MEMBERS' MAGAZINE BEAR CREEK ANIMAL CLINIC - JULY-AUGUST 2019 - ABVMA
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MEMBERS’ MAGAZINE JULY-AUGUST 2019 Bear Creek Animal Clinic
2019
CANWEST
VETERINARY
CONFERENCE OCTOBER 19-22, 2019
CANWESTCONFERENCE.CA
VETERINARY TEAM
• *Fear Free: Fear Free is the
FAIRMONT BANFF SPRINGS HOTEL, BANFF, AB Ultimate Win, Exam Room Secrets
FULL PROGRAM AND ONLINE REGISTRATION – JULY 2019 Revealed, What does the perfect
Program subject to change visit look like, no feel like, for both
the vet and the client — Marty
Clinical education, communication and practice management
Becker, DVM, Founder and CEO of
skills — surrounded by the beauty of the Rocky Mountains!
Fear Free, Bonner Ferry, ID, USA
• Client and Staff Communications —
PRELIMINARY PROGRAM
Sarah Wooten, DVM, Greely, CO, USA
• Human Resources: hiring, job
descriptions, performance reviews
— Ms. Heather Lowe, AHT, MBA,
Heather Lowe Veterinary Consulting
COMPANION ANIMAL FOOD ANIMAL Inc., Acton, ON, CAN
• Dental Radiology, Dental Diseases, • Pharmacology and Pathology — VETERINARY TECHNOLOGIST
Principles of Maxillofacial Trauma Anticmicrobial Stewardship, Phil Buote,
• *See Vet Team Program Above —
Repair, Principles of Oral Oncology DVM, Alberta Veterinary Medical
Marty Becker, DVM, Founder and CEO
— Santiago Peralta, DVM, DAVDC, Association, Edmonton, AB, CAN;
of Fear Free, Bonner Ferry, ID, USA
Department of Clinical Sciences, Reproduction Pathology and Bovine
Cornell University of Veterinary Reproductive Disease, Jennifer Davies, • Wildlife (1/2 day) — Pain treatment
Medicine, Ithaca, NY, USA DVM, MVSc, DACVP, University of for birds, better animal welfare
Calgary, Faculty of Veterinary Medicine, for wildlife; Restraint, regulations,
• Nutrition — Lori Prantil, DVM, VCA
Calgary, AB, CAN reducing stress and basic technical
South Shore (Weymouth) Animal
skills — Kim Blomme, RVT, WildNorth
Hospital, South Weymouth, MA, USA • Monday, Oct. 21 — TBA
Northern Alberta Wildlife Rescue and
• Anesthesia and Analgesia — Craig • Food Animal Medicine — Calf Rehabilitation, Edmonton, AB, CAN
Mosley, DVM, MSC, DACVAA and Resuscitation, Claire Windeyer, DVM,
• Dermatology (1/2 day) — Tyler
Cornelia Mosley, DVM, DACVAA, CVA, DVSc, Unversity of Calgary, Faculty
Udenberg, DVM, Dipl. ACVD, North
VCA 404 Emergency and Referral of Veterinary Medicine, Calgary, AB,
West Veterinary Dermatology Services,
Hospital, Newmarket, ON, CAN CAN; Field Post Mortems, Ashley
Ltd, Vancouver, BC/St. Albert, AB, CAN
• Neurology — Dr. Curtis Wells Dewy, Gaudet, RVT, VTS-CP, Veterinary Agri-
Cornell University College of Veterinary Health Services, Airdrie, AB, CAN; *Sunday’s Vet Team and Vet Tech
Medicine, Ithaca, NY, USA External Parasites, Douglas D. Colwell, session featuring Dr. Marty Becker
PhD, Agriculture and Agri-Food will be a combined session
EQUINE Canada, Lethbridge, AB, CAN; Penis
Surgery of the Ruminant, Roy Lewis, ABVTA PRE-CONFERENCE CE
• More Important Than Medicine —
Building a Successful Team — Betsy DVM, Roy Lewis Veterinary Services, — SATURDAY, OCT. 19, 2019
Charles, DVM, MA, Veterinary Leadership AB, CAN • Why Fear Free veterinary visits are
Institute/Western University of Health the most important transformation
Sciences to hit veterinary practice in 50
• Practical Reproduction for Rural years. Why veterinary technologists
Practitioners — Etta Bradecamp, DVM, must drive fear free and the client
ACT, ABVP, Rood and Riddle Equine experience — Marty Becker, DVM,
Hospital, Lexington, VA, USA Founder and CEO of Fear Free,
Bonner Ferry, ID, USA
• Equine Farriery and Hoof Related
Topics — Sammy L. Pittman, DVM,
Innovative Equine Podiatry and
Veterinary Services, Collinsville, TX, USA
Editor’s Notebook
A s I pen this Editor’s Notebook, there are 24
26
wildfires burning in the province, with the
communities of High Level, Slave Lake, Manning and
their surrounding areas highly at risk. Seven of these
fires are rated as out of control. At this time there are
Inside this Issue
over 10,000 people that have been forced to leave their
homes behind, with the hope that they will be there for
them when they return.
