Nov/Dec 2023 CV

California

VETERINARIAN THE PUBLICATION OF THE CALIFORNIA VETERINARY MEDICAL ASSOCIATION

VOLUME 77 NUMBER 06 | NOVEMBER–DECEMBER 2023

Pacific Veterinary Conference in PAGE2222 San FranciscoPAGE JULY 11—14, 2024 HILTON SAN FRANCISCO UNION SQUARE

New CVMA Member Benefit: The OnHold Experience page 9

...the endorsed workers’ compensation insurance carrier

SINCE 2017

FOR CVMA MEMBERS.

Preferred Employers Insurance has been...

®

2

California Veterinarian | November–December 2023

CONTENTS

12

20

22

28

Features

Departments

7 Member Profile: Julio López, DVM, DACVIM (SAIM)

4 CE Calendar

8 CVMA Member Benefits

5 Director’s Corner

9 New Member Benefit: The OnHold Experience 10 Veterinarian Beginnings: More Than a Mentorship 12 Legislative Update

6 News & Now 18 Compliance Corner: Common VMB Inspection Issues and Tips for Avoiding Them 31 CVMA Remembers

15 Veterinary Medical Board Report

40 Student News

28 Unity: The Courage of Accountability in Belonging

42 University News

30 Call for Nominations for the CVMA Awards

45 Classifieds

32 CDFA News: The Last Students of Plum Island’s Foreign Animal Disease Diagnostician Training

46 Ad Index

33 CVMA Members Sought for 2024 AVMA Council and Committee Positions 34 Welcome, New CVMA Members!

46 Statement of Ownership

Upcoming CE 11 Online Seminars

36 From Our Members: Myxomatosis in California: A Deadly Rabbit Disease

16 Spring Seminar in Yosemite

37 Something to Wag About

20 Food Animal Medicine Seminar in Yosemite

38 Treasurer’s Report

22 Pacific Veterinary Conference in San Francisco

39 Workplace Safety: Safeguarding Your Clinic in an Emergency 43 CVMA Certified Veterinary Assistant Program

cvma.net/publications

3

UPCOMING CE

New Laws for 2024

January 9, 2024 | 12:30–1:45 PM (1.5 CEUs) January 11, 2024 | 5:30–6:45 PM (1.5 CEUs) For more information, see page 11.

Volume 77 Number 06 November–December 2023 The Publication of the California Veterinary Medical Association Publisher Dan Baxter Managing Editor Kristen Calderon Editor Taryn DeOilers Publication Designer Marissa Collier Classified Advertising Laura Phillips

New Employment Laws for 2024

January 23, 2024 | 12:30–1:45 PM (1.5 CEUs) January 25, 2024 | 5:30–6:45 PM (1.5 CEUs) For more information, see page 11.

CVMA Spring Seminar in Yosemite March 8–10, 2024 (12 CEUs)

For more information, see page 16.

CVMA Food Animal Medicine Seminar in Yosemite March 9–10, 2024 (9 CEUs)

For more information, see page 20.

BOARD OF GOVERNORS President Dr. Michael Karle President-Elect Dr. Jennifer Hawkins Member-at-Large Dr. Peter Bowie Members Dr. Kelly Byam Dr. Patrick Connolly Dr. Inez del Pino Nicole Dickerson, RVT Dr. Misty Hirschbein Dr. Adam Lauppe Dr. Peter Mangold Dr. Diane McClure Dr. Teresa Morishita Dr. Shari O'Neill Dr. Kevin Terra Dr. Brent Wooden Dr. Jodi Woods Treasurer Dr. Ron Kelpe Chair, House of Delegates Dr. Laura Weatherford STUDENT REPRESENTATIVES University of California, Davis Sarah Meil Western University Nicole Lent CVMA STAFF Executive Director Dan Baxter Director of Communications Kristen Calderon

Pacific Veterinary Conference in San Francisco

Director of Conferences and Events Sarah Erck, CMP

For more information, see page 22.

Membership and Student Services Manager Laura Phillips

July 11–14, 2024 (28.5 CEUs)

Director of Finance Kathy Van Booven Director of Regulatory Affairs Grant Miller, DVM Publications Manager Taryn DeOilers Communications and CE Coordinator Nicole Campos

Registration for all CVMA events can be made online by logging onto cvma.net. If you have any trouble registering online, please call 800.655.2862 for staff assistance.

Finance Coordinator Sharmele Browne Graphic Designer Marissa Collier Conference Speaker Coordinator Lily Briggs Conference Expo Coordinator Erica Ferrier Membership Coordinator Jennifer Smith

CVMA-AFFILIATED PROGRAMS

Receptionist Mary Young DISPLAY ADVERTISING Please contact Taryn DeOilers at 916.649.0599 ext. 16 or email tdeoilers@cvma.net.

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. ©2023 CVMA

4

California Veterinarian | November–December 2023

Tell us what you think!

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—let us hear your voice!

DIRECTOR'S CORNER

As consistent readers of California Veterinarian and other CVMA publications know well, 2023 was another very active legislative year at the Capitol, seeing the introduction of several bills with a direct impact on the veterinary profession. In this column, I’d like to focus on one of those bills.

Assembly Bill (AB) 1399 was introduced in February by Assemblymember Laura Friedman, with sponsorship by the San Diego Humane Society and the ASPCA and support by the Veterinary Virtual Care Association, an entity funded by telemedicine app companies. AB 1399 sought to expand the use of veterinary telemedicine here in California, including by discarding the requirement of an in-person examination to initiate a veterinarianclient-patient relationship (VCPR). This feature and others led the CVMA’s Legislative Committee to recommend an “Oppose” position on the bill, and that position was formally adopted by the CVMA’s Board of Governors at its March Board meeting.

From that point forward, the CVMA lobbied the bill hard.

Indeed, for the first time in the CVMA’s history, the CVMA and the American Veterinary Medical Association joined forces to lobby against AB 1399’s passage, with additional support from several local California veterinary associations and the Veterinary Medical Board (VMB). Together with our lobbying firm, CVMA leaders participated in numerous meetings with author and sponsor representatives (including Assemblymember Friedman herself) and other legislators and stakeholders. The CVMA sent out six action alerts to members in the districts of key legislators facilitating the process for veterinary professionals to share their thoughts about telemedicine directly with their representatives.

We testified in front of four committees of the California Assembly and Senate, articulating our concerns with the bill and its impact on the VCPR specifically and veterinary practice standards in general. We also proposed various amendments that would mitigate the adverse consequences of the bill on practice standards, including amendments pertaining to (a) the permissible timeframes attending to prescription medications in absence of an in-person VCPR, and (b) linking telemedicine practice to a fixed veterinary premises within the state of California. Contemporaneously with proposing those amendments, and with the advice and consent of our legislative team and Board executive committee, the CVMA modified its position to “Oppose, Unless Amended.” And concurrently with that, the VMB

proposed its own—somewhat similar but not as extensive— amendments that also moved the VMB to modify its position from “Oppose” to “Oppose, Unless Amended.”

After multiple meetings, letters, and other communications (including many letters and phone calls of opposition transmitted by CVMA members—thank you!), we participated in an “all-hands” meeting on August 10 that included representatives from the author’s and sponsor’s offices and the VMB. Several days later, we were informed that the author had accepted the amendments proposed by the VMB and some of the same amendments proposed by the CVMA. While not all of the CVMA’s amendments were accepted, the CVMA’s legislative team concluded that, in light of the VMB changing to a “Support” position, there was almost no chance that further opposition would bear fruit. Despite all of our efforts, the bill had sailed through all of its committee hearings—and through the Assembly itself—with nearly unanimous legislator support.

Accordingly, the CVMA modified its position to “Neutral” and maintained that position for the balance of the legislative process. The bill has now been signed by the governor and will take effect on January 1. While the contents of the bill are not optimal, the amendments do address some of the CVMA’s concerns, and it remains to be seen how the bill will truly operate in “real life.” In that regard, and to assist the profession in navigating the requirements of AB 1399 and its effects on veterinary practice, the CVMA has formed a task force to create a new CVMA policy on telemedicine.

This guidance will be disseminated in CVMA publications, including in California Veterinarian and on the CVMA’s website, so please be on the lookout for that information in late December or early January. Additionally, the CVMA Director of Regulatory Affairs Dr. Grant Miller and I will be discussing this bill and other 2023 legislation during our forthcoming New Laws webinars, to be held on January 9, 2024 (lunchtime) and January 11, 2024 (evening). These webinars will be complimentary to CVMA members. See page 11 for more information.

I wish all of you a happy and healthy holiday season!

Dan Baxter Executive Director cvma.net/publications

5

UPCOMING MEETINGS

NEWS & NOW

CVMA

News & Now

NOVEMBER 28, 2023 AVMA Advisory Committee Meeting

Happy Holidays from the CVMA! DECEMBER 6–7, 2023 VISC Board and Strategic Planning Meetings

JANUARY 18–19, 2024 Veterinary Medical Board Meeting

JANUARY 19–21, 2024 CVMA Joint Leadership Forum and Board/House Meetings in Costa Mesa

MARCH 23, 2024 Board of Governors Meeting

APRIL 17–18, 2024 Veterinary Medical Board Meeting

As 2023 comes to an end, the CVMA celebrates another fruitful year, chock full of fun and successful CE events, newly added member benefits, and extensive legislative and regulatory engagement. We are always grateful for the opportunity to support and fortify the veterinary community and the animals it serves. We wish all of our members and their loved ones a joyful holiday season, and we look forward to a positive and prosperous 2024!

California’s Minimum Wage to Increase in the New Year

California’s minimum wage will increase to $16 per hour for all employers on January 1, 2024.

Some cities and counties in California have a local minimum wage that is higher than the state rate. The change in the minimum wage also affects the minimum salary an employee must earn to meet one part of the overtime exemption test. As of January 1, 2024, employees in California must earn an annual salary of no less than $66,560 to meet this threshold requirement. Employers must post the Minimum Wage Order and the Wage Order applicable to their workplace at a worksite area accessible to employees. The wage orders can be downloaded and printed from the workplace postings page on the Department of Industrial Relations website.

CVMA Board of Governors Finalizes 2024 Action Plan

The CVMA’s Board of Governors (BOG) met for its annual Action/Vision Planning session in October during the CVMA’s Fall Seminar in Lake Tahoe. During this meeting, the BOG finalized its 2024 Action Plan, a strategic plan document listing the CVMA’s goals for the forthcoming year along with action items associated with each goal. To view the CVMA's new Action Plan, visit cvma.net, hover over the About Us tab, and click 2024 Action Plan.

Apply Now for the Don Low Fellowship

Applications for the 2024–2025 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 provide clinical opportunities that are unavailable within residencies or other 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, 2023. To apply, visit ce.vetmed.ucdavis.edu/fellows/don-low-fellowship.

Advertise with the CVMA!

= HYBRID OR VIRTUAL EVENT

6

As the largest state veterinary association in the country, 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, the CVMA’s Weekly e-newsletter, and the monthly Upcoming CE e-blast, both of which are also sent out to every CVMA member. For more information and to receive our Media Kit, please contact Taryn DeOilers at tdeoilers@cvma.net, or visit cvma.net and click Resources > Display Advertising Opportunities.

California Veterinarian | November–December 2023

MEMBER PROFILE

I AM THE

Members are the heart of the CVMA

Julio López, DVM, DACVIM (SAIM) c

Founder and Chief Medical Officer at Jade Vets

c

Cornell College of Veterinary Medicine

c

Small Animal Private Practice

If I could have dinner with any famous person in history, it would be Jackie Robinson.

The most surprising case I've had was a cat who had a foxtail lodged in its heart!

My favorite way to unwind is going to a Lakers or Dodgers game.

I keep my workplace fun by laughing multiple times a day with the staff as we joke while we work.

I would like to be known for helping the next generation of veterinarians become successful practitioners.

Something I do that my clients love is letting their kids listen to their pet’s heart.

I still want to learn how to scuba dive.

