CVO 22

Question 1

what is the idea of “just culture”?

Answer 1

• linked to contemporary thinking regarding quality, safety, and the causes of accidents in complex sociotechnical systems
• recognizes that people are fallible
• seeks to learn from mistakes
• It proposes that discipline should be tied to an individual’s behavioural choices, rather than on the outcome of their actions.

Question 2

when should a person receive or not receive discipline under a just culture system?

Answer 2

A just culture approach does not punish individuals for unintentional human errors or for system failings over which they do not have control.
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If an individual knew and consciously disregarded a risk that he or she was
taking, disciplinary action should be taken. On the other hand, if an individual made an intentional error
and had no reason to know he or she was creating a risk, disciplinary action is likely not an appropriate
response. When an individual is negligent or exhibits “at-risk” behaviour, he or she should have known,
but was unaware, of the risk that he or she was taking or may have believed the risk to be justified, and
an appropriate regulatory response may involve coaching or remediation.

Question 3

Risk-based disciplinary decision-making considers:

Answer 3

an individual’s intent with respect to an undesirable
outcome.

Question 4

human error, at-risk behaviour, and reckless behavior
- what should our response be to each?

Answer 4

Human error: console
at-risk behaviour: coach
reckless behaviour: punish

Question 5

what is incompetence?

Answer 5

A current lack of knowledge, skill or judgment that is so serious that the member’s ability to practise should be restricted. While it can be demonstrated by one fundamental error, typically it is demonstrated through a series of poor decisions.

Question 6

what is ungovernability?

Answer 6

An unwillingness to accept the regulatory authority of the College to the point that the member is unlikely to fulfill his or her professional obligations or to the point where the member is likely to harm the reputation and standing of the profession.

Question 7

complaints process flow chart

Answer 7

If a client has a concern, can file with the college
> Investigation and mediated resolutions program begin
> moves to complaints committee (a panel of licensed veterinarians and a representative of the public, reviews and examines each case)
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> case may be closed, confirmed frivilous and vexatious, deemed of no concern
> If there are concerns: veterinarian given verbal or written advice, or sent to remediation > if remediation, can be further referred to executive comittee if veterinarian fails to complete undertaking
> if serious concerns: Discipline hearing with Discipline committee (panel of 3 - 5 members, including one public member, determine whether the veterinarian is found guilty. Open to the public)