VOL. 21, ISSUE 4
We have learned lessons from the previous wildfires
in Slave Lake and Fort McMurray. The province Call for ABVMA Committee Volunteers for 2020...................................... 7
2020 ABVMA Annual General Meeting — Call for Resolutions................ 8
recognized the dangers early and implemented
2019 Registration Day — Edmonton.................................................. 16-17
their emergency management procedures promptly. Meet the ABVMA Team........................................................................... 23
They called for timely evacuations, and carried out On the Cover: Bear Creek Animal Clinic............................................ 26-27
their duties of fighting the fires and moving people Focus on Wellness — Mental Health in Vet Med Awareness.................. 28
efficiently and orderly. During these evacuations, Pro Bono Work, ABVMA Market Research......................................... 30-33
people had adequate time to arrange for transportation
and the safety of their pets. There still remain REGULAR ARTICLES
Editor’s Notebook..................................................................................... 3
challenges with herds of larger animals, both in how
President’s Report...................................................................................... 4
to move them and where to move them — an issue to Registrar’s Report...................................................................................... 5
tackle when looking back at this fire season. Go Green................................................................................................... 5
It is times like these that I am extremely proud Council Highlights................................................................................... 6-7
of our profession. Since the beginning of these fires, Complaints Director’s Report............................................................. 10-15
veterinary practices in the affected and surrounding Keeping You Current................................................................................ 18
PIPS Tip............................................................................................... 20-21
areas immediately put out the word that they were
Membership Matters............................................................................... 22
available for support, treatment and boarding of CVMA Report...................................................................................... 24-25
displaced animals. Some practices even offered space Public Recognition Corner....................................................................... 29
for evacuees to camp after leaving their homes. When In Memoriam............................................................................................ 29
one practice became full, others picked up the slack. Dean’s Corner (UCVM & WCVM)........................................................ 34-35
Veterinary practices also appear to have had their own Student’s Corner (WCVM & UCVM)................................................... 36-37
plans in place. ABVTA News....................................................................................... 38-41
CE Opportunities................................................................................ 42-43
This exemplifies the integrity and character that
Classified Ads...................................................................................... 44-51
defines our profession. We are healers of animals, and Advertiser’s Index.................................................................................... 51
helpers of people. We do this not with an expectation
of reward, but because our reward is knowing that it is
the right thing to do.
History will write the story of the wildfires of 2019,
and I hope that it is a short one. We will read the The ABVMA Members’ Magazine is a bi-monthly publication of the
Alberta Veterinary Medical Association delivered free of charge to
history with an appreciation for the involvement of the members of the ABVMA.
veterinary profession.
PRODUCTION
Editor – Dr. Darrell Dalton CONTACT US
Design, Layout & Printing – Burke Group Alberta Veterinary Medical Association
Darrell Dalton, DVM Communications and Professional Bldg. 3, Elm Business Park
Enhancement – Kathy Naum Suite 104, 9452 – 51 Avenue, NW
Registrar, Alberta Veterinary Medical Association Edmonton, AB T6E 5A6
ADVERTISING
Display Advertising – Sarah Munn Phone: 780-489-5007
Classified Advertising – Mandi Duggan Toll-Free: 1-800-404-2862
Fax: 780-484-8311
EDITORIAL POLICY
The ABVMA Members’ Magazine Return Undeliverable
welcomes article submissions, letters Canadian Addresses to:
to the editor and advertising requests Alberta Veterinary Medical Association
on topics and products related to the Suite 104, 9452 – 51 Avenue, NW
veterinary profession. Edmonton, AB T6E 5A6 Canada
The editor reserves the right to reject Canadian Publication Mail Agreement
submissions if they do not meet the 40014637
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
DON’T WORRY, BE HAPPY! veterinarians and RVTs. The ABVMA also
has a Member Wellness Advisory Committee
Skills and Knowledge that provides mental wellness seminars,
The demand for new and better skills and courses and support. Please use these services
knowledge in veterinary medicine has to help you and your employees stay healthy.
increased exponentially over the years. Most
of the time, performing a thorough physical Business Management Support
examination was all that was required. Veterinarians are very competent at veterinary
Now, blood work, ultrasound, fine needle medicine but many of us are not educated
aspirations and X-rays are routine procedures in business management practices. Consider
we must perform. It is very difficult to keep hiring an employee specific for managing your
up with the new enhanced procedures and business. This will dramatically decrease your
protocols in veterinary medicine. Continuing stress and free up your time to focus on being
education has become a necessity. The a progressive, successful veterinarian. Even
ABVMA requires 20 hours per year of CE better, it will allow you to enjoy more time
Lisa Lomsnes, DVM for veterinarians and 15 hours per year for with your family and give you some extra time
registered veterinary technologists (RVTs).
President, Alberta Veterinary for yourself. Wow, that is a new concept for
Medical Association
This licensing requirement from the ABVMA hard-working veterinarians and RVTs.
ensures that veterinary professionals stay
progressive and updated. This is crucial in
keeping your practice successful and your Practice Ownership
personal growth progressive. Is it time to sell? Selling a business is a
difficult and emotional decision. Traditionally,
veterinarians would sell their business when
Member Wellness
they were emotionally drained or physically
We all know healthy minds and healthy
unable to perform their job. Selling does not
bodies go hand in hand. While this is
mean you need to step away from veterinary
fundamentally accepted, many veterinarians
medicine. It is an opportunity to receive
and RVTs do not have this healthy balance in
financial compensation for your hard work.
their lives. In recent years, statistics show that
It places the responsibilities of management
veterinarians have the highest rate for suicide.
elsewhere and allows you time to do the
Take a moment to let that sink in. How
things that you have always dreamed of doing.
can this happen to our friends, associates,
Selling is not the end of your veterinary career
colleagues in this profession? We all need to
but perhaps a new start or a journey to a less
play our part in maintaining sound physical
stressful career.
and mental wellness with our staff, colleagues
and friends. The ABVMA has made this
Stop worrying and wasting time on
a priority in their strategic planning. The
non-productive tasks. Take positive actions
association facilitates Mental Health First
to enhance your career and life. Happiness is
Aid courses for the veterinary team, and has
bound to follow.
contracted Homewood Health to provide
free counselling services, E-learning courses
and addiction/crisis resources for both
OUR VISION OUR MISSION
Healthy animals and people Serving the public by regulating, enhancing and providing leadership in the practice of the profession
in a healthy environment. 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
4 ABVMA MEMBERS’ MAGAZINE | JULY-AUGUST 2019
Registrar’s Report
IN THE LAST ISSUE, I DISCUSSED THE was done only at the owner’s request for
details of the four resolutions that were an invalid medical reason, this should be
presented at the 2019 Annual General discussed with the veterinarian to make
Meeting. Since that time, Council has sure they are aware of the policy. If there is
developed two of these resolutions into a wilful and flagrant disregard of the policy,
policies that came into effect July 1, 2019. this should be reported to the ABVMA.
