Sept/Oct 2021

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New Member Benefit: Epicur Pharma page 25 MRC CA Deploys to the Caldor Fire page 23 California The Publication of the California Veterinary Medical Association Volume 75 Number 05 • September–October 2021 Veterinarian
To us, you are our #1 priority. CVMA members receive veterinary-specific workers’ compensation insurance at discounted rates with Preferred Employers Insurance, a Berkley company. E-mail info@visc-ins.com or call (888) 762-3143 to learn more.
3 2021 Legislative Update Pursuing Excellence in the Veterinary Profession 24 30 10 Compounded Medications in Veterinary Practice Veterinarians and Rabies Vaccine Reporting Upcoming CE 12 Fall Seminar in Olympic Valley 20 Spring Seminar in Yosemite 22 CAVMRC Disaster Response Training in Santa Rosa 37 Online Seminars 47 Pacific Veterinary Conference in San Francisco Inside This Issue Contents Features Volume 75 Number 05 | September–October 2021 4 Upcoming CE Events 5 Director’s Corner 6 First-Year Veterinarian 7 News & Now 30 Compliance Corner 36 CVMA Remembers 38 RVT News 39 Student News 40 UC Davis News 41 WesternU News 42 Classifieds 46 Ad Index Departments 8 Nominate Outstanding Colleagues for 2022 CVMA Awards! 9 Member Profile: Esmeralda Huerta, RVT 10 2021 Legislative Update 14 Set Yourself Up for a Successful Practice Transition 16 Dear Neuroticism: What Have You Done for Me Lately? 18 Lesson Learned – Safe Handling of Large Patients 23 CAVMRC Deploys to the Caldor Fire 24 Compounded Medications in Veterinary Practice: The Importance of 503B Outsourcing Facilities 25 New CVMA Member Benefit – Discount on Compounded Medications Through Epicur Pharma 26 Thank You, CVMA-PAC Contributors! 32  Welcome to Our New Members! 34 Veterinary Feed Directive Educational Outreach to California Veterinarians 36 Dr. Kenneth Pawlowski Appointed to AVMA Council Position

Upcoming CE Events

CVMA Fall Seminar at the Resort at Squaw Creek

October 8–10, 2021 | 12 CEUs for veterinarians and 8 CEUs for technicians and CVMA CVAs.

For more information, see page 12.

Sponsored by

Sexual Harassment Prevention Education and Training

November 1 and November 9, 2021

1 CEU for non-supervisors | 2 CEUs for supervisors

For more information, see page 37.

CAVMRC Disaster Response Training in Santa Rosa

November 7, 2021 | 7.5 CEUs

IN-PERSON

For more information, see page 22.

Menacing Methicillin-Resistant Staph: Getting Under the Skin, How to Manage and Prevent Bacterial Resistance

December 1, 2021 | 5:30 PM–6:45 PM (1.5 CEUs)

December 7, 2021 | 12:30 PM–1:45 PM (1.5 CEUs)

For more information, see page 37.

CVMA Spring Seminar in Yosemite

March 11–13, 2022 | 12 CEUs for veterinarians

For more information, see page 20.

IN-PERSON

Registration opens October 16, 2021.

Sponsored by

2022 Pacific Veterinary Conference in San Francisco

June 2–5, 2022 | 28.5 CEUs

IN-PERSON

Registration opens in November. Watch your email for more information.

Registration for all CVMA events can be made online by logging onto cvma.net or by calling 800.655.2862.

CVMA-A liated Programs

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. ©2021 CVMA

The Publication of the California Veterinary Medical Association

Publisher Dan Baxter

Managing Editor Kristen Calderon

Editor Taryn DeOilers

Publication Designer Howard Steffens

Classified Advertising

Board of Governors

Laura Phillips

President Dr. Elisabeth Klapstein

President-Elect Dr. Keith Rode

Member-at-Large Dr. Michael Karle

Members

Dr. Peter Bowie

Dr. Patrick Connolly

Dr. Larry Correia

Dr. Jennifer Hawkins

Dr. Adam Lauppe

Dr. Julia Lewis

Dr. Peter Mangold

Dr. Teresa Morishita

Dr. Peter Vogel

Dr. James White

Dr. Jodi Woods

Dr. Dirk Yelinek

Student Representatives

University of California, Davis Alison Pankowski

Western University Katelyn DeVore

Treasurer Dr. George Bishop

Chair, House of Delegates Dr. Brent Wooden

CVMA Staff

Executive Director Dan Baxter

Assistant Executive Director Della Yee

Director of Communications Kristen Calderon

Director of Finance Kathy Van Booven

Director of Regulatory Affairs Dr. Grant Miller

Design and Marketing Manager Howard Steffens

Membership and Student Services Laura Phillips

Manager

Publications Manager Taryn DeOilers

Accountant Bernice Evans

Communications and CE Coordinator Nicole Campos

Executive Assistant Patricia Lynn

Finance Coordinator Sharmele Browne

Meetings and Events Coordinator Lily Briggs

Membership Coordinator Jennifer Smith Receptionist Mary Young

Display Advertising

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

Volume 75 Number 05 • September–October 2021
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! The CVMA is 7,800 voices strong. Let us hear your voice!
Veterinarian California Tell
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PREFERRED EMPLOYERS Insurance a Berkley Company VIRTUAL VIRTUAL HYBRID
California Veterinarian • September–October 2021 cvma.net 4

On August 30th, as the Caldor Fire was raging from Placerville to South Lake Tahoe, causing thousands to evacuate their homes, the CVMA deployed its California Veterinary Medical Reserve Corps (CAVMRC) at the request of the state to aid animals displaced or injured in the disaster.

The CAVMRC is the largest voluntary veterinary medical disaster relief group in the country, with over 2,600 volunteers. The CAVMRC’s purpose is to provide free veterinary medical care to animals in emergency shelters during declared disaster responses. Our volunteers consist of veterinarians, registered veterinary technicians, veterinary assistants, and veterinary students, with a passion for helping animals in disaster situations.

The CAVMRC came into existence in 2009, and thus far, all of our deployments have been to wildfire zones. As of our September 17th press date, the Caldor fire has burned over 200,000 acres and destroyed over 1,000 structures and caused more than 40,000 people in its path to evacuate. The fire is now 71% contained, the majority of evacuees have been allowed to return to their homes, and we have completed our deployment.

Here at the offi ce, when the CAVMRC was called to deploy, Dr. Grant Miller—the CVMA’s Director of Regulatory Aff airs and CAVMRC’s State Coordinator—worked with the CVMA’s Kristen Calderon and Jennifer Smith to scramble our volunteers to El Dorado County Animal Services in Diamond Springs, California, the base of operations for small animal relief eff orts for the Caldor Fire. Large animal relief stations were set up in Placerville and Plymouth. Over the 19 days of deployment, CAVMRC Deputy Coordinator Dr. Jay Kerr and Region 4 Coordinator Dr. Noel Dybdal headed up eff orts on the ground, along with fi eld coordinators Dr. Jeff Smith and Dr. Karen Krstich directing 67 CAVMRC volunteers, who worked a total of 1,228 hours treating a variety of animal species. We are truly grateful for the Herculean work of our volunteers, who dropped everything on little more than a moment’s notice, putting their own work, schedules, and personal lives on hold to help communities in need. Volunteer participation can be a literal matter of life or death for rescued animals, and means the world to local offi cials and animal owners alike.

As California’s wildfire season becomes longer and more intense, the CAVMRC’s work will become even more important in the years to come. To that end, we are exploring options for the purchase of a mobile command center: a recreational vehicle that we will build out to serve as both (1) a singular means to transport needed medications and supplies to disaster areas and (2) a centralized hub from which we can direct efforts once we reach those areas. Overall, a mobile command center will allow us to effectuate a speedier, more effective response when we are called upon by relevant authorities to serve.

How does the CAVMRC get funded? Well, I’m glad you asked! The CAVMRC is supported by donations made to the California Veterinary Medical Foundation, and those donations are essential to CAVMRC’s continuing operations. If you wish to make such a donation, please go to cvmf.net/how-to-help, and follow the prompts. Donations of any amount are appreciated, and will directly assist our efforts to support animal well-being during wildfires and other disasters. Similarly, if you wish to be a CAVMRC volunteer, please visit cavmrc. net to obtain more information.

By the time you read this, the Caldor fire may be over, but the CAVMRC’s work will remain, both this season and next. Whenever we are called upon to assist, we will be ready!

View this issue of the California Veterinarian online at cvma.net/publications. 5

We’re Talking About Practice

Wow, here we are, two months since graduation, practicing as full-fledged veterinarians. Finally, our dream has become a reality. To be completely honest, I was a little nervous about writing this second article because I’ve only been practicing for one month as of yesterday. Staring at this blank Word document, watching that cursor blink in anticipation, I thought, “Do I really have something worthy of sharing?” After all, I spent my first two weeks shadowing and taking the occasional urgent care case, and my last two finally taking on appointments. The slow but oppressive trickle of self-doubt crept in on me. “Compared to my other classmates, I’ve got nothing to offer.” Then it clicked. I can write about that doubt.

School does an amazing job teaching us the ins and outs of medicine, everything we need to know about the pathomechanisms of diseases, what we can do to treat them, and how to communicate effectively with our clients and colleagues. We are trained professionals with the knowledge to practice medicine. What no amount of schooling could ever prepare us for is the pressure of being the person that others go to for advice, be it a benign wellness exam or a pressing emergency. As a student in clinics, I was certainly intimidated by being the “primary” on a case. Forming my own differentials and a diagnostic plan was daunting; however, there was always the cushion of a preceptor guiding me every step of the way. When cases got too complicated, they’d sweep in to pick up the pace. Now, as a new graduate, I do find that I’m slow to make decisions managing cases, particularly endocrinology and renal patients. Sometimes, I take an inordinate amount of time researching every detail of working up and treating a disease, and once I reach my answer, I’m reluctant to move forward because of that little voice in my head that asks me, “Hey, Robin. What if you’re wrong?”

The fact is error is inevitable. It is bound to humble and humiliate us no matter how hard we try to avoid it. Truthfully, I have already made a couple mistakes. Thankfully, they were not at the expense of a patient’s life, but they were hard learning experiences nonetheless. It’s in these moments that I’ve finally understood what it means to “practice” medicine. This is not a game where we show up and execute every move with the perfection of a well-programmed machine—this is practice. The knowledge is there, but it’s going to take repeated efforts

to understand and fine-tune which diagnostics to run, which drugs work best, and which anesthetic protocols we find most effective. As perfectionists, we strive to do the best we can for each and every patient, and as perfectionists we are so hard on ourselves when we don’t achieve that pristine outcome. But such is the name of our game; we are here to practice medicine, so let’s show up to practice every day better than we were the day before.

I want to end by saying that amidst the chaos of being a new graduate, I am happy to report that I have a very supportive hospital backing me. There are doctors to whom I relentlessly go for advice, and a team of outstanding technicians, kennel staff, and CSRs that work with me as a team. Not to mention, I text my veterinary school friends weekly to share cases and swap stories. Class of 2021, here’s to finding our confidence in this next chapter of our careers.

First-Year Veterinarian California Veterinarian • September–October 2021 cvma.net 6

Let the CAVMRC Help with Your Disaster Preparedness

September is National Disaster Preparedness Month, a time for people to prepare for emergencies in their homes, businesses, and communities. With California already in the middle of a harsh wildfire season, it’s more important than ever for residents—including veterinary professionals—to develop a plan in the case of disaster. The California Veterinary Medical Reserve Corps (CAVMRC) is providing a low-cost course on “Animals in Disasters – Common Medical Conditions” on November 7, 2021 in Santa Rosa, California that will help veterinary professionals prepare for disaster response. See page 22 for more information.

World Rabies Day Is September 28, 2021

Since 2007, World Rabies Day has been observed globally to raise awareness about rabies and to take collaborative action in strengthening prevention worldwide. World Rabies Day provides an opportunity for veterinarians, doctors, educators, policy makers, and other stakeholders to reflect on their efforts to control rabies—a fully preventable disease that nonetheless kills tens of thousands of people every year. Visit https://rabiesalliance.org/world-rabies-day for more information and to schedule your own World Rabies Day activities.

Thank You, Veterinary Technicians!

National Veterinary Technician Week recognizes the critical role of veterinary technicians in veterinary practices, as well as their contributions toward preserving animal welfare. An annual tradition since 1993, National Veterinary Technician Week will be celebrated this year during the week of October 17–23. The National Association of Veterinary Technicians in America is offering a media kit that provides suggestions and templates for celebrating the week. Visit https://www.navta. net/page/nat_vet_tech for more information.

Take the Member Benefits Survey

The CVMA is seeking input on which member benefits you find most useful and which additional benefits you would like to see offered in the future. A survey will be emailed out to all CVMA members on Monday, September 27. Please lend us your valued insight by completing this short survey when it arrives in your inbox. The survey will close on October 8.

Changing of the Guard at the SCVMA

Congratulations to Dr. Peter Weinstein, who is retiring as the Southern California Veterinary Medical Association’s (SCVMA) Executive Director, a position he has held since 2007. Dr. Weinstein has been an important member of the CVMA as well, having served as president in 2003–2004 and having participated on numerous task forces and committees. He will be handing the torch to Dr. Jennifer Hawkins, a past SCVMA President. The CVMA is fortunate to have a close working relationship with Dr. Hawkins, who is the CVMA’s current District II Governor and chairs the Access to Care Task Force. We wish Dr. Hawkins much success in the coming years and Dr. Weinstein a relaxing and happy retirement!

News Now@CVMA & 7 View this issue of the California Veterinarian online at cvma.net/publications. Board of Governors Meeting at Olympic Valley Board of Governors Vision Planning Meeting at Olympic Valley Ways & Means Committee Meeting Access to Care Task Force Meeting Political Action Committee Meeting VISC Board Meeting VISC Strategic Planning Upcoming Meetings
OCT 8 DEC 1 DEC 2 OCT 9 OCT 15 OCT 27 OCT 28 = Hybrid or Virtual Event

Nominate Outstanding Colleagues for 2022 CVMA Awards!

The past few years have served as a great challenge to many in the veterinary profession. Between adhering to rapidly changing COVID-19 workplace regulations, successfully navigating the unexpected boom in pet ownership, and then transitioning back to a pre-COVID (or hybrid) workplace, veterinary personnel have displayed their hard work, resiliency, and love for animals. Many of your colleagues have particularly rose to the occasion during this tumultuous period, perhaps working long hours while still finding time to mentor, devoting their free time to improving their communities, or participating in organized veterinary medicine to keep the needs of the profession front and center.

Every year, the CVMA recognizes dedicated and exemplary veterinary professionals through a series of specifically designated awards. The awards are o ered in several categories and include veterinarians, registered veterinary technicians, organizations, and others who contribute to the veterinary community. We rely on the veterinary community that works alongside special people, organizations, and animals to provide us with nominations so that we can make sure to honor those who are truly exceptional.

If you know someone who has made a significant di erence and who you believe deserves to be recognized, please nominate them for one of the awards listed below. The deadline for nominations is December 15, 2021. Award recipients will be recognized in the 2022 May/June issue of the California Veterinarian and honored at next year’s CVMA Awards and Installation Ceremony.

CVMA Award Categories

Lifetime Achievement

This is the CVMA’s most prestigious award, which recognizes a member of the CVMA who has made noteworthy contributions to the advancement of veterinary medicine. Veterinarians who have exerted outstanding leadership in organized veterinary medicine and/or who have otherwise contributed significantly to veterinary medicine in California are honored.

Distinguished Life Membership

Distinguished Life Membership is the CVMA’s highest membership honor and is awarded to an individual who has significantly exceeded membership obligations through active participation in CVMA leadership.

California Animal Hall of Fame

This award honors animals who exemplify the a ection, loyalty, security, and value of the human-animal bond through unselfish and courageous accomplishments.

Outstanding RVT of the Year in Private Practice

This award honors RVTs in private practices who possess outstanding professional ability and takes into account educational achievements, individual contributions, professional a liations, and special experience that sets them apart from others.

Linda Markland RVT of the Year in Non-Private Practice

This award recognizes RVTs in non-private practices who possess outstanding professional ability and takes into account educational achievements, individual contributions, professional a liations, and special experience that sets them apart from others.

RVT’s Outstanding DVM of the Year in California

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

Meritorious Service Award

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

Outstanding Service Award

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

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

8 California Veterinarian • September–October 2021 cvma.net
Submit your nomination!

I AM THE ®

Members are the heart of the CVMA

Esmeralda Huerta, RVT

 Mt. San Antonio College

What is your life philosophy?

If you believe strongly in something, stand up and fight for it.

I knew I was in the right profession when I was able to wake up every day, go to work, and genuinely enjoy my day no matter the ups and downs that came with it.

The best decision I ever made was getting married to my best friend, Casimar, and having our son, Kingston.

A TV show that has impacted my life is Friends and Gilmore Girls; I couldn’t choose one.

If I could have dinner with any famous person in history, it would be Bob Marley—I would want to discuss his view on life and people.

I still want to learn how to cook like my mother to keep her traditions going, especially Posole.

I am a CVMA member because: I love to stay involved so I can know what’s going on in my profession, relay that information, and mentor fellow technicians that I lead.

 Lead Veterinary Technician at Pedley Square Veterinary Clinic
9 View this issue of the California Veterinarian online at cvma.net/publications.

