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393 Cards in this Set

  • Front
  • Back
  • 3rd side (hint)
What does "Board" mean?
State Board of Veterinary Medical Examiners
What does "Compensation" include?
Fee
Monetary reward
Discount
Emolument (salary, fee, or profit from employment or office)
Can be received directly OR indirectly
What does "Direct Supervision" mean?
Supervision by a responsible veterinarian who is PHYSICALLY present on the premises
What does "Equine dentistry" mean?
Any diagnosis, treatment, or surgical procedure performed on HEAD or ORAL CAVITY of an equine animal
"Equine dentistry" includes 5 procedures. List them.
1. Any procedure that invades the tissues of the oral cavity (remove sharp enamel projections, treat malocclusions, reshape teeth, extractions)
2. Treatment or extraction of damaged/diseased teeth
3. Treatment of diseased teeth through restoration/endodontic procedures
4. Periodontal treatments (removal of calculus, soft deposits, plaque, and stains above gum line; smoothing, filing, polishing of tooth surfaces)
5. Dental radiography
What does "General Supervision" mean?
Supervision by a responsible veterinarian who is readily available to community with the person
What does "Licenses equine dental provider" mean?
A person who holds a license to practice equine dentistry issued under Chapter 801
What does "Practice of veterinary medicine" mean?
1. Diagnosis, treatment, correction, change, manipulation, relief, or prevention of animal disease, deformity, defect, injury, or other physical condition, including the prescription or administration of a drug, biologic, anesthetic, apparatus, or other therapeutic or diagnostic substance or technique
2. Representation of an ability and willingness to perform an act listed above
3. The use of a title, word, or letters (i.e. Dr., DVM) to induce the belief that a person is legally authorized and qualified to perform an act listed in #1
4. The receipt of compensation for performing an act listed in #1
What does "Veterinarian" mean?
A person licensed by the board under this Chapter (801) to practice veterinary medicine
What does the term "Veterinary medicine" include?
Veterinary surgery
Reproduction and obstetrics (giving birth)
Dentistry
Ophthalmology
Dermatology
Cardiology
Any other discipline or specialty of veterinary medicine
The State Board of Veterinary Medical Examiners is subject to what act?
Texas Sunset Act (assesses the need for a state agency to exist)
Unless continued, the board is abolished on September 1, 2017
What people does Chapter 801 (Veterinarians) not apply to?
1. Owners that treat or care for their animal, employees of the owner (or designated caretakers)....UNLESS the ownership, employment, or designation is established with intent to violate this chapter
2. Livestock management people (castrations on male animals used for human consumption, docking/earmarking on animals used for human consumption; dehorning cattle; aiding in nonsurgical birth; treating with nonprescription drugs or vaccines; branding/IDing animal in any manner; AI [training, inseminating, and compensating for services related to AI); shoeing a horse)
3. Performance of a cosmetic or production technique to reduce injury in POULTRY for human consumption
4. Performance of duty by a vet employee IF (it involves food production animals; duty doesn't involve diagnosis, prescription, or sx; employee is under direction and GENERAL supervision; vet is responsible for performance)
5. Performance of act by full-time vet student at an accredited college and act is performed under DIRECT supervision of a vet
6. Animal shelter employee who performs euthanasia if they have been properly trained in accordance with Chapter 829 (Health and Safety Code)
7. People who are involved in state-federal cooperative disease eradication or control programs; or external parasite control programs while person is performing official duties required by program
8. People who provide ER care in an emergency or disaster an do not expect compensation
9. Consults given to veterinarians in this state by someone who either a) lives in another state, or b) is lawfully qualified to practice vet medicine under laws of that state
How many members are on the State Board of Veterinary Medical Examiners?
9
Who appoints the members of that State Board?
Govenor with advice and consent of the senate (6 vet members and 3 members who represent the public)
How many members of the board can be a faculty member of a college of veterinary medicine?
only ONE
Appointments to the board shall be made without regard to what?
Race
Color
Disability
Sex
Religion
Age
National origin
What qualifications are necessary in order for a person to be appointed to the Board as a VETERINARY member?
1. Has resided and practiced vet medicine in state for 6 years preceding date of appointment
2. Is of good repute
3. Does NOT hold a Special License
Who is NOT eligible to become a PUBLIC member of the board?
1. A person licensed by an occupational regulatory agency in field of health care
2. Works at or participates in the MANAGEMENT of a business or other organization that provides health care services; sells, manufactures, or distributes health care supplies or equipment; or is regulated by or receives funds from the board
3. Owns or controls (directly or indirectly) more than a 10% interest in a business entity or organization that does any of the above in #2
4. Uses or receives a substantial amt of tangible goods, services, or funds from the Board (excluding compensation or reimbursement authorized by law for board membership, attendance, or expenses)
A person is also not eligible to become a PUBLIC member of the board if the person's SPOUSE is?
1. A licensed veterinarian
2. See #2 on public restrictions
3. See #3 on public restrictions
4. See #4 on public restrictions
This term means: A cooperative and voluntarily joined statewide association of business or professional competitors in Texas designed to assist its members and its industry or profession in dealing with mutual business or professional problems and in promoting their common interest
"Texas trade association"
Who cannot be a member of the board and cannot be a an employee of the board employed in a "bona fide executive, administrative, or professional capacity"?
1. If the person is an officer, employee, or paid consultant of a Texas trade association in the field of health care
2. If the person's SPOUSE is an officer, manager, or paid consultant of a Texas trade association in the field of veterinary medicine
A person may not be a member of the board or act as the general counsel to the board if the person is _______
Required to register as a lobbyist under Chapter 305 (Government Code) because of the person's activities for compensation on behalf of a profession related to the operation of the board
Members of the board are appointed for staggered ____ - year terms
6
(staggered meaning members are not selected at the same time)
If a vacancy occurs in the Board due to the death or resignation of a board member, who shall appoint a replacement?
Governor
The governor shall designate a member of the board as the presiding ______ of the board to serve in that capacity at the pleasure of the governor
Officer
At the _____ meeting of the board each year, the board shall elect from its members any other officer the board considers necessary or convenient
First
What are the grounds for removal of a board member?
1. Does not have the required qualifications at the time of taking office
2. Does not maintain the qualifidations during their time of service
3. Is ineligible for membership
4. Cannot fulfill duties for a substantial part of the time due to illness or injury
5. Is absent for more than HALF of the regularly scheduled board meetings that the member is eligible to attend during the calendar year without an excuse approved by a majority vote of the board
T/F: The validity of an action of the board is not affected by the fact that it is taken when a ground for removal of a board member exists
True
If the executive director has knowledge that a potential ground for removal exists, who shall then be notified?
Presiding officer who then notifies...
Governor and attorney general
What if the potential ground for removal involves the presiding officer? Who does the executive director notify?
The next highest ranking officer of the board, who then notifies....
Governor and attorney general
When can an appointment board member officially vote, deliberate, or be counted as a member?
When they have completed a training program
The Board training program must provide information on the following:
1. Legislation that created the board and the board's programs, functions, rules, and budget
2. Results of the most recent formal audit of the board
3. Requirements of laws relating to open meetings, public information, administrative procedure, and conflicts of interest
4. Any applicable ethics policies by the board or the Texas Ethics Commission
A person appointed to the board is entitled to reimbursement, as provided by the ________ Act, for the travel expenses incurred in attending the training program regardless of whether the attendance at the program occurs before or after the person qualifies for office
General Appropriations Act
What reimbursement is a board member entitled to receive?
1. A per diem (daily allowance), as set by legislative appropriation, for each day that the member engages in board business
2. Reimbursement for travel expenses by the General Appropriations Act (including expenses for meals and lodging)
Before assuming Oath of Office, what must each board member do?
File with the secretary of state a signed copy of the constitutional oath of office taken by the member
T/F: The board may employ an executive director
True
The Board may employ _____ to administer this chapter
Personnel
T/F: There will be implemented policies that separate the responsibilities of the board and the responsibilities of the executive director and staff of the board
True
What 2 things shall the board provide to its members and employees as often as possible?
1. Qualifications for office or employment under this chapter
2. Responsibilities under applicable laws relating to standards of conduct for state officers or employees
The executive director or the executive director's designee shall develop an intra-agency _______ program.
Career ladder program
What is required of the intra-agency career ladder program?
Intra-agency postings of all nonentry level positions concurrently with any public posting
The executive director or the executive director's designee shall develop a system of annual performance evaluations based on __________. All _______ authorized by the executive director must be based on the performance evaluation system.
Measurable job tasks
Merit pay
The executive director or the executive director's designee shall prepare and maintain a written policy statement to ensure implementation of _________ under which all personnel transactions are made without regard to race, color, disability, sex, religion, age, or national origin
An equal employment opportunity program
What must be included on the Equal Employment Opportunity Policy?
1. Personnel policies (including policies relating to recruitment, evaluation, selection, application, training, and promotion of personnel)
2. Comprehensive analysis of the board workforce that meets federal and state guidelines
3. Procedures by which a determination can be made of the significant underuse in the board workforce of all persons for whom federal or state guidelines encourage a more equitable balance
4. Reasonable methods to appropriately address those areas of significant underuse
An Equal Employment Opportunity Policy statement must be:
1. Prepared to cover an ____ period
2. Updated _______
3. Reviewed by the _______
4. Filed with the ________

The governor shall deliver a ______ report to the legislature based on the information received above. The report may be made separately or as part of other biennial reports to the legislature
1. Annual
2. Annually
3. Commission on Human Rights
4. Governor

Biennial
T/F: The board is not allowed to adopt rules as necessary to administer this Chapter (Veterinarians)
False. They may adopt rules as necessary
The board may adopt rules of _______ appropriate to establish and maintain a high standard of integrity, skills, and practice in the veterinary medical profession.
Professional conduct
The board shall adopt rules to:
1. Protect the _______
2. Ensure that alternate therapies (US diagnosis and therapy, magnetic field therapy, holistic medicine, homeopathy, chiropractic treatment, acupuncture, and laser therapy) are performed only by a ______ or ________
3. Ensure that _______ is performed only by a veterinarian who is active and in good standing or by a licensed equine dental provider who is active and in good standing under the appropriate level of supervision of a veterinarian who is active and in good standing and who has established a vet-client-patient relationship with the owner or other caretaker of an animal
1. Public
2. Veterinarian or under the supervision of a veterinarian
3. Equine dentistry
The board may adopt rules regarding the work of a person who:
1. Works under the supervision of a _________
2. Fulfills the requirements by a board-approved organization for registered _________
1. Veterinarian
2. Veterinary technicians
The board shall adopt rules to implement a jurisprudence examination for licensed equine dental providers, including rules relating to the development and administration of what 5 things?
Examination
Examination fees
Guidelines for reexamination
Examination grading
Provision of notice of examination results
The board may NOT adopt rules that unreasonably restrict the selection by the owner or other caretaker of an animal of a licensed ________ who is in good standing to provide equine dental services
Equine dental provider
When may the board consider an exception to a rule adopted by the board?
On the request of a person subject to board regulation
When may the board approve an exception to a board rule?
