12 ABVMA MEMBERS’ MAGAZINE | SEPTEMBER-OCTOBER 2020The veterinarian successfully satisfied the AND WHEREAS on July 26, 2016, • there were repeated sales of bottles
review undertaken by the PRB, and provided submissions were received from the VPE and of Ketamine to farmers with no
that the terms of the agreement are met, the the responsible veterinarian. medical notes or incorrect logging
matter will be concluded. AND WHEREAS on Oct. 4, 2016, the and no controlled drug log;
PIPS Committee determined that the • no TPP pad nor client nor invoices
medical records were inadequate and that in the computer to match the sales;
a review of the large animals ABVMA • there was a lack of medical records,
A veterinary practice that failed to meet the
medical records handbook be undertaken. animal IDs and euthanasia logs not
minimum standards of the PIPS Bylaw and
a veterinarian employed at the practice were Further clarification from the responsible matching invoices;
both referred to the PRB. veterinarian with respect to volumes of • a question was raised whether
In this matter, the veterinarian who was Ketamine was required. the veterinarian was working as
the responsible veterinarian at the time of an employee at the VPE
AND WHEREAS the PIPS Committee or independently;
the 2015 practice inspection sold the practice
sent correspondence on Dec. 8, 2016, • there were no available documents
but remained on at the VPE as an employee.
requiring a re-inspection in January 2017 and to reflect the veterinarian’s
There were significant deficiencies related to
requesting submissions of medical records appointments, controlled drug
the practice of the employee veterinarian that
from all veterinarians and controlled drug logs logs or invoicing.
were not identified and corrected by the VPE.
to be submitted after the re-inspection.
The employee veterinarian and the AND WHEREAS in 2017, VPE was sold
responsible veterinarian entered into AND WHEREAS a re-inspection was to a corporation approved as a permit holder
agreements with the PRB. The following is undertaken on Jan. 3, 2017. The veterinarian owned by the new responsible veterinarian
the agreement with the employee veterinarian. provided further submissions on Feb. 27, 2017. and her husband.
IN THE MATTER OF THE AND WHEREAS at the PIPS Committee AND WHEREAS deficiencies were
VETERINARY PROFESSION ACT, R.S.A. meeting on Oct. 3, 2017, the PIPS noted with respect to VPE at the June
2000, c. V-2, as amended Committee determine there were no changes 2019 inspection.
in the insufficient practices of the veterinarian.
AND IN THE MATTER OF A AND WHEREAS Council of the ABVMA
The PRB required that all controlled drugs be
PRACTICE REVIEW BOARD approved a review of the first responsible
locked in ambulatory vehicles and that further
REVIEW INTO THE CONDUCT OF veterinarian’s (now an employee) veterinary
documents be submitted. In addition the
THE VETERINARAIN, A MEMBER medicine practice on Sept. 3, 2019.
PIPS Committee referred the matter to PRB
OF THE ALBERTA VETERINARY
for non-compliance. AND WHEREAS the PRB met with the
MEDICAL ASSOCIATION,
AND WHEREAS correspondence was first responsible veterinarian on Sept. 23,
AND IN THE MATTER OF THE 2019, for the purpose of addressing the matter
sent to the new responsible veterinarian at
REVIEW OF THE PRACTICE of his practice status and deficiencies with
the VPE on Feb. 13, 2018, advising of the
OF THE VETERINARAIN AS respect to his veterinary medicine practice.
additional deficiencies and informing that
APPROVED BY COUNCIL OF THE
the previous responsible veterinarian had AND WHEREAS the veterinarian
ALBERTA VETERINARY MEDICAL
been referred to PRB. acknowledged that his practice of
ASSOCIATION ON SEPT. 3, 2019
AND WHEREAS further submissions veterinary medicine did not meet
WHEREAS on Sept. 24, 2015, an inspection minimum practice standards.
were received from the VPE and the new
was undertaken at a VPE at which the
responsible veterinarian on March 9, 2018. AGREEMENT
veterinarian was the responsible veterinarian.
AND WHEREAS at the PIPS Committee 1. A written reprimand will be issued
AND WHEREAS as a result of the
meeting of June 6, 2018, it was determined against the veterinarian which will
PIPS Committee review of the inspection,
that the VPE had successfully completed the remain in the ABVMA member file.
correspondence from the ABVMA dated
practice inspection portion of the ABVMA 2. The review of the veterinarian’s
April 18, 2016, was sent to the veterinarian
Quality Assurance Program of Sept. 24, 2015. practice, regardless of the VPE in
and the veterinary practice requesting proof
of radiation equipment certification; the AND WHEREAS the VPE was again which he is working as approved by
responsibility of the veterinary practice to due for a rotational inspection which was Council of the ABVMA on Sept. 3,
develop and implement large animal narcotic conducted in June of 2019. 2019, will continue for a period of one
drug logs; and develop and implement large year from the date of this Agreement.
