The Veterinary Medical Board in California held a crucial webinar on November 14, 2024, focusing on the pressing issue of drug diversion in veterinary practices. The meeting highlighted the alarming trend of \"vet shopping,\" where individuals seek prescriptions for controlled substances under false pretenses.

Participants discussed various red flags that veterinarians should watch for, such as new clients with vague histories, inconsistent clinical signs, and requests for specific medications. Other warning signs include aggressive behavior, early refill requests, and incomplete medical records. The board emphasized the importance of using the Controlled Substance Utilization Review and Evaluation System (CURES) to check the prescription history of suspicious clients.

The discussion also covered methods of drug diversion within veterinary practices. Unauthorized medication administration, inventory discrepancies, and improper documentation were identified as significant concerns. Staff behavior changes, such as unexplained wealth or excessive absences, can also indicate potential diversion.

The consequences of drug diversion are severe. They not only endanger the health of the individual involved but also pose risks to coworkers and the community. The board outlined several prevention strategies, including establishing clear policies, conducting regular audits, and fostering an environment that encourages reporting without fear of retaliation.

Two case studies were presented, showcasing the legal and financial repercussions faced by veterinary clinics due to violations related to controlled substances. One clinic in San Diego agreed to pay $125,000 for failing to maintain proper records and control over its inventory, while a Boston clinic faced similar allegations.

The board's meeting underscored the need for vigilance and proactive measures to combat drug diversion in veterinary medicine, ensuring the safety of both animals and the community.