I am a CVMA member because I enjoy working with my

colleagues to ensure veterinarians have a say in decisions that affect our profession.

cvma.net/publications

7

CVMA MEMBER BENEFITS

CVMA Member Benefits Continuing Education

Savings on Products and Services

Wellness

High-quality CE offered in person and online at special member rates – cvma.net/continuing-education/

TELUS Health (formerly LifeWorks) is the CVMA’s full-service member assistance program

Continuing education record maintenance on the CVMA website with licensure renewal reminders – cvma.net/continuing-education/

LetsGetChecked provides discounts on over 30 home health tests Active&Fit gives discounts to over 11,600 national fitness centers

CVMA’s Certified Veterinary Assistant Program – cvma.net/resources/

Insurance Coverage Business Free legal and regulatory consultation for member veterinarians CVMA InLine program to assist with workplace safety, legal issues, and laws and regulations – cvma-inline.net

Veterinary Insurance Services Company (VISC) – insurance specialized for the needs of veterinary professionals – visc-ins.com Delta Dental Insurance Vision Service Plan

Relief Veterinarian Directory Find-a-Veterinarian online listing

Advocacy CVMA legislative advocacy – cvma.net/advocacy/ Continual monitoring and reporting of unlicensed veterinary activity

Career The CVMA Career Center – post and view classified employment and practice sales ads CVMA members-only online directory RECENTLY ADDED! MentorVet – discounted fee for peer support coaching for new veterinary graduates

Information

Student

Immediate critical access to information through California Veterinarian magazine, CVMA’s Weekly e-newsletter, the CVMA website, press releases, and action alerts The CVMA Member App puts the power of the CVMA in the palm of your hand

CareCredit healthcare financing The Castle Press – discounts on printing services and products CheckmarcUSA – free check recovery services Epicur Pharma – discounts on its 503B product line for in-house use and administration as well as secondary dispensation to clients GlobalVetLink – discounts on electronic prescriptions, health certificates, feed directives, and other products HireRight – discounted employee background screening i3 Merchant Solutions – lowering credit card processing rates National Pharmaceutical Returns – discounts on mail back disposal services for unwanted prescription and over-the-counter drugs, and reverse distribution of unwanted controlled substances RECENTLY ADDED! Clean Harbors – discounts on medical waste services packages, including biohazard, sharps, and pathology waste RECENTLY ADDED! PetFundr – provides pet owners access to create crowdfunding campaigns which sends funds directly to your account for their pet's care JUST ADDED! The OnHold Experience – see the next page for full description

Entertainment

Summer Work Experience Program (SWEP) – connecting veterinary students with veterinary practices for summer employment – cvma.net/resources/

California Academy of Sciences discount

VISC – UC Davis and WesternU veterinary student members receive complementary professional liability insurance

TicketsAtWork – discounts for theme parks and more

Car Rental Savings

For more information on CVMA member benefits, visit cvma.net/membership/.

8

California Veterinarian | November–December 2023

NEW MEMBER BENEFIT

NEW CVMA MEMBER BENEFIT:

Custom Telephone On Hold Message Campaign Designed for Veterinary Practices

T

he CVMA is excited to welcome a new member benefit through The OnHold Experience. The time your clients are on hold is the perfect opportunity to promote your practice's services, provide pet health tips, suggest regular check-ups and vaccines, and promote your website.

The OnHold Experience provides professionally produced telephone “on hold” message campaigns to engage your callers, complimenting your marketing and branding efforts.

CVMA members can take advantage of a risk-free 60-day trial followed by a special discount rate of $59 per month

with broadcast updates included at no additional cost. This is a month-tomonth, “cancel at any time” agreement with no lease or long-term commitment required!

To listen to an audio demo, scan the QR code in the graphic below.

If you are interested in learning more, contact Mike Rosslow at The OnHold Experience at 877.412.4653, onholdmike@gmail.com, or visit TheOnHoldExperience.com and click on “Request Information.”

Mention CVMA and provide your CVMA membership number to receive more information, the free test-drive, and discounted CVMA pricing.

cvma.net/publications

9

VETERINARIAN BEGINNINGS

More Than a Mentorship

By Peyton Aaronson, DVM

“

Remember how I taught you to hold your needle drivers, and don’t forget your anatomy!” It was my dad on the other line—we had been dreaming of this day since I was in elementary school when I told him I wanted to be a veterinarian.

Suddenly I was 26, and I was calling him while driving to the first day of my general practice externship in my hometown of Palm Springs. Normally he would be getting ready to head into the operating room, too, as a plastic surgeon who loved to empower his patients through cosmetic surgery. But that morning, he was a patient in the hospital and could not be there to give me a pep talk in person.

Dr. Doug Kunz, my mentor and a decorated veterinarian with 45 years of experience, met me in the operating room for our first procedure, a canine ovariohysterectomy. Between my pink glitter Crocs and his Disney Halloween surgery cap, I felt at ease knowing we both enjoyed forms of self-expression. I made my first incision into the abdomen, while Dr. Kunz encouraged me and elaborated on the cut of steaks they had thrown on the grill last night. I knew he was trying to make me more comfortable as I was shaking while gripping the scalpel. I completed the surgery, the patient recovered smoothly, and Dr. Kunz congratulated me. I couldn’t wait to tell my dad!

But my excitement came to a screeching halt. The next day, I learned that my dad would not make it out of the hospital to hear about my surgery. He had passed away after battling multiple myeloma for nine years. I felt like I had lost my guiding light.

Time continued to pass, and before I knew it, I was back home and operating on my own patients alongside Dr. Kunz. I looked

10

down at the blue taping marking my father’s instrument set as I completed my last throw, feeling more and more comfortable.

I asked Dr. Kunz how I could improve, thinking my intradermal technique could be sharper or my surgery time could be expedited. He looked at me and laughed: “Lift more weights.” Testicles can be tough to exteriorize, but when your 75-year-old mentor tells you bigger biceps would improve your surgical technique, you can’t help but laugh. Although Dr. Kunz did not know it then, he did more than guide me through my first year of practice; he brought light and joy back into my life.

Many of my new clients knew of Dr. Aaronson as their cosmetic surgeon, and now a new Dr. Aaronson was neutering their puppy. Although at times it was difficult to be reminded of my father’s legacy in my new role, it became a gentle reminder that I am lucky to be following in his footsteps. He worked in Palm Springs as a plastic surgeon for 32 years; the footsteps were miles long. But I was not alone, and Dr. Kunz was by my side encouraging me every step of the way.

When I questioned whether a mass was too large to remove myself and debated

California Veterinarian | November–December 2023

referral to a specialist, he reassured me, “You can do it!” Often, that was all I needed to propel forward.

My mentorship made me the veterinarian I am today and highlighted the many reasons why I became interested in this field. I hope I can provide a light to someone who may have lost theirs along the way, because I know how meaningful it is to find it once again.

Dr. Peyton Aaronson was born in Palm Springs. She graduated from UCLA in 2016 and from UC Davis School of Veterinary Medicine in 2021. She now works as a general practice small animal veterinarian in Palm Springs at the VCA Desert Animal Hospital. She was a recipient of Palm Springs Life’s 40 Under 40 award in 2022.

ONLINE SEMINARS

Online Seminars New Laws for 2024

Dan Baxter, CVMA Executive Director and Grant Miller, DVM, CVMA Director of Regulatory Affairs January 9, 2024 | 12:30–1:45 PM (1.5 CEUs) January 11, 2024 | 5:30–6:45 PM (1.5 CEUs) With several new laws taking effect in 2024, it is important for veterinary practices to have a clear view of the legal landscape to ensure continuing compliance.

This talk will cover new laws that will significantly impact the way veterinary medicine is practiced in California, including telemedicine and newly permitted job tasks for registered veterinary technicians (RVTs). The course qualifies as continuing education credit for the purpose of California veterinarian and RVT license renewal.

New Employment Laws for 2024

Jizell Lopez, Wilke Fleury January 23, 2024 | 12:30–1:45 PM (1.5 CEUs) January 25, 2024 | 5:30–6:45 PM (1.5 CEUs) This presentation will cover new and revised employment laws taking effect January 1, 2024. These laws apply to all businesses, including veterinary practices; as such, it is important that both employers and employees be aware of these legal changes. This course is complimentary to all CVMA members.

TELUS Health Wellness Webinars

Telus Health (formerly LifeWorks), the CVMA’s Member Assistance Program, is offering free webinars each month of 2023 addressing various wellness topics. Please note: TELUS Health webinars do not offer CE credit.

SPONSORED BY:

Emotional Intelligence

November 24, 2023 | 11:00–11:30 AM Many of us know that getting along with others is the key to success. Our ability to "play nicely in the sandbox" is fundamental to both our career and our health. We will discuss what an emotion is, why you are having it, and understand how our feelings can affect our moods in our daily life and the people that surround us.

Resiliency–Looking Back and Looking Forward December 8, 2023 | 11:00–11:30 AM

As we all know, the past few years brought change, transitions, joy, and losses. This class will allow you to reflect, learn from your experiences, and exhale as you shift your focus toward the future and on positive growth. This session will be interactive, as we will discuss how to move forward while acknowledging what we have experienced.

Register online by visiting the Continuing Education tab at cvma.net or by phone at 800.655.2862.

cvma.net/publications

11

2023 CALIFORNIA LEGISLATIVE WRAP-UP

CVMA ADVOCACY IN ACTION

2023 Legislative Wrap-Up

T

he California legislature drew its 2023 session to a close on September 14. The Governor then had until October 14 to sign or veto hundreds of bills sent to him in the final weeks of session. While several bills that affect the veterinary profession did not make it to his desk, some crucial bills were enacted into law. The CVMA’s legislative team advocated for the profession on various bills that impact veterinary medical practice in this state. Below is a summary of priority bills followed by a bill chart with the final status of each bill that was followed by the CVMA this year.

AB 1399 (Friedman/Lowenthal): Veterinary medicine: veterinarian-client-patient relationship: telehealth.

CVMA Position: Neutral Status: Signed by Governor on October 8, 2023

The enactment of this bill makes California the sixth state in the nation to permit a veterinarian-client-patient relationship (VCPR) to be established by electronic means, thus discarding the current requirement for a veterinarian to physically examine 12

California Veterinarian | November–December 2023

an animal patient or make medically appropriate and timely visits to the premises where the animals are kept in order to prescribe medication and treat patients. The law requires that a virtual VCPR may only be established by using synchronous audiovisual communication and may only be offered by a Californialicensed veterinarian to animal patients that reside in California.

Numerous client disclosures must be made at the onset of a telemedicine appointment, including providing the client with locations in their area where veterinary services are available.

The law includes a 14-day limit on the amount of antimicrobials that may be prescribed for an animal patient when telemedicine is being used to diagnose and treat it for the first time. Should a patient require more antibiotics beyond the initial 14-day supply, an in-person examination by a veterinarian will be necessary. The law also prohibits controlled substances from being prescribed when a VCPR is established via telemedicine. Telemedicine used to establish a VCPR is prohibited for racehorses.

For more explanation surrounding this bill, see the Director’s Corner on page 5. The CVMA will also be publishing more information in the next edition of this magazine.

AB 814 (Lowenthal) Veterinary medicine: animal physical rehabilitation.

CVMA Position: Oppose Status: Held in Committee/Two-Year Bill

This measure will permit physical therapists to open their own practices to provide animal physical rehabilitation services to all species of animals by veterinary referral. The bill is an attempt to override current state law by proposing that direct veterinarian supervision be removed in practices run by physical therapists and avoiding minimum standards required of veterinary practices by inclusion of a licensee manager and other consumer protection provisions. The Veterinary Medical Board (VMB) has estimated a $1.2 million implementation cost for this bill since it will require a new type of licensure, premises permit, and set of minimum standards. Since the VMB’s operating budget is not augmented by the general fund and comes solely from licensing and permit fees, the CVMA is concerned about how this cost will be covered, given the small number of physical therapists in the state who have expressed interest in providing services to animals.

The CVMA formed a coalition to oppose AB 814, which includes the American Veterinary Medical Association, the Sacramento Valley Veterinary Medical Association, the San Diego County Veterinary Medical Association, and the Southern California Veterinary Medical Association. The bill was held in the Senate Business, Professions and Economic Development Committee and could be heard there beginning in early 2024, should the author choose to present it.

SB 669 (Cortese) Veterinarians: veterinarian-client-patient relationship.

CVMA Position: Support Status: Signed by Governor on October 13, 2023

This bill will permit veterinarians to utilize registered veterinary technicians (RVTs) as agents in establishing a VCPR for the specific purposes of administering prophylactic vaccinations and/ or providing preventative procedures for parasite control.

SB 373 (Menjivar) Board of Behavioral Sciences, Board of Psychology, and Veterinary Medical Board: licensees’ and registrants’ addresses.

CVMA Position: Support Status: Vetoed by Governor on October 8, 2023

This bill, when originally written, was intended to limit the California Board of Behavioral Sciences and the Board of Psychology from disclosing contact information for licensees and registrants under their jurisdiction, specifying that only the city, state, county, and ZIP codes could be provided.

The CVMA contacted the bill’s author—Senator Caroline Menjivar—and requested that the VMB be added to the list of boards that must limit their public disclosure of licensee contact information. Many house call and ranch call veterinarians base their business at their home; as a result, some practitioners have experienced stray animals being left on their doorsteps, while others have reported angry clients coming to their home. In an effort to protect these veterinarians and their families, Senator Menjivar agreed to include veterinary licensees among the healthcare professionals whose contact information will be limited.

Governor Gavin Newsom vetoed this bill, indicating in a veto message that consumers need to know the address of their healthcare providers in order to be able to request medical records. He further stated that healthcare providers may provide a PO Box as an address of record to protect their home address.

(Unfortunately, a P.O. box will not suffice in the case of California veterinary medical licensees.)

More information about these bills, along with the CVMA’s position letters and fact sheets, are available on cvma.net in the Advocacy section under “2023 Legislative Update.”

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 in the Advocacy section of cvma.net.

The CVMA has extensively reviewed and discussed the RVT licensing curriculum and recognizes the expanded ability of RVTs to assist veterinarians in establishing VCPRs with clients to provide vaccinations and parasite control. This measure will help to improve access to veterinary care by giving veterinarians authority to more extensively utilize RVTs in practice.