2021 LEGISLATIVE UPDATE

The COVID-19 pandemic continues to create challenges at the State Capitol in allowing the Legislature to hear a large number of bills and, as a result, several legislators have elected to pause their measures in 2021. But some bills are still active and are of particular importance to the veterinary profession. The CVMA’s legislative team has participated in numerous calls and virtual meetings with legislative staff and stakeholders and has submitted position letters on bills of high importance. Below is a summary of the most important bills that the CVMA has worked on this year.

HOUSE RESOLUTION (HR) 61 (LEE): VETERINARY MEDICINE

Introduced in mid-July, this resolution asks the California State Assembly to commit to “sensible and humane therapeutic veterinary procedures for companion animals.” Typically, Assembly and Senate Resolutions are celebratory in nature. However, HR 61 adopts a diff erent tone by implying that veterinarians are subjecting animals to unnecessary surgical procedures without any regard for the overarching health of the patient. As written, HR 61 bans “nontherapeutic” surgeries, a term undefi ned in law, but which appears in this resolution to include surgeries such as elective gastropexy or laparoscopy that are benefi cial to an animal’s care. While HR 61 does not include an explicit statement against cat declawing, the resolution’s sponsors have sponsored past legislation to prohibit declawing, and the CVMA believes this intent is driving HR 61, as well. The CVMA has submitted an opposition letter to the Author and key members of the Legislature.

AB 1535 (ASSEMBLY BUSINESS AND PROFESSIONS COMMITTEE)

VETERINARY MEDICAL BOARD: SUNSET REVIEW.

The Assembly Business and Professions Committee and the Senate Business, Professions, and Economic Development Committee periodically hold joint sunset oversight hearings to review boards under the Department of Consumer Affairs (DCA). The sunset review process provides an opportunity for the DCA, the Legislature, the boards, and interested parties and stakeholders to discuss the performance of the boards and make recommendations for improvements. The Veterinary Medical Board (VMB) is being reviewed in 2021, and its report to the Sunset Review Committee is posted on the VMB’s website. The CVMA submitted two letters to the Sunset Review Committee with comments and positions on issues addressed in the VMB’s report. The VMB’s Sunset Review is one of the most important, timeconsuming measures that the CVMA works on every four years, as the Sunset bill typically addresses licensing fee structures and complex scope of practice matters, in addition to the general review of the VMB. Among the more significant items included in this year’s bill are:

{ Revise and raise the statutory limits for license and permit fees, and lower Registered Veterinary Technician fees

{ Create a statutory exemption to premises registration with the VMB for animal shelters that perform the limited veterinary practices of vaccination, parasite control, and administering medications to individual animals pursuant to orders from a veterinarian with an established Veterinarian-Client-Patient Relationship for that animal

10 California Veterinarian • September–October 2021 cvma.net

{ Require RVTs, veterinary assistants, and veterinary assistant controlled substance permit holders to wear name identification tags in at least 18-point type that include their license or permit numbers

{ Expand the VMB’s scope of authority in relation to premises permits of practices owned by nonveterinarians and prohibit them from interfering with, directing, or controlling the professional judgment of any veterinarian or RVT

{ Make falsely advertising as a specialist or board-certified practitioner subject to board discipline

CVMA POSITION: Watch, Work with Author

BILL STATUS: Senate Floor

AB 1282 (BLOOM) (COAUTHOR WILK): VETERINARY MEDICINE: BLOOD BANKS FOR ANIMALS.

This legislation will transition California’s closed-colony canine blood banking model to a community-sourced blood donor system. The CVMA has been actively involved in the issue of animal blood banking since 2019 and worked closely with the bill’s authors to represent the needs of the veterinary profession again this year. CVMA issues that were addressed include preserving a safe and adequate supply of blood and blood products and determining when and how California will transition from the closed-colony model to a community-sourced model. During a Senate Appropriations committee review of the bill in August, the VMB and California Department of Food and Agriculture (CDFA) expressed concerns with some of the logistical aspects of the bill, and the Department of Finance opposed the bill due to its fiscal impact. As a result, a budget trailer bill was amended to include $1 million in funding for CDFA implementation.

CVMA POSITION: Approve

BILL STATUS: Senate Floor

AB 1533 (ASSEMBLY BUSINESS AND PROFESSIONS COMMITTEE) CALIFORNIA BOARD OF PHARMACY: SUNSET REVIEW.

The CVMA submitted comments to the Joint Sunset Review Committee regarding issues with the California Board of Pharmacy (BOP), primarily concerning veterinary compounding. One of the items raised in the CVMA’s comment letter was a request that at least one BOPappointed member be a compounding pharmacist. The CVMA’s request was successful, and that compositional requirement is being implemented accordingly. The CVMA will continue to advocate for the veterinary profession at

both the legislature and the BOP to protect the ability of veterinarians to provide medications to animal patients.

CVMA POSITION: Watch, Work with Author

BILL STATUS: Senate Floor

SB 547 (GLAZER): ANIMALS: EMERGENCY RESPONSE: CALIFORNIA VETERINARY EMERGENCY TEAM PROGRAM.

SB 547 creates a state-funded Veterinary Emergency Team at the UC Davis School of Veterinary Medicine to assist the California Department of Food and Agriculture (CDFA) in developing and implementing all aspects of the California Animal Response Emergency System (CARES), including participating in disaster response field operations. The CVMA testified in support of this bill during an Appropriations Committee hearing and submitted support letters to legislators throughout the legislative process. The bill was incorporated into AB 132, a highereducation budget trailer bill, and was signed into law on July 27, 2021. It will provide $3 million annually to UC Davis from the state general fund to support its disaster response program. UC Davis will begin its new role in disaster response on January 1, 2022.

CVMA POSITION: Support

BILL STATUS: Chaptered into Law as part of 2021 Budget Trailer

Bill AB 132

OTHER ACTIVE BILLS FOR 2021

AB 70 (SALAS): GENE SYNTHESIS PROVIDERS.

CVMA POSITION: Watch

AB 468 (FRIEDMAN): EMOTIONAL SUPPORT DOGS.

CVMA POSITION: Approve

AB 527 (WOOD): CONTROLLED SUBSTANCES: CANNABINOIDS.

CVMA POSITION: Watch

AB 1306 (ARAMBULA): HEALTH PROFESSIONS CAREERS

OPPORTUNITY PROGRAM.

CVMA POSITION: Watch

SB 453 (HURTADO): AGRICULTURE: BIOSECURITY AND EMERGING INFECTIOUS DISEASE FUND.

CVMA POSITION: Watch

SB 703 (HURTADO): DISEASED ANIMALS: LABORATORY SERVICES.

CVMA POSITION: Support

BILLS MOVED TO INACTIVE STATUS SINCE JULY 2021

AB 253 (PATTERSON): ANIMAL WELFARE.

CVMA POSITION: Watch

SB 252 (WIENER): TOXICOLOGICAL TESTING IN DOGS AND CATS.

CVMA POSITION: Watch

SB 344 (HERTZBERG): GRANTS: HOMELESS SHELTERS: PETS AND VETERINARY SERVICES.

CVMA POSITION: Approve

SB 519 (WIENER): CONTROLLED SUBSTANCES: DECRIMINALIZATION OF CERTAIN HALLUCINOGENIC SUBSTANCES.

CVMA POSITION: Watch

For specific information on bills or to track CVMA-monitored bills through the legislative process, visit the CVMA’s online Legislative Action Center, which now has a new look and format. The Voter Voice platform makes searching for relevant legislation easier and more user-friendly. Check out the improved format by logging onto cvma.net and clicking on the Government tab.

11 View this issue of the
Veterinarian online
California
at cvma.net/publications.
CVMA LEGISLATIVE ACTION CENTER

Join Us for Relaxation, Nature, and CE at the CVMA Fall Seminar on October 8–10, 2021!

Advance registration closes October 1

Come stay among the towering pines and lush mountainsides of Olympic Valley, the luxurious setting for this year’s CVMA Fall Seminar. Fill your mornings with valuable CE and spend the rest of your day with family, friends, and colleagues enjoying the natural beauty of the area—located just five miles from North Lake Tahoe’s stunning shores!

DVM Track (Friday–Sunday • 12 CEUs)

Ophthalmology | Tomo Wiggans, DVM, MEng, DACVO

Dr. Tomo Wiggans earned a Master of Engineering at Cornell University, working as an engineer for several years before pursuing veterinary medicine. Dr. Wiggans graduated from the UC Davis School of Veterinary Medicine, completed a rotating internship and specialty fellowship at Colorado State University, and completed a three-year residency in comparative veterinary ophthalmology at UC Davis. He became board-certified in 2015. Dr. Wiggans currently works at VCA Bay Area Veterinary Specialists in San Leandro, CA.

Gastroenterology | Katie Tolbert, DVM, Ph.D., SAIM (Gastroenterology)

Dr. Katie Tolbert completed her SAIM and Ph.D. in Comparative Biomedical Sciences at North Carolina State University. She is a clinical associate professor in the Gastrointestinal Laboratory at Texas A&M University as well as a clinical veterinary instructor at North Carolina State University. She also serves as the veterinary practice logistics liaison for the Dog Aging Project. She received the Zoetis Award for Excellence in Veterinary Research in 2018.

Technician Track (Saturday–Sunday • 8 CEUs)

Emergency and Critical Care | Amy Newfield, MS, CVT, VTS (ECC)

Amy Newfield is a project manager for training, health, and wellness at BluePearl Veterinary Partners and the owner of Veterinary Team Training. She found her passion in emergency medicine and obtained her VTS in Emergency and Critical Care. She has held several board positions in the Academy of Veterinary Emergency and Critical Care Technicians and Nurses, including serving as its president. Amy is a published author on over 20 subjects.

Resort at Squaw Creek 400 Squaw Creek Road, Olympic Valley, CA 96146

Reserve your room by September 14, 2021   and get our special CVMA room rates:

• $209 Deluxe Guest, plus tax

• $239 Fireplace Suite, plus tax

• $259 Deluxe Fireplace Suite, plus tax Hotelresortfeeisincludedinthegrouprate. Reserve your room online at cvma.net or by calling the hotel at 800.404.5544. Be sure to identify yourself as a CVMA Fall Seminar attendee to obtain the special rate.

Unable to join us in Tahoe? Try our new hybrid format!

Virtual attendees will be able to communicate directly with the speakers and moderators in real time.

If state or local mandates restrict public gatherings, the CVMA will instead o er the Fall Seminar in live and interactive online presentations and keep the spirit alive with Tahoe-themed activities and ra es. Visit cvma.net for full seminar details including the latest safety protocols.

12 California Veterinarian • September–October 2021 cvma.net
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Set Yourself Up for a Successful Practice Transition

Selling your practice will likely be a once-in-alifetime event. Whether you are considering retirement or exploring your options, we recommend that you take an active role in your practice transition. As you will see, this requires personal reflection and the advice/expertise of those who work on the business side of veterinary medicine.

Consider Your Feelings. The prospect of selling your practice will likely elicit strong feelings and emotions. You may have built your practice over many years, perhaps decades, and the idea of letting go may feel like an emotional rollercoaster. Your practice culture refl ects your personal values and ethics in providing the very best care for your patients. You may be most interested in “how much money will I get in return from the sale?” but it is important to acknowledge your non-monetary thoughts and emotions to avoid regrets.

Build Your Team. You will understandably have many questions and concerns about your present fi nancial condition and realistic transition options moving forward. Assessing your fi nancial ability to realize your

vision of retirement is a critical step in determining a “treatment plan.” Key specialists who understand and work in the business side of veterinary medicine, such as consultant brokers and legal experts, can provide the guidance you need in the areas of fi nancial planning, accounting, and tax planning. You are the coach of the team, and your fi nancial and legal advisors are the players you send out onto the fi eld.

Most veterinary consultants/brokers recommend preparing for practice transition 3 to 10 years in advance. Because the value of your practice is based on profi tability, it can be benefi cial to begin working with a broker/consultant and accountant early on to examine areas of your practice that may need improvement. Advance planning can also provide a safety net if you or a family member has an unexpected change in health that necessitates the sale of your practice.

You may also seek advice from a fi nancial planner to help integrate the future sale of your practice into your retirement income plan. Obviously, it is common for small business owners to tie their personal

14 California Veterinarian • September–October 2021 cvma.net

wealth to their business venture. However, rather than relying on the sale of your practice to fund most of your retirement, we recommend fi lling several diff erent buckets during your working years to generate income. In addition to your practice equity bucket, you may have buckets for guaranteed income, including social security and investment vehicles like IRAs and 401ks. Not putting your eggs in one basket is still sage advice.

Considerations for the Sale of the Practice. As noted above, you may discover there is more to selling your practice than fi nancial considerations. Cultivating a healthy practice culture and earning your clients’ trust takes time and commitment. When you fi nally hand over your keys, do you want to feel that your staff and clients are in good hands for the future? Your plan may focus fi rst on making improvements to your practice, then grooming an associate as your successor over time. On the other hand, based on your fi nancial needs, you may fi nd that you are not in a position to be selective, so sales price is your overriding concern.

In order to facilitate a smooth transition, a reasonable expectation is that most buyers will want your continued engagement in daily practice operations. You could consider selling your practice in phases over time. How much of a commitment are you willing to make? Perhaps you enjoy coming into the hospital every day and would be willing to sign an employee agreement in exchange for a higher price. Or, you may be truly done and want the best sales price and terms that allow you to simply walk away.

for a profi t. If you are considering selling to a consolidation buyer, we recommend that you and your team assess them on a caseby-case basis. Because of the inherent confl ict of interest between the stakeholder’s fi nancial goals and the medical needs of the patients, this business model may make it diffi cult to fi nd an appropriate buyer. You may be enticed by a high off ering price, but it may come at a cost, with an employee agreement and/or noncompete clauses. Consolidation buyers are typically expert negotiators. Your team can provide invaluable support in working with potential consolidation buyers.

Fit for Your Practice? A recent trend has been for consolidators to purchase practices well above what would be considered a fair price and still achieve their objective to maximize Return of Investment (ROI) for stakeholders by buying multiple practices and turning them over

Consolidation Buyers—Are They a Good

Conclusion. A successful transition takes many considerations into account. Nobody cares more about your practice than you, so staying engaged throughout the process will only work to your advantage. Working with a team—which may include accountants, legal professionals, brokers, and consultants—to develop and sustain a fi nancially healthy practice can allow you the fl exibility to command the highest sales price and select the most appropriate buyer.

Mr. Carmichael is a senior associate with Capstone Financial and strategic partner with VISC, who handles life and disability insurance for CVMA members. John has enjoyed working exclusively with the veterinary community for over 12 years. He is known for his easygoing style and focus on education to help empower his clients to make informed decisions about their life and disability insurance programs. His commitment to conducting business with honesty and integrity is etched in the famous quote, “People don’t care how much you know until they know how much you care.” Mr. Carmichael can be reached at 800.544.6003 or at jcarmichael@capstonefinancial.net. (CA license #0F14121)

15 View this issue of the California Veterinarian online at cvma.net/publications.
“Because the value of your practice is based on profitability, it can be beneficial to begin working with a broker/consultant and accountant early on to examine areas of your practice that may need improvement.”

Wellness for Veterinary Professionals

This is the last article in the Renew series exploring physical, mental, and emotional health for veterinary professionals. We hope these articles have provided both insight and inspiration for your future wellness and renewal.

Dear Neuroticism: What Have You Done for Me Lately?

Have you ever marveled at how naturally athletic dogs are? They seem built for speed and agility, darting and dodging with aplomb. Whether it’s a Border Collie wrangling livestock or a Yorkie stalking a mouse, it’s plain to see that diff erent breeds are suited to diff erent tasks.

Some researchers suggest that human personality traits serve similar roles. Like physical traits, there are no inherently good or bad personalities, just those optimized for certain conditions and situations. The key lies in understanding our individual personalities and recognizing when they’re serving us

well and when they may be leading us astray.

Despite phenomenal advancements in medical research and an everblurring boundary between neuroscience and psychology, the concept of the Big 5 personality traits has remained relatively static and substantiated for decades. Four of these traits—openness, conscientiousness, extraversion, and agreeableness—are generally considered positive and desirable.

But the fi fth, neuroticism (sometimes described as low emotional stability or negative emotionality), mars the others with negativity. Neuroticism is of particular interest for veterinarians, as we hold the distinction of ranking signifi cantly higher in neuroticism than the general population. Do any of these descriptors characterize you, your vet school friends, or current/ former coworkers?

1. High stress or anxiety when others are relaxed

2. Prone to anger, frustration, or excessive worry

3. Getting into bad moods and staying stuck there

These behavioral characteristics, along with the physical and mental repercussions of a personality high in neuroticism, help account for the epidemic of general unwellness facing our profession. Numerous studies have demonstrated a negative correlation between neuroticism, workplace satisfaction, and overall quality of life. In veterinary medicine specifically, a UK study found that, when it comes to predicting our overall stress levels, personality eclipses environmental factors. And what personality trait was the most significant predictor of occupational stress? You guessed it—neuroticism.

But it can’t be all gloom and doom, right? After all, if the Big 5 are heritable, as research indicates, there must be some behavioral advantage conferred by neuroticism. Indeed, there are multiple proposed advantages to a personality

16 California Veterinarian • September–October 2021 cvma.net
Renew

characterized by higher-than-average neuroticism. These include:

1. Quicker response times and avoidance of dangerous situations

2. Higher competitiveness, leading to greater academic achievement

3. Creativity in problem solving

So now what? I’ve told you that our personalities are largely fixed, and that neuroticism has some serious downsides but also some evolutionary advantages. How does that help anything? What impact does this have on our everyday lives as we work through callbacks, hop from one allergic pet to another, and cram lunch into our stomachs like topping off the gas tank on a long road trip?

