College Connection Fall 2017

TELEMEDICINE IS ALL THE RAGE! The conversation on telemedicine and its application in veterinary medicine is raging - perhaps not viral, but close. The dialogue spans a range of topics on its “rightful role” in veterinary practice; its actual definition; increasing client expectations; innovations in technology; and, of course, what is reasonable and responsible in terms of great animal care and outcomes. In Ontario, this discussion has been at the Council table since 2013. The College’s first professional practice standard on Telemedicine was published in 2016. The Canadian Veterinary Medicial Association has also published on this topic, though their definition at present is quite narrow and speaks mostly to teleconsultation. Stateside, the concept of telemedicine is hotly debated and, in fact, somewhat polarizing. Advocates in the United States face great resistance from both the associations and the regulators, particularly outside of a conventional veterinarian-client-patient relationship (VCPR). The Royal College of Veterinary Surgeons in the United Kingdom is embracing a future based on innovation and technology and, just last month, hosted an innovation summit. Veterinarians in all corners of the globe who are embracing technology and care delivery as the way of the future, begin their commentary by stating the obvious - telemedicine in veterinary medicine to some extent has been happening for years. Clients are demanding it. Within an existing VCPR, consultation via Skype or phone is on the rise; sharing video or a picture from a distance to augment a phone conversation occurs regularly, accredited teletriage centres exist, and online third party providers are linking pet owners with veterinarians. And new models are under discussion to increase access to veterinary services in remote locations, to the vulnerable and to currently existing owners without a VCPR. Fall 2017 Vol. 33 No. 3 ISSN 0821-6320 FEATURED Your Guide to Policy This issue of College Connection explores the College’s latest policy initiatives. The College welcomes your feedback on College Connection! To balance safety to animals with these emerging delivery options, many factors require informed debate. For example, what about licensing practice across borders, facility accreditation, managing complaints, and so on. To assist with thought leadership on these matters, the College Council recently formed an international innovation and technology panel. This group is intended to include expert advisors, veterinary regulators from international jurisdictions, as well as a member of Council, a Canadian veterinary registrar and a representative of the Ontario Veterinary Medical Association. Telemedicine in veterinary medicine is a dynamic and unfolding journey. Shaping the future of good veterinary practice is imperative. Stay tuned! CONTENTS AMR Position Statement . . . . . . . . . . . . . . . . 2 Prescribing & Dispensing . . . . . . . . . . . . . . . 3 Learning in Practice . . . . . . . . . . . . . . . . . . . 6 Recent Discipline Summaries . . . . . . . . . . . . 2 Peer Advisory Conversation . . . . . . . . . . . . . 4 Podcasts . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Instilling public confidence in veterinary regulation. www.cvo.org