More information about this bill will be available in the next edition of California Veterinarian. cvma.net/publications

13

CVMA 2023 LEGISLATION BILL CHART

2023 Legislative Bill Chart Bill #

Author

Title

Bill Status

CVMA Position Watch

AB 240

Kalra

Dogs and cats: California Spay-Neuter Fund.

Not Heard in Assy./2 Year Bill

AB 332

Lee

Rabies control data.

Not Heard in Senate/2 Year Bill

Watch, Letter of Concern

AB 357

Maienschein

Animal test methods: alternatives.

Chaptered into Law

Watch Closely

AB 509

Fong

Personal income taxes: gross income: exclusion: student loan assistance.

Held in Committee

Support

AB 554

Gabriel

Corporations for the prevention of cruelty to animals: enforcement of laws.

Assembly Floor Inactive File

Watch

AB 595

Essayli

Animal shelters: 72-hour public notice: euthanasia: study.

Held in Committee

Watch Watch

AB 703

Hart

Residential property insurance: dog breeds.

Not Heard in Assy./2 Year Bill

AB 781

Maienschein

Accessibility to emergency information and services: emergency shelters: persons with pets.

Chaptered into Law

Support

AB 814

Lowenthal

Veterinary medicine: animal physical rehabilitation.

Not Heard in Senate/2 Year Bill

Oppose

AB 829

Waldron

Crime: animal abuse.

Chaptered into Law

Watch

AB 996

Low

Department of Consumer Affairs: continuing education: conflict-of-interest policy.

Senate Floor Inactive File

Watch

AB 1021

Wicks

Controlled substances: rescheduling.

Chaptered into Law

Watch

AB 1076

Bauer-Kahan

Contracts in restraint of trade: noncompete agreements.

Chaptered into Law

Watch

SB 1215

Carrillo

Pets Assistance With Support Grant Program: homeless shelters: domestic violence shelters: pets.

Vetoed

Watch

SB 1232

Connolly

Department of Food and Agriculture: resilient and higher welfare grant program.

Held in Committee

Write Letter of Concern

SB 1237

Petrie-Norris

Student financial aid: California Public Interest Veterinary Debt Relief Program.

Held in Committee

Support

SB 1298

Valencia

Horse racing: unlicensed penalty.

Not Heard at Author’s Request

Watch

SB 1399

Friedman

Veterinary medicine: veterinarian-client-patient relationship: telehealth.

Chaptered into Law

Neutral

SB 1557

Flora

Pharmacy: electronic prescriptions.

Chaptered into Law

Watch

SB 1619

Dixon

Pharmacists: drug disclosures: cannabis or cannabidiol interactions.

Not Heard at Author’s Request

Watch Closely

SB 89

Ochoa Bogh

Crimes: stalking.

Not Heard in Assy./2 Year Bill

Watch

SB 616

Gonzalez

Sick days: paid sick days accrual and use.

Chaptered into Law

Watch

SB 627

Smallwood-Cuevas

Displaced workers: notice: opportunity to transfer.

Vetoed

Watch

SB 373

Menjivar

Board of Behavioral Sciences, Board of Psychology, and Veterinary Medical Board: licensees’ and registrants’ addresses.

Vetoed

Support

SB 652

Umberg

Evidence: expert testimony.

Chaptered into Law

Support

SB 669

Cortese

Veterinarians: veterinarian-client-patient relationship.

Chaptered into Law

Support

SB 780

Alvarado-Gil

Department of Food and Agriculture: oversight: commercial feed, feed additives, and drugs.

Chaptered into Law

Watch

SB 802

Roth

Licensing boards: disqualification from licensure: criminal conviction.

Not Heard in Assy./2 Year Bill

Watch

SB 848

Rubio

Employment: leave for reproductive loss.

Chaptered into Law

Watch

SB 887

Roth

Committee on Business, Professions and Economic Development. Consumer affairs.

Chaptered into Law

Watch

14

California Veterinarian | November–December 2023

VMB REPORT

Veterinary Medical Board Report The California Veterinary Medical Board (VMB) and its Multidisciplinary Advisory Committee (MDC) convened on October 17–19, 2023.

CVMA Executive Director Dan Baxter and Director of Regulatory Affairs Dr. Grant Miller attended the meetings on behalf of the CVMA.

Veterinary Medical Board

The VMB voted to advance in the rulemaking process the alternative premises minimum standards rulemaking package described in the MDC section of this update. Minor changes were made to the shelter premises minimum standards prior to the adoption of the proposed language. The rulemaking package will alter or add several sections to Title 16 of the California Code of Regulations and will now be sent to the Department of Consumer Affairs for legal review.

The VMB tabled consideration of a rulemaking packet that would amend certain provisions of Title 16 of the California Code of Regulation relative to veterinary drug compounding.

VMB board members and executive officer Jessica Sieferman provided a detailed summary of the annual conference recently held by the American Association of Veterinary State Boards (AAVSB), including the AAVSB’s discussion of whether and to what extent RVTs should be able to avail themselves of alternate pathway qualification towards sitting for the Veterinary Technical National Examination (VTNE), as has long been permitted in California.

The VMB heard from three candidates seeking appointment to fill the MDC’s open RVT member position. After interviews of all three individuals, the Board re-appointed Leah Shufelt, RVT, to fill the slot. In addition, Maria Salazar-Sperber resigned from her public member position on the VMB. This latter position is appointed by the chair of the Senate Rules Committee, and interested members of the public may apply for the position here: srul.senate.ca.gov/.

The VMB concluded its meeting with elections of its 2024 officers. Dr. Christina Bradbury and Dr. Maria Solacito were re-elected as VMB President and Vice President, respectively.

Multidisciplinary Advisory Committee

The MDC voted to approve and present for the VMB’s consideration a rulemaking package regarding minimum standards for alternative veterinary premises. Current law includes minimum standards for fixed (“brick and mortar”) veterinary premises, small animal premises, mobile clinics, and vaccination clinics. In addition to making several amendments to the minimum standards categories currently listed, the proposed rulemaking package additionally defines minimum standards for house call/ambulatory practices, large animal fixed premises, and animal shelters.

The package also amends the requirements applying to a premises licensee manager.

After extensive discussion, the VMB tabled until January rulemaking packages pertaining to veterinary medical records and complaint prioritization, respectively.

The MDC elected Dr. Richard Sullivan to serve as the MDC chair in 2024 and elected Marie Ussery, RVT to serve as the 2024 MDC vice-chair.

The next MDC and VMB meetings are scheduled to take place on January 16–18, 2024, both online and in Sacramento.

cvma.net/publications

15

SPRING SEMINAR

Experience Unparalleled CE and Views in Yosemite!

CVMA spring Seminar!

March 8–10, 2024

L

ocated amid the stunning beauty of Yosemite National Park area, it’s not hard to see why the CVMA Spring Seminar in Yosemite consistently remains one the CVMA’s most popular events! Come earn up to 12 CEUs on the topics of cardiology and neurology presented by two world-class speakers.

Afternoons are free for attendees to explore the awe-inspiring 1,200 miles of Yosemite Valley, routinely voted one of the best national parks to visit in the U.S.! Don’t miss your opportunity to recharge both your veterinary skills and your mind.

Best of all? For the first time ever, the CVMA Spring Seminar is open to ALL veterinary staff members!

16

California Veterinarian | November–December 2023

SPEAKERS Cardiology

Kristin MacDonald, DVM. Ph.D., DACVIM Dr. Kristin MacDonald is the clinical cardiologist at VCA Animal Care Center of Sonoma, where she has a thriving cardiology practice, including medical and interventional cardiology as well as participation in heart failure clinical trials.

She is a national lecturer in cardiology for VCA and launched State of the Heart 2.0 for online cardiology education in VCA. Her veterinary education consists of earning a DVM degree from Auburn University, then completion of an internship in small animal medicine and surgery at Michigan State University.

She finished a residency in veterinary cardiology at UC Davis and became a board-certified veterinary cardiologist in the American College of Veterinary Internal Medicine. She continued her education by earning a Ph.D. at UC Davis Comparative Pathology graduate group on hypertrophic cardiomyopathy in Maine Coon cats, and the effects of ACE inhibitors.

Neurology

Jim Lavely, DVM, DACVIM

LOCATION Tenaya Lodge at Yosemite 1122 Hwy 41 Fish Camp, CA 93623 Rooms are available at discounted rates of $179-$219, depending on your room selection. Discounted rooms will be available until Monday, February 5, 2024, or until the block is sold out.

Go to the event page, found under the Continuing Education tab at cvma.net, to reserve your room today!

Dr. Jim Lavely received his DVM degree from The Ohio State University.

After completing an internship at Angell Memorial Animal Hospital, he underwent his neurology and neurosurgery residency training at UC Davis. Dr. Lavely is a board-certified neurologist and enjoys working with a team of neurologists at VCA Animal Care Center of Sonoma County in Rohnert Park. Dr. Lavely has published several articles, including on the topics of CNS infections, pediatric neurology, and seizures.

Don’t wait! The CVMA Spring Seminar sells out every year, and spots are limited.

If you’re unable to join us in-person, you may still attend via the Spring Seminar’s live and interactive online format! Secure your attendance now by visiting the Continuing Education tab at cvma.net. If you have any trouble registering online, please call 800.655.2862 for staff assistance. cvma.net/publications

17

COMPLIANCE CORNER

SHUTTERSTOCK PHOTO

Common VMB Inspection Issues and Tips for Avoiding Them

T

he California Veterinary Medical Board (VMB) has authority under California Business and Professions Code section 4809.5 to inspect registered veterinary premises at any time. The VMB inspection program’s goal is to inspect 20% of registered premises annually, which equals approximately 750 practices per year. In addition, the VMB sets a goal to visit new veterinary premises within the first year of their initial registration. The following are common issues reported by VMB inspectors and tips on how to avoid them.

Expired pharmaceuticals and controlled substance disposal

Both regular and controlled expired or unwanted pharmaceuticals need to be properly separated, marked, and stored for disposal. They should be disposed of as soon as possible or on a regular contracted basis. Practices must show documentation indicating proper methods of disposal. Regular pharmaceuticals may be disposed of via a registered medical waste hauler or mail-back service, and proof of contract, receipt, or waybill may be used to demonstrate compliance. For controlled substances, a contract or DEA Form 222 from a Federal Drug Enforcement Administration (DEA)-approved reverse distributor or reverse distribution mailback service is adequate.

Veterinary Assistant Controlled Substance Permits (VACSP)

All unlicensed staff who obtain or administer controlled substances must have a VACSP issued by the VMB. Staff

18

who do not have access to the controlled substance cabinet and who do not prepare controlled substance medications may not need the permit, depending on how controlled substances are handled in the veterinary practice. Veterinarians and RVTs are licensed and therefore are exempt from the permit requirement.

Visit the BreEZe online system at vmb.ca.gov to apply for a permit.

Controlled substance storage and related drug logs

Only licensed or VACSP staff may have access to the controlled substance storage unit. The storage unit should be locked when not in use. Both the Dispensation and Biennial Inventory logs must contain all information required by the DEA. Sample DEA log forms can be found in the “Licensee” section at vmb.ca.gov.

Separate surgery room requirements

Only items related to sterile surgical procedures should be stored in the surgery room. Surgery preparation materials should not be stored in the surgery room. Shelving must be enclosed (with doors), sink drains must be permanently sealed, and any windows must be closed. Window coverings are allowed if they are clean and able to be disinfected. Doors to the surgery room

California Veterinarian | November–December 2023

should remain closed at all times. Except for cases in which the size of the animal patient prevents entry into the surgery room from the interior of the premises, no doors should lead outside the hospital.

Contagious facilities

If a practice does not have a dedicated isolation area, a plan and protocol to prevent the spread of infectious disease is needed, regardless of whether the practice treats suspected contagious animals. A written statement that the practice does not treat contagious animals is not adequate.

Records

Records must contain all information set forth in California Code of Regulations, Title 16, Section 2032.3. Records must be legible. Illegible records can lead to serious consequences during VMB investigations or enforcement actions.

Title 17 posting

All practices with radiation-producing machines must post Title 17 of the California Code of Regulations in the vicinity of the machine or a notice near the machine indicating where Title 17 can be accessed for review. RHB 2364, Notice to Employees, does not meet the requirement. To obtain a copy of Title 17, visit the “Licensee” section of vmb.ca.gov.

Controlled Substance Utilization Review and Evaluation System (CURES) registration for all veterinarians

All veterinarians licensed to practice in California who have a DEA registration number must register for access to CURES, regardless of whether they dispense controlled substances to patients. To register for access to CURES, go to cures.doj.ca.gov.

Notice of ‘No Staff on Premises’

A notice is required in the reception area for practices housing animals overnight with no staff on the premises. A notice that meets the requirement may be purchased at cvma.net in the “Products” section found under the Resources tab.

Anesthetic equipment maintenance Regulations require that anesthetic equipment used in the practice be functional and available at all times.

