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JULY-AUGUST 2020
Edmonton West
Animal Hospital 26
In This Issue 20 Meet the ABVMA Team:
New Staff Introduction 22 ABVMA Public
Members on Council 30 Veterinary Technologists: the Hidden
Treasure of Veterinary Practice, Part 2 of 2
More Than Compounding
Quality Compounded Medical Supplies
Preparations
Pharmacy Packaging
Generic & Brand
Medications Pharmacy Labels
TM
Summit Veterinary Pharmacy Ltd. (SVP) is Canadian owned & operated. Ontario College of Pharmacists Certificate of Accreditation #307870. SVP will not compound a preparation in the same dose and dosage form as a commercially available product.
Inside this Issue VOL. 22, ISSUE 4
The ABVMA Members’ Magazine is
FEATURES
20
26 a bi-monthly publication of the Alberta
Veterinary Medical Association delivered
free of charge to members of the ABVMA.
Meet the ABVMA Team:
New Staff Introduction
22 Editor’s Notebook
ABVMA Public Members on Council
WE ARE IN THE MIDDLE OF FORGING A
new direction for life as we know it because of the
30
Practice Management: Veterinary COVID-19 pandemic. At this point in Alberta, we
seem to have “flattened the curve” to where some
Technologists: the Hidden Treasure On the Cover features of our lives are returning toward normal. Time
of Veterinary Practice, Part 2 of 2 Edmonton West Animal Hospital
will tell if we can continue in this direction or not.
Some things, however, will never return to normal.
REGULAR ARTICLES We are losing some of the smaller- and medium-
sized businesses that we all rely upon on a daily basis.
Editor’s Notebook..............................................................................................3 Some of our favourite restaurants and shops have
President’s Report...............................................................................................4 disappeared or will disappear. People predict that our
2021 ABVMA Annual General Meeting: Call for Resolutions............................4 lives will become simpler, less complicated. Others
Registrar’s Report...............................................................................................5 predict that this virus is here to stay, and we will need
Council Highlights............................................................................................6-7 to adjust our lives to live with it for a long time. If so,
2020 CanWest Veterinary Conference Announcement......................................7 will we ever be able to attend professional sport events
Complaints Director’s Report......................................................................10-16 or concerts? Weddings? Funerals?
Membership Matters........................................................................................17 Hopefully veterinary practices are insulated well
Keeping You Current.........................................................................................18 enough against closure, as we provide an essential
Call for COVID-19 Good News Stories............................................................21 service providing care for the health and welfare of
PIPS Tip.............................................................................................................22 animals. The need for our services remains constant,
CVMA Report...............................................................................................24-25 but even our existing business models are changing.
Letter to the Editor...........................................................................................28 Will we continue to rely on curbside service for our
Go Green..........................................................................................................28 companion animals? Will we continue to limit access
Focus on Wellness: Gratitude...........................................................................31 to the practice from our clients? Many medical and
The Practice Owners Economic Survey and dental practices are removing their waiting rooms.
Your Provincial Suggested Fee Guide Connection...........................................33 Will this become the new norm? Will we see the same
ABVMA Communication to Members..............................................................33 in veterinary practices?
Dean’s Corner (UCVM & WCVM).................................................................34-35 Six months ago, many were lamenting the fact
Student’s Corner (WCVM & UCVM)............................................................36-37 that we were losing our ability to communicate with
ABVTA News................................................................................................38-41 people because of the technology that has become
CE Opportunities.........................................................................................42-43 pervasive throughout our lives. People would text
Classified Ads...............................................................................................44-51 or email rather than speak in person. Our kids were
Advertiser’s Index.............................................................................................51 spending their entire lives on their phone or in front
of a video console, and my generation was constantly
lamenting it was heralding the demise of our society
PRODUCTION CONTACT US as we know it. How quickly times change. Now this
Editor – Dr. Darrell Dalton Alberta Veterinary Medical Association
Design, Layout & Printing – Burke Group Bldg. 3, Elm Business Park
technology has brought us all together as our only safe
Communications and Professional Suite 104, 9452 – 51 Avenue, NW means of communication while maintaining physical
Enhancement – Kathy Naum Edmonton, AB T6E 5A6 distancing. Everything from virtual dinners, barbeques
ADVERTISING Phone: 780-489-5007 and parties to virtual conferences are being considered
Display Advertising – Sarah Munn Toll-Free: 1-800-404-2862
Classified Advertising – Mandi Duggan Fax: 780-484-8311 and delivered. We have been thrust into the use of
EDITORIAL POLICY Return Undeliverable
telemedicine through this pandemic. It may become
The ABVMA Members’ Magazine Canadian Addresses to: the new norm as well. Since “necessity is the Mother of
welcomes article submissions, letters to Alberta Veterinary Medical Association invention,” watch for an explosion of new and exciting
the editor and advertising requests Suite 104, 9452 – 51 Avenue, NW
on topics and products related to the Edmonton, AB T6E 5A6 Canada technology in the next year. Something good arising
veterinary profession.
Canadian Publication Mail from a bad situation.
The editor reserves the right to reject Agreement 40014637
submissions if they do not meet the
ABVMA’s editorial criteria.
Darrell Dalton, DVM
The editor also reserves the right to edit Registrar, Alberta Veterinary Medical Association
submissions (including letters to the
editor) for clarity, length and correction
of factual inaccuracies.
