FVMA Advocate Issue 1, 2019 by FVMA

F V M A ADVOCATE ISSUE 1 | 2019

HCCE PERMIT Q&A WITH EDWIN A. BAYÃ&#x201C; | Pg. 6 IMPOSTER SYNDROME

Cherie T. Buisson, DVM, CHPV

THE

| Pg. 8

FVMA ANNUAL CONFERENCE MAY 16-19, 2019 - Pg. 12

TAMPA CONVENTION CENTER, TAMPA, FLORIDA | TAMPA MARRIOTT WATER STREET HOTEL & MARINA

President's MESSAGE 7207 Monetary Drive Orlando, Florida 32809 Phone – 407.851.3862 Toll Free – 800.992.3862 Fax – 407.240.3710 info@fvma.org | www.fvma.org

OFFICERS

Dr. Marc A. Presnell President Dr. Michael Epperson President-elect Dr. Donald H. Morgan Treasurer Dr. Alex M. Steverson Past President Mr. Philip J. Hinkle Executive Director

DISTRICT REPRESENTATIVES Dr. Scott Richardson District 1–Big Bend Dr. Todd Fulton District 3–Central Dr. Rachel Klemawesch District 4–Tampa Bay Dr. Susan M. Carastro District 5–Treasure Coast Dr. Marta P. Lista District 6–South Florida Dr. Mary Smart District 7–Southwest Dr. James M. Brechin District 8–Northwest Dr. Kelly J. Sloan-Wade District 9–Space Coast Dr. Ernest C. Godfrey AVMA Delegate Dr. Richard B. Williams AVMA Alternate Delegate Dr. Jacqueline S. Shellow FAEP Representative to the FVMA Executive Board Ex Officio Dr. James W. Lloyd, Dean UF College of Veterinary Medicine

“Let us dedicate ourselves to what the Greeks wrote so many years ago: to tame the savageness of man and make gentle the life of this world.” - Robert F. Kennedy Since my last message, the FVMA has participated in the Veterinary Leadership Conference in Chicago, held the 56th Annual Ocala Equine Conference, hosted the 12th Annual Harvey Rubin Memorial Food Animal Veterinary Medical Conference in partnership with the Florida Department of Agriculture and Consumer Services and the UF CVM, and participated in the first quarterly meeting of the Florida Board of Veterinary Medicine. The FVMA also visited Tallahassee for our Legislative Action Days where more than 40 FVMA member veterinarians and students met with their legislators to discuss new initiatives affecting veterinary medicine in Florida. Next on the agenda is the 90th FVMA Annual Conference in Tampa, Florida. Register now for cuttingedge wet labs, world-class CE and great fellowship with your colleagues! The FVMA Foundation has also been deliberately moving forward in the process of implementing the new ambitious strategic plan for the FVMA Foundation to fulfill its newly clarified mission of promoting animal health and well-being, public and professional education, and enhancing the human-animal bond. The Foundation continues to assess disaster relief services and relief assistance, fund scholarship and research opportunities for UF CVM students, partner with the UF CVM in the Charlie Bild Visiting Practitioner program, and is in the early stages of developing public service announcements promoting animal health and the veterinary profession. The FVMA Foundation will also be developing new programs to enrich and promote the human-animal bond. I would like to leave, as my final message to my colleagues, the words of the quote above. Let us dedicate ourselves to making gentle the lives of the animals of Florida, the lives of our fellow veterinarians and the lives of our future veterinarians. Let us not grow weary as we strive to safeguard our animal world and the public from the threats of exotic diseases and bioterrorism. Let us not grow weary as we continue to strive to tackle the issue of veterinary debt which burdens so many and which prevents others from being able to pursue this great profession. Let us not grow weary in confronting the issue of our own wellness and the wellness and well-being of our colleagues in the veterinary community. Let us not grow weary in our efforts to create legislation that will advance the veterinary profession and protect the public from those who see veterinary medicine as a resource to be exploited rather than a resource to be served and stewarded. Let us dedicate ourselves to strengthening our robust partnership with the UF CVM as they continue to deliver new knowledge, technologies and innovations that move veterinary medicine forward. Let us not grow weary in caring for one another, our coworkers, our clients, our patients and our communities. Veterinary medicine remains a high and noble profession — let us dedicate ourselves to maintaining that standard. I would also like to take this opportunity to express to the staff of the FVMA my gratitude for the phenomenal job they do on behalf of the veterinary medical profession in Florida! They work tirelessly to make gentle the assaults on veterinary medicine that threaten our profession, the care and welfare of the animals of Florida, and even threaten the public health of Florida. Some may say that is a hyperbole but having the opportunity to work with them this year has deepened my understanding of the work they do for the animals, large and small, and veterinarians of Florida. Thank you Ann Wade, Sandra Brooks, Beni Jean Price, Jim Naugle, Yari Payne, Nicole Huie, Samantha Rosenthal, Jason Smith, Alssa Mathews and Erica Tomblin. A special thank you to our Executive Director Phil Hinkle for your boundless energy and sacrificial leadership. You each have made gentle my tenure as president this year.

Marc Presnell, DVM

FVMA MISSION THE MISSION OF THE FLORIDA VETERINARY MEDICAL ASSOCIATION IS TO ADVANCE THE VETERINARY MEDICAL PROFESSION, PROMOTE ANIMAL HEALTH AND WELL-BEING, AND PROTECT PUBLIC HEALTH. 2 | FVMA ADVOCATE

In Remembrance Kenneth Simmons, DVM Dr. Kenneth Simmons, 62, and his wife Alice Simmons, 59, passed away on February 1, 2019. Dr. Simmons owned and operated Simmons Veterinary Hospital in Lake Worth, Florida for 30 years until he retired and sold his practice. He had also expanded his practice to include a pet resort called the Barker's Hotel and Purrington Inn which included a water park and served as a certified hurricane shelter for pets. Dr. Simmons received his DVM from the University of Florida College of Veterinary Medicine where he later helped to implement a business curriculum for veterinary students. He also helped to found a not-for-profit focused on coral conservation through education, research and restoration called Healthy Aquatics Marine Institute. Dr. Simmons often engaged in volunteer work in both Palm Beach County and the Bahamas helping animals in need. He loved fishing, diving and boating.

Alice was the director of business and operations for Simmons Veterinary Hospital. She earned her bachelor's degree in occupational therapy from the University of Florida where she and Dr. Simmons met. Alice practiced yoga, loved rock and smooth jazz, and even belonged to a croquet team. She also loved to participate in volunteer work, which included working with Best Buddies. Together, they had a life that was filled with a passion for community building and volunteering.

In This Issue 3 | In Remembrance 5 | UF CVM Spotlights 6 | Q&A with Edwin A. BayĂł on Health Care Clinic Establishment (HCCE) Permit 8 | Imposter Syndrome

WWW.FVMA.ORG |

THE FVMA |

@FLORIDAVMA |

@FLORIDA_VMA

| â&#x20AC;&#x201A;3

UF CVM SPOTLIGHTS UF CVM AMONG TOP 10 VETERINARY SCHOOL PROGRAMS IN US

The U.S. News & World Report’s 2020 edition of “America’s Best Graduate Schools” was released in March 2019 with the University of Florida College of Veterinary Medicine ranking No. 9. This is the first time the UF CVM has broken into the top 10 veterinary programs in the US. “These new rankings reflect amazing success in our ongoing pursuit of preeminence across the mission: teaching, research and clinical service. Without a doubt, our success is squarely rooted in the incredible hard work, dedication, creativity, scholarship and unwavering commitment to quality of our faculty, staff and students,” said Dean of the UF CVM Dr. James W. Lloyd in a press release. “Among all institutions in this ranking, the UF Small Animal Hospital now boasts the third-highest companionanimal caseload, our research enterprise is now among the

leaders in National Institutes of Health funding, and our Doctor of Veterinary Medicine degree is among the most highly soughtafter as reflected by the ever-increasing size, strength and diversity of our applicant pool.” UF CVM was previously ranked No. 14 in 2015 by U.S. News & World Report. In September 2018, U.S. News & World Report ranked the University of Florida as No. 8 among the nation’s top public universities. “This significant jump in the national rankings just proves that the faculty and staff at the College of Veterinary Medicine are some of the best in serving Florida’s robust agriculture industry,” said Jack Payne, Ph.D., UF senior vice president for agriculture and natural resources, in a press release.

