Veterinary medical ethics with legal implications (Proceedings)
Most self-governing professions are also guided by rules of ethics in their practices so as to further ensure the protection of the public from the unscrupulous or incompetent practitioner. In many instances, a breach of the rules of ethics will usually lead to a similar breach in the laws and regulations governing the profession. In some cases some of these canons of ethics are mirrored in the applicable law.
As you can appreciate, your moral guide in practice is grounded in the words of the Veterinarians Oath. Every reader should review the oath in detail as it serves as a clear statement of the moral obligations you must fulfil in your professional practice. Among other things, the requirement to treat an animal to the best of your ability can often give rise to many practical problems in practice. Much of this text has been directed at making your clinic more profitable. How then should you deal with the client who refuses to pay? Does a refusal to treat until receiving payment for your services breach your code of conduct?
In this article we will review some selected ethical requirements.Making Services Available
The regulations and bylaws under most veterinary legislation specifically state that all veterinarians in private practice are responsible for providing reasonably prompt services outside or regular hours if the services are medically necessary for animals that the veterinarian has recently treated or that the veterinarian treats regularly. This appears to be a two-fold test: medically necessary and, recently treated or regular client.
The ethical obligation can also be discharged by referring the treatment to another veterinarian who has agreed to cover your practice for a period or by referring to an emergency clinic provided the veterinarian is responsible for promptly continuing the service after discharge from the emergency clinic until the services are no longer necessary or the client has a reasonable opportunity to engage the services of another veterinarian.
Conflict of Interest
Another legislated breach of what would otherwise be an ethical issue is that relating to practising with a conflict of interest. In fact, the Veterinarians Act of Ontario specifically dictates that continuing to practice in a situation where a conflict is evident is deemed to be professional misconduct which could give rise to disciplinary proceedings. A conflict of interest arises when certain actions involve a "related person" of the veterinarian which is, generally, anyone with whom the veterinarian is connected with by blood, marriage or adoption. A veterinarian has a conflict of interest if he or she, or a related person, or an employee or employer of the veterinarian enters into any agreement, including a lease of premises, under which any amount payable by or to the veterinarian or a related person is related to the fees charged by the veterinarian. In addition a conflict arises if the agreement makes or confers a fee, credit or other benefit by reason of a referral from or to any person. The general exception to these types of agreements would be a partnership agreement with another veterinarian whereby the drawings of the partners or other partnership interest is tied directly to the amount billed by the respective partners.
Further conflicts arise if a veterinarian assesses an animal on behalf of both the vendor and purchaser of an animal or if the practitoner is regularly engaged by one of the vendor or purchaser and inspects the animal of behalf of the other party in the transaction. The exception to this conflict is that such an assessment may be carried out for both parties if they both consent to the engagement prior to actually conducting the examination after being informed of the conflict which would otherwise arise. The clear obligation on the veterinarian in these cases is to ensure that both parties recognize that any information obtained by the veterinarian cannot be maintained confidentially from the other party.