WWW.ABVMA.CA 3
PRESIDENT’S REPORT
have endeavoured to deliver clear, concise and this will continue throughout the
information with transparency and clarity. pandemic. It is impossible for the Member
However, this is a new disease, and there Bulletins to be all things to every individual
are twists and turns at every stage — the — some members expressed desire for clear
incubation period may be quite long, there regulations on what exactly practices could
may be asymptomatic carriers, people of do during the strictest lockdown periods, and
varying ages and underlying conditions may other members voiced their desire to be able
be quite severely affected...the list goes on. to make the call on what procedures they
All of this leads to a nightmare for effective could perform. This is why the focus was
communication to the public, especially kept on the directives from Alberta Health
for the public that does not have a medical and the necessity to keep the public and the
background. I’m sure veterinary professionals veterinary team safe.
understand the struggle to try to make I hope that we as veterinary professionals
effective recommendations to the public are able to empathize with human medical
when the knowledge base keeps shifting. professionals, and that we can learn more
The public reacts with confusion, fear and about communication with the public during
mistrust when contradictory information this experience. Delivering unpleasant
circulates. Recommendations such as messages with sincerity and admitting that
wearing masks have changed since the there is a lack of reliable knowledge on
beginning of the pandemic, and the lack of a topic is a difficult task. Alberta’s Chief
consistency makes uptake more difficult. Medical Officer of Health, Dr. Hinshaw,
There’s also the sheer volume of exemplifies a calm and clear demeanour
information available. Numerous reports when she communicates. She is a great
IN MY LAST MESSAGE PUBLISHED from different countries, who are each example of a speaker that can deliver a
in the May/June issue, I recorded the date managing the pandemic differently, flow in lot of information in a short amount of
of writing, and I will repeat that for this daily. Medications are trialled, and studies time in a concise but sympathetic manner.
message. I never expected to be writing suggesting variable levels of efficacy are Communication is one of the cornerstones
these messages during a pandemic that has released. Workplaces must sift through of success in veterinary medicine, and this
changed so much for all of us. I am writing the requirements for their type of business pandemic offers us all an opportunity to
this on May 22, and while many restrictions in order to remain open. ABVMA staff evaluate and compare our communication
have loosened slightly, social distancing is have worked very hard to comb through techniques, both individually and at a
still in effect, schools are still closed and life the regulations, requirements and practice or corporate level.
is still vastly different. The daily reports of recommendations to build clear documents Once again, I wish all of you the best as
case numbers have shown decreasing new for our members. Through our Virtual we continue developing the new normal.
cases, which I hope will still be the case Member Round Tables, we have received I am hoping that today’s positive trend is
when this is published. feedback on these communications and what continuing when this is published, and that
I commend the officials that have been members are experiencing. This feedback is these words find you safe and healthy.
delivering the daily updates in Alberta. They used to help shape the bulletins on COVID,
2021 ABVMA ANNUAL GENERAL MEETING
Call for Resolutions
The Annual General Meeting (AGM) of the Alberta Veterinary Medical Association will be held on Sunday, Feb. 28, 2021,
at 9 a.m. at the Best Western Premier Calgary Plaza Hotel and Conference Centre, 1316-33rd St NE, Calgary, AB, T2A 6B6.
Members wishing to submit resolutions for consideration at the meeting are encouraged to do so, in accordance with the
ABVMA Bylaws and Council Policy on Submitting Resolutions (Legislation > ABVMA Council Policies > Policies Relating
to Governance, Committees and Council, login required).
The deadline for resolution submissions is Tuesday, Oct. 15, 2020.
4 ABVMA MEMBERS’ MAGAZINE | JULY-AUGUST 2020
REGISTRAR’S REPORT
THE ABVMA EMBARKS UPON Over the past three years, Council has SBCV Chapter conducted a workforce study
projects from time to time that are relevant become increasingly concerned with the in BC funded by the provincial government
to the betterment of the profession within apparent shortage of veterinary professionals that indicated BC could utilize an additional
the province. Previous projects included available to work in Alberta. This has been one hundred veterinarians more that they
the development of a euthanasia manual, a heard in the ABVMA office from members, were currently registering each year.
biosecurity manual for practices, two projects and the association has witnessed a large The magnitude of the shortage in Alberta
regarding antimicrobial use and stewardship, increase in the number of classified ads from is not currently quantifiable. To obtain
and the current antimicrobial stewardship practices looking to hire. The ABVMA has objective data to move forward in properly
communications project. These projects are taken this issue to the provincial government informing the government, the ABVMA
funded by provincial grants and allow the to advise them that there is a problem. is partnering with the ABVTA and the
association to do work for the profession that Multiple meetings with educational institutes, Workforce Strategies Division of Alberta
would not be feasible otherwise. discussions with the Ministry of Advanced Labour and Immigration. The provincial
Education, the Ministry of Agriculture government has provided $100,000 toward
and Forestry and discussions with our this project. The main assessment and
own Minister of Labour and Immigration forecasting outcomes are to include:
have brought the issue to their attention. • research and analysis of labour market
The association has been able to make the trends in the veterinary industry in Alberta,
government keenly aware of the importance • developing strategic plans to prepare for
of veterinary medicine, as evidenced by the future skill requirements and/or prevent
classification of veterinary services as essential skills shortages, and
during the COVID-19 pandemic. • the development of veterinary practice
However, the consistent question from benchmarks such as the optimal ratio
government is, “What is the magnitude of technologists to veterinarians in each
of the problem?” Before they can budget practice type.
funds to deal with the issue, they wish to The project has begun and is expected
know how critical the problem is and how to be completed in early 2021. The Alberta
many more veterinary professionals need study will be one of the first studies to
to be either educated or attracted from consider both veterinarians and veterinary
other jurisdictions to alleviate the shortage. technologists together as a team. Malatest
Shortage of veterinary professionals is not Consulting has been contracted to conduct
a concern unique to Alberta, as it appears the study, and members may be contacted
Darrell Dalton, DVM to be a national as well as a global problem. by them to participate within the next
With the encouragement of the Canadian few months. Please willingly provide
Registrar, Alberta Veterinary Council of Veterinary Registrars, the CVMA them with any information that you can.
Medical Association conducted a workforce study this past winter This is a significant ABVMA project for
to look at veterinary numbers across Canada. the profession, and we look forward to
The results were tentatively available in meaningful and useful results, which can
the middle of June. Last year, the CVMA- only happen with everyone’s cooperation.
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
April 22-23, 2020
Colleen Pratt, DVM • There were some comments that the Medicine, Faculty Council.
