Nov/Dec 2022

New Laws for 2023

January 10, 2023 | 12:30 PM–1:30 PM (1 CEU)

January 25, 2023 | 5:30 PM–6:30 PM (1 CEU)

For more information, see page 14. This webinar is complimentary for CVMA members!

CVMA Spring Seminar in Yosemite

March 3–5, 2023

12 CEUs for veterinarians, registered veterinary technicians, and CVMA CVAs

For more information, see page 15.

Sponsored by:

Pacific Veterinary Conference in Long Beach

June 9–12, 2023 | 28.5 CEUs

For more information, see page 28.

Sponsored by:

California Veterinarian

The Publication of the California Veterinary Medical Association

Publisher Dan Baxter

Managing Editor Kristen Calderon

Editor Taryn DeOilers

Classified Advertising Laura Phillips

Board of Governors

President Dr. Keith Rode

President-Elect Dr. Michael Karle

Member-at-Large Dr. Jennifer Hawkins

Members

Dr. Peter Bowie

Dr. Patrick Connolly

Dr. Misty Hirschbein

Dr. Adam Lauppe

Dr. Julia Lewis

Dr. Peter Mangold

Dr. Diane McClure

Dr. Teresa Morishita

Kristi Pawlowski, RVT

Dr. Kevin Terra

Dr. Peter Vogel

Dr. Jodi Woods

Treasurer Dr. George Bishop

Chair, House of Delegates Dr. Laura Weatherford

Student Representatives

University of California, Davis Mary “Molly” Hallsten

Western University Inez Rivero

CVMA Staff

Executive Director Dan Baxter

Assistant Executive Director Della Yee

Director of Communications Kristen Calderon

Director of Finance Kathy Van Booven

Director of Regulatory Affairs Dr. Grant Miller

Membership and Student Services Manager Laura Phillips

Publications Manager Taryn DeOilers

Accountant Shanna Allen

Accountant Bernice Evans

Communications and CE Coordinator Nicole Campos

Finance Coordinator Sharmele Browne

Graphic Designer Marissa Collier

Meetings and Events Coordinator Lily Briggs

Meetings and Events Coordinator Erica Ferrier

Membership Coordinator Jennifer Smith

Receptionist Mary Young

Display Advertising

Please contact Taryn DeOilers at 916.649.0599 ext. 16 or email tdeoilers@cvma.net.

Registration for all CVMA events can be made online by logging onto cvma.net, via the CVMA mobile app, or by calling 800.655.2862.

Tell us what you think!

California Veterinarian (ISSN 00081612) is published bi-monthly by the California Veterinary Medical Association, e-mail: staff@cvma.net. California Veterinarian is an official publication of the California Veterinary Medical Association. Annual subscription rates to non-members: $50 U.S., $60 Canada/Mexico, $70 overseas. Price per single copy: $10 current year, $12 back issues. Periodicals postage paid at Sacramento, CA and at additional mailing offices. POSTMASTER: Send address changes to California Veterinarian, 1400 River Park Dr., Suite 100, Sacramento, CA 95815-4505. Phone: 800.655.2862

The CVMA and California Veterinarian assume no responsibility for material contained in articles and advertisements published, nor does publication necessarily constitute endorsement by them. ©2022 CVMA

Want to comment on what the CVMA is doing or writing about? Send an email to comments@cvma.net or call 800.655.2862. Your thoughts and opinions matter to us. The CVMA is YOUR association! The CVMA is 7,800 voices strong. Let us hear your voice!

This year has been an interesting and impactful one on the legislative front. Proposed bills on myriad items—ranging from clinical cannabis recommendations to a “Dog and Cat Bill of Rights”—have come and gone, and in each instance the CVMA’s staff and lobbyists worked hand-in-glove with CVMA leadership to advocate on behalf of the veterinary profession. In this manner, 2022 was not unlike any other year…many bills, much analysis, and considerable time and effort devoted to communicating and advocating the CVMA’s position in the most effective way possible.

However, in one key aspect, 2022 has been a very different year, as it represents the last year on the job for the CVMA’s longtime lobbyist, Mike Dillon. For over four decades, Mike has devoted his outstanding representative efforts to the CVMA and veterinary medicine. Adequately conveying the impact that Mike has made to the veterinary profession in the context of a one-page column is a literally impossible task (and in this case, “literally” means “literally”), but suffice it to say that over the course of his career, Mike has helped the CVMA navigate hundreds of complex and contentious issues, and has been instrumental in shaping our profession into what it is today. While the CVMA “officially” celebrated Mike’s work at our joint Board of Governors and House of Delegates meeting in June, we would be remiss to not additionally acknowledge that work to the readers of California Veterinarian.

As the longest running registered lobbyist in California, Mike has known “everybody who is anybody” in Sacramento’s governmental circles, from the mail runners and appointment schedulers, to the legions of legislators who have walked the halls of the State Capitol, to governors ranging from Jerry Brown (first term!) to Gavin Newsom. With impressive consistency, Mike has cultivated strong, productive working relationships with a diverse community of legislators from both sides of the aisle, and helped to burnish the CVMA’s reputation not only as a rational, even-handed and truthful stakeholder, but a trustworthy and authoritative resource for legislators and legislative staff on issues impacting the profession. In that regard, legislative staff come to us for answers and input, which is a boast that many professional associations are not able to make. In short, the CVMA’s high standing at the Capitol is due in no small measure to the consistency and quality of Mike’s work, and that of his daughter and lobbying partner, Christina DiCaro, the latter of whom will continue to represent the CVMA going forward.

In that vein, one critical feature that has distinguished Mike’s work over the years is his respectful and, indeed, classy approach to lobbying. His “they go low, we go high” ethos has garnered Mike the attention, trust, and admiration of lawmakers, and has worked to get the CVMA’s foot in the door and make our voice heard on issues large and small. Mike has a knack for befriending people and managing discourse in a way that casts the veterinary profession in the best possible light, and Mike’s efforts in that regard have been essential to making the CVMA a “go-to” source of balanced and honest information on which lawmakers rely in shaping public policy. I could go on, but the physical limits of this column are rearing their head. So, let me conclude by simply saying: Thank you, Mike, for all that you have done, and may your retirement be as personally nourishing as your professional efforts have been for the CVMA and the practice of veterinary medicine…and, hit ‘em straight!

Dan Baxter, Executive Director

Telling Hard Truths

By Anne Chiruvolu, DVM

There are some nights I finish up at the hospital at 6:00 PM. My medical records written and patients discharged, I arrive home around suppertime. As I open the door I’m greeted by my children rushing to give me hugs and tell me about their days, and my dogs barking and wagging their whole bodies with joy. I’ll tell my kids about a cute puppy I vaccinated that day, or a tasty treat a client brought. And when the sun goes down I give them hugs and kisses as I tuck them into bed.

Tonight was not one of those nights. An urgent care visit for a cat who refused to eat turned very serious when I discovered she had lost half her body weight in a matter of months and diagnostics pointed toward neoplasia. Then a “recheck skin” appointment turned into a cardiac workup with a possible UTI, and another pet presenting for a Cytopoint injection wound up needing thoracic radiographs for a chronic cough and a long discussion on allergic skin disease and diet trials. Meanwhile, messages, lab results, and callbacks piled up and the technicians were rushing around trying to keep up with the diagnostics and treatments I was ordering. At 6:30 PM, instead of sitting down to dinner with my children, I sat with the owners of the hyporexic cat as they tearfully decided to humanely euthanize her. She was their first cat, and as we talked she purred softly on a blanket between us—painfully thin, dehydrated, and disheveled, but still a sweetheart. It was a difficult goodbye.

I never rush a euthanasia, and by the time they said their goodbyes and left with their keepsake pawprints I was ready to face the mountain of unfinished charts on my desk. When I finally arrived home, well after dark, my toddler was fast asleep, but my six-year-old was awake in bed and expecting an explanation. I told her there was a very sick kitty who needed my help. “Did she die?” she asked, never one to mince her words. I told her that she did. “Did you make her die?” she asked. “Yes, she was so sick that she couldn’t get better. So I gave her a special medicine to help her die peacefully.” She asked me how the medicine worked, and where the cat’s remains would go. We talked about it all. Then she asked me, “Will you tell me the truth about something, even if you don’t want to?”

I thought, suddenly, of the owners of that cat. In a way, they had asked the same of me, tearfully, looking for hope, looking for a way to save their companion who had

brought so much joy into their lives. And even though I didn’t want to, I did tell them the truth: that based on the diagnostics I had run and the history they had given me, their sweet cat was likely beyond saving. In fact, at work I am often telling the truth even when it hurts—when a pet presents for an annual exam and I find a worrying mass or heart murmur, or when I fear a recommended course of treatment may be beyond an owner’s financial means. The truth can be heart-wrenching to tell, but it’s my duty to tell it, both as a doctor and as a parent.

Snapping back into the moment, I responded to my daughter: “Yes, of course. What is it?”

She looked up at me with her small, serious face and asked, “Are you the tooth fairy?”

Upcoming Meetings

NOVEMBER 17

CVMF Board Meeting

DECEMBER 7

VISC Board Meeting

DECEMBER 8

VISC Strategic Planning Meeting

JANUARY 12

Inclusion and Diversity Committee Meeting

JANUARY 20

CVMA Board of Governors Meeting

JANUARY 21–22

CVMA Leadership Forum and Board of Governors/House of Delegates Meetings

FEBRUARY 12

RVT Committee Meeting

FEBRUARY 28

CVMA Finance Committee Meeting

MARCH 25

CVMA Board of Governors Meeting

JUNE 9, 2023

Joint Board of Governors/ House of Delegates Meeting

CVMA News Now

Happy Holidays from the CVMA!

2022 has proven to be yet another successful, fulfilling year at the CVMA. We are ever-thankful for the opportunity to support and strengthen the wonderful veterinary community and the animals they serve throughout the state. We wish all of our members and their loved ones a healthy and cheerful holiday season, and we look forward to another productive year in 2023!

Apply Now for the Don Low Fellowship

Applications for the 2023–2024 Don Low Fellowship are now being accepted! A collaborative effort between the CVMA and the UC Davis Veterinary Medical Teaching Hospital faculty, the Donald G. Low-CVMA Practitioner Fellowship is designed to meet California practitioner needs that are unavailable within residencies or other current programs. Practitioners will have the opportunity to learn alongside faculty, residents, and students in the clinical setting of the William R. Pritchard Veterinary Medical Teaching Hospital, and in other school programs, laboratories, and centers like the Veterinary Medical Teaching and Research Center. The deadline for applications is December 22, 2022. To apply, visit ce.vetmed.ucdavis.edu/fellows/don-low-fellowship.

New Name Tag Requirement

Starting January 1, 2023, select veterinary staff members will be required to wear nametags when interacting with the public. To assist in compliance with nametag printing needs, the CVMA is pleased to offer our members a 10% discount on a variety of printing services through The Castle Press. Members can also receive printing discounts on controlled substance security pads, regular prescription pads, letterhead, business cards, and more. To access this member benefit, log in to cvma.net and go to the Membership section, then select Member Benefits and Services. Make sure that you are staying compliant with this new requirement!

Advertise with the CVMA!

As the country’s largest state veterinary association, the CVMA provides a unique opportunity for your advertising message to reach thousands of veterinary professionals! We offer both print and digital advertising options, including the California Veterinarian magazine, which is sent out to all CVMA members and every veterinarian in California, and the CVMA’s two e-newsletters, which are also sent out to every CVMA member. For more information and to receive our 2022 Media Kit, please contact Taryn DeOilers at tdeoilers@cvma.net, or click Resources > Display Advertising Opportunities at cvma.net.

Award Categories

Nominate an Outstanding Colleague for the 2023 CVMA Awards!

Every year, the CVMA recognizes and awards veterinary professionals and animals who have shown extraordinary dedication to the veterinary profession and community. Do you know a colleague or individual who has gone the extra mile, perhaps taking time out of their busy schedule to mentor others, volunteer for a cause, or participate in organized veterinary medicine? Don’t let their efforts go unnoticed. Nominate them for a CVMA Award! In addition to receiving an award, winners will be recognized in the May/June issue of California Veterinarian and honored at next year’s CVMA Awards and Installation Ceremony.

Lifetime Achievement

This is the CVMA’s most prestigious award, recognizing a member of the CVMA who has made noteworthy contributions to the advancement of veterinary medicine. The award honors veterinarians who have demonstrated outstanding leadership in organized veterinary medicine or otherwise contributed significantly to veterinary medicine in California.

Distinguished Life Membership

Distinguished Life Membership is the CVMA’s highest membership category and is awarded to an individual who has significantly exceeded membership obligations through active participation in CVMA leadership. Nominees must have been a CVMA member for at least 25 years.

California Animal Hall of Fame

This award honors animals who exemplify the affection, loyalty, security, and value of the humananimal bond through unselfish and courageous accomplishments.

Outstanding RVT of the Year in Private Practice

This award honors RVTs in private practice who possess outstanding professional ability, taking into account educational achievements, individual contributions, professional affiliations, and special experience that sets these RVTs apart from others.

Linda Markland Outstanding RVT of the Year in Non-Private Practice

In 2012, this award was renamed to honor Linda Markland, who exemplifies the hallmarks of this award. The award recognizes RVTs in non-private practice who possess outstanding professional ability, considering educational achievements, individual contributions, professional affiliations, and special experience that sets these RVTs apart from others.

RVT’s Outstanding DVM of the Year in California

This honor emphasizes the importance of an educated, certified professional technical staff, and is awarded to a progressive veterinarian who utilizes their RVTs and staff to their fullest potential.

Meritorious Service Award

Nominees for this award can be an individual giving special attention to the human-animal bond, a special program or service offered by an organization, or a media publication that demonstrates a commitment to coverage of veterinary or animal-related stories.

Outstanding Service Award

This award honors those who have been excellent representatives of the profession through active community involvement and/or veterinary service, including participation in veterinary and/or nonveterinary groups and associations.

Additional descriptions of each award, nominating criteria, and nomination forms are available under the Membership tab at cvma.net. You may also contact the CVMA by calling 800.655.2862 or via email at staff@cvma.net for more information and nomination forms.

Deadline for nominations is January 6, 2023

I AM THE

Members are the heart of the CVMA

The best advice I’ve ever received is to keep a box of cards, pictures, and letters from clients to remind yourself of all the good you do. This way, when life and cases get you down, you can remember the joyful moments.

An area of veterinary medicine that I would like to explore is outreach and education in developing countries to help with companion and wildlife care, as well as sustainability practices within the scope of veterinary medicine to help lessen our impact on the environment.