This was announced in the ABVMA If the prohibited procedure was done by
E-News, and I will attempt to clarify these a non-veterinary professional, the owner
policies for the membership. should be educated that the procedure is not
The first resolution that has come into accepted as a necessary medical procedure
effect concerns mandatory reporting of and explain to them why. Many new puppy
animal abuse. Veterinary professionals have owners, for instance, may not appreciate that
always been expected to report cases of their new pet was meant to have an intact
abuse and neglect. This is not new to us. tail, floppy ears or both. Many are horrified
The unique aspect of this policy is that if a to find that their puppies have been surgically
veterinary professional fails to report, then altered, and once educated will never allow it Darrell Dalton, DVM
it is a matter of a professional complaint to happen to another pet. Registrar, Alberta Veterinary
against the veterinarian or RVT and it stays Others will present animals that have Medical Association
within the ABVMA complaints process. been altered, knowing that these procedures
If this were not the case, then a member are not allowed by the veterinary profession,
that failed to report animal abuse or neglect and should not be done by non-veterinarians.
would be subject to a complaint by a peace Most commonly these will be dogs that have
officer under the Animal Protection Act (APA) had their tails docked or their ears cropped,
and out of the hands of the ABVMA. and are purebred animals. These cases should
The question now arising from the be reported to the ABSPCA or the local
membership is: How does this apply to the humane society that enforces the APA.
prohibition by veterinary professionals to Discussions with the ABSPCA informed us
perform unnecessary medical procedures? that a docked tail or cropped ears is primary
The membership strongly supported both evidence that an animal has been put into
of these resolutions, but has asked questions distress, and they will investigate cases that
regarding how they will intersect. ABVMA are reported to them. Lay people performing
staff veterinarians met with representatives veterinary procedures causing distress may be
of the Alberta SPCA (ABSPCA) to discuss subject to charges under the APA.
this, and this is our current understanding. Veterinary professionals must use their
If a veterinary practice is presented with judgement when presented with these cases.
an animal that has undergone one of the It is a difficult situation, trying to avoid
prohibited procedures, they should ask where offending a client while maintaining the best
the procedure was performed. If performed possible welfare for the animals involved.
by an Alberta registered veterinarian, the While working through this transition period
veterinarian should be contacted to discuss may be challenging, the implementation of
the possible medical reasons that the these resolutions is a positive step forward for
procedure was performed. If the procedure our profession.
Go Green!
Opting out of the paper magazine
If you would like to opt out of receiving a printed copy of the ABVMA Members Magazine,
please contact Sarah Munn at sarah.munn@abvma.ca.
The digital version of the magazine is sent out in the first E-News of the month of each issue,
and is available to download at abvma.ca under the ADS/CE/LIBRARY tab.
If you are not receiving your ABVMA E-News, please contact the ABVMA office.
WWW.ABVMA.CA 5
Council Highlights
2019 ABVMA Council
Back row, standing (left to right): Dr. Ingrid Hildebrandt, Dr. Baljit Singh, Dr. Colleen Pratt, Mr. Mick Howden, Dr. Pat Burrage, Dr. Keith Lehman, Mr. Ross Plecash, Dr. Louis Kwantes, Dr. Darrell
Dalton, Dr. Chris Belan, Dr. Daren Mandrusiak, Dr. Gurmeet Singh Tuli, Ms. Amanda Barker
Front row, seated (left to right): Dr. Kathy Keil, Ms. Kate Simon, Dr. Kirsten Aarbo, Dr. Lisa Lomsnes, Dr. Kim Romanufa, Ms. Darcie Steffler
April 24-25, 2019
Dr. Pat Burrage
• THE ABVMA HAS RECEIVED A to have Dr. Aarbo (ABVMA Vice • A task force was appointed by Council to
$250,000 grant from Alberta Agriculture President), who is very passionate about consider strategies to increase the uptake
and Forestry for antimicrobial PIPS, to lead in the review. of pet insurance and consider an affinity
stewardship communications. The • Council approved the policy resulting partnership with industry.
project will develop communications to from Resolution 19-II (Unnecessary • ABVMA/CVMA membership is a
promote antimicrobial stewardship for Medical Procedures) that was passed regularly discussed topic at Council
veterinarians and producers. ABVMA at the 2019 Annual General Meeting meetings. Council has supported
staff is currently working on a plan that (AGM). There was overwhelming social a request that CVMA consider a
extends to 2021. media support following the AGM federation structure for ABVMA and
• ABVMA staff recently met with the from the majority of voting members provide an organizational membership to
executive of Alberta Beef Producers to and members of the public. The policy is CVMA.
explore areas of mutual interest. Part of expected to be in effect July 1, 2019. • ABVMA and UCVM have initiated
the discussion was to review any issues • A task force was appointed by Council discussion on training opportunities for
as the result of the Health Canada to work on Member Resolution 0-I graduates of non-accredited schools.
policy moving all medically important that came out of the 2019 AGM. The Council supports staff working on an
antimicrobials to the Prescription Drug mandate will be to explore the need for educational module in collaboration
List effective Dec. 1, 2018. The good and feasibility of options to the current with UCVM to provide internationally
news is that any issues that did arise were regulations regarding ownership of a trained veterinarians information about
considered minor. corporation that is approved as a permit practicing veterinary medicine in the
• The PIPS Bylaw is currently under holder. A report is expected back to Canadian context.
review. A task force was struck to review Council by Sept. 1, 2019.
What is presented above is a fraction of what
feedback from membership and report • ABVMA Council is considering a policy
was discussed at the April Council meeting.
back to Council by October 2019 with regarding delegation of ultrasound
We encourage all members to provide
the intent the revised bylaw will go to image capture. Council agreed that
image assessment and medical care is comments and questions back to Council.
membership for a vote this fall. Bylaw Council minutes will be posted on the
review is difficult and often painful, but the responsibility of the veterinarian.
Council directed staff to prepare a member website, in their entirety, once they
very necessary to keep them current for have been approved at the next meeting.
an organization to function smoothly. draft policy for delegation of capture of
ABVMA Council is very fortunate ultrasound images.