Leadership Weekend was too busy and • The National Examining Board of the
Council met virtually in April and had a maybe should go at a slower pace in the Canadian Veterinary Medical Association
productive meeting. It was not the same future to allow more free time and social (CVMA) will now accept Program for
as meeting in person, but we still got a lot networking. the Assessment of Veterinary Education
accomplished. • There were some concerns from members Equivalence in all Canadian provinces
following the AGM about role of public as an alternative pathway to obtaining a
• UCVM plans to admit a class of 50 members at the AGM. Certificate of Qualification.
students to the DVM program for the • It was decided Council needs some • Council approved a $5,000 contribution
fall of 2020. They are considering a new clarity on public members/invited per year for three years as a partner for Ag
application process for 2021, with the goal guests speaking at AGM. This will be for Life’s Know Your Food educational
of rural sustainability. There is a focus to discussed further at the June meeting. trailer. This is to educate the public on
attract rural candidates as they are more • It was suggested that we have a where their food comes from.
likely to go back to a rural setting. feature article in an upcoming • Council is having staff look into a
• The ABVMA Audit Committee explored magazine about the role and Memorandum of Understanding with the
the option of investing 10 per cent of the responsibilities of public members. College of Veterinarians of BC regarding
portfolio in blue chip stocks. Traditionally (Please see article on page 22.) dispensing across the BC/AB border.
the ABVMA has only invested in GICs • Council is in the process of reviewing • Last but not least, COVID-19 has caused
and other secure investments. This would the Policy on the Annual Performance some changes in event scheduling. The
require an amendment to the financial Appraisal and Review of the Registrar/ Antimicrobial Stewardship Conference
guidelines, which staff will look into for Secretary-Treasurer. A consultant was has been rescheduled for Nov. 19-
the June meeting. No decision was made. hired last year and we are still fine-tuning 20, 2020, in Edmonton. CanWest is
• Leadership Weekend was overall very the process. tentatively still moving forward, but a
good with positive feedback. Council • A motion was passed to undertake a final decision will be made this summer.
found value in the leadership group’s compensation review of the Registrar. This The CVMA has cancelled the Annual
comments on the Resolutions prior to has not been done previously. The goal Convention in Quebec City.
the Annual General Meeting (AGM). It is to be sure the Registrar is being paid
became apparent that more membership appropriately.
engagement and Town Hall sessions prior • Dr. Kevin MacAulay was appointed as the
to the AGM would have been helpful. ABVMA Representative to the University
of Calgary, Faculty of Veterinary
6 ABVMA MEMBERS’ MAGAZINE | JULY-AUGUST 2020
COLLEEN PRATT GREW UP IN SASKATOON AND GRADUATED
from WCVM in 1987. She moved to Alberta and worked as a small
animal veterinarian for a number of years while raising three children. In
1999, together with her husband, she opened Calgary Trail Pet Hospital in
Edmonton. In 2015, they sold the practice with plans to retire, or at least
slow down. Retirement was short-lived and just recently they started a new
practice with some young and enthusiastic partners.
Colleen has owned and fostered many different pets. Her favourite
foster is the momma cat with kittens or orphaned kittens. Her other
interests include dog walking, gentle hikes, self-guided bike trips and
relaxing at the lake.
Colleen’s children have all started families of their own. They have careers
in physics, engineering and veterinary medicine. The recent addition of a
beautiful and energetic granddaughter and another grandchild on the way
has made life exciting. Colleen lives in Edmonton with her husband Gerald,
one dog — with the unfortunate name Corona — and two yellow canaries.
Colleen Pratt, DVM
Member of Council, North Region
2020 CanWest Veterinary
Conference Announcement
CANWEST IN-PERSON
VETERINARY CONFERENCE
CONFERENCE CANCELLED
OCTOBER 17–20
2020
CanWest is going virtual
The Alberta Veterinary Medical Association (ABVMA) has made the difficult decision to cancel
While we may not be able
the in-person delivery of the CanWest Veterinary Conference this October, due to COVID-19.
to gather in person in 2020,
The ABVMA’s commitment to the health and well-being of ABVMA members, speakers and please watch for program and
sponsors, as well as numerous other stakeholders and attendees, was a deciding factor, and registration details this August
the association believes this is the appropriate decision at this time. at www.canwestconference.ca.
While Alberta is currently in stage two of its provincial relaunch strategy, the ABVMA
recognizes there is still a high level of uncertainty around mass gatherings in Alberta, travel
restrictions within Canada and abroad, and a number of other unknown factors that pose Questions about the 2020
significant risk to hosting a successful in-person event this fall. conference may be directed
to: kathy.naum@abvma.ca.
The CanWest Veterinary Conference has delivered world-class continuing education (CE) to
western Canada since 2004, and the ABVMA values the importance of hosting a CE event
this year. ABVMA staff are currently working with our various partners and stakeholders to
Thank you for your patience
modify this year’s conference to a virtual delivery model. Please continue to save the dates,
Oct. 17-20, 2020, as we work through program and delivery logistics. and understanding.
WWW.ABVMA.CA 7
CALL FOR COMMITTEE VOLUNTEERS FOR 2021
Legislated Committees
ABVMA legislated committees carry out specific roles in accordance with the Veterinary Profession Act. The following outlines current
openings on legislated committees:
• Complaint Review Committee (CRC): one veterinarian. The CRC reviews the reports of investigations into formal complaints and
participate in consent discussions. Meetings are held by teleconference on an ad hoc basis when investigator reports are submitted for review.
• Practice Inspection and Practice Standards Committee (PIPS): one veterinarian (mixed or large animal practice preferable). This
committee reviews practice inspection reports and identifies deficiencies assuring compliance with the PIPS Bylaw. Members meet
approximately three times/year to review reports from the practice inspectors as well as holding some teleconferences.
Professional Advisory Committees
ABVMA professional advisory committees are established by and serve as a resource for Council. They meet in person twice/year and
have teleconferences as needed. Members who have experience or interest in the following areas and would like to become involved in the
governance of the ABVMA are invited to submit their name for consideration as a potential committee member. The following positions are
available for terms starting in February 2021:
• Animal Welfare Advisory Committee: two veterinarians and one veterinary technologist
• Companion Animal Advisory Committee: two veterinarians and one veterinary technologist
• Equine Advisory Committee: two veterinarians
• Human Resource Development Committee: one veterinarian or veterinary technologist
• Member Wellness Advisory Committee: two veterinarians and one veterinary technologist
• Wildlife and Ecosystem Health Committee: three veterinarians and two veterinary technologists
The deadline to submit your name for consideration is Friday, Sept. 18, 2020.