UF CVM INVESTS $6M TO EXPAND FACILITIES The University of Florida College of Veterinary Medicine finished construction of the new two-story addition to its small animal hospital and opened its doors to clients on March 15. Investing $6 million into the project, this new space will provide more accommodations for primary care, dentistry services and additional offices for administration, adding an extra 12,000 square feet to the existing space. The new building adjacent to the main hospital finished construction in the beginning of February 2019. UF CVM faculty,

staff and students were able to attend an open house of the new building prior to its opening to the public. UF CVM hopes that the addition of space for the small animal hospital will allow for more room and the ability to handle more local and statewide emergency referrals. The original 100,000-square-foot main hospital building is being remodeled to provide for the expansion of the hospital’s emergency and critical care service.

WWW.FVMA.ORG |

THE FVMA |

@FLORIDAVMA |

@FLORIDA_VMA

| 5

Q&A with Edwin A. Bayó on the

HEALTH CARE CLINIC ESTABLISHMENT (HCCE) PERMIT The Florida Department of Business and Professional Regulation (DBPR) has started to more strictly enforce the possession of Health Care Clinic Establishment (HCCE) permits with veterinarians and their clinics, which was originally created in 2009 to provide additional safeguards to the nation’s drug distribution chain and avoiding counterfeit drugs. The FVMA has received concerns from our members about these recent enforcement efforts, many asking questions about if they need an HCCE permit and how to properly purchase drugs with it. We sat down with Edwin Bayo, who is counsel for the FVMA, and asked him some of your most pressing questions about HCCE permits.

What is Section 499.01(2)(r), F.S., which created the HCCE permit, about?

E.B.: The HCCE permit was created to address entities that are not pharmacies or drug wholesalers, but which purchase and store drugs in a corporate capacity. Under applicable law, the person (or company) that pays for drugs is presumed to be the owner of those drugs. Although veterinarians are authorized to purchase drugs under their own name and license, if they pay for the drugs with a corporate check then the corporation is presumed to be the owner of the drugs.

Do I need an HCCE permit?

E.B.: If you practice through a corporation or other legal entity and have a Federal Employee Identification Number (FEIN), you should have an HCCE permit. You could technically purchase

drugs under your own name and pay with a personal check, but you may have problems down the road showing that the expenditure was a business expense.

Why is having an HCCE permit such a big deal now?

E.B.: The HCCE law was created in 2009. It was part of the regulatory trend — both at the federal and state level — of providing additional safeguards to the nation’s drug distribution chain and avoiding counterfeit drugs. These safeguards include being able to track all drugs from the manufacturer through the end user. One of the ways drugs can be traced is by requiring that drugs only be sold to “authorized recipients” that have the legal authority to purchase, store and own the drugs. The problem with physicians and veterinarians is that when their professional corporate entity buys (pays for) the drugs then the drugs are “owned” by the professional corporate entity that paid for them, which is not an authorized recipient. An HCCE permit allows that corporate entity to become an authorized recipient.

Has anything changed about the statute regarding having an HCCE permit?

E.B.: The recent enforcement efforts concerning the HCCE are simply a reflection on regulatory priorities by the Florida Department of Business and Professional Regulation (DBPR). Primary enforcement efforts for the past 10 years were concentrated on human drug wholesalers. It is now our turn.

Can I buy drugs with a clinic credit card or check if I have an HCCE permit?

E.B.: Yes. The whole reason behind the HCCE permit is so that you can legally do so and the drugs be deemed to belong to the clinic.

Can other veterinarians at my practice use drugs I bought even if we don’t have an HCCE permit?

E.B.: The DBPR may consider that you are “transferring” or “distributing” drugs to the other veterinarians if you do not have an HCCE permit. By having the HCCE permit, the drugs belong to the clinic (entity), and all veterinarians may use them without that possible problem.

6 | FVMA ADVOCATE

Can I be retroactively fined for not being in accordance with this law? E.B.: The FVMA has reached out to the DBPR and has had extensive discussions on this matter. They have stated that the intent is to get everybody into compliance. We have received assurances that so long as veterinarians apply and obtain the permit soon that they will not face enforcement action for not previously having the HCCE permit.

What do I do if I receive the Self-inspection Report for Health Care Clinic Establishments (Permit 60)?

E.B.: As part of the ongoing discussions with DBPR, we have also received assurances that not completing the survey will not result in any enforcement action. We are working with the DBPR to revise the rule requirements regarding temperature monitoring, reporting and other things that should not be applicable to veterinary clinics.

Will I get a Self-inspection Report if I have an HCCE permit? Will I have to do a report if I donâ&#x20AC;&#x2122;t have an HCCE permit?

E.B.: As previously mentioned, the FVMA is working with the DBPR to ensure that not completing the survey will not result in any enforcement action. In due course, we expect that veterinarians with HCCE Permits will get a self-inspection report that will not have the unnecessary items.

What will happen if Iâ&#x20AC;&#x2122;m chosen for an in-person inspection? How should I best prepare?

E.B.: Once again, and as part of the ongoing discussions with DBPR, we are working on having the HCCE items become part of the usual biennial inspections so that veterinarians may have one inspection covering everything. If you are in compliance with quarantine areas, drug logs, etc., you should be OK.

What do I do if I have any concerns with results from my report? Who do I contact?

E.B.: If anyone receives any notice of violation regarding their HCCE (or lack of an HCCE) or any other regulatory matter, they should contact the FVMA for referral. For help and other information concerning HCCE Permits, contact the Department of Drugs, Devices and Cosmetics Division of the DBPR at 850.717.1800 from 8 a.m. to 5p.m. Monday through Friday, or the FVMA helpline at 800. 992.3862.

IMPOSTER SYNDROME Cherie T. Buisson, DVM, CHPV

Certified Hospice and Palliative Care Veterinarian | Low Stress Handling ™ Silver Certified | Helping Hands Pet Hospice A Happy Vet

My senior year of veterinary school, I was pulled into the registrar’s office by “Mrs. Sue” – a lovely lady who regarded us all as her extremely stressed-out children. She excitedly informed me that I was set to graduate third in my class. Without thinking, I replied, “From the bottom?” She scolded me good-naturedly and seemed bewildered that I wasn’t more enthusiastic. In truth, I was shocked. I could easily think of 10 people in my class who were smarter and more accomplished than me. I was convinced that I had made it through vet school purely on my outstanding testing ability. In clinical year, everyone fought over cases while I hoped no one would throw one my way. If someone saw me work up a case, they would know I didn’t belong. After our local VMA meeting this month, a friend called me lamenting about how she felt like she hadn’t done anything with her career. She was “just a regular vet” and felt diminished in comparison to the boarded oncologists who had given the evening’s lectures. While we agreed that neither of us wanted to be oncologists, we both admitted feeling less than accomplished when comparing ourselves to others. Over and over, I hear from veterinary professionals struggling to balance their career with their individual desires and their identity as a spouse or parent. One veterinarian told me that if she stayed home with her kids, she felt like a failure as a vet. If she went to work, she felt like a failure as a parent. And if she worked part time and stayed home part time, she felt she’d failed at both. To make matters worse, the input she received from friends and family often confirmed her self-doubt. This crisis of confidence was coined “imposter phenomenon” by Clance and Imes in 1978. Initially, the syndrome was thought to only happen to 8 | FVMA ADVOCATE

women, but since then it has been shown to exist in men as well.2 Imposter syndrome (IS) is not characterized as a mental illness but as a phenomenon of feelings of inadequacy coupled with fear of being discovered as a fraud. In one study, prevalence in women was twice that in men and having IS was associated with experiencing burnout.2 Childhood labeling plays a part in IS. If a child grows up hearing that they can do anything they set their mind to, they may agonize over their struggles and fear of disappointing their family. They feel unable to make a mistake, and if they don’t know something, they are afraid to say so. Conversely, the sibling of a child labeled “the smart one” may be more intelligent or accomplished than their brother or sister, but feel that they can never be equal or surpass them.1 The frustrating thing about IS is that no matter how many awards and accolades are received by the sufferer, they never quite believe that they are deserving. There is always some doubt, even

Cherie T. Buisson, DVM, CHPV Owner, A Happy Vet; Helping Hands Pet Hospice

subconsciously, that they are accomplished. I posted a snippet of one of my IS lectures on social media. The next day, a good friend who was always very confident in appearance told me it made her feel better because she felt like an imposter every day. Although this problem is not classified as a mental illness, therapy can be extremely helpful for someone with IS who wants to gain confidence. In a field fraught with mental illness and suicide, we need to do what we can to promote compassion satisfaction in veterinary medicine. Being part of a toxic or negative team can be devastating to someone with IS. Mentorship and support can help turn the tide and let someone shine where they otherwise might burn out. Being in an environment where it is safe to admit feeling IS can set team members up to feel confident in their skills more quickly. We spend a great deal of time nurturing our patients and their families. If we put the same effort into nurturing each other, we can make veterinary medicine a healthier, happier profession.