6 ABVMA MEMBERS’ MAGAZINE | JULY-AUGUST 2019
2019 Council
DR. PAT BURRAGE GRADUATED FROM He is the proud father of three daughters,
WCVM in 1989. He spent the first half of two of whom have left the nest and the
his career owning and operating a mixed youngest soon to finish high school. He spends
animal practice in southern Alberta. He has his spare time fly fishing, exercising his two
spent the past 17 years in central Alberta dogs by chasing pheasants in the fall, coaching
where he owned and managed a mixed animal high school girls’ volleyball and playing with
practice with five veterinarians, three registered his cows on the farm west of Bluffton.
veterinary technologists and four support staff He has been involved with the Alberta
in Bluffton. Veterinary Medical Association throughout his
He has successfully transitioned the career, serving on the Food Animal Committee
ownership of Bluffton Veterinary Services to and a six-year term with the Complaint
his young associates. He has recently taken Review Committee, and most recently
Pat Burrage, DVM on a part-time position at Lethbridge Animal with Council.
Central Region Clinic as an associate managing feedlot and
cow/calf clients.
Call For ABVMA Committee
Volunteers For 2020
LEGISLATED COMMITTEES PROFESSIONAL ADVISORY COMMITTEES
ABVMA legislated committees carry out specific roles in accordance ABVMA professional advisory committees are established by and
with the Veterinary Profession Act. serve as a resource for Council. They meet in person twice/year and
have teleconferences as needed. Members who have experience or
The following outlines current openings on legislated committees: interest in the following areas and would like to become involved
in the governance of the ABVMA are invited to submit their name
Practice Review Board (PRB) – two positions: two veterinarians. The for consideration as a potential committee member. The following
PRB may carry out a review of a registered member's practice with the positions are available for terms starting in February 2020:
approval of Council. The PRB is the committee appointed by Council
that deals with members who may be incapacitated. Animal Welfare Advisory Committee: two veterinarians
Companion Animal Advisory Committee: one veterinarian and one
Practice Inspection and Practice Standards Committee veterinary technologist
(PIPS) – two positions: one veterinarian (mixed or large animal Equine Advisory Committee: five veterinarians
practice preferable) and one veterinary technologist. This committee Food Animal Advisory Committee: one veterinarian or veterinary
reviews practice inspection reports, and identifies deficiencies assuring technologist
compliance with the PIPS Bylaw. Members meet three times/year to Member Wellness Advisory Committee: one veterinarian or
review reports from the practice inspectors as well as holding some veterinary technologist
teleconferences. Wildlife and Ecosystem Health Committee: one veterinarian or
veterinary technologist
Registration Committee – two positions: two veterinarians. This
committee meets two to three times yearly to review registrations The deadline to submit your name for consideration is Sept. 20, 2019.
and registration processes for all veterinarian and veterinary
For more information, please contact Dr. Jocelyn Forseille
technologist members.
at jocelyn.forseille@abvma.ca or 780-489-5007 Ext. 232.
WWW.ABVMA.CA 7
2020 ABVMA Annual General Meeting
Call for Resolutions
THE ANNUAL GENERAL MEETING (AGM) OF THE ALBERTA VETERINARY MEDICAL
Association will be held on Sunday, March 1, 2020, at 9:00 a.m. at the Delta Hotels by Marriott
Edmonton South Conference Centre, 4404 Gateway Boulevard, Edmonton, AB.
Members wishing to submit resolutions for consideration at the meeting are encouraged to do so, in
accordance with the Council Policy on Submitting Resolutions (policy included below).
The deadline for resolution submissions is Tuesday, October 15, 2019.
POLICY – RESOLUTIONS PRESENTED AT AN ANNUAL GENERAL MEETING
The Alberta Veterinary Medical Association Once Council determines that the OTHER RESOLUTIONS TO ANNUAL
is the statutory body responsible for resolution will move forward for a vote by GENERAL MEETING
regulating the practice of veterinary the voting members, it is circulated to the Members wishing to bring other resolutions
medicine in Alberta under the authority members thirty days prior to the meeting to an annual general meeting are entitled and
of the Veterinary Profession Act (VPA) and at which it will be voted on. Once formally encouraged to do so.
General Regulations. approved by the majority of voting members Member resolutions must be:
Veterinary medicine is a self-governing present, bylaws and guidelines come into 1. focused on topics relating to the
profession. The VPA establishes the Council force immediately while proposed regulation association’s mandate and be consistent
of the ABVMA as the governing body changes are communicated, in principle, to with the vision and mission of the
and gives it the authority under the act to the provincial government. veterinary profession in Alberta.
make regulations, bylaws and guidelines 2. compliant with the Veterinary Profession
that govern the practice and conduct of Act, General Regulation and all other
MEMBER RESOLUTIONS: relevant legislation.
its members.
3. a direction to Council to take specific
The need to continually evolve the Through Council
action that may include an amendment to
governance documents of the association Members of the association may have the Act, General Regulations, Bylaws or
is a reflection of the ever-changing field of occasion to be aware of an issue that might Council Guideline or other appropriate
veterinary medicine and the needs of society. best be resolved through amendments of action.
Members of Council consider information the association’s governance documents. 4. presented to the Registrar no later than
from their own experience, from members, These members are encouraged to bring October 15 of the year preceding the
related stakeholder groups, government, Annual General Meeting. This will
this information to Council, either directly
media and a wide range of other sources. permit review by the resolution
or through an individual Councillor or committee and distribution to members
All registered members participate in the committee member. Council will consider in accordance with the legislation prior to
development of these governance documents. the issue and may bring forward a resolution a vote at the AGM.
based on the merit of the submission. This 5. supported with the signatures of 10
resolution will move forward as a Council registered members.
POLICY: resolution as described above. This is the 6. submitted in a clear format, giving
most expedient process to effect change in appropriate background and rationale.
Council Resolutions:
association governance documents. 7. specific and deal only with one subject.
When there is a recognized need for a bylaw,
regulation or guideline amendment, Council Resolutions will not be accepted from the
will take action and solicit input from floor of an Annual General Meeting.
committees and members of the association.
These resolutions are drafted with full
consideration of the needs of the public,
their animals and the members. Resolutions Council and Award Nominations Now Open
are reviewed by legal counsel and must be For information on nominating a colleague for Council
consistent with the values of the profession or an award, please see page 18, Keeping You Current.
and the laws of the province.