For more information, please contact Dr. Jocelyn Forseille at jocelyn.forseille@abvma.ca or 780-489-5007, Ext. 232.
THANK YOU!
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8 ABVMA MEMBERS’ MAGAZINE | JULY-AUGUST 2020
“I would like to personally thank
Our community Thank you for being our VetStrategy for their dedication,
The veterinary community has frontline heroes guidance, and emotional and
been significantly impacted by the We are proud of all veterinary financial support to the team
at Lomsnes Veterinary Hospital.
COVID-19 pandemic. While the professionals who have
During this difficult time of
uncertainty of tomorrow weighs demonstrated their commitment
COVID-19, VetStrategy has been
heavily on us all, VetStrategy through countless examples of diligent in following ABVMA,
continues to remain a strong teamwork, selfless acts, resilience, CVMA and Health Canada’s
supporter of our staff, patients, and strength in a time when it regulations in order to protect
partners and communities. One matters most. our staff and clients. As a
of the ways we champion our veterinarian, I am very proud of
communities is by supporting and We are stronger together VetStrategy’s commitment to our
donating to great causes such as You were made to save animals. We profession so we can continue to
the Member Wellness Fund of the take care of the rest. provide services to our patients.”
ABVMA. ~ Dr. Lisa Lomsnes
RED DEER, AB
Learn how VetStrategy can help with your transition.
905.264.0707 • info@vetstrategy.com • vetstrategy.com
COMPLAINTS DIRECTOR’S REPORT
COMPLAINT CASES dorsal wing of caudal vertebrae 6-7. On a
blood chemistry report, the blood
#18-03, #18-06 AND #18-07 glucose and ALT were higher than
Three letters of complaint, two of which were reference with a positive glucose
related to the same matters, were received identified on urinalysis. Casey was
by the ABVMA regarding a registered recommended for 24 hours kennel rest.
A follow-up glucose strip was done on
veterinarian. Investigations were conducted
the morning of Sept. 3, 2015, at which
into all three letters. The investigator’s time the cat was diagnosed with
reports were provided to the Complaint hyperglycemia due to diabetes.
Review Committee (CRC). 5. On Sept. 3, 2015, consent was obtained
In all three cases the CRC made a from the owners to send blood to Idexx
decision to refer to the Hearings Director for for testing fructosamine level in the
a hearing. blood. In the interim, the veterinarian
The veterinarian was provided notice and initiated treatment with 2 IU of insulin
disclosure of the investigators’ reports. The until the fructosamine level results were
veterinarian elected to enter into consent received.
discussions with members of the CRC 6. The laboratory results were returned on
with a view to accepting responsibility and Sept. 4, 2015, and indicated that the
providing an admission of unprofessional fructosamine was within normal. The
conduct. The ABVMA and the member veterinarian did not properly review
through the consent discussion arrived at those results, nor communicate those
results to the owner of the cat.
agreed findings of unprofessional conduct
and agreed sanctions. 7. There was no follow-up with respect to
the cat, and the diagnosis of diabetes was
The Admission of Unprofessional
maintained over the course of eight
Conduct and Consent Order were accepted months.
by the Hearing Tribunal at a hearing held
8. The medical records with respect to the
on Feb. 5, 2019. Notwithstanding that there case were not appropriately created or
had been a prior hearing into the conduct of maintained.
the member, the events giving rise to these
complaints occurred prior to the previous AGREED STATEMENT OF FACTS
hearing June 22, 2018. The decision of the REGARDING COMPLAINTS BY AG
hearing tribunal was issued on April 1, 2020, AND HS
14 months after the hearing. 9. AG is a former employee of the practice
working for the veterinarian from early
2016 until approximately November
CONSENT ORDER 2017, when her employment was
AGREED STATEMENT OF FACTS terminated.
10. During the time that AG was employed
1. At all materials times, the veterinarian at the practice, it was observed that the
has been a registered veterinarian with veterinarian on occasion used a single
the ABVMA since 2012. surgical pack on multiple patients.
2. Since 2015, the veterinarian has been 11. The veterinarian inappropriately
the responsible veterinarian and delegated veterinary medical tasks to AG
shareholder responsible for the and other non-registered staff including
veterinary practice entity. but not limited to:
REGARDING COMPLAINT BY WT • extubating patients;
AND KK: • monitoring patients post-operatively
while the animal was still intubated;
3. On Sept. 2, 2015, KK brought her cat, a • monitoring the animals under
three-year old domestic long-haired anesthesia; and
white and black cat to the veterinary • assisting in surgery.
practice. The cat had been left in the
laundry dryer. 12. There was no designated anesthetist to
monitor anesthesia while the
4. The veterinarian conducted a physical veterinarian performed surgeries
examination, diagnosing a fracture of the (including that of Twitch).
10 ABVMA MEMBERS’ MAGAZINE | JULY-AUGUST 202013. The veterinarian did not obtain the 2. That the veterinarian failed to properly of Twitch as not related to the procedure
consent from clients with respect to review the laboratory results for which was later diagnosed as aspiration
performing surgery as well as undertaking fructosamine and communicate those pneumonia.
all of the responsibilities including the results to the owner of the cat.
Medical Records
monitoring of anesthesia when there were 3. That the veterinarian failed to take
no other registered members available to appropriate follow-up with respect to the 11. That the veterinarian failed to create or
act as the dedicated anesthetist. cat and the diagnosis of diabetes over the maintain appropriate medical records for
14. Twitch was a two-year old domestic course of the subsequent year. the patients at the veterinary practice.
short-haired cat who was brought to the 12. That the veterinarian failed to maintain
Medical Records
veterinarian for an ovariohysterectomy appropriate anesthetic records with
from a humane society on Feb. 15, 2017. 4. That the veterinarian failed to create or respect to the patients.