References 1. Clance, P.R.; Imes, S.A. (1978). The imposter phenomenon in high achieving women: dynamics and therapeutic intervention. Psychotherapy; Theory, Research and Practice. 15(3):241-247. 2. Villwock, J, et al. Impostor syndrome and burnout among American medical students: a pilot study. Int J Med Educ. 2016; 7: 364â&#x20AC;&#x201C;369.

Dr. Cherie Buisson hails from Kenner, Louisiana and is a class of 2000 graduate of Mississippi State University. S he h a s work e d a s a multispecies veterinarian, a feline-only practitioner and a shelter veterinarian. In 2015, she opened Helping Hands Pet Hospice, which provides house call pet hospice and euthanasia. She is a member, as well as a teacher, of the first graduating class of IAAHPC's Animal Hospice and Palliative Care program. In 2017, she became one of 60 Certified Hospice and Palliative Care Veterinarians in the world. Her articles have been featured on DrAndyRoark.com. Dr. Buisson started A Happy Vet in January 2016. The website is devoted to supporting veterinary professionals as they learn to take care of themselves and create happier workplaces. She is an international speaker, giving talks and workshops on end-of-life care and professional development with the goal of finding contentment in this amazing field. Dr. Buisson is a recovering perfectionist, bookworm, quilter, cyclist and living proof that being a nerd isn't all that bad. She lives in Largo, Florida with her husband Derek, two Quality Control Wieners, two Meowcromanagers and everything she can safely fit in her two aquariums.

If you or someone you know is in need of assistance, please visit www.fvma.org/wellness-andwell-being-committee/. We have compiled a variety of resources that are available to you.

ATTENDEES OF THE 90TH FVMA ANNUAL CONFERENCE You can hear more from Dr. Buisson who will be presenting on imposter syndrome, compassion fatigue and burnout, and how to be happy in veterinary medicine. Visit www.fvma.org for more information on the 90th FVMA Annual Conference. WWW.FVMA.ORG |

THE FVMA |

@FLORIDAVMA |

@FLORIDA_VMA

| â&#x20AC;&#x201A;9

FVMA 2019 ANNUAL OPERATING BUDGET APPROVED The FVMA Executive Board approved the association’s 2019 operating budget in December, with a balanced budget of more than 3 million dollars. The budget reflects the FVMA’s continued growth, as well as its commitment to the sustainability of the association’s current programs and services, to advancing strategic goals, and to broadening the delivery of high-quality services to the diverse veterinary professional community of our state. We are equally committed to exercising sound stewardship of the fiscal resources of the FVMA membership. The strength of the FVMA has enabled us to expand our continuing education services and grassroots advocacy efforts, allowing the association to become the premiere voice of veterinary medicine in Florida. I encourage you to join the FVMA Professional Advocacy Committee with a financial contribution; and we ask members to become more engaged at the local level to support your association’s legislative and regulatory initiatives in 2019. We recognize the invaluable contributions members of the veterinary team make to animal health and well-being, and the advancement of our profession in Florida, and invite these professionals to join our ranks to strengthen the voice of veterinary medicine in our state. The FVMA has the fiscal resources, experienced leadership and a dedicated professional staff to expand and enhance our membership services and outreach. Its all-encompassing efforts continue to serve our membership well, and serve to protect and advance the veterinary profession in Florida. The 2019 budget equips the FVMA to perform efficiently in all areas of operation, and to carry out all of its important functions. Let us be inspired by the FVMA’s mission statement, "To advance the veterinary medical profession, promote animal health and well-being, and protect public health.” If you have any questions regarding the 2019 fiscal operating budget, they may be directed to Executive Director Phil Hinkle, or to me. Thank you for the opportunity to serve this great profession. Respectfully,

Donald H. Morgan, DVM Treasurer

10 | FVMA ADVOCATE

FVMA ANNUAL CONFERENCE

MAY 16-19, 2019 TAMPA MARRIOTT WATER STREET HOTEL & MARINA

TODAY INSIDE!

EVERY MEMBER OF THE VETERINARY TEAM!

The Cat Thyroid Center The Gentle Cure for Hyperthyroidism •

• •

Specialized Treatment in a Warm, Homelike Environment. Focus on Customer Service Excellence with Individualized Patient Care. Over 20 Years of Experience. Short, 48 Hour Stay.

•

98% Success Rate!

•

We are excited to announce Dr. Greg Heaton has joined our team. Dr. Heaton, originally from Cincinnati, Ohio, obtained his Bachelor of Science degree in Chemistry and Psychology in 1999 from Valparaiso University. He received his DVM degree from Purdue University and is currently a member of the AVMA, FVMA, and AAFP. His calm, caring demeanor with our clients and feline patients in addition to his eye for detail make him a welcome addition to The Cat Thyroid Center.

“Dr. Ott and his team are true professionals who always go above and beyond in the care of both the patient and the patient’s people. The Cat Thyroid Center has treated two of my family members and both of these demanding ladies had absolutely no complaints at the level of service and attention they received during their I-131 spa treatment.” -Dr. William Walsh, A Pet’s Friend Animal Hospital, Venice, FL “Over the years I have referred literally dozens of hyperthyroid cats to the Cat Thyroid Center. Every client I have sent has been very impressed and happy with the service they and their pet has received. The feedback I get is always positive, and I will continue to refer my clients to Dr. Ott for I-131 treatment.” -Dr. Andrew King, Cat Hospital of Sarasota, Sarasota, FL “The Cat Thyroid Center offers excellent medical care and makes sure the patient and client feel at home. Dr. Ott does an amazing job following up with cases both with the owners and with me. He is always available when any questions arise. His compassion and knowledge make the Cat Thyroid Center superior when it comes to treatment and as a result we highly recommend him.” -Dr. Sherri Basso, Sanlando Springs Animal Hospital in Longwood, FL

813.641.3425 • www.catthyroid@cs.com • 717 S. Tamiami Trail, Ruskin, FL 33570

FVMA 2019 FISCAL OPERATING BUDGET INCOME Membership Dues $ 808,025 FVMA Political Committee $ 25,000 Continuing Education/Certification Programs $ 2,258,881 Publications $ 124,000 FVMA Foundation $ 2,500 Member Services Income $ 108,400

TOTAL INCOME

$ 3,326,806

EXPENSES Facility Costs & Upkeep $ 131,000 Membership Services & Administration $ 1,568,398 Legislative Advocacy $ 128,000 Educational Program Expenses $ 1,356,200 Communications & Public Relations $ 113,708 Inter-Professional Relations $ 29,500

TOTAL EXPENSES

$ 3,326,806

FISCAL OPERATING BUDGET BALANCED AT $3.3M

WWW.FVMA.ORG |

THE FVMA |

@FLORIDAVMA |

@FLORIDA_VMA | 11

THE

Your Invitation

TO ATTEND

TAMPA CONVENTION CENTER, TAMPA, FLORIDA |

WORLD-CLASS CONTINUING EDUCATION FOR

Host Hotel TAMPA MARRIOTT

WATER STREET HOTEL & MARINA 700 S. FLORIDA AVE., TAMPA, FLORIDA 33602

MAKE YOUR ROOM RESERVATIONS NOW! CALL: 888.789.3090 AND MENTION “FVMA”

The 90th FVMA Annual Conference is proud to once again welcome attendees to the Tampa Marriott Water Street Hotel & Marina (formally Marriott Waterside). The Tampa Marriott is the perfect setting to unwind after your day of earning CE, across the street at the Tampa Convention Center. One of the most popular hotels in Downtown Tampa, the Tampa Marriott features first-class accommodations and modern amenities, on-site restaurants, a rejuvenating spa, state-of-the-art fitness center and an amazing rooftop pool. • To reserve your room, call the Group Reservations Department at 888.789.3090 and request the Special FVMA Room Rate of $209.00 plus tax. Discounted room rate available until April 23. The hotel will honor this rate after the deadline subject to availability. • Group rate extended for stays three days pre-and post conference, based upon availability • Reduced overnight valet parking for conference attendees is $24 per night • You can also conveniently reserve online at https://aws.passkey.com/go/FVMA

RESERVE YOUR ROOM TODAY... WOR LD S RN UPTO EA

S LA

S CE HOURS

CUTTING-EDGE LECTURES

EXCEPTIONAL

LEARNING

HANDS-ON WET LABS WWW.FVMA.ORG |

THE FVMA |

@FLORIDAVMA |

@FLORIDA_VMA

M AM TE

EMBER S VE E T

P T O 20 H NU AR INARIAN O R S E

PRESENTING MORE THAN 300 HOURS OF STIMULATING, QUALITY CONTINUING EDUCATION DELIVERED BY AN OUTSTANDING ARRAY OF DISTINGUISHED SPEAKERS IN AN ENVIRONMENT THAT ENRICHES THE ENTIRE VETERINARY TEAM!