First, come to know and understand your personality. There are multiple online resources for this, such as openpsychometrics.org. Even a cursory awareness of our predominant traits can set us on the path to emotional awareness and improved relatedness with others.

Next, armed with this knowledge, start to take conscious note of your thoughts, feelings, and physiologic responses in a variety of settings. Are there any patterns, external circumstances, or settings that tend to lead to certain patterns of thinking or behaviors? Mindfulness apps, like Headspace or Calm, can be particularly helpful here.

To use an analogy, if we spend most of our lives on stage, playing out personal and professional situations like scenes, a mindful appreciation of ourselves helps plant us in the audience, affording us the ability to see our point of view as just one of several. Using this technique might allow us to reevaluate a pet owner’s scowl as not anger or disengagement, but possibly sadness or confusion. Our short-tempered coworker may be experiencing a personal hardship. And most significantly, perhaps we’re sending misinterpreted signals to others without even realizing. You see, since personality plays such a critical role in our response to situations and subsequent worldview, the key to

relating to others is understanding they may experience situations fundamentally differently.

Most importantly, fight the tendency to compare yourself to others. I could devote every waking moment to running for speed, but I’ll never even approach the level of Olympic athletes—not to mention your average toy breed. Yet I still took up running, and I’ve gotten faster over the years. Just as you’ve perfected your surgery skills or diagnostic capabilities over the years, so too can you recognize and appropriately leverage your personality traits.

In short, don’t be best in show. Be best in breed. Trying to be someone we’re not is a recipe for failure. But through knowing ourselves, with hard work and dedication, we can work towards being the best versions of ourselves. A path to a fulfilling career may very well depend on it.

Dr. Alex Miller, the New England area veterinarian with Boehringer Ingelheim Animal Health, believes that veterinary professionals are as deserving of health and fulfillment as their patients. He graduated from the University of Pennsylvania School of Veterinary Medicine, worked at veterinary facilities in Barcelona, New Jersey, and Sonoma County, and is currently pursuing a Master’s degree. He lives in Massachusetts with his extraordinary wife, indefatigable daughter, and tiny adult cat.

17 View this issue of the California Veterinarian online at cvma.net/publications.
“Just as you’ve perfected your surgery skills or diagnostic capabilities over the years, so too can you recognize and appropriately leverage your personality traits.”
Alex Miller, VMD
This wellness series is proudly brought to you by a sponsorship from Boehringer Ingelheim Animal Health.

Lesson Learned – Safe Handling of Large Patients

Ideally, no injuries would ever happen at the workplace. However, most professions involve some exposure to workrelated injuries and the veterinary profession is no exception, having its own unique set of hazards. These include laceration injuries from handling sharp tools and instruments, bite and scratch injuries, slip and fall injuries from wet surfaces, and strain injuries from lifting heavy bags of food and heavy patients, just to name a few. Understanding the risk factors involved with each type of injury can help reduce the occurrence of each. Let’s examine a scenario based on a real accident in a veterinary practice and determine if it could have been prevented.

Sandy and the 60-Pound Mistake Sandy recently started at the Animal Care Clinic as a veterinary technician. When Sandy saw Rocky—an energetic two-year-old Belgian Malinois—burst into the waiting room, pulling his owner in his wake, she knew he was going to be a handful. Sandy led Rocky into the exam room and got him on the scale with some cajoling. After recording his weight at 60.5 pounds, Sandy decided to put him on the exam table. Rocky had calmed down since entering the room and Sandy felt confident she could lift him onto the table. After all, she had recently lifted moving boxes at home that weighed at least that amount. Sandy bent down and wrapped one arm around Rocky’s chest and the other arm behind his hind legs. As she began the lift, Rocky suddenly startled and began squirming violently, forcing Sandy to grip him tighter and set him back down.

Immediately, Sandy felt a sharp pain in her right shoulder, which radiated into her arm and up her neck. Over

the next few days, the pain increased and extended into her back. Sandy was barely able to lift her arm due to sharp pain.

What started as an initial visit to her primary care provider turned into three years of many doctor visits, tests, physical therapy sessions, and steroid injections to the shoulder and neck. It was determined that surgery was unlikely to help. Aside from the costs associated with this injury, Sandy suffered over three years from this accident. Her injury affected nearly all facets of her life. With limited and painful use of her shoulder, she had to modify her work duties, had trouble lifting her young daughter, and was unable to do many of the activities she had enjoyed in the past.

Learning from Sandy’s Mistake

Because lifting injuries in veterinary practices are common, it is important to analyze this type of accident and learn from it. First, realize that lifting an animal is far different than lifting an object such as a box. An animal’s sudden and unpredictable movement can cause you to move in unexpected ways to keep control, causing strains and sprains. Even lifting heavy bags of pet food, which can shift when moved, can pose an increased risk of injury.

While lifting patients is often a necessary part of the job, most injuries in veterinary practices can be prevented or mitigated by using various methods of engineering and administrative controls.

Engineering controls involve a change in the physical features of the workplace to remove the hazard. Examples of engineering controls used to minimize the risk of lifting injuries include:

 Lift tables

 Ramps

 Stairs

 Examination rooms and baths designed for large dogs

 Shower stalls to bathe large animals at fl oor level

Administrative controls are workplace policies, procedures, and practices for employees to follow to minimize the risk of injury. Examples of applicable administrative controls include:

 Training staff to use good lifting mechanics with an emphasis on lifting animals

 Establishing a weight limit for lifting animals alone, e.g., require team lifts for any large animal that weighs more than 40 pounds

 Storing large or heavy items (such as large bags of pet food) between hip and shoulder height

Sandy’s accident could likely have been avoided had she employed some of the engineering controls above, such as a lift table, a ramp, or stairs to get Rocky onto the table. Even if such tools were not available, had Sandy used a colleague for a team lift and used proper lifting techniques, the chances of injury would have been minimized.

Staff should be encouraged to recognize potential injury exposures throughout the practice and to work with supervisors to create solutions. Working as a team and using proper engineering and administrative controls can keep your practice staff safe, healthy, and productive.

Be safe out there. Your good health and welfare matter to us.

CVMA Insurance Services California Veterinarian • September–October 2021 cvma.net 18

Don’t Get Ripped Off, Get Simmons!

Did you know some firms are charging upwards of 10% commission on sales to corporate consolidators? That’s crazy. Why choose someone with less experience and pay twice as much or more? As the most experienced brokers in the industry we’ve helped more sellers transition their practices to a corporate consolidator than anyone in the industry. We bring 45 years of experience to the table helping sellers get the best price and best terms. Simmons has transacted almost $2-billion in veterinary practice sales. Let us negotiate a better price and put more money in your pocket! Our results speak for themselves!

Give us a call for a complimentary, confidential discussion.

pacific@simmonsinc.com Dardalee Bussell, DVM (209) 845 2088 The Other Guys Experience Value Commission % Simmons & Associates

Save the Date

March 11–13, 2022

CVMA Spring Seminar in Yosemite

Registration Opens

October 18

Join us in person for valuable CE and scenic views at the CVMA’s 2022 Spring Seminar!

Located at the breathtaking Yosemite Valley Lodge in Yosemite National Park, this weekend-long seminar will provide veterinarians the opportunity to earn up to 12 approved CEUs, gain essential experience and knowledge, and network and re-connect with peers from across the state.

With classes being held in the mornings, afternoons will be free to savor the park’s beauty and explore the national park’s pristine landscape.

Don’t miss out on this opportunity! The CVMA Spring Seminar sells out early every year, so be sure to secure your spot as soon as registration opens on October 18, 2021. Please note, registration forms will not be accepted prior to October 18th.

SEMINAR SESSION SPEAKERS

Craig Gri n, DVM, DACVD, Board Certified Veterinary Dermatologist

Topic: Dermatology

JD Foster, VMD, DACVIM (SAIM)

Topic: Nephrology/Urology

SEMINAR HOTEL

Yosemite Valley Lodge

9006 Yosemite Lodge Drive, Yosemite National Park, CA 95389

$179 (Thursday) $221 (Friday/Saturday) per night plus tax

Group code 13B5KB

ALTERNATE HOTEL

The Ahwahnee

1 Ahwahnee Drive

Yosemite National Park, CA 95389

$385 (Thursday) $426 (Friday/Saturday) per night plus tax

Discounted rates available until January 25, 2022 or until the group block fills up, whichever comes first. Reserve your room online at travelyosemite.com or by calling the central reservations o ce at 888.413.8869.

Sponsored by

Watch for email notifications or visit the Learning tab at cvma.net for the latest updates and COVID protocols.

For more information and to see course descriptions, visit the Learning tab at cvma.net or call 800.655.2862.

cvma.net

20 California Veterinarian • September–October 2021

CVMA 2022 Spring Seminar

CVMA Spring Seminar Registration Form

March 11-13, 2022 • Yosemite, California

Use one form per registrant and only fill out if you won’t be registering online. Please complete this form and return with payment to the CVMA office. Registering for the seminar does not also register you for a hotel room. Please see the bottom of the form for information on how to secure a hotel room.

CVMA Member: m Yes m No

Attendee Name (Dr.):

Mailing Address:

City/State/ZIP:

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

Phone: Fax:

Email:

Registration includes: Twelve maximum CEUs for DVMs, a syllabus, a certificate of attendance, and daily continental breakfast for registered conference attendees

CVMA MEMBERS by after Dec. 10 Dec. 10

m DVM $295 $325

NON-MEMBERS by after Dec. 10 Dec. 10

m DVM $395 $425

Guests Breakfast Tickets

m Guests Continental Breakfast # @ $30/day $

(Family members and guests of conference attendees, ages 3 and older, can enjoy the continental breakfast for $30 each per day. )

Hotel Information

Yosemite Valley Lodge

9006 Yosemite Lodge Dr., Yosemite National Park, CA 95389

Room rates – (Thursday) $179, (Friday/Saturday) $221 per night.

(Applicable taxes and fees apply).

The Ahwahnee

1 Ahwahnee Dr., Yosemite National Park, CA 95389

Room rates – (Thursday) $385, (Friday/Saturday) $426 per night.

(Applicable taxes and fees apply).

Conference Location

Yosemite Valley Lodge

9006 Yosemite Lodge Dr., Yosemite National Park, CA 95389

Conference registration does NOT include a hotel room.

Payment

Enclosed is a check for $ Charge my VISA/MasterCard/Discover/AMEX $

Credit Card Number

Expiration Date

Cardholder Name

Cardholder Signature

CVV Code

By registering for the CVMA Yosemite Spring Seminar, I agree to the terms and conditions of this seminar. Visit cvma.net for up-to-date information.

Book your room by January 25, 2022 by calling 888.413.8869 or online at travelyosemite.com and use CVMA group code 13B5KB. Visit cvma.net for full hotel rate information. Receive the Spring Seminar discounted hotel rate through January 25, 2022 or until the room block sells out, whichever comes first. Guest rooms are limited to conference attendees only. Limit of two rooms.

General Information

Mail, along with payment, to: CVMA, 1400 River Park Drive, Suite 100, Sacramento, CA 95815, or you can register online at cvma.net, by fax: 916.646.9156, or call 800.655.2862.

Registration fee includes: 12 hours continuing education maximum, syllabus, certificate of attendance, and daily continental breakfast for the conference attendee.

Reasonable Accommodation Request: To request a reasonable accommodation (alternate formats, interpreters, or special dietary needs) to participate in this seminar, please contact Della Yee by phone at 916.649.0599, TTY 711, or email dyee@cvma.net with your specific accommodation needs.

Consent to Use Photographic Images: Registration and attendance at or participation in the CVMA Spring Seminar and other activities constitutes an agreement by the registrant to the CVMA’s use and distribution (both now and in the future) of the registrant or attendee’s image or voice in photographs, video, electronic reproductions, and audio of such events and activities.

Cancellation/Refund Policy: All cancellation requests must be sent in writing via fax, email, or regular mail no later than January 7, 2022 to receive a full refund, less 10 percent administration fee.

Attn: Meetings & Events Department

California Veterinary Medical Association-Yosemite Spring Seminar

1400 River Park Drive, Suite 100

Sacramento, CA 95815

By fax: 916.646.9156

By email: staff@cvma.net

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

21
View this issue of the California Veterinarian online at cvma.net/publications.

CAVMRC Disaster Response Training

November 7, 2021

Since 2009, the California Veterinary Medical Reserve Corps (CAVMRC) has provided veterinary medical care to thousands of animals during declared states of emergency. In its effort to train veterinary professionals to support animal and public health emergency response, the CAVMRC is offering a low-cost, one-day classroom continuing education course to veterinarians, RVTs, and veterinary assistants/students.

Hyatt Regency Sonoma Wine Country

170 Railroad Street

Santa Rosa, CA 95401

Animals in Disasters —Common Medical Conditions (7.5 CEUs)

SPEAKERS

• Jeannine Berger, DVM, DACVB, DACAW, CAWA

• Grant Miller, DVM

• Shari O’Neill, DVM

• Jamie Peyton, DVM, DACVECC, CVC, CVA, CCRT

TOPICS INCLUDE

• Burn Assessment - Care and Pain Management

• Smoke Inhalation

• Managing Canine Stress in Emergency Shelters

• Managing Feline Stress in Emergency Shelters

• Critical Control Points in Emergency Shelters

• Deployment in the CAVMRC

COST*

• CVMA Members: $99 if registered by October 11; $134 after October 11

• Non-Members: $119 if registered by October 11; $154 after October 11

By registering for this course, you are also registering to become a volunteer member of the CAVMRC if you are not already a current member. CAVMRC membership is free and participation is strictly voluntary. This course is only available to CAVMRC members.

WAYS TO REGISTER

• Online at cavmrc.net

• Fax registration form to 916.646.9156

• Mail registration form to the CVMA office

• Email registration form to staff@cvma.net

• Call 800.655.2862

If state or local mandates restrict public gatherings, the CVMA will instead offer this course in live and interactive online presentations.

MRC CA CALIFORNIA VETERINARY MEDICAL RESERVE CORPS MRC CA C ALIFORNIA VE TERINAR Y MEDIC AL RESER VE C ORPS 22 California Veterinarian • September–October 2021 cvma.net

CAVMRC Deploys to the Caldor Fire

Several weeks after the Caldor Fire erupted in El Dorado County in early August, the El Dorado County Animal Services requested assistance from the California Veterinary Medical Reserve Corps (CAVMRC) to provide veterinary medical resources and care to animals housed in emergency and cohabitation shelters throughout the region. Immediately after receiving the deployment call, CVMA staff members sprang into action to pull together the effort. On the ground, the volunteers were directed by veteran field coordinators Dr. Jay Kerr, Dr. Noel Dybdal, Dr. Jeff Smith, and Dr. Karen Krstich, who were supported by Dr. Dave Turoff, the CAVMRC County Coordinator for El Dorado County.

The CAVMRC would like to express its gratitude to everyone who made this deployment possible, with special thanks to all of the volunteers who answered the deployment call. Faced with extreme heat, hazardous air quality, and 12-hour shifts, those deployed provided outstanding care to animals and made a tremendous difference despite difficult circumstances.

Looking to support the CAVMRC? Please donate to the California Veterinary Medical Foundation, which helps fund the work of the CAVMRC during disasters. To donate, visit https://cvmf.net/how-to-help/.

23 View this issue of the California Veterinarian online at cvma.net/publications.

Compounded

Medications in Veterinary Practice:

The Importance of 503B Outsourcing Facilities

Modern compounding pharmacies fill custom patient-specific prescriptions issued by health care licensees. They are classified by federal and state law as 503A facilities and follow compounding standards set forth by the United States Pharmacopeia (USP) in its chapters <795> and <797> on non-sterile and sterile compounding, respectively.

While it is lawful for 503A pharmacies to provide compounded medications to veterinary practices for in-house use (administration) and secondary distribution (dispensation) to clients, the California Board of Pharmacy (BOP) has taken both regulatory and enforcement actions in recent years to curb this practice. The CVMA is working to represent the needs of the veterinary profession at both the BOP

and state legislature levels, but overall, obtaining compounded medications for veterinary practice use has become increasingly difficult in recent years due to concerns about 503A facilities testing requirements for potency, sterility, and endotoxin in injections. Another type of facility, called a 503B “outsourcing facility,” manufactures medications for sale directly to health care professionals and are not permitted in California to fill patient-specific prescriptions. The table provides a comparison of 503A vs. 503B facilities, but in summary, 503B facilities follow current Good Manufacturing Practices (cGMPs) defined by the Food and Drug Administration (FDA), which are more stringent than the practices defined in USP chapters <795> and <797>. Testing for potency, sterility, and the presence of endotoxin are also different for 503B outsourcers than they are for 503A patient-specific compounders. These 503B facilities are of significant importance to California veterinarians, because they do—and will at an increasing frequency—provide vital cGMP medications which veterinarians may administer in-house and dispense to clients. There are only a handful of 503B outsourcing facilities licensed in California.

Of the small number of outsourcing facilities currently licensed in California, only a few offer veterinary products. Of those, only two currently offer substantial product lines for sterile injectables, oral liquids, tablets, ophthalmic medications, and chemotherapy drugs. More information about these facilities and outsourcing facilities in general may be accessed at: https://www.fda.gov/ drugs/human-drug-compounding/ registered-outsourcing-facilities.