The veterinarian did not undertake an maintain appropriate medical records
appropriate anaesthetic protocol on with respect to the cat. ACKNOWLEDGMENT OF
Twitch. RESPONSIBILITY:
15. On February 15, at the end of the day, WITH RESPECT TO THE It is acknowledged by the ABVMA and the
there was no available kennel for housing COMPLAINT BY AG
veterinarian that her conduct as described
Twitch at the humane society, and she Sterility above constitutes unprofessional conduct.
remained at the practice. The veterinarian has accepted responsibility
16. On the morning of February 16, 5. That the veterinarian inappropriately
for her conduct pursuant to s. 35.1 of
breathing issues were noticed with made use of surgical packs on multiple
patients when the expectation is that a the Veterinary Profession Act (VPA). The
respect to Twitch. The client was updated sanctions set out below are jointly agreed to
with respect to her condition and clean and sterile surgical pack is to be
used on each patient. and based upon, in part, the responsibility
ultimately Twitch passed away on Feb.
accepted by the veterinarian.
16, 2017. Inappropriate Delegation of Responsibilities
17. The veterinarian offered the humane 6. That the veterinarian inappropriately NO RIGHT TO APPEAL:
society the opportunity for a necropsy delegated veterinary medical tasks to The ABVMA and the veterinarian agree that
free of charge to determine the cause of unregistered auxiliary personnel
Twitch’s death. The veterinarian did not there shall be no right of appeal from this
including but not limited to: Consent Order.
offer the opportunity for an independent
a. extubating patients;
necropsy.
b. monitoring patients post-operatively ORDERS AS TO SANCTIONS:
18. The veterinarian undertook a gross
while the animal was still intubated; The Hearing Tribunal ordered that the
post-mortem related to the abdomen
only and, thereafter, inaccurately c. monitoring animals; and sanctions are:
reported the death of Twitch to the d. assisting in surgery. 1. A reprimand shall be issued as against
humane society as not related to the spay Dedicated Anesthetist the veterinarian.
procedure. Twitch subsequently was 2. The veterinarian shall be required to
diagnosed as dying from aspiration 7. That the veterinarian failed to have a complete, at her own cost, the following
pneumonia by an independent necropsy. designated anesthetist to monitor the continuing education obligations (in
anesthesia performed by the veterinarian addition to her annual requirement), as
19. Some of the complaints received by the
during surgeries. approved by the Complaints Director of
ABVMA with respect to the veterinarian
arise as a result of complaints from WITH RESPECT TO THE COMPLAINT the ABVMA:
former employees. BY THE HUMANE SOCIETY i. The veterinarian shall complete the
20. The veterinarian did not create or continuing education obligations as
maintain appropriate medical records Competence set out in the Order of the Hearing
including appropriate anesthetic records 8. That the veterinarian failed to undertake Tribunal of June 22, 2018, within 60
with respect to patients of the humane an appropriate anesthetic protocol on days of the date of this Order;
society and patients of the practice in Twitch. ii. The veterinarian shall attend
general. in person with a small animal
Post-Operative Death
AGREED FINDINGS OF practitioner for the purposes of
UNPROFESSIONAL CONDUCT WITH 9. That the veterinarian failed to offer the supervision and/or mentoring
RESPECT TO THE COMPLAINT BY WT opportunity for a complete necropsy for a period of 25 hours for the
AND KK with respect to the death of Twitch. purposes of obtaining continuing
Candor with the Client education regarding small animal
Medical and Diagnostics
10. The veterinarian undertook a gross surgery, anesthesia and business
1. That the veterinarian inappropriately post-mortem related to the abdomen operations of a small animal practice.
diagnosed the cat with diabetes on Sept. only and improperly reported the death This continuing education must
3, 2015.
Continued on next page
WWW.ABVMA.CA 11COMPLAINTS DIRECTOR’S REPORT CONTINUED
be approved by the ABVMA. This 5. The blood chemistry results
continuing education component is demonstrated severe elevation of blood
COMPLAINT CASE #19-18 urea nitrogen and phosphorus.
tentatively arranged to proceed.
3. The veterinarian’s practice shall be A letter of complaint was received against Creatinine was not reported as it was too
subject to further practice inspections by a registered veterinarian about the medical elevated to read on the blood panel.
a practice inspector approved by the care provided to a cat. 6. The cat was treated only with
ABVMA over the next two years. This is The veterinarian examined and treated subcutaneous fluids and prescribed both
in addition to the practice inspections a 16-year-old cat who had been anorexic an oral probiotic and compound
ordered pursuant to the Order of the and lethargic. On examination the cat was Meloxicam suspension.
Hearing Tribunal of June 22, 2018. The found to be dehydrated with a grade 2/6 7. The veterinarian failed to appreciate that
inspections shall include a medical heart murmur. The veterinarian undertook the cat, at the time of the assessment on
records audit and may be announced or bloodwork and the blood chemistry showed April 14, 2019, was most likely suffering
unannounced. The veterinarian shall pay severe kidney disease.
elevated BUN, elevated phosphorous
costs of these practice inspections and 8. The prescribing of Meloxicam was
shall provide any and all information and a creatinine that was off the chart.
contraindicated for a cat with severe
requested by and to the inspector. The Unable to collect urine due to an empty
kidney disease.
results of the practice inspection shall be bladder, a urinalysis and urine SG were not
9. The level of dehydration indicated that
provided to the Complaints Director and performed. The veterinarian treated the cat
subcutaneous fluids were not the most
Practice Inspection Practice Standards with subcutaneous fluids and prescribed appropriate treatment option.
(PIPS) Committee and subject to its and dispensed fortiflora and a compounded
approval as a pass/fail. As such, the 10. The veterinarian did not undertake a
meloxicam suspension. complete treatment plan for the cat
schedule for the veterinarian’s next five The owner subsequently attended at
practice inspections shall be: given the blood analysis results available
another veterinary practice the following day on April 14, 2019.
• two practice inspections by June 2019 with the cat, where it was diagnosed with
• followed by two further practice 11. The veterinarian failed to provide any
end-stage renal failure and was euthanized. referral of the cat to an emergency clinic
inspection by June 2020
The complaint was investigated and the or veterinary hospital on April 14, 2019.
• followed by one further practice
report of the investigation was reviewed by 12. After reviewing the blood chemistry
inspection by June 2021. This
practice inspection will qualify as the CRC which made a decision to refer the panel and undertaking an assessment of
the veterinary practice’s next routine matter for a hearing. the cat, the veterinarian failed to
rotational inspection. The member entered into consent properly communicate the seriousness of
discussions with members of the CRC and the cat’s condition to the owner’s sister.