Engaging, Hands-On W

ULTRASOUND BASIC SMALL ANIMAL ABDOMINAL ULTRASOUND

Thursday | 8:00 a.m. - 12:00 p.m.

Thursday | 8:00 a.m. - 5:00 p.m.

With Conf. Reg. Fee: Vets $425 Wet Lab Only Fee: Vets $625

With Conf. Reg. Fee: Vets $475 Wet Lab Only Fee: Vets $675

Kenneth R. Waller, III, DVM, MS, DACVR

Christopher Smithson, DVM, DAVDC

Thursday | 1:00 p.m. - 5:00 p.m. Wade Gingerich, DVM, DAVDC

CANINE EXTRACTION TECHNIQUES

AV LI AI MIT LA ED BI LIT Y

With Conf. Reg. Fee: Vets $425 Wet Lab Only Fee: Vets $625

Denise S. Rollings, CVT, VTS (Dentistry)

Friday | 1:30 p.m. - 5:30 p.m.

Denise S. Rollings, CVT, VTS (Dentistry) With Conf. Reg. Fee: Techs $95 Wet Lab Only Fee: Techs $150

Kenneth R. Waller, III, DVM, MS, DACVR

AV LI AI MIT LA ED BI LIT Y

VETERINARY POINT-OF-CARE ULTRASOUND FOR EVERYDAY PRACTICE

TECHN

IC I A

AV LI AI MIT LA ED BI LIT Y

Saturday | 8:00 a.m. - 5:00 p.m. Serge Chalhoub, BSc, DVM, DACVIM (SAIM) Alfredo Romero, DVM, DACVS With Conf. Reg. Fee: Vets $425 Wet Lab Only Fee: Vets $625

TECHN

With Conf. Reg. Fee: Techs $95 Wet Lab Only Fee: Techs $150

DENTAL RADIOLOGY POSITIONING AND TECHNIQUES

Friday | 8:00 a.m. - 5:00 p.m.

With Conf. Reg. Fee: Vets $475 Wet Lab Only Fee: Vets $675

DENTAL NERVE BLOCKS, CLEANING, PROBING & CHARTING Friday | 8:00 a.m. - 12:00 p.m.

ADVANCED SMALL ANIMAL ABDOMINAL ULTRASOUND

AV LI AI MIT LA ED BI LIT Y

FELINE EXTRACTION TECHNIQUES

DENTISTRY

IC I A

LECTURE

• ANESTHESIA AND PAIN MANAGEMENT • BEHAVIOR AND TRAINING • CARDIOLOGY • CLINICAL PATHOLOGY • DENTISTRY • DERMATOLOGY

• EMERGENCY MEDICINE AND CRITICAL CARE • END-OF-LIFE CARE • EXOTICS • FELINE MEDICINE • GASTROENTEROLOGY • INTERNAL MEDICINE

V M & TEA

TECHN

Saturday | 8:00 a.m. - 12:00 p.m. Ralph Harvey, DVM, MS, DACVAA

With Conf. Reg. Fee: Vets $150 | Techs $95 Wet Lab Only Fee: Vets $205 | Techs $150

MEDIAL PATELLAR LUXATION REPAIR Saturday | 8:00 a.m. - 12:00 p.m. Stanley Kim, BVSc, MS, DACVS

With Conf. Reg. Fee: Vets $450 Wet Lab Only Fee: Vets $650

EM M M BE

V M & TEA

AV LI AI MIT LA ED BI LIT Y

ANESTHESIA MACHINE TROUBLESHOOTING

Robert Swinger, DVM, DACVO

EM M M BE

ANESTHESIA

OPHTHALMIC SURGERY Thursday | 10:00 a.m. - 5:00 p.m.

SURGERY

IC I A

Wet Labs & Workshops

WET LAB SPONSORS

AV LI AI MIT LA ED BI LIT Y

EXTRACAPSULAR REPAIR FOR CRANIAL CRUCIATE LIGAMENT RUPTURE Saturday | 1:30 p.m. - 5:30 p.m. Stanley Kim, BVSc, MS, DACVS

With Conf. Reg. Fee: Vets $450 Wet Lab Only Fee: Vets $650 M

AV LI AI MIT LA ED BI LIT Y

With Conf. Reg. Fee: Vets $450 Wet Lab Only Fee: Vets $650

E TOPICS • MEDICINE & INFECTIOUS DISEASE • MEDICINE FOR THE TECHNICIAN • NEUROLOGY • ONCOLOGY • OPHTHALMOLOGY

• • • • •

PRACTICE MANAGEMENT RADIOLOGY SURGERY ULTRASOUND UROLOGY

WET LABS SELL OUT FAST... RESERVE YOUR SEAT TODAY!

| WWW.FVMA.ORG

Visit www.fvma.org or call 800.992.3862

Featured Speakers

CHERIE BUISSON DVM, CHPV

CHRISTINE CULLER DVM, MS, DACVECC

SUE ETTINGER DVM, DACVIM (ONCOLOGY)

JON FLETCHER DVM, DACVIM (SAIM)

ERIC GARCIA IT & DIGITAL STRATEGIST

WADE GINGERICH DVM, DAVDC

GREG F. GRAUER DVM, MS, DACVIM

LAUREN HARRIS DVM, DACVECC

RALPH HARVEY DVM, MS, DACVAA

PETER HELMER DVM, DABVP (AVIAN PRACTICE)

ROBERT KENNIS DVM, MS, DACVD

CHRISTOPHER PACHEL DVM, DACVB, CABC

GARRET PACHTINGER VMD, DACVECC

KERRY PLEMMONS MBA

MICHAEL SCHAER DVM, DACVIM, DACVECC

LAURA SELMIC MEG SLEEPER BVETMED (HONS), VMD, DACVIM MPH, DACVS-SA, DECVS (CARDIOLOGY)

JENNIFER STOKES DVM, DACVIM (SAIM)

ROBERT SWINGER

DVM, DACVO

MICHAEL TILLSON

DVM, MS, DACVS

CHRISTOPHER SMITHSON DVM, DAVDC

PETER WEINSTEIN

DVM, MBA

DISTINGUISHED SPEAKERS • • • • • •

DR. MICHELLE CARNES DR. SERGE CHALHOUB DR. JIM COOK DR. ROBERT DUFORT MS. LIZ HODSON MS. KATIE HOLTHUSEN

• • • • • •

DR. STANLEY KIM MS. TAMI LIND MS. KARA MAGNEHEIM MS. CORTNEY NORTON MS. DENISE ROLLINGS DR. ROBERT SCHICK

RACE APPROVED:  American Association of Veterinary State Boards RACE, Provider #532  Sponsor of Continuing Education in New York State  Florida Board of Veterinary Medicine, DBPR FVMA Provider #000168

• • • • • •

MS. PATRICIA STIMPSON DR. ELIZABETH STRAND DR. KENNETH WALLER, III DR. HEATHER WAMSLEY DR. LINK WELBORN DR. AMELIA WHITE

CE HOURS FOR:

 Veterinarians - 29 credit hours  Team Members - 20 credit hours

* Your 2019 FVMA dues must be current to register at the discounted registration rate below.

Phone:

Preferred Address:

Clinic Name:

Name:

Email:

TOTAL REGISTRATION FEE $

TOTAL SPOUSE/GUEST FEE $

No Fee

egibly

Add $100 Per Registrant after April 23, 2019

TOTAL EVENTS FEE $

= $ ____ (4 tickets must be purchased at the same time to qualify for discount.)

SOCIAL EVENTS  Friday, May 17 Award Ceremony & Installation of Officers  Saturday, May 18 FVMA Foundation Reverse Raffle (Win $2,500) ____ x 1 Ticket for $35.00 ____ x 4 Tickets for $100.00

Child/Children’s Name – Please print legibly

Legibly $0.00

Florida Veterinary Medical Association | 7207 Monetary Drive • Orlando, FL 32809

Signature

Expiration Date

Spouse/Guest Name – Please Print Legibly  Children’s Registration (Does not include lunch)

 Spouse/Guest Registration

SPOUSE/GUEST REGISTRATION (This registration allows entrance to the exhibit hall, and includes lunch on Friday & Saturday and non-ticketed social events. Those who wish to attend CE sessions must pay full registration fees.)