After notice and hearing
The board may not adopt a rule restricting _________ or _________ by a person regulated by the board except to prohibit a false, misleading, or deceptive practice by that person
Advertising or Competitive bidding
In its rules to prohibit a false, misleading, or deceptive practice, the board may NOT include a rule that:
1. Restricts the person's use of any _________
2. Restricts the person's _______ or the use of the person's ______ in an advertisement
3. Relates to the ____ or ______ of an advertisement by the person
4. Restricts the person's advertisement under a ________
1. Advertising medium
2. Personal appearance; Voice
3. Size or Duration
4. Trade name
The board by rule shall set fees in amounts that are reasonable and necessary so that the fees, in the agregate, cover the costs of administering this chapter. The board may not set a fee that existed on __________, in an amount that is less than the fee on that date
September 1, 1993
The _______ set by the board is the amount set by the board and an additional $200 fee
Veterinarian license renewal fee
Of each additional fee collected under the Veterinarian License Renewal Fee, ____ shall be deposited in the foundation school fund and ______ shall be deposited in the general revenue fund
$50 - foundation school fund
$150 - general revenue fund
The additional fee does not apply to who?
1. Veterinarians exempt from paying the renewal fee
2. Veterinarians placed on inactive status
Costs incurred by the board in administering this Chapter (Veterinarians), including the compensation and expenses of board members and employees, may be paid only from ___________
Fees collected under this chapter
The board shall maintain a record of what in regards to each license holder?
Name
Residence address
Business address
A license holder shall notify the board of a change of business address or employer not later than the ____ day after the date the change takes effect
60th
The board shall establish or approve a ____ assistance program for veterinarians. This program must comply with Chapter 467 (________ Code)
Peer
Health and Safety Code
The board may order a veterinarian who is subject to disciplinary action under this chapter based on a finding that the veterinarian is impaired by _______ or _________ to submit to care, counseling, or treatment through the peer assistance program
Chemical dependency or
Mental illness
The board may request and, if necessary, compel by subpoena, what 2 things?
1. Attendance of witnesses for examination under oath
2. Production for inspection or copying of books, accounts, records, papers, correspondence, documents, and other evidence relevant to an investigation of an allege violation of this Chapter (Veterinarians)
The board, acting through the ________, may bring an action to enforce a subpoena issued against a person, including a corporation, organization, business trust, estate, trust, partnership, association, or other legal entity, who fails to comply with the subpoena
Attorney general
Venue for an action brought to enforce a subpoena, is in a district court in which county?
Travis county
OR
Any county in which the board may hold a hearing
The _____ shall order compliance with the subpoena IF the court finds that good cause exists to issue the subpoena
Court
Regarding complaints, the board shall adopt a ____ to standardize information relating to complaints filed with the board
Form
Regarding complaints, the board by rule shall prescribe _______ to be provided to a person when the person files a complaint with the board
Information
T/F: The board will not provide reasonable assistance to a person who wishes to file a complaint with the board
False. They SHALL provide reasonable assistance
The board shall file annually with the _____ and the _______ of each house of the legislature a complete and detailed written report accounting for all funds received and disbursed by the board during the preceding fiscal year
Governor and Presiding officer
The Annual Report must be in the form and reported in the time provided bye the ________ Act
General Appropriations Act
The board shall implement a policy requiring the board to use appropriate _______ solutions to improve the board's ability to perform its functions. The policy must enure that the public is able to interact with the board on the Internet.
Technological
The board shall develop and implement a policy to encourage the use of:
1. Negotiated _______ procedures under Chapter 2008 (Government Code) for the adoption of board rules
2. Appropriate alternative ________ procedures under Chapter 2009 (Government Code) to assist in the resolution of internal and external disputes under the board's jurisdiction
1. Rulemaking
2. Dispute resolution
The board's procedures relating to alternative dispute resolution must conform, to the extent possible, to any model guidelines issued by the ____________ for the use of alternative dispute resolution by state agencies
State Office of Administrative Hearings
The board shall designate a trained person to:
1. _______ the implementation of the policy adopted for Alternative Rulemaking and Dispute Resolution Procedures
2. Serve as a resource for any ______ needed to implement the procedures for negotiated Rulemaking or Alternative Dispute Resolution
3. ________ concerning the effectiveness of those procedures, as implemented by the board
1. Coordinate
2. Training
3. Collect data
The board shall prepare information of public interest describing the ______ of the board and the ______ by which complaints are filed with and resolved by the board. The board shall make the information available to the public and appropriate state agencies
Functions
Procedures
The board shall develop and implement policies that provide the _____ with a reasonable opportunity to appear before the board and to speak on any issue under the board's jurisdiction
Public
The board shall prepare and maintain a _______ that describes how a person who does not speak English may be provided reasonable access to the board's programs
Written plan
The board by rule shall establish methods by which consumers and service recipients are notified of the ____, _______, and _________ of the board for the purpose of directing complaints to the board
Name, Mailing address, and Telephone number
The board shall list with its regular telephone number any ________ established under other state law for presenting a complaint about a license holder
Toll-free telephone number
The board shall maintain a system to promptly and efficiently act on complaints filed with the board. The board shall maintain information about what 4 things?
1. Parties to the complaint
2. Subject matter of the complaint
3. Summary of the results of the review or investigation of the complaint
4. Disposition
The board shall make information available describing its ______ for complaint investigation and resolution
Procedures
The board shall periodically notify the ______ of the status of the complaint until final disposition
Complaint parties
The board shall adopt rules relating to the investigation of complaints filed with the board. The rules must:
1. Distinguish between ______ of complaints
2. Ensure that complaints are not ______ without appropriate consideration
3. Require that the board be advised of a complaint that is dismissed and a _______ be given to the person who filed the complaint explaining the action taken on the dismissed complaint
4. Ensure that the person who filed the complaint has the opportunity to _________
5. Prescribe the guidelines concerning the categories of complaints that require the use of a ________ and the procedures for the board to obtain the services of such a person
1. Categories
2. Dismissed
3. Written explanation
4. Explain the allegations made in the complaint
5. Private investigator
T/F: The board shall prioritize complaints to resolve the more serious complaints first
True
A complaint that requires medical expertise to review must be reviewed by _____ or more veterinarian board members. The board members shall determine whether to dismiss the complaint or refer it to an informal proceeding
2 or more
If the veterinarian members do not agree to dismiss or refer the complaint to an informal proceeding, the complaint is referred to ________
An informal proceeding
The board may delegate to a committee of board staff the authority to _____ or _______ of a complaint that does not require medical expertise. The disposition determined by the committee must be approved by the board at a ________
Dismiss or Enter into an agreed settlement;

Public meeting
When shall a complaint not requiring medical expertise be referred for informal proceedings?
1. If the committee determines that the complaint should not be dismissed or settled
2. If the committee is unable to reach an agreed settlement
3. If the license holder who is the subject of the complaint requests that the complaint be referred for informal proceedings
The board shall dispose of each complaint in a _____ manner
Timely
The board shall establish a schedule for conducting each phase of the complaint process that is under the control of the board not later than the _____ day after the date the board receives the complaint
30th
Each party to the complaint shall be notified of the projected ____ requirements for the complaint.

Each party shall be notified of a change in the schedule not later than the ____ day after the date the change is made
Time
7th
Who shall notify the board of a complaint that is not resolved within the time prescribed by the board for resolving the complaint so that the board may take necessary action on the complaint
Executive director
T/F: Except for a groundless complaint, a board record is a public record and is available for public inspection at all times
False: Available for public inspection during normal business hours
T/F: An investigation record of the board, including a record relating to a complaint that is found to be groundless (not based on any good reason), is confidential
True
A person may not practice, or offer or attempt to practice, veterinary medicine unless the person holds a ______ to practice veterinary medicine issued under this Chapter (Veterinarians)
License
What are the 4 qualifications for a person to be licensed to practice veterinary medicine?
1. Person has attained age of majority
2. Person has graduated form a board-approved school or college of vet med
3. Person successfully completes the licensing exam for veterinarians conducted by the board
4. The board does not refuse to issue the person a license
When and where is the board exam conducted?
At a time and place that the board determines is convenient for applicants
The board shall provide a notice of a licensing examination by publication in a _____ or ______
Newspaper or Periodical
The board shall ______ each qualified applicant who attends the examination
Examine
The board shall notify each examinee of the results of the examination not later than the _____ day after the date the licensing examination is administered. If the examination is graded or reviewed by a NATIONAL testing service, the board shall notify the examinee of the results of the examination not later than the _____ day after the date the board receives the results from the testing service.
30th
14th
If the notice of the examination results graded or reviewed by a NATIONAL testing service will be delayed longer than ___ days after the examination date, the board shall notify the examinee of the reason for the delay before the ____ day.
90 days
90th day
When shall the board provide to the person an analysis of the person's performance on the examination?
If the person requests an analysis in writing after failing the exam
When shall the board refund an examination fee paid by an applicant?
1. If the applicant provides advance notice of the applicant's inability to take the exam; or
2. If the applicant is unable to take the exam because of an emergency

(the board shall adopt rules that establish the required notification period and the emergency situations that warrant a refund)
Who may receive a Special License to practice veterinary medicine?
1. A member of the faculty or staff of a board-approved veterinary program at an institution of higher education
2. A veterinarian employee of the Texas Animal Health Commission
3. A veterinarian employee of the Texas Veterinary Medical Diagnostic Laboratory
4. A person licensed to practice veterinary medicine in another jurisdiction (authority), if the board determines that the person's specialty practice is unrepresented or underrepresented in this state
An applicant is eligible for a special license if the applicant:
1. Is at least ____ years of age and a graduate of a board-approved veterinary medicine program at an institution of higher education; or
2. Provides to the board a _________ by the appropriate authority that the applicant meets a critical need for staffing at the person's institution and is certified by a nationally recognized veterinary specialty board or is eligible for that certification
3. Passes the _______ section of the licensing examination
1. 21
2. Written affirmation
3. Jurisprudence
A special license is valid only for ________?
The performance of duties within the scope of the special license holder's employment or practice
When may the board suspend or revoke a special license?
1. If the holder's employment is terminated
2. If the holder practices outside the scope of the license
Who may provide a written affirmation for a person trying to obtain a special license?
1. Dean of a board-approved veterinary medicine program at an institution of higher education in Texas
2. Executive director of the Texas Animal Health Commission
3. Executive director of the Texas Veterinary Medical Diagnostic Laboratory
Who may be issued a TEMPORARY license to practice veterinary medicine?
1. A person licensed in good standing as a veterinarian in another state or foreign country
2. If the person meets the Eligibility Requirements
3. If the person is not subject to denial of a license or to disciplinary action
A person may not represent to the public that the person is authorized to perform equine dentistry or use the titles _____, _______, ________, ______, or ______ unless specifically authorized to do so
Dentist
Certified Equine Dental Provider
Equine Dental Provider
CEDP
EDP
Who may use the titles Certified Equine Dental Provider or CEDP?
Only a certified licensed equine dental provider who is certified in accordance with Section 801.261(a)(3)
Who may use the title Equine Dental Provider or EDP?
A licensed equine dental provider who is licensed BEFORE Sept 1, 2013, and who is NOT certified in accordance with Section 801.261(a)(3)
A person may not perform equine dentistry or offer or attempt to act as an equine dental provider unless the person meets what 2 requirements?