4. The veterinarian shall pay costs in the
amount of $6,000 within one year from arrived at agreed findings of unprofessional 13. The veterinarian failed to maintain or
the date of this Order. conduct and agreed sanctions. create appropriate medical records for
The Admission of Unprofessional the cat.
5. The veterinarian shall pay fines in the
amount of $2,000 with respect to $1,000 Conduct and Consent Order were accepted 14. There were inconsistencies on the
for the finding of medical records and by the Hearing Tribunal at a hearing on medical records, particularly with respect
$1,000 for the finding of unprofessional March 16, 2020. to the prescription label on the
conduct on delegation of veterinary Meloxicam dispensed for the cat. This
medical tasks to unregistered personnel. was as a result of all of the veterinarian’s
CONSENT ORDER medical records entries appearing under
6. If the Complaints Director deems there
the initials of the responsible veterinarian
to be a violation of this Order, as AGREED STATEMENT OF FACTS: at the practice.
unilaterally deemed by the Complaints
Director, the veterinarian shall upon 1. At all material times, the veterinarian has
been a registered veterinarian with the AGREED FINDINGS OF
notice by the Complaints Director and/ UNPROFESSIONAL CONDUCT:
or the Registrar, be suspended from the Alberta Veterinary Medical Association
practice of veterinary medicine pending (ABVMA) since 2006. Medical Management
a hearing into allegations of 2. The veterinarian is employed full time at
the Canadian Food Inspection Agency 1. That the veterinarian failed to undertake
unprofessional conduct resulting from
(CFIA) and part time at the veterinary a proper diagnosis of the cat on April 14,
the breach of this order. The Complaints
practice, in which he has an ownership 2019.
Director and/or Registrar shall maintain
this discretion until such time as all interest. 2. That the veterinarian failed to undertake
provisions of this Order are satisfied. 3. The cat was a 16-year-old neutered male an appropriate assessment of the blood
domestic short-haired cat under the care analysis results that were provided to
7. There shall be publication of this
of the sister (PM) of the owner. him, and/or particularly that he failed to
Consent Order on a “without-names”
appreciate the significance of the
basis. 4. On April 14, 2019, PM took the cat to elevation of blood urea nitrogen and
the veterinary practice where he was seen phosphorus and the significance of the
by the veterinarian, who recommended creatinine not being reported.
performing blood work and a urinalysis
to diagnose the cat’s condition. No 3. That the veterinarian failed to appreciate
urinalysis was available as the bladder that the cat had severe kidney disease.
was empty. 4. That the veterinarian made a
12 ABVMA MEMBERS’ MAGAZINE | JULY-AUGUST 2020determination to prescribe Meloxicam Order the following additional a hearing into allegations of
when it was not appropriate to do so. continuing education obligations, as unprofessional conduct resulting from
5. That the veterinarian inappropriately approved by the Complaints Director: the breach of this Order. The Complaints
treated the cat with subcutaneous fluids i. an additional 20 hours of continuing Director and/or the Registrar shall
when other treatment options were more education on geriatric medicine, maintain this discretion until such time
appropriate. nutrition and clinical pathology of as all provisions of this Order are
6. That the veterinarian failed to undertake small animals; satisfied.
a proper treatment plan for the cat given ii. an additional five hours of continuing 8. There shall be publication of this Order
the blood analysis results available to education on the appropriate use on a “without-names” basis (and without
him. identifying information).
of NSAIDs (Non-Steroidal Anti-
Use of Compounded Medication Inflammatory Drugs);
iii. an additional five hours of continuing
7. That the veterinarian inappropriately
education on pharmaceutical COMPLAINT CASE #19-07
prescribed and dispensed compounded
Meloxicam when a product approved by management; and
As a result of information provided to the
Health Canada is commercially available. iv. an additional 10 hours of continuing
Complaints Director, a section 27.1 complaint
education on medical records.
Failure to Refer was initiated against a permit holder.
3. The veterinarian shall undertake a review
8. That the veterinarian failed to provide a The information was that a veterinarian
of the following documents and provide
timely and/or appropriate referral of the to the Complaints Director within 30 employed by the permit holder signed a form
cat to an emergency veterinary clinic or days of the date of this Order a signed indicating she agreed to provide supervision
veterinary hospital. confirmation of review of; of a Supervised Limited Practice Registered
i. the ABVMA Council Guidelines Veterinarian employed at the practice, when
Communication with Client
Regarding Prescribing, Dispensing, she was not a registered veterinarian.
9. That the veterinarian failed to properly Compounding And Selling The complaint was investigated and the
communicate with the client the Pharmaceuticals; and report of the investigation was reviewed by
seriousness of the cat’s condition. the CRC. The CRC made a decision to refer
ii. the CVMA Guidelines For The
Medical Records Legitimate Use Of Compounded Drugs the matter for a hearing.
In Veterinary Medicine. A hearing was held on Feb. 3, 2020.
10. That the veterinarian failed to maintain
or create appropriate medical records for 4. The veterinarian’s practice shall be ALLEGATION OF UNPROFESSIONAL
the cat. subject to practice inspections by a CONDUCT
11. That there were inconsistencies with the practice auditor approved by the
ABVMA once yearly for a period of two The ABVMA advanced a single allegation
medical records, particularly with respect
to the prescription label on the years. These practice audits may be of unprofessional conduct against the
Meloxicam dispensed for the cat. announced or unannounced and will permit holder.
include a medical records review to
Professionalism
ACKNOWLEDGMENT OF determine that all medical records are in
RESPONSIBILITY: compliance with the PIPS Bylaws. The 1. That the permit holder failed to ensure
veterinarian shall pay the costs of these that a veterinarian working at the
It is acknowledged by the ABVMA and the
practice audits and shall provide any and veterinary practice, was properly
veterinarian that his conduct as described all information requested by and to the registered and in good standing while
above constitutes unprofessional conduct. auditor. The result of the practice audit practicing veterinary medicine during the
The veterinarian has accepted responsibility shall be provided to the Complaints period of November 2018 to March 2019.
for his conduct pursuant to s. 35.1 of the Director and PIPS Committee and
All of which constitutes unprofessional
VPA. The sanctions set out below are jointly subject to their approval.
conduct pursuant to the VPA, RSA 2000, c.
agreed to and based upon, in part, the 5. The veterinarian shall pay a fine in the
V-2, as amended.
responsibility accepted by the veterinarian. sum of $500 with respect to the failure
to refer and a fine in the sum of $500 HEARING
NO RIGHT TO APPEAL: with respect to medical records for a
total fine of $1,000. These fines shall be The facts of the matter were not in dispute
The ABVMA and the veterinarian agree that
paid within six months of the date of and it was agreed between the parties that:
there shall be no right of appeal from this
this Order. • At all relevant times the permit holder
Consent Order.