 Visa  Mastercard  American Express Discover

TOTAL WET LAB FEE $

$625.00

 Saturday, Veterinary Point-of-care Ultrasound

$425.00

$650.00

 Saturday, Extracapsular Repair for Cranial Cruciate Ligament Rupture $450.00

$205.00

$675.00

$650.00

$150.00

$475.00

$450.00

$625.00

$450.00

 Saturday, Medial Patellar Luxation Repair

VETERINARIAN REGISTRATION FORM

Name as It Appears on Card

Credit Card Number

(U.S. funds drawn on U.S. banks)

 Friday, Advanced Small Animal Abdominal Ultrasound  Saturday, Anesthesia Machine Troubleshooting

 Thursday, Basic Small Animal Abdominal Ultrasound

 Thursday, Ophthalmic Surgery

 Thursday, Canine Dental Extractions

$425.00

$625.00

With Conf. Reg. Wet Lab Only

WET LABS  Thursday, Feline Dental Extractions

Method of Payment  Check/Money Order  Charge My Credit Card Below $

TOTAL PAYMENT (A, B, C, D, E)

AVMA accredited veterinary school name (Proof of current enrollment required)

 FVMA 2019 Member.......................................$525.00  Member, Graduated 2017-2018........................ $50.00  Member, Graduated 2016...............................$350.00  Member, Graduated 2015...............................$400.00  Non-Resident.................................................$525.00 (Current Member of State VMA or Military)  Non-FVMA Member.......................................$650.00  Veterinary Student..............................................$0.00

REGISTRATION FEE Includes CE (excluding those with additional fees), lunch on Friday & Saturday, non-ticketed social events, access to the exhibit hall, and a digital copy of Conference Proceedings.

$95.00

VETERINARIAN REGISTRATION

 My 2019 FVMA Membership is current A TOTAL MEMBERSHIP DUES $  I would like to join and take advantage of the discounted registration fee. I qualify for the following: Categories: (Please check one.)  Regular Member $270.00  Recent Graduate (within last two years) $150.00  State/Federal Employee $150.00  Part-Time Employed $150.00 (Employed at FVMA Member practice & work 20 hrs per week or less.)  Non-Florida Resident $115.00

FVMA MEMBERSHIP

90TH FVMA ANNUAL CONFERENCE MAY 16-19, 2019 TAMPA CONVENTION CENTER AND TAMPA MARRIOTT WATER STREET HOTEL & MARINA TAMPA, FLORIDA

FVMA AFFILIATE MEMBERSHIP

Email:

TEAM MEMBER REGISTRATION Name: Clinic Name: Preferred Address: Phone:

Registration fee includes CE (excluding those with additional fees), lunch on Friday & Saturday, non-ticketed social events, access to the exhibit hall, and a digital copy of Conference Proceedings.

$150.00

WET LABS  Friday, Dental Nerve Blocks , Cleaning, Probing & Charting $95.00

$150.00

With Conf. Reg. Wet Lab Only

$95.00

$150.00

 Friday, Dental Radiology Positioning & Techniques

$95.00

TOTAL WET LAB FEE $

 Saturday, Anesthesia Machine Troubleshooting

$  Visa  Mastercard  American Express Discover

Total Membership Dues

SOCIAL EVENTS

 Friday, May 17 Award Ceremony & Installation of Officers

(Held at the Marriott Water Street Hotel)

______ x 1 Ticket for $35.00

______ x 4 Tickets for $100.00

TOTAL EVENTS FEE $

(4 tickets must be purchased at the same time to qualify for discount.)

= $ ____ = $ ____

FVMA Foundation Reverse Raffle (Win $2,500)

 Saturday, May 18

Add $50 Per Registrant after April 23, 2019

Florida Veterinary Medical Association | 7207 Monetary Drive • Orlando, FL 32809

Expiration Date Signature

No Fee

The FVMA offers affiliate membership to team members in the following categories: Certified Veterinary Technician (CVT) – graduates of AVMA-accredited veterinary technology programs who have passed the Veterinary Technician National Exam; dual certification/membership Certified Veterinary Assistant (CVA) - graduates of the FVMA’s CVA program; dual certification/membership Veterinary Practice Manager (VPM) – current or previously employed veterinary practice or hospital managers Animal Care Technician (ACT) – on-the-job trained veterinary technicians with at least three years of experience. Please visit www.fvma.org/team-members for applications to these entities.

$ 195.00

$ 150.00

 My 2019 FVMA Affiliate Membership is current.  I would like to join and take advantage of the discounted registration fee; my affiliate membership application is enclosed (Note: Incomplete applications may result in delayed membership and conference registration.) You may add your total membership dues to Box A to the right or pay separately on your application. CVT - $55, VPM - $55, ACT - $35

REGISTRATION FEE (Includes Conference Proceedings)

Member Registration Fee  CVT  CVA  VPM  ACT Non-member Registration Fee  CVT  Technician/Assistant  Practice Manager  Admin Staff SPOUSE/GUEST REGISTRATION

TOTAL REGISTRATION FEE $

 $95.00 Spouse/Guest Name: (This registration allows entrance to the exhibit hall, and includes lunch for Friday & Saturday and non-ticketed social events. Those who wish to attend C.E. sessions must pay full registration fees.)  $0.00 Children’s Registration (Does not include lunch.) Name:

TOTAL TEAM MEMBER PAYMENT (A, B, C, D)

Method of Payment  Check/Money Order  Charge My Credit Card Below $ (U.S. funds drawn on U.S. banks)

Credit Card Number Name as It Appears on Card

TEAM MEMBER REGISTRATION

Florida & Georgia Practices for Sale

week.

FL: North of Jacksonville: $766K gross. 4.5 day work week. Major area development. (FL65Y)

tice. No

FL: South Central FL: $758K+ gross, solo doctor practice. No emergencies, 5 day work week. (FL28A)

eek. Major

FL: The Villages Area: $1.1M+ gross. 4.5 day work week. Major growth potential. (FL52S)

018. RE

FL: North of Orlando: 2 dr, SA prx. Gross $973K in 2018. RE included. No after-hours ER. (FL10L)

8, 1.5

GA: South Central GA: $959K+ gross, up 14% in 2018, 1.5 doctor practice. (GA14F)

Wright in s. George

FL: SOLD! Jacksonville Area: Congrats to Dr. Patrick Wright in the sale of Normandy Boulevard Animal Hospital to Drs. George Khalil & Robert Medlock. (FL25J)

on!

GA 31522 nc.com m olina, er

New Listing in Jacksonville Coming Soon! 1610 Frederica Road, Saint Simons Island, GA 31522 Toll Free: (800) 333-1984 | www.simmonsinc.com Email: southeast@simmonsinc.com Licensed in Florida, Georgia, North Carolina, and South Carolina Real Estate Broker

PS BROKER

le week.

tice. No

eek. Major

018. RE

8, 1.5

Wright in s. George

on!

GA 31522 nc.com m olina, er

Florida Florida & Georgia Practices Practice Listings!for Sale Sold-S.W. Florida– 2 to 2.5 Dr.gross. well established w/ ~3000 FL: North of Jacksonville: $766K 4.5 day work Prx week. sq.Major ft., 3area exam rooms, well equipped and well staffed. development. (FL65Y) 2017 gross of $1.8mm.

Veterinary Practice Real Estate Brokers, Licensed Nationwide Sales — Buyers Representation — Certiﬁed Valuation Analyst

We help veterinarians sell and buy practices nationwide.

FL: South Central FL: $758K+ gross, solo doctor practice. No

Florida Practices For Sale

FL: North of Orlando: 2 dr, SA prx. Gross $973K in 2018. RE

See you in Tampa!

emergencies, 5 day work week. (FL28A) New-West Central Florida– Well established solo Dr. Pracitce grossing just over $600K. Well equipped and well staffed. RE FL: The Villages Area: $1.1M+ gross. 4.5 day work week. available...3600 sq. ft. w/ 3exam rooms, in-house lab, Major digital Xgrowth potential. (FL52S) ray and more. Not far from the Gulf. Owner is ready to retire.

New-NE area– Dr. practice with a 2018 gross reveincluded.Orlando No after-hours ER.2(FL10L) nue just over $1mm. 3 exam rooms, in-house lab, digital x-ray and more. RECentral available….3200 highintraffic area with GA: South GA: $959K+ sq.ft. gross,in upa14% 2018, 1.5 good signage. doctor practice. (GA14F) FL: SOLD! Jacksonville Area: Congrats to Dr. Patrick Wright in Are Corporate Groups contacting you about buying your Practice? the sale of Normandy Boulevard Animal Hospital to Drs. George If so, let us help (FL25J) make sure you get your best deal!!! Khalil & Robert Medlock.

We are looking for quality practices to list in Florida. If your are considering your Practice, call us for a complimentary New Listingselling in Jacksonville Coming Soon! Consultation!!!