My words of wisdom for new veterinary professionals are that we are part of a beautiful profession full of caring and talented individuals. Be proud to be part of that group. Take care of yourself physically and mentally. And most of all, enjoy the journey.

c Owner and founder of Oasis Veterinary Hospital

c Practice: General small animal practice with an emphasis on exotic companion mammals, reptiles, and amphibians

c UC Davis School of Veterinary Medicine

The most unusual patient I have cared for was either a ring-tailed lemur or a juvenile American alligator.

Something I do that my clients love is sitting on the floor with my patients. I like to meet them on their level.

If I could go anywhere, I would visit the Galapagos to see giant wild tortoises and Indonesia to see the Komodo dragon. Indonesia is also said to be one of the great destinations for scuba diving, which I enjoy.

I am a CVMA member because I want to support my state organization and be kept up-to-date on veterinary school happenings and legislative issues in our state.

Louisa Asseo, DVM, DABVP (Canine/Feline)

2022 Legislative Wrap-Up

September 30 marked the official end of the 2022 California legislative session as the governor completed his review of all legislation and either endorsed, vetoed, or allowed to pass over 900 bills that made their way to his desk—a fraction of the 5,122 bills introduced back in February. The CVMA legislative team worked on over two dozen bills that impacted the veterinary profession. While the majority of those bills did not survive the legislative process, several important bills made it across the finish line. Below is an update on some of the more significant bills that the CVMA followed this year.

AB 1885 (Kalra) Cannabis and cannabis products: animals: veterinary medicine

Status: Signed by the Governor

CVMA Position: Support

This bill will expand a veterinarian’s ability to communicate with clients about cannabis use in pets by making it lawful to recommend cannabis within the context of a valid veterinarianclient-patient relationship (VCPR) for all species except horses and livestock. The CVMA discussed concerns with lawmakers about the need for all veterinarians to be able to have complete conversations with clients about cannabis, but ultimately the bill was amended to only allow cannabis recommendations for select species. Additionally, the recommendation concession does not extend to veterinarians who are employed by or who have an agreement with a cannabis licensee.

The bill requires the Veterinary Medical Board (VMB) to adopt and post guidelines by January 1, 2024 for veterinarians to follow when recommending cannabis within an established VCPR. The bill also requires that cannabis products intended for animals comply with additional concentration and other regulatory standards adopted by the Bureau of Cannabis Control by no later than July 1, 2025, and prohibits the marketing or sale of those products before the regulations take effect.

AB 2606 (Carrillo): Cats: declawing procedures: prohibition

Status: Held in Committee

CVMA Position: Oppose

This bill was held in the Senate Business, Professions, and Economic Development Committee and will not progress this year. It would have restricted veterinarians from performing a declaw procedure on cats unless conducted for a “therapeutic” purpose.

The CVMA was opposed to this bill because it would have prohibited a veterinary medical procedure. While the CVMA generally discourages declawing as an elective procedure and supports non-surgical alternatives thereto, we work to preserve the profession’s right to govern itself and believe that veterinarians need to have the ability to make decisions that are best for clients and patients on a case-by-case basis.

AB 1881 (Santiago) Animal welfare: Dog and Cat Bill of Rights

Status: Held on Senate Floor

CVMA Position: Neutral, as amended

This bill requires public animal control agencies, animal shelters, and rescue groups in California to provide notice to the public— either by posting in public view or by information provided at the time of adoption—that dogs and cats deserve certain provisions and freedoms. Examples include “freedom from exploitation, cruelty, neglect, or abuse,” among others.

CVMA worked with the American Kennel Club, Animal Health Institute, and the author’s office to remove problematic language earlier in the Session. As such, CVMA was able to remove its “oppose” position and modify that position to “neutral.”

This bill did not garner enough votes to pass the Senate and is therefore dead for the year.

SB 1029 (Hurtado): One Health Program: zoonotic diseases

Status: Signed by the Governor

CVMA Position: Approve

CVMA supported SB 1029, which requires the California Department of Public Health, the California Department of Fish and Wildlife, and the California Department of Food and Agriculture to jointly establish and administer the One Health Program for the purpose of developing a framework for interagency coordination in responding to zoonotic diseases and reducing hazards to human and nonhuman animal health. The framework will be informed by consulting a stakeholder group, which may include schools within the University of California system, the California Veterinary Medical Board, the Medical Board of California, and other groups.

CVMA Legislative Action Center

For specific information on bills or to track CVMA-monitored bills through the legislative process, visit the CVMA’s online Legislative Action Center. CVMA members can login to the site for detailed information on each bill.

2022 LEGISLATIVE BILL CHART

AB 646 Low DCA: boards: expunged convictions

AB 1290 Lee Crimes: theft: animals

AB 1648 Maienschein Disaster preparedness: local government: animal natural disaster wildfire evacuation plan

AB 1781 Rubio Safe transportation of dogs and cats

AB 1881 Santiago Animal Welfare: Dog and Cat Bill of Rights

AB 1885 Kalra Cannabis and cannabis products: animals: veterinary medicine

AB 1901 Nazarian Dog training services: disclosure requirement

AB 2055 Low Controlled substances: CURES database

AB 2606 Carrillo Cats: declawing procedures: prohibition

AB 2723 Holden Animals: microchips

AB 2764 Nazarian Animals: commercial feeding

AB 2785 Friedman Emotional support animals — spot bill

AB 2932 Low/Garcia Workweek: hours and overtime

AB 2948 Cooper Consumer protection: DCA: complaints

SB 344 Hertzberg Homeless shelters grants: pets and veterinary services

SB 879 Wiener Toxicological testing on dogs and cats

SB 1009 Borgeas Division of community property: pet animals

SB 1029 Hurtado One Health program: zoonotic diseases

SB 1031 Ochoa-Bogh Healing arts boards: inactive license fees

SB 1310 Leyva Professions and vocations: consumer complaints

SB 1365 Jones Licensing boards: procedures

SB 1417 Borgeas Dogs: licenses: issuance

SB 1438 Roth Physical Therapy: Board of CA Sunset Review

SB 1462 Bradford Processed pet food: designation as human food

COVID Screening Requirements for Employers

By Grant Miller, DVM, CVMA Director of Regulatory Affairs

The Department of Industrial Relations Division of Occupational Safety and Health (Cal/OSHA) sets and enforces regulations pertaining to COVID-19 safety in the workplace. Among the extensive workplace safety provisions set forth in the law is the requirement for employers to provide free COVID testing for employees under the circumstances specified below.

Testing in Lieu of Face Covering

In the event that a face covering order is enacted by the California Department of Public Health (CDPH), employees must wear face coverings with few exceptions. Exceptions include employees working alone, employees eating or drinking while maintaining distances of at least six feet apart, employees with a medical condition that prevents them from wearing a face covering, or employees wearing a respirator. Employees who do not wear face coverings during an official order due to one or more of these exceptions must undergo routine COVID testing. California Code of Regulations, Title 8 (CCR8) section 3205(c)(6)(E) states that any employee not wearing a face covering must be COVID tested at least twice weekly during paid time at no cost to the employee.

Testing Provided for Employees with Symptoms

CCR8 section 3205(c)(7)(D) states that if an employee exhibits COVID-like symptoms, employers shall make testing available during paid work time at no cost to the employee. CCR8 section 3205(b)(5) defines symptoms as “fever of 100.4 degrees Fahrenheit or higher, chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, or diarrhea, unless a licensed health care professional determines the person’s symptoms were caused by a known condition other than COVID-19.”

Testing for Employees Exposed in Workplace ‘Outbreak’

CCR8 section 3205.1 defines an outbreak as three or more employee COVID cases in an exposed group within a 14-day period. In cases of a workplace outbreak, CCR8 section 3205.1(b)(1) states that “the employer shall make COVID-19 testing available at no cost to its employees within the exposed group, during employees’ paid time.” (Exceptions to this directive apply to employees who were not present at the workplace during the 14-day period and employees who have already completed an exclusion from work period and have not exhibited COVID-19 symptoms since returning to work.) The law requires employers to make testing available to employees in the exposed group immediately upon learning of the outbreak, and then again one week later. Following the initial two tests, employers shall make COVID-19 testing available once a week at no cost, during paid time, to all employees in the exposed group who remain at the workplace, or more frequently if recommended by the local health department, until no new cases are experienced by the exposed group within a 14-day period.

The CVMA is proud to announce a new member benefit! Through LetsGetChecked, CVMA members can access quick and reliable COVID-19 testing and a wide variety of other self-screening health tests. To learn more about this new benefit, please see the next page or visit cvma.net and go to the Membership section.

This article is for informational and general educational purposes only. It is not intended to take the place of legal advice nor should it be considered as a legal interpretation. Although significant effort has been made to ensure the accuracy and completeness of the information at the time of publication, the CVMA is not responsible for any errors or omissions, or any agency’s interpretation, application, or enforcement of the information presented herein.

LetsGetChecked

CVMA members can now access a 25% discount on 30+ home health tests. LetsGetChecked provides discreet and easy home sample collection with fast online results and follow-up virtual consultation and treatment options available (at an additional cost). Follow the simple instructions to collect your sample and return it using the prepaid shipping label provided. Get secure online results in two to five days and a follow-up call from the LetsGetChecked clinical team to discuss any abnormalities.

Tests include:

General Wellness: CoronaVirus* with RT-PCR/TMA lab analysis and 24-72 hour online test results, celiac, cholesterol, cortisol check, CRP, diabetes, and Lyme disease

Cancer Screening: Colon cancer and PSA

Female Fertility and Health: Female hormone, ovarian reserve, progesterone ovulation, bacterial vaginosis, PCOS, and vaginitis test (BV, CV, TV)

Male Hormone: Basic, Advanced, Plus, and Complete

Sexual Health: Complete 10, Hepatitis B&C, Herpes1&2, Simple 2, and Standard 5

Thyroid: Thyroid check and thyroid plus

Vitamin and Mineral: Essential vitamin, micronutrient test, mineral test, vitamin B12, and vitamin D

*20% discount

CVMA members can access this discount by following these easy steps:

1. Log into cvma.net

2. Under the Membership tab and under Benefits: Member-only Access, click Personal Wellness

3. Scroll down to LetsGetChecked, click on the link, and use the provided promo codes

Online Seminars

New Laws for 2023

Dan Baxter, CVMA Executive Director

Grant Miller, DVM, CVMA Director of Regulatory Affairs

January 10, 2023 12:30pm–1:30pm (1 CEU)

January 25, 2023 5:30pm–6:30pm (1 CEU)

With several new laws taking effect in 2023, it is important for veterinary practices to have a clear view of the legal landscape to ensure continuing compliance. This talk will cover new and important laws that all employers and employees should be aware of moving forward. The course qualifies as continuing education credit for the purpose of California veterinarian and registered veterinary technician license renewal.

This course is complimentary to all CVMA members.

CVMA Online Seminars are a quick, easy way to fit CE into your busy schedule wherever you have a highspeed internet connection. The CVMA offers most interactive webinars on two different dates and times, allowing you to pick the presentation that works best for you so that you don’t miss out on valuable CE! Register online by visiting the Learning tab at cvma.net, on the CVMA mobile app, or by phone at 800.655.2862.

SPRING SEMINAR C

March 3–5, 2023 • Tenaya Lodge at Yosemite

The CVMA invites veterinarians, registered veterinary technicians, and CVMA CVAs to join us at the CVMA’s popular Spring Seminar in one of the most beautiful locations in the world!

Earn up to 12 CEUs while surrounded by towering ancient sequoias, breathtaking vistas, and one-of-a-kind granite cliffs. This is a unique opportunity to earn CE offered by exemplary veterinary speakers and take a much-needed vacation in the beauty of nature—all at the same time!

For the first time ever, the CVMA Spring Seminar is open to all veterinary staff members. Come see what the fuss is about!

CONFERENCE VENUE

The Tenaya Lodge at Yosemite

1122 Highway 41

Fish Camp, California 93623

Take your pick from a variety of beautiful rooms starting at a special Spring Seminar rate of $179 per night with a discounted resort fee of $10 per night.

Infectious Diseases

Jane Sykes, BVSc (Hons), Ph.D., MBA, DACVIM (SAIM)

• Interpretation of Diagnostic Tests for Infectious Diseases

• Antimicrobial Use Guidelines: Why, When, and How Much*

• Pathogen Soup: Update on Canine Infectious Respiratory Disease

• A Shifting Spirochetosis: Renewed Approaches to Leptospirosis

• Frustrating Fungi: Update on Diagnosis and Treatment of Deep Mycoses

• Pets, SARS-CoV-2, and COVID-19: What All Veterinarians Need to Know

Immune-Mediated Diseases

Dana LeVine, DVM, Ph.D., DACVIM (SAIM) Austin Viall, DVM, MS, DACVP

• Diagnostic Dilemmas in Canine Immune-Mediated Hemolytic Anemia

• Immune-Mediated Hemolytic Anemia—Treatment Time!

• Highlights of the 2022 ACVIM Consensus Statement on the Diagnosis and Treatment of Immune Thrombocytopenia in Dogs and Cats

• Hemostatic Hurdles

Hurry! The CVMA Spring Seminar sells out every year, and spots are limited. Unable to join us in-person? For the first time, the Spring Seminar will also be offered in a live and interactive online format!

*This course satisfies the one hour of California CE requirement on the judicious use of medically important antimicrobial drugs.

Veterinary Medical Board (VMB) Report

The California Veterinary Medical Board (VMB) and its Multidisciplinary Advisory Committee (MDC) convened on October 19–20, 2022 at the VMB’s Sacramento offices. CVMA Executive Director Dan Baxter, Director of Regulatory Affairs Dr. Grant Miller, and registered veterinary technician (RVT) liaison Nicole Dickerson attended the meetings on behalf of the CVMA. The following items were discussed:

VMB REPORT

The VMB elected Dr. Christina Bradbury as its next president. Dr. Bradbury is board-certified in internal medicine and works in private practice in Northern California. The VMB also elected Dr. Maria Solacito as the next VMB vice president. Dr. Solacito is the senior shelter veterinarian for the Los Angeles County Department of Animal Care and Control. Dr. Bradbury and Dr. Solacito’s terms will commence on January 1, 2023.

The VMB discussed a rulemaking package for RVTs that includes provisions for tasks that can be completed by students during the course of their education as well as numerous revisions to the RVT alternate route regulations. The VMB extensively debated the proposed language and ultimately split the rulemaking package so that part of it will be returned to the MDC for more analysis and revision, while the remainder will move forward in the rulemaking process.

The VMB also voted to amend a proposed regulation on expanded citation and fine authority for the VMB’s Executive Officer. The VMB agreed with the CVMA’s request for amendments to clarifying the limits of the Executive Officer’s authority to issue citations and fines;

specifically, the VMB decided that the regulation should be amended to limit the most common category of citation and fines to acts “substantially related” to the practice of veterinary medicine. This proposed amendment will now proceed to review by the Office of Administrative Law and eventual public comment.