8 ABVMA MEMBERS’ MAGAZINE | JULY-AUGUST 2019
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Complaints Director’s Report
COMPLAINT CASE #16-08 ALLEGATIONS IN NOTICE OF
HEARING
A complaint was received about the conduct
of a veterinarian relating to interactions Medical Management
between the complainant and the veterinarian
1. That on April 1, 2016, because of a
when a Pomeranian was presented for shortfall of funds in the amount of $50,
weakness and vomiting bone fragments. you failed to act swiftly with respect to the
On April 1, 2016, the complainant dog who was in critical condition (when
arrived at the veterinary practice around 7:30 the owner had advised she would be able
p.m. and paid for an examination, which to return home and obtain the funds for
was undertaken by the veterinarian. The treatment).
veterinarian recommended X-rays and blood Professionalism
work be performed.
2. That on April 1, 2016, you deliberately
The complainant did not have the full
withheld possession of the dog from her
amount of the deposit required to undertake owner, until such time as a deposit for
Phil Buote, DVM the diagnostic tests without returning home further medical testing could be procured.
to transfer the funds between accounts. 3. That your conduct in withholding the dog
Complaints Director and Deputy
The veterinarian would not undertake the from her owner caused the dog to have
Registrar, Alberta Veterinary
diagnostic tests without receiving the full delayed access to life-saving treatment,
Medical Association amount of the requested deposit. As a result, ultimately contributing to her death.
the complainant became very upset and swore 4. That on April 1, 2016, you acted
at the veterinarian a number of times. inappropriately in videotaping your staff
The veterinarian took the dog from the member, a registered veterinary
technologist after being expressly asked
registered veterinary technologist (RVT) and
not to do so.
placed the dog in a kennel. The complainant 5. That on April 1, 2016, while videotaping
called 911 and went out to her vehicle to wait the registered veterinary technologist, you
for the police to arrive. During the course of acted unprofessionally in belittling her
the events, the veterinarian videotaped his intelligence.
interaction with the RVT, specifically giving 6. That you acted unprofessionally when you
her direction to return the dog to the owner. exited the veterinary practice on the
At approximately 8:25 p.m., the dog evening on April 1, 2016, to yell
was returned to the owner. The owner went profanities at individuals who were outside
home to transfer funds and then attended at of your clinic.
another emergency veterinary practice. The Medical Records
dog was checked in to the emergency practice 7. That you failed to complete medical
at 9:26 p.m. The dog was examined and had records with respect to the dog in an
X-rays and blood work performed. While appropriately contemporaneous manner.
the attending veterinarian was discussing
surgery with the complainant, the dog went The Hearing Tribunal heard testimony
into cardiopulmonary arrest and died, despite from the complainant, the veterinary
efforts to provide CPR. technologist and the veterinarian.
The complaint was investigated and the The veterinarian provided an additional
report of the investigation was reviewed by document on October 11, which was
the Complaint Review Committee (CRC), purported to be a contemporaneous account
which made a decision to refer the matter for of the events that had not been included or
a hearing in accordance with section 33.1(3) attached to the medical record, but which
(a). informed a paragraph in the medical record
A hearing was convened on June 21, 2017, that was added some time after the events.
which was adjourned at the request of the
member. The hearing re-convened on Oct. 10 FINDINGS
and 11, and Nov. 23, 2017.
The tribunal considered the evidence and
testimony before it and made findings on
two of the seven allegations of unprofessional
conduct:
10 ABVMA MEMBERS’ MAGAZINE | JULY-AUGUST 2019Complaints Director’s Report
5. That on April 1, 2016, while videotaping 6. There shall be publication of this matter make a decision reasonable, referring both to the
[the registered veterinary technologist], on a “no names” basis. process of articulating the reasons and to outcomes.
you acted unprofessionally in belittling her In judicial review, reasonableness is concerned
intelligence. APPEAL TO COUNCIL mostly with the existence of justification,
7. That you failed to complete medical records transparency and intelligibility within the
with respect to [the dog] in an On Aug. 31, 2018, the member appealed the
decision-making process. But it is also concerned
appropriately contemporaneous manner. two findings of unprofessional conduct.
with whether the decision falls within a range of
The member subsequently abandoned
possible, acceptable outcomes which are defensible
SANCTIONS his appeal concerning allegation 5, relating
in respect of the facts and law.”
to conduct while videotaping the veterinary
The Hearing Tribunal received submissions The COC concluded that assessing
technologist, and the appeal was limited
from the ABVMA and the veterinarian the Hearing Tribunal decision on the
to the finding of unprofessional conduct
regarding sanctions and made the following reasonableness standard also involved
concerning allegation 7 on medical records.
order with respect to sanctions in the matter: determining whether the decision was
The remedy sought was to have the finding
1. A written reprimand shall be issued defensible bearing in mind that more than
against the veterinarian. of unprofessional conduct overturned and the
one right answer may be possible in any given
2. The veterinarian shall pay 1/4 of the costs penalty ordered in the decision varied.
situation.
of this matter, in the sum of $13,746.01, The member made arguments regarding
The COC concluded that those reasons
within 12 months from the date of this the added paragraph in the medical record
were clear and understandable and were
Order. that described the interaction between
supported by the evidence before the
3. The veterinarian shall be required to the veterinarian and the client, specifically
complete, at his own cost, the following Hearing Tribunal. The COC also concluded
that the information was not medical in
continuing education obligations within that the reasons fell within a range of
nature therefore did not need to be included
12 months from the date of this Order: possible outcomes and met the standard of
in the record. The member also argued
a. The veterinarian shall be required to reasonableness.
that in any case the record was created
successfully complete the veterinary The COC concluded that it was
contemporaneously, as the veterinarian had
medical records course offered online by reasonable for the Hearing Tribunal to
Washington State University; and produced a handwritten document that was
find that the dog’s medical record was not
b. The veterinarian shall be required to purportedly made the night of the events
recorded contemporaneously.
attend 15 hours of continuing education but was not attached, which informed the
The COC concluded that it was
in communications, professional added paragraph.
reasonable for the Hearing Tribunal to make
interactions or ethics. This continuing The member also argued that the failure
education must be approved by the a finding of unprofessional conduct, in that
to create a medical record does not rise to the
Complaints Director. the Hearing Tribunal had the necessary
level of unprofessional conduct.