1610 Frederica Road, Saint Simons Island, GA 31522

Toll Dr. Free: (800) 333-1984 | www.simmonsinc.com Contact Richard Alker for further practice information. Email: southeast@simmonsinc.com

850.814.9962 or Richard@tpsgsales.com Licensed in Florida, Georgia, North Carolina, and South Carolina Estate Broker Showcase Properties of Real Central Florida, Broker

WWW.FVMA.ORG |

90th FVMA Annual Conference Booth #29

PS BROKER has listings available nationwide! psbroker.com | 800.636.4740 | info@psbroker.com

THE FVMA |

@FLORIDAVMA |

@FLORIDA_VMA | 21

FVMA LEGISLATIVE The most valuable asset the FVMA has in influencing regulatory and legislative initiatives that impact veterinary medicine is the engagement of our membership. Legislative Action Days (LAD) is a participatory event that gives our members a one-of-a-kind chance to be a part of the Association’s advocacy experience for the veterinary profession in Florida. The FVMA’s annual grassroots advocacy event, LAD 2019, took place on March 13-14, 2019, in Tallahassee, Florida. All FVMA members were encouraged to be a part of this unique opportunity to engage in a service that will protect, defend and advance animal health and welfare, and the practice of veterinary medicine in Florida.

“

I wanted to thank you again for the opportunity to join the FVMA for this event, and for the amazing experience my classmates and I had. I feel that I’ve come away from the event with a much better understanding of what the FVMA does for Florida’s veterinarians…I plan to reach out to my local VMA and become more involved moving forward.

The FVMA Legislative Committee worked with elected officials and FVMA leaders to address any bills that would affect the veterinary profession, along with finalizing the FVMA’s legislative priorities for the 2019 Legislative Session. Every year the FVMA works tirelessly to ensure veterinary interests are considered as thousands of bills are introduced and monitored during the Legislative Session. Strong legislative relationships have afforded our profession significant benefits in recent years, including:

Association members from across the state and University of Florida College of Veterinary Medicine students joined the FVMA Executive Board and Legislative Committee for two full days of advocacy activities. LAD began with a workshop to brief attendees on — Caitlin Holly, DVM Candidate Senate and House bills that are Class of 2022 of significance to veterinary medicine. The FVMA’s proactive legislative strategies and plans for the event were also discussed and formulated during this • Successfully defeated a statewide legislative initiative that workshop. The next day, the delegation convened at the Capitol would have created special tax districts to fund non-profit building and met face-to-face with their state representatives and organizations for the purpose of providing veterinary care. senators to advocate for FVMA priorities, and against any bills (Taxpayer Funding of Non-Profit Organizations) that could negatively impact the profession or animal health and well-being in Florida.

”

22 | FVMA ADVOCATE

ACTION DAYS •

•

Recap “

Initiated legislation exempting an animal owner’s identifying information on rabies tag application submitted to county animal control agencies from Florida’s broad Public Records Inspection. (Protecting the confidentiality of your patient records) Florida is the only state that has successfully enacted legislation that allows veterinarians the ability to dispense compounded medications without limitation to their patients’ owners or caregivers. Prevented passage of legislation which would have allowed non-economic damages against a veterinarian for the loss of a pet.

“

What an empowering trip! I felt like I really made a difference in advocating for my profession. Each year, members of the legislature introduce thousands of bills, some of which impact animal welfare as well as our profession. We are an invaluable resource for legislators, and it is our duty to advocate for policies that improve our patient’s health and advance our profession. I highly encourage veterinarians and veterinary students to become involved!

— Jaclyn Duenas, DVM

”

I’d like to thank the FVMA for allowing me to participate in such an informative and exciting day of legislative action! The insight I’ve gained has been invaluable for me as a future veterinary practitioner. It’s helped to shed light on the role the FVMA plays in professional advocacy and it’s had a significant impact on my veterinary vocational plan (as my sights are being turned towards the world of legislation!).

—Bridgette K. Gunn, M.S. M.P.S., DVM Candidate, Class of 2022

”

The FVMA's LAD is one of the best opportunities you have as a member to be involved in the work of your Association. This yearly event during the Florida Legislative Session is an invaluable resource in our grassroots advocacy program, and we invite you to join us next year. Help us present a powerful voice on legislative issues that will impact the veterinary profession and the well-being of the animals we care for. For more information, please visit our website at fvma.org/ advocacy, or call 407.851.3862. The FVMA can also be reached toll-free at 800.992.3862.

WWW.FVMA.ORG |

THE FVMA |

@FLORIDAVMA |

@FLORIDA_VMA | 23

PRACTICE GOT A QUESTION? THE FVMA CAN HELP.

One of the benefits of membership in the FVMA is our Helpline, (800) 992-3862, available to members daily, Monday to Friday, 8:00 am to 6:00 pm. Our Helpline also provides insight to the FVMA staff, of the challenges and concerns of our members. In this feature we will highlight topics from the questions we received in preceding weeks, in an effort to keep our members up-to-date on current concerns as well as regulatory and legislative changes.

QUESTION:

I was wondering if the FVMA could assist me in giving me their opinion on the matter of acclimation letters. I used to refuse to sign acclimation letters, and I would have the clients sign them directly. Now, the airline (American in particular) will only accept a pet if it has an acclimation letter signed by a veterinarian. I have no way of knowing any temperatures that my patient might be “acclimated” to since I only see them in a setting of a veterinary hospital at 72 degrees. Also, we all know that a pet’s ability to sustain a temperature depends on the duration of time they are exposed to that temperature as well as air flow and access to water. My clients are putting a lot of pressure on all of our staff veterinarians to sign acclimation letters that include temperatures that may be detrimental to their pet. The reason for this is that if the pet is rejected from the trip, they are either out of finances and have nowhere to stay in this country and/or will miss their flight or they will have to travel and leave their pet in the US, and there is no one for the pet to stay with. I had a client countersign a form releasing me from any harm that would come to their pet due to issues of temperature on the flight. We all realize that the airline is only looking for a scapegoat should the pet become sick or die under their care. Unfortunately, that scapegoat is the veterinarian. Where does the FVMA stand on this issue and what is the best way we can protect ourselves? I would appreciate your guidance on this matter to enable all of us as veterinarians to protect our licenses.

be higher than 85° F for more than four consecutive hours while in animal holding areas of airport terminals, or for more than 45 minutes while transferring the animal between the aircraft and the animal holding area. Veterinarians should exercise sound professional judgment when asked to make declarative statements about the safety or risks that arise from shipping specific animals outside of the provisions of the AWA. Carriers or intermediate handlers whose facilities fail to meet the minimum temperature allowed by the standards may accept for transportation or transport, in commerce, any live animal if the consignor furnishes to the carrier or intermediate handler a certificate executed by an accredited veterinarian stating that such live animal is acclimated to air temperatures lower than those prescribed in the CFR (45° F). Acclimation certificates/statements issued in accordance with 9 CFR section 3 no more than 10 days prior to delivery of the animal(s) for transportation should only be provided as a statement attached to a Certificate of Veterinary Inspection and shall include at least the following information: (1) Name and address of consignor; (2) The number and identification of animals in the shipment; (3) An acclimation certificate/statement; (4) The signature of the USDA accredited veterinarian, accreditation number, and date.

A: In the absence of a position of its own on this issue, the FVMA is

Veterinarians who sign acclimation certificates/statements for the transportation of pet animals that may be exposed to adverse temperatures should word their certifying statement as follows:

Acclimation Certificates/Statements Acclimation certificates/statements are used to allow airlines to ship dogs and cats when the airline cannot guarantee compliance with existing requirements as stated in the federal Animal Welfare Act regulations, Part 3, Subpart A – Specifications of the Humane Handling, Care, Treatment, and Transportation of Dogs and Cats (9 CFR § 3.13[e]) and, specifically the minimum temperature allowed by the regulations. Veterinarians may advise clients not to ship animals with transporters or airlines that cannot guarantee compliance with animal welfare regulations. In accordance with the requirements of the Animal Welfare Act, regardless of the temperature range suggested by the owner/authorized agent or veterinarian, ambient temperatures listed in the acclimation certificate/statement cannot

"The animal(s) in this shipment appear healthy for transport but need(s) to be maintained at a range of ambient temperatures (in Fahrenheit) to which the animal(s) has/have been acclimated, as determined in consultation with the owner/authorized agent to be no lower than (W degrees) for (X) minutes and no higher than (Y degrees not to exceed 85° F) for no longer than (Z) minutes."

guided by the position/policy of the AVMA. Below is AVMA policy on acclimation certificates.

24 | FVMA ADVOCATE

Also, we find nothing wrong with the prudent use of the disclaimer note you shared with us.

QUESTION:

What are the legal requirements, if any, that dictate a clientpatient-doctor relationship? A: Florida statute defines veterinarian/client/patient relationship:

has seen the animal in a professional capacity within a period of 12 months or less.

QUESTION:

F.S. 474.202 Definitions (12) “Veterinarian/client/patient relationship means a relationship where the veterinarian has assumed the responsibility for making medical judgments regarding the health of the animal and its need for medical treatment.”