AND WHEREAS the PIPS Committee 3. The veterinarian shall undertake the
animal medical records. A requirement to met with respect to this matter and
submit three months of narcotic control drug following continuing education:
determined that the conduct of the first i. The veterinarian shall undertake
logs as well as five sample large animal records responsible veterinarian, now an employee,
was requested. Further, an order was made by and complete a medical
was of significance and concern as follows: records course approved by the
the PIPS Committee requiring the VPE to be • there was neutering cats on farms
subject for a re-inspection within six months. ABVMA within 90 days of the
with Ketamine with no medical date of this Agreement;
notes, no analgesic, no monitoring;
Continued on next page
WWW.ABVMA.CA 13PRESIDENT’S REPORT
COMPLAINTS DIRECTOR’S REPORT CONTINUED
ii. The cost of this course shall professional responsibility for the conduct of AND WHEREAS the veterinarian,
be the responsibility of the the employee veterinarians, in this case there as the responsible veterinarian,
veterinarian and successful were significant and recurring deficiencies acknowledged that the VPE did not
completion of this course must in the practice of the employee that were meet minimum practice standards.
be provided to the ABVMA reasonably expected to have been corrected
Complaints Director. by the practice. The following agreement AGREEMENT
4. The veterinarian shall be responsible considers the responsibility accepted by 1. A written caution shall be issued
to regularly maintain the following: the responsible veterinarian and practice in against the veterinarian, which will
i. Appointment book that must be failing to meet the minimum standards of remain in the ABVMA member file.
kept at the VPE; the PIPS Bylaw.
ii. Medical records on file at VPE The following is the agreement with the 2. The veterinarian shall be
with respect to all veterinary responsible veterinarian of the VPE. responsible for the general
medicine practiced; oversight of the veterinary
IN THE MATTER OF THE medical practice of the employee
iii. Controlled drug log including VETERINARY PROFESSION ACT,
a “Use” log for all controlled, veterinarian while an employee
R.S.A. 2000, c. V-2, as amended and/or general contractor of
narcotic and targeted drugs;
iv. Appropriately record all AND IN THE MATTER OF A the VPE. This shall include
dispensing of pharmaceuticals in PRACTICE REVIEW BOARD the following:
accordance with PIPS Bylaw and REVIEW INTO THE CONDUCT i. Responsibility of the VPE
ABVMA Guidelines. OF THE RESPONSIBLE to obtain from the employee
The veterinarian shall be responsible for VETERINARAIN A MEMBER OF veterinarian and maintain
maintaining these documents at the practice THE ALBERTA VETERINARY availability for verification
such that they are available for verification MEDICAL ASSOCIATION, of compliance;
and compliance. The veterinarian shall be ii. Daily appointment calendars;
AND IN THE MATTER OF THE
accountable to the VPE or the VPE in iii. Medical records;
REVIEW OF THE PRACTICE
which he is working with respect to all iv. Properly completed controlled
OF THE VETERINARIAN AS
practice responsibilities. drug log;
APPROVED BY COUNCIL OF
5. Attend the next Registration Day. v. Records of prescribing
THE ALBERTA VETERINARY
6. The veterinarian shall pay costs of and dispensing that are
MEDICAL ASSOCIATION ON
the PRB process in the amount of compliant with PIPS Bylaw
Sept. 3, 2019
$4,000 within six months of the date and ABVMA Guidelines.
WHEREAS VPE is owned by a
of this Agreement. 3. The veterinarian shall pay costs of
corporation approved as a permit holder
7. The veterinarian’s practice shall be the PRB process in the amount of
owned by the veterinarian and her
subject to an unannounced practice $4,000 within six months of the date
husband effective March 2017.
inspection within one year of the of this Agreement.
date of this Agreement. The cost of AND WHEREAS the veterinarian is
4. The veterinarian and the VPE shall
this practice inspection shall be the the responsible veterinarian for the VPE.
be subject to the ongoing review by
responsibility of the veterinarian. AND WHEREAS the veterinarian is the PRB for one year from the date
Failure to successfully pass the responsible, in part, for the compliance of of this Agreement.
practice inspection as determined the first responsible veterinarian/employee
by the PIPS Committee and/or the 5. The VPE shall be subject to an
veterinarian with respect to his practice of
Complaints Director until such time unannounced practice inspection
veterinary medicine at the VPE.
as there is an Order of the PRB or within six months of the date of this
other authorized decision maker AND WHEREAS the responsible Agreement. The cost of the practice
may result in the suspension of the veterinarian is responsible for ensuring inspection shall be the responsibility
veterinarian’s permit to practice the compliance of the employee of the veterinarian. Failure to
veterinary medicine. veterinarian with respect to all elements successfully pass the practice
8. There shall be publication of this of the practice of veterinary medicine at inspection as deemed by the PIPS
Agreement on a without-names basis the VPE. Committee and/or the Complaints
(and without identifying information). AND WHEREAS the veterinarian Director may result in the suspension
The new responsible veterinarian for the met with the PRB on Sept. 23, 2019, of the practice of the VPE.
VPE accepted responsibility for the practice for the purpose of addressing the 6. There shall be publication of this
not meeting the minimum standards of the matter of the VPE’s noncompliance Agreement on a without-names basis
PIPS Bylaw and shared responsibility for the with the PIPS bylaws, deficiencies in (and without identifying information).
deficient practice of the employee veterinarian. the inspection and the noncompliance
While the responsible veterinarian of an employee veterinarian while
does not normally assume or share the practicing veterinary medicine.
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WWW.ABVMA.CA
Veterinarian-supervised feeding study with 351 client-owned pets; 314 pets completed after 67 days. Data on file. Hill’s Pet Nutrition, Inc. 15
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