4. Upon the veterinarian’s practice reopening, specialized expertise and qualifications to
Council of the ABVMA acts as the appeal
it shall be subject to two unannounced determine what constitutes unprofessional
body for the complaints process.
practice audits by a practice auditor conduct. The COC showed deference to
Appeal to Council
approved by the ABVMA over a period of the hearing tribunal conclusion concerning
44(1) An investigated person or the
one year. These audits shall focus on, but allegation 7 that the veterinarian’s failure to
Complaints Director, on behalf of the
not be limited to, medical records. The complete the medical record in an appropriate
association, may commence an appeal to the
veterinarian shall pay the costs of these contemporaneous manner rose to the level of
Council of a decision of the Hearing
practice inspections and shall provide any unprofessional conduct.
Tribunal by a written notice of appeal that
and all information requested by and to
(a) identifies the appealed decision, and
the inspector. The result of the practice
(b) states the reasons for the appeal. DECISION ON COSTS
inspections shall be provided to the
Complaints Director and PIPS One of the obligations of the Council is
to determine the “standard of review” when On the issue of costs of the appeal, the COC
Committee and be subject to their
undertaking an appeal. In most professional decided that since the ABVMA was entirely
approval.
5. If the Complaints Director deems there to conduct appeal hearings, the appropriate successful at the appeal stage and since the
be a violation of this Order, as unilaterally standard of review is “reasonableness.” members of the veterinary profession should
deemed by the Complaints Director, the What is Reasonableness? not “subsidize” unprofessional conduct,
veterinarian shall, upon notice by the The Committee of Council (COC) the veterinarian was ordered to pay the
Complaints Director, be suspended from undertaking the appeal adopted the test for entire costs of the appeal in the amount of
the practice of veterinary medicine reasonableness set out in Dunsmuir described, $26,669.84.
pending a hearing into allegations of in part, as follows: The COC also accepted the ABVMA's
unprofessional conduct resulting from the submission that those costs be payable over
“Tribunals have a margin of appreciation
breach of this Order. The Complaints a one year period, specifically that the appeal
Director shall maintain this discretion within the range of acceptable and rational
solutions. A court conducting a review for costs be paid in full by the veterinarian on or
until such times as all provisions of this
Order are satisfied. reasonableness inquiries into the qualities, that before March 15, 2020.
CONTINUED ON NEXT PAGE
WWW.ABVMA.CA 11Complaints Director’s Report continued
COMPLAINT CASE #17-27 communications remain unanswered. Only 21, 2018, and made a referral in accordance
after informing the Alberta Veterinary with section 33.1(3)(a) that the matter be
BACKGROUND Medical Association of the inability to contact referred for a hearing.
A letter of complaint was received in his named legal counsel was it determined The veterinarian did not respond to
September 2017, against a veterinarian that this representation had been formally communication from the ABVMA and
regarding the euthanasia of a 16-year-old withdrawn from the Court Of Queen’s Bench registered mail sent to the veterinarian was
neutered male Pekingese cross dog. The dog [redacted] returned. A process server was unable to
had been presented for an ear infection. ‐ The medical records pertaining to the care locate and personally serve the notice of
The veterinarian and the complainant had a of the dog belonging to the complainant hearing and disclosure documents on the
discussion about a lump on the dog’s leg. An were fortuitously obtained from the Alberta veterinarian. The ABVMA took steps to
appointment was made for a lump removal Veterinary Medical Association as a result of provide notice by alternate means, including
surgery under general anesthetic for the the [redacted] medical records being turned notice in the newspaper. These actions to
following week, however, the dog deteriorated over to the association after being found stored provide notice to the veterinarian were
rapidly over the next 24 hours and the family within the commercial retail space previously determined to be satisfactory to the Hearing
decided to euthanize him. occupied by the same. Tribunal:
When the veterinarian initiated the ‐ The medical records pertaining to the The Hearing Tribunal acknowledged that the
euthanasia procedure, he was unsuccessful events under review contain limited ABVMA, in accordance with section 61 of the
in obtaining intravenous access and as information and no details regarding client Veterinary Profession Act, exercised and met
a result had difficulty administering the communication, drug identity, doses or routes the standard of due diligence in attempting to
injection. After many attempts to find a of administration during the office visit dated notify [redacted] of his summons to appear before
vein using multiple locations on his body, August 1, 2017. There are no medical record the Hearing Tribunal. The Hearing Tribunal
the veterinarian decided to give the dog an entries documenting the actions or decisions recognized that [redacted] was responsible for
oral dose of the drug. After this took effect, taken by [redacted] during the euthanasia informing the ABVMA of any and all changes
the veterinarian was able to complete the procedure under review. in his contact information, in accordance with
euthanasia via an intravenous injection. Due to the inability to contact [redacted] section 14(1)(u) of the Veterinary Profession
An investigator was appointed to and obtain his response to the complaint this Act. Pursuant to sections 27(2) and 40(6)(a)(b)
conduct an investigation into the complaint. investigation report is being submitted in of the Veterinary Profession Act, the Hearing
The investigator was unable to contact its absence. Tribunal confirmed that the ABVMA has the
or interview the veterinarian. From the Practice has closed suddenly and the statutory authority, after exercising due diligence,
investigator’s report: whereabouts was unknown. The investigator to govern its members inclusive of having a
Interview with [redacted] made multiple attempts using various means cancelled registration and in absentia.
Attempts to contact [redacted] regarding the to contact the veterinarian. Ultimately, the
assigned investigation were unsuccessful and investigator concluded the investigation without ALLEGATIONS IN THE NOTICE OF
were as follows: a letter of response or interview with the HEARING
‐ Telephone calls were made to his residence veterinarian.
During the course of the investigation, the Medical Management
using his most recent self-reported contact
information as found in the Alberta veterinarian failed to renew registration with 1. On Aug. 2, 2017, you failed to implement
Veterinary Medical Association member the ABVMA and was cancelled by Council an appropriate euthanasia protocol for the
on Feb. 22, 2018, effective Jan. 1, 2018. euthanasia of the dog.
database.