To comply with this requirement, the VMB needs proof that the equipment is being maintained in accordance with manufacturer recommendations. Hoses should be regularly inspected, cleaned, and changed if needed. CO2 absorbent and waste anesthetic gas canisters should be changed as needed. Proof of vaporizer calibration will be requested by the VMB inspector. Many practices will opt to use a professional service to inspect, calibrate, and service anesthesia machines. Service providers will leave documentation that can be shown to the VMB as proof of compliance.

Licenses/permits not displayed

The most common issue with this requirement is that the license posted is not current. All posted veterinarian and RVT licenses, premises permits, and VACSPs must be current, unaltered originals. The personal addresses of licensees may be covered but must be

BIOA10220-WWF-Ad-Series_NT-proBNP_CVMA-Half-Page-01.pdf

Q TW

TL

DW U TW A P DL N DW T TL I DL N T P R TL A DL DW T DL I N C TW V DL F E L DW I N

TL

DL

C

M

Y

CM

MY

CY

CMY

K

TW

TL

1

8/8/23

To assist veterinary practices in complying with minimum standards, the VMB recently published an updated Hospital Self-Evaluation Checklist that can be downloaded and printed from the “Licensee” section at vmb.ca.gov.

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 shall not be responsible for any errors or omissions, or any agency’s interpretation, application, or enforcement of the information presented herein.

3:40 PM

Words for Vets

TW DW

viewable during an inspection. Some practices utilize a removable adhesive strip to cover the addresses. Relief veterinarians may carry their wallet license for compliance purposes.

DL

R E C I S E TW DL A DW N TL I DL O B N P TL E DL

If you suspect a canine or feline patient is experiencing heart disease, NT-proBNP is the best biomarker to spell out the degree of cardiac damage. The first and only quantitative in-clinic NT-proBNP test by Bionote provides numeric results in just 15 minutes, giving you the answers you need to make treatment decisions quickly and boost your quality of C-A-R-E. Scan the QR code for more information

DW

L I N I DL C TW

E

DW TL

DL TW cvma.net/publications

19

COMPLIANCE CORNER

SP

EC

ZED I L A I

FOOD ANIMA

LC

E IN

YOSEMITE

CVMA Food Animal Medicine Seminar

MARCH 9–10 2024

V

eterinarians, RVTs, CVMA CVAs, and veterinary and RVT students are invited to attend the first-ever CVMA Food Animal Medicine Seminar in Yosemite!

This seminar will be held alongside the CVMA Spring Seminar at the Tenaya Lodge in Yosemite, but is a separate event specially tailored to practicing food animal and mixed animal veterinary professionals and students. Attendees will enjoy a welcome reception, a day and a half of lectures on the topics of ruminants, emergency critical care, judicious use of antibiotics, and cattle offering up to 9 CEUs, as well as a town hallstyle meeting with their food animal veterinary peers to discuss current industry hurdles.

The CVMA Food Animal Medicine Seminar is an in-person event only. Register by visiting the Continuing Education tab at cvma.net. If you have any trouble registering online, please call 800.655.2862 for staff assistance.

20

California Veterinarian | November–December 2023

speakers Ruminants Andrea Mongini, DVM, MS • Practical Small Ruminant Nutrition: Applied Nutrition for Veterinarians • Small Ruminant Dairy Production for the Bovine Practitioner • Developing Small Ruminant Mastitis Treatment Protocols: Assisting Dairies in Management of Milk Quality

Emergency Critical Care Grant Miller, DVM • Emergency Critical Care

Judicious Use of Antibiotics Richard Van Vleck Pereira, DVM, Ph.D., DACVPM • Judicious Use of Antibiotics • Bovine Respiratory Disease: Updates on Diagnosis, Surveillance, and Treatment

Ruminants/Cattle Meera Heller, DVM, Ph.D., DACVIM-LA • Liver! Common Conditions, Diagnostics, and Treatment in Cattle and Small Ruminants • Anaplasmosis and Other Hematologic Conditions • Field Surgeries/Procedures

Full course descriptions are available at cvma.net.

*Sessions subject to change.

Location Tenaya Lodge at Yosemite 1122 Hwy 41 Fish Camp, CA 93623 Rooms are available at discounted rates of $179-$219, depending on your room selection. Discounted rooms will be available until Monday, February 5, 2024, or until the block is sold out.

Go to the event page, found under the Continuing Education tab at cvma.net, to reserve your room today! cvma.net/publications

21

PACVET PROMO

Plan your cation!

Vet

JULY 11–14 2024 HILTON SAN FRANCISCO UNION SQUARE

Hosted by the California Veterinary Medical Association 22

California Veterinarian | November–December 2023

Conference Highlights DAILY CONTINENTAL BREAKFAST KEYNOTE PRESENTATION

Treating Yourself Through a Dog's Eyes They say that a dog is man’s best friend. Perhaps dogs are actually incredible guides for us humans. In this session, Dr. Renee Alsarraf, veterinary oncologist and cancer survivor herself, will highlight life lessons from our four-legged companions. Using heartwarming stories from her veterinary cancer patients and her own journey with having cancer, Dr. Alsarraf will provide wonderful insight into how to live better, how to take care of ourselves and each other better, and ultimately how to be happier.

LABS AND SYMPOSIA

Multiple labs and symposia will be available for you to choose from!

• Proper Use of Legal Entities for Lawsuit Protection and Tax Reduction | Sponsored

by Legally Mine (lunch will be provided) • Basic Ultrasound Lecture and Lab | Sponsored by Esaote • Intermediate Ultrasound Lecture and Lab | Sponsored by Esaote • Recover CPR Workshop | Sponsored by the California Veterinary Medical Reserve Corps

REGISTRATION DEADLINES March 29, 2024

Super Early Bird Registration Deadline For the lowest price possible!

May 24, 2024

Early Bird Registration Deadline

July 5, 2024

Advance Registration Deadline Onsite registration will be available, space permitting.

DISCOUNTED HOTEL RESERVATION CUTOFF June 19, 2024

TWO-DAY VET EXPO

• Discover the latest veterinary products and services and enjoy lunch with us!

• Exciting raffles in the Vet Expo!

• Join the fun and dress up as your favorite 49er as we step back in time to the San Francisco gold rush at the Vet Expo Mixer on Friday, July 12. Enjoy food, drinks, games, and prizes!

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 industry partners and NAVTA-approved academics and societies while enjoying appetizers, a no-host bar, and raffle prizes!

RABIES TITER TESTING

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

STUDENT POSTERS

Dates to Remember

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

Or when the block is sold out, whichever comes first

ADVANCE PACKET PICKUP July 10, 2024 5:00–6:30 PM

For pre-registered attendees only

CE SESSIONS June 11–13, 2024 8:00 AM–5:30 PM June 14, 2024 8:00 AM–3:45 PM VET EXPO July 12–13, 2024

cvma.net/publications

23

Conference Hotel HILTON SAN FRANCISCO UNION SQUARE 333 O’Farrell Street San Francisco, CA 94102 Just 14 miles from SFO, or 19 miles from Oakland International Airport!

Secured parking available onsite for the discounted rate of $45/day

EV charging stations available onsite

DISCOUNTED ROOM RATE

Discounted rates available until June 19, 2024, or until the block fills up—whichever comes first.

PacVet Your Way! With some tracks only available in person and some only virtual, you will want to consult the full PacVet schedule when determining how you will register.

IN-PERSON

There’s no better way to experience PacVet than with the iconic beauty of San Francisco as your backdrop.

24

California Veterinarian | November–December 2023

HYBRID

You can attend our Small Animal Medicine Tracks and our Techinician track either in-person or live and interactive online with the ability to ask the speakers questions in real-time.

VIRTUAL

This year, the Equine and Avian/Exotics tracks will be only offered online, live, and interactive.

Speakers and Tracks

ONE HEALTH

• Heather Oxford, DVM, MPH, CVA, CCRT, ABAAHP

PRACTICE MANAGEMENT

• Rebecca Rose, RVT • Peter Weinstein, DVM, MBA • Heather Prendergast, RVT, CVPM, SPHR • Stephen Marmaduke, Wilke Fleury • Jizell Lopez, Wilke Fleury • Jason Eldred, Wilke Fleury

HYBRID TRACKS

DIVERSITY, EQUITY, AND INCLUSION

SHELTER MEDICINE

• Jeanette O’Quinn, DVM, MPH, DACVPM, ABVP • Elise Gingrich, DVM, MPH, DACVPM, DABVP

SMALL ANIMAL MEDICINE

• Tomo Wiggans, DVM, DACVO • Jonathan Levine, DVM • Gwen Levine, DVM, DACVP (Clinical Pathology), DACVR-DI, DACVR-EDI • Brennan McKenzie, MA, VMD • Bruce Kornreich, DVM, DACVIM, Ph.D. • Fred Gaschen, DACVIM (SAIM), DECVIM-CA (IM), AGAF • Lorrie Gaschen, DVM, Ph.D. • Renee Alsarraf, DVM • Courtney Waxman, MS, RVT, CVT, VTS (ECC) • Mary Berg, RVT, VTS • Walter Brown, RVTg VTS (ECC) • Kristen Cooley, VTS (Anesthesia & Analgesia), VCC

SMALL ANIMAL SURGERY

• Stephen Birchard, DVM, MS, Diplomate, American College of Veterinary Surgeons

USDA-NVAP: APHIS-APPROVED SUPPLEMENTAL TRAINING (AAST)

• Module 1–Introduction to the National Veterinary Accreditation Program • Module 9–Interstate and International Health Certificates for Category 1 Animals • Module 13–Aquatic Animal Health Regulation and Health Certification • Module 14–Evaluation of Aquatic Animals for Detection of Reportable Diseases and Pathogens • Module 18–Avian Influenza and Newcastle Disease • Module 19–Animal Health Emergency Response • Module 22–Animal Welfare: An Introduction • Module 23–Use of Antibiotics in Animals • Module 25–Using Behavior to Assess Animal Welfare • Module 29–Veterinary Feed Directive • Module 34–Veterinary Export Health Certification System (VEHCS)

CONFERENCE WELCOME BY CVMA PRESIDENT DR. MICHAEL KARLE, AND KEYNOTE PRESENTATION

BY DR. RENEE ALSARRAF

TECHNICIAN

VIRTUAL ONLY TRACKS

IN-PERSON-ONLY TRACKS

Below is a list of speakers to date. More will be added in the following weeks. View the most up-to-date list of tracks, speakers, topics, and sessions at pacvet.net.

AVIAN/EXOTICS

• Stephen Divers, BVetMed, DZooMed, DACZM, DECZM, FRCVS • David Sanchez-Migallon Guzman, LV, MS, Dipl. ECZM (Avian, Small Mammal), Dipl. ACZM • Michael Garner, DVM, Dipl. ACVP

EQUINE

• Erin Groover, DACVIM-LAIM

WELLNESS

• Jyothi Robertson, DVM, DABVP

*Speakers subject to change.

cvma.net/publications

25

Full Registration Pricing CVMA MEMBERS

BY MARCH 29, 2024

BY MAY 24, 2024

BY JULY 5, 2024

ONSITE

DVM

$515

$545

$585

$615

New Grad

$415

$440

$460

$485

RVT/LVT/CVT/Vet Staff/ Practice Manager

$405

$420

$440

$465

DVM/RVT Students

$145

$155

$165

$175

NON-MEMBERS

BY MARCH 29, 2024

BY MAY 24, 2024

BY JULY 5, 2024

ONSITE

DVM

$625

$655

$695

$725

New Grad

$510

$535

$555

$580

RVT/LVT/CVT/Vet Staff/ Practice Manager

$490

$505

$525

$550

DVM/RVT Students

$145

$155

$165

$175

Additional fees apply for labs, workshops, and rabies titer testing.

Single-day registration is available—see PacVet.net for more information.

Registration opens November 15, 2023!

In an effort to reduce our environmental impact, we are eliminating paper registrations.

Registration is available at pacvet.net.

If you need help with registration, call 800.655.2862 for staff assistance.

Register by March 29, 2024 to maximize early registration discounts!

26

California Veterinarian | November–December 2023

Full conference registration for veterinarians, practice managers, veterinary technicians, and veterinary staff includes: In-Person Attendees • 160+ in-person CE sessions • Vet Expo admission • Continental breakfast (all four days!)

• Complimentary lunches in the Vet Expo (Friday and Saturday) • Refreshment breaks • Vet Expo Mixer • Conference bag • Access to speaker lecture notes • Labs, workshops, symposia* • Raffle prizes • And so much more!

Virtual Attendees • 115+ virtual CE sessions • Exclusive access to the Equine and Avian/Exotics tracks • Access to speaker lecture notes • Virtual Q&A • Connect with other virtual attendees • Raffle prizes • And so much more!