The VMB intends to introduce several legislative measures in 2022. They potentially include:

• Removing section 4836.2(c) from the California Business and Professions Code to eliminate ambiguity with a conflicting code section relating to Veterinary Assistant Controlled Substance Permits

• Amending California Business and Professions Code section 4846(b) to better clarify license verification requirements for applicants who currently hold licenses in other states

• Amending California Business and Professions Code section 4861 to revise the VMB Wellness Evaluation Committee’s participant requirements to allow for more flexibility in obtaining volunteers

MDC REPORT

The MDC appointed Leah Shufelt, RVT as the incoming committee chair and Dr. Richard Sullivan as the next vice chair. These terms will also commence on January 1, 2023.

The MDC made extensive revisions to the proposed veterinary compounding regulations. These regulations were instituted earlier this year but immediately required revisions due to feedback from licensees. The revisions made during this meeting mainly involved policies, procedures, record keeping, and labeling of drugs

compounded in veterinary premises. The regulatory package with proposed amendments will now be reviewed by the VMB’s members for approval.

A drug compounding guidance document is currently under development, which is intended to be made available to licensees to assist in regulatory compliance. The guidance document—which will also be submitted to the VMB for review—contains sample forms to document compounded drug formulations.

The next MDC/ VMB meetings are scheduled to take place in Sacramento and online on January 24–26, 2023.

New Laws for 2023

During the 2022 legislative session, California lawmakers passed several laws that will significantly impact the veterinary profession and the workplace. Below is a brief summary of some of the most impactful laws.

AB 1885 (Kalra) Cannabis and cannabis products: animals: veterinary medicine

This new law permits veterinarians to recommend cannabis within the context of a valid veterinarian-client-patient relationship (VCPR) for all species except horses and livestock. This authorization does not apply to situations in which the veterinarian is employed by or has a financial agreement with a cannabis licensee. The bill requires the Veterinary Medical Board (VMB) to adopt and post cannabis recommendation guidelines by January 1, 2024, and for the Bureau of Cannabis Control to adopt animal cannabis regulations no later than July 1, 2025. For more information about this bill, see the Legislative Wrap-Up on page 10.

SB 1162 (Limón) Employment: Salaries and Wages

This new law requires all employers to provide pay scale information to current employees for their job positions and to job applicants upon request. For employers with 15 or more employees, the pay scale information must automatically be posted for open job positions for hire. It also requires employers to maintain records of job titles and wage rate histories for each employee for the duration of their employment plus three years after the end of employment.

AB 1949 (Low) Employees: bereavement leave

This new law makes bereavement leave a protected leave of absence for all public employers and for private employers with five or more employees. Employees may take up to five days of bereavement leave upon the death of a family member, including a spouse, child, parent, sibling, grandparent, grandchild, domestic partner, or

parent-in-law. Bereavement leave may be unpaid, but employees can use their existing available leave (e.g., vacation, paid time off, sick leave, etc.). Employers can require documentation to support the leave, and the leave must be completed within three months of the family member’s death.

AB 1041 (Wicks) Employment: leave

This new law expands for whom an employee can take leave to care under both the California Family Rights Act (CFRA) and California’s paid sick leave law. It specifies that employees can take CFRA leave or paid sick leave to care for a “designated person.” In both instances, an employer may limit an employee to one designated person per 12-month period.

AB 2188 (Quirk) Discrimination in employment: use of cannabis

This new law prohibits employers from discriminating against a person in hiring, firing, or any term or condition of employment based on (1) cannabis use off the job and away from the workplace, or (2) the results of an employerrequired drug screening test that detects non-psychoactive cannabis metabolites in an employee’s hair, urine, blood, or other bodily fluids. AB 2188 specifically allows employers to prohibit employees from possessing, being impaired by, or using marijuana while on the job and to make employment decisions based on “pre-employment drug screening conducted through methods that do not screen for nonpsychoactive cannabis metabolites.”

AB 2693 (Reyes) COVID-19: exposure

This new law extends current COVID-19 workplace exposure notification requirements by employers to employees to January 1, 2024. The law now also permits employee notification to be in the form of a specified workplace posting.

A Lens into Diversity, Equity, and Inclusion in the Veterinary Profession

Access to Care in Action: DEI Principles Used to Break Down Barriers to Care

By Kristin Jankowski, VMD, CCRP

The line at the Knights Landing One Health Clinic check-in table is five-folks deep. Maria* and her dog Trixie are next in line. Maria explains she’s been trying to get into our clinic for several months with Trixie but has been unsuccessful, so she thought she would try to see if she could walk in. She’s desperate to get Trixie spayed before she has any more heat cycles or unwanted pregnancies. One hour later, Trixie’s medical team—made up of a DVM student, a pre-vet student, and a volunteer veterinarian—worked to provide a full physical exam, collect and run a tableside heartworm test, administer Trixie’s rabies, leptospirosis, and distemper, adenovirus, and parvovirus vaccines, and send her home with parasite preventatives.

While the veterinary team was working with Maria and Trixie, Maria’s young son joined the group at the exam table. Conversations started up with the nursing student, who was also part of the care team. While Maria waited for Trixie’s heartworm medication and flea and tick preventatives to be filled, she mentioned to the nursing team that her son has early onset hypertension and she has not been able to acquire a blood pressure cuff his size to help monitor his medical

condition at home. The nursing team has cuffs to share, so they fit him with an appropriately sized cuff and explain to Maria how to use it at home. Before leaving for the day, Maria gets Trixie on the spay/neuter list through UC Davis’ Community Surgery service, and the veterinary students go over that process. They explain that they will happily shuttle Trixie back and forth from Knights Landing to the William R. Pritchard Veterinary Medical Teaching Hospital (VMTH) for her big day.

All of this happened before 10:00 AM on a hot Sunday morning in the rural town of Knights Landing, California. The team of veterinary and nursing students set up the makeshift medical clinic in a hunting lodge in the center of this small town. Knights Landing is located in a veterinary care desert, where there are no veterinarians or human medical clinics in town and only one bus—which doesn’t allow pets—runs per day to the neighboring town of Woodland. That means no access to health care for families who don’t own a car. One solution: a team of over 60 students from UC Davis School of Veterinary Medicine prepares for weeks, trucks in supplies, partners with undergraduates who can translate, and sets up in all sorts of weather

to help this community. Corporate partners and philanthropists also chip in to donate supplies and provide financial support. The Betty Irene Moore School of Nursing collaborates to provide human health services, and the UC Davis School of Medicine also supports the mission with a human health clinic five blocks down the road. The goal is to break down barriers to care and empower families to have choices about their own medical care and care options for their pet—to listen, share information, and create a warm and inclusive environment for health care for the whole family, no matter their primary language, immigration status, skin color, or financial situation.

This case is one of hundreds of which I’ve been lucky enough to be a part since starting a One Health Clinic in Delaware in 2017. The Delaware clinic was also created in a care desert, but it was in an urban location where clients also faced many barriers to care. In fact, I modeled One Health Delaware off of Knights Landing One Health Clinic when I discovered Knights Landing during my research and development process.

Perhaps you’ve read several articles about Diversity, Equity, and Inclusion (DEI), or you’ve become more aware

of the variety of barriers to care by reading Dr. Michael Blackwell’s most recent article in the California Veterinarian, but this is what Access to Care really looks like in action. The Centers for Disease Control and Prevention (CDC) state that “differences in social determinants of health contribute to the stark and persistent chronic disease disparities in the United States among racial, ethnic, and socioeconomic groups, systematically limiting opportunities for members of some groups to be healthy” (Braveman 2011, 2014). Awareness of this social justice issue in human medicine and how that

translates to veterinary medicine is an important connection, especially when PetSmart Charities estimates that 50 million pets in the U.S. do not receive veterinary care due to a variety of barriers to care.

It’s exciting that creative solutions are out there and both DEI and Access to Care principles are receiving local, regional, and national attention. Collaborations are growing across human and veterinary health educators as well as corporate partners, sheltering organizations, and public policy makers. I encourage you to take a small step to explore this amazing

field in our profession, push out of your comfort zone with study and self-reflection related to DEI and implicit bias, then jump in where you can. All of the outreach clinics at UC Davis need volunteer veterinarians and technicians. We welcome new graduates, seasoned practitioners, and everyone in between. Come for an hour or stay the whole day and enjoy the opportunity to renew your passion for helping others in need. If you’re interested, please feel free to contact me at kkjankowski@ucdavis.edu.

*All names have been changed for privacy purposes.

is a Health Sciences Assistant Clinical Professor of Small Animal Community Practice and the Access to Care Service Chief at UC Davis Veterinary Medical Teaching Hospital. She is also an affiliated faculty member of the UC Davis One Health Institute, the Faculty Director for the Knights Landing One Health Clinic, and a Faculty Co-Leader for Davis Pet Advocacy and Wellness Clinic. She graduated in 1994 with her DVM degree from the University of Pennsylvania School of Veterinary Medicine, completed her certification in canine rehabilitation through the University of Tennessee in 2014, and completed the Purdue University certificate program for Diversity and Inclusion in Veterinary Medicine in 2021.

Kristin Jankowski,

VMD, CCRP

CVMA 2022 ECONOMIC SURVEY REPORT—PART 1

The CVMA’s Economic Task Force was convened to study and report on economic trends facing the veterinary industry in California, particularly how they impact veterinarians (DVMs*) and registered veterinary technicians (RVTs). The Task Force first partnered with EMC Research in 2013 to conduct an online survey of California veterinary professionals and has conducted surveys every three years since to follow trends in the industry over time.

The fourth iteration of the survey was conducted in July and August of 2022 and received 1,333 total responses, including 923 responses from DVMs and 410 responses from RVTs. Responses from DVMs can be compared to the 2019, 2016, and

2013 studies conducted by EMC Research and the CVMA’s Economic Task Force, and responses from RVTs can be compared to the 2019 and 2016 studies.

These survey results, which are especially valuable as the first survey conducted since the onset of COVID-19, offer unique insights into California’s veterinary industry ranging from a detailed demographic overview of the population of DVMs and RVTs in California, to perspectives about hiring challenges and economic conditions. Detailed findings from the survey will appear in the next two issues of California Veterinarian. The complete executive summary of findings will be published in January 2023 on cvma.net.

This survey was administered and aggregated by EMC Research.

KEY FINDING:

DVMs and RVTs Report Higher Salaries, but Struggle with Hiring

In some ways, economic conditions have continued to improve compared to previous surveys. Practice owners surveyed reported higher gross revenue since 2019, and both DVMs and RVTs report higher salaries. More DVMs and RVTs also reported being provided benefits like vision insurance, dental insurance, or a 401(k) plan.

Despite these improvements in salary and benefits, the postCOVID hiring struggle reported in other industries appears to have become pervasive in the veterinary industry as well: more DVMs and RVTs than ever say their practice has had difficulty finding an adequate number of candidates for open positions.

Note on percentages: Due to rounding, percentages may not add up to exactly 100%.

*As used herein, “DVM” is shorthand for licensed veterinarians, recognizing that different schools use different designations for their veterinary degrees.

Profile of DVM Survey Respondents

The 2022 survey represents a similar profile of DVM respondents from previous years, with small animal practices still making up nearly nine-inten respondents. This year’s respondents had the opportunity to indicate if they maintain a shelter-focused practice, with 3% of DVMs reporting a shelter practice. Half of all DVM respondents are employed as associates.

Age and Gender Among DVMs

Respondents were slightly older in 2022 than in previous years, with respondents under 40 making up 27% of this year’s survey compared to those under 40 making up 37% of respondents in 2019. Respondents 40 and over made up 72% of respondents this year compared to 62% percent in 2019, marking a continued trend: from 2016 to 2022, the percentage of respondents over 40 has increased 16 points from 56% to 72%. The gender breakdown of DVMs is consistent with previous years, with women making up 70% of respondents in 2022 compared to 70% in 2019.

Profile of RVT Survey Respondents

Similar to the DVMs, RVTs overwhelmingly reported (at a rate of 83%) that they work at a practice that primarily cares for small animals, though this percentage was down slightly from 2019 (91%). RVTs were also given the opportunity to report working at a shelter, and a slightly higher percentage of RVTs (7%) than DVMs (3%) reported working at a shelter-focused practice. The percentage of RVTs reporting they work full time (82%) or part time (18%) has remained stable since 2019.

Gender Among RVTs

The gender breakdown among RVTs is identical to 2019. Ninety-two percent of RVTs surveyed are women, and 6% are men. As with DVMs, the RVT population was slightly older in the 2022 survey than in previous years. Forty-six percent of RVTs surveyed are under the age of 30—down from 18% in 2019—while the number of RVTs over 40 has increased to 51% from 41% in 2019.

Age Among RVTs

This shift marks a trend since the CVMA Economic Task Force’s first survey of RVTs with EMC Research in 2016, with the number of RVTs under 30 surveyed nearly halved from 2016 (23%) to 2022 (11%). Following this trend, the RVT workforce surveyed is more experienced than in years past. Only 24% of RVTs surveyed have been in the profession for fewer than five years, down from 30% in 2019 and almost halved from 2016, while a third now say they have been in practice for 11-20 years, up from 23% in 2019 and almost double the inaugural RVT survey in 2016.

Gross Annual Revenue Among DVM Owners Profitability Over Time Among DVM Owners

Practice owners were asked to report the gross annual revenue for all locations of their practice in 2021. Consistent with previous surveys, the percentage of owners reporting less than $800,000 in revenue continues to decrease, dropping to 26% in 2022 from 34% in 2019, and down from 40% in the initial DVM survey in 2013. The share of owners reporting more than $2 million in annual revenue is up to 33% in 2022, from 26% in 2019. A small plurality of owners—37%—reported $800,000 to $2 million in revenue in 2022, which remains the most stable practice revenue range over the history of the survey.

Nearly two-thirds of practice owners (63%) reported that their practice’s profitability has increased over the last two years, a slight increase since 2019, showing continued increases over time—the number of owners reporting increased profits has almost doubled over the nine years since the first CVMA Economic Task Force survey among DVMs in 2013.

DVM Non-Owner Salary

DVM Owner Salary

RVT Salary

The increase in revenue appears to be accompanied by an increase in salaries across the board among both owner and non-owner DVMs. The percentage of non-owner DVMs who reported earning $80,000 per year or less has steadily decreased since the 2013 survey, and for the first time since the start of the survey, a plurality of non-owner DVMs (35%) now report making more than $160,000 per year, more than double the 15% who reported this income range in 2019.