1. Is a veterinarian who is active and in good standing
2. A licensed equine dental provider who is active and in good standing performing under the supervision of a veterinarian who is active and in good standing
The board shall issue an equine dental provider license to a person who is qualified. A person is qualified to be licensed as an equine dental provider if they meet what 3 requirements?
1. Pass a jurisprudence exam conducted by the board
2. Are not disqualified under this chapter or board rule
3. Are certified by the International Association of Equine Dentistry or another board-approved certification entity or organization
What must the applicant for an equine dental provider license submit to the board?
1. An application on the form prescribed by the board
2. Information to enable the board to conduct a criminal background check as required by the board
3. Any other information required by the board
A licensed equine dental provider may not perform equine dentistry unless they provider is _______ and performs equine dentistry under the general supervision of a ________
Active and in good standing;
Veterinarian who is active and in good standing
What equine dental procedures may a licensed equine dental provider perform?
1. Removing sharp enamel points
2. Removing small dental overgrowths
3. Rostral profiling of the first cheek teeth
4. Reducing incisors
5. Extracting loose, DECIDUOUS teeth
6. Removing SUPRAgingival calculus
7. Extracting loose, mobile, or disease teeth or dental fragments with minimal periodontal attachments by hand and WITHOUT the use of an elevator
8. Removing erupted, non-displaced WOLF teeth
The list of procedures that may be performed by a licensed equine dental provider may not be construed to prohibit _________ who is NOT a licensed equine dental provider from performing those procedures if they are under the DIRECT supervision of a vet
An employee of a veterinarian
A copy of the _______ of an equine animal is to be left with the person who authorizes an equine dental procedure and is to be made available to the supervising veterinarian upon request
Dental chart
A licensed equine dental provider shall be held to the same standard of care as a ______ when the provider performs the equine dental procedures listed in this Chapter
Veterinarian
The board shall develop and administer a jurisprudence exam for licensed equine dental providers to determine an applicant's knowledge of ______, _______, and __________
This chapter
Board rules
Any other applicable laws of Texas affecting the applicant's equine dentistry practice
For a year in which the license expiration date is changed, license fees payable on _____ shall be prorated on a monthly basis so that each license holder pays only that portion of the fee that is allocable to the number of months during which the license is valid. On renewal of the license on the NEW expiration date, the _____ license renewal fee is payable
March 1
Total
Not later than the _____ day before the expiration date of a person's license, the board shall send written notice of the impending license expiration to the person at the person's last known address according to the board's records
30th
A person who is otherwise eligible to renew a license may renew an unexpired license by paying the required renewal fee to the board (before/after?) the expiration date of the license.
Before
A person whose license has expired may not engage in activities that require a license until the license has been ________
Renewed
A person whose license has been expired for _____ days or less may renew the license by paying the board a renewal fee that is equal to the sum of _____ times the renewal fee set by the board under Section 801.154(a) AND the additional fee required by Section 801.154(b)
90 days
1-1/2 times
A person whose license has been expired for more than _____ days but LESS than ____ may renew the license by paying the board a renewal fee that is equal to the sum of _____ times the renewal fee set by the board under Section 801.154(a) AND the additional fee required by Section 801.154(b)
90 days
One year
2 times
A person whose license has been expired for _____ or more may NOT renew the license. The person may obtain a new license by complying with the requirements and procedures, including the examination requirements, for obtaining an original license
One year
Who is exempt from the Renewal License Fee Requirements?
1. A person on active duty with the Armed Forces of the U.S. and that does not engage in private or civilian practice; OR
2. A person who is permanently or totally retired
A person who was licensed to practice veterinary medicine in Texas, moved to another state, and is currently licensed in good standing and has been in practice in the other state for the ____ years preceding the date of application may obtain a new license to practice veterinary medicine without reexamination. The person must pay to the board a fee that is equal to the amount of the renewal fee set by the board under Section 801.154(a) and the additional fee required by Section 801.154(b)
2
Can the board place a license holder on inactive status?

Is there a limit on the time a license holder remains on inactive status?
Yes

Yes
The board by rule shall establish a minimum number of hours of ________ required to renew a license to practice veterinary medicine. The board shall require ____ hours of CE annually to renew an equine dental provider license
Continuing Education
6 hours
The board may:
1. Establish general _______ of continuing education that meet hte needs of license holders
2. Require a license holder to successfully complete _________
1. Categories
2. CE courses
What may the board require you to do if you do not meet the minimum number of CE hours in a year?
Require you to make up the missed hours in later years (this would be in addition to the required hours of that year)
How shall the board monitor compliance with CE requirements?
By conducting random audits of license holders seeking renewal
When does the board conduct audits to check CE hours?
At any time
The board may also perform additional compliance monitoring by other means
What shall a license provider who is being audited for CE hours provide to the board?
Proof of course completion, including certificates of completion
T/F: A person may provide a list of completed CE courses on one presigned form in order to establish compliance with CE hours
False
A person may not practice veterinary medicine unless a _______ exists
Veterinarian-Client-Patient
A VCP exists if the veterinarian:
1. Assumes responsibility for ______ judgments regarding the health of an animal and a client, who is the owner or other caretaker of the animal, _____ to follow the veterinarian's instructions
2. Possesses sufficient knowledge of the animal to initiate at least a general or preliminary _____ of the animal's medical condition
3. Is readily available to provide, or has provided, ______ in the event of an adverse reaction to, or a failure of, the regimen of therapy provided by the veterinarian
1. Medical; agrees
2. Diagnosis
3. Follow-up medical care
A veterinarian possesses sufficient knowledge of an animal to establish a VCP realtionship if the veterinarian has recently seen, or is personally acquainted with, the keep and care of the animal by what 2 qualifications?
1. Examining the animal
2. Making medically appropriate and timely visits to the premises on which the animal is kept
T/F: A VCP relationship can be established by telephone or electronically
False
The professional services of a veterinarian may not be controlled or exploited by a person who:
1. Is not a _________
2. Intervenes between the veterinarian and the ________
1. Veterinarian
2. Veterinarian's client
A veterinarian may not:
1. Allow a person who does not ________ to interfere or intervene in the veterinarian's practice of veterinary medicine
2. Submit to interference or intervention by a person who _______
1. Hold a license to practice veterinary medicine issued under this chapter
2. Does not hold a license to practice veterinary medicine issued under this chapter
A veterinarian shall _____ a relationship that may result in interference with or intervention in the veterinarian's practice of veterinary medicine by a person who does not hold a license to practice veterinary medicine issued under this chapter
Avoid
A veterinarian is responsible for the _____. The veterinarian is DIRECTLY responsible to the client AND for the care and treatment of the patient
Veterinarian's actions
A veterinarian may not violate the ________ between the veterinarian and the veterinarian's client
Confidential relationship
A veterinarian may not be required to release information concerning the veterinarian's care of the animal, except on the veterinarian's receipt either of the following 2 things?
1. Written authorization or other form of waiver executed by the client
2. An appropriate court order or subpoena
A veterinarian who is required to release confidential information (is/is not?) liable to any person, including the client, for an action resulting from the disclosure
Is not
The privilege provided by the Confidentiality Section is waived by the client or the owner of an animal treated by the veterinarian to the extent the client or owner places at issue in a civil or criminal proceeding:
1. The nature and extent of the animal's ______; or
2. The _______ and _______ of the animal provided by the veterinarian
1. Injuries
2. Care and treatment
The privilege provided by this section is waived by the client or the owner of the animal treated by the veterinarian in a proceeding to substantiate and collect on a _____ incurred for veterinary services
Debt
The Confidentiality section does not apply to _____ or _______ conducted by the board or an agent of the board
An inspection or investigation
A veterinarian does not violate the Confidentiality section by providing the name or address of a client, or the rabies vaccination status of a specific animal, to a public health authority, veterinarian, physician, or other licensed health care professional who requests the identity of the client to obtain information for:
1. The verification of a _____ vaccination
2. Other treatment involving a ______ situation; or
3. A _______ purpose
1. Rabies
2. Life-threatening
3. Public health
A public health authority that receives confidential information shall maintain the confidentiality of the information, may not disclose the information, and may not use the information for a purpose that does not directly relate to the protection of ______ and _______
Public health and safety
IT is NOT a violation of this chapter for a veterinarian, or a business entity authorized under this chapter to render veterinary services, to:
1. Lease _____ for the purpose of providing veterinary services;
2. Pay for ______ or other services on a percentage-of-receipts basis; or
3. Sell, transfer, or assign ________
1. Space
2. Franchise fees
3. Accounts receivable
T/F: The premises on which a veterinary practice is located may be owned by a person or other legal entity that does not hold a license to practice veterinary medicine issued under this chapter
True
The practice of a veterinarian who leases space from a mercantile establishment and practices veterinary medicine on the premises of the mercantile establishment must by owned by a ________. The practice and the leased space must be under the exclusive control of a _______
Veterinarian; veterinarian
The leased space must be definite and apart from the space occupied by other occupants of the premises. The leased space must be separated from the space used by other occupants by _____ and ______ partitions or walls that extend from floor to ceiling. The requirement of this subsection is not satisfied by the use of railings, curtains, or other similar arrangements.
Solid and Opaque
The leased space must have a patient's entrance that:
1. Opens to a _____ street, hall, lobby, corridor, or other public thoroughfare other than the aisle of a mercantile establishment; AND
2. Is actually used as an _____ by the veterinarian's patients
1. Public
2. Entrance
The leased space may have an additional patient's entrance, that may be _______, that opens from the inside of the mercantile establishment directly into the leased space
Nonopaque
The practice of the veterinarian may not be conducted in any part as a ______ or _______ of the mercantile establishment. A legend or sign that states "__________", or that contains other words implying that the practice is NOT an independent veterinary practice, may NOT be displayed on the premises or in an advertisement for the premises. The use of the veterinarian's name must clearly indicate that the practice is ________ and not under the ownership or control of the mercantile establishment.
Department or concession
"Veterinary Department"
Independent
The patient and business records of the practice of the veterinarian are the sole property of the veterinarian. The mercantile establishment or a person who is NOT a veterinarian may NOT control the records, except that:
1. Business records that are essential to the initiation or continuation of a percentage of _______ lease of space may be inspected by the lessor; and
2. A veterinarian may enter into a management agreement that permits an employee or agent of the management company to access or copy patient records as necessary to perform _________
1. Gross receipts
2. Management functions
The rules about the patient entrance of a leased space do not apply to the practice of a veterinarian, or the legal successor of the practice, if the practice is operating in space that was opened, designed, or engineered in accordance with plans for a specific facility submitted to the board before what date?
December 31, 2009
The Section on Leasing Space from a Mercantile Establishment does not prohibit the delivery of temporary limited-service veterinary activities, including preventive veterinary services such as vaccinations and testing, at a mercantile establishment that is NOT owned or under the exclusive control of a veterinarian IF the services are ______ and _________. The board by rule may establish the conditions under which a vet may provide the services described by this subsection.