Vet Expo 2024 Early Registered Exhibitors A&E Medical System/Samsung Advanced Monitors Corp Avant Wellness Avid Identification Systems Banfield Pet Hospital Bank of America Practice Solutions Bionote Blue Buffalo/Blue Natural Vet CareCredit CAVMRC & CVET Christian Veterinary Mission Core Imaging Cubex Doctor Multimedia DragonVeterinary Canada, Ltd. Elanco Animal Health Enova Illumination Epicur Pharma Esaote North America ezyVet GerVetUSA Inc GlobalVetLink Hill's Pet Nutrition, Inc. IDEXX Jorgensen Laboratories KARL STORZ Veterinary Endoscopy Koefran Pet Memorial Services Lenity Vet Specialists + Emergency Care Medi Lazer Medical Pet Shirts International BV Merck Animal Health

MiDOG Animal Diagnostic Mixlab MWI Animal Health Nationwide (Pet) NectarVet Nutramax Laboratories Veterinary Sciences, Inc. Nuvodia Omni Practice Group Pacific Professionals, Inc. PetDesk PetIQ PetVet Care Centers Purina® Pro Plan® Veterinary Diets Roo Rose Micro Solutions LLC Schultz Technology Shepherd Veterinary Software Standard Process, Inc. Talkatoo.Inc Tuttnauer USA UC Davis Veterinary Medical Teaching Hospital Universal Imaging, Inc. Vetamac VetBooks By Success Concepts Vetcor VetnCare Victor Medical Company VISC Wedgewood YuMove ADVANCE 360 Zomedica

PREMIUM SPONSORS

®

Go to pacvet.net for more information on: • Discounted staff group or practice team registration • Terms and conditions *Labs, workshops, and symposia are subject to additional fees. cvma.net/publications

27

Unity

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

The Courage of Accountability in Belonging

By Monae Roberts

R

ecently, I had the opportunity to visit a local clinic and observe as veterinary students calmly and carefully worked together to check a dog’s temperature. I watched in awe at the skill of being able to perform what I assume is one of the more foundational veterinary skills without really being able to communicate with the patient. This experience led me to understand the immense amount of care required of veterinary professionals.

Dr. Brené Brown, through her research on shame, said that “the opposite of belonging is fitting in. Fitting in is assessing a group of people and thinking, who do I need to be? What do I need to say? What do I need to wear? How do I need to act? […] True belonging never asks us to change who we are; it demands that we BE who we are […] Belonging is being a part of something bigger than yourself but it’s also the courage to stand alone and to belong to yourself above all else.”

She alludes to two key components of belonging: being accountable to your authenticity while being accountable to something bigger than yourself. It takes an incredible amount of courage to pursue a profession where you are unable to communicate directly with the patients you serve. This quality is not unlike the courage required to be accountable to oneself and one’s community.

28

With courage in tow, I would like to pose the following questions: Is belonging valued within the veterinary profession? Is veterinary medicine a profession where everyone is free to be as they are without trying to “fit in”?

How is veterinary medicine holding itself accountable for ensuring a sense of belonging for veterinary professionals?

Has veterinary medicine created a space where diverse people are welcomed into the profession? I challenge you to consider these questions while I discuss the importance of accountability within the context of belonging.

Belonging requires the courage to be accountable to yourself while also being accountable to the community. Consider first being accountable to oneself: what does this mean and what does it have to do with belonging? Being accountable to yourself is essentially not betraying yourself in order to fit in, especially in the face of not belonging to your community. Being accountable means having a commitment to your self-defined authenticity. When you aren’t accountable to yourself, you risk compromising your values or having a facade be mistaken for your authentic self. Ultimately, it is difficult to say that someone truly belongs if they share only their façade—and not their true self—with the community. Does someone belong if they intentionally hide parts of themselves out of fear of rejection?

California Veterinarian | November–December 2023

Being accountable to yourself requires a certain level of self-directed awareness and honesty. Too often, we are afraid that our imperfections and differences will be our downfall, when in truth, not owning our imperfections and differences will ultimately be our downfall. I say this with the understanding that acknowledging these parts of ourselves is not easy.

However, what would happen if we decided to accept ourselves wholly and commit to addressing those parts that are not aligned with who we want to be?

Who could we become?

Part of being accountable to your community is committing to showing up authentically even when it stretches the ties that bind the community together.

Showing up authentically acts as a litmus test to determine how committed a community is to upholding its values, particularly the value of inclusion of all members. After all, it is easy to tout inclusion when “it’s the right thing to do.” However, when you realize that inclusion requires all community members to expand the way they exist in the community, our commitment to the words we espouse is tested. Belonging and inclusion mean nothing without the action behind the meaning.

Being accountable to your community also requires you to show up as your best self and be accountable for the times when you fall short of community values. It requires that you challenge

UNITY

“Belonging requires the courage to be accountable to yourself while also being accountable to the community.”

yourself and others to step up and align with operative values and agreements.

Without accountability to those values and agreements, the commitment of the community can be called into question. If you do not consistently act in alignment with who you say you are, it should be no surprise that your commitment might come into question.

Accountability is a critical part of belonging because, without it, relationships break down and belonging is jeopardized. Accountability is the action taken to address any missteps that warrant attention. Without accountability, there is a stronger likelihood that harm will continue to occur. The community itself has a reciprocal duty of accountability: If someone repeatedly experiences harm or if an egregious act is committed against them and no one attempts to repair the damage, it would be hard to believe that the community truly cares about that individual’s wellbeing, thus undermining that person’s sense of belonging.

Creating a culture of belonging is an ongoing process. It begins with a dual-pronged assessment—a selfassessment of individual community members, and an overall assessment of the culture. What are the mission, vision, values, attitudes, behaviors, policies, and practices of your community, both explicit and unspoken? This assessment is important to get an understanding of the gap between aspiration and reality; it’s especially important to get feedback

from ALL members. Oftentimes, within organizations, we neglect to gather the opinions of everyone. This practice is itself exclusionary and limits the understanding of the culture and where it needs to grow.

When a community’s culture leaves very little space for difference, growth, and adaptability, inclusion will suffer and tension will inevitably arise as its members begin to change. This tension is almost always felt most strongly by those who embody characteristics counter to the culture. Change can come from the outside, with new members attempting to belong, or it can come from within, as members grow and evolve as humans often do; ultimately, change is coming.

I began this article by acknowledging the courage it takes to be a veterinary medicine professional. My hope is that you will consider how you can use that courage to challenge the veterinary profession to assess where we are and commit to doing the work to get to where we need to be. The future of veterinary medicine is diverse. It's time we showed them that veterinary medicine is ready to adapt, that veterinary medicine is a place where I belong, where you belong, and where we all belong, together.

Monae Roberts currently serves as the Chief Diversity Officer at the UC Davis School of Veterinary Medicine. They have spent the last 10 years as a DEI professional as both a consultant, and career staff in higher education and the corporate sector. The foundation of their approach rests on the belief that our collective liberation is made possible when individuals commit to a personal journey in self-awareness. Monae is most inspired by the work of adrienne maree brown, bell hooks, Kazu Haga, and Dr. Brené Brown. They live in Sacramento with their wife, two kids, and two dogs.

cvma.net/publications

29

CVMA AWARDS NOMINATIONS

Call for Nominations for the CVMA Awards

T

he CVMA is now accepting nominations for the 2024 CVMA Awards! Do you know someone who has made a significant difference in veterinary medicine, going above and beyond to improve the profession? If so, please help the CVMA honor them!

The CVMA recognizes exemplary veterinary professionals through a number of designated awards given to veterinarians, registered veterinary technicians, organizations, and others who go the extra mile in contributing to the practice of veterinary medicine.

If you know someone who deserves to be recognized, please nominate them for one of the listed awards. Nominations for the 2024 award period are due by January 6, 2024. Nominations received after the January 6 deadline will be considered for the following membership year. Award recipients will be recognized in an issue of California Veterinarian as well as the CVMA’s e-newsletter, social media, and website. They will also be acknowledged at next year’s Pacific Veterinary Conference.

CVMA Award Categories Award descriptions can be found on the CVMA website under the Membership tab.

• Lifetime Achievement • Distinguished Life Membership • Outstanding RVT of the Year in Private Practice • Linda Markland Outstanding RVT of the Year in Non-Private Practice • RVT’s Outstanding DVM of the Year in California • Meritorious Service Award • Outstanding Service Award

Send in a nomination today!

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

30

California Veterinarian | November–December 2023

CVMA REMEMBERS

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

Dr. William Noble, a CVMA Life Member, passed away on May 22, 2023. Dr. Noble graduated with a DVM degree from Washington State University in 1958. He moved to Hayward in 1964 and founded the Noble Veterinary Clinic, where he practiced small animal medicine for 40 years. Dr. Noble helped establish a veterinary emergency clinic in Alameda County and was a past president of the Sierra and Alameda County VMAs.

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.”

gatto-half-080923.pdf

1

8/9/23

7:18 PM

SCHEDULING A WELLNESS CHECK IS

C

M

Y

CM

MY

CY

CMY

K

Perform your business wellness check with

GATTO MCFERSON Preventive health measures include:

YEAR-END TAX PLANNING review and answer questions

ANALYZE

GOOD PRACTICE We offer tax preparation of personal and business tax returns in all 50 states.

SCHEDULE A CALL TODAY!

business and personal financials

FUTURE PLANNING

tax payments, budgeting, and avoiding tax pitfalls

cvma.net/publications

31

CDFA

The Last Students of Plum Island’s Foreign Animal Disease Diagnostician Training

By Alexi Haack, CDFA Veterinarian, California Avian Health Education Network

I

n preparation for outbreaks of Foreign Animal Diseases (FADs) within the United States, many state and federal veterinarians are sent to New York’s Plum Island Animal Disease Center.

This island is shared between the U.S. Department of Homeland Security (DHS) and Department of Agriculture (USDA) to conduct research, vaccine development, and training in FADs that could severely disrupt U.S. animal agriculture. Recently, I was given the opportunity to attend one of the last sessions of the Foreign Animal Disease Diagnostician (FADD) course at Plum Island and wanted to share unique information about the island and specialized veterinary training.

Locals in New York and Connecticut share a sense of mystery about Plum Island. In many people’s imaginations, it houses secret government research akin to Area 51 and is unfoundedly blamed for creating and releasing Lyme disease and the Montauk Monster. In reality, the island had been accessible to laboratory employees during work breaks and hosted tours for the public and local school children but was placed under increased security after 9/11 for its potential as a high-risk target for

32

agro-terrorism. The island is pockmarked with old, abandoned buildings and bunkers from when it was home to the coastal fortification Fort Terry, built in the early 1900s, but is otherwise an open coastal area with two freshwater marshes that are home to native birds, reptiles, and fish.

In 1954, the island was given to the U.S. Department of Agriculture (USDA) to support research into Foot and Mouth Disease (FMD) due to the growing need to prevent outbreaks as well as the island’s unique isolation, which supported the containment of disease research. At the facility, doors are hermetically sealed, air and waste are intensely treated and tested before release, and long, impeccably cleaned hallways separate clean areas from contaminated areas. Additionally, Plum Island lab staff and visitors such as myself must exit the facility through multiple showers to prevent any accidental movement of disease agents.

To become an FAD diagnostician (FADD) and respond to FADs on behalf of the federal government, veterinarians first must complete a week’s worth of lectures and reading on epidemiology, expected clinical signs, and how to safely collect and transport samples for potentially devasting diseases like FMD, virulent Newcastle disease, sheep pox, heartwater, peste des petits ruminants, African and classical swine fever, and the newly emerged rabbit hemorrhagic disease, among others. Following this intensive instruction, veterinarians can then complete a full in-person week at the FAD Diagnostic Laboratory (FADDL), performing extensive necropsies under guidance of experienced pathologists to identify the common clinical and gross pathological signs. Comparing early infection before noticeable clinical signs to late infection, when clinical signs are easier to spot, helps diagnosticians

California Veterinarian | November–December 2023

focus on the subtle changes over time and fine-tune their differential capabilities. For example, sheep pox is relatively clinically apparent, but classical swine fever can be unremarkable both inside and out, making it imperative that FADDs have in-person experience understanding both these and other diseases.

The lab at Plum Island is vital to quickly identifying FADs, and in the case of a disease introduction, helping generate vaccines and information on mutations to prevent the unchecked spread of many of these diseases. However, the labs are only as quick and effective as the FADDs who collect and ship samples with heightened biosecurity in mind. Veterinarians who have completed FADD training are essential to provide a trained eye for FADs and lookalikes, such as Senecavirus A and FMD in swine, and to ensure proper biosecurity during investigations to prevent further spread of these dangerous pathogens when and if they make it to the U.S. More recently, the cost of maintaining and updating the Plum Island research facility to the strictest standards for biosafety came under scrutiny. The island facility is slated for closure in 2023 and the National Bio- and Agro-Defense Facility, a new state-of-theart facility in Manhattan, Kansas, will be the future home for the research, testing, and training previously conducted at Plum Island lab. The future of Plum Island is uncertain, as no government agency has agreed to take charge of it. Hopefully, it can be opened to the public as a historic site, for Plum Island has a rich history, has helped protect the U.S. from unchecked outbreaks of animal disease for more than 70 years, and deserves a happy retirement.