6. The veterinarian shall pay costs in the was a permit holder under the VPA.
ORDERS AS TO SANCTIONS: amount of $4,000 within six months of • The veterinarian graduated from Ross
the date of this Order. University in August of 2018 and was
The Hearing Tribunal orders that the
7. If the Complaints Director deems there hired as an intern at the veterinary
sanctions are as follows: practice beginning on Nov. 1, 2018. The
1. A written reprimand will be issued to be a violation of this Order, the
veterinarian, upon notice by the practice is owned by the permit holder.
against the veterinarian. • The veterinarian completed and passed
Complaints Director and/or the
2. The veterinarian shall be required to Registrar, shall be suspended from the the NAVLE examinations and received
successfully complete, at his own cost, practice of veterinary medicine pending a Certificate of Qualification (COQ) on
within six months within the date of this or about Oct. 29, 2018. The veterinarian
Continued on next page
WWW.ABVMA.CA 13COMPLAINTS DIRECTOR’S REPORT CONTINUED
subsequently provided the CVMA with that all veterinarians employed by it are • The Complaints Director has satisfied
copies of her passport, her degree, her registered veterinarians.” the burden of proof to establish that the
final university transcripts and two letters facts in this matter occurred and that
Section 16.1(h) of the Regulation and s.
of recommendations as required by the the actions of the permit holder rise to
50 of the Regulation respectively state the
CVMA. the level of unprofessional conduct since
• On or about Nov. 1, 2018, an employee following: it breached its obligation to be certain
of the CVMA sent the ABVMA a PDF 16(1) Every veterinarian, registered that the veterinarian was fully registered
of the veterinarian’s NEB certification, veterinary technologist, permit holder, member of the ABVMA.
however, those steps did not satisfy all of student and other member of the Submission made on behalf of the permit
the ABVMA’s registration requirements. Association holder can be summarized as:
• The veterinarian and the permit holder ... • The permit holder did take responsibility
mistakenly believed that the veterinarian (h) should assist in maintaining for its actions the moment they became
was registered with the ABVMA effective the integrity of the profession and aware of the issues associated with the
Nov. 1, 2018, and the veterinarian began participate in the activities of the veterinarian’s registration status and
practicing as a supervised intern at the profession...” because the veterinarian, as an intern,
veterinary practice on Nov. 1, 2018.
50 No member of the association shall do could not afford to pay the ABVMA fine,
• At a Feb. 22, 2019, meeting of the
an act that would reflect unfavorably the permit holder paid it for her.
ABVMA Registration Committee, that
• Legal counsel for the permit holder
committee was considering a Jan. 29, on the worthiness of the member’s
argued that unprofessional conduct is
2019, request for an extension of licensure profession.”
a serious allegation with potentially
concerning a Supervised Limited Practice
SUBMISSIONS TO THE HEARING serious results for the veterinary practice
Registered Veterinarian. The veterinarian
TRIBUNAL and that a finding of unprofessional
had signed the Renewal Request Form
conduct should only be made if the
as one of the supervising veterinarians. Submissions made on behalf of the
circumstances are deserving of a finding
The ABVMA Registration Committee Complaints Director can be summarized as
of unprofessional conduct.
made inquires and determined that follows.
• Legal counsel reviewed other ABVMA
the veterinarian was not registered as a • Legal counsel reviewed the various
discipline decisions and argued that only a
regulated member with the ABVMA provisions of the VPA and the Regulation
significant departure from minimum ethical
at that time and could not sign the which established that a permit holder
standards which adversely affects the public’s
Renewal Request Form as a supervising under the VPA is subject to the
confidence in the profession should warrant
veterinarian as she was not fully registered professional conduct provisions of the
a finding of unprofessional conduct.
with the ABVMA. VPA.
• A clerical error in the veterinary practice’s
• The veterinarian became a registered • Although there is no evidence that the
offices resulted in the veterinarian’s
member of the ABVMA on permit holder intentionally breached the
ABVMA registration fees not being paid
March 13, 2019. VPA and the evidence establishes that
and but for that error, the veterinarian’s
its actions were inadvertent, the permit
LEGISLATION mistaken assumption that she was
holder must take responsibility to ensure
registered with the ABVMA would have
The Hearing tribunal in their decision noted that registered member veterinarians
been found out immediately.
the following provision of the VPA and working at its clinic are in fact fully
• The permit holder paid the outstanding
General Regulation: registered members of the ABVMA.
registration fees on Feb. 8, 2019, as soon
• The privileges of practicing in a profession
Sections 2(1) and 2(4) of the Act generally as they became aware they were payable.
include a responsibility to ensure that
establish that no person except a registered • The permit holder was not involved in
all rules are followed, including that all
veterinarian or a permit holder shall lies, a cover-up or forged documents and
persons working as veterinarians are
engage in the practice of veterinary that the public was never at risk since the
properly registered. If a permit holder fails
medicine or use the word “veterinarian” veterinarian never prescribed and was
to do that, its actions impugn the integrity
or represent that the person is entitled to always practicing under direct supervision.
of the profession, constitute a risk to the
practice veterinary medicine. • A finding of unprofessional conduct carries
public and give rise to no accountability to
a significant stigma which should not
Pursuant to s. 26(b) of the Act, an the profession.
be imposed on the permit holder in this
investigated person for the purposes of • The veterinarian practiced for
situation where there was no intention
unprofessional conduct proceedings means (i) approximately four months without
to lie to the ABVMA or breach the
a registered member or (ii) a permit holder.. registration and that during that time
registration requirements of the legislation.
there was no protection of the public, the
Accordingly, a permit holder can be subject to • Legal counsel argued that the permit
integrity of the profession was harmed and
Part 5 Unprofessional Conduct proceedings holder’s conduct did not rise the level
s. 11(3) of the Regulation was breached.
under the Act and the permit holder’s conduct of unprofessional conduct as it was not
• The veterinarian has taken responsibility
can be found to be unprofessional conduct for a significant departure from accepted
for her actions in a separate process
the purposes of s. 1(n.1) of the Act. practice that adversely affected public
(reported herein), including a reprimand,
confidence and was instead based largely
Section 11(3) of the Veterinary Profession a fine and payment of costs. The permit
on an office manager’s error concerning
General Regulation (the “Regulation”) holder must also take responsibility for
payment of fees.
states: “11(3) A permit holder shall ensure its actions.