Periodic and Delivered by a vet
A veterinarian may dispose of an animal that is abandoned in the vet's care if the vet:
1. Gives the client, ______, notice of the vet's intention to dispose of the animal; AND
2. Allows the client to retrieve the animal during the ____ days after the date the vet mails the notice
1. By certified mail to the client's last known address
2. 10 days
A vet may NOT dispose of an abandoned animal if:
1. A _____ between the vet and client provides otherwise; OR
2. After mailed notice is given, the vet and client agree to _______
1. Contract
2. Extend the vet's care of the animal
The client's contact of the vet by mail, telephone, or personal communication does not extend the vet's obligation to treat, board, or care for an animal UNLESS what?
the vet and client agree to EXTEND the vet's care of the animal
An animal is considered abandoned on the _____ day after the date the vet mails the notice of abandonment unless an agreement is made to extend the care of the animal
11th
Notice of abandonment given by a vet (does/does not?) relieve a client of liability to pay for treatment, boarding, or care provided by the vet
Does NOT
A veterinarian who provides ______ treatment to an ill or injured animal on the veterinarian's own initiative, or at the request of a person other than the animal's owner, is NOT liable to the owner for damages to the animal unless the vet commits gross negligence
Emergency
If the vet performs _______ in an emergency situation, the veterinarian is presumed to have performed a humane act necessary to relieve the animal's pain and suffering
Euthanasia
A veterinarian who in good faith and in the normal course of business reports to the appropriate governmental entity a suspected incident of ________ under the Penal Code, is immune from liability in a civil or criminal action brought against the veterinarian for reporting the incident
Animal cruelty
The board shall require each veterinarian to maintain a recordkeeping system for ________ as required by the Health and Safety Code
Controlled substances
The controlled substances records are subject to review by a _______ or _________
Law enforcement agency or board representative
On the death of a veterinarian, the veterinarian's practice ownership and patient recordsbecome the property of the veterinarian's ______ to dispose of as necessary not later than the _____ anniversary of the date of the veterinarian's death
Heirs
2nd
When discussing Disposal of Animal Remains, "Medical waste" includes animal waste, blood, gloves, sleeves, newspapers , and plastic bags, but does NOT include ______
Sharps
A veterinarian may dispose of the remains of an animal and medical waste associated with the animal by _____ or ______
Burial or burning
The burial or burning of an animal and medical waste must occur on property owned by the veterinarian that is located:
1. Outside the ________ of a municipality; or
2. Within the corporate boundaries of a municipality as a result of an annexation that occurs on or after _________.
1. Corporate boundaries
2. September 1, 2003
The vet may dispose of an animal by burning or burial if at least one of the following are met:
1. A VCP relationship existed between the vet, the owner or other caretaker of the animal, and the animal _____ the animal's death;
2. The vet diagnosed, treated, boarded, or otherwise cared for the animal ______ its death;
3. The vet performed ______ or an ______ on the animal
1. Before
2. Before
3. Euthanasia or an autopsy
Notwithstanding any other law, the _________ may not adopt a rule that prohibits conduct authorized by the Section on Disposal of Animal Remains
Texas Commission on Environmental Quality
The Texas Commission on Environmental Quality may not adopt a rule that relates to the disposal of animal remains under the Section of Disposing of Animal Remains unless the rule is developed in cooperation with and is approved by the _________
Texas Animal Health Commission
The Section on Disposal of Animal Remains prevails over any other law that authorizes a governmental entity to:
1. Prohibit or restrict _______; or
2. Abate a _________
1. Outdoor burning
2. Public nuisance
A veterinarian may dispense a drug, other than a controlled substance, prescribed by another vet, including a vet licensed in another state, if:
1. Failure to dispense the drug could ______ or cause _____
2. The prescribing vet informs the dispensing vet that the drug is _____ and _____ for the animal
3. The quantity of the dispensed drug does not exceed a _____ supply for each animal annually
4. The annual total of dosage units of drugs dispensed under this subsection is not more than ___% of the total dosage units of drugs the vet dispenses in a year; and
5. The vet maintains _____ of dispensing activities under this section consistent with board rules
1. Interrupt a therapeutic regimen or cause the patient to suffer
2. Appropriate and necessary
3. 5-day supply
4. 5%
5. Records
A vet does not violate the grounds for license denial or disciplinary action by ordering a prescription drug prescribed by another vet in the case of an emergency for the treatment of an animal without first establishing a _______
VCP relationship
The board may adopt ____ to implement the section on dispensing drugs prescribed by another vet in an emergency
Rules
If an applicant or license holder is subject to denial of a license or to disciplinary action, the board may:
1. Refuse to _____ an applicant or to issue or renew a license
2. ____ or _____ a license
3. Place on ______ a license holder or person whose license has been suspended
4. _______ a license holder, or
5. Impose an administrative ______
1. Examine
2. Revoke or suspend
3. Probation
4. Reprimand
5. Penalty
The board may take disciplinary action after ____ and _____ or as provided by board rule
Notice and hearing
The board may required a license holder whose license is probated to:
1. _______ regularly to the board on matters that are the basis of the probation;
2. Limit ______ to the areas prescribed by the board: or
3. Continue to review ________ until the license holder attains a degree of skill satisfactory to the board in those areas that are the basis of the probation
1. Report
2. Practice
3. Continuing professional education
In addition to other disciplinary actions, the board may require a license holder who violates this chapter to participate in a ________. The board shall specify the __________ that the license holder may attend and the number of hours that the license holder must complete. A ________ specified by the board must be relevant to the violation committed by the license holder
Continuing education program(s)
The board may issue a disciplinary order directing a vet to participate in the _______ if the board determines that the vet is an impaired professional as defined by the Health and Safety Code
Peer assistance program
A person is subject to denial of a license or to disciplinary action if the person:
1. Presents to the board dishonest or fraudulent evidence of the person's ________
2. Commits fraud or deception in the ________ process or to obtain a license
3. Is chronically or habitually intoxicated, chemically dependent, or addicted to ______
4. Engages in dishonest or illegal practices in, or connected with, the practice of _____ or the practice of ______
5. Is convicted of a _____ under the laws of Texas, another state, or the U.S.
6. Engages in practices or conduct that violates the board's rules of ________
7. Permits another to use the person's _____ to practice vet medicine or to practice equine dentistry in Texas
8. Fraudulently issues a _______, ________, _____, or other form used in the practice of vet medicine or the practice of equine dentistry that relates to the presence or absence of disease
1. Qualifications
2. Examination
3. Drugs
4. Vet medicine or Equine dentistry
5. Felony
6. Professional conduct
7. License
8. Health certificate, vaccination certificate, test chart
A person is subject to denial of a license or to disciplinary action if the person:
9. Issues a false certificate relating to the sale for human consumption of _______
10. Commits fraud in connection with the application or reporting of a test of ________
11. Pays or receives a _____, _____, _____, or other ________ for treating an animal or for referring a client to another provider of veterinary or equine dental services or goods
12. Performs or prescribes _____ or ______ treatment
13. Orders a prescription drug or controlled substance for treatment of an animal without first establishing a ________
14. Refuses to admit a ______ to inspect the person's client and patient records and business premises during regular business hours
15. Fails to keep the person's equipment and business premises in ______ condition
16. Commits gross ______ or a pattern of acts that indicate consistent malpractice, negligence, or incompetence in the practice of vet medicine or the practice of equine dentistry; or
17. Is subject to disciplinary action in another ______, including the suspension, probation, or revocation of a license to practice vet medicine or to practice equine dentistry issued by another jurisdiction
9. Inedible animal products
10. Animal disease
11. Kickback, rebate, bonus, or other remuneration
12. Unnecessary or unauthorized
13. VCP relationship
14. Board representative
15. Sanitary
16. Malpractice
17. Jurisdiction
The board may suspend or revoke a license to practice vet medicine, place a vet on probation, or reprimand a vet if the vet knowingly fails to report a disease to the _________ as required by the Agriculture Code
Texas Animal Health Commission
The board may suspend or revoke a license to practice vet medicine issued under this chapter or place a probation on a vet if the vet fails to maintain ____
Records
The board may suspend or revoke a license if a court finds that the license holder is mentally ________
Incompetent
If a court determines that a person whose license is suspended or revoked because of mental incompetence, is actually mentally competent, then the board may _______
Reinstate the person's license
A person is entitled to a hearing before the State Office of Administrative Hearings if the board:
1. Refuses to _____ the person
2. Denies the person's application for a _____
3. Revokes or suspends the person's _____
4. Places the person on _______
5. ______ the person
6. Assesses an administrative _____ against the person
1. Examine
2. License
3. License
4. Probation
5. Reprimands
6. Penalty
A hearing conducting under the Section: Right to Hearing; Schedule of Sanctions is governed by what code?
Government Code
The ________ shall use the schedule of sanctions adopted by board rule for any saction imposed as the result of a hearing conducted by that office
State Office of Administrative Hearings
The board may conduct deliberations relating to a disciplinary action during _______. At the conclusion of those deliberations, the board shall vote and announce its decision to the license holder in open session
Executive session
The board by rule shall adopt procedures governing:
1. ______ disposition of a contested case under the Government Code
2. An _____ proceeding held in compliance with the Government Code
1. Informal
2. Informal
Rules adopted about informal proceedings must:
1. Provide the ______ and the ______ an opportunity to be heard; and
2. Require the presence of the board's ______ or a _______ during an informal proceeding to advise the board or the board's employees
1. Complainant and the License holder
2. General counsel or a Representative of the attorney general
A committee of ____ veterinarian board members and _____ public board members must be present at an informal proceeding for a complaint that requires medical expertise. The committee shall recommend enforcement action at the informal proceeding.