DVM owners also report increasing salaries. As with non-owners, the lowest percentage of owner DVMs to date (8%) reported making less than $80,000 per year, while a plurality reported making $200,000 or more since 2019 (27% reporting in 2019), a number that has jumped to 40% DVM owners in 2022.

RVT salaries have also improved somewhat since the 2019 survey, though the most common range reported remains consistent with 39% of RVTs reporting an annual salary of $41,000 to $60,000 (similar to 38% in 2019, and 36% in 2016). However, 18% now report making between $61,000 and $80,000 (compared to 10% in 2019) and the number of RVTs reporting salaries over $80,000 has doubled from 4% in 2019 to 8% in 2022.

While half of DVMs reported that their practice had hired a DVM in the last twelve months, that number is down slightly from 56% of DVMs who reported such a hiring in the last twelve months in 2019. The likelihood that respondents’ practices would hire a DVM in the next twelve months remains fairly stable, however, with 52% saying yes in 2022 compared to 50% saying yes in 2019.

Yes, I have hired a DVM within the past 12 months.

Yes, I am likely to hire a DVM within the next 12 months.

Hiring of RVTs in the Past 12 Months

Likelihood to Hire an RVT in the Next 12 Months

Yes, I have hired an RVT within the past 12 months.

Yes, I am likely to hire an RVT within the next 12 months.

RVT hiring has remained more consistent. Three-quarters (77%) of surveyed RVTs say that their practice has hired RVTs in the last twelve months, identical to the percentage reported in 2019. The number of RVTs who say their practice is likely to hire an RVT in the next twelve months has also increased slightly, up to 74% in 2022 from 69% in 2019.

ATTITUDES TOWARD HIRING

Attitudes Toward Hiring Among DVMs

In recent hiring decisions, our practice has had difficulty finding an adequate number of qualified candidates interested in our open positions.

In recent hiring decisions, our practice has had difficulty finding an adequate number of qualified candidates interested in our open positions.

Despite the hiring statistics reported above, more DVMs and RVTs than ever are also reporting that it is difficult to find candidates for open positions. We first began asking about hiring attitudes in 2019, and RVTs have consistently reported more difficulty hiring than DVMs. The percentage of DVMs reporting difficulty finding candidates for open roles has increased 11% since 2019, from 73% to 84%, while nearly nine-in-ten RVTs now report difficulty finding candidates for open roles, up from 81% in 2019.

Attitudes Toward Hiring Among RVTs

Optimism about both the industry at large and the ability to make a good living in the industry has shifted since our previous survey in 2019. While DVMs overwhelmingly remain confident in their ability to make a good living in the veterinary field (77% in 2022, improved from 71% in 2019), they are less optimistic about the industry as a whole. While half of surveyed DVMs reported feeling optimistic in 2019, roughly four-in-ten DVMs reported feeling optimistic in 2022. RVTs are less confident both in their ability to make a good living—down to 23% in 2022 from 29% in 2019—and their optimism about the industry as a whole is in line with DVMs, down to 41% in 2022 from 54% in 2019.

Attitudes Toward Veterinarian Jobs in California (Among DVMs)

I am optimistic about the future of the veterinary profession.

I am confident I will be able to make a good living in the veterinary profession.

Attitudes Toward RVT Jobs in California (Among RVTs)

I am optimistic about the future of the registered veterinary technician profession.

I am confident I will be able to make a good living in the veterinary profession.

Keynote Presentation

Kwane Stewart, DVM

The Power of Giving Back: How WE Hold This Unique Gift!

SPONSORED BY:

Small Animal Surgery

Ingrid Balsa, MEd, DVM, DACVS-SA

Topic: Soft Tissue Surgery/ Minimally Invasive Surgery

Michael Jaffe, DVM, MS, CCRP, DACVS

Topic: Rehabilitation

Anna Massie, DVM, DACVS-SA

Topic: Orthopedic Surgery

Diversity, Equity, and Inclusion

Suzie Kovacs, MsC, Ph.D.

Topic: Diversity, Equity, and Inclusion

Hobby Animal

Andrea Mongini, DVM, MS (Nutrition)

Topic: Small Ruminants

Shelter Medicine

Cynthia Delany, DVM, KPA-CTP, FFCP

Topic: Behavior/Training Bootcamp

Cristie Kamiya, DVM, MBA

Topic: ASV Guidelines/

Updates, Spay Neuter Tips, Access to Care

BY:

Small Animal Medicine

Kenneth Abrams, DVM, DACVO

Topic: Ophthalmology

Dawn Boothe, DVM, MS, Ph.D., DACVIM, DACVCP

Topic: Pharmacology

JD Foster, VMD, DACVIM (SAIM)

Topic: Nephrology/Urology

John Rush, MS, DVM, DACVIM, DACVECC

Topic: Cardiology

Katie Tolbert, DVM, Ph.D., DACVIM (SAIM)

Topic: Gastroenterology

Andrew Woolcock, DVM, DACVIM (SAIM)

Topic: Immune-Mediated Diseases

Speaker 7

TBA

Topic: TBA

Speaker 8

TBA

Topic: TBA

Avian/Exotics

Heather Barron, DVM, DABVP (Avian)

Topic: Avian

Angela Lennox, DVM, DABVP-Avian, ECM, DECZM-Small Mammal Topic: Small Mammals

Teresa Morishita, DVM, Ph.D., DACPV Topic: Poultry, Game Birds, and Waterfowl

Wellness

Alex Miller, VMD, MS, CCFP

Topic: Walk the Walk: WellBeing and Fulfillment Through Knowledge and Action

Equine

Speakers TBD

Practice Management

Louise Dunn, CEO, Snowgoose Veterinary Management Consulting

Topic: HR and Finance

Jason Eldred, Wilke Fleury LLP

Topic: Meal and Rest Breaks

Jizell Lopez, Wilke Fleury LLP

Topic: Medical Leaves

Stephen Marmaduke, Wilke Fleury LLP

Topic: Cannabis –Current Law

Monica Perry Dixon, CVPM

Topic: Communications, Team Motivation, Recruitment, and Inventory

Robert Sanchez, CEO, Digital Empathy

Topic: Marketing and Building Client Relationships

Technician

Sandy Gregory, RVT, MEd, VTS (Physical Rehabilitation), CCRA

Topic: Physical Rehabilitation

Vicky Ograin, MBA, RVT, VTS (Nutrition)

Topic: Nutrition

Liza Rudolph, BAS, RVT, VTS (CP-CF) (SAIM)

Topic: General Practice

Courtney Waxman, MS, CVT, RVT, VTS (ECC)

Topic: Emergency Critical Care – Recover

Integrative Medicine

Trina Hazzah, DVM, DACVIM (Oncology), CVCH

Topic: Cannabis and Cancer

Sponsored Symposia

OMNI PRACTICE GROUP SYMPOSIUM

Rodney Johnston, MBA, CMA

Topic: Practice Transition

SPONSORED

VISC CareCredit Boehringer Ingelheim

YThank ou

TO OUR CONFERENCE SPONSORS!

Vet Expo 2023 Early Registered Exhibitors as of October 21, 2022

Our exhibitors are trusted industry partners who generously support the conference. Their contributions lower conference costs, which are savings passed onto our attendees. Be sure to visit their booths at the Vet Expo and check out their websites at PacVet.net.

Advanced Monitors

American Regent Animal Health

AmeriVet Veterinary Partners

Avid Identification System, Inc.

Banfield Pet Hospital

Bank of America Practice Solutions

BCP Veterinary Pharmacy

Blue Natural Veterinary Diet

Boehinger Ingelheim Animal Health

California Veterinary Medical Association

California Veterinary Medical Foundation

California Veterinary Medical Reserve Corps

Capstone Financial Group

CareCredit

Doctor Multimedia

Dragon Veterinary Canada Ltd

Edge Life Technologies, LLC

Elanco Animal Health

Epicur Pharma

Esaote North America

ezyVet

GlobalVetLink

Golden Pet RX

Hill’s Pet Nutrition

JustFoodForDogs

KARL STORZ Veterinary Endoscopy

Lap of Love Veterinary Hospice

Live Oak Bank

Medical Illumination

Medical Pet Shirts International

Merck Animal Health

MiDOG LLC

Mixlab

Multi Radiance

MWI Animal Health

Nutramax Laboratories Veterinary Sciences, Inc.

Omni Practice Group

Pacific Professionals, Inc.

Pawlicy Advisor

PawPals

Pawprint Oxygen

PetVet Care Centers

Radiocat

rauhaus freedenfeld & associates (rfa)

Roo

Rose Micro Solutions

Samsung Veterinary Ultrasound

Sedecal USA, Inc

Simmons & Associates Pacific, Inc.

Solutions by Design, Inc.

Standard Process Inc.

Talkatoo

Tuttnauer USA

Universal Imaging

Veterinary Emergency Group

Veterinary Insurance Services Company (VISC)

Victor Medical Company

ViziSites

WEAVE

Wedgewood Pharmacy

West Coast Pet Memorial

Western Veterinary Partners

Zomedica

Long Beach CE IN A VACATION DESTINATION!

Time to learn—time to play

Long Beach is a waterfront playground with 11 miles of beach and something for everyone. Ride the waves, lounge in the sand, have a deep-sea adventure at the Aquarium of the Pacific, take a whale-watching excursion, enjoy some retail therapy, or tour the vibrant foodie scene. The options are endless!

Con erence Highlights

Over 200 sessions in 15 tracks

Labs and Symposia

Two-Day Vet Expo

Discover the latest veterinary products and services and enjoy lunch on us!

CVMA Awards and Installation

Ceremony and President’s Reception

Celebrate the achievements of your colleagues and join us in welcoming the 2023–2024 CVMA President, Dr. Michael Karle.

Alumni Receptions

Catch up with UC Davis and WesternU alumni over appetizers and a no-host bar.

Technician Fair

RVTs and veterinary assistants can visit with industry partners and NAVTA-approved academics and societies while enjoying appetizers, a no-host bar, and raffles.

Rabies Titer Testing

Phlebotomists will be onsite to collect serum samples from previously immunized veterinarians and their staff.

Raffles, Raffles, Raffles

Don’t miss your chance to win valuable prizes!

Continental Breakfast Served Daily

Student Posters

UC Davis and WesternU students will share their poster presentations and answer questions about their exciting research.

Keynote Presentation

Kwane Stewart, DVM

The Power of Giving Back: How WE Hold This Unique Gift!

SPONSORED BY:

CONFERENCE HOTEL AND VENUE

The Pacific Veterinary Conference will be held at the Long Beach Convention Center. Conveniently located in the heart of downtown Long Beach, the Convention Center is within walking distance of attractions like the Pike at Rainbow Harbor, the Aquarium of the Pacific, beaches, fine dining, shopping, and much more!

Airports

• Long Beach Airport lgb.org

• Los Angeles International Airport flylax.com

• John Wayne Airport Orange County

ocair.com

Rental Cars

Visit PacVet.net for CVMA member car rental discounts for:

• AVIS

• Budget

Ridesharing

Available in this area:

• Uber

• Lyft

Venue

Long Beach Convention Center

100 South Pine Avenue

Long Beach, CA 90802

Host Hotel

Hyatt Regency Long Beach 200 South Pine Avenue | Long Beach, CA 90802 Phone: 562.491.1234 | Reservations: 877.803.7534

Online Hotel Reservations

Visit PacVet.net to make your hotel accommodations.

Discounted * Room Rate $239 per night plus tax, until May 22, 2023

*Discounted rate available until the deadline or until the block fills up—whichever comes first

FOR THE 2023 PACIFIC VETERINARY CONFERENCE

THREE WAYS TO REGISTER

FULL CONFERENCE REGISTRATION

Full conference registration for veterinarians, practice managers, veterinary technicians, and veterinary staff includes:

• CE sessions

• Vet Expo admission

• Continental breakfast (all four days)

• Complimentary lunches and breaks in the Vet Expo (Saturday and Sunday)

• Coffee breaks

• Evening events

• Conference bag

• Conference app

• Access to all lecture notes on PacVet.net and the mobile app

Go to PacVet.net for information on:

• Staff group registration

• Discount practice team registration

• Sponsoring a student

• Guest badges

• Cancellation policy

• Exhibit hall-only registration

Registration

Deadlines

February 24, 2023

Super Early-Bird Deadline FOR THE GREATEST SAVINGS!

March 27, 2023

Early-Bird Deadline

May 22, 2023

Advanced Registration Deadline

Packet Pick-Up for Pre-Registered Attendees

Thursday, June 8, 2023

5:00pm–6:30pm

Vet Expo

Saturday, June 10, 2023

Sunday, June 11, 2023

CE Sessions

June 9–12, 2023

CVMA Member: m Yes m No

In-Person Conference Registration Form

June 9-12, 2023 • Long Beach, California

Advance registration ends May 22!

To register as a virtual attendee, visit PacVet.net.

Do you want us to use this information to update your CVMA profile? m Yes m No

Please check one: m DVM m VMD m RVT m CVT m LVT m Practice Manager m Veterinary Staff m Other

Attendee Name:

Company/Practice:

Mailing Address: m Work m Home City/State/ZIP:

Phone: Fax:

Email:

School: Year Graduated:

CVMA Members by by by Full Registration Feb. 24

Students by by by Full Registration Feb. 24 Mar. 27 May. 22 Onsite

m DVM Student (includes 2023 graduates) $145 $155 $165 $175

m RVT Student $145 $155 $165 $175

Sponsor a Student (Must be sponsored by DVM)

m RVT m DVM $145 $155 $165 $175

Sponsor Name:

Sponsor E-mail:

Sponsor Phone: G roup/Team

m Staff Group $790

Available to any group of four non-veterinarian staff from the same practice who will be attending the conference. One attendee per day, one payment must be made for entire group.

(Please identify name and email for each staff member on chosen day.)

Fri. June 9

Sat. June 10

Sun. June 11

Mon. June 12

Name/Designation E-mail

Name/Designation E-mail

Name/Designation E-mail

Name/Designation

m Discount Practice Team (Please identify name and email for each staff member below)

One CVMA-member veterinarian and a minimum of two additional registrants from the same practice receive a 10% discount on their full conference registration. Every registrant gets the discount.

CVMA Member:

CVMA Distinguished Life Members

Please call the CVMA office at 800.655.2862 for complimentary registration.

Name/Designation

Name/Designation

In-Person Attendee Name:

Special Fee Events

Saturday, June 10, 2023

*Rabies Titer Testing

*Must pre-register, space is limited

Exhibit Hall Only Registration

Veterinary professionals only

The exhibit hall only registration is limited to veterinarians, veterinary technicians, practice managers, and hospital staff who would like to attend the exhibit hall to meet with exhibitors but are not registered for PacVet 2023. This registration does not allow access to CE sessions or any other events outside the exhibit hall. The purchase of lecture notes on the flash drive is not available with this registration. This registration is not available to industry suppliers including PacVet exhibitors.