California Veterinarian • September–October 2021 cvma.net 24 503A 503B Type of Facility Traditional compounding pharmacy Outsourcing facility Method of Distribution Singular, patient-specific prescriptions Distribution to veterinarians only, for medication use in-house Quality Assurance Standards United States Pharmacopoeia chapters <795>, <797>, and <800> FDA Current Good Manufacturing Practices (cGMPs) FDA Inspections For cause Regularly Required Stability Testing No Yes Required Sterility Testing Limited, based on batch size Yes, always Required Finished Product Testing (Potency, Endotoxin) No Yes Required Particle Monitoring No Yes Required Viable Monitoring Air: two times per year. Surface: routinely. Personnel: initially and one-to-two times per year. Daily (Air, Surface and Personnel) and with every batch.

The CVMA is proud to announce Epicur Pharma as a CVMA Recommended Member Benefit. CVMA members who purchase products from Epicur Pharma’s 503B product line for in-house administration and dispensation to clients will receive a 10% discount on all purchases.

New
CVMA Member Benefit Discount on Compounded Medications Through Epicur Pharma
To access this member benefit, visit ifill.com to orderonline or call Epicur Pharma at 888.508.5032. Approved for in-house administration and dispensation in California Traditionally compounded medication from a 503B MANUFACTURER Follow cGMP, the same regulations used by pharmaceutical companies To order, call 888.508.5032 or go to ifill.com ®   CVMA Recommended Member Benefit! CVMA members receive a 10% discount on all Epicur Pharma purchases. INTRODUCING View our product portfolio  25 View this issue of the California Veterinarian online at cvma.net/publications.

Thank You, CVMA-PAC

Contributors!

The CVMA would like to thank its members who support the CVMA Political Action Committee (CVMA-PAC) through their generous contributions. Because of these contributions, we are able to sustain our mission of being an authoritative source on issues pertaining to the veterinary profession and the well-being of animals in California.

What does the CVMA-PAC do?

The CVMA is your voice at the Capitol. The CVMA-PAC helps us build strong relationships with members of state government and legislative candidates so that we become their trusted resource on matters important to the veterinary profession and animal welfare. The CVMA-PAC is independent of any political party and candidate and approves contributions regardless of a candidate’s or legislator’s party a liation.

How are CVMA-PAC funds used?

CVMA-PAC funds provide the resources necessary to make legislator and candidate donations, and to sponsor the attendance of CVMA member veterinarians and other CVMA representatives at fundraisers and similar events, both at the local level and in Sacramento. These personal interactions provide invaluable opportunities for us to connect with candidates and those involved in leadership and key committees, all of whom make decisions that directly a ect you, your profession, and your patients.

Thanks to the following donors, who contributed to the CVMA-PAC between January and June 2021!

Presidential Level ($1,000 and above)

Dr. Diane Craig

Dr. James DeLano

Dr. Ned Eib

Dr. Gurnam Gill

Dr. Patricia Grant

Dr. Edd Jordan

Dr. Grant Miller

Dr. Harbinder Randhawa

Dr. Marshall Scott

Dr. Richard Sullivan

Dr. Cheryl Waterhouse

Dr. Dayna Wiedenkeller

Dr. Dirk Yelinek

Governor Level ($500–$999)

Dr. Timothy Govers

Liz Hughston, RVT

Dr. Michael Karle

Dr. H. Jay Kerr

Dr. Elisabeth Klapstein

Dr. Jon Klingborg

Dr. Kevin Lazarche

Dr. John Woodward

Senator Level ($150–$499)

Dr. Anantjit Aulakh

Dr. Dina Bahl

Dr. David Beltran

Dr. Kaitlen Betchel

Dr. Terry Boretti

Dr. Peter Bowie

Dr. Soo Cho

Dr. Eduardo Cornelia

Dr. Larry Correia

Dr. Maureen Dorsey

Dr. William Farber

Dr. Michael Garcia

Dr. Robert Garcia

Dr. Melvin Gerstner

Dr. David Gordon

Dr. Marion Hammarlund

Dr. Debra Jackson

Dr. Sally Kimsey

Dr. W. Douglas Kunz

Dr. Emily Lane

Dr. Adam Lauppe

Dr. Frank Lavac Jr.

Dr. Lana Linton

Dr. Melvin McConnell

Dr. M. Wayne McNeel

Dr. Gene Nagel

Dr. Sung Park

Dr. John Pascoe

Dr. Keith Rode

Dr. Birinder Sahai

Dr. Mary Somerville

Jessica Speas

Dr. Stephen Spellman

Capitol Level ($75–$149)