SHUTTERSTOCK ILLUSTRATION

AVMA OPEN POSITIONS

CVMA Members Sought for 2024 AVMA Council and Committee Positions

T

he CVMA is seeking candidates to apply for American Veterinary Medical Association (AVMA) council and committee positions, which start in 2024 and require a three-year commitment. These positions are voluntary. CVMA and AVMA membership is required for all candidates nominated by the CVMA Board of Governors. The Board will nominate candidates at its January 2024 meeting.

Council and committee nomination materials, including a complete list of vacancies and descriptions, are available at avma.org. Click on the Membership tab and then Volunteer Opportunities for more information, to apply to a position, or to sign up for email alerts regarding available positions.

For more information, please contact AVMA liaisons Dr. Bill Grant at vets4pets@aol.com and Dr. Diane Craig at drdrc@aol.com, or call the CVMA at 800.655.2862.

Positions are available on the following councils: • Council on Biologic and Therapeutic Agents (COBTA) • Council on Public Health (COPH) • Council on Research (COR) • Council on Veterinary Service (COVS)

Positions are available on the following committees: • Animal Welfare Committee (AWC) • Aquatic Veterinary Medicine Committee (AqVMC) • Clinical Practitioners Advisory Committee (CPAC) • Committee on Antimicrobials (CoA) • Committee on Disaster and Emergency Issues (CDEI) • Committee on Environmental Issues (CEI) • Committee on International Veterinary Affairs (CIVA) • Committee on Veterinary Technician Education and Activities (CVTEA) Selection Committee • Convention Education Program Committee (CEPC) • Council on Education (COE) Selection Committee • Early Career Development Committee (ECDC) • Food Safety Advisory Committee (FSAC) • Legislative Advisory Committee (LAC) • Political Action Committee Board (PAC) • Steering Committee on Human-Animal Interactions (SCHAI) • Veterinary Leadership Conference Planning Committee (VLCPC)

cvma.net/publications

33

NEW CVMA MEMBERS

Welcome, New CVMA Members!

Veterinarian

Dr. Talia Agone Dr. Sohyun Ahn Dr. Joy Anderson Dr. Mirette Attalla Dr. Karanvir Aulakh Dr. Claudine Auld Dr. Prabhdeep Bains Dr. Kayla Banks Dr. Jana Baxter Dr. Nicole Beeman-Stanclift Dr. Morgan Biggo Dr. Wesley Borgman Dr. William Byun Dr. Aleli Camacho Dr. Michael Campagna Dr. Sheri Candeletta Dr. Kimberly Carlson Dr. Grace Chen Dr. Seungbong Choi Dr. Allison Cleymaet Dr. Elena Collinsworth Dr. Charles Corsiglia Dr. Lauren Coulson Dr. Michelle Croom-Preston Dr. Sarah Daniel Dr. Alexandra Davis Dr. Jamie Donahue Dr. Omar El-Taliawi Dr. Melanie Ellis Dr. Christine Fabregas Dr. Brett Feder Dr. Matthew Field Dr. James Finlay Dr. Allison Goldberg Dr. Leticia Gonzalez Dr. Joshua Hall Dr. Samantha Hancock Dr. Mehdi Hassanzadeh Dr. Brandon Heikes Dr. Moonwon Heo Dr. Tyler Hodgson Dr. Ryan Imanzadeh Dr. Bohae Kang Dr. Per Karlsson Dr. Michael King Dr. Stella Koss Dr. Naomi Lee Dr. Katherine Lingner

34

Dr. Sheena Logothetti Dr. Michelle Lopez Dr. Ming Lui Dr. Paige Mackey Dr. Teresa Mannetti-Plagman Dr. Katie Marrie Dr. Molly Maynard Dr. Kathryn McCullough Dr. Tes Mutton Dr. Heather Napolitano Dr. Cailey Nichols Dr. Austin Ojala Dr. Amy Olsen Dr. Dustin Ong Dr. Nancy Park-Dorner Dr. Courtney Patson Dr. Yaicha Peters Dr. Alexandra Rosales Dr. Mark Ross Dr. Kamila Sandoval Dr. Abigail Sharp Dr. Vincent Silverman Dr. James Sobotka Dr. Nicole Strachan Dr. Alexandra Swope Dr. Frances Tiberi Dr. Shirley Truong Dr. Bridgid Twomey Dr. Rebeca Uribe-Garriga Dr. Peter Vellutini Dr. Matthew Vogel Dr. John Wagner Dr. Stacey Wallach Dr. Jennifer Wammock Dr. Elizabeth Watson Dr. Gary Weitzman Dr. Catherine Welch Dr. Lauren Wickham Dr. James Wignall Dr. Lydia Wood Dr. Catherine Wydner Dr. Joshua Ydstie Dr. Christine Yee Dr. Katherine Young

Veterinarian Faculty Dr. Megan Albertelli Dr. Gagandeep Kaur

California Veterinarian | November–December 2023

Dr. Ohad Levi Dr. Kyle Mathis Dr. Tonatiuh Melgarejo Dr. Matthew Prator Dr. Allison Rowland

Veterinarian Public Service Dr. Bijula Yusin

Veterinarian 1st Year Graduate Dr. Remington Campbell Dr. Cecilia Chaparro Dr. Miranda Ciotti-McClallen Dr. Iesha Clouden Dr. Kristen Deignan Dr. Monica Dziuba Dr. Amanda Gold Dr. Gabriella Greene-Dittz Dr. Jessica Guirl Dr. Elsbeth Kane Dr. Carmen Nguyen Dr. Theda Parker Dr. Lauren Penney Dr. Kelsey Reames Dr. Alejandra Robles Morales Dr. Alyssa Sanchez Dr. Monet Sklaroff Dr. Yoko Tanaka Dr. Clara Young

Veterinarian 2nd Year Graduate Dr. Chyna Greaves-Johnson Dr. Claudia Lau Dr. Christina McHugh Dr. Connie Mule Dr. Cassidy Novkov Dr. Leann Shaw Dr. Courtney Turk Dr. Leslie Wenning Dr. Jacob Werner Dr. Natalia Wycislak

Veterinarian 3rd Year Graduate

Dr. Catarina Benavides Dr. Brianne Bower Dr. Joshua Coward Dr. Tricia Daniels Dr. Jessica Dos Santos

Dr. Christina Petri Dr. Camille Pizarro Dr. Cecilia Wolf

Veterinarian 4th Year Graduate Dr. Savannah Armstrong Dr. Guntej Grewal Dr. Toby Hill Dr. Celine Lopez

Veterinarian Intern/Resident/Post-Grad Dr. Adriana Garzon Dr. Kenzie Schwartz

Registered Veterinary Technician Jessica Aguirre, RVT LaShell Alpaugh, RVT Tracee Audelo-Nunez, RVT Alma Bailey, RVT Julia Bailon, RVT Candice Baley, RVT Alisa Blackburn, RVT Brooke Bosch, RVT Alicia Cabelli, RVT Jennifer Calderon, RVT Dannielle Calderon, RVT Bethany Carbajal, RVT Marc Cedeno, RVT Yadira Chimal, RVT Brook Contreras, RVT Laura Davidson, RVT Andrea De Leon, RVT Karen Deschryver, RVT Michelle Duarte, RVT Carson Duffy, RVT Van Duong, RVT Esfra Ennes, RVT Mayra Escamilla, RVT Christine Figueiredo, RVT Constance Frank, RVT Meghan Freutel, RVT Briana Galvez, RVT Andrea Garcia, RVT Elizabeth Garcia, RVT Emily Garibay Lara, RVT Danielle Guilbault, RVT Marisol Haro, RVT Amanda Heldenbrand, RVT Brenda Hernandez, RVT

Peter Hoang, RVT Kendra Johnson, RVT Jennifer Kachadorian, RVT Richard King, RVT Ariana Kleine, RVT Christina Koebe, RVT Kimberly Krohn, RVT Samantha Labnow, RVT Suesan Larsen, RVT Heather Lee, RVT Elizabeth Leitzell, RVT Brenna Loving, RVT Ingrid Macedo, RVT Christine Mallard, RVT Ava Mancia, RVT Jessica Mantei, RVT Sarah Marzulli, RVT Jennifer Mascolo, RVT Chanel Matos, RVT Jessica McDermott, RVT Abigail McMenaman, RVT Kaitlyn Medlar, RVT Lisa Meier, RVT Maria Mena, RVT Marisol Mendo, RVT Kareen Mendoza, RVT Yvette Mendoza, RVT Cynthia Meyers, RVT Amanda Meza, RVT Anya Morin, RVT Angela Munoz-Espinoza, RVT Alondra Navarrete, RVT Holly Norris, RVT Mark Palmer, RVT Jacqueline Patt, RVT Taylor Phillips, RVT Alyssa Pinatelli, RVT Brenda Pineda, RVT Johnny Portillo, RVT Nicole Potashnick, RVT Amanda Renta, RVT Violet Rios, RVT Geneses Rodriguez, RVT Anna Rogozinski, RVT Leticia Rosiles, RVT Kathryn Rottenberg, RVT Kevin Saint Fleur, RVT F. Fabiola Salinas, RVT Melanie Savary, RVT

Michele Schultz, RVT Cynthia Sheldon, RVT Kelly Short-De Luna, RVT Johnna Sierra, RVT Priscilla Spurlock, RVT Ikuyo Tamagawa, RVT Leslie Tortez, RVT Tiffany Turner, RVT Wendy Valentine, RVT Donna Walters, RVT Susan Waters, RVT Stacy Werner, RVT Kathryn Wilder, RVT Jaiden Willin, RVT Katie Yee, RVT Tamara Yoshikawa, RVT Christina Zambrano, RVT

CVMA Certified Veterinary Assistant Dilynn Cardona, CVMA CVA Charlotte Goodsell, CVMA CVA April Gray, CVMA CVA Lily Gronewold, CVMA CVA Isabelle Hosford, CVMA CVA Eliza Kaplan, CVMA CVA Ashley McGowan, CVMA CVA Olivia Moore, CVMA CVA Amanda Moya, CVMA CVA Giavanna Otto, CVMA CVA Emily Valadez, CVMA CVA Caitlin Wright, CVMA CVA

Veterinary Hospital Staff Renae Bishop Kara Lopez

Welcome! cvma.net/publications

35

FROM OUR MEMBERS

Myxomatosis in California: A Deadly Rabbit Disease

By Hilary Stern, DVM, DABVP (Exotic Companion Mammal Practice)

C

alifornia myxomatosis is a virulent viral disease that affects pet rabbits (Oryctolagus cuniculus). The cause of this disease is a poxvirus naturally carried by the brush rabbit (Sylvilagus bachmani), a cottontail native to California, Oregon, and Baja California. While the virus causes littleto-no harm to the brush rabbit, it is highly pathogenic to European (pet) rabbits, with a reported 100% fatality rate.1 The virus is not carried by other native cottontails or hares in the United States.2 I work in Santa Cruz County and generally see five to ten cases of myxomatosis each year. My colleagues in Monterey, Santa Clara, San Mateo, Los Angeles, and San Diego counties also report seeing cases.

The disease is likely more widespread but is not being recognized and reported. If you are a veterinarian working in California, Oregon, or Baja California, it behooves you to be aware of this disease.

The California myxoma virus is primarily spread by mosquitoes, but it can be spread by any biting insect, including fleas, mites, lice, and blackflies. It can also be spread by direct contact and contact with contaminated items, such as hands, food bowls, and cages. While any pet rabbit that

36

goes outdoors is at risk, this risk increases substantially if there are brush rabbits and mosquitoes nearby.

Clinical signs of California myxomatosis vary depending on how long the patient survives. Rabbits with the peracute form are unexpectedly found dead with no prior symptoms. Rabbits with the acute form become febrile and develop edematous eyelids, lips, ears, and genitals.3,4 Rabbits that survive this stage develop labored breathing, lethargy, and anorexia. Less common clinical signs of myxomatosis include ataxia, tremors, convulsions, cutaneous nodules, and bloody discharge from the nose or anus. The average survival time for rabbits with California myxomatosis is 7.3 days.1 Veterinarians familiar with myxomatosis can often make a presumptive diagnosis based on the characteristic clinical signs of edematous eyelids, edematous genitals, and fever. If a definitive diagnosis is sought, then PCR testing or histopathology of the eyelid conjunctiva is recommended.

There are unfortunately no specific treatments for myxomatosis. Supportive care and antibiotics to control secondary infections can be tried but are unlikely to be successful. Given the virulence of this disease, humane euthanasia is usually recommended.

Effective vaccines against other strains of myxomatosis are available in Europe, but we unfortunately do not have a vaccine here in the United States. Given this situation, we recommend that all our clients keep their bunnies indoors, or at least behind effective screens from dusk to dawn. Rabbit-safe insecticides like imidocloprid, selamectin, and fluralaner can reduce the risk of transmission from fleas and ticks but unfortunately do not protect rabbits from mosquitoes.

Myxomatosis is a reportable disease in California and Oregon as well as nationally through the United States Department of Agriculture. If you see any cases in California, please report them immediately

California Veterinarian | November–December 2023

to the California Department of Food and Agriculture’s Animal Health Branch. By recognizing, diagnosing, and reporting this disease, you can help raise awareness among rabbit owners as well as advocate for the development of an effective vaccine for our patients.