CVMA Member

NonMember

m Saturday $100 $150

m Sunday $100 $150

Guests (Non-veterinary professionals only)

Only registered attendees may purchase a guest(s) badge(s) for non-veterinary professional(s) to access the Vet Expo. Guest badges do not include food events in the Vet Expo nor permit entry into CE sessions. Meal tickets must be purchased separately. Industry suppliers and PacVet exhibitors may not purchase guest badge(s).

m Guest Badge @ $40 ea. $

m Continental Breakfast for guest(s) @ $35/day $

m Lunch (Saturday/Sunday) for guest(s) @ $55/day $

Guest Name(s) Required:

Additional Items

Lecture Notes Flash Drive

PacVet Logo T-shirts

@ $15 ea. $ $ @ $15 ea.

Tax Included

Women Sizes mSmall mMedium mLarge mXL mXXL

Men Sizes mSmall mMedium mLarge mXL mXXL

Purchased t-shirts will be available for pickup with your registration packet.

Cancellation/Refund Policy

All cancellation requests must be made in writing and submitted by email at info@PacVet.net or via fax at 916.646.9156 to the Meetings & Events Department no later than April 28, 2023. There will be a $50 non-refundable processing fee for all paid conference registration cancellations and a $10 nonrefundable processing fee for all guest badge cancellations. For lab cancellations, a $75 non-refundable processing fee will be assessed. A full refund on lab fees will be provided by PacVet should a lab cancel due to inadequate enrollment. Refunds due will be paid no later than 45 days after the close of the conference. No refund will be issued for cancellations or registrations received after April 28, 2023. Please note that cancelling your registration does not cancel your hotel and/or travel arrangements. You are responsible for cancelling your own hotel and travel reservations.

If you have any changes or additions to this form after submission, please call us at 800.655.2862.

Please enter the subtotals from each applicable section below.

By registering for the 2023 Pacific Veterinary Conference, I agree to the rules and regulations of this conference. For complete rules and regulations, visit PacVet.net.

General Information

Payments

Mail completed form along with check or credit card payment to: Pacific Veterinary Conference, 1400 River Park Drive, Suite 150, Sacramento, CA 95815 or fax to 916.646.9156. You may also register online at www.PacVet.net or by phone at 800.655.2862.

Health and Safety Protocols

Visit PacVet.net for the most current health and safety protocols.

Badge Policy

All registered attendees and exhibitors must wear their badge during all sessions, events, and in the Vet Expo. Your name badge will be included in your registration packet, available upon arrival at the conference. Please note that there will be a $25 fee for replacement badges.

For full terms and conditions, visit pacvet.net.

To register as a virtual attendee, visit pacvet.net.

Small Animal Physical Therapy and Rehabilitation

By Michael Jaffe, DVM, MS, CCRP, DACVS | Pacific Veterinary Conference Speaker

Historically, small animal practitioners have paid little attention to the need for rehabilitation therapy for sick and injured patients. Patients who recover from long-term illnesses, surgeries, and injuries who undergo physical therapy (PT)/rehab have demonstrated significantly improved outcomes in return to normal activity and function. The necessity of PT/rehab should not be limited to patients with orthopedic or neurologic injuries; indeed patients with illnesses requiring prolonged hospitalization and cage rest also benefit greatly from rehab techniques, as do patients with osteoarthritis and those who are overweight.

Physical therapy in people recovering from injuries or surgery usually is assumed. Similarly, in canines who undergo orthopedic surgeries, rehabilitation has been shown to have the following beneficial effects:

• Increased speed of recovery

• Increased muscle endurance and strength

• Improved joint flexibility

• Reduced pain

• Improved quality of life

Many other benefits exist, and in general, the result is a healthier patient and happier client.

Patients who are crate-rested or immobilized due to chronic injury, or those kept in a bandage/splint/ cast long-term, undergo generalized disuse atrophy of their muscles. Loss of strength in some cases may be rapid in the initial week, but atrophy continues to gradually progress. Fortunately, this atrophy can be slowed or reversed with rehabilitation

exercises and treatments. Neurogenic atrophy in patients with neurologic injuries can occur more rapidly; these patients can therefore benefit greatly from more aggressive therapy.

For patients immobilized in a cast or splint, changes to soft tissue structures—such as ligaments and tendons—undergo changes resulting in loss of mobility due to stiffness of these soft tissue structures. Longterm immobilization of a bone may lead to stress-shielding, which may reduce bone density, resulting in osteopenia. This is generally more pronounced in younger patients. Light exercise that provides some loading to the bone will improve bone mass and density, reducing the progression of osteopenia.

Remobilization of a patient who recovers from injury is a slow process, often lasting twice as long as the period of immobilization. The rehabilitation plan for a patient needs to be designed specifically for the

patient and the injury being treated. Rehabilitation techniques should stress two processes:

• Endurance training

• Strength training

There are many techniques and modalities that can be incorporated into the rehab plan. Many of these can be easily performed by clients at home, while others will need the services of a rehab specialist.

Techniques that can be performed by owners include:

• Cryotherapy/thermotherapy

• Range of motion exercises

• Massage therapy

• Controlled exercises

• Strengthening exercises

It is important to teach owners the correct way to perform these exercises to gain maximal benefits and not cause injuries.

A canine patient works on an underwater treadmill as she recovers from orthopedic surgery.

In addition to the rehab activities themselves, other forms of treatment are important. In general, cold compresses are used to reduce acute inflammation. Ice packs are most useful in the first 48 hours after an injury. Ice reduces heat and inflammation, reduces pain, causes vasoconstriction that decreases edema formation, and decreases muscle spasms. Warm compresses should be used after 48 hours following injury to increase metabolic rate of tissue, provide pain relief due to a counterirritant effect, improve nerve conduction, and decrease stiffness of joints and soft tissue.

Passive range of motion (PROM) reduces and prevents tendon and muscle adhesions, protects damaged ligaments and tendons from adverse stress, and increases tensile strength of muscles. In general, PROM should be performed singly on each individual joint. It is best to work each individual joint slowly rather than the entire limb as a unit. Low cyclic loads should be applied and increased frequency,

duration, and magnitude through each isolated joint should be performed. Warm compresses to loosen up muscles may be applied preexercise, and post-exercise cold compresses to joints and muscle may soothe the injured tissue and reduce pain and inflammation.

Massage therapy has benefits in loosening up sore and tight muscles, improving blood and lymphatic flow of tissues, and reducing muscle adhesions. Massage of tissue should begin lightly and progressively increase (as allowed by the patient) to deeper tissue manipulation. Massage before and after exercise is helpful to improve muscle performance and recovery.

Endurance building exercises include walking and swimming. Controlled exercise includes SLOW leash walks that increase in duration, distance, and speed over time. Dogs should be kept on a very short leash and only walked at the same speed as the owner walks. Swimming is a great exercise as it is non-weight bearing.

Owners may wish to swim with their dog to decrease anxiety. Dog vests can be purchased as needed. (Obviously, dogs who have a phobia of swimming should not be forced to do so; in such cases, other forms of exercise are indicated.)

Strengthening exercises include stair/hill walking and balance exercises. Slow hill walking and stair climbing while supported with a harness, sling, and leash can be performed to build leg strength, but must be done with owner support as injury may occur. In general, higher intensity strengthening exercises are begun once healing is well underway.

Modalities incorporated by professional rehabilitation therapists include:

• Underwater and land treadmill

• Therapeutic laser

• Therapeutic ultrasound

• Extracorporeal shockwave therapy

• Electrotherapy

• Pulsed magnetic therapy

These modalities are designed to improve penetration of heat to deeper tissues (ultrasound), increase cellular activity for tissue repair (laser, shockwave, and magnetic therapies), endurance and strength building (treadmills), and nerve and muscle stimulation (electrotherapy).

There is no cookbook for rehabilitation therapy. Each patient must be assessed and re-assessed individually,

and a plan for recovery must be formulated based on their injury, how the patient is recovering, and goals for the patient. Clients must be counseled on how to correctly perform techniques and when to stop or reduce exercises, and should additionally be advised that recovery in every patient occurs at different rates and may be prolonged in some cases.

The focus of Dr. Jaffe’s presentations at the 2023 Pacific Veterinary Conference will be on small animal surgery –rehabilitation. Join us in Long Beach on June 9–12, 2023 to attend Dr. Jaffe’s lectures and those of dozens of other speakers.

Dr. Michael Jaffe earned his DVM degree from the University of Missouri College of Veterinary Medicine and his Master’s degree from Louisiana State University. Dr. Jaffe practiced for 17 years in specialty surgical practices, and is currently an associate professor of small animal surgery and service chief of small animal surgery at Mississippi State University College of Veterinary Medicine. He became a Diplomate of the American College of Veterinary Surgeons in 2002 and a Certified Canine Rehabilitation Practitioner in 2017.

A rehab patient performs balance and muscle shifting exercises for strengthening muscles following orthopedic surgery.

Highly Pathogenic Avian Influenza Found in California

Highly Pathogenic Avian Influenza (HPAI) has been detected in California in both wild bird populations and domestic poultry. As of October 25, 2022, detections of HPAI Eurasian H5N1 in wild birds have been reported in 30 California counties (Alameda, Butte, Colusa, El Dorado, Fresno, Glenn, Lassen, Los Angeles, Marin, Mendocino, Monterey, Napa, Orange, Placer, Plumas, Riverside, Sacramento, San Benito, San Diego, San Francisco, San Luis Obispo, San Mateo, Santa Clara, Santa Cruz, Siskiyou, Solano, Sonoma, Stanislaus, Trinity, and Yolo), affecting 18 unique species (American crow, American white pelican, black-crowned night heron, brown pelican, Cooper’s hawk, double-crested cormorant, multiple ducks [mallard, Muscovy, and wood], great horned owl, multiple geese [Canada, greater white-fronted], Western gull, multiple swans [black, mute] peregrine falcon, red-tailed hawk, and turkey vulture). Additionally, there have been 21 California domestic flocks affected (13 commercial, eight backyard) in 10 counties: Butte, Calaveras, Contra Costa, Del Norte, El Dorado, Fresno, Monterey, Sacramento, Stanislaus, and Tuolumne.

Across the country, as of October 25, 2022, H5N1 has been detected in 43 states, with 237 commercial flocks, 308 backyard flocks, and over 44 million domestic birds affected. Additionally, H5N1 has been detected in 3,072 wild birds across 45 states. It is estimated that

approximately 85% of domestic flocks were infected through wild bird introductions.

Since most infections of this virus have come through wild bird populations, all poultry—commercial and backyard—are at risk of becoming infected. Veterinarians are encouraged to remain vigilant for reports of owner concerns about sudden morbidity or mortality in backyard and commercial poultry or other avian species. Key clinical signs include:

• Difficulty breathing

• Clear, runny discharge from nose, mouth, and eyes

• Lethargy

• Decrease appetite and water consumption

• Swollen eyes, head, wattles, or combs

• Discoloration or bruised combs, wattles, or legs

• Stumbling, falling, or twisted neck

• Sudden death

Primary sources of infection include both direct exposure via droppings, bodily discharges, and feathers from infected birds, as well as indirect exposure via people spreading the virus via dirty equipment, shoes, clothes, hands, or from contaminated tires and/or vehicles.

By Mandy Murray, DVM, MPVM, Ph.D.; Andrea Mikolon DVM, MPVM, Ph.D.; Kimberly Conway DVM, MPVM; Felicia Pohl, CDFA Animal Health Branch

To prevent and mitigate the spread of disease, it is important that all owners, veterinarians, and clinics practice good, enhanced biosecurity by addressing some key risk factors for viral spread, including:

Limit exposure to wild birds

• Prevent contact between domestic and wild birds

• Bring birds into a covered enclosure

• Drain ponds on the property to avoid attracting wild birds

Minimize spread via fomites

• Clean and disinfect supplies between uses

• Wash and disinfect boots and equipment when moving between coops

• Wear dedicated clothing and footwear when working with birds

• Clean and disinfect shoes and vehicle tires after visiting feed stores and other places where poultry owners or wild birds visit

• Do not share equipment and supplies with neighbors

Minimize spread via other animals or environmental contamination

• Prevent rodents and predators from entering the coop

• Keep feed covered and spills cleaned up to avoid attracting wild birds and rodents

• Prevent pets like dogs and cats from eating wild dead birds

• Avoid visiting places like lakes and ponds, where wild birds congregate

The risk of zoonotic transmission of HPAI to humans is considered low. However, this HPAI strain, H5N1 2.3.4.4b clade, has been detected in multiple mammalian species, including red foxes, raccoons, striped skunks, bobcats, coyote, opossum, gray seals/harbor seals, and a dolphin in North America. It is believed that most of these mammals were infected from consuming infected dead birds.

For the latest updates and information on the current outbreak, go to the California Department of Food and Agriculture’s (CDFA) page on “Avian Influenza Updates” at cdfa.ca.gov, or visit aphis.usda.gov or the United States Department of Agriculture’s Animal and Plant Health Inspection Service’s page on “2022 Detections of Highly Pathogenic Avian Influenza.” To report an unusual number of sick or dead birds, contact the Animal Health Branch’s Sick Bird Hotline at 866.922.BIRD (2473). For a list of self-identified veterinarians who treat backyard poultry, visit ucanr.edu/sites/poultry/contact or search the CVMA’s Find a Veterinarian Directory under the Resources tab at cvma.net.

Welcome, New CVMA Members!