Notwithstanding that the veterinarian was 2. That you failed to properly place a catheter
- Each attempt to reach [redacted] at this intravenously into the dog after
number resulted in no answer, with no cancelled, the ABVMA retained jurisdiction
attempting 10 to 12 times unsuccessfully.
opportunity to leave a message at the number. to proceed with the matter under section
3. That you inappropriately gave an oral
After many rings the line would however 27(2): administration of Euthansol to the dog.
proceed to an electronic response similar to that Complaints 4. That you implemented a euthanasia
made when calling a fax line. ... protocol that was unacceptably traumatic
‐ No new contact information has been (2) A complaint respecting the conduct of to the dog and emotionally distressing to
provided to the Alberta Veterinary Medical a registered member, permit holder or student the clients.
Association by [redacted] as he is no longer whose registration was cancelled pursuant to Failure to Cooperate with the ABVMA
listed as an active member of the association. this Act may be dealt with, notwithstanding
the cancellation, within 2 years following the 5. That you failed to properly respond to the
‐ [redacted] had previously provided the ABVMA investigator.
Alberta Veterinary Medical Association date of cancellation of the registration as if the
6. That you failed to properly comply with
with the contact information for a legal cancellation had not occurred. the investigation into the complaint.
representative but attempts to contact this The report of the investigation was
provided to the Complaint Review Medical Records
individual by both telephone and electronic
Committee (CRC). The CRC met on June 7. That you failed to complete and maintain
12 ABVMA MEMBERS’ MAGAZINE | JULY-AUGUST 2019Complaints Director’s Report continued
appropriate medical records for the dog. (i) Failing to complete and maintain under section 27, the Complaints Director or
8. That you failed to complete any medical appropriate medical records for the dog, Complaint Review Committee may refer the
record with respect to the dog for the Aug. (ii) Failing to complete any medical record matter to a committee designated or
2, 2017, euthanasia. with respect to the dog’s euthanasia on established by the Council.
August 2, 2017, and (2) The committee, on receipt of a referral under
FINDINGS OF THE HEARING (iii)Failure to record the administration of subsection (1), may direct the registered
TRIBUNAL pharmaceuticals, in all probability, member to submit to specified physical or
pentobarbital sodium or T-61 mental examinations, or both, by a person or
With regards to the medical management Euthanasia Solution, in the medical at a facility specified by the committee and
of the euthanasia procedure, the Hearing record, request the person or facility to report to the
Tribunal concluded that the veterinarian: and such conduct constitutes unprofessional committee and the registered member within
(i) Failed to offer or place an intravenous conduct pursuant to section 1(n.1)(i),(ii),(x) a time specified by the committee.
catheter in the dog prior to euthanasia, and (xi) of the Veterinary Profession Act, (3) On receipt of the results of any mental or
(ii) Inappropriately made excessive attempts R.S.A.2000, c.v-2, amended. physical examination under subsection (2),
to accomplish venipuncture on the dog the committee may direct the registered
with the owners witnessing the process, member to submit to treatment recommended
(iii)Inflicted undue stress and trauma to the SANCTIONS OF THE HEARING by the person or facility referred to in
dog, TRIBUNAL subsection (2), by a person or at a facility
(iv) In all probability, administered As a result of the findings of the Hearing specified by the committee.
pentobarbital sodium for injection or Tribunal with respect to allegations of ...
T-61 Euthanasia Solution for injection (5) The committee may direct that the registered
unprofessional conduct, the Hearing
orally to the dog, and member cease practising veterinary medicine
(v) Failed to communicate and follow his Tribunal makes the following orders in until a report is received under subsection (2)
usual and established euthanasia accordance with s.41.1 of the Veterinary or, if a direction is made under subsection (3),
protocol causing the owners Profession Act. cease practising veterinary medicine until the
unacceptable emotional distress during (1) $1000 fine for failure to appropriately committee is satisfied that the registered
the dog’s euthanasia. conduct the euthanasia of the dog on Aug. 2, member is no longer incapacitated, and the
and such conduct constitutes unprofessional 2017, according to the veterinarian’s usual and committee must notify the Registrar of the
conduct pursuant to section 1(n.1)(i),(ii),(x) established euthanasia protocol, direction to cease practising
and (xi) of the Veterinary Profession Act, (2) $2,000 fine for failure to cooperate veterinary medicine.
R.S.A.2000, c.v-2, amended. with the ABVMA appointed Investigator The physician conducting the examination
With regards to cooperating with the and comply with the investigation into the confirmed a diagnosis of substance abuse
ABVMA, the Hearing Tribunal found the complaint, disorder, severe, and noted a significant
veterinarian, a registered member of the (3) $1,000 fine for failure to complete and tolerance to hydromorphone. The PRB made
ABVMA, guilty of: maintain appropriate medical records for the orders that Dr. Irwin attend for treatment
(i) Depriving the ABVMA of the right to dog, and and the order to cease practice would remain
govern him in the interest of protecting (4) Publish this decision in the ABVMA until such time as a report that he is no longer
the public and the integrity of the Members’ Magazine on a “without names” basis. incapacitated is received. Dr. Irwin appealed
veterinary profession and by failing to the orders to cease practice and attend for
keep his contact information current, in treatment to the Council.
COMPLAINT CASE #17-08
accordance with section 14(1)(u) of the Council heard the appeal on Feb. 3,
Veterinary Profession Act. BACKGROUND 2015, and upheld the decision and orders of
(ii) Failing to properly respond, in the PRB, specifically that Dr. Irwin attend
accordance with section 32(1) the In 2014, on referral from the Complaints
Director, the Practice Review Board (PRB), for residential treatment, that the order
Veterinary Profession Act, to the
ABVMA appointed Investigator, and which is the committee designated by cease practice would be continued and that
(iii)Failing to properly comply with the Council to consider matters of incapacity, if the orders were not complied with that
investigation into the complaint in ordered Dr. James Irwin to attend for a professional conduct proceedings would be
accordance with section 32(1) the medical examination and to cease practice in initiated.