2 or more vet board members
1 or more public board members
A committee of board staff may recommend enforcement action at an informal proceeding for a complaint that does not require _______ or may refer the complaint to the committee of board members that can review a complaint that requires ________
Medical expertise
At an informal proceeding, and on agreement with the license holder, the board may order the license holder to _______ instead of or in addition to imposing an administrative penalty under this chapter. The board may not require payment of other damages or estimate harm under this subsection of Informal Proceedings
Refund an amount not to exceed the amount a client paid to the license holder
Before an informal disposition is effective, the board must review and approve at a ________ an informal disposition of the complaint recommended by board members and board staff
Public meeting
An executive committee of the board consisting of the _____ and ________ appointed by the president may temporarily suspend the license of a license holder if the executive committee determines from the evidence or information presented to the committee that continued practice by the license holder constitutes a continuing or imminent threat to the _______. A temporary suspension may also be ordered on a majority vote of the board
President and 2 other board members;
Public welfare
The board by rule shall adopt _____ for the temporary suspension of a license under this section
Procedures
A license temporarily suspended under this section may be suspended without notice or hearing if, at the time the suspension is ordered, a hearing on whether disciplinary proceedings under this chapter should be initiated against the license holder is scheduled to be held not later than the _____ day after the date of the suspension
14th
A second hearing on the suspended license shall be held not later than the _____ day after the date the suspension is ordered. If the second hearing is not held in the time required by this subsection, the suspended licsense is automatically reinstated
60th
An appeal of an action of the board must be filed in a district court in _____ County
Travis
The board may impose an ________ on a person, including a corporation, organization, business trust, estate, trust, partnership, association, or other legal entity, who violates this chapter or a rule adopted or order issued under this chapter
Administrative penalty
The amount of an administrative penalty may not exceed ______ for each violation per day
$5,000
The amount of the penalty shall be based on:
1. The ______ of the violation, including the nature, circumstances, extent, and gravity of any prohibited act; and the hazard or potential hazard created to the health, safety, or economic welfare of the public;
2. The economic harm to _____ or the ______ caused by the violation
3. The ____ of previous violations
4. The amount necessary to ____ a future violation
5. Efforts to _____ the violation; and
6. Any other _____ that justice may require
1. Seriousness
2. Property or the environment
3. History
4. Deter
5. Correct
6. Matter
A committee described in the Informal Proceedings section shall recommend the _______ of the administrative penalty based on a standardized penalty schedule. The board by rule shall develop the standardized penalty schedule
Amount
On a determination by a committee described in the Informal Proceedings section that a violation of this chapter or a rule adopted or order issued under this chapter occurred, the committee may issue a report to the board stating:
1. The ____ on which the determination is based; and
2. The committee's recommendation on the _____ of an administrative penalty, including a recommendation on the amount of the penalty
1. Facts
2. Imposition
Not later than the ____ day after the date the report is issued, the executive director shall give written notice of the committee's report to the person on whom the penalty may be imposed. The notice may be given by certified mail
14th
The notice given under this section on Penalties must:
1. Include a notice of ______
2. State the amount of any recommended ______; and
3. Inform the person of the person's ________ on the occurrence of the violation, the amount of the penalty, or both
1. Each alleged violation
2. Penalty
3. Right to a hearing
Not later than the ____ day after the date a person receives the notice, a person may in writing:
1. Accept the committee's determination and recommended administrative _____; or
2. Request a _____ on the occurrence of the violation, the amount of the penalty, or both
20th
1. Penalty
2. Hearing
If the person accepts the committee's determination and recommended penalty, the board by order may:
1. _______ the determination and impose the recommended penalty;
2. _______ the determination or recommended penalty; or
3. _______ the determination or recommended penalty
1. Approve
2. Modify
3. Reject
If the person requests a hearing or fails to respond timely to the notice, the ______ shall set a hearing and give notice of the hearing to the person
Executive director
A hearing set by the executive director shall be held by ________
An administrative law judge of the State Office of Administrative Hearings
The administrative law judge shall:
1. Make ______ and ______ of law; and
2. Promptly issue to the board a _____ for a decision as to the occurrence of the violation and the amount of any proposed administrative penalty
1. Findings of fact and Conclusions
2. Proposal
Based on the findings of fact, conclusions by law, and proposal for a decision under the Section on Hearing on Committee's Recommendations, the board by order may determine that:
1. A violation has ________
2. A violation ______
1. Occurred and impose an administrative penalty
2. Did not occur
The notice of the board's order given to the person under the Government Code must include a _________
Statement of the person's right to judicial review of the order
Not later than the ____ day after the date of the board's order becomes final, the person shall:
1. Pay the _______;
2. Pay the penalty and ________
3. Without paying the penalty, ________
1. Administrative penalty
2. File a petition for judicial review contesting the fact of the violation, the amount of the penalty, or both;
3. File a petition for judicial review contesting the fact of the violation, the amount of the penalty, or both
Within the 30-day period, a person who acts under Subsection: Options Following Decision, Pay or Appeal may:
1. _____ enforcement of the penalty
2. Request the ______ to stay enforcement by the penalty
1. Stay
2. Court
A person may stay enforcement of the penalty by:
1. Paying the penalty to the court for placement in an _____ account; or
2. Giving the court a ________ that is approved by the court and that is for the amount of the penalty and is effective until judicial review of hte board's order is final
1. Escrow
2. Supersedeas bond
A person may request the court to stay enforcement of hte penalty by:
1. Filing with the court a ______ of the person stating that the person is financially unable to pay the penalty and is financially unable to give the supersedeas bond; and
2. Giving a copy of the ______ to the executive director by certified mail
1. Sworn affidavit
2. Affidavit
If the executive director receives a copy of an affidavit, the executive director may file with the court a contest to the affidavit not later than the _____ day after the date the copy is received
5th
The court shall hold a hearing on the facts alleged in the affidavit as soon as practicable and stay enforcement of the penalty on finding that the ________. The person who _____ has the burden of proving that the person is financially unable to pay the penalty and to give the supersedeas bond
Alleged facts are true
Files the affidavit
If the person does not pay the administrative penalty and the enforcement of the penalty is not stayed, the executive director may refer the matter to the ______ for collection of the penalty
Attorney general
If a court sustains the determination that a violation occurred, the court may _____ or _____ the amount of the administrative penalty and order the person to pay the full or reduced amount
Uphold or reduce
If the court does NOT sustain the determination that a violation occurred, the court shall order that an ________
Administrative penalty is NOT owed
If, after judicial review, the administrative penalty is reduced or not upheld by the court, the court shall, after the judgment becomes final:
1. Order the appropriate amount, plus ______, be remitted to the person if the person paid the penalty; or
2. Order the release of ______ after the person pays the penalty imposed if the person posted a supersedeas bond
1. Accrued interest
2. The bond
The accrued interest paid is the rate charged on loans to depository institutions by the New York Federal Reserve Bank. The interest shall be paid for the period beginning on the date the penalty is paid and ending on the date the penalty is remitted
A proceeding under the Subchapter: Administrative Procedure is subject to _________
Government Code
The Administrative Procedure Subchapter does not prohibit the board from assessing an ________ by using an informal proceeding
Administrative penalty
The board by rule shall develop a system for monitoring a license holder's compliance with the requirements of this chapter. The rules must include procedures to:
1. Monitor for ______ a license holder who is ordered by the board to perform certain acts; and
2. Identify and monitor a license holder who represents a _____ to the public
1. Compliance
2. Risk
The board, through the attorney general or a district or county attorney, may bring an action for an injunction, or a proceeding incident to an injunction, to:
1. ______ this chapter; or
2. ______ a person, including a corporation, organization, business trust, estate, trust, partnership, association, or other legal entity, from practicing veterinary medicine or equine dentistry in violation of this chapter
1. Enforce
2. Enjoin
Venue for an action under this Section: Injunctive Relief, is in:
1. The ____ in which the person against whom the action is brought resides, if the person is an individual who resides in this state;
2. The county of the _______ in Texas if the defendant is not an individual; or
3. ______ County, if the person is an individual who does not reside in Texas or is an entity that does not have its principal office in this state
1. County
2. Defendant's principal office
3. Travis
A corporation, organization, business trust, estate, trust, partnership, association, or other legal entity not owned exclusively by one or more persons ______________ under this chapter may not engage in vet medicine
Licensed to practice vet medicine
A veterinarian may not form or continue a _______ with a member of another profession or a person who is not a member of a profession if a part of the partnership employment consists of the practice of vet medicine
Partnership
The Business and Commerce Code does not apply to a claim against a vet for damages alleged to have resulted from veterinary _______ or _______
Malpractice or negligence
If it appears to the board that a person is engaging in an act or practice that constitutes the practice of vet medicine without a license or the practice of equine dentistry without a license under this chapter, the board, after notice and opportunity for a hearing, may issue a __________
Cease and desist order prohibiting the person from engaging in the activity
A violation of a cease and desist order constitutes grounds for imposing an ________
Administrative penalty
The board shall adopt a formal policy to focus _________ toward investigating complaints
Enforcement efforts
The equine dental provider advisory committee is an informal advisory committee to the board and is not subject to __________
Government Code
The advisory committee does not have any independent __________ but shall advise and assist the board in adopting rules relating to licensed equine dental providers
Rulemaking authority
The board shall consult the advisory committee regarding matters relating to a disciplinary action that involves a __________
Licensed equine dental provider
What members compose the equine dental provider advisory committee?
1. 2 members who are licensed equine dental providers, have resided in and engaged in the practice of smoothing and filing teeth by floating in Texas for 5 years immediately preceding the date of appointment, and are of good repute; and
2. 1 veterinarian member who is active and in good standing and who supervises licensed equine dental provider
The 2 members of the equine dental provider advisory committee who are licensed equine dental providers are not required to hold a license to practice equine dentistry until ___________.
September 1, 2012
Appointments made to the advisory committee shall be made without regard to the _____, ____, ______, ___, _____, ____, or ________ national origin of the appointees
Race, color, disability, sex, religion, age, or national origin
Members of the equine dental provider advisory committee are appointed for staggered _____ terms. The terms of the members expire on Feb 1 of each odd-numbered year
6-year
If a vacancy occurs during a member's term, the _______ of the board shall appoint a new member to fill the unexpired term
Presiding officer
An advisory committee member may not serve more than ______ full terms
2 consecutive
It is grounds for removal from the equine dental provider advisory committee that a member:
1. Does not have ________ the qualifications necessary
2. Does not __________ the qualifications required
3. Cannot, because of _____ or ______, discharge the member's duties for a substantial part of the member's term
1. At the time of appointment
2. Maintain during service on the advisory committee
3. Illness or disability
The ______ of an action of the advisory committee is not affected by the fact that it is taken when a ground for removal of an advisory committee member exists
Validity
The presiding officer of the board shall designate _______ an equine dental provider advisory committee member as the presiding officer of the advisory committee to serve in that capacity at the will of the presiding officer of the board
Biennially
An equine dental provider advisory committee member is not entitled to reimbursement for _______ or _______
Travel expenses or compensation
The equine dental provider advisory committee shall meet at the call of the ________
Presiding officer of the board
A meeting may be held by _____ or _______
Telephone or conference call
What is my name?
Erin
Rule 573.1 is avoidance of conflicting interest. When is it permissible for a veterinarian to represent conflicting interests?
Express consent of all concerned after a full disclosure of the facts.
Rule 573.1 is avoidance of conflicting interest. Please give an example of how a veterinarian may be wrongly representing conflicting interests.
When a veterinarian accepts a fee from both buyer and seller for a soundness examination.
Pertaining to rule 573.1 (avoidance of conflicting interest) what crime is being committed by a veterinarian who accepts a fee from both the buyer and seller of an animal for a soundness exam?
This is prima facie evidence of fraud.
Rule 573.2 is avoidance of encroachment on another's practice. What would this encroachment entail?
Direct or indirect effort that is calculated to influence the sound professional judgement of another veterinarian.
Rule 573.2 is avoidance of encroachment on another's practice. When is it generally acceptable for a veterinarian to give new advice to a client having a known history with a previous veterinarian that was thought to have had unfaithful or neglectful veterinary services?
After communication with the veterinarian of whom the client is complaining about.
Rule 573.1 is avoidance of conflicting interest. When is it permissible for a veterinarian to represent conflicting interests?
Express consent of all concerned after a full disclosure of the facts.
Rule 573.1 is avoidance of conflicting interest. Please give an example of how a veterinarian may be wrongly representing conflicting interests.
When a veterinarian accepts a fee from both buyer and seller for a soundness examination.
Pertaining to rule 573.1 (avoidance of conflicting interest) what crime is being committed by a veterinarian who accepts a fee from both the buyer and seller of an animal for a soundness exam?
This is prima facie evidence of fraud.
Rule 573.2 is avoidance of encroachment on another's practice. What would this encroachment entail?
Direct or indirect effort that is calculated to influence the sound professional judgement of another veterinarian.
Rule 573.2 is avoidance of encroachment on another's practice. When is it generally acceptable for a veterinarian to give new advice to a client having a known history with a previous veterinarian that was thought to have had unfaithful or neglectful veterinary services?
After communication with the veterinarian of whom the client is complaining about.
Rule 573.1 is avoidance of conflicting interest. When is it permissible for a veterinarian to represent conflicting interests?
Express consent of all concerned after a full disclosure of the facts.