14 ABVMA MEMBERS’ MAGAZINE | JULY-AUGUST 2020Additional submissions in response: Hearing Tribunal that the permit holder, had were not simply a clerical error. Regardless
• The ABVMA submitted that the the means to determine if the veterinarian of whether the public was or was not actually
discipline cases that referred to were was fully registered or not prior to allowing at risk or whether harm did or did not
distinguishable from this case and that the veterinarian to engage in the practice of occur, the failure to properly register the
the test for unprofessional conduct is not veterinary medicine at their practice. veterinarian with the ABVMA was a breach
only where a significant departure from The potential risk to the public from of the clear legislative provisions in the VPA
accepted standards occurs. having an unregistered veterinarian and the Regulation which were intended
• ABVMA legal counsel argued that this practicing veterinary medicine was to ensure the public’s confidence in and the
was not simply a clerical error and that particularly compelling and important to integrity of the veterinary profession.
there must be accountability by registered the Hearing Tribunal. While the Hearing
members and permit holders for the actions SANCTIONS ORDERD BY THE
Tribunal acknowledges that there was no
of the persons working under them. HEARING TRIBUNAL
apparent harm to the public during the
• Further that the test about whether The parties agreed to provide written
period the veterinarian was practicing while
unprofessional conduct occurred is not submissions on sanctions to the Hearing
whether someone was or was not harmed unregistered, that was purely fortuitous
and does not negate the responsibility the Tribunal. These were provided. The Tribunal
and is instead whether actions fall within
permit holder had to ensure their employee issued their decision on the penalty orders on
the definition of unprofessional conduct
was fully qualified to practice in Alberta. May 4, 2020.
in the VPA.
The Hearing Tribunal notes that the permit The Hearing Tribunal carefully
• Legal counsel for the permit holder
again argued that there was no holder had previously employed veterinarians considered the applicable case law on
misrepresentation in this case and from the United States and would therefore sanctions and the written submissions from
the significant stigma of a finding be aware of the requirements to ensure these both parties. The Hearing Tribunal made the
of unprofessional conduct should be veterinarians were fully qualified to practice following penalty orders:
reserved for circumstances where there veterinary medicine in Alberta. 1. The permit holder is formally
is a significant departure from accepted The Hearing Tribunal recognizes that reprimanded for its unprofessional
practice that warrants punishment and there was no willful intent on the part of the conduct.
that is not applicable here where the permit holder to deceive the ABVMA with 2. The permit holder shall pay a fine in the
permit holder has learned its lesson. respect to the registration of this veterinarian amount of $2,000. The fine shall be
employee however the permit holder was payable within six months of the date of
DECISION this decision.
responsible to ensure compliance with the
The Hearing Tribunal found that the VPA and the Regulation. It is clear from 3. The permit holder shall pay $10,000,
conduct constituted unprofessional conduct representing a portion of the costs
the legislation that the permit holder had an
on the part of the permit holder and issued incurred by the ABVMA in this matter.
obligation to ensure that this employee was At the discretion of the Complaints
their written decision and reasons on March a fully registered member with the Alberta Director acting reasonably, the costs may
18, 2020. Veterinary Medical Association during her be paid in time payments provided that
REASONS FOR FINDINGS employment at their veterinary practice. if a time payment is missed the permit
(ADAPTED FROM THE DECISION TO The Hearing Tribunal accepted the shall be automatically cancelled until
REMOVE NAMES AND IDENTIFIERS) Complaints Director’s argument that the such time as the balance of the costs are
privilege of practicing in the veterinary paid in full.
Section 2(1) of the VPA clearly states that
profession includes a responsibility to 4. There shall be publication of the Hearing
“... no person except a registered veterinarian
ensure that the veterinarian’s registration Tribunal’s findings and penalty orders on
or permit holder shall engage in the practice a “no-names” basis.
of veterinary medicine....” Section 11(3) was in place before she began working.
of the Regulation is equally clear that “it Registration with a regulatory body ensures
REASONS
is the responsibility of the Permit Holder to the public that the practitioner is able to (ADAPTED FROM THE DECISION TO
ensure that all veterinarians employed by it are practice safely, competently and ethically REMOVE NAMES AND IDENTIFIERS)
registered veterinarians.” and also ensures that professional liability
The Hearing Tribunal acknowledges that this
The timeline involved and clerical insurance is in place. The failure to follow
was a one time, inadvertent error on the part
and other mistakes do not negate the those requirements in this case harmed the
of the permit holder and also acknowledges
responsibility the permit holder had integrity of the profession.
that it was cooperative at all times and that
regarding the requirements under the VPA The Hearing Tribunal was not prepared to
its cooperation resulted in a less lengthy and
and Regulation. It is clear to the hearing accept the permit holder’s argument that only
costly contested hearing.
Tribunal that the veterinarian had begun the a significant departure from accepted standards
The Hearing Tribunal also agrees and
process of registration and appeared to fully can warrant a finding of unprofessional
acknowledges that at no time did the permit
intend to comply with the requirement to conduct. In this situation, the errors and lack
holder engage in any misrepresentation or
be fully registered but it is also clear that the of statutory compliance that occurred were
seek to mislead the ABVMA concerning
veterinarian and the permit holder should serious and significant enough to meet the
what had occurred.
have been aware that the registration process definition of unprofessional conduct.
Notwithstanding those factors and that
was not completed. It is also clear to the Although the permit holder took
this was the first finding of unprofessional
responsibility for what occurred, its actions
Continued on next page
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