Dr. Ava Ackerman

Dr. Leila Afshar

Dr. Gerald Aguiar

Dr. Khushwant Ahi

Dr. Majid Ahmed

Dr. Luann Aki

Dr. Lee Akins

Dr. Patricia Alexander

Dr. Aubrey Alfaro

Dr. Karl Anderson

Dr. Mark Anderson

Dr. Kelly Anez

Dr. Deborah Aparicio

Dr. Leon Arai

Dr. Alex Ardans

Dr. Robert Arrick

Dr. Theresa Arteaga

Dr. Louisa Asseo

Dr. Richard Baer

Dr. David Bahou

Dr. Lauren Bailey Liden

Dr. Hilda Baisel

Dr. Jacobo Balairon

Dr. Vincent Baldanza

Dr. John Ballestin

Dr. Victoria Bannerman

Dr. Daniel Barbour

Dr. Eric Barchas

Dr. Bruce Barrett

Dr. Ralph Barrett

Dr. Sharon Bass

Dr. Teresa Beiter

Dr. Brandon Bell

Dr. Celeste Benavides

Dr. Melinda Benitez

Dr. Kimberly Bercovitz

Dr. Keith Berry

Dr. Heather Besso

Dr. Jessica Beymer

Dr. Aurora Bibb

Dr. Chris Biggersta

Dr. George Bishay

Dr. David Bjork

Dr. Dorothy Black

Dr. Waka Blair

Dr. Naveen Bobbili

Dr. Je rey Boehm

Dr. Linda Bogart

Dr. Rebecca Bogdanich

Dr. Julio Bolivar-Dillon

Dr. Randall Bondurant

Dr. Kimberly Bonham

Laura Boone

Dr. James Booth

Dr. Thomas Boyer

Dr. Susan Boynton

Dr. Grace Bransford

Dr. Glenn Brigden

Dr. Craig Brooks

Allison Brown, RVT

Dr. Wayne Browning II

Dr. Bradley Brunskill

Dr. Karen Buchinger

Dr. Alexa Budde

Dr. Laurie Bulkeley

Dr. Kristina Burling

Dr. Laura Burnell

Dr. Cade Burns

Dr. Sharon Burns

Dr. Stephen Burns

Dr. Katherine Burt

Dr. Rebecca Burwell

Dr. Steven Butchko

Dr. Kelly Byam

Dr. Victoria Cain

Dr. Julia Campbell

Dr. Eugene Cannarella

Dr. Susan Cannon

Dr. Manh Cao

Dr. Heather Carmody

Dr. Jill Carroll

Dr. Juan Casillas

Dr. Craig Chandler

Dr. Lindsay Chandler

Dr. Mohamed Chaudhry

Dr. Yun Cheng Chen

Dr. Timothy Cheney

Dr. Andrea Chernov

Dr. Jill Child

Dr. Jae Eul Choi

Dr. Cheryl Chong Klimisch

Dr. Kasey Christenson

Dr. James Chupeco

Dr. David Clark

Dr. James Clark

Dr. Tristan Clark

Dr. Cicely Cleary Marrs

Dr. Cassandra Clemens

Dr. Shawn Clemmer

Dr. Amber Cohn

Dr. Linda Colburn

Dr. Christian Comeau

Dr. Patrick Connolly

Dr. Miguel Constantino

Dr. Audra Cook

California Veterinarian • September–October 2021 cvma.net 26

Dr. Michael Cooke

Dr. Edward Cornelia

Dr. Diana Cortez

Dr. Irene Cote

Dr. Elizabeth Cox

Dr. Glenn Craft

Dr. Vicki Craig

Dr. Martin Crawford-Jakubiak

Dr. Laura Cross Daniels

Dr. Bernadine Cruz

Dr. George Cuellar

Dr. Calaveras Cunningham

Dr. Chelsea Davidson

Dr. Kyshia Davis

Dr. Martha Davis

Dr. Melinda Dayhu

Dr. Raymont De Villa

Dr. Robert Dean

Dr. Julie Dechant

Dr. Patricia Dedrick

Dr. Lea Del Rosso

Shannon Delahunty

Dr. Sean Delaney

Dr. Kimberly Dembinski

Dr. Richard Denney

Dr. Rajvinder Dhanota

Dr. Cellu Dhawan

Dr. Abigail Dimock

Dr. W. Jean Dodds

Dr. Timothy Donnelly

Dr. Ra y Dorian

Dr. Myron Downs

Dr. Brie Du

Dr. Jessica Dugan

Dr. Julio Duran

Dr. Noel Dybdal

Dr. George Dyck

Dr. David Edsall

Dr. Steven Edwards

Dr. Maria Estacio Sunada

Dr. Wagdi Estafanous

Dr. Belinda Evans

Dr. Brian Evans

Dr. Heather Evans

Dr. Maria Fahie

Dr. Fahmy Fahmy

Dr. Ryan Fairbairn

Dr. David Faria

Dr. William Fastiggi

Dr. Dennis Fees

Dr. James Felts

Dr. Kim Fenske

Dr. Steven Fenster

Dr. Joe Ferguson

Dr. Joel Figueroa

Dr. Gillian Finnie

Dr. Nancy Fischer

Dr. David Fisher

Dr. Cynthia Fitzgerald

Dr. Cho Flores

Dr. Andrea Flory

Dr. Shelley Flowers

Dr. Stephanie Flowers

Dr. Melissa Fogel

Dr. Samantha Ford

Dr. Michael Forney

Dr. Leah Forquer

Dr. Annie Forslund

Dr. Elyse Frank

Dr. Stephen Franquelin

Dr. Gina Fuhrman

Dr. Amy Fulton Scanlan

Dr. Gwen Gadd

Dr. Aimee Gallardo

Dr. Margaret Gamble

Dr. Constance Ganter

Dr. Rick Garcia

Dr. Adam Gassel

Dr. Ryan Gershenson

Dr. Megan Gibbings

Dr. John Gil

Dr. Kanwalpreet Gill

Dr. Paul Girgis

Dr. Sean Goodell

Dr. Marta Granstedt

Dr. Barrie Grant

Dr. David Grant

Dr. Betsy Gray

Dr. Eric Griesshaber

Dr. Gregory Gstrein

Dr. Gamal Guirges

Dr. Frank Hagan

Dr. Gerald Haggard

Dr. Coco Hagos

Dr. Spring Halland

Dr. Laura Halsey

Dr. John Hamil

Dr. Holly Hamilton

Dr. Nancy Hampel

Dr. Thomas Hansen

Dr. Sean Hardcastle

Dr. Laurel Harris

Dr. Laura Hart

Dr. Edward Haynes

Dr. Karen Heard

Dr. Catherine Hedden

Dr. Jon Heit

Dr. Kim Henry

Dr. Eric Herrgesell

Dr. Paul Hess

Dr. Maxwell Hibi

Dr. Keith Hilinski

Dr. Ashley Hill

Dr. Katheryn Hinkle

Dr. Kerrin Hoban

Dr. Conor Ho

Dr. Walter Hoge

Dr. Bradley Hollstien

Dr. Beverly Holmes

Dr. Taylor Homec

Dr. Alvin Hong

Dr. Jennifer Hoose

Dr. Je rey Horn

Dr. Susan Horowitz

Dr. Mary Jo Howe

Dr. Cheryl Howerton

Dr. Ruby Hsieh

Dr. Yuchi Huang

Dr. Ann Hudek

Dr. John Huebner

Dr. Lindsay Huie

Dr. Karen Hume-Smith

Dr. William Husky

Dr. Christina Hutson

Dr. Youjoung Hwang

Dr. Andres Ichord

Dr. Michael Ina

Dr. Melodee Ingram

Dr. Thomas Irwin

Dr. Karen Jackett

Dr. Richard Jackson

Dr. Phillip Jacobs

Dr. Harpinderjit Jassar

Dr. Carla Johnson

Dr. Khara Johnson

Dr. Lorraine Johnson

Dr. Cassie Jones

Dr. Donald Jones

Dr. Malcolm Jones III

Dr. Kathy Jonokuchi

Dr. Matthew Judd

Dr. Miwa Kanbe

Dr. Sari Royce Kanfer

Dr. Sang Kang

Dr. Dong Kang

Dr. Myriam Kaplan-Pasternak

Dr. Shawn Kari

Dr. Michael Kavanagh

Dr. Mary Kayser

Dr. Kelle Kearney

Dr. Nathan Keefer

Dr. Caitlin Kelly

Dr. Ronald Kelpe

Dr. Nada Khalaf

Dr. Ian Kidd

Dr. James Kim

Dr. JangWoo Kim

Dr. Seung Kim

Dr. Stephen Kim

Dr. Youngjoo Kim

Dr. Ann King

Dr. Andrea Kirsch

Dr. David Knox

Dr. Wayne Kopit

Dr. Jeanne Koploy

Dr. Elizabeth Koskenmaki

Dr. Michael Kovsky

Dr. Kimberly Krauss

Dr. Donald Krawiec

Dr. Heather Kriensky

Dr. Terry Kubicka

Dr. Eve Kuesis

Dr. Jamie Lake

Dr. Kellie Lam

Dr. Erin Lane

Dr. Lawrence Lanzon

Dr. Linda Larsen

Dr. Gary Lattig

Dr. Gregory Lawson

Dr. Colleen Lawson

Nahee Lee

Dr. Scott Lee

Dr. Claire Legallet

Dr. Richard Leininger

Dr. Ann Lesch-Hollis

Dr. Albert Leung

Dr. Gabriela Levy Halfin

Dr. Sandra Lewellen

Dr. Cody Lewis

Dr. Julia Lewis

Dr. Elizabeth Ley

Dr. Robert Leyba

Dr. Andrea Lin

Dr. Allegra Liu

Dr. Norman Lohr

Dr. Milinda Lommer

Dr. Julio Lopez

Dr. Jane Lorie

Dr. Megan Loveland

Dr. Kay Lubansky

Dr. Cattrina Lucas

Dr. Taylor Ludwick

Dr. Paul Lunsman

Dr. Marilyn Ly-Luke

Dr. Paul Lynch

Dr. Audra MacCorkle

Dr. Clifton Machado

Dr. Craig Machado

Dr. Susan MacInnes

Dr. Jonathan MacStay

Dr. Courtney Maeda-Brescia

Dr. Sarah Major

Dr. Kanwaljit Mann

Dr. Nabih Mansour

Dr. Katrinka March

Dr. Ayshea Marchiondo

Dr. Georgina Marquez

Dr. Grace Matsuura

Dr. Kevin May

Dr. Donald Mayer

Dr. Grant Mayne

Dr. Renee McCarthy

Dr. David McGrath

Dr. Michael McRae

Dr. Maria Medina

Dr. Melvin Medina

Dr. Margo Mehl

Dr. Tammy Mendez

Dr. Jeaneen Metzler

Dr. Anthony Michael

Dr. Paul Mickelson

Dr. Nicole Milici

Dr. Elisha Miller

Dr. Mona Miller

Dr. Richard Mills

Dr. Dale Misko

Dr. Kymberly Mitchell

Dr. Sally Mobraaten

Dr. Louis Mogyoros

Dr. Nicola Mohr

Dr. Attila Molnar

Dr. Steven Montgomery

Dr. Zachary Morgan

Dr. Sue Morizi

Dr. Holly Mullen

Dr. Emmanuel Mumah

Dr. Adam Murphy

Dr. Donia Murray

Dr. James Myers

Dr. Kelly Myers

Dr. Irene Nakaoka

Dr. Syed Naqvi

Dr. Marjorie Neaderland

Dr. Aleisha Nesset

Dr. Amy Ng

Dr. Lindsey Nielsen

Dr. Laurie Noe

Dr. Jaymie Noland

Dr. Michael J. O’Connor

Dr. Michael T. O’Connor

Dr. Robert Odama

Dr. Nancy O’Day

Dr. Susan Ofsie

William O’Leary

Dr. Susan Olivas

Dr. Adrienne Oliver

Dr. Dale Olm

Dr. Monica Ortiz

Dr. Bennie Osburn

Dr. Larry Overly

27 View this issue of the California Veterinarian online at cvma.net/publications.

Dr. Heather Oxford

Dr. Roman Pan

Dr. Rosemary Panduro

Dr. Patricia Pannier

Dr. Puneet Parashar

Dr. Valerie Patton

Dr. Predrag Pecic

Dr. Gregory Perrault

Dr. Carl Pfeil

Dr. Vince Piatt

Kirstin Pirkl

Dr. James Plumb

Dr. Je Pollard

Dr. Holly Pollard-Wright

Dr. Giselle Pomeranc-Mayer

Dr. Audra Pompeani

Dr. Nicoleta Popescu

Dr. Linda Porter

Dr. Tracy Powers

Dr. Jennifer Presleigh

Dr. Randall Presleigh

Dr. Angela Priest

Dr. Deidre Puaoi

Dr. Erica Queen

Dr. Victor Ramirez

Dr. Gurdial Randhawa

Dr. Katherine Ratli

Dr. Roberta Raymond

Dr. Kim Rea

Dr. Shay-Ann Redfield

Dr. Carli Reece

Dr. A.J. Regnier

Dr. Marianne Regnier

Dr. Daniel Reimer

Dr. Jennifer Renner

Dr. Ronald Resnick

Dr. James Reynolds

Dr. Molly Rice

Dr. Mark Rick

Dr. Shelby Riddle

Dr. Kelley Riley

Dr. Nancy Rinkardt

Dr. Hector Rivera

Dr. William Rivers

Dr. Lillian Roberts

Dr. Deborah Robertson

Dr. Jyothi Robertson

Dr. Kimberly Robertson

Dr. J. Steven Robinson

Dr. Libette Roman-Laureano

Dr. Gary Rose

Dr. Steven Rosenstein

Dr. Brittin Ross

Dr. Charlotte Rubin

Dr. Alan Rubinstein

Dr. William Ruehl

Dr. Ceina Runley

Dr. Margaret Rusher

Dr. Fred Saad

Dr. Rachael Sachar

Dr. Dennis Sadang

Dr. Baljeet Sahi

Dr. Daljit Saini

Dr. Roy Saldanha

Dr. Debra Sally

Dr. Marla Saltzman

Dr. Rajneesh Salwan

Dr. Andrew Sams

Dr. Erin Sanders

Dr. Steven Sanders

Dr. Ranbir Sandhu

Dr. Pritam Sanghera

Dr. Robert Santos

Dr. Leonard Sauer

Dr. Je rey Saur

Dr. Michelle Schexneider

Dr. Jennifer Schiebert

Dr. Mary Schlicting

Dr. Kimberly Schmidt

Dr. Joan Schoengart

Dr. Howard Schutzman

Dr. David Schwartz

Dr. Louis Schwartz

Dr. Kevin Marie Scoggin

Dr. William Seals

Dr. Norman Seat

Dr. Emily Segal

Dr. Timothy Sellmeyer

Dr. Jennifer Seward

Dr. Julie Shacoski

Dr. S. Chris Shacoski

Dr. Martha Shafer

Dr. Gary Shahbazian

Dr. Philip Shanker

Dr. Amy Shantz

Dr. Donald Shields

Dr. Ho Shim

Dr. David Shin

Dr. Aaron Shoolman

Dr. David Shuman

Leslie Rae Silva, RVT

Dr. Clayton Simon

Dr. Jagdish Singh

Dr. Katherine Siquig

Dr. Davielle Smalley

Dr. Cathi Smith

Dr. Julie Smith

Dr. Marcia Smith

Dr. Richard Smollin

Dr. Julie Sorenson

Dr. James Speas

Dr. Brian Speer

Dr. Debora Spencer

Dr. Carolyn Standen

Dr. Brad Steele

Dr. Robert Steere

Dr. Diane Steinberg

Dr. Melanie Stephens

Dr. Leigh Stevens

Dr. Cynthia Stiglich

Dr. Amanda Stolpa

Dr. Ian Stone

Dr. Heather Stopinski

Dr. Susan Stover

Dr. Kelsey Strand

Dr. Mary Straub

Dr. Michael Suda

Dr. Kay Suehiro

Dr. Susan Sundburg

Dr. Raymond Sunseri

Dr. Jonathan Sutfin

Dr. Steven Sutter

Dr. Daniel Sweet

Dr. Irene Takata

Dr. Thomas Talbot

Dr. Amanda Tallant

Dr. Todd Tams

Dr. Susan Tangeman

Dr. Mel Tanner

Dr. Petra Tavano

Dr. James Teare

Dr. Kevin Terra

Dr. Anne Terry

Dr. Valerie Tesauro

Eric Tesoro

Dr. Amanda Thomer

Dr. Ti any Thompson

Dr. Tad Thompson

Dr. Hannahbess Thomson-

Laing

Dr. Jill Thornton

Dr. Richard Tillema

Dr. Michael Tobias

Dr. John Tolley

Dr. Paul Toste

Dr. Nikita Tower

Dr. Long Tran

Dr. Ashley Troncatty

Dr. C. Todd Trostel

Dr. Leigh Trout

Dr. Ti any True

Dr. Alejandro Trujillo

Dr. Rachel Tuz

Dr. Tracie Uchima

Dr. Sharon Ullman

Dr. Treva Valentine

Dr. Christine Van Spronsen

Dr. Elena Vassilev

Dr. Joseph Velasco

Dr. Sara Vigue

Dr. Sukhwinder Virk

Dr. Theresa Voss

Dr. Rand Wachsstock

Dr. Jerri Waddington

Dr. Jessica Waldman

Dr. Christy Walker

Dr. Larry Wallace

Dr. Shih-Chueh Wang

Dr. Dean Watanabe

Dr. Debi-Ann Watanabe

Dr. Laura Weatherford

Dr. Kristel Weaver

Dr. David Weber

Dr. Wendy Weiberg

Dr. Ronald Weiner

Dr. Vanessa Wensing

Dr. Kristine Werner

Dr. William Wetmore

Dr. Jennifer White

Dr. Abbie Whitehead

Dr. Zoe Wichman

Dr. Mark Williams

Dr. Jill Williamson

Dr. Christine Wilson

Dr. John Wilson

Dr. Kathleen Wilson

Dr. Robert Wilson

Dr. Elizabeth Winchester

Dr. Sarah Wind

Dr. John Winters

Dr. Jodi Woods

Dr. Robert Woods

Dr. Ivan Yevseyenko

Dr. William Yohler

Dr. Kenichiro Yoshida

Dr. Lee Young

Dr. Stefanie Young

Dr. Lynn Yut

Dr. Rahim Zabihi

Dr. Amalia Zacher

Dr. Norman Zachery

Dr. Mohiuddin Zafer

Dr. Nicolette Zarday

Dr. Natalie Zdimal

Dr. Kelly Zeytoonian

Other (Up to $75)

Areka Abrazian, RVT

Sattar Afshar, RVT

Joanna Alva, RVT

Lori Anderson, RVT

Carol Arvidson, RVT

Robyn Baillif, RVT

Kaycee Balara, RVT

Lisa Barber, RVT

Sarah Barkstelle, RVT

Mary Barnes, RVT

Laura Beasley, RVT

Wendy Bettencourt, RVT

Olivia Blodgett, RVT

Payton Bloom, CVA

Deanne Bonner, RVT

Karen Boshart, RVT

Maria Boyanton, RVT

Amy Bradford, CVA

Jo Bradley, RVT

Paige Bridges, RVT

Malerie Brill, RVT

Dawn Brittain, RVT

Lilian Brown, RVT

Kelli Bryant, RVT

Elise Burgess, RVT

Sharon Burns, RVT

Giuliana Caporali, RVT

Dr. Barissa Cappelletti

Arica Cayton, RVT

Mirella Ceja, RVT

James Champion, RVT

Nicholas Channell, RVT

Stephen Cital, RVT

Kaley Copeland, RVT

Carla Cronin, RVT

Dr. Susan Davis

Linda De La Torre, RVT

Ellen Deabi, RVT

Beatriz Delgado, RVT

Allison Dobbins, RVT

Erika Dokman, RVT

Bonnie Duecker, RVT

Melanie Ecklund, RVT

Albert Escobedo, RVT

Amaya Estelle, CVA

Leon Figard, RVT

Albert Filice, RVT

Anita Flett, RVT

Sade Flores-Haro, RVT

Alma Fosados, RVT

Michelle Fotoples, RVT

Hilary Gaughen, RVT

Linda Germany, RVT

Dr. Cole Gevurtz

David Gold, RVT

Cynthia Gonzales, RVT

Samantha Graham, RVT

Ashley Green, RVT

Carlo Guthrie, RVT

Dr. Richard Haars

Simone Haas, RVT

Susan Hamil, RVT

Dr. Sang Han

Lauryn Harker, RVT

Lynda Harness, RVT

Karen Hartman, RVT

Linda Hennessy, RVT

Karolina Herrera, RVT

28 California Veterinarian • September–October 2021 cvma.net

Corinne Higgins, RVT

Lana Houck, RVT

Monigne Hubbard, RVT

Esmeralda Huerta, RVT

Dr. Sharon Hunt Gerardo

Jessica Idenmill, RVT

Adena Jochnowitz, RVT

Katy Kaabe, RVT

Stella Kelly, RVT

Susan King, RVT

Shawna Kliebe, CVA

Jake Knabb, RVT

Patricia Kohler, RVT

Melissa Kriegler, CVA

Mayra LaMastus, RVT

Vanessa Lammers-Carmody, CVA

Renee Lancaster, RVT

Alice Laureta, RVT

Dr. Janice Lee

Cynthia Lehmann, RVT

Joanne Lenigan, RVT

Crystal Lewis, CVA

Mary Lewis, RVT

Maria Libonate, RVT

Sarah Liechty, RVT

Jonelle Lindsey, RVT

Beatrice Linn-Rose, RVT

Star Livingston, RVT

Corinne Lorentzen, RVT

Chrystal Lucas, RVT

Bonnie Lundin, RVT

Dr. William Lyman

Shawn Lynch, RVT

Andrea Marquez, RVT

Nicole Martin, RVT

Susan Mathew, RVT

Molly Mathiesen, RVT

Andrea Mattern, RVT

Marissa Matteucci, CVA

Gail McGu ey, RVT

Rosa Mendoza, RVT

Cheri Micheletti, RVT

Dr. Donald Mielke

Joanne Milosevich, RVT

Kellie Molina, RVT

Rebecca Montoya, RVT

Tina Montoya, RVT

Rachel Mosich, RVT

Robin Murphy, RVT

Julia Mutere, RVT

Jennifer Narbonne, RVT

Dr. Sylvia Neumann

Tracy Neurauter, RVT

Brandy Nicoll, RVT

Dr. William Noble

Dr. Caitlin Nordberg

Alina Norris, RVT

Dolores Oprawski, RVT

Jennifer Orr, RVT

Aimee Ortigoza, RVT

Florencio Pabellon, RVT

Christy Pacifico, RVT

Irene Park, RVT

Dr. Grace Park

Graciela Patino, RVT

Lori Paul, RVT

Leslie Peek, RVT

Aide Perez, RVT

Bonnie Perkins, RVT

Stacey Perlman, RVT

Mary Phariss, RVT

Megan Phillips, RVT

Caitlin Phillips-Caldeira, RVT

Mary Pinkham, RVT

Christine Pollard Humphries, RVT

Dr. Rebecca Radisic

Gabriela Ramirez, RVT

Dr. Annika Ramirez

Dr. Sheryl Rathfelder

Joshua Rendel, RVT

Stephanie Roesner, RVT

Desiree Rogers, RVT

Elizabeth Rose, RVT

Donna Roy, RVT

Roberta Rudolph, RVT

Lori Santos, RVT

Sunny Schacher, RVT

Aimee Schildt, RVT

Danya Schwarz-AustrheimSmith, RVT

Ann Sisneros, RVT

Lyn Solomon-Linville, RVT

Barbara St. Amant, RVT

Jeremy Still-Nichols, RVT

Hannah Stone, RVT

Mark Sugino, RVT

Dr. Rhiannon Sullivan

Stephanie Szucs, RVT

Brenna Taylor, RVT

Cynthia Taylor, RVT

Sarah Teague, RVT

Ashley Teater, RVT

Deanna Texeira, RVT

Samantha Thomas, CVA

Shelby Thurston, CVA

Mark Tornquist, RVT

Kyle Tre , RVT

Nancy Turnberg, RVT

Marie Ussery, RVT

Melvyn Valera, RVT

Dr. Crystal Valino

Wendy Van Horn, RVT

Angela Villanueva, RVT

Sara Virlouvet, RVT

Heather Walker-Hutton, RVT

Jill Walsh, RVT

Jean Walton, RVT

Catherine Watson, RVT

Triana Wedemeyer, RVT

Cary Weisz, RVT

Heather Wheeler, RVT

Marilyn Wiley, RVT

Cielle Williams, RVT

Kathryn Williams, RVT

Sandra Wong, RVT

Dr. Ryan Wood

Dr. Esther Yang

Dr. Elana Young

Dr. Xizi Zhu

Deborah Zibes, RVT

Cynthia Ziegler, RVT

CVMA Legal Services

This benefit entitles CVMA member veterinarians up to one-half hour of telephone and research work per month with an attorney from Wilke Fleury LLP.

Services offered:

• Business tax issues

• Business owner succession planning

• Cal/OSHA issues

• Contract issues

• Employment law

• Licensure issues

• Practice ownership and organizational structure

• Regulatory and administrative law

• Veterinary Medical Board enforcement issues

Services not included:

• Criminal law

• Domestic relations

1. Call Wilke Fleury at 916.441.2430

2. Enter extension number:

• 3336 for Steve Marmaduke

If you haven’t done so already, there is still time to join your colleagues who have donated to the CVMA-PAC. The stronger the CVMA-PAC fund, the more opportunities we will have to support state legislators who bolster the veterinary profession. With your contribution and our outreach efforts, your voice will be heard!

Checks should be made payable to: CVMA Political Action Committee, 1400 River Park Dr., Suite 100, Sacramento, CA 95815. Or contribute online at cvma.net.

• 3339 for Aaron Claxton or simply leave a voicemail in the general mailbox and your call will be routed accordingly.

3. Provide your CVMA member ID number.

29 View this issue of the California Veterinarian online at cvma.net/publications.
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Veterinarians and Rabies Vaccine Reporting

During 2021, many California veterinarians have received instructions from their local animal regulatory authority to provide rabies vaccination information, including specified information about the animal patient as well as the client. In most instances, the requesting authority is the county animal control department, but in some jurisdictions another municipal entity, such as the county health department, may be designated instead.

When faced with such a request, the first instinct of some veterinarians is to refuse to comply since all medical professionals are trained to protect their client’s personal information. However, this is one instance in which state law indicates the contrary.

Although California Business and Professions Code section 4857(a) states:

A veterinarian licensed under the provisions of this chapter shall not disclose any information concerning an animal receiving veterinary services, the client responsible for the animal receiving veterinary services, or the veterinary care provided to an animal…

…it also provides an exemption for veterinarians to provide information concerning animals receiving veterinary care under the following circumstances:

…to ensure compliance with any federal, state, county, or city law or regulation…

Rabies vaccination disclosure by veterinarians to public health officials falls under this exemption category, provided that the local public health authority is acting pursuant to a municipal ordinance for rabies vaccine reporting. On that score, nearly all California municipalities have a rabies vaccine reporting ordinance.

California Is a Declared “Rabies Area”

At the state level, the California Department of Public Health (CDPH) publishes an annual declaration listing every county in California as a “rabies area.” This designation is significant because, in the law, special rules and considerations apply in “rabies areas.”

According to the CDPH, “This declaration is based on the ongoing cyclic nature of rabies in California wildlife, and the resulting threat of exposure to domestic animals, livestock, and humans.”

Specifically, reporting requirements for rabies control in declared areas are defined as follows:

California Code of Regulations, Title 17: 2606.4. Officially Declared Rabies Areas.

(a) Administration and Enforcement. For purposes of administration and enforcement of Section 121690, California Health and Safety Code, in officially declared rabies areas, the following shall apply:

(4) Rabies Control Activities Reporting. During such time as a county is under official declaration as a rabies area, each local official responsible for the various phases of local dog or rabies control within each city, county and city or cities, or county shall make quarterly rabies control activities reports to and on forms furnished by the Department. Such reports shall be submitted to the Department by the local officials responsible for the various phases of local dog or rabies control through the local health officer so as to reach the Department not later than 30 days following each quarter.

Relatedly, California Health and Safety Code section 121690(e) states:

The governing body of each city, city and county, or county shall maintain or provide for the maintenance of a pound system and a rabies control program for the purpose of carrying out and enforcing this section.

Distilled to their essence, these laws require local animal health authorities to tell the state health department about rabies activities in their area, including bites, rabid animal diagnoses, and vaccination statistics. While the manner in which the local animal authorities seek to carry out this reporting is up to them, such authorities must be careful to comply with California Health and Safety Code section 121690(h), which imposes confidentiality restrictions on certain relevant information:

All information obtained from a dog owner by compliance with this chapter is confidential to the dog owner and proprietary to the veterinarian. This information shall not be used, distributed, or released for any purpose, except to ensure compliance with existing federal, state, county, or city laws or regulations.

California Veterinarian • September–October 2021 cvma.net 30

Rabies Control at the Local Level

Some local animal health authorities follow established city or county ordinances when enforcing rabies control in their jurisdictions. (To find animal ordinances in your area, visit municode.com and visit the Code Library.) Generally, ordinances require veterinarians to submit Rabies Vaccination Certificates to local animal authorities on a periodic basis to assist local animal authorities in fulfilling the state-mandated rabies reporting requirements. According to Title 17, California Code of Regulations Section 2606.4(a)(2), compliant rabies vaccination certificates must include:

A. The name, address, and telephone number of the dog’s owner;

B. The description of the dog, including breed, color, age, and sex;

C. The date of immunization;

D. The type of rabies vaccine administered;

E. The name of the manufacturer; and

F. The lot number of the vaccine used.

While local animal authorities cannot disseminate the information contained within these certificates, they can use it to enforce the law. Since all dogs must be licensed—and it is estimated that less than 40% of dogs in California are licensed—this information can be used to assist local authorities in locating and billing dog owners who have not licensed their pets. Many cities and counties also have a feline rabies vaccination legal requirement and collect relevant information by the vested authority of their respective ordinances.