Resources

1. Silvers L, Inglis B, Labudovic A, Janssens PA, Leeuwen BH van, Kerr PJ. “Virulence and pathogenesis of the MSW and MSD strains of Californian myxoma virus in European rabbits with genetic resistance to myxomatosis compared to rabbits with no genetic resistance.” Virology.

2006;348(1):72-83. doi:10.1016/j. virol.2005.12.007 2. Regnery DC, Marshall ID. “Studies in the epidemiology of myxomatosis in California IV: The susceptibility of six leporid species to Californian myxoma virus and the relative infectivity of their tumors for mosquitoes.”

Am J Epidemiol. 1971;94(5):508-513. doi:10.1093/oxfordjournals.aje.a121348 3. Fenner F, Marshall ID. “A comparison of the virulence for European rabbits (Oryctolagus cuniculus) of strains of myxoma virus recovered in the field in Australia, Europe, and America.”

J Hyg (Lond). 1957;55(2):149-191. doi:10.1017/ s0022172400037098 4. Marshall ID, Regnery DC, Grodhaus G. “Studies in the epidemiology of myxomatosis in California I: Observations on two outbreaks of myxomatosis in coastal California and the recovery of myxoma virus from a brush rabbit (Sylvilagus bachmani).” Am J Hyg. 1963;77(2):195-204. doi:10.1093/ oxfordjournals.aje.a120310

Dr. Hilary Stern is a veterinarian for exotic pets who is board-certified in exotic companion mammal practice. She is the founder and lead veterinarian at the Exotic Pet Clinic of Santa Cruz in Scotts Valley, California.

SOMETHING TO WAG ABOUT

Something to About

Wag

THE CVMA CONGRATULATES… Marybel Lopez, RVT, for becoming certified as a registered veterinary technician this past August after graduating from the Veterinary Technology Program at Yuba Community College. Marybel always knew she wanted to work with animals and loved the idea of caring for those in need, inspiring her to begin the journey of becoming an RVT. She was hired as a veterinary assistant at Mid-Valley Veterinary Hospital in 2020 after completing an internship there.

Now an RVT, Marybel continues to work at Mid-Valley and extends her gratitude to owner and CVMA President Dr. Michael Karle for giving her the opportunity to work in a veterinary hospital despite having no experience prior to her internship. Marybel, the CVMA wishes you the best as you begin this new chapter of your veterinary career!

Marybel Lopez, RVT

Steve Montgomery, DVM

Steve Montgomery, DVM, for attending his Class of 1983 40th year reunion of the UC Davis School of Veterinary Medicine, where he was able to see old friends, many of whom he had not seen since graduation. Two weeks later, Dr. Montgomery—who works in mixed practice in Blythe, California—hiked across the Grand Canyon in a single day. Congratulations, Dr. Montgomery, for these fun accomplishments!

Viviana Ramos-Hernandez, RVT, for becoming certified as a registered veterinary technician this past summer. Viviana worked for several years as a veterinary assistant at a local emergency veterinary hospital before deciding to expand her knowledge and start her journey of becoming an RVT. She graduated from the Yuba College Veterinary Technology Program in May of 2023 after working at Mid-Valley Veterinary Hospital for a year. Viviana credits the doctors and staff of Mid-Valley for supporting and encouraging her career growth. Well done, Viviana!

Marissa Collier, the CVMA's graphic designer, and her husband Jeramy for celebrating their third wedding anniversary and Erica Ferrier, the CVMA's Conference Expo and Sponsorship Coordinator, for celebrating her 19th wedding anniversary with her husband Boone this past October. Happy anniversary and congratulations to both couples on these marriage milestones!

Viviana Ramos-Hernandez, RVT

Marissa Collier and her husband Jeramy

Let’s Celebrate Your Achievements!

The CVMA likes to spotlight the many accomplishments of our members and their practices, whether a professional development or a personal milestone. Don’t be shy! Please send in your good news and a photo to Taryn DeOilers, the CVMA’s Publications Manager, at tdeoilers@cvma.net to be considered.

Erica Ferrier with her husband Boone, daughter Gabi, and dog Rex

cvma.net/publications

37

TREASURER'S REPORT

Treasurer's Report

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

By Ron Kelpe, DVM

T

he CVMA Finance Committee is presented with an annual draft budget and recommends a final draft to the CVMA Board of Governors each year. 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, 2023 was 7,424 members. At the fiscal yearend, 24% of the CVMA’s revenue was derived from membership dues, 39% from the Pacific Veterinary Conference (PacVet) and other continuing education seminars, and 37% from other income. Non-dues revenue assists in supplementing the many programs, member benefits, conferences, seminars, projects, and other items that the CVMA offers its membership.

Last year, after a lengthy discussion regarding the lack of sufficient funds in the CVMA Political Action Committee (PAC), the Board agreed to allocate $50 from each active member’s spend of $320 to the PAC. This move has contributed to a 20% increase in our PAC bank balance, but it also decreased our active member dues revenue. At the March 2023 Board meeting, a motion was passed to increase the overall spend for active members to $350, with an allocation of $40 of that amount to the PAC. This modification allows us to maintain a robust PAC fund while concurrently safeguarding our dues revenue.

38

Budgeted revenue for the 2023–24 fiscal year is $2,550,241 and budgeted expense is $3,011,395. Next year’s PacVet will be held in July instead of June, placing it in the 2024–25 budget. As a consequence of the fact that the 2023–2024 fiscal year will not include a PacVet, the Board approved the 2023–24 budget with a $452,154 shortfall, to be balanced out by the PacVet 2024 budgeted net profit of the same amount.

We continue to adapt most of our continuing education seminars, including PacVet, to include a “hybrid” component that allows attendees to attend virtually.

This option has been well received by our registrants as well as profitable for the CVMA. The CVMA’s investments are overseen by the CVMA Investment Committee and approved by the Board. 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.

California Veterinarian | November–December 2023

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. The CVMA’s staff is working on a timeline for necessary building improvements within the next several years; these improvements will require tapping into our reserves for some larger items.

I will be reviewing the proposed 2024–25 budget in January of 2024. The CVMA Finance Committee meets in February to review the proposed budget in detail and recommends a final 2024–25 budget to the Board at its March 2024 meeting. The Board will review the proposed budget, make revisions if needed, and approve the final budget for the next fiscal year.

CVMA Revenue Sources

37%

24%

Pacific Veterinary Conference and other continuing education events Membership dues

39%

Other income

CVMA INSURANCE SERVICES

PAWS FOR PREPAREDNESS:

Safeguarding Your Clinic in an Emergency

By Scott Boggess, CSP, CIE Director, Safety and Health, Preferred Employers Insurance

I

n the world of veterinary medicine, we are dedicated to providing top-notch care to our animal companions day in and day out. But what happens when the unexpected strikes? Natural disasters, power outages, and unforeseen emergencies can disrupt our clinic's operations and put us and our patients at risk. That's why it's crucial to have a comprehensive emergency preparedness plan in place. In this article, we'll explore the importance of emergency preparedness for veterinary clinics and offer some essential tips to ensure the safety of our staff and our furry friends.

Why Emergency Preparedness Matters • Ensuring staff safety Our dedicated team members are the backbone of our practice. An effective emergency plan safeguards their wellbeing, ensuring they can respond to crises with confidence.

• Protecting our patients The animals under our care depend on us for their health and wellbeing.

During an emergency, their needs don't disappear, and they might even require more attention. Being prepared ensures we can continue to provide essential care when it matters most.

• Continuity of operations Having a well-crafted plan in place ensures that your practice can continue providing services even when faced with unexpected challenges. This not only protects your patients but also the livelihood of your practice.

Steps to Prepare Your Clinic

• Perform a risk assessment Begin by identifying potential risks in your area. These can include natural

disasters like earthquakes, wildfires, floods, or structure-specific risks like power outages or building fires.

Understanding the risks specific to your location is the first step in preparedness.

• Form an emergency response team within your practice Assign specific roles and responsibilities, including a designated leader, a communications coordinator, and a medical response team. Regular training and drills will ensure everyone is well-prepared to act swiftly during an emergency.

• Create a communication plan Establish multiple communication channels to ensure everyone is connected during a crisis. This includes backup phone systems, maintenance of staff cell phone numbers, and a clear chain of command for disseminating information. Your practice may want to consider a set of walkie-talkies for emergency situations where cell signal is lost. Two-way radios are a reliable means for group, short-distance communication.

• Establish an animal evacuation plan Develop a plan for evacuating animals in the event of an emergency. This includes identifying safe evacuation routes, having transport vehicles ready, and ensuring all necessary equipment is readily available.

• Safeguard medical supplies and records Maintain an adequate supply of essential medications and medical equipment, making sure they are secure and easily accessible along with patient records. Ensure these supplies are regularly checked and that medications are not expired.

• Maintain backup power Install backup power sources like generators or uninterruptible power supplies (UPS) to ensure that essential equipment like oxygen concentrators and temperature control systems continues to operate during power outages.

• Secure your facilities Implement measures to safeguard your practice against potential damage, including securing loose items, reinforcing windows and doors, and installing fire suppression systems.

• Develop community partnerships Establish relationships with local emergency responders, animal shelters, and neighboring veterinary clinics. Collaboration with these organizations can prove invaluable during a crisis.

• Provide client education Educate your clients about your emergency preparedness plan, including guidance on what to do in case of an emergency involving their pets. Encourage clients to keep their contact information up to date with your practice.

• Regularly review and update your emergency preparedness plan Your plan should be a living document, regularly reviewed and updated to account for changes in risks, staff, or equipment.

In the world of veterinary medicine, our commitment to our patients is unwavering. By taking proactive steps to prepare for emergencies, we can ensure that our practice continues to provide exceptional care when it matters most.

Together, we can safeguard the health and safety of our animal companions and our dedicated staff.

cvma.net/publications

39

STUDENT NEWS SWEP

SWEP Program Provides Valuable Real-World Experience to Students

T

he CVMA offers the Summer Work Experience Program (SWEP) each year for students at the UC Davis School of Veterinary Medicine and 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 California. This program gives students the opportunity to gain important hands-on experience while reducing their student debt. SWEP is also advantageous to participating veterinary practices, who benefit by helping students in their education and by connecting with potential future colleagues.

How Does SWEP Work?

CVMA member 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, 2024.

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.

START PLANNING FOR NEXT SUMMER! Summer may seem far away, but students have already begun seeking out internship and summer work opportunities. Don’t wait—start planning well in advance!

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:

Participate in the 2024 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.

40

California Veterinarian | November–December 2023

• Develop 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 their staff.

STUDENT NEWS

WesternU Bandaging Lab Provides Fun Instruction for Students

T

he Western University of Health Science (WesternU) College of Veterinary Medicine’s bandaging lab for first- and second-year veterinary students took place on September 21, 2023. Dr. Maria Fahie led the instruction and demonstrated proper casting techniques for dogs. Forty-eight WesternU students attended the event and practiced their wrapping techniques.

The event was organized and coordinated by CVMA Membership Coordinator Laura Phillips and WesternU’s Veterinary Surgical Club. The CVMA additionally provided food and drinks for the attendees.

Thank you to 3M and Jorgensen Laboratories for donating the supplies for this fun event!

We want to hear from you!

The CVMA wants to know: If you had one question to ask a mentor or seasoned veterinary professional, what would it be?

Questions can be anonymous, or you may include your name, school, graduation year, and/or a headshot.

Send your question to Taryn DeOilers at tdeoilers@cvma.net, and your question may be featured along with an answer from one of our Mentor Moment veterinarians in an upcoming issue of the CV and on our social media channels!

Scan the QR code to the right to follow the CVMA student member page on Instagram!

Simmons understands that every client has unique financial aspirations and risk tolerances. That’s why we are focused on taking the stress and fear out of each practice transaction. Our goal is to provide our clients with industry-leading services and

guidance. Simmons is the oldest and most experienced veterinary brokerage and appraisal firm in the nation. Our experience gives us the most up-to-date market insights and allows us to provide honest and informed advisory. Whether you are looking to purchase an established practice or maximize return on your investment during a sale, Simmons is your trusted business advisor and broker. Backed by expertise, integrity, and a commitment to your success, we invite you to partner with us for a prosperous future.

Byron Farquer, DVM, CVA

www.Simmonsinc.com

(209)-845-2088

Dardalee Bussell, DVM

cvma.net/publications

41

UNIVERSITY NEWS

UC DAVIS NEWS

Earn a Master of Preventive Veterinary Medicine Degree at UC Davis health and One Health positions. The program provides the professional education necessary for leadership in critical assessment and application of epidemiological and quantitative methods for solving animal, human, and ecological population health problems.

T

he UC Davis School of Veterinary Medicine welcomes applications for the Master of Preventive Veterinary Medicine (MPVM) degree program. The one- to two-year graduate degree is open to veterinarians and other professionals in livestock herd

Built on a solid foundation of epidemiology and biostatistics, the program offers additional core courses in infectious disease surveillance, leadership and risk communication, emerging issues in One Health, information management, and research planning. Elective courses in zoonotic disease, food safety, ecology, diagnostic test evaluation, simulation modeling, and risk analysis are available.