Veterinarians

Dr. Sammy Ahrabi

Dr. Zachary Albudri

Dr. Robert Alkofer

Dr. Rikki Alley

Dr. Ahmed Almomany

Dr. Jorge Aranda

Dr. Christine Baldwin

Dr. Jeannette Barkhurst

Dr. Anne Bayer

Dr. Kaustubh Bhalerao

Dr. Chloe Block

Dr. Mari Bray

Dr. Erin Catching

Dr. Surya Chaudhri

Dr. Brenna Cherry

Dr. John Cody

Dr. Melissa Couto Bueno

Dr. Laura Cranston

Dr. Miguel Cruz

Dr. Georgina De La Hoya

Dr. Nedra Decoud

Dr. Ann Della Maggiore

Dr. Tejpartap Dhaliwal

Dr. Caitlin Doran

Dr. Michael Duff

Dr. Samir El Sakka

Dr. Charlotte Frank

Dr. Elizabeth Friedman

Dr. Amy Furtado

Dr. Dilip Garikipati

Dr. Richard Gebhart

Dr. Benjamin Glicklin

Dr. Kenneth Gorczyca

Dr. Andrew Grussendorf

Dr. Karen Halligan

Dr. Gabriella Hamilton

Dr. P Lynn Hendrix-Chupa

Dr. Katlyn Hill

Dr. Nick Huggons

Dr. Jennifer Johnson

Dr. Carley Jones

Dr. Emma Kaiser

Dr. Marie Keith

Dr. Roey Kestelman

Dr. Brian Kim

Dr. Lorie Kiss

Dr. Leila Knoll

Dr. Murali Konda

Dr. Gina Kwong

Dr. Lisa Labrecque

Dr. Genevieve LeClair

Dr. Kerry Levin

Dr. Giles Little

Dr. Zachariah Loppnow

Dr. Darren Low

Dr. Bruce Mascarenhas

Dr. Elizabeth McCalley

Dr. Rochelle McCoy

Dr. Deidra Metzler

Dr. Shanna Miller

Dr. Vivian Nagao

Dr. Kristen Negvesky

Dr. Jeffrey Nemoy

Dr. Jennifer Ogino

Dr. Carrin Page

Dr. Lidija Palmer

Dr. Hyo Park

Dr. Tais Perpetuo

Dr. Kathryn Perrin

Dr. Stephanie Pinkerton

Dr. Adam Polosetski

Dr. Korin Potenza

Dr. Linda Prodan

Dr. Hamideh Rahimi

Dr. Zoe Ramagnano

Dr. Samantha Rose

Dr. Satinder Saini

Dr. Leigh Salge

Dr. Manasa Talasila

Dr. Amanda Taylor

Dr. Morgan Thomas

Dr. Aileen Thompson

Dr. Allison Vander Plaats

Dr. Maegan Watson-Skaggs

Dr. Scott Weinman

Dr. Amanda Wimms

Dr. Beth Witte-Neuman

Dr. Roberta Zajac

Veterinarian

Public Service

Dr. Sean Brady

Veterinarian 1st

Year Graduates

Dr. Lindsey Abbott

Dr. Tessa Anderson

Dr. Nicole Becker

Dr. Hayley Bernal

Dr. Jordan Connor

Dr. Alisha DeVore

Dr. Michael Fenn

Dr. Nicole Hage

Dr. Eden Hurlburt

Dr. Leigh Kirk

Dr. Maia Kross

Dr. Sarah Mete

Dr. Kayla Mochizuki

Dr. Megan O’Brien

Dr. Edgardo Ordonez Jones

Dr. Alene Pohly

Dr. Megan Puzey

Dr. Jennifer Pye

Dr. Michelle Seers

Dr. Kaylyn Tarver

Dr. Kylie Tatro

Dr. Kally Watson

Dr. Wills Weimer

Dr. Christine White

Dr. Ge Zhu

Veterinarian 2nd Year Graduates

Dr. Brier Goetz

Dr. Meena Janbahan

Dr. Ava Kent

Dr. Omar Khalaf

Dr. Rania Khalil

Dr. Chanera Peck

Dr. Julie Richardson

Dr. Lakhpreet Saggi

Dr. Alexa Schappert

Dr. Shehnav Sekhon

Dr. Orly Yaacov

Veterinarian 3rd Year Graduates

Dr. Jared Ashworth

Dr. Michelle Bakker

Dr. Terri Chang

Dr. Maria Colon Morales

Dr. Adam Cook

Dr. Caitlin Kelly

Dr. W David Krucik

Dr. Matthew Potorti

Dr. Meghana Srinivasan

Dr. Lynlee Stevey

Veterinarian 4th Year Graduates

Dr. Kaylee Brown

Dr. Minji Cho

Dr. Sarah Jones

Dr. Annie Kang

Dr. Navreen Kaur

Dr. Tara Najim

Dr. Marissa Ota

Dr. Ashley Patterson

Dr. Lynae Shubin

Dr. Jill Thomason

Registered Veterinary Technicians

Mary Alexandra, RVT

Teresa Allen, RVT

Brianne Amaro, RVT

Keyla Antaloczy, RVT

Hilda Aparicio-Gee, RVT

Danielle Ashley, RVT

Malia Beckmann, RVT

Tracy Bell, RVT

Jolene Benevento, RVT

Elizabeth Bentall, RVT

Qaisia Boone, RVT

Shelby Burnett, RVT

Aida CaballeroAcuna, RVT

Stephanie Cabrera, RVT

Liv-Kyle Castillo, RVT

Suzy Chapman, RVT

Eric Coggsdale, RVT

Michelle Conti, RVT

Chelsea Conway, RVT

Kendra Cook, RVT

Marco Delgado, RVT

Rhianna Depew, RVT

Amanda Diamond, RVT

Kera Drury, RVT

Michele Evans, RVT

Balle Flynn, RVT

Sierra Francis, RVT

Gabrielle Galvan, RVT

Alejandra Garcia, RVT

Sadie Geernaert, RVT

Katherine Gerhardt, RVT

Allyson Gilbreath, RVT

Leslie Glenn, RVT

Rachel Graham, RVT

Amanda Gunn, RVT

Anjanette Gunn, RVT

Jessica Hardy, RVT

Abigail Hargroves, RVT

Blake Hehman, RVT

Pamala Helms, RVT

Margaret Herndon, RVT

Stephanie Huang, RVT

Justin Jeffcoat, RVT

Nancy Jobst, RVT

Bobbi King, RVT

Cicely Knighton, RVT

Michelle Lang, RVT

Gabriela Lera, RVT

Ashlyn Lesch-Hill, RVT

Carisa MacLeod, RVT

Jacqueline Mangette, RVT

Andrea Marquez, RVT

Maria Martel, RVT

Janet Martin, RVT

Carlene Mendieta, RVT

Katie Minarik, RVT

Khyanna Munoz-

Medina, RVT

Birgit Nelson, RVT

Velen Ochoa, RVT

Rachel Owings, RVT

Ji Yoon Park, RVT

Jacklyne Portillo, RVT

CVMA Remembers

Madeline Reuter, RVT

Saara Ronan, RVT

Teresa RoqueMorrissette, RVT

Kate Salokorpi, RVT

Maria Saltikoff, RVT

Andrea Shepley, RVT

Kayla Skillingstad, RVT

Amber Smith, RVT

Brianna Snider, RVT

Jessica Solorio-Atayde, RVT

Summer Stuart, RVT

Jovita Tanuwidjaja, RVT

Erika Torres-Rosas, RVT

Shadia Valverde, RVT

Opal White, RVT

Renee Winter, RVT

Hannah Yesk, RVT

Jansen Young, RVT

Michael Ziegler, RVT

CVMA Certified Veterinary Assistants

Chloe Angeline, CVMA CVA

Christopher Cole, CVMA CVA

Willamina Fleming, CVMA CVA

Estefania Gaytan, CVMA CVA

Sara Hagan Ghiglieri, CVMA CVA

Hallie Lamberton, CVMA CVA

Abraham Lopez, CVMA CVA

Taryn McKinney, CVMA CVA

Lisa Wolcott, CVMA CVA

Veterinary Hospital Staff

Adora Capiral

Beverly Howard

Elizabeth Murphy

Erika Parker

Jeremy Renshaw

Ali Thomas

The CVMA extends our sympathy to the friends and family of those remembered.

Dr. Martin Lee Akins, a CVMA Life Member, passed away on July 5, 2022. Dr. Akins attended UC Davis, where he graduated with a DVM degree in 1960. The bulk of Dr. Akins’ professional life was spent in practice at Diamond Veterinary Medical Hospital in Visalia with his partner, Dr. William Allen. He was active in organized veterinary medicine throughout his career, including participation in both the American Veterinary Medical Association and the CVMA, where he served as a member of the CVMA House of Delegates in 1988. Dr. Akins was instrumental in founding the Tulare-Kings Veterinary Emergency Service.

Dr. Fred Sattler, a longtime CVMA member, passed away on January 14, 2022. Dr. Sattler earned his DVM degree from the Ohio State University in 1954, going on to open the Commonwealth Animal Hospital in Fullerton. Dr. Sattler’s fruitful career included being a founding diplomat, regent, and past-president of the American College of Veterinary Surgeons; a past-president of the Orange County Veterinary Medical Association; and an associate clinical professor of medicine at UC Irvine Medical School and clinical professor of surgery at the UC Davis School of Veterinary Medicine.

Dr. Timothy Thies, a CVMA Life Member, passed away on April 20, 2022. Dr. Thies graduated with a veterinary degree from Texas A&M University in 1977. After college, he worked in Campbell and Los Gatos before founding a house call practice. Dr. Thies eventually purchased Oak Grove Veterinary Hospital in San Jose, where he practiced small animal medicine until his retirement.

In memory of deceased members, the CVMA makes a donation to the California Veterinary Medical Foundation, whose mission statement reads: “Nurturing kindness, education, and well-being for all animals, people, and the environment.”

Record Keeping — But There’s More!

By Stephen Marmaduke, Wilke Fleury LLP

For years, the CVMA and this author have stressed the importance of maintaining medical records in compliance with Title 16, California Code of Regulations Section 2032.3. As always, you are encouraged to review this regulation and refresh your familiarity with its requirements. But there’s more!

Section 2032.3 sets forth the minimum requirements that are enforced by the Veterinary Medical Board (VMB). Comprehensive medical records that go beyond the minimum standards are a key component of protecting practitioners from civil liability to the public. Further detailed documentation may be an effective shield from consumer complaints that could lead to negative social media blasts. This article, the first in a two-part series, highlights several disparate areas that should be addressed and documented in a patient’s records for the protection of the practitioner.

Who is the Owner?

16 CCR Section 2032.1(a) states that without having first established a veterinarian-client-patient relationship (VCPR), it is unprofessional conduct for a veterinarian to administer, prescribe, dispense, or furnish a drug, medicine, appliance, or treatment of whatever nature for the prevention, cure, or relief of a wound, fracture, or bodily injury or disease of an animal. Further, it is the client who must authorize treatment, care, and more. Given that failure to establish a VCPR is an expressly denoted item of “unprofessional conduct,” the establishment of this relationship should be documented in the patient’s record. There is not, however, a clear statutory or regulatory definition of the term “client.” The practical definition is that the client is the one who presents the animal for care representing that they have the authority to authorize such care.

Consumers, however, perceive themselves as “owners,” not clients. Putting philosophical debates over the concept of “ownership” aside, there is a subtle difference between how the VMB and a consumer may view the authority to

authorize care, and the corresponding responsibility to pay for care. All too often, veterinarians find themselves caught in the middle of a dispute—often a nasty relational conflict or break-up—over ownership of/control over the care of an animal. This can leave the veterinarian with an unpaid bill, threats of liability, and the subject of negative media blasts.

The initial intake record should clearly establish who claims “ownership” of the animal and who is authorized to make judgments regarding care (i.e., assume the role of the client in the VCPR). It is best that this declaration be made in writing (e.g., a preprinted registration form), is signed by the declared owner, and is incorporated into the medical records. There may be instances where a non-authorized person assumes the client role—such as a neighbor, friend, or family member caring for the animal. In this case, an effort should be made to contact the “owner” for telephonic or electronic authorization for this individual to make decisions. It may not be possible to make contact in all instances, but the effort and documentation are important and should be included in the file.

Taking a few simple steps to establish that care was authorized by a person with authority can be helpful to avoid unpaid veterinary bills or threats of liability. It would be difficult for an owner to disclaim responsibility for a payment authorized by a family member or neighbor when they provided written authority for such decisions. While documentation does not solve all problems—and veterinarians still get stuck between warring parties and the need to provide care—this commonsense approach provides some protection from angry consumers and civil liability.

Phone Logs — Counter Notes

After my legal review of a medical chart, it is not uncommon for the veterinarian to tell me “the rest of the story.” Much of that story may consist of a quick telephone call, a discussion between the owner and receptionist, and/or a text message or a long-since-deleted email.

Direct interactions between the treating veterinarian and the owner have become more challenging with COVID restrictions and “contactless” care, as pets are delivered from a parking lot. The inability of the veterinarian to speak directly to the owner and develop a relationship of trust makes these collateral interactions even more important.

Processes should be implemented and staff trained to document communications in the medical records, including emails and text messages, which should be incorporated into the file. Emails should not be allowed to auto-delete and disappear. To the extent that texts, emails, and notes relate to treatment and care, they are by definition part of the medical record, and must be maintained for a period of three years after the animal’s last visit.

In the next issue of the California Veterinarian, we will address record keeping surrounding informed consent, treatment options, and denials of treatment.

The CVMA offers its member veterinarians one halfhour of telephone and research work per month with an attorney from Wilke Fleury LLP. Areas of law covered by the program include: VMB/licensure issues, regulatory and administrative law, business tax issues, business/professional advice, Cal/OSHA issues, contract issues, employment law, and practice ownership and organizational structure. For more information, visit the Membership tab at cvma.net.

Stephen Marmaduke has been an attorney with Wilke Fleury for 30 years and has been practicing law in California for over 40 years. One of his primary focuses is the representation of physicians and medical groups in matters ranging from corporate structure, mergers and acquisitions, joint ventures, business transactions, regulatory issues, and professional employment. Mr. Marmaduke is part of the CVMA’s Legal Services Program, a program designed to assist CVMA member veterinarians with workplace safety, legal issues, and laws and regulations that affect the veterinary profession.

Applying Ergonomics to Reduce Injuries in Veterinary Practices

Working with animals in a veterinary practice can be physically demanding and, in certain instances, can result in injury. The size of the patient, temperament, circumstances of the visit, and tasks to be performed can all be contributing risk factors. To maintain a safe workplace, these factors must all be considered and addressed. One approach that can assist in this effort is the application of ergonomic principles.

Ergonomics has become a bit of a marketing buzzword that implies comfort, adjustability, good posture, and perhaps a fancy office chair or an alternative keyboard. It can be all of these, but ultimately the goal of ergonomics is to design (or modify) jobs so that they fit the worker and are within the safe limits of human performance. To do this, ergonomists identify and reduce ergonomic risk factors so that the worker is less fatigued and less likely to experience a cumulative trauma disorder (CTD). When done right, the worker will be more productive, less fatigued, and injury-free.

While the discipline of ergonomics considers physical, cognitive, environmental, and organizational factors, the focus here is on the physical factors. In the simplest terms, addressing physical factors can help reduce the strain and sprain injuries to shoulders, knees, and backs that are seen in many veterinary practices.

Physical ergonomic risk factors include forceful exertions (lifting a heavy dog, restraining an agitated animal), awkward postures (bending to lift from the ground, twisting while lifting, reaching overhead), repetitive motions (grasping, reaching, lifting—any awkward posture done repetitively), prolonged

postures or exertions (standing on a hard surface, working with the head tilted forward), and contact stress between the body and a hard surface (hand or wrist pressed against the hard edge of a table, gripping a tool with a poor handle design).