Addressing Client Concerns

Some are concerned that, because the rabies control reporting requirement gives local animal authorities access to animal owner contact information, it provides

an avenue for solicitation, citation, and fines of dog owners who have not obtained licensure for their pets. The fact is, none of these laws are new. Local authorities have been mandated to record and report rabies events like rabid animals, bites, and prophylaxis statistics for years. Even if some of these reporting requirements have not been historically enforced in certain areas, there now appears to be a renewed effort on behalf of local animal health authorities to comply with rabies laws and regulations.

Many veterinarians have asked how long the reporting requirement will be in effect. In that regard, California Health and Safety Code section 121585 states:

The status of an area as a rabies area shall terminate at the end of one year from the date of the declaration unless, not earlier than two months prior to the end of the year, it is again declared to be a rabies area in the manner provided in this section. If however, the director at any time finds and declares that an area has ceased to be a rabies area its status shall terminate upon the date of the declaration.

Local animal authorities technically are supposed to maintain mandated reporting requirements even when their jurisdiction is not a rabies-declared area, so regardless of status, they may continue requiring veterinarians to provide owner information regarding rabies vaccination.

With a better understanding of the laws pertaining to rabies vaccination, veterinarians may more easily explain to their clients that they are mandated to provide contact information and that the law requires that dogs be licensed. Clients that threaten to go elsewhere will be faced with the same requirements at the next veterinary practice (or even in the next city or county), since the entire state is presently a declared rabies area. If veterinarians reiterate to clients that their contact information cannot be sold, transferred, or used for solicitation purposes and can only be used for verifying licensure or complying with transmissible disease control activities, clients may have an easier time during the process.

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

31 View this issue of the California Veterinarian online at cvma.net/publications.

Welcome to Our New Members!

Veterinarian

Dr. Charley Abernathy

Dr. Mehboob Ali

Dr. Brian Amerman

Dr. Kerri Anderson

Dr. Jillian Austin

Dr. Patricia Bartle

Dr. Melanie Benetato

Dr. Mary Biesiadecki

Dr. Michelle Bousquet

Dr. Evelyn Brand

Dr. Deirdre Brandes

Dr. Michael Briggs

Dr. David Brooks

Dr. Sue Buxton

Dr. Claire Camburn

Dr. Sarah Cannon

Dr. Valerie Caruso

Dr. Michelle Chen

Dr. Ben Byong-Son Cho

Dr. Maxwell Conn

Dr. Kevin Connolly

Dr. Elneda Connors

Dr. Daniel Corcoran

Dr. Dominique Croteau

Dr. Severino de las Alas

Dr. Monica Dougherty

Dr. Lynette D’Urso

Dr. Camille Fischer

Dr. John Foltz

Dr. Layne Fournier

Dr. Jeffery Frazier

Dr. Susan Garity

Dr. Julie Garnier

Dr. Athena Gianopoulos

Dr. John Gil

Dr. Raviinder Gill

Dr. Jeni Goedken

Dr. Kathleen Griffin

Dr. Susan Grove

Dr. Laurel Harris

Dr. Erin Hassett

Dr. Bryan Hayter

Dr. Claus Helsted

Dr. Jocelyn Hutton

Dr. David Johnson

Dr. Quincy Kahn

Dr. Dominique Keller

Dr. Hye-Young Kim

Dr. Casey Kohen

Dr. Genevieve Luca

Dr. Sherilyn MacVeigh

Dr. Paul Makidon

Dr. Aubrey Malott

Dr. Katherine Marcil

Dr. Richard Marcin

Dr. Michael Martinez

Dr. Holly McCown

Dr. Alana McQuarry

Dr. Cynthia Metcalf

Dr. Lillian Michel

Dr. Rebecca Miller

Dr. Terence Nagle

Dr. May Namkung

Dr. Cynthia Nigrini

Dr. Deanna O’Neil

Dr. Renee Ouimette

Dr. Erin Paster

Dr. Alan Power

Dr. Sophia Rana

Dr. Sartaj Randhawa

Dr. Martin Schafer

Dr. Paulina Sergienko

Dr. Sunil Sharma

Dr. Walid Sourial

Dr. Kaitlin Stewart

Dr. Luzette Suau

Dr. Evelyn Townsell

Dr. Rajdeep Turna

Dr. Gregory Weber

Dr. Raegan Wells

Dr. Robert West

Dr. Corinne Yegan

Veterinarian 1st Year

Graduate

Dr. Ashley Allgood

Dr. Nicole Del Pino

Dr. Tahirany Diaz

Dr. Andrew Girgis

Dr. Elana Goldstein

Dr. Jessica Hammer

Dr. Sydney Hsieh

Dr. Caitlin Nordberg

Dr. Eric Sun

Dr. Rachel Unger

Dr. Hamida Valji

Veterinarian 2nd Year

Graduate

Dr. Andrew Cabrera

Dr. Ellen Geiger

Dr. Darien Rodriguez

Dr. Hsiang-Rong Tsai

Veterinarian 3rd Year

Graduate

Dr. Jacqueline Alvarado

Dr. Rajinder Bajwa

Dr. Amy Belanger

Dr. Zoe Davidson

Dr. Niva Freedberg

Dr. Molly Lawry Backus

Dr. George McClung

Dr. Andrea Montano

Hernandez

Dr. Mary Watson

Veterinarian 4th Year

Graduate

Dr. Vihaney Graves

Dr. Candice Habawel

Dr. Jeffrey Henderson

Dr. Lauren Munchel

Dr. Monica Ramirez

Dr. Tia Taketa

Dr. Claire Totari

Dr. Laura Whitelaw

Veterinarian – Out-of-State

Dr. Douglas McInnis

Registered Veterinary Technician

Araceli Aguila, RVT

Joanna Alva, RVT

Georgia Barbush, RVT

Sara Bartoloni, RVT

Samantha Beswick, RVT

Amber Bishop, RVT

Alyssa Buerk, RVT

Kevin Cabezuela, RVT

Douglas Caines, RVT

Kellie Caldwell, RVT

Sabrina Castaneda, RVT

Brooke Cathey, RVT

Susan Cederlof, RVT

Karean Chapman, RVT

Leanne Cronquist, RVT

Camille Druge, RVT

Albert Escobedo, RVT

Erik Fausak, RVT

Valentina Flores, RVT

Cynthia Gerard, RVT

Rebecca Harris, RVT

Leah Hatayama, RVT

Jessica Irwin, RVT

Cassandra Johnson, RVT

Tracy Jones, RVT

Kelsey Kemp, RVT

Sonette Lias, RVT

Alexis Louchios, RVT

Mariah Madrigal, RVT

Hayley Mandaro, RVT

Karina Maurer, RVT

Deborah McBroom, RVT

Daisy Mejia, RVT

Kayla Mitchum, RVT

Norma Morfin Lopez, RVT

Tanya Navarro, RVT

Dakota Nielsen, RVT

Elizabeth Opalka, RVT

Maya Padilla, RVT

Cierra Parker, RVT

Alexandra Paul, RVT

Jennifer Petersen, RVT

Emerald Peterson, RVT

Ashley Rich, RVT

Christi Roberts, RVT

Rocio Romero, RVT

Daniel Rosales, RVT

Clara Saxton, RVT

Rachel Shoumake, RVT

Alyssa Smith, RVT

Christopher Taylor, RVT

Christina Torres, RVT

Salvador Villalobas Barriga, RVT

Makayla Voshall, RVT

Jessica Walbye, RVT

Michael Walcher, RVT

April Washington, RVT

Holly Wilson, RVT

Jennifer Woodward, RVT

CVMA Certified Veterinary Assistant

Payton Bloom, CVMA CVA

Stephanie Haendle, CVMA CVA

Jazmin Peixoto, CVMA CVA

Jackie Perry, CVMA CVA

Joshua Ruiz, CVMA CVA

Veterinary Hospital Staff

Hayley Bauman

Shannon Delahunty

William O’Leary

Amy Parenti

Brandy Robison

Madison Zuleski

CVMA New Members California Veterinarian • September–October 2021 cvma.net 32

Diagnose GI Lymphoma

Feline GI Lymphoma Panel, when used in conjunction with ultrasound, is an effective alternative to biopsy

Differentiating GI Lymphoma from Inflammatory Bowel Disease (IBD) continues to be a challenge in many cats. When ultrasound is suggestive and biopsy is not an option, alternative pathways to diagnosis are needed. The Feline GI Lymphoma Panel by VDI Laboratory is designed to rule in LSA using a panel of 4 biomarkers, along with age, to separate normal cats from IBD, and IBD from LSA. Result “profiles” suggest if the values more likely represent small cell, large cell, or LSA in the thorax. It’s a simple send out blood test requiring no more than 1mL of serum, and when used in conjuction with ultrasound, can be effective for the accurate diagnosis in the GI cat.

Feline GI Lymphoma Panel

The Tests

TK1 - DNA proliferation marker

HPT - Inflammatory marker

B12 - Intestinal status & DNA synthesis marker

Folate - Intestinal status

Also includes

Neoplasia Index™

Contextual review

Dosing for low B12

CALL 805-577-6742 EMAIL office@vdilab.com

Veterinary Feed Directive Educational Outreach to California Veterinarians

CVMA members receive exclusive discounted pricing for GlobalVetLink (GVL), which includes electronic veterinary feed directives.

AVeterinary Feed Directive (VFD) is a document written by a licensed veterinarian, within the context of a valid veterinarian-clientpatient relationship (VCPR), that is submitted to a feed manufacturer or distributor to provide specific instructions about the addition of one or more approved drugs to animal feed under veterinary supervision. Essential information to be entered on a VFD form includes veterinarian and client addresses, the species and production class of animals, the approximate number of animals that will be fed the medicated feed, the drug dose and duration of treatment, and indications for treatment, as well as withdrawal times to prevent antimicrobial residues. Incomplete VFD forms, or forms that include errors, may result in invalidation of that VFD and an inability for the medicated feed order to be filled.

The Antimicrobial Use and Stewardship (AUS) program within the California Department of Food and Agriculture (CDFA) helps ensure that the rules surrounding medically important antimicrobial drugs—including those concerning

prescription drugs and VFD feed use and production in California—are followed. The Inspection Services (IS) team of CDFA AUS performs outreach to livestock feed producers and distributors throughout the state. Beginning in July 2021, IS will be working with California-based feed producers to ensure that the VFDs received by feed manufacturers and distributors are completed correctly according to federal regulations (CFR Part 558). This outreach will help increase compliance with FDA regulations so that medicated feed orders can be filled accurately and in a timely manner.

Concurrently, the Stewardship team of CDFA AUS is focused on providing educational outreach to veterinarians in California who have written incomplete or incorrect VFDs and will share strategies to help veterinarians avoid future VFD errors. Starting in the summer of 2021 and continuing into the fall months, directed outreach will be voluntarily offered to veterinarians who have documented errors on VFDs that were written in 2019 and 2020. Contact with veterinarians will be made through confidential telephone and video conferencing, enabling AUS to provide specific solutions to VFD errors on a case-by-case basis.

As familiarity with writing VFDs increases, it is expected that the number of VFDs that contain errors will decrease. CDFA AUS will continue to serve as an educational resource for veterinarians who have questions about VFD documents in future years.

California Veterinarian • September–October 2021 cvma.net 34

AUS has joined in a public-private partnership with the Veterinary Information Network (VIN) to produce a free online tool for veterinary use in writing VFDs. This publicly available online calculator is designed to assist veterinarians with accurately generating information to be used when filling out VFDs for all types of livestock. Access to this tool—for both nonmembers and members of VIN—is available at the following link: vin.com/vfd.

Additional information about VFDs can be found at the following websites: cdfa. ca.gov/is/ffldrs/VeterinaryFeedDirective. html and cdfa.ca.gov/AHFSS/AUS/.

For more information, or if you would like to specifically request educational outreach regarding VFDs, please contact CDFA AUS at cdfa_aus@cdfa.ca.gov or 916.576.0300.

CVMA Member Bene t, GVL, Simpli es Veterinary Feed Directive Compliance

GlobalVetLINK (GVL) is a web-based animal health solution that provides intuitive online certification which enables users to quickly and accurately create professional health records. CVMA members receive exclusive discount pricing.

Use GVL to create and manage electronic veterinary forms and streamline communication and animal treatment. This simplifies your compliance and meets two-year record retention requirements. GVL enables you to:

 Create compliant Electronic Veterinary Feed Directives (VFDs) that may be sent directly to feed distributors or to clients

 Create and immediately submit electronic Certificates of Veterinary Inspection (CVIs)/health certificates to state animal health officials and provide animal owners with online access to their documents

 Manage electronic veterinary prescriptions in a secure online account, ensuring accuracy and compliance of approved labels and data retention requirements

 Create Equine Infectious Anemia (EIA) “Coggins” test certificates with real time transmission to labs

 Create and submit electronic Equine Extended Certificates of Veterinary Inspection (EECVIs) certificates to state animal health officials and provide owners with online access to retrieve their travel permits 24/7. EECVIs may last up to six months and may be submitted electronically to any participating state

 Manage data with searchable account that maintains all records and information

 Rapidly collect and aggregate diagnostic results from multiple labs, enabling faster reaction time

 Create a Pet TravelPass that helps take the guesswork out of domestic and international pet travel and provides the needed documentation.

Timeline of Regulation of Medically Important Antimicrobial Drugs (MIADs) in Food-Producing Animals in California

2015 – California

Senate Bill 27 (Hill, SB 27) is passed, resulting in increased restrictions of MIADs in foodproducing animals, starting in 2017. The antimicrobial use and stewardship (AUS) branch of CDFA is established.

2017 – Implementation of SB 27 begins in California.

2018 – Similar federal legislation to regulate the use of MIADs in animal feed is adopted and is enforced by the Food and Drug Administration (FDA) through the Code of Federal Regulations (CFR), specifically CFR Part 558.

A wide variety of livestock species are covered by VFD requirements, including major species like dairy and beef cattle, swine, chickens, and turkeys, and minor species including sheep and goats.

For more information, visit globalvetlink.com/cvma/.

35 View this issue of the California Veterinarian online at cvma.net/publications.

Dr. Kenneth Pawlowksi Appointed to AVMA Council Position

Each year, the CVMA sends out a notice of open vacancies on the American Veterinary Medical Association’s councils and committees and encourages members to apply for those voluntary positions. Thank you to all who applied this year!

The CVMA extends its congratulations to Dr. Kenneth Pawlowski, who was appointed to the AVMA’s Council on Biologic and Therapeutic Agents (COBTA) at the AVMA House of Delegates meeting in July. In addition to his current status as President of the Sacramento Valley Veterinary Medical Association, Dr. Pawlowski is a Past President of the CVMA and was previously Chair of the AVMA’s Political Action Committee. As a member of COBTA, Dr. Pawlowski will advise the AVMA Board of Directors in the efficacy and proper use of biologic and therapeutic agents in veterinary medicine, as well as the formulation of positions concerning existing or proposed laws affecting such use.

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

CVMA Remembers

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

Dr. Sherry Brothers, a CVMA member, passed away in February of 2021. Dr. Brothers graduated with a DVM from Cornell University in 1981. She served as an alternate delegate for the CVMA House of Delegates from 1989 to 1991 and as the president of the Orange Belt VMA in 1989. Dr. Brothers worked for 30 years at the Highland Avenue Veterinary Clinic in San Bernardino, California, where she treated a small animal caseload.

Dr. Myron Jorgensen, Jr., a CVMA Life Member, passed away on February 3, 2021. Dr. Jorgensen received his DVM degree at the Kansas State University College of Veterinary Medicine in 1964. He served two years in the United States Army as a veterinary officer at Fort Detrick in Frederick, Maryland. Dr. Jorgensen practiced veterinary medicine for 45 years at the Milpitas Animal Hospital in Milpitas, California

In memory of deceased members, the CVMA makes a donation to the California Veterinary Medical Foundation, whose purpose includes “enhancing animal well-being and the human-animal bond.”

LATERAL FLOW ASSAY THE FUNGAL DIAGNOSTIC SPECIALISTS
36 California Veterinarian • September–October 2021 cvma.net

CVMA Online Seminars

CE You Need When You Want It, Where You Want It!

CVMA Online Seminars are a quick, easy, and convenient way to fit CE into your busy schedule wherever you have a high-speed internet connection. The CVMA offers most interactive webinars on two different dates and times, allowing you to pick the presentation that works best for you so that you don’t miss out.

Sexual Harassment Prevention Education and Training

Stephen Marmaduke, Wilke Fleury LLP

November 3, 2021 | 5:00 PM–6:00 PM Non-supervisors (1 CEU) 5:00 PM–7:15 PM Supervisors (2 CEUs)

November 9, 2021 | 12:00 PM–1:00 PM Non-supervisors (1 CEU) 12:00 PM–2:15 PM Supervisors (2 CEUs)

Employers with five or more employees must provide sexual harassment and abusive conduct prevention training for all employees every two years. New supervisory employees must be trained within six months of assuming their supervisory position, and new non-supervisory employees must be trained within six months of hire. Additionally, temporary, seasonal, and other employees hired to work less than six months require this training within 30 calendar days after the hire date or within 100 hours worked, whichever comes first.

Menacing Methicillin-Resistant Staph: Getting Under the Skin, How to Manage and Prevent Bacterial Resistance

December 1 , 2021 | 5:30 PM–6:45 PM (1.5 CEUs)

December 7, 2021 | 12:30 PM–1:45 PM (1.5 CEUs)

With the increase in antibiotic resistance in both humans and animals, especially methicillin-resistant Staphylococcus, we need to be better stewards of antibiotics while still treating pyodermas. In this course, we will discuss when to perform cultures and sensitivities, appropriate antibiotic usage, and alternatives to oral antibiotics to treat resistant infections. This course satisfies the judicious use of medically important antimicrobial drugs CE requirement.