In addition to coursework, students complete a population health research project for publication.

Students benefit from small class sizes, close student-faculty relationships, and a diverse group of classmates that are typically at least 50% international. The MPVM program can be completed in one year, but many students do the program over two years.

Completion of the MPVM program prepares graduates for American College of Veterinary Preventive Medicine board certification and careers in public health, wildlife, livestock, One Health, and more.

Applications are due June 1, 2024. For California residents who would be willing to teach during their MPVM program, the total cost of pursuing the MPVM degree can be revenue neutral. For more information, please visit mpvm.vetmed.ucdavis.edu.

WESTERN U NEWS

Former WesternU Dean Phillip Nelson Honored by the AVMA Award, established in 2001, recognizes those whose personal and professional commitments help bring honor and distinction to the veterinary profession.

In selecting Dr. Nelson for the award, the AVMA Board took note of his sustained and tireless commitment to veterinary medicine through both professional employment and volunteerism.

P

hillip Nelson, DVM, Ph.D., who stepped down in 2022 after 15 years as Dean of the WesternU College of Veterinary Medicine, received the American Veterinary Medicine Association's (AVMA) Meritorious Service Award in July at the organization's annual convention in Denver. The AVMA Meritorious Service

42

“Dr. Nelson's tireless dedication to the veterinary profession, his innovative approaches to veterinary education, and his passionate commitment to diversity, equity, and inclusion have profoundly impacted our broader veterinary community,” AVMA President Dr. Lori Teller said. “His extensive contributions and achievements will leave a lasting legacy and continue to influence the profession for generations to come.”

California Veterinarian | November–December 2023

Dr. Nelson said he was humbled by the honor, which is one of the top awards presented by the AVMA. “Significant accomplishments are rarely the results of the efforts of one person,” Dr. Nelson said. “During my career, I have had the privilege and honor to work collaboratively with some of the most dedicated and ingenious people in our profession. None of these accomplishments could have been achieved without such collaborations.”

Dr. Nelson said the award was particularly gratifying because of the important role that the AVMA plays in strengthening veterinary medicine. “The AVMA provides an essential service in providing a national voice for the profession,” he noted. “It is critical that the collective voice is the summation of sufficiently diverse voices that will ultimately address societal needs. I wish to thank the AVMA for this recognition. I am both deeply honored and appreciative.”

CVMA Certified Veterinary Assistant Program The CVMA’s Certified Veterinary Assistant (CVMA CVA) Program is an opportunity for veterinary assistants to expand their knowledge and advance their careers in the veterinary profession.

Veterinary assistants learn through online education, in-practice practical experience, and skills assessments under the supervision of licensed veterinarians and RVTs before their final examination.

The CVMA CVA program now offers Level I (basic knowledge) and Level II (advanced knowledge) certifications!

Benefits to Veterinary Assistants: •

Professional growth and increased value to the veterinary team

•

Proficiency in medical terminology, nursing skills, surgical preparation, and much more

•

The ability to learn while continuing to work

•

One year of complimentary CVMA membership upon completing Level I certification

For full program information, visit the Resources tab at cvma.net.

cvma.net/publications

43

Ellie Wattles, DVM, President, Broker Beka Herrera, Vice President, Broker Serving CA Veterinarians for 30+ Years.

With our proven track record, we can help you reach your goals.

NEW! VENTURA COUNTY: Located in a thriving valley community.

Solo DVM practice has limited competition for a growing population.

Real estate includes a separate office & private parking. Friendly clients. Limited DVM hours (PX closes at 5 PM) & no weekend or emergency services provided. Spanish speaker ideal.

2023 PROJ GROSS: ~$956,000 PRACTICE PRICE: $610,000 REAL ESTATE PRICE: $635,000

NEW! SIERRA FOOTHILLS REGION: Only an hour to Sequoia National Park.

Well-maintained, exceptional, ~7,100 sq. ft. free-standing facility includes three exam rooms, boarding wings, & much more. Well-equipped, busy solo DVM & quality staff. Both practice & real estate are priced below the appraised value.

2023 PROJ GROSS: ~$1,300,000 PRACTICE PRICE: $895,000 REAL ESTATE AVAILABLE FOR SALE

NEW! SAN DIEGO, EAST COUNTY: Within easy reach of nearby cities & attractions like great restaurants, Padre baseball, and SeaWorld. Wellestablished practice located in an active, popular shopping center. Practice needs a new energetic DVM. ~1,400 sq. ft. leased facility with 2 exam rooms, digital X-ray & new ultrasound.

2023 PROJ GROSS: ~$650,000 PRACTICE PRICE ONLY: $400,000

NEW! EAST BAY: Urban/Suburban mix with easy access to San Francisco, Napa Valley, Sonoma County & Sacramento. Conveniently, centrally located, leased facility of ~ 2,750 sq. ft. Well-equipped practice, with excellent client base, most being homeowners. Income produced with one DVM per day.

2023 PROJ GROSS: ~$1.1 Million CALL FOR PRICING DETAILS

NEW! SOUTHERN RIVERSIDE COUNTY: Multi-DVM, profitable practice about 1 ½ hours from LA & San Diego. The practice is located in a free-standing, wellmaintained AAHA-accredited hospital consisting of 2,450 sq. ft. with three exam rooms. It is well-equipped & includes an outstanding 15-member staff. Room for growth.

2023 PROJ GROSS: ~$1,700,000 CALL FOR PRICING DETAILS

NEW! GREATER EAST BAY: Thriving diverse suburban community with a strong economic base and major development. Practice is only open 4.5 days per week. Emergencies are referred elsewhere & surgeries are extremely limited. Additional income source accessible for the right buyer.

2023 PROJ GROSS: ~$703,000 PRACTICE PRICE: $535,000 REAL ESTATE PRICE: $530,000

MENDOCINO COUNTY, COASTAL: Located in the scenic harbor town of Fort Bragg, just 3 hours North of SF. The superb quality of life offers exciting recreation. The practice draws from a large area with minimal competition & big demand for DVM services. Freestanding facility ~2,000 sq. ft. Currently, PX is essentially closed.

PRACTICE PRICE ONLY: $125,000 REAL ESTATE PRICE ONLY: $300,000

NORTHERN CA: A quaint community located 30 minutes north of Chico, two hours from Davis.

Well-maintained 3,000 sq. ft. freestanding facility built in 2005.

Exceptional profitability & growth potential. Owner available post-sale.

2023 PROJ GROSS: ~$1,500,00 PRACTICE PRICE: ONLY $999,000 REAL ESTATE PRICE ONLY: $625,000

YOSEMITE COUNTRY: Situated in the foothills of the Sierra Nevada Mountains, near Yosemite National Park. Small animal hospital with a favorable lease rate in a freestanding ~1,680 sq ft. facility. The facility includes two exam rooms, 20 cages & IDEXX lab equipment. 2022 gross produced with solo DVM working PT. 2022 PRACTICE GROSS: ~$497,973 PRACTICE PRICE ONLY: $330,000

IN 2023, WE’VE SOLD PRACTICES & REAL ESTATE IN:

Highland | Scotts Valley | Newbury Park | La Mesa | Yuba City | King City | Lockeford

Veterinary lenders offering below-market interest rates!

Address: 545 Sespe Avenue Fillmore, CA 93015 | Phone: 805-524-3195 | Fax: 805-524-3192 44

Email: pacproinc@aol.com | Site: www.pacificproinc.com

California Veterinarian | November–December 2023

CLASSIFIED ADVERTISING

POSITIONS OFFERED

Northern California Veterinarians

Busy small animal clinic in Pittsburg is seeking an Associate DVM for a full-time position. We provide comprehensive medical, surgical, and dental care to our patients with an emphasis on preventative health care. We are currently looking for a full-time Veterinarian (4 days/week) and multiple relief veterinarians. Salary - Guaranteed $125,000 annual salary package with commission bonuses pro-sal. Compensation - Based on experience. Email wellpet@sbcglobal.net.

Out of state California Veterinarians

Animal Medical Services is looking to hire a full-time veterinarian for our small animal practice, stone's throw away from Heavenly Valley Ski Resort and a short drive to South Lake Tahoe. Great opportunity to live in open spaces and enjoy all the mountain amenities. Great

schools, reasonable real estate and close to shopping.

The practice is located in Gardnerville, currently operating with 2 DVMs and great staff who are looking forward to welcoming a compassionate, hard-working veterinarian. Offering Health and Dental Insurance with a yearly salary of $100,000 with paid time off. Current hours of operation are Monday through Friday, 8-5.

Please reach out to Dr. Sharon Burns to discuss details of employment 775.782.2297 or email sharonburns05@gmail.com.

HOSPITALS—SALES/LEASE/BUY Mixed practice for 1+ Drs. Located in Bishop, CA near many outdoor recreational activities. The practice was established in 1976 and has a loyal clientele with new clients daily and room for growth. The building is freestanding on lease land and has a good landlord.

Asking $195K for the building, practice, and contents.

Offers will be considered. If interested, contact our E-mail: sierravetclinic@yahoo.com.

cvma.net/publications

45

AD INDEX

Follow us on

SOCIAL MEDIA!

ADVERTISING INDEX BioNote .…................................................................... 19

facebook.com/TheCVMA

Gatto McFerson …....................................................... 31 Omni Practice Group …................................................47

instagram.com/california_vma

The OnHold Experience ............................................... 9 Pacific Professionals Inc. ........................................... 44 Preferred Employers Insurance …................................ 2

twitter.com/TheCVMA

Simmons Inc. …........................................................... 41 Veterinary Insurance Services Company ................... 48

STATEMENT OF OWNERSHIP, MANAGEMENT, AND CIRCULATION 1. Publication Title: California Veterinarian 2. Publication No. 004-347 Filing date: September 29, 2023 Issue frequency: Bi-monthly Number of issues published annually: 6 6. Annual subscription price: $50 7. Office of publication: California Veterinary Medical Association (CVMA), 1400 River Park Drive, Suite 100, Sacramento, CA 95815-4505 General business office of publisher: CVMA, 1400 River Park Drive, Suite 100, Sacramento, CA 95815-4505 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.

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.

1 . Publication title: California Veterinarian.

1 . Issue date for circulation data: September/October 2023.

46

California Veterinarian | November–December 2023

Required by 39 U.S.C. 3685

Average No. Copies Each Issue During Preceding 12 Mos.

No. Copies of Single Issue Published Nearest to Filing Date

a. Total Number of Copies (Net press run) b. Paid Circulation (By Mail and Outside the Mail) (1) Mailed Outside-County Paid Subscriptions (2) Mailed In-County Paid Subscriptions (3) Paid Distribution Outside the Mails Including Sales Through Dealers and Carriers, Street Vendors, Counter Sales and Other Paid Distribution Outside the USPS® (4) Paid Distribution by Other Classes of Mail Through the USPS c. Total Paid Distribution d. Free or Nominal Rate Distribution

14,028

14,286

14,028 0

14,286 0

0

0

0 14,028

0 14,286

(1) Outside-County (2) In-County (3) Other Classes Mailed Through the USPS (4) Outside the Mail e. Total Free or Nominal Rate Distribution f. Total Distribution g. Copies not Distributed h. Total

0 0 0 0 0 14,028 153 14,181

0 0 0 0 0 14,286 25 14,311

i. Percent Paid

100%

100%

15. Extent and nature of circulation:

16. Publication of Statement of Ownership: Publication required. Will be printed in the November/December 2023 issue of this publication.

17. Signature and Title of Editor, Publisher, Business Manager, or Owner. I certify that all information on this form is true and complete: Taryn DeOilers, Editor, 9/29/23

CLASSIFIED ADVERTISING

Thinking about an Exit Plan?

We can help.

We've sold over 300 practices in the past 25 years.

Kim Ford CURRENT LISTINGS

License #2205339

Veterinary hospital located in prime LA county location. Large clinic with parking. Excellent cash flow.

(CAV3030) Southern California Animal Clinic in Riverside County (CAV3024) Modern Veterinary Hospital in LA County (CAV3022)

Scan for our upcoming practice transition seminar in Palm Springs, February 2024.

Well established Practice in Sacramento County (CAV3021)

Sonoma County Veterinary Hospital For Sale (CAV3020) 877-866-6053 Sign up for our newsletter today!

omnipg-vet.com/newsletter

info@omnipg-vet.com

omnipg-vet.com cvma.net/publications

47

we're not nosey.

But we do know your business.

Select coverages now offered in Arizona!

Insurance for veterinarians...by veterinarians.

Business Package | Veterinary Malpractice | VMB Defense | Employment Practices Liability (EPLI) | Workers’ Compensation Commercial Auto/Umbrella | Homeowners | Renters | Auto | Boat | Personal Umbrella | Long-Term Care | Disability | Life

Call VISC at 888.762.3143 or email info@visc-ins.com for solutions to all your insurance needs. visc-ins.com VISC is a wholly owned subsidiary of the California Veterinary Medical association | CA Lic. #0F64180