Rule 573.1 is avoidance of conflicting interest. Please give an example of how a veterinarian may be wrongly representing conflicting interests.
When a veterinarian accepts a fee from both buyer and seller for a soundness examination.
Pertaining to rule 573.1 (avoidance of conflicting interest) what crime is being committed by a veterinarian who accepts a fee from both the buyer and seller of an animal for a soundness exam?
This is prima facie evidence of fraud.
Rule 573.2 is avoidance of encroachment on another's practice. What would this encroachment entail?
Direct or indirect effort that is calculated to influence the sound professional judgement of another veterinarian.
Rule 573.2 is avoidance of encroachment on another's practice. When is it generally acceptable for a veterinarian to give new advice to a client having a known history with a previous veterinarian that was thought to have had unfaithful or neglectful veterinary services?
After communication with the veterinarian of whom the client is complaining about.
Rule 573.3 is exposure of corrupt or dishonest conduct. What does this rule state regarding when and to whom this behavior is reported?
It should be reported without fear or favor whenever this behavior is found. Reports should go before proper tribunal or the State Board of Veterinary Medical Examiners.
Rule 573.4 is adherence to the law. What is needed to take action against a veterinarian that has broken this rule?
Proof of the commision of the act while practicing veterinary medicine (or under the guise of veterinary medicine).
Rule 573.4 is adherence to the law. True/False: A complaint indictment or conviction of a law violation IS necessary for enforcement of this rule.
FALSE
Rule 573.4 is adherence to the law. True/False: A complaint indictment or conviction of a law violation IS NOT necessary for enforcement of this rule.
TRUE
Rule 573.5 is avoidance of corruption of others. It involves not allowing a veterinarian to render service or advice to the corruption of certain people. Who are the people included in this rule?
Person or persons exercising public office or private trust or deception/betrayal of the public itself.
Rule 573.6 is restriction of partnerships to members of profession. What are the requirements to form partnerships for the practice of veterinary medicine?
1. Member of the veterinary profession; 2. Duly authorized to practice; 3. Amenable to professional discipline
Rule 573.6 is restriction of partnerships to members of profession. True/False: In the selection of a firm name no false or misleading name shall be used.
TRUE
Rule 573.6 is restriction of partnerships to members of profession. True/False: Partnerships between veterinarians and members of other professions or nonprofessional persons shall not be formed or permitted if a part of the partnership employment consists of the practice of veterinary medicine.
TRUE
Rule 573.6 is restriction of partnerships to members of profession. True/False: Partnerships between veterinarians and members of other professions or nonprofessional persons shall not be formed or permitted UNLESS a part of the partnership employment consists of the practice of veterinary medicine.
FALSE
Rule 573.7 is no abuse of position or trust. How is this abuse defined?
Using present/past position or office of trust deliberately to either create an individual professional advantage or coerce/deceive the public.
Rule 573.8 is loss of accreditation. What does this rule mean?
If a veterinarian's accreditation has been revoked then he/she is subject to disciplinary action by the board.
Rule 573.9 is nonresident consultants. Do consultants need to be supervised?
Yes. At all times under the direct supervision of a Texas veterinarian.
Rule 573.9 is nonresident consultants. What is the definition of a consultation for the purposes of this rule?
Render professional advice (diagnosis and prognosis) about veterinary medical cases but does not include treatment or surgery.
Rule 573.9 is nonresident consultants. True/False: Nonresident consultants may establish a routine visit schedule of consultations in Texas.
FALSE
Rule 573.9 is nonresident consultants. True/False: Nonresident consultants may NOT establish a routine visit schedule of consultations in Texas.
TRUE
Rule 573.9 is nonresident consultants. What does consultant mean in the state of Texas?
A veterinarian licensed in other states may enter Texas for purposes of consultation.
Rule 573.10 is supervision of non-licensed employees. Under the general supervision portion
He/she must be readily available to communicate with the person under supervision.
Rule 573.10 is supervision of non-licensed employees. Under the direct supervision portion what is required of the veterinarian?
He/she must be physically present on the same premises as the non-licensee under supervision.
Rule 573.10 is supervision of non-licensed employees. Under the immediate supervision portion
He/she must be within audible and visual range of both the animal patient and the person under supervision.
Rule 573.10 is supervision of non-licensed employees. Under the delegation relating to official health/test documents
1. Licensee's personal signature; 2. Signature stamp/electronic signature
In accordance to the requirements of rule 573.51 of this title (Rabies Control); Rule 573.10 is supervision of non-licensed employees; Under the delegation relating to official health/test documents; under what circumstances does the licensee need to personally sign these documents?
If the licensee has received compensation regardless of whether said compensation is ultimately refunded then he/she must personally sign the document.
Rule 573.10 is supervision of non-licensed employees. Under the delegation relating to official health/test documents what are the exceptions in which a licensee is allowed to issue pre-stamped or pre-signed official health documents?
Never. This is strictly prohibited.
Rule 573.10 is supervision of non-licensed employees. Under the delegation relating to official health/test documents when is a non-licensed employee allowed to collect samples from animals for official tests?
They may collect samples under the licensee's direct supervision. Unless it is prohibited by law and except as provided in paragraph four of this subsection.
Rule 573.10 is supervision of non-licensed employees. Under the delegation relating to official health/test documents who can perform brucellosis testing and when can they do it? This person can perform testing at a livestock market or collect blood samples on animals to be consigned directly from the ranch to slaughter and submit them to state/federal laboratories.
A person approved by the Texas Animal Health Commission (TAHC) and under the supervision of a TAHC approved veterinarian.
Rule 573.10 is supervision of non-licensed employees. Under the delegation relating to official health/test documents when can a non-licensed employee use the veterinarian's signature stamp or electronic signature pad?
Only under direct supervision of the veterinarian.
Rule 573.10 is supervision of non-licensed employees. Under the responsibility for acts of non-licensed employees what are these responsibilities?
1. Licensee may determine their qualifications for routine care and treatment. 2. Licensee is directly responsible for all their actions under the licensee's directions or authorization in which there is compensation (whether or not it is refunded) 3. Licensee is subject to disciplinary action by the board if he/she fails to properly supervise the non-licensed employee.
Rule 573.10 is supervision of non-licensed employees. Under the prohibited services an unlicensed individual shall NOT perform which health care services?
1. Surgery 2. Invasive dental procedures 3. Diagnosis and prognosis of animal diseases and/or conditions 4. Prescribing drugs and appliances
Rule 573.10 is supervision of non-licensed employees. Under the level of supervision of non-licensed employees how is this determined?
By the licensee where appropriate unless it is otherwise prohibited by law. The level of training and experience should be considered.
Rule 573.10 is supervision of non-licensed employees. Under the level of supervision of non-licensed employees a registered veterinary technician (RVT) should be given greater responsibility than other non-licensed employees. What is an RVT?
Person who performs the duties specified by the AVMA's committee on Veterinary Technician Education and activities. He/she is qualified and registered by the Texas Veterinary Medical Association.
Rule 573.10 is supervision of non-licensed employees. Under the level of supervision of non-licensed employees a What is an RVT allowed to do? Can a non-RVT perform these tasks?registered veterinary technician (RVT) should be given greater responsibility than other non-licensed employees.
1. Suture existing surgical incisions; 2. Induce anesthesia; Yes but ONLY under direct/immediate supervision of a licensee.
Rule 573.10 is supervision of non-licensed employees. Under the level of supervision of non-licensed employees a registered veterinary technician (RVT) should be given greater responsibility than other non-licensed employees. Is an RVT allowed to perform euthanasia?
Yes but only under immediate supervision of a veterinarian.
Rule 573.10 is supervision of non-licensed employees. Under the level of supervision of non-licensed employees what can be done by these employees in an emergency situation?
If prompt treatment is essential then a licensee may after determining the nature of the emergency and the condition of the animal issue directions of care by telephone email messaging radio or facsimile communication.
Rule 573.10 is supervision of non-licensed employees. True/False: Under the level of supervision of non-licensed employees if a veterinarian gives directions for care to a non-licensed employee during an emergency situation the licensee is now required to accept this animal as a patient.
False (the veterinarian assumes responsibility for the treatment but is not required to accept them as a patient.)
Rule 573.10 is supervision of non-licensed employees. Under the level of supervision of non-licensed employees what can be done by these employees in the care of hospitalized animals?
Non-licensed employees may follow oral/written treatment orders from a veterinarian in the absence of direct supervision. However this is provided that there is a valid veterinary-client-patient relationship and that the veterinarian has examined the animal.
Rule 573.11 is responsibility for unlicensed and licensed employees. What is the scope of responsibility regarding the actions of unlicensed employees?
The veterinarian accepts full responsibility for the actions of an unlicensed employee that commits an act that constitutes unauthorized practice of veterinary medicine.
Rule 573.11 is responsibility for unlicensed and licensed employees. What must be assured when a veterinarian employs and/or supervises another person practicing veterinary medicine?
1. This person is licensed. 2. This person meets the requirements of rule 573.47 for registration with the DEA and Texas Department of Public Safety.
Rule 573.12 is alternate therapies - chiropractic and other forms of musculoskeletal manipulation. What are chiropractic and other forms of musculoskeletal manipulation?
Systems of therapeutic application of mechanical forces applied manually through the hands or any mechanical device to diagnose treat and/or alleviate impaired or altered function of related components of the musculoskeletal system of nonhuman animals.
Rule 573.12 is alternate therapies - chiropractic and other forms of musculoskeletal manipulation. Who can perform these therapies?
1. Licensed veterinarian under certain conditions: a. Valid veterinary-client-patient relationship as defined in the Act b. Examination performed to determine that chiropractic/MSM will not be harmful c. Licensee obtains signed acknowledgement by owner/caretaker that chiropractic/MSM is an alternate therapy. 2. Lincensee's employee or independent contractor under the direct or general supervision of the veterinarian 3. Individual to whom the exceptions of the Act apply
Rule 573.12 is alternate therapies - chiropractic and other forms of musculoskeletal manipulation. Under the portion of responsibility how will the licensee be held by the Board in regards to the use of chiropractic/MSM therapies?
The board will hold the licensee to a level of professional judgement as would be exercised by the average Texas licensee who performs these alternate therapies. (Regardless of whether or not the licensee employee or independent contractor performs the therapy)
What is the definition of ultrasound?
Mechanical radiant energy with a frequency >20 kilocycles/second
What is the definition of ultrasonics?
That part of science acoustics dealing with frequency range beyond the upper limit of perception by the human ear (usually restricted to frequencies >500 kilocycles/second)
What is the definition of ultrasonic radiation?
The effect of ultrasound which is injurious to tissues because of its thermal effect when absorbed by living matter.
What is the definition of ultrasonic therapy?
controlled doses of ultrasound used therapeutically to selectively break down pathologic tissues as in treatment of arthritis and lesions of the nervous system.
What is the definition of diagnostic ultrasound?
Ultrasound images used as a diagnostic aid by visually displaying echoes received from irradiated tissues.
What is the definition of ultrasonography?
The visualization of deep structures of the body by recording the reflections of pulses of ultrasonic waves directed into the tissues.
Rule 573.13 is use of ultrasound in diagnosis or therapy. Who can perform it?
Only a licensed veterinarian or under the general supervision of a licensed veterinarian.