Registration for the Bacterial Resistance course will open soon; watch your email for more information.

Weigh Your Options with an Accurate Valuation

Why choose Gatto McFerson to conduct your practice valuation?

• We have valued over 315 veterinary practices and clinics

• We have the tax expertise you need when buying or selling

• We are Accredited in Business Valuations, a certification that only CPAs can hold

• We are an independent adviser with no financial stake in the transaction

We are experts in all aspects of:

• Buying and selling a veterinary practice or clinic

• Facilitating associate buy-ins

• Preparing an exit strategy

• Creating an estate plan

• Increasing the value of your practice

To maximize value and minimize taxes, contact:

Lou Gatto, CPA lou@gattomcferson.com

Tom McFerson, CPA, ABV tom@gattomcferson.com

37 View this issue of the California Veterinarian online at cvma.net/publications.
or
Register online by visiting the Learning tab at cvma.net
by phone at 800.655.2862.
528 Arizona Ave. Suite 201 Santa Monica, CA 90401 Ph: 310-393-2434
310-393-8777
Fax:
www.gattomcferson.com

The Bene ts of Being a CVMA RVT Member

The CVMA has over 1,000 Registered Veterinary Technician (RVT) members and is actively seeking new members. The CVMA supports the growth and development of the RVT profession through discounted continuing education designed specifically for RVTs, legislative and regulatory advocacy, and other RVT member benefits.

The Benefits of Membership

RVT membership in the CVMA is $60 per year, which means that for about the cost of a cup of coffee each month, RVT members may access high-quality discounted continuing education that qualifies for California license renewal. Most CVMA conferences offer RVT-specific tracks, and RVT webinars are available on an ongoing basis. CE courses are substantially discounted for RVT members.

Other RVT member benefits include discounts on professional services such as insurance, CareCredit for personal pets, and free regulatory consultation. In addition, the CVMA Certified Veterinary Assistant Program and RVT Roads to Certification Workbook are two member benefits designed specifically to promote the RVT profession and encourage individuals to become RVTs.

Advocacy for the RVT Profession

The CVMA is an active voice at the State Legislature and in Veterinary Medical Board (VMB) meetings on RVT issues. In fact, the CVMA has an RVT Liaison who attends VMB meetings to speak directly about how issues will affect the RVT profession. Recent examples of CVMA advocacy include working with the VMB to eliminate the RVT state licensing examination as a barrier to licensure and addressing the significant increase in RVT licensing fees.

RVT Leadership in the Veterinary Profession

RVTs have their own delegation in the CVMA House of Delegates and therefore have an active voice and weighted vote in debating issues and advising the CVMA Board of Governors. RVTs also have a voice on a number of CVMA committees. In addition, the CVMA RVT Committee is self-electing and addresses RVT-specific issues to bring before the Board of Governors.

Supporting the Advancement of RVTs

CVMA RVT awards help to recognize outstanding RVTs and elevate the profession. Awards are given yearly by the RVT Committee to RVTs who demonstrate exceptional dedication to and advancement of the veterinary profession.

RVT News
California Veterinarian • September–October 2021 cvma.net 38

The CVMA Welcomes 2025 Veterinary Classes!

WesternU Welcomes Its 2025 Class with First-Year Presentation, White Coat Ceremony

On August 3, WesternU’s College of Veterinary Medicine welcomed its first-year students during a special, inperson event held at the university. Dan Baxter, the CVMA’s Executive Director, spoke to the incoming class about the broad range of work that the CVMA does and the benefits of becoming a CVMA member. Art Cruz of Veterinary Insurance Services Company (VISC), the CVMA’s member-owned insurance brokerage, gave the students an overview of VISC’s products and services.

WesternU’s White Coat ceremony took place on August 7. CVMA President Dr. Elisabeth Klapstein gave a welcome address and congratulated the students on their acceptance to WesternU. In her speech, Dr. Klapstein offered the students advice on the tools and skills they should cultivate— such as determination, independent thinking, persistence, compassion, resilience, and dedication—in order to find fulfillment, meaning, and success in the profession.

New UC Davis Veterinary Students Welcomed at CVMASponsored Events

First-year students of the UC Davis School of Veterinary Medicine were welcomed into the profession on August 17 during their first-year presentation. Dr. Grant Miller, the CVMA’s Director of Regulatory Affairs, gave an overview of all that the CVMA has to offer. Dr. Miller elaborated on the many member benefits provided by the CVMA that will serve the students throughout both their academic and professional careers, including free membership for the next five years.

On August 20, Dr. Klapstein welcomed the new UC Davis veterinary students to the veterinary profession during the university’s White Coat ceremony. Dr. Klapstein spoke about the importance of community, support, and peer-to-peer encouragement within the field, both during veterinary school and throughout a veterinary professional’s career.

The CVMA and VISC were proud sponsors of all four student events, and we wish the new students good luck in their future studies and careers!

UC Davis White Coat Ceremony. Dr. Grant Miller, CVMA Director of Regulatory Affairs, presents to the firstyear students of the UC Davis School of Veterinary Medicine. Dan Baxter, CVMA Executive Director, speaks at the WesternU First-Year Presentation.
39 View this issue of the California Veterinarian online at cvma.net/publications. Student
WesternU White Coat Ceremony.
News

The Microdamage Before the Break

Identification of proximal sesamoid bone lesions contributes to 41% reduction in California racehorse fatalities

Decades of research at the UC Davis School of Veterinary Medicine have provided scientific understanding of equine musculoskeletal injuries. Longstanding collaborations between the university, the California Horse Racing Board (CHRB), and industry representatives have enabled the successful application of research results to enhance equine welfare. Combined with advances in diagnostic technology, this has contributed to a reduction in California racehorse fatalities.

The equine skeletal system includes bones, tendons, ligaments, and cartilage. The bones withstand the combination of a horse’s weight, speed, and the interactive forces with the ground surface during movement. Musculoskeletal injuries are common causes of decreased performance in equine and human athletes.

The most common cause of fatal injury among California Thoroughbred racehorses is proximal sesamoid bone (PSB) fracture. The PSBs are a pair of bones in the suspensory apparatus that supports the back of the fetlock joint. When they fracture, the fetlock loses support and the horse cannot bear weight on the limb. These fractures are related to stress fractures and occur because the bones are unable to repair accumulated microdamage caused by repetitive high loads. Normally, damage is continually repaired by removal and replacement of damaged bone. When bone removal is faster than replacement, temporary bone loss can create weakness and susceptibility to fracture. Until recently, there was no way to identify horses at risk for PSB fracture. A recent UC Davis study discovered and characterized changes that precede PSB fracture and put horses at risk for catastrophic fracture. Sarah Shaffer, a Ph.D. candidate in mechanical engineering who conducts research at the J.D. Wheat Veterinary Orthopedics Research Laboratory under the direction of Dr. Susan Stover, examined PSBs from racehorses that died due to PSB fracture during racing or training.

Microcomputed tomography, high-detail x-rays, tissue stains, and other techniques showed a bone bruise below the joint surface that was not present in unaffected horses. This lesion had a focal region of bone loss and evidence of high levels of microdamage.

These typical stress fracture characteristics provide guidance to veterinarians for injury prevention (via screening) and treatment. With the concurrent introduction of positron emission tomography (PET) scanning of PSBs— pioneered at UC Davis and now in use at Santa Anita Park and Golden Gate Fields—the discovered changes allow affected horses to be identified and rehabilitated before returning to training and competition.

“These research findings were key to developing injury prevention strategies that contributed to the 41% reduction in California racehorse fatalities over the previous year,” Dr. Stover said. “Knowledge of the warning signs of imminent catastrophic fetlock injury allow for detection of affected racehorses and their rehabilitation—saving horse lives and preventing jockey injuries associated with racehorse falls.”

The CHRB Postmortem Program, operating in partnership with the California Animal Health and Food Safety (CAHFS) Laboratory at UC Davis, identifies the pathology and provides scientific understanding of the cause for racehorse fatalities in California with the goal of improving health, safety, and welfare.

“Dr. Stover’s research has had an immeasurable positive impact on racehorse safety and welfare,” said Dr. Jeffrey Blea, Equine Medical Director for the CHRB.

Read the full report “Subchondral focal osteopenia associated with proximal sesamoid bone fracture in Thoroughbred racehorses” published in the Equine Veterinary Journal at https://beva.onlinelibrary.wiley.com/ doi/10.1111/evj.13291.

UC Davis News California Veterinarian • September–October 2021 cvma.net 40
“Knowledge of the warning signs of imminent catastrophic fetlock injury allow for detection of affected racehorses and their rehabilitation.”
Proximal Sesamoid Bone Case Intact PSB Case Fractured PSB

WesternU Joins Research Partners to Assist in Study of Coyotes in Los Angeles County

Urban coyote behavior is something of a mystery to researchers, but thanks to the assistance of WesternU faculty and students, a clearer picture of coyote activity is beginning to emerge.

The College of Veterinary Medicine is working with the Los Angeles County Quality and Productivity Commission, the Los Angeles County Agriculture Commissioner/Weights and Measures Project, and the University of California Agriculture and Natural Resources to trap, attach tracking collars to, and release coyotes to gather migration data, which sponsors believe will lead to better management of the species in urban settings. The project has been approved by the California Department of Fish and Wildlife.

“We wouldn’t be able to do this research without a team,” said Dr. Niamh Quinn, Ph.D., UC Cooperative Extension’s human-wildlife interactions advisor. “For scientific research, we need different ideas to come from people with different expertise.”

Dr. Curtis Eng, DVM, an Associate Professor at WesternU, began his work with the project three years ago, viewing it as a welcome opportunity for students to gain hands-on veterinary experience with wildlife. Students would assist in sedating, examining, tagging, and releasing the animals, while Dr. Quinn would attach the radio collar.

Since that time, Dr. Eng has recruited more than a dozen WesternU students to get involved in the project. “Essentially, it was an open call to students who knew

me and my work,” Dr. Eng said. “If you are interested in potentially getting up at 2 or 4 a.m. to work on some coyotes, we’d love to have you.”

Avak Zakarian, DVM 2022, one of Dr. Eng’s recruits, said the field experience was invaluable.

“Being on the coyote research project team has been an adventure,” Zakarian said. “We have all owned pets and have been to zoos to see exotic species, but having to safely capture a wild animal in an open environment, sedate and keep the animal stable, and release it is an experience like no other. Every step of the project has been carefully thought out.”

With funding from the Los Angeles County Quality and Productivity Commission and the Los Angeles County Agricultural Commissioner/Weights and Measures Project, Dr. Quinn bought GPS tracking collars and pays for game cameras to find the coyotes.

Dr. Eng said the team learned that coyotes in the Los Angeles area are more elusive than previously thought. When the project was being outlined, the researchers estimated that it would take 12–18 months to trap, collar, and release 20 animals. The project is now in its third year, and 19 coyotes have been collared thus far. The project’s second phase is in the planning stages.

“We hadn’t realized that coyotes are much smarter than we are,” said Dr. Eng with a chuckle. “So every year I have to recruit a new set of students.”

The unpredictability of coyote behavior makes the project an ideal teaching activity.

“What I love about the project is that it’s provided the students with an opportunity to get hands-on wildlife experience,” Dr. Eng said. “This is a real-world activity, where we are trying to make a difference in how coyotes are managed long-term within a very urban society.”

A documentary on the project, “Coyote Conflict in Los Angeles - The UCANR Hazing Study,” can be viewed for free on YouTube at https://www.youtube.com/ watchv=IEnqU24RgAU&feature=youtu.be. The University of California’s Agriculture and Natural Resources Department wrote about the project here: https://ucanr.edu/ News/?routeName=newsstory&postnum=46062.

41 View this issue of the California Veterinarian online at cvma.net/publications. WesternU News

Classified Advertising

How to Place a Classi ed Ad

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

1. Online advertising

2. Online and in one issue of the CaliforniaVeterinarian

CVMA Members NonMembers

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

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

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

Online only

30 days online $149 $199

60 days online $249 $299

90 days online $349 $399

Online and in one issue of the California Veterinarian

60 days online + one issue of the California Veterinarian $299 $349

90 days online + one issue of the California Veterinarian $399 $449

POST AN ANONYMOUS AD OR RESUME

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

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

POSITIONS OFFERED NORTHERN CALIFORNIA

Veterinarians

Join our awesome, fun, and professional team! We are a wellestablished privately owned AAHA-accredited veterinary hospital in Alameda, CA (SF Bay Area). We are looking for a FT or PT veterinarian to join our amazing family. Our clients are the best, and we have a fabulous staff with many years of experience. We practice high quality medicine balanced with the ability to treat animals of families with different budgets. We treat dogs and cats, and would love to offer exotic medicine as well. Typical hours are MWF 8-6pm, Tues/Thurs 8-8pm. NO WEEKEND HOURS! Medical/ Dental/Vision insurance for FT employees. Email your resume to Dr. Laura Wagner at alamedapet@yahoo.com.

Experienced Veterinarian Wanted: 7+ Years of experience preferred. Centrally located to SF, Napa, Yosemite. Out of State? No problem! Changes anticipated Jan. 1, 2022 to make obtaining a CA DVM License much more simple and quick! Earning potential of $400,000/year. Visit www.ValleyCritterCare.com for more information!

Veterinarian - Sign on Bonus! Purrfurably Cats in Monterey, CA is seeking a full-time veterinarian to join our feline-only practice!

DEADLINE DATES FOR AD SUBMISSIONS IN THE CALIFORNIA VETERINARIAN:

Issue

Deadline

Jan/Feb December 5

March/April February 5

May/June April 5

July/Aug June 5

Sept/Oct August 5

Nov/Dec October 5

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

Your Well Being Matters: Work-life balance with generous paid time off; Relocation Assistance; Sign-On Bonus!; Paid professional dues and liability coverage; Competitive salary; Continuing Education reimbursement; 401k; Medical, dental, vision and prescription drug benefits for you and eligible dependents; Ongoing mentoring; Full support of talented and passionate staff to help you every step of the way; Plus much more! Qualifications: New grads welcome; Experienced vets welcome. Live your Best-Balanced Life! Located in Monterey, CA, you won’t run out of fun activities in this picturesque coastal community. From winding along the breathtaking Big Sur coastline on Highway 1 to sipping wine to playing 18 holes on the numerous golf courses, Monterey will reinvigorate your soul and provide that work/life balance that you are looking for. Who We Are: Established in 1995, We are Monterey County’s only feline-exclusive veterinary hospital. Our state of the art full service veterinary facility retains a homey feel for the comfort and care of that special feline companion. The hospital is equipped with digital radiology, dental radiology, in-house lab equipment and a full boarding suite. Our fun-loving and professional team maintains an enjoyable, cat-friendly work atmosphere committed to the needs of our patients, clients, and staff. Don’t Wait! If you are interested in becoming part of a practice team with an excellent community reputation, a positive work environment and focus on providing authentic service while living your best-balanced life, APPLY NOW! https://westernvetpartners.clearcompany. com/careers/jobs/982ccdb4-dd6d-04f6-af3a-124378a69480/ apply?source=1365864-CS-38470.

California Veterinarian • September–October 2021 cvma.net 42

Experienced Veterinarian only. Must be dedicated and a highly motivated team player, with the opportunity for Medical Director in 4 yrs. Our hospital promotes a great work/life balance with a strong emphasis on Customer service. 2-3 days per week. Hours Mon. - Fri. 8-5. Nights, weekends, and holidays off. Email resume to cheree.angus@tcvhosp.com. All inquiries are confidential. www. tcvhosp.com.

Seeking an associate veterinarian (experienced or new grad) to join our team. Opportunity for future ownership. You will be able to practice high-quality/progressive medicine in our busy small animal practice (we also see exotics). We believe in modern medicine integrated with alternative therapies. And we are always open to and encourage new ideas. The cases you will manage range from preventative care to internal medicine, surgery, dentistry and emergency services. Our experienced team is friendly and tightknit. We work together on difficult cases to create the best plan for our patients/clients. We are located in a beautiful and scenic small town in northern CA, with a relatively low cost of living. We have plenty of outdoor activities, wine tasting, artisans and local farmers to keep you entertained on your days off. It is also fairly close to major metro areas, the redwoods and the coast. Flexible 4-day, 40-hour workweek. We believe in a good work/life balance. Competitive salary 120,000+ (plus production) with other bonuses, benefits and incentives. Mentorship is provided if desired. SIGNING BONUS. Visit us at clearlakevetclinic.com. STARTING BASE Salary at $120,000 + Pro-Sal structure; Signing bonus; Payment and support for CA licensing if not currently licensed in the state; Health/Dental/Vision Group Insurance; Life insurance coverage; Vacation and paid holidays; VIN, AVMA, and CVMA annual dues; DEA license; CE benefits; Maternity/Paternity leave if eligible; 4 day 40 hr. work week & flexible scheduling - ALWAYS 2 days off in a row MINIMUM; New & high-end equipment, including: digital xray AND digital dental xray, full in-house lab, ultrasound (w/ color flow), Class IV Laser Therapy, PRP centrifuge/kits, complete monitoring equipment (EKG, BP, CO2, SP)2, continuous rectal thermometer, etc), warming systems, etc. OPEN to other equipment if an interest; Beautiful location with desirable cost of living; Supportive team & employer! drduff@clearlakeveterinaryclinic.com.