Not all hazards can be anticipated and addressed, but many can (at least to some extent), and focusing on those hazards with the idea of chipping away at ergonomic risk factors can pay dividends in making the environment safer for the worker, the patient, and the animal owner.

Ergonomics should be participative and include the input of employees doing the job. Questions like “What is physically the hardest or most tiring part of your job?” can be a good way to start. It can also be useful to ask, “What would you do to improve that part of your job?” The goal is to reduce or eliminate awkward postures, repetitive motions, and/or forceful exertions, as well as to minimize prolonged or sustained postures or exertions.

Although there are a variety of causes of injuries in the veterinary profession, some basic concepts apply. Animal handling, for instance, is largely about technique, not strength. Workers can use posture and technique to gain a biomechanical advantage. From a biomechanical standpoint, the worker has more leverage when the animal is closer, the proper technique is used, and an evaluation of the animal’s behavior to reduce any bite potential is conducted.

For more information and tips for preventing injuries in your practice using proper ergonomics, visit the Risk Management tab at visc-ins.com.

Something to WAG About

The CVMA Congratulates…

Frank Ambrose, DVM, for celebrating his 70th birthday this November. Dr. Ambrose has practiced veterinary medicine for 40 years and is still going strong, operating the Ambrose Veterinary Hospital in Madera, CA. He spent his birthday sparring for 15 rounds at Trinity Boxing Club in Los Angeles. Happy birthday Dr. Ambrose, and keep it up!

Mike Dillon, the CVMA’s lobbyist for over 40 years, for retiring at the end of this year after a long career characterized by hard work and success. The longestrunning registered lobbyist in the state, Mike has assisted the CVMA in navigating hundreds of intricate issues over the years and has been instrumental in molding the veterinary profession into its current state. Mike, the CVMA thanks you for your decades of service, and we hope you enjoy your much-deserved retirement! (For more on Mike, please see the Director’s Corner on page 5.)

Laressa Dimalanta, RVT, for passing the exam to become a Certified Veterinary Practice Manager (CVMP). Laressa decided to pursue the CVPM license when she became a hospital manager in 2019, realizing that the certification would lead to the most fulfilling and rewarding role for herself within the veterinary team. She wanted to ensure that she had the knowledge and credentials to lead and mentor her team towards continued success and growth. Congratulations on this edifying achievement, Laressa!

Barry Kipperman, DVM, for publishing his book Ethics in Veterinary Practice: Balancing Conflicting Interests. Dr. Kipperman, an instructor of veterinary ethics at the UC Davis School of Veterinary Medicine, co-authored and co-edited the book in order to help veterinarians, faculty, instructors, senior undergraduates, and veterinary students recognize and address real-life ethical dilemmas and relevant philosophical discussions about the moral status of animals, animal rights, and interests. Great work, Dr. Kipperman!

Edie Marshall, DVM, for being appointed as the at-large alternate representative for the AVMA Committee on Antimicrobials. Dr. Marshall, chief of the California Department of Food and Agriculture’s Antimicrobial Use and Stewardship program, started her three-year term on the committee this past August. In this role, she will help review and champion policy recommendations that support a One Health approach to the overarching issue of antimicrobial resistance. You have the CVMA’s full support, Dr. Marshall!

SWEP Program Gives Students Real-World Experience

Every year, the CVMA offers the Summer Work Experience Program (SWEP) for students at the UC Davis School of Veterinary Medicine and the Western University of Health Sciences, College of Veterinary Medicine. Through SWEP, second- and third-year students are employed during the summer by veterinary practices across the state. This program gives students the opportunity to gain crucial, handson experience while also decreasing their student debt. Participating veterinary practices benefit from the experience as well by helping students in their education and by connecting with potential future colleagues.

Start Planning for Next Summer!

Summer may seem far away, but students have already begun seeking out internship and summer work opportunities.

Through SWEP, students will:

• Gain valuable work experience in a private practice setting.

• Contribute to a practice’s efforts to improve animal health.

• Earn while learning, simultaneously decreasing student debt.

Veterinary practices will:

• Forge relationships with potential future associates.

• Provide a student with valuable real-world experience.

• Play an active part in reducing student debt load.

• Add an enthusiastic employee to staff.

How Does SWEP Work?

Veterinarians throughout California will receive an email about SWEP this November with a link to a sign-up form. Interested practices should review, complete, and return the form to the CVMA by February 15, 2023.

Eligible student members will be informed at the end of February when the employment opportunities have been compiled and posted. This information will also be available in the student area at cvma.net. Students may contact veterinary practices directly to apply for a position.

Commit to the 2023 SWEP Program Now!

If you have any questions or have not received an email about SWEP by the end of November, please email the CVMA Student Services Manager, Laura Phillips, at lphillips@cvma.net or call 800.655.2862.

Preventive health measures include:

YEAR-END TAX PLANNING review and answer questions ANALYZE business & personal financials

FUTURE PLANNING tax payments, budgeting, and avoiding tax pitfalls

We offer tax preparation of personal & business tax returns in all 50 states.

WesternU Veterinary Student Named an Inaugural Board of Trustees Honoree

Allison Belaunde, DVM 2026, has been named one of the inaugural recipients of the Western University of Health Sciences’ Board of Trustees Scholarship.

A native of Clifton, New Jersey, Belaunde graduated from Rutgers University this past May with a Bachelor of Science in animal science, with a concentration in pre-veterinary medicine and research and a minor in chemistry. She is interested in large animal medicine as well as zoological medicine.

Belaunde worked two part-time jobs while going to school full-time as an undergrad to support herself and her mom.

“I’m extremely humbled and grateful for this opportunity,” Belaunde said. “I never thought somebody like me—first generation, low income—would be doing something so big like this. Seven-year-old me just [wouldn’t] believe this is happening. I’m extremely grateful that I have the opportunity to be here today.”

WesternU’s Board of Trustees created the $6 million endowed scholarship this past spring to help remove financial barriers for students and increase student diversity

in the graduate health sciences and health professions workforce. The scholarship will cover 50 percent of Belaunde’s tuition each year and is renewable if she remains enrolled and in good standing in her academic program. Five WesternU students were awarded the new scholarship this fall—students from the College of Osteopathic Medicine of the Pacific-Northwest, College of Optometry, College of Health Sciences-Physician Assistant Studies, and the College of Graduate Nursing.

“I’d like to thank our present and expanding WesternU Board of Trustees for their tireless quest to enrich and shape the lives of our students,” said new WesternU President Robert Farias-Eisner, MD, Ph.D. “This scholarship fund confirms WesternU’s commitment to dismantling health disparities and broader systemic injustices that disproportionately affect economically disadvantaged and underrepresented groups.”

The UC Davis School of Veterinary Medicine enjoyed one of its best years ever in terms of external research funding. The school brought in $89 million to lend support to a wide range of research projects to advance animal, human, and environmental health.

One of the leading research projects is from the school’s Pacific Southwest Center of Excellence in Vector-Borne Diseases (PacVec), which works to manage and prevent mosquito and tick-borne diseases. As these diseases are increasing and remain a serious public health threat, this research becomes more important every year. PacVec received a five-year, $10 million grant from the Centers for Disease Control and Prevention to continue its work in research, training, and outreach on vectors.

Another notable award is in landscape change, viruses, and disease transmissions. Through a project funded by

the National Science Foundation titled “Impacts of rapid landscape change and biodiversity on virus host specificity,” researchers plan to investigate emerging and reemerging viruses in transitional ecosystems where landscape change is most likely to influence wildlife-tohuman disease transmission.

The school is also partnering with the National Institute of Antimicrobial Resistance Research and Education and others to receive a $1.5 million cooperative agreement award from the U.S. Food and Drug Administration Center for Veterinary Medicine to support a project designed to improve antibiotic stewardship by prioritizing the most significant diseases in food animal production and identifying alternative treatment strategies.

UC Davis Receives Nearly $100M in Annual Research Funding, Including $10M to Fight Mosquito and Tick-Borne Diseases

Treasurer’s

Report Members can receive a copy of the CVMA’s current financial report by calling the CVMA’s home office at 916.649.0599.

Each year, the CVMA Finance Committee is presented with an annual draft budget and recommends a final draft to the CVMA Board of Governors. The Board reviews the final draft, makes necessary updates, and approves the budget in accordance with the CVMA’s objective of maintaining fiscal responsibility.

As part of its review, the Board assesses both membership numbers and overall sources of revenue. In that regard, total membership as of June 30, 2022 was 7,508 members. At fiscal year-end, 33% of the CVMA’s revenue was derived from membership dues, 42% from the Pacific Veterinary Conference and other continuing education seminars, and 25% from other income. Non-dues revenue assists in supplementing the many programs and projects that the CVMA offers its membership, such as the recently launched Member Assistance Program provided by LifeWorks, providing work-life/wellbeing resources to our members.

This year, there was a great deal of Board discussion regarding the lack of sufficient funds in the CVMA PAC to support our legislative efforts. At the April 2022 Board of Governors meeting, a motion was passed to approve the 2022–23 budget with a $167,000 shortfall (an estimate based on the allocation of $50 from each active member’s dues to the CVMA PAC). Budgeted revenue for the 2022–23 fiscal year is $3,643,466 and budgeted expense is $3,810,466.

Our continuing education programs have remained strong throughout the global pandemic. We were able to adapt most of our seminars to a “hybrid” offering, which has been

TOTAL MEMBERSHIP AS OF JUNE 30, 2022

well-received by our registrants, and the Pacific Veterinary Conference 2022 was a record year in terms of attendance.

The CVMA’s investments are overseen by the Investment Committee and approved by the Board of Governors. The CVMA’s investment firm administers the portfolio’s asset allocation and makes suggestions based on periodic reviews of the asset performance and goals set forth by the CVMA Investment Policy. During the course of the CVMA’s 2021–22 fiscal year, the Board approved the addition of separate sums of $800,000 (July 2021) and $600,000 (March 2022) to the investment portfolio.

In April of 2021, the CVMA was granted a Paycheck Protection Program loan in the amount of $264,000; the loan was granted full forgiveness in November 2021.

The CVMA maintains a reserves total of over 100% of the current budget. This amount exceeds the Board’s goal of maintaining 50% of the current annual budget in reserves, which is a minimum recommended reserve for professional membership associations.

I will be reviewing the proposed 2023–24 budget in January of 2023. The Finance Committee meets in February to review the proposed budget in detail and recommend a final 2023–24 budget to the Board of Governors at its March meeting. The Board will review the proposed budget, make revisions if needed, and approve the final budget for the next fiscal year.

7,508 ESTIMATED PAC 2022–23 DUES REVENUE $167,000 NET PROFIT 2021–22 BUDGET YEAR $198,884 42%

CVMA REVENUE SOURCES

25% 33% Membership Dues Pacific Veterinary Conference and other continuing education seminars Other income

How to Place a Classified Ad

Place your ad in the Career Center at cvma.net. There are two options for classified advertising:

1. Online advertising

2. Online and in one issue of the California Veterinarian

CVMA Members NonMembers

Classified Advertising

*Price includes the first six lines of text. Each additional line is $10/$11 for non-members. A line consists of approximately 50 characters.

**If you wish to place a print ad only, contact Laura Phillips at 916.649.0599 or classifieds@cvma.net.

Online only

30 days online $169 $249

60 days online $269 $349

90 days online $369 $449

Online and in one issue of the California Veterinarian

60 days online + one issue of the California Veterinarian $319 $399

90 days online + one issue of the California Veterinarian $419 $499

POST AN ANONYMOUS RESUME OR AD

Resume— Post a confidential resume. Go to cvma.net. Click on the Resources tab then Classifieds in the right menu to get started.

Ad — Place a confidential ad by creating an anonymous email address and using it when posting your ad.

If you have any questions, please contact customer service at 860.437.5700, clientserv@yourmembership. com, or classifieds@cvma.net.

DEADLINE DATES FOR AD SUBMISSIONS IN THE CALIFORNIA VETERINARIAN:

Issue

Jan/Feb

March/April

May/June

July/Aug

Sept/Oct

Nov/Dec

Deadline

December 5

February 5

April 5

June 5

August 5

October 5

If your ad is received after the deadline, it will go into the following month’s California Veterinarian. After the deadline, the CVMA cannot alter or cancel ads. The CVMA reserves the right to edit copy and does not assume liability for contents of classified advertising. Prices subject to change without notice.

POSITIONS OFFERED

NORTHERN CALIFORNIA Veterinarians

Employment opportunity at an established, profitable practice, featuring a flexible schedule, to allow plenty of personal time, and generous signing bonus, housing and student loan reimbursement. The Clinic is privately owned, well loved by the community and offers an exceptional support staff. The emphasis is always on learning and quality of care. The Facility itself boasts modern updates, including digital x-ray, dental x-ray, full in-house lab and ultrasound. We also have a fully stocked pet store. Located in the scenic Santa Cruz Mountains and with easy access to the Bay Area, this job comes with a most desirable lifestyle. The right candidate can expect a generous compensation package, ongoing education and an assertive career path, including ownership potential. Email BCVet95006@gmail.com.

SOUTHERN CALIFORNIA Veterinarians

Seeking an experienced veterinarian for permanent work in Santa Clarita Valley. Hours Monday-Friday 8am-1pm and 2pm-6pm. Saturday 8am-3pm. Candidate should have at least 1 year of experience practicing in a small animal veterinary clinic. High-quality, busy, practice with great support staff and a wonderful clientele. Email evergreenanimal@sbcglobal.net.

Full-time veterinarian wanted at Agoura Animal Clinic, a small animal, general practice that has provided excellent care for dogs, cats, exotics, pocket pets, and birds for over 40 years in beautiful Agoura Hills, California. Experience with surgeries and exotics is a huge plus, and we are looking for a potential leader for our practice! We offer a healthy work-life balance, excellent support staff, a flexible schedule, no on-call requirements, generous benefits, and a competitive salary with a sign-on bonus available. The resumes should be emailed to either myself jsafanifranko@vetcor.com, Dr. Marc Silverman mhsdvm@aol.com, or Cesar Molina cmolina@vetcor.com.

CENTRAL CALIFORNIA Veterinarians

We are a well-established 2 doctor private practice in Fresno looking to add a full-time Associate Veterinarian to our team. Our clinic mainly focuses on wellness care and routine surgery/dentals. We are equipped with digital X-ray, ultrasound, and in-house lab. We operate Monday-Friday with no evening or emergency shifts. Salary: $140,000 (commensurate with experience). 401k, Health Insurance, PTO, and CE. Mentorship is available. New graduates are welcome. Email palmbluffvet@gmail.com.