Rule 573.13 is use of ultrasound in diagnosis or therapy. When can a person who is not a licensed veterinarian perform ultrasound?
1. For diagnostic purposes: only at the request of a licensed veterinarian who has an established veterinary-client-patient ratio as well as the veterinarian who uses the ultrasound to make the diagnosis. 2. For therapeutic purposes: only at the request of a licensed veterinarian who has an established veterinary-client-patient ratio made a diagnosis and prescribed ultrasonics as a treatment.
Rule 573.14 is alternate therapies - acupuncture. What is the definition of acupuncture?
1. Insertion of an acupuncture needle and the application of moxibustion to specific areas of a non-human animal's body to relieve the discomfort associated with painful disorder to induce surgical anesthesia and for therapeutic purposes; and 2. The administration of thermal or electrical treatments or the recommendation of dietary guidelines energy flow exercise or dietary or herbal supplements in conjunction with the treatment described by paragraph (1) of this subsection. Acupuncture in non-human animals is considered to be an alternate therapy in the practice of veterinary medicine.
Rule 573.14 is alternate therapies - acupuncture. In the portion use of acupuncture in the treatment of animals who may use acupuncture.
ONLY a veterinarian with NO exceptions.
Rule 573.14 is alternate therapies - acupuncture. Under the portion client consent required what must be done before a veterinarian can perform acupuncture on a patient?
1. A signed statement from the animal's owner/caretaker acknowledging that acupuncture is an alternate therapy. 2. Explanation by the veterinarian of conventional treatments available and their probable ability to cure the problem BEFORE the aforementioned statement is signed.
Rule 573.14 is alternate therapies - acupuncture. Under the portion standard used in determining appropriate use of acupuncture what is used in an investigation of a complaint about a veterinarian's use of acupuncture?
Opinions from other licensees who use acupuncture in their treatment of animals. However veterinarians who practice acupuncture shall exercise the same degree of professionalism as used by average veterinary medical professionals in good standing in the locality or community in which they practice.
Rule 573.14 is alternate therapies - acupuncture. Under the portion other board rules not preempted how does this rule affect other rules of the Board?
Nothing in this rule shall remove or limit in any way the applicability of other rules of the Board as they apply to the practice of veterinary medicine.
Rule 573.15 is alternate therapies - holistic medicine. What is the definition of holistic medicine?
The practice of veterinary medicine that believes in a blend of alternative and if need be conventional approaches of treatment in an effort to develop a system of complementary medicine to treat the whole patient.
Rule 573.15 is alternate therapies - holistic medicine. In the definition of holistic medicine what methods are commonly used in practice to combine with the more conventional methods?
Herbal medicine; Acupuncture; Chiropractic; Homeopathy; Applied kinesiology
Rule 573.15 is alternate therapies - holistic medicine. Under the portion of use of in the the treatment of animals who may use holistic medicine?
ONLY a licensed veterinarian may use holistic medicine with NO exceptions.
Rule 573.15 is alternate therapies - holistic medicine. Under the portion client consent required what is necessary before a veterinarian may administer holistic therapies?
1. Signed statement from the owner/caretaker acknowledging that holistic medicine is an alternative therapy (This will be part of the permanent record). 2. Before signing the statement the veterinarian must inform the owner/caretaker of conventional treatments available and their probability of curing the problem.
Rule 573.15 is alternate therapies - holistic medicine. Under the portion standard used in determining appropriate use of holistic medicine what is used in an investigation of a complaint about a veterinarian's use of holistic medicine?
Opinions from other licensees who use holistic medicine in their treatment of animals. However veterinarians who practice acupuncture shall exercise the same degree of professionalism as used by average veterinary medical professionals in good standing in the locality or community in which they practice.
Rule 573.15 is alternate therapies - holistic medicine. Under the portion other board rules not preempted how does this rule affect other rules of the Board?
Nothing in this rule shall remove or limit in any way the applicability of other rules of the Board as they apply to the practice of veterinary medicine.
Rule 573.16 is alternate therapies - homeopathy. What is the definition of homeopathy?
A system of therapeutics in which diseases are treated by substances which are capable of producing in healthy animals symptoms like those of the disease to be treated the substance being administered in minute doses.
Rule 573.16 is alternate therapies - homeopathy. Under the portion of use of in the the treatment of animals who may use homeopathy?
ONLY a licensed veterinarian may use homeopathy with NO exceptions.
Rule 573.16 is alternate therapies - homeopathy. Under the portion client consent required what is necessary before a veterinarian may administer homeopathy?
1. Signed statement from the owner/caretaker acknowledging that homeopathy is an alternative therapy (This will be part of the permanent record). 2. Before signing the statement the veterinarian must inform the owner/caretaker of conventional treatments available and their probability of curing the problem.
Rule 573.16 is alternate therapies - homeopathy. Under the portion standard used in determining appropriate use of homeopathy what is used in an investigation of a complaint about a veterinarian's use of holistic medicine?
Opinions from other licensees who use homeopathy in their treatment of animals. However veterinarians who practice acupuncture shall exercise the same degree of professionalism as used by average veterinary medical professionals in good standing in the locality or community in which they practice.
Rule 573.16 is alternate therapies - homeopathy. Under the portion other board rules not preempted how does this rule affect other rules of the Board?
Nothing in this rule shall remove or limit in any way the applicability of other rules of the Board as they apply to the practice of veterinary medicine.
Rule 573.20 is responsibility for acceptance of medical care. Who accepts an animal as a patient and why?
It is at the sole discretion of a veterinarian as he/she is responsible for determining the diagnosis and course of treatment for an animal that has been accepted as a patient and for advising as to the diagnosis and treatment.
Rule 573.20 is responsibility for acceptance of medical care. When must a veterinarian inform a client?
1. The client has specifically requested that the veterinarian diagnose and/or treat the client's animal. 2. The veterinarian reasonably believes there is a likelihood or possibility that another veterinarian may perform some or all of the diagnosis and/or treatment of the patient.
Rule 573.20 is responsibility for acceptance of medical care. How may a veterinarian discontinue treatment of a patient after the patient-client-veterinarian relationship has been established?
1. Request of the client. 2. After the veterinarian substantially completes the treatment or diagnostics prescribed. 3. Upon referral to another veterinarian. 4. After notice to the client providing a reasonable period for the client to secure the services of another veterinarian.
Rule 573.21 is direct responsibility to client. From what are the professional services of a veterinarian to be safeguarded against in order to maintain direct responsibility to the client?
Veterinarians shall not be controlled or exploited by any lay agency personal or corporate which intervenes between the client and the veterinarian. A veterinarian shall not allow intervention with the practice of veterinary medicine nor submit to such interference. A veterinarian shall avoid all relationships which could result in interference or intervention in the practice by these entities/people. Veterinarians are responsible for his/her own actions.
Rule 573.23 is professional standard of humane treatment. What is this standard?
They shall exercise the same degree of humane care skill and diligence in treating patients as are used by average members of the veterinary medical profession in good standing in the locality or community.
Rule 573.23 is board certified specialists and duty of licensee to refer a case. What is the definition of a Specialist?
He/she is a Board Certified Diplomate of a specialty organization recognized by the American Veterinary Medical Association.
Rule 573.23 is board certified specialists and duty of licensee to refer a case. True/False: General practitioners are held to the same standard of care as a Board Certified Specialist.
FALSE notwithstanding rule 573.22 of this title.
Rule 573.23 is board certified specialists and duty of licensee to refer a case. Under the portion of responsibility of licensee to refer a case if the care and treatment of an animal is beyond the capability of the licensee is he/she required to refer the case to a specialist?
No. However it is the duty of that licensee to refer the case to a more qualified licensee. The decision to keep or refer the case shall be based on the exercise of sound judgement within the prevailing standard of care for a licensee faced with the same or similar circumstances.
Rule 573.23 is board certified specialists and duty of licensee to refer a case. How shall an investigation of a complaint about a Specialist proceed?
It will include consultations with one or more Specialists licensed by the Board practicing the same specialty on the species involved in the complaint. The Board may also consult with Specialists outside of Texas. An informal conference if warranted and at their own expense will include oral or written presentations by a Specialist practicing the same speciality on the species involved.
Rule 573.23 is board certified specialists and duty of licensee to refer a case. Under the portion of complaints regarding failure to make proper referral how will the Board handle these situations?
Investigations will include… 1. Evaluation of training and experience of the license. 2. Availability of a specialist or more qualified license. 3. Timeliness and adequacy of information provided to the client regarding the possible need for a referral. 4. The requests of the client. 5. Likelihood that an adverse result could have been prevented by a timely referral.
Rule 573.23 is board certified specialists and duty of licensee to refer a case. Under the portion of record-keeping what is the proper procedure for a licensee regarding referrals?
1. Enter the date and substance of any referral recommendations with reference to the response of the client. 2. Date and substance of of any consultation concerning a case with a specialist or other more qualified veterinarians in the patient's permanent record.
Rule 573.24 is issuance of certificates through direct knowledge only. What does direct knowledge entail in the issuance of these certificates?
Personal examination of the individual animal so that he/she knows they meet the requirements for the issuance of the certificate based on this examination and appropriate tests.
Rule 573.24 is issuance of certificates through direct knowledge only. How should the licensee handle the use of these certificates?
1. Licensee will be deemed to have knowledge of certificates issued and/or will maintain in the patient or client files. 2. Licensee is responsible for the security and proper use of these documents and shall take reasonable care to prevent the misuse thereof. 3. Licensee shall immediately report to the TBVME the loss theft or deliberate or accidental misuse of any such certificate form record or report
Rule 573.25 is avoidance of guaranteeing cures. True/False: Although it is professionally dishonest for a licensed veterinarian to guarantee a cure a veterinarian should not avoid bold and confident assurances to clients as employment depends on such assurances.
False. Bold and confident assurances should be avoided as employment depends upon such assurances.
Rule 573.26 is honesty integrity and fair dealing How does this rule apply to veterinarians?
It is how licensed veterinarians should conduct their practice to clients in time and services rendered and in the amount charged for services facilities appliances and drugs.
Rule 573.27 is observance of confidentiality. In this rule a veterinarian shall not violate the confidential relationship between the veterinarian and the client. What is the exception to this rule?
Disclosing information contained in a rabies certificate to a governmental entity only for purposes related to the protection of public health and safety.
Rule 573.27 is observance of confidentiality. In this rule a veterinarian shall not disclose any information concerning the care for an animal. What are the exceptions to this portion of the rule?
1. Written or oral authorization or other form of waiver executed by the client; 2. On receipt by the veterinarian of an appropriate court order or subpoena. 3. Disclosure of rabies certificate information to a governmental entity for the purposes of public health safety.
Rule 573.28 is maintenance of sanitary premises. What does this entail?
1. Clean/sanitary offices/clinics/hospitals with no accumulation of trash/debris/filth. 2. Premises shall be maintained in full compliance with all health requirements of city/county as well as the State of Texas. 3. Properly sterilize instruments and clean supplies.
Rule 573.29 is complaint information and notice to clients. What must the licensee provide to the client so that they may lodge a complaint if they so wish?