SOUTHERN CALIFORNIA Veterinarians

Lomita Pet Hospital is looking for an experienced full-time or parttime associate. Someone who is comfortable working alone and comfortable performing routine surgeries. Working at least every other Saturday would be required. Benefits are available for fulltime employees. We are a full-service small animal practice located in the South Bay. We have in-house IDEXX machines, digital x-rays, digital dental x-rays, and a K-laser. Interest in holistic medicine would be ideal, but not required, as we do offer holistic medicine as well. lahospitalinfo@gmail.com. Our website is: lomitapethospital.com.

Tired of the daily day to day, but not quite ready for a variety of critical care cases? Are those overnight ER shifts starting to age you?

Veterinary Surgical Specialists of Orange County and AVSG Urgent

Care in Tustin, California are looking to add daytime urgent care veterinarians that will focus on non-critical cases that present to the surgery and emergency departments. We are interested in speaking to new graduates, internship trained candidates and experienced GP or ER clinicians for part time or full-time positions. This position will include care and services of non-critical care cases, to include skin lacerations, minor lameness, vomiting, bite wounds, ear infections, and eye and skin issues. You will have access to in house boarded specialists if you need the support. The schedule will consist of 10hour shifts, 8 AM to 6PM. Full time positions (4 ten-hour days) offer a competitive benefits package including 401(k), CE, Health and Dental, and Professional Liability Insurance, professional dues, and memberships, as well as a moving stipend. Culture is important to us and finding the right individuals for our team is a high priority. We are a tight-knit, collegial group of medical professionals who work collaboratively to provide the highest level of both patient and client care possible. Our hospital is a 13,000 square foot facility and is the largest of the nest of 10 independent specialty practices in our Plaza. We provide nighttime emergency services as well as specialty services including Surgery, Dermatology and Dentistry. The other practices in the Plaza include Ophthalmology, Internal Medicine, Oncology, Neurology, and Imaging. We serve the Orange County and most of Southern California. We boast the best climate in the country with endless social and cultural opportunities. Email rpankowski@vssoc.com.

Look, we’re all adults here. It’s not exactly breaking news that as a veterinary medical professional- even with the best work-life balance possible!- you’re going to be spending a lot of time with the folks at your practice. You’re definitely going to know the names of not just their immediate families, but probably their extended families, too… including Caleb, their third cousin (by marriage!), who seems to be involved with a new multi-level marketing scheme every other week. No, Caleb, we’re all set on athleisure apparel, thank you very much. In SoCal Vet Group, we focus on building culture to make sure your working environment is as supportive and pleasant as possible. We call that “the SCVG way,” and it is coded into our DNA. As a leadership team, we spend the time to develop and train every staff member, and we do everything we can to provide a robust caseload for our team and our doctors. We believe developing people while keeping them challenged and stimulated is what pushes veterinary medicine further. Our three unique hospitals provide that challenge with general practice and emergency services seven days a week. We offer extended hours and the opportunity to use state-of-the-art equipment alongside other highly trained veterinarians and veterinary specialists. Unlike a one-doctor practice where the managing vet doesn’t have time to develop and mentor doctors, or a private equity-run hospital concerned with shareholder returns, we’re focused on the SCVG way and our mission statement: develop our people so they can deliver on our promise to “inspire the bond between pets and their people.” The starting salary for a new SCVG doctor is $150,000.00. We offer great benefits, including health, CE, 401K, and vacation. We are very focused on continuing education and training- we even offer in-house CE led by our board-certified internist. While all our modern, spacious hospitals offer up-to-the-moment equipment, our culture, team, and positive work environment are what really

Classified Advertising 43 View this issue of the California Veterinarian online at cvma.net/publications.

make us special. Come join us! We look forward to getting to know you… and your Calebs. hr@socalvetgroup.com https://www.scvgie. com/about-us/our-culture.

Dogs and cats only practice seeking a part or full time veterinarian to help out our well established non corporate hospital. We are located in Santa Clarita Ca, a bedroom community outside of LA. We have been in business since 1996 and have a loyal clientele. We are a progressive daytime practice offering excellent care to our patients. We are looking for a candidate who is collaborative, patient and willing to grow with the times. We are considering all skill levels so please don’t hesitate to call or Email if you have any questions concerning employment cshil51@hotmail.com. If calling ask for the manager 661.297.8373.

SOUTHERN CALIFORNIA Practice Managers

A busy 3-doctor small animal clinic in heart of Los Angeles, CA is looking into hiring a practice manager with at least 1 year experience. Email Info@beverlyrobertsonvet.com.

OUT OF STATE Veterinarians

As an emergency veterinarian, Veterinary Specialty Center in Buffalo Grove, IL knows your wish list: Working for an established, privately-owned specialty and emergency hospital with an incredible reputation for excellence; Medical transcriptionists to write your medical records for you in real-time so you can focus on the medicine and having a work-life balance; The highest ratio of doctors to certified/specialty technicians so that you can focus on what you love, practicing the best medicine possible; Student Loan Repayment Program (we make sizable, non-taxable contributions towards your student loans); Working with an amazing referral community; Environmentally and ethically driven business (Certified B Corp); Support from our four phenomenal boardcertified criticalists; Collaborating with a diverse and thorough team of specialists that are all in the same building; 24/7/365 on-call emergency surgical support from our five board-certified surgeons, two anesthesiologists and their team; Level I Veterinary Trauma Center; Competitive salary that is not production-based so you can provide tailored care that meets both patient and client needs; Utilizing the latest software technology including electronic records and treatment sheets; Minimum of two emergency doctors on the floor so you are never alone; Strong rotating intern program to help fortify our future veterinary community; Daily grand rounds with our specialists to discuss hospitalized patients and promote learning; Advanced imaging, including ultrasounds, performed by our two board-certified radiologists; 3 Tesla MRI, 64-slice CT, digital radiology, fluoroscopy and c-arm, hyperbaric and high flow oxygen therapy, ventilator support, portable ultrasound, plasmapheresis, hemodialysis, and apheresis; 24/7/365 on-call emergency endoscopy support from our three board-certified internists and their team; On-site veterinary diagnostic laboratory and clinical pathologist for fast results; Licensed Clinical Professional Counselor

to support both staff and clients; Fully equipped on-site bistro with fresh salads, sandwiches, snacks, drinks, and incidentals; 401k match; Generous CE allowance; Medical, Dental, and Vision; Pet insurance; Employer HSA contributions; Employee Assistance Program. VSC is a privately-owned specialty and emergency hospital that has over 300 employees at our main location, which is about 40 minutes just outside of Chicago in Buffalo Grove. We are extremely collaborative and foster a very active learning environment for our staff, residents, interns and externs. We are also the first veterinary hospital in the U.S. to become a Certified B Corporation, which means we have taken great strides to put our employees, community and environment first and use them to guide our trajectory. Our specialties include surgery, rehabilitation and integrative medicine, internal medicine, emergency and critical care, anesthesia and pain management, neurology, radiology, oncology (medical and radiation), cardiology, dermatology, nephrology and clinical pathology. Top reasons why you should consider a career in the Midwest: Chicago is a big city with a lot of really fun things to do (museums, parks, restaurants, zoos, aquarium, shopping, concerts, volunteering, tours, etc.); Lots of breathing room if that’s your vibe (parks, beaches, forests, camping, suburbs, and plenty of space for dogs, chickens, goats, etc.); We’re community-oriented and healthier for it (a University of Cambridge 2013 study assessed the personality traits of more than 1.5 million people and found that the personalities of Midwesterners had “moderately high levels of extraversion, agreeableness, and conscientiousness.” So come on over, let’s be friends!); The midwest is less stressed (in 2020, WalletHub released data on the most and least stressed states with the midwest leading as the least stressed. Laidback lifestyles, affordability, sense of community—these could all be factors in the relatively low level of stress for Midwesterners.); We have not one, but two international airports (whether you need to quickly and easily visit friends, family or an exotic locale for a little rest and relaxation, we’ve got you covered.); Since we just checked all your wish list boxes, what are you waiting for? Apply today and join our incredible team! Job Requirements: Internship-trained preferred or at least 3 years of emergency experience. Not enough emergency experience? No problem. We also offer our accelERate program where you are closely mentored for 6 months and then have a guaranteed six-figure salary. Contact Jayme Richardson, jrichardson@vetspecialty.com; (847) 459-7535 Ext. *1522.

HOSPITALS – SALES/LEASE/BUY

Equine practice for sale in the Northern California Sierra Foothills. Great clientele; established for 30 years. Practice focus on Equine rehab/Sports medicine. Offering both ambulatory and office appointments. Great opportunity for solo Vet or two Equine/LA Vets to share. Practice equipment including new DR, digital ultrasound, practice vehicle, office server/software etc. can be included. Motivated seller is retiring. Contact: scott@scottmcintoshdvm.com.

Thriving Marin Co. house call practice for sale. Licensed home clinic, surgery on the property with a spacious, upscale ranch house on 1/3 acre also for sale. High net in affluent suburbs. Mobile M/W/F, office visits/ procedures T/Th. Best of both worlds. Flexible hours, great variety, best work life balance. KenDSteele@comcast.net 415.451.4838.

Classified
California Veterinarian • September–October 2021 cvma.net 44
Advertising

Brokers and Appraisers

Practice and Real Estate Sales

Transition Specialists

Practice Appraisals

Ellie Wattles, DVM, President, Broker

Beka Herrera, Vice President, Broker

Connie Burke, CPA, CVA, CM&AA

GREATER LOS ANGELES: Situated near all the amenities that Los Angeles has to offer. Free- standing facility includes 2 exam rooms, 22 runs & 30 cages with options for redesign. Equipment includes 2 anesthetic machines, IDEXX lab equipment & DR X-Ray. 2020 Gross ~$2 Million produced w/ essentially 2 full time DVMs. Extremely profitable PX currently under-utilized with potential for increased services, hours, and revenues. Owner & associate open to remaining post-sale, under new ownership, if desired by new buyer. P PRACTICE PRICE: $1,688,000 REAL ESTATE FOR SALE

GREATER SACRAMENTO: Located approximately 25 miles northeast of Sacramento. Free-standing, leased facility consists of ~2,300 sq. ft with 2 exam rooms, 18 cages & 10 runs. Computerized practice includes digital X-Ray and ultrasound. 2021projected gross ~$1.3 Million. General full-service small animal hospital with special reproduction services. C CALL FOR PRICING & ADDITIONAL DETAILS

KERN COUNTY: Situated in a growing community located ~1 hour North of LA with a strong agricultural, oil & general broad economic base including a new Amazon fulfillment center. There are many nearby amenities & affordable housing. This general Small Animal practice offers an ~3,000 sq. ft. facility with 3 exam rooms, 60+ cages and 10 runs. Equipment includes ultrasound & digital X-RAY. 2021 projected gross ~$1,245,000. Potential to significantly increase hours of operation to grow productivity. P PRACTICE PRICE: $667, 000 REAL ESTATE PRICE: $425,000

VENTURA COUNTY: Located in a great upscale community with excellent amenities, desirable demographics & highly rated schools. Family-friendly community. Attractive & modern, ~1,800 sq. ft leased facility is strategically located in popular shopping center. Equipment includes Abaxis Lab & Digital X-Ray. Underutilized PX /limited DVM hours. 2020 Gross: $467,000. PX is offered at less than a start-up PRACTICE PRICE ONLY: $225,000

MENDOCINO COUNTY: Just 2 hours north of the San Francisco Bay Area & west of Sacramento. This area boasts spectacular scenery & distinctive wineries. Hundreds of miles of hiking trails, verdant hills & secluded lakes residents can easily find solitude & beauty. 1 PT DVM PX. ~1,500 sqft leasehold facility located in a small strip-center. 2020 Gross~ $446,000 produced with very limited hours. P PRACTICE PRICE ONLY: $120, 000

GREATER CARMEL: A unique community that embraces family, prosperity, and the highest quality of life. The Pet Spending Potential Index for the surrounding area is 96% higher than the national average. Well established, growing PX is in an attractive ~1,600 sq. ft. leased facility, including 2 exam rooms, 12 cages & 2 runs with room for expansion. Full service, small animal practice includes extensive equipment. 2021 projected gross ~$1.2 Million produced primarily with ~1 DVM per day and limited hours, including no weekend PRACTICE PRICE: $824,500

SAN DIEGO, SOUTH BAY: Well-established practice is located within a strip center with the leased facility consisting of ~1,968 sq. ft / 3 exam rooms. Exceptionally well-equipped PX including Digital X-Rays (one for body and one for dental), Color doppler ultrasound, Abaxis analyzer (all owned by the practice). 2021 projected gross over ~$2 Million. Excellent growth and profitability. C CALL FOR MORE INFORMATION

SAN FRANCISCO BAY AREA: Leased, ~ 1,439 sq. ft. facility offers 2 exam rooms, large treatment area, 20+ stainless steel cages & 2 runs. Full-service PX also includes recently updated digital DR X-RAY, dental machine & 2 anesthetic machines. PX is experiencing tremendous growth year over year. 2020 Gross ~$1,015,479 produced w/ limited office & doctor hours. Exceptional profitability. P PRACTICE PRICE: $979,400.

SONOMA COUNTY: Wine country. Excellent visibility of the practice with ample parking. Practice offers personalized, quality veterinary services with reasonable fees. Very high demand for services. ~2,500 sq. ft facility with 3 exam rooms. Equipment includes X-RAY & in-house lab. 2020 gross ~$799,000. Excellent profitability. PRACTICE PRICE: $676,000 REAL ESTATE PRICE: $675, 000

JOIN US AT THE WVC 2021 ANNUAL CONFERENCE, SEPTEMBER 7-9

Booth # 730 (Mandalay Bay Convention Center, Las Vegas, NV)

545 Sespe Avenue Fillmore, CA 93015 Phone: 805.524.3195

Fax: 805.524.3192

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

Small animal hospital for sale by owner. Tired of corporate medicine and want to own your own practice? We are located in Yuba City, CA, a fast growing city approx. 40 miles north of Sacramento and within 2 hours of both the coast and Sierra’s. This is a well-established, small animal practice (over 35 yrs at present location, over 21 yrs with present owner). Extremely well equipped with full in house lab, Aesculight CO2 surgical laser, video otoscope, new premium color doppler ultrasound, digital radiography (w/ new tube) including dental with new digital dental software, paperless records w/ all new computer system and updated PMS. Free standing 2950 sq. ft. facility on large lot w/ 3 exam rooms, lab/X-ray room, surgery suite, isolation room, 14 indoor runs, 30 SS cages and 12 outdoor runs. 2020 gross of over $1,000,000 with solo doctor and limited hours (M-F 8:00-5:00, no wknd or emergency hours); can easily be a 1½ - 2 doctor practice and suitable for extended or wknd. hours. $890,000 for practice, real estate negotiable for sale or lease. (530.701.4631).

Turn key well established equine practice in Southern California. Apple Valley Equine Hospital, built in 1986 is a 3200 square foot office/medical/surgical facility. There is an adjacent eight stall barn, 24w x 40L x 20 tall cover with cement floor exam/treatment area. The facility includes a 60 foot round pen, 12 stall mare motel and a mobile home for staff or residents all behind perimeter fencing with electric gates. There is ample parking within the fenced area for several large equine trucks and trailers. The practice is at this time a Monday - Friday 8 - 5 haul in equine sports medicine/lameness based practice. Practice is a “Pay at time of service”, no billing is done. Gross income is 1.0 -1.2M, with one DVM and three assistance staff. The sale includes 5 acres, full facility with home, all equipment (medical, surgical, repro, digital endoscopy, digital wireless x-ray,

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digital ultrasound, full IDEXX blood lab and micro lab). The facility hast two surgical suites, indoor exam/ x-ray / ultrasound area. Also included is a 2015 F350 crew cab diesel truck with monarch vet pack (21,000. miles). Also included is an additional monarch vet pack. We are asking 750K for all of above, with no “Practice” fee added on. Our desire is to honor our clients and friends with a quality sports medicine DVM. For information on purchasing, please contact us by phone at 760.247.4226 or email at avequine@aol.com.

FLORIDA: Free standing Hospital located in one of the fastest growing coastal counties in FL. One Vet half time doing 600K/ year with building already built to expand into double size 2-3 Vet practice. Principals only reply to jess1950@comcast.net.

Solo practitioner in Palmdale, CA, retiring after almost 50 years. I am the only mobile equine practitioner in over 50% of my practice area. Six other equine practitioners have retired in the last 6 years, with no replacements. Therefore, there is much more business than any 3 or 4 doctors can handle. My business Nets over $300,000/ year and my fees are 50% to 200% below that of the veterinarians in the surrounding areas. Thus, there is ample room to raise your fees and increase your income. All you have to do is walk in the door and take over. I do, however, want to sell my equipment, but at a significant discount, as it is used. It is all one needs, i.e. ultrasounds, digital x-ray, incubator, endoscope, etc. If no one wants the practice, I will sell the equipment separately and would be happy to separate the office equipment from the medical. An inventory with photos is available upon request. For further information, please contact Kathy Wilder at 661.860.1926 or via email at Waynedvm15@gmail.com.

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California Veterinarian • September–October 2021 cvma.net 46 Epicur Pharma ..................................................................................................................................................................................................... 25 Gatto McFerson 37 IMMY 36 OncoK9 13 Pacific Professionals 45 Preferred Employers 2 Simmons ............................................................................................................................................................................................................... 19 VISC 48 VDI Laboratory 33
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