In filling out an application for the Health Care Clinic Establishment, page 7 of 8 Under Section VI - Other Permits or Licenses asks: "Are there any other permits of licenses issued by any agency of the State of Florida that authorize the purchase or possession of prescription drugs at the applicant's establishment or address?" Should I list the Veterinary License and the Establishment license?

QUESTION:

A: Yes. Both the veterinarian’s license and the premise permit

When the client requests a refill of a prescribed medication, is it legal to refill a prescription for an additional 12 months IF the patient is due to be examined in one month to re-establish a client-patientdoctor relationship? A: Our legal counsel advises that the vet should issue a prescription

for one month to cover the animal until the next scheduled visit, at which time a one-year prescription may be issued.

QUESTION:

Is an exam required every 12 months in order to prescribe prescription medications? A: The standard of practice at 474.214 Disciplinary proceedings at (y) defines “a documented veterinarian/client/patient relationship” as a record of the veterinarian having seen an animal “within a period of 12 months or less.”

(y) Using the privilege of ordering, prescribing, or making available medicinal drugs or drugs defined in Chapter 465, F.S., or controlled substances as defined in Chapter 893, F.S., for use other than for the specific treatment of animal patients for which there is a documented veterinarian/client/patient relationship. Pursuant thereto, the veterinarian shall: 1. Have sufficient knowledge of the animal to initiate at least a general or preliminary diagnosis of the medical condition of the animal, which means that the veterinarian is personally acquainted with the keeping and the caring of the animal and has recent contact with the animal or has made medically appropriate and timely visits to the premises where the animal is kept. 2. Be available to provide for follow up care and treatment in case of adverse reactions of failure of the regimen of therapy. 3. Maintain records which document patient visits, diagnosis, treatment, and other relevant information required under this chapter. The documented patient/client/veterinarian relationship cited in Section 474.214, F.S. is herein defined as a veterinarian’s record of a client’s animal which documents that the veterinarian

WWW.FVMA.ORG |

should be listed.

QUESTION:

I am writing in regards to rabies vaccinations and our expected role in owners’ compliance. Typically, we require a rabies vaccine (and an annual exam, of course) for any services to be performed. The only exception would be for medical reasons. We had a client last week that just wanted a nail trim and anal glands expressed. She declined an exam and rabies vaccine. We do not have a groomer here. Are we able to legally do the nail trim and anal glands? Do we have a legal leg to stand on if we tell her rabies is required by law (and wellness exam)? Are we, as veterinarians, expected to enforce required rabies laws? A: A rabies vaccination is required by law. It is a reasonable standard of practice to conduct an examination (even a brief one) before administering any vaccine.

As to whether a veterinarian is legally authorized to treat an animal that is not current on rabies vaccinations, it is my opinion that if it is not an emergency situation, the veterinarian should decline the treatment. The veterinarian should not be in a position to aid and abet an owner to violate the law. The veterinarian should tell the client that as a matter of policy, and for the protection of ALL other animals at the clinic, that treatment will be refused to any animal that is not current on vaccinations. Veterinarians are not expected to be the rabies police and should not call the animal control authority to report a client that refuses the vaccination, but they also should not look the other way and treat animals that are not in compliance with the law.

END NOTE: The ultimate responsibility in the practice of veterinary medicine lies with the licensed veterinarian. Professional discretion must always be exercised.

THE FVMA |

@FLORIDAVMA |

@FLORIDA_VMA | 25

CLASSIFIED ADVERTISEMENTS VETERINARIANS WANTED

VETERINARIAN WANTED – PALMETTO, FL: Southeastern Guide Dogs seeks a dynamic, people-oriented, full-time veterinarian. This is a great way for an experienced, personable Veterinarian to build their career while providing an important service to your community! Learn more and apply at: https://www.paycomonline.net/v4/ats/web.php/jobs/ViewJob Details?job=21575&clientkey=58573A7475A7F5B8279B7C6931A 525D1 (1/19: ID#44754) PART-TIME VETERINARIAN – ST. PETERSBURG: Part-time veterinarian for non-profit, small animal wellness and vaccination clinic. Proficient in diagnosis and treatment for variety of complaints such as allergies, skin conditions, dentals, etc. High-volume, walk-in clinic. Hours will be Tuesday, Thursdays and Friday 8:00 – 3:00. Pet Pal Veterinary Clinic: 1900 34th St S, St Petersburg FL. Please contact Scott Daly, 727-385-8025 or CV to accounting@petpalanimalshelter.com. (1/19; ID#2885) VETERINARIAN WANTED – SEFFNER, FL.: All About Animals is seeking a Full-Time Associate Veterinarian who is passionate about this profession, has an inquiring mind to investigate patient health concerns and a commitment to client education. We offer in house CBC, blood chemistries, PT/PTT, digital radiology, diagnostic EKG, Ultrasound, board certified orthopedic surgeries on site and much more. We currently have 1 full time and 2 part-time DVM's. Competitive salary and compensation with a 3-day weekend monthly to enjoy life and explore the beautiful Tampa Bay Area. Prospective candidates should e-mail resume to kentuckyderby3@aol.com or call/text 813-967-1424. (1/19; ID#12938) VETERINARIAN WANTED – CENTRAL FLORIDA: Veterinarian wanted for hospital in Central Florida. We are well equipped with ultrasound, in house labs, surgical and therapeutic lasers, dental x-rays and a great staff to help you. Highest level of medicine practiced. New graduates considered. Compensation based on experience. 72,000 -100,000 or beyond! Full or part-time and Mentorship given. All replies treated in outmost confidence. If you have suddenly become corporate and want out now is you chance.Relief vets welcome to apply Email riveroaksvet@yahoo.com. (1/19; ID#17580) VETERINARIAN WANTED – SANFORD, FL: Shelter Veterinarian $74,193.00 - $86,017.00 Annually in Sanford, FL. Performs skilled professional work supervising a specialized group of support staff who check and monitor animals received at the Animal Services Shelter. This is responsible veterinary medical work performing veterinarian services for the Shelter and in the field as necessary. Work involves a broad variety of clinical and laboratory activities, including surgery and public vaccine clinics. The employee in this class exercise medical judgment and skill in the independent performance of their duties for the care and treatment of animals within the shelter or during emergencies. Must have a current Doctoral degree of Veterinarian Medicine (DVM) or Veterinarian Medicine Doctors (VMD) degree from an accredited college or university and be licensed to practice in the State of Florida prior to starting work. All levels of experience will be considered. Must be inoculated against rabies prior to completion of probationary period. Interested candidate apply here: https://www.governmentjobs.com/ careers/seminolecountyfl/jobs/2231960/veterinarian?page=2&pagety pe=jobOpportunitiesJobs (1/19; ID#44978) VETERINARIAN WANTED - MIAMI, FL: Enjoy an ideal work-life balance in Miami, FL! Country Club Animal Hospital is one of the area’s most established private small animal veterinary practices with a 25-year exceptional reputation. Health services include preventive care, general medicine, routine surgeries, dental care, in-house laboratories, laser therapy, digital radiology, ultrasound, in-house pharmacy, and experienced support staff. Our 2-doctor team is seeking an experienced veterinarian (confident new grads considered) to join us as we expand and grow. Competitive schedule (three day weekends every other week), salary and bonus potential; medical, dental and vision insurance; 401K; generous CE allowance; professional liability coverage and more. Fluency in English required. Fluent or conversational Spanish is a plus. For consideration, please email your cover letter and resume to Nikole Augsten at ccah_nea@outlook.com. For additional information on the practice, visit www.ccahweb.com. (6/18 & 1/19; ID#609)