Here’s a vet “job” ad you don’t see every day. You: Are a compassionate, independent, licensed veterinarian desiring freedom from burn-out and 10-hour workdays, a truly flexible schedule, an unbelievable income, incredibly grateful clients and the unattainable unicorn of work-life balance. Us: We are in-home euthanasia vets who saw a need and created a website platform connecting pet owners seeking In-home pet euthanasia services with veterinarians in their area. We are proactively looking for a vet in the Fresno CA area interested in offering this service as an independent contractor. Together: Our website and platform allows you, the vet, to create and post your own schedule which pet owners book directly online, handles payment as well as prepares pet owners for their appointments with you. Our pet owners are incredibly grateful for this service and demand is growing. Our vets gross $20-25k a month choosing to help on average 45-50 pets a month (10-14 pets a week). We will assist, train and guide you in preparing to offer this service. You may email me at karen@codapet.com or text 559.313.6319 for more information or visit our signup page https://bit.ly/codapetsignup.

HOSPITALS – SALES/LEASE/BUY

Four Paws Pet Hospital is a well-established small animal hospital in Crescent City, California. 4 Paws generates more than one million dollars per year with a 4-day work week and no after hour emergency coverage. Solid and consistent Net Profit before owner salary and debt service on the purchase. Fantastic location where the mountains meet the beautiful Pacific coastline. Excellent lease terms available for the facility or the building and hospital property are available for purchase now. Great location in town, nicely equipped with an experienced and skilled staff. Are you tired of being an employed associate with limited opportunity to own your own hospital and control your professional life and personal activities? There are many possibilities to grow this practice beyond its current activity level by a motivated and dedicated new owner(s). Seller has operated this practice for 28 years in a solo capacity and is willing to remain at the hospital to assist a new veterinarian during the transition period, and for an agreed period of time on a part-time basis following the sale – if desired by a new owner. The practice asking price is $675,000 and all offers will be considered. Real Estate available for lease with an option to purchase at a later date, or immediate purchase at the time the practice is acquired. To obtain more information about this purchase opportunity contact Dr. Mark Franusich at mfranusich@cfaith.com or long-time Practice Consultant to this Hospital: Jim Remillard, RMA, Inc. at jremillard@aol.com, or phone 530.836.7332/office; or 530.308.8620/mobile.

Brokers and Appraisers

Practice and Real Estate Sales

Transition Specialists Practice Appraisals

Ellie Wattles, DVM, President, Broker

Beka Herrera, Vice President, Broker

Connie Burke, CPA, CVA, CM&AA

SAN DIEGO, EAST COUNTY: Near perfect climate. Leisurely drive to beaches and downtown. Growing population & highly rated school districts, along with endless outdoor activities, easy access to retail and commercial areas offers a highly desirable area in which to live and have a business. Well- established & very organized practice located in an active, popular shopping center. ~1,600 sq. ft. leased facility with 2 exam rooms, digital X-Ray and new ultrasound. 2022 projected gross~$874,000. Exceptional cash flow of approximately 39%. M MAJOR PRICE REDUCTION! MOTIVATED SELLER! PRACTICE PRICE: $600,000

SAN BERNARDINO COUNTY, INLAND EMPIRE: Popular community with new residents because of its affordable and upscale housing. The community is only 45 minutes from Palm Springs & close to all the Southern CA’s attractions. PX is conveniently located in a high activity shopping center. Leased 2,100 sq. ft. facility includes 2 exam rooms as well as a large treatment area. Well-equipped practice includes digital X-Ray, digital dental X-Ray, ultrasound and IDEXX lab equipment. 2022 Projected Gross ~$1.2 Million. N NEW LISTING! PRACTICE PRICE: $960,000 MOTIVATED SELLER

SANTA CRUZ COUNTY, SCOTTS VALLEY: Located about six miles north of the City of Santa Cruz and 26 miles southwest of San Jose. Historic downtown, ideal weather & various amenities. Well established practice situated along a major thoroughfare. Free-standing facility is ~ 2,000 sq. ft. with 2 exam rooms. Equipment includes DR X-Ray & IDEXX lab. 2022 projected gross ~$957,000. P PRACTICE PRICE: $595,000

SUTTER COUNTY: Turn-key opportunity! Located within an hour’s drive from Sacramento. The community provides convenient shopping & amenities. The practice is located adjacent to a major thoroughfare with excellent street visibility & ample parking. Spacious ~2,700 sq. ft. free-standing facility offers 3 exam rooms, 20+ cages & 20+ runs. Equipment includes newer digital X-Ray, ultrasound unit, dental X-Ray & CO2 Laser. 2021 Gross ~$1,087,000 produced with limited hours. Currently operated as a 1 DVM practice with great staff. Exceptional profitability. P PRACTICE PRICE: $950,000 REAL ESTATE PRICE: $560,000

NORTHERN CA, NORTH VALLEY: Pastoral, quaint community located just a few hours from Sacramento & Tahoe. Beautiful 3,000 sq. ft. free-standing facility. Well maintained hospital built in 2005. Reputable, full service PX, well equipped with leased IDEXX lab & digital X-RAY. Gross increases year over year. Great profitability and excellent staff. 2021 Gross ~$1.3 Million produced with 1 DVM/day and limited doctor hours, only 5 days/week. Seller open to remaining for a transition post-sale, as desired by buyer. PRACTICE PRICE: $1,100,000. REAL ESTATE PRICE: $625,000.

CENTRAL VALLEY, SAN JOAQUIN COUNTY: Just 2 hours from major cities, the coast & the mountains. This semi-rural community has a strong agricultural & general broad economic base, offering affordable housing in the surrounding area. General, full-service small animal practice. The free-standing practice facility consists of ~6,900 sq. ft. offering multiple exam rooms & cages with room for future expansion, if desired. Equipment includes extensive IDEXX lab & 2 digital X-Rays. Multi- DVM practice with well trained staff. 2021 gross ~$1,750,000. N NEW LISTING! PRACTICE PRICE: $750,000 REAL ESTATE PRICE: $1,750,000

KERN COUNTY: Situated in a growing community located ~1 hour North of LA with a strong agricultural, oil & general broad economic base including a new Amazon fulfillment center. There are many nearby amenities & affordable housing. This general Small Animal practice offers an ~3,000 sq. ft. facility with 3 exam rooms, 60+ cages and 10 runs. Equipment includes ultrasound & digital X-RAY. 2021 Gross ~$1,260,000. Potential to significantly increase hours of operation to grow productivity. P PRACTICE PRICE: $667,000 REAL ESTATE PRICE: $425,000

SAN JOAQUIN VALLEY: PRICE REDUCTION! Short commute to major cities, the coast & the mountains. This community’s unique western atmosphere provides growth opportunities. Thriving community w/ affordable housing. General full service, small animal practice, free-standing ~1,800 sq. ft. facility with 3 exam rooms. 2020 Gross ~$1,016,000 with exceptional profitability as currently operated PRACTICE PRICE: $895,000

REAL ESTATE PRICE: $400,000

VENTURA COUNTY: Located in a great upscale community with excellent amenities, desirable demographics & highly rated schools. Family-friendly community. Attractive & modern, ~1,800 sq. ft leased facility is strategically located in popular shopping center. Equipment includes Abaxis Lab & Digital X-Ray. Underutilized PX /limited DVM hours. 2021 Gross~$455,000. PX is offered at less than a start-up PRACTICE PRICE ONLY: $200,000

MENDOCINO COUNTY: Wanna getaway? Just 2 hours north of the San Francisco Bay Area & west of Sacramento. This area boasts spectacular scenery & distinctive wineries. Hundreds of miles of hiking trails, verdant hills & secluded lakes residents can easily find solitude & beauty. 1 PT DVM PX. ~1,500 sq.ft leasehold facility located in a small strip-center. 2021 Gross~ $556,000 produced with very limited hours. P PRACTICE PRICE ONLY: $120,000

SONOMA COUNTY, COTATI- A charming suburb of Santa Rosa: Approximately 1 hour north of San Francisco. Located in a quaint family-oriented community. Spacious facility with many opportunities for redesign. ~2,300 sq. ft. reasonably priced free-standing facility is situated on a 6,000 sq. ft. lot. Equipment including DR X-Ray. 2021 Gross ~$1,080,000. Normalized cash flow as currently operated generates approximately $485,000 (46%), providing exceptional profitability. T TERRIFIC POTENTIAL! PRACTICE PRICE: $799,000 REAL ESTATE PRICE: $500,000

Celebrating our 30th year assisting veterinarians!

Contact us to learn how we can help achieve your goals of selling or buying.

545 Sespe Avenue Fillmore, CA 93015

Phone: 805.524.3195

Fax: 805.524.3192

E-mail: PacProInc@aol.com Website: www.pacificproinc.com

Broker - DRE #01140877

8. General business office of publisher: CVMA, 1400 River Park Drive, Suite 100, Sacramento, CA 95815-4505

9. Full name and address of publisher: Daniel Baxter, CVMA, 1400 River Park Drive, Suite 100, Sacramento, CA 95815-4505.

Full name and address of editor: Taryn DeOilers, CVMA, 1400 River Park Drive, Suite 100, Sacramento, CA 95815-4505.

Full name and address of managing editor: Kristen Calderon, CVMA, 1400 River Park Drive, Suite 100, Sacramento, CA 95815-4505.

10. Owner: California Veterinary Medical Association, 1400 River Park Drive, Suite 100, Sacramento, CA 95815-4505. Stockholders owning or holding 1 percent or more of the total amount of stock: none.

11. Known bondholders, mortgagees, and other security holders owning or holding 1 percent or more of total amount of bonds, mortgages, or other securities: none.

12. The purpose, function, and nonprofit status of this organization and the exempt status for Federal income tax purposes: has not changed during the preceding 12 months. 13 Publication title:

NCCH6 New Listing! If you are looking for a 2 DVM small animal practice in a great community, loaded with recreation, and a practice that produces a high after-debt compensation level for the buyer so you can afford to do just about anything, then stop looking! This practice was established in 1991 and is in a 2,946 square foot leasehold space with 3 exam rooms. Nestled right next to the Sierras, you can be in the mountains in minutes or head south to Sacramento. Revenue has grown steadily over the past few years, 2021 was over $1.5 million. In addition to good growth and revenue this practice also has strong profitability. You can purchase the practice and still expect to have approximately $400,000 in after debt income. If you love the outdoors, want time to enjoy it, and hate living on a budget you owe it to yourself to see this practice. It’s a medical practice and money machine all rolled into one. Practice Price: $1,500,000

NCPV7 New Listing! 100% small animal practice located in a 2,000+ square foot free standing leased facility on a major thoroughfare in a larger city with a population over 311,000. In addition to all the amenities of a large community this centrally located city is approximately 3 hours from Lake Tahoe, 2 hours from San Francisco, Napa and 1 hour from Sacramento. Gross revenue was over $1.3M in 2021. Practice price $800,000

NC66 Price Reduced! Highly motivated seller! 1+ DVM small animal practice located in a freestanding building that is 2,400 square feet on nearly a 1-acre lot. It was built in 1998, has 2 exam rooms and is constructed of stone & brick. Operated Monday thru Friday with no current office hours on the weekends providing plenty of personal time off. Revenue has been increasing yearly, 2021 was over $1.1M and 2022 should beat that. And that is on a 4.5-day work week! Expected after-debt income is expected to be over $150,000 after both the practice and real estate loan payments.

Practice Price: $650,000 Real Estate: $695,000.

SCV1 New Price! Live close to Los Angeles but far enough away to enjoy rolling hills, clean air and less traffic. The area supports a strong economy centered around small business. The community is in a perfect location and is easily connected to all southern California. Live thirty minutes from the beach, mountains, and an international airport. This 1 DVM Small Animal practice is in a large 3,600 sq. ft freestanding facility with 5 exam rooms. Other features include indoor runs, boarding ability, multiple office spaces and stay-of-theart ICU area. 2021 Revenue was greater than $770,000 and has had consistent growth from 2018 to present. Buyer’s after-debt income projected to be greater than $200,000 per year! Practice has been appraised by a nationally known CPA firm at $799,000. Asking price is $750,000 OBO

NCTC5 2 DVM small animal practice located in a newer 4,000 sq. foot free-standing facility. This thriving business is in a peaceful recreational town loaded with historic buildings, art galleries, and just minutes from numerous mountain activities. There are over 50 miles of trails for hiking, running, biking and horseback riding and one of Northern California’s favorite lakes is just a short 5-mile drive. All the big city conveniences are less than an hour’s drive. When the main part of California is baking in 100-degree heat, this mountain community is usually 20 degrees cooler. Gross revenue has been over $1.6 million in the last couple of years. Projected after-debt income should be over $150,000. Practice Price: $850,000 Real Estate Price: $1,000,000.

SCW101 Located in the San Fernando Valley is a 2 DVM small animal clinic grossing over $1.2 million in 2021. The San Fernando Valley is located just north of LA and has great communities and strong business industries. The practice sits in the SW region of the valley and is home to approximately 67,000 residents. It is considered one of the least dense neighborhoods in the Los Angeles area. The facility is a 2,001 square feet free-standing stucco wood building on a 4,258 square foot lot with 2 exam rooms. Surrounding the facility is a mix of commercial property and residential neighborhoods. The San Fernando Valley is a highly desired and great place to live. There are endless opportunities for entertainment and recreation. Expected after debt income is greater than $170,000. Practice: $920,000 Real Estate: $850,000

NCM6 1 DVM small animal practice located in the foothills of Mariposa County in a quaint historic town, but close to large metropolitan areas. The practice is located in a 2,910 sq. ft. free standing facility. The surrounding Sierra Nevada foothills offers immense outdoor recreation opportunities. The community is home to numerous events and music festivals all year long. Yosemite National Park is only an hour drive, and there are many large reservoirs and mountain lakes nearby. The practice was established in 1986 and currently operates 5 days a week. For the past couple of years gross revenue has been just over $700,000. Expected after debt income is projected to be over $160,000 a year. Practice Price: $497,000 Real Estate Price: approximately $550,000 depending upon how big of a lot is split off the total 10 acres owned by the seller. (ask us about the specifics).

NCPR11 Extremely rare opportunity to work and live in Northern California paradise. Very healthy small animal, country clinic. Decades of repeated financial growth. Vet clinic and comfortable, sunlit living space with artist studio, reside on nearly 2 acres. Just a minute walk to restaurants, art, music. Outdoor adventure mecca! World-renowned: hiking, biking, horseback riding, swimming, surfing, sailing and kayaking. All this and only 40 miles to San Francisco! Clinic currently open Monday-Friday 9-5; plenty of room to expand hours or keep your weekends to yourself! This 1.5 DVM practice resides in a 2,604 square foot building. 2021 gross revenue was $1,164,801, up >$100K over 2020. Practice Price: $799,000 Real Estate Price: $1,800,000