1. Specific address for the Board... Texas State Board of Veterinary Medical Examiners, 333 Guadalupe, Suite 3-810, Austin, TX 78701-3942; 2. The Board's telephone numbers (512-305-7555 or fax: 512-305-7556); 3. Toll-free complaint information number (1-800-821-3205)
Rule 573.29 is complaint information and notice to clients. What are the acceptable forms for providing effective information to clients so they can lodge a complaint to the Board?
1. Written notice form (at least 14 point print size) that is prominently displayed in the area that is most frequented by the public. 2. Brochure available in the area that is most frequented by the public. 3. Statement on each written bill invoice or receipt
Rule 573.30 is advertising. Veterinarians are not allowed to engage in false deceptive or misleading advertisements. How does the Board define these types of advertisements?
1. Prediction of a cure or guarantee that will result from the performance of the advertised professional services. 2. Illegal transactions 3. Statement of opinion of the services/facilities qualities that is not subject to verification by the public and can create a false impression of the qualities of these services/facilities. 4. Statement/implication that a veterinarian is a specialist unless that veterinarian is board-certified and recognized by the AVMA in such specialty. 5. Claim that intends/likely to create inflated/unjustified expectations 6. Expressed/implied material misrepresentation of fact
Rule 573.32 is specialty listings. What does this rule entail?
A veterinarian who is specialized in a specific field and is recognized by the AVMA may state this fact in his/her advertising venues such as…1. Reputable veterinary directories 2. Advertising notices mailed to veterinarians/clients/former clients/personal friends/relatives 3. Yellow pages in his/her geographical area where his/her primary practice is located 4. Professional cards 5. Letter head
Rule 573.33 is display of degree certificate or title from approved institutions only. What does this rule entail?
The institution that grants the degree/certificate/title pertaining to veterinary medicine must be approved by the Texas State Board of Veterinary Medical Examiners in order for this document to be displayed.
Rule 573.34 is display of license. Where is the display of a veterinarian's license required to be?
At the veterinarian's practice location whether mobile or fixed as well as the most recent renewal certificate. It must be visible to the public.
Rule 573.35 is display of license. True/False: A legible photocopy of a veterinarian's license may be used for display in place of the original.
True (it is acceptable)
Rule 573.36 is corporate and assumed names. True/False: Veterinarians may use a corporate or assumed name for their veterinary practice in order to make their practice more recognizable.
FALSE
Rule 573.37 is ban on use of solicitors. In what situation may a solicitor be used as an exception for the purposes of the veterinary practice?
Using solicitation is reprehensible in the profession. It should NEVER be used.
Rule 573.40 is labeling of medications dispensed What must be affixed to the immediate container of a medication dispensed by a veterinarian?
1. Veterinarian's name address and telephone number (including area code) 2. Date of delivery or dispensing 3. Patient/client name (address if the drug is controlled) 4. Species of the animal 5. Name strength and quantity of the drug dispensed 6. Directions for use 7. Cautionary statements as required by lay (i.e. not for human consumption poisonous withdrawal periods etc.)
Rule 573.40 is labeling of medications dispensed If the container that is holding the medications is too small for the label then what needs to be done?
The small container shall be enclosed within another container large enough to be labeled.
Rule 573.41 is use of prescription drugs. What must occur before a licensed veterinarian can prescribe or dispense deliver or order delivered any prescription drug?
1. Establish a veterinarian-client-patient relationship 2. Determine that the prescription drug is therapeutically indicated for the health and/or well-being of the animal(s).
Rule 573.41 is use of prescription drugs. What is considered a prescription drug by the Board?
1. All controlled substances in Schedules I through V 2. Legend drugs which bear the federal legends recognized as such by any law of the State of Texas or of the United States.
Rule 573.41 is use of prescription drugs. What is considered unprofessional conduct in the dispensing of prescription drugs in veterinary medicine?
To prescribe provide obtain order administer possess dispense give or deliver to or for any person prescription drugs that are NOT necessary or required for the medical care of animals or if they promote addiction.
Rule 573.42 is use of scheduled drugs in training and/or racing. When is the only time that administration of scheduled drugs for the above reason valid?
NEVER. Administration of scheduled drugs solely for training or racing purposes and not for a medically sound reason is a violation of the Veterinary Licensing Act.
Rule 573. 43 is misuse of DEA narcotics registration. With which agencies does a veterinarian have to be registered in order to be able to prescribe dispense deliver or order delivered a controlled substance?
1. Drug Enforcement Administration (DEA) 2. Texas Department of Public Safety (DPS)
Rule 573. 43 is misuse of DEA narcotics registration. Under which circumstances is the DEA requirement waived for an unregistered veterinarian (non-registrant)?
1. A registered veterinarian (registrant) supervises or employs the non-registrant. 2. The registrant knows that the non-registrant is dispensing and/or administering controlled substances in the usual course of duties. 3. Registrant has given written permission for the non-registrant to dispense/administer under the registrant's license. 4. Registrant has actual knowledge that the non-resident is currently registered with the Texas Department of Public Safety (DPS) and holds a current DPS controlled substances certificate.
Rule 573. 43 is misuse of DEA narcotics registration. True/False: If a veterinarian is not registered with the DEA he/she can still dispense and administer controlled substances.
TRUE
Rule 573. 43 is misuse of DEA narcotics registration. True/False: If a veterinarian is not registered with the DEA he/she can still pocure purchase or issue a prescription for a controlled substance provided he/she follow the guidelines of Rule 573.43 subsection (b).
False. No instance will allow a non-registrant to do this.
Rule 573.44 is compounding drugs. Under the portion policy preamble how does the Board recognize the need for compounding in a responsible manner?
1. Veterinarians require products to treat hundreds of conditions in more than 100 species with some having unique physiologic characteristics. 2. Only a fraction of the products available have FDA approval. 3. Veterinarians are required to relieve pain and suffering treat diseases/conditions and save animal lives in clinical situations in which there are no FDA-approved drugs to address the problem.
Rule 573.44 is compounding drugs. Under the portion policy preamble what does the board base it's guidelines on compounding?
FDA's Compliance Policy Guide (CPG) concerning compounding and illegal manufacturing of drugs. CAUTION: Federal/State drug laws can change. Rule 573.44 is adopted to enable veterinarians to compound drugs as long as it is not in conflict with federal/state drug laws/regulations.
Rule 573.44 is compounding drugs. What is the definition of a drug?
As defined in the Texas Food Drug and Cosmetic Act [Section 431.002(14)] Articles recognized in the official United States Pharmacopoeia National Formulary or any supplement to it articles designed or intended for use in the diagnosis cure mitigation treatment or prevention of disease in man or other animals articles other than food intended to affect the structure of any function of the body of man or other animals and articles intended for use as a component of any article specified in this subdivision. The term does not include devices or their components parts or accessories. A food for which a claim is made in accordance with 403(r) of the federal Act and for which the claim is approved y the secretary is not a drug solely because the label or labeling contains such a claim.
Rule 573.44 is compounding drugs. What is the definition of compounding?
Any manipulation to produce a dosage form drug (formulation of a drug for administration) except for that manipulation which is provided for in directions for use on the labeling of an approved drug product (e.g. reconstitution of a sterile powder with water for injection).
Rule 573.44 is compounding drugs. What is the definition of illegal manufacturing?
Any such manipulation that occurs outside the confines of a legitimate practice (e.g. where a veterinarian-client-patient relationship does not exist).
Rule 573.44 is compounding drugs. Under the portion of illegal manufacturing or unacceptable compounding prohibited what situations would be considered illegal manufacturing?
1. Preparation for sale of large quantities of unapproved new animal drugs on an ongoing basis and where no valid medical need or veterinary-client-patient relationship exists. 2. Promotion and/or distribution of compounded medicaments that are essentially similar to FDA-approved products. 3. Preparation for sale of unapproved new animal drugs which employ fanciful or trade names colorings or other additives or that in any way imply that the compounds have some unique effectiveness or composition. 4. Advertising promotion display resale or other means of marketing prepared unapproved new animal drugs. 5. Offering compounded medicaments to other state licensed veterinarians pharmacists or other commercial entities for resale.
Rule 573.44 is compounding drugs. Under the portion of acceptable compounding what are the guidelines set forth by the Board in making the decision to compound?
1. Determine whether the health of the animal would be threatened if treatment is withheld. If yes then the practitioner should determine if an appropriate dosage form drug is necessary and whether compounding is needed based on need to increase effectiveness decrease side effects or minimize need for restraint) 2. Consider if there is a market-approved drug dosage form to be used off label as well as a human-labeled drug that can be used in accordance with CPG. Either of these are preferred over compounded products due to concerns with purity potency and stability. 3. All of the previous alternatives need to be ruled out first before compounding.
Rule 573.44 is compounding drugs. What are the guidelines set forth by the Board once the decision to compound has been made?
1. Compounding can only be performed by the veterinarian or by a pharmacist on the receipt of a valid prescription from a veterinarian. It can only be done with a legitimate veterinary-client-patient relationship. 2. Judgement must be used by the veterinarian to determine if compounding requires a pharmacist as the complexity of the compounding may require assistance. 3. Safety and efficacy of the compounded drug is consistent with current standards of pharmaceutical and pharmacological practices (known problems are avoided and current good practices of preparation by state-licensed pharmacies are met) 4. The veterinarian is responsible for ensuring that no violative tissue residues have occurred. 5. Procedures are instituted to assure that appropriate patient records are maintained. 6. All drugs dispensed must be properly labeled.
Rule 573.44 is compounding drugs. How do compounded drugs need to be labeled?
1. Name and address of the attending veterinarian 2. Date dispensed and expiration date with expiration not exceeding length of treatment 3. Medically active ingredients 4. Identity of treated animals 5. Directions for use 6. Cautionary statements if needed 7. Withdrawal/withholding times if needed 8. Condition or disease to be treated
Rule 573.45 is extra-label or off-label use of drugs. What is the definition of extra-label or off-label use of drugs?
Actual or intended use of a drug in an animal that is not in accordance with the approved labeling.
Rule 573.45 is extra-label or off-label use of drugs. What is considered extra-label or off-label use of drugs according to the Board (keeping in mind that it is not limited to their guidelines)?
1. Use in species not listed in the labeling 2. Use for diseases or other conditions not listed in the labeling 3. Use at dosage levels frequencies or routes of administration other than those stated in the labeling 4. Deviation from the labeled withdrawal time based on these different uses
Rule 573.45 is extra-label or off-label use of drugs. Veterinarians must use their discretion in off-label usage of drugs. What are the guidelines set forth by the Board in considering extra-label use of drugs?
1. Whether the off-label use of a drug meets the community standard of humane care and treatment set out in Rule 573.22 2. Established safety of off-label usage 3. Inclusion of a drug in a standard veterinary formulary 4. Analyses of off-label usage in the veterinary medical literature and in articles and commentaries written by the veterinarian's peers in the veterinary medical profession 5. Information provided by the drug's manufacturer vendor or the FDA as to whether off-label usage of a drug may present a risk to public health 6. Any other sources of pertinent information
Rule 573.45 is extra-label or off-label use of drugs. What should the veterinarian do if the off-label use of a drug is not commonly accepted or used by average veterinarians in the community in which the veterinarian practices or if the off-label usage does not have an established safety record?
The veterinarian shall orally or in writing inform the client that the off-label usage is not commonly accepted or used in the veterinary community and that such usage could pose a risk to the health of the animal. If the notification is oral then it should be noted in the patient's record.