26 | FVMA ADVOCATE

VET TECHNICIANS & STAFF

VETERINARY TECHNICIAN WANTED – JACKSONVILLE, FL: First Coast No More Homeless Pets, a non-profit veterinary hospital, in Jacksonville, FL is seeking full-time veterinary technicians who provide compassionate care to patients and clients. We are a recognized leader in high quality, high volume spay/neuter programs, and low cost veterinary services which supports our mission to reduce shelter deaths and improve the lives of underprivileged pets. Personal Requirements: -Positive, professional team oriented attitude -Excellent client communication and telephone skills -Strong work ethic, with the ability to multitask in a fast paced environment -Calm demeanor, yet efficient during a medical crisis -Genuinely enjoys working with animals Job Duties: -Cares for patients by taking vital signs, collecting patient histories, obtaining lab samples, administering medications, performing treatment plans, diagnostics, and nursing care for patients -Restrains and handles animals, effectively and efficiently -Prep animals for surgery and monitor anesthesia -Assist the veterinarian as needed, update electronic files, and educate clients On the job training is offered so prior experience is not required, but is preferable. Join FCNMHP to work alongside a dedicated staff and to become part of a high performing team. To apply, contact Savanna Waters at swaters@fcnmhp.org or (904) 425-0005, Ext 1010 (1/19; ID#42597) TECHNICIAN WANTED – OSCEOLA, KISSIMMEE AND ORLANDO, FL LOCATIONS; THRIVE AFFORDABLE VET CARE: Helping animals is your passion; it's why you became a Technician. THRIVE is different. We focus on high quality, routine care at reasonable prices. Our unique model makes veterinary care easy and affordable for the responsible pet owner. THRIVE is hiring Veterinary Technicians who want to focus on their passion for helping animals!! Here are a few of the reasons you'll enjoy coming to work every day: * Our brand new facility - digital radiology, a full surgical suite, reference lab and digital records * Competitive pay * 4 day work week * Robust benefits package, including PTO, medical, dental and vision insurance. * A low drama environment Requirements: * Minimum of 2 years’ experience, CVT preferred * Good restraint skills * Comfortable with anesthetic monitoring * Solid blood draw, catheter placement, and injection abilities * Well organized * Strong work ethic * Good sense of humor * Saturday availability For more information or to submit your resume please email Pia DeAngelis at pdeangelis@thrivevet.com. (1/19; ID#44701) VETERINARY TECHNICIAN – WELLINGTON, FL: Highly paid Veterinary Technician. Applicants must have a strong work ethic, preserve a positive personality, capable of communicating effectively, be able to multitask efficiently, have the ability to work in harmony with a team, possess a well-rounded technical skillset and have a passion for delivering exceptional care to patients and clients. Must have at least 3 years’ experience as a Veterinary Technician, alternatively will consider CVT and DVM candidates for ECFVG certification. Endless professional opportunities. Become a part of the foundation of a progressive drama free working environment. www.anzervet.com Benefits: • Competitive salary • Aflac insurance • Paid time off for full-time employees • Continuing education allowance • Assist the veterinarian in exam rooms and use veterinary software for document medical notes • Perform venipuncture for phlebotomy and catheter placement • Obtain and process laboratory samples • Perform X rays • Perform anesthesia • Prep patients for and assist in surgery • Perform dental cleanings • Administer vaccines and medications (oral, topical, injectable) • Fill prescriptions and review directions with clients • Communicate with clients • Provide compassionate patient care NOTES: 2 openings. Additional Salary Information: PTO, Employee discounts, Flexible schedules, Continuing Education Send resume to anzervets@outlook.com and call to schedule interview 561-371-7065. (1/19; ID#5533)

PRACTICES FOR SALE OR LEASE

PRACTICE FOR SALE - CENTRAL WEST FLORIDA: Leasehold outpatient small animal clinic available immediately. Clinic in operation for 29 years, 22 years under current owner. An opportunity to start out with minimal financial outlay. Owner negotiable. For more information email redsox4life2004@hotmail.com. (1/19; ID #25975) PRACTICE FOR SALE - CENTRAL FLORIDA: Central Florida single doctor/owner clinic for sale, long-established now modernized, well

equipped, new second exam room and a/c in 2016, almost $600k gross last year, on pace in 2019 for 20 percent increase. Building/apartment/ land. Relaxed country living with easy access to Florida's greatest attractions, beaches. Info/inquiries: centralflavet@gmail.com (1/19; ID #5726)

EQUIPMENT FOR SALE

EQUIPMENT FOR SALE: We Have for Sale A Huge Package of Equipment. Perfect to Start A Clinic or Satellite Clinic. There Are Hundreds Of Items That Include: Digital X Ray; Chem; CBC; Stainless Cages; Glass/Stainless Steel Cabinets; Fine Microscopes; Heating Units; Surgical Tools; Stools; Therapeutic Ultrasound; Surgery Table; Anesthesia Machine(S); Pulse Oximeters; Endoscopes Rigid; Endoscopes Flexible; Prep Sink; Office Cabinets; Electrosurgical Unit; Oxygen Tanks; Exam Tables; Dental Portable Surgical Unit; Otoscopes; Iv Poles; WalkOn Scale; Ultrasound; Special Dog C-Muzzle And Cat Purr Muzzles; Surgical Lights; Even A Beautiful New Asclepius Or Caduceus For Your New Clinics Front. And Much More. For Sale For $65 Thousand. Very Firm. It Easily Appraises for Much More in Case You Want to Get A Bank Loan. I Was Thinking of Starting Another Clinic but I Don’t Have the Time Right Now. This Collection Will Knock Off Years of Searching and Thousands in Cost. Most of This Equipment Is the Highest Quality Human Medical Grade or Veterinary Grade That Will Last for Years. Stored in Tampa Bay and Will Not Sell in Pieces Only One Package for The Lucky and Wise Veterinarian Who Snatches Up This Steal of a Deal. Please Contact Me, Dr. Cogley 727-492-831. Also Come See Me at Booth #4 At FVMA Conference. (1/19; ID #1410) EQUIPMENT FOR SALE: We Have Some Ophthalmic Tools for Our Specialists and Other Doctors That Want to Branch Out. I Have the Zeiss Opmi Cs I Retroskop T* Star with S4 Stand and Assistant Scope. Beautiful Only $5500 Obo. This Scope Costs Nearly $65,000 When New and Gives A Superb View of The Eye. We Also Have Retinal Cameras. Call 727-492-1831 Dr. Cogley (1/19; ID #1410) EQUIPMENT FOR SALE: Mobile Anesthesia Machine New Never Used Ohmeda Model 885a Comes in Case and Opens Up or Can Keep It Out on Wheels Oxygen Monitor Provided. For Farm Calls or Back-Up Uses. Many Servo Iso Ethane Halothane Many Types of Gases Never Used

Mrs. $26000 Sell $900, Great for Farm Calls and Extra Machine. Call 727-492-1831 Dr. Cogley (1/19; ID #1410) EQUIPMENT FOR SALE: Pulse Oximeters: I Have 8 Available Hr./ Oxygen Oximeters with New Transducers for The Ear/Tongue: Bc1 3303 $275 Each; Used but In Full and Working Order, They Have Been Tested with New Batteries Included. See Us at The Fame Conference in May at Booth #4. (1/19; ID #1410) EQUIPMENT FOR SALE: We Also Have the Feline Purr Muzzle for Muzzling the Cat While You Take Blood. This Muzzle Is So Helpful as The Wrap Around the Cat’s Neck Relaxes the Cat into A Trace State Because Of Pressing on Acupuncture Points. So, Like the Kitten Being Held by The Mom on The Top of The Neck Most Cats Will Become Relaxed. It Is the Best Way to Protect Yourself and Still Be Able to Administer A Thorough Medical Exam for The Cat. Call 727-492-1831 Dr. Cogley. For more Information please visit www.drcogleyinnovations.com (1/19; ID #1410) EQUIPMENT FOR SALE: For Sale Our C-Muzzles Sets Of 9 Soon to Be 10 For Dogs. This Patented Muzzle Is Invented by Pinellas Doctor but Has Been Sold Through MWI Schein Jorgensen Labs and Patterson. No Longer Should We, As Vets Say, We Couldn’t Do an Oral Exam Due to The Presence of a Muzzle but Now Know We Can Do A Safe Examination Due to The Presence of a C-Muzzle. I Use Them Every Day in Practice and I Was the One That Invented it and Patented it. So, I Trust My Product. It Is Great for Administering Oral Meds and Bordetella With Safety. But for Florida Vets Will Sell for Substantial Discount— Call 727-492-1831 Dr. Cogley. For more Information please visit www.drcogleyinnovations.com (1/19; ID #1410) EQUIPMENT FOR SALE: We Are Selling Our New Patented Asclepius or as Some Call It Caduceus Signs $155. Very Well Made and Beautiful You Can Click the Link To eBay Below and See It. Call 727-492-1831 Dr. Cogley Https://Www.Ebay.Com/Itm/Asclepius-Caduceus-VeterinaryWall-Sign-Sculpture-QualityThickAluminum/143144135746?Hash=Ite m21540e2c42:G:Q~Gaaosww75cbpcr We Have Less Than 100 Available Now and Will Be Bringing Some to The FVMA Conference in Tampa. Come See Them in Person at Booth #4. It Has the Option for Security and To Keep the Advertisement Aspect Once A Camera Is Placed in The Eye- If You Wish. (1/19; ID #1410)

Best Friends Forever Pet Moving Solutions Worldwide • Nationwide airanimal.com

Photo credit: www.123rf.com/profile_sam74100

Florida Veterinary Medical Association 7207 Monetary Drive Orlando, FL 32809

PRSRT STD U.S. Postage PAID Orlando, FL Permit #793