College Connection Summer 2020 | Page 6

LEARNING IN PRACTICE Members of the veterinary profession have a responsibility to uphold standards to ensure the public has access to safe, quality veterinary care. When those standards are compromised, the College responds. Every veterinarian can learn from these situations and publishing the details of complaints received and resolved is intended to support that learning. Learning from peers is best. The example below is taken from an actual case that went before the Complaints Committee and is offered as a self-reflection tool to improve practice across the province. NO ACTION TAKEN WHEN CLIENT DECLINED TREATMENT CASE SUMMARY The member examined a client’s pet dove at the animal hospital with the goal of obtaining a Health Certificate for travel across the Canada-US border. After reviewing documentation from the Canadian Food Inspection Agency (CFIA), the member determined blood testing and a home visit would be required. The member provided the client with an estimate for these procedures. The client paid for the visit but did not schedule the recommended procedures. The client alleged the member should have known the exact requirements for transporting the pet dove across the border. The client did not think she should have been charged for the appointment as she did not receive the health certificate. Further the client alleged she should have been informed in advance of the requirements, including a home visit and examination costs, to take the bird to Florida. CASE OUTCOMES The panel decided the nature of the allegations involving the member did not warrant a discipline hearing and the panel decided not to take further action. CASE CONSIDERATIONS When deliberating on the case, the panel considered the client’s concern about having to pay for an office appointment even though the health certificate for travel was not obtained. The client said the hospital should have told her the requirements and costs for a border crossing with a dove. The client believes she should not have been charged for the appointment because she did not obtain a health certificate. Health certificate requirements for pets can vary considerably depending on the type of animal and the destination. The CFIA regulatory veterinarian helps to interpret the requirements and the clinical veterinarian assesses the animal’s health and assists the owner in meeting the requirements. It is the responsibility of pet owners to investigate the requirements as they apply to their individual situations. Because the United States considers doves to be poultry, a site inspection is required. The member said the treatment plan included time for a site inspection as the member would be away from the hospital for four hours or longer. A site inspection is not a service that the member is required to provide but it was offered to assist the client in meeting border crossing requirements. The panel noted regulations for travel with animals outside the country depend on the type of animal and vary from country to country. The panel noted rules can change on short notice particularly in response to disease outbreaks. The panel agreed the member’s job is to assess the health of an animal and to assist the animal owner in meeting the requirements. As part of the health certificate, the member was required to attest to the bird’s exposure to other avian species including poultry. In addition, a blood sample was needed to evaluate blood count. Until all requirements of the health certificate were fulfilled, the member could not sign and issue the certificate. In the panel’s opinion, it was reasonable for the member to propose a treatment plan that included a site visit. The client was billed for a physical examination and a consultation at the hospital, which was documented in the medical record. The record indicated that extensive consultation occurred, as reported by both parties, as well as an additional consultation with a representative of the CFIA. Although the client did not receive a health certificate, the charge for the services provided appeared to be appropriate. The panel acknowledged part of the reason for a consultation is to discuss and consider the travel requirements so a client can decide whether to proceed with obtaining a health certificate. The panel also acknowledged that because requirements are fluid, it was appropriate for the member to consult with the CFIA regarding the current requirements for the type of animal. With regard to the fee for the home inspection, the panel felt that, given the distance from the hospital to the site, the charges were not unreasonable. The panel also noted that it was the client’s prerogative to decline the site visit, however, she could not expect to receive the health certificate if the conditions for its completion were not fulfilled. In conclusion, while the client was concerned that the member and her staff were incompetent and unprofessional when she sought assistance in obtaining a health certificate for travel outside the country with her pet dove, there did not appear to be sufficient evidence to support this allegation. 6 College Connection Summer 2020 cvo.org