Veterinary Profession Act. accordance with the Veterinary Profession Act Dr. Irwin appealed the orders of Council
and such conduct constitutes (VPA) section 65.1 - Assessing incapacity: to the Court of Appeal of Alberta, and
unprofessional conduct pursuant to section applied for a stay of the Orders. The Court
1(n.1)(i),(ii),(vi.B),(x) and (xi) of the Assessing incapacity of Appeal stayed the suspension pending the
Veterinary Profession Act, R.S.A.2000, c.v-2, 65.1(1) If the Complaints Director or the hearing of the appeal and Dr. Irwin returned
amended. Complaint Review Committee has grounds to practice March 10, 2015. The appeal proper
With regards to medical records, the to believe that a registered member is of the Orders of Council was heard by the
Hearing Tribunal found the veterinarian incapacitated, whether or not a complaint has Court of Appeal of Alberta on Oct. 9, 2015.
guilty of: been made or deemed to have been made The Court of Appeal released its decision
CONTINUED ON NEXT PAGE
WWW.ABVMA.CA 13Complaints Director’s Report continued
on Dec. 18, 2015. The Court found that in Aware of unprofessional conduct form the pharmacy. These efforts included an
the circumstances, the veterinarian had not 27.1 Despite not receiving a complaint under application for a Court Order for Dr. Irwin to
been provided sufficient notice regarding section 27(1), if the Complaints Director has produce the documents.
the allegations against him prior to being information that on reasonable grounds causes Ultimately, the requested documents were
suspended. Additionally, the Court found he the Complaints Director to believe that the never produced. The investigator concluded
was not provided with sufficient opportunity conduct of a registered member constitutes the investigation and provided the report to
to respond to the allegations of incapacity. unprofessional conduct or has information the Complaint Review Committee (CRC) on
Those omissions were found to constitute that a person has not complied with an order April 9, 2018.
breaches of the veterinarian’s right to under section 41.1(1) or 45(5) or with a The CRC met on June 21, 2018, and made
procedural fairness. Furthermore, the Court of ratified settlement under section 30.1, or if an a referral in accordance with section 33.1(3)
admission under section 35.1 does not relate
Appeal found that the Committee of Council (a) that the matter be referred for a hearing.
to all matters complained of or investigated,
(COC) had failed to consider the issue of Dr. the Complaints Director may treat the By that time and during the course of
Irwin’s medical condition, and that as a result, information as a complaint received under the investigation, Dr. Irwin became non-
the COC’s decision was unreasonable. The section 27(1). responsive to communication from the
Court of Appeal quashed the COC’s decision An investigator was appointed to conduct ABVMA and Dr. Irwin’s legal counsel
to suspend the veterinarian. an investigation. Dr. Irwin was notified of withdrew as counsel of record. Dr Irwin’s
the complaint and was requested to provide a practice was abandoned in late 2017. Dr.
COMPLAINT response to the letter of complaint. Dr. Irwin Irwin failed to renew registration with the
was also informed that the matter could still ABVMA and was cancelled by Council
In early 2017, the ABVMA Complaints on Feb. 22, 2018, effective Jan. 1, 2018.
be referred to the PRB as the complaint may
Director received a call from a community Notwithstanding the veterinarian was
very reasonably relate to incapacitation. In
pharmacist who was concerned about the cancelled the ABVMA retained jurisdiction
the event that Dr. Irwin was agreeable to
volume of hydromorphone being prescribed to proceed with the matter under section
move the matter to the PRB and comply
by Dr. Irwin. Specifically, that he has been 27(2) of the VPA.
with orders for assessment and treatment, the
prescribing 10 vials of hydromorphone at a The hearing was held on Nov. 7, 2018, in
complaint could be set aside in accordance
time, every 4-5 days. The pharmacist further Dr. Irwin’s absence. The tribunal was satisfied
with section 65.1(10)
disclosed that upon questioning, Dr. Irwin of the attempts made to serve Dr. Irwin
(10) If a complaint has been made against a
told her that he was limited as to what he registered member and the committee notice and disclosure documents.
could purchase from his usual supplier. (a) is satisfied that the matter complained of
The Complaints Director undertook arose because of the incapacity of the
to contact the College of Physicians and NOTICE OF HEARING
registered member,
Surgeons of Alberta, which administers the (b) has made one or more directions under The allegations in the Notice of Hearing are
Triplicate Prescription Program (TPP), to subsections (2) and (3), and as follows:
request Dr. Irwin’s prescriber profile. The (c) is satisfied that the registered member is
Improper Narcotics Purchases
Complaints Director also requested Dr. complying with the directions made under
subsection (3), 1. That during the period June 2015 to
Irwin’s controlled drugs purchase records
the committee may, at any time before the December 2017, you undertook issuing
from Western Drug Distribution Center prescriptions for and the purchase of an
(WDDC). matter has been referred to the Hearings
Director, suspend any proceedings with respect unjustifiable amount of hydromorphone.
The Complaints Director undertook an 2. That during the period June 2015 to
evaluation of the amounts of hydromorphone to the complaint for a period of time that the
December 2017, you failed to justify or
purchased and sought an expert opinion committee considers appropriate. demonstrate the disposition of the amount
on the reasonableness of the amounts, Dr. Irwin did not accept the offer to move of hydromorphone and other controlled
considering that Dr. Irwin practiced in a the matter to PRB and deal with the issue drugs from your veterinary practice.
of incapacitation. An abbreviated response
single-person companion animal practice. Failure to Cooperate
The total amounts acquired by Dr. Irwin was received from Dr. Irwin’s legal counsel
by email on April 25, 2017. Dr. Irwin was 3. You failed to comply with the request of
were considerably higher than what would the Investigator to provide:
be expected to be appropriately used in interviewed by the investigator, but did not
comply with the investigator’s request to i. The narcotics and controlled drug
the course of a normal single-veterinarian logbook indicating the disposition of all
companion animal practice. provide his controlled drug logs.
narcotics purchased since March 2015
The TPP prescriber profile, The investigator undertook significant to July 2017;
hydromorphone purchase records form efforts between June 28, 2017, and March ii. The surgical log, appointment book,
WDDC and the report of the medical 2018 to acquire and review documents medical records, invoicing to clients and
assessment undertaken in November 2014 including appointment book, controlled relevant triplicate prescription forms
were all treated as a complaint received under drug logs and medical records that associated with the narcotic and
would demonstrate the disposition of the controlled drug log books for the period
section 27.1.
hydromorphone purchased and acquired of March 2015 to July 2017.
14 ABVMA MEMBERS’ MAGAZINE | JULY-AUGUST 2019You can also read
