Advocate Issue 2, 2017

F V M A ADVOCATE Published by The Florida Veterinary Medical Association

ISSUE 2 | 2017 | www.fvma.org

Congratulations

Class of 2019

2017 UF Veterinary Medicine White Coat Ceremony

INSTALLATION OF PRESIDENT ALEX STEVERSON & PRESIDENT-ELECT MARC PRESNELL ~ Page 4 FVMA 2017 AWARD HONOREES

~ Page 5

POSITION STATEMENT ON MEDICIAL MARIJUANA IN VETERINARY PRACTICE ~ Page 13

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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. Alex M. Steverson President Dr. Marc A. Presnell President-Elect Dr. Donald H. Morgan Treasurer Dr. Richard C. Sutliff Past President Mr. Philip J. Hinkle Executive Director

DISTRICT REPRESENTATIVES Dr. Scott Richardson District 1–Big Bend Dr. Julia Conway District 2–Northeast 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

Thank you for the opportunity to serve as the 90th president of the FVMA. It is a great honor. The people that have gone before have paved the way for the FVMA to continue to be a leader in veterinary medicine. Many other states look to us for ideas, and as an example of how organized veterinary medicine can be.

Our legislative advocacy program has made the FVMA the voice of veterinary medicine in our state. Along those lines, if you have a legislator or a local decision-maker as a client, let the FVMA office know. It is the relationships each of us have with our legislators and local lawmakers that allow us to have any influence at all. Generally speaking, veterinarians are hardworking, public serving deliverers of animal health care.

We want to be able to serve our patients, serve our communi‑ ties, and to enjoy our families. When asked to become active in various aspects of organized veterinary medicine, by and large the response is “I just don’t have time!” Unfortunately, if you don’t make time now, our profession as you know it will be gone and you will have plenty of time to ponder what happened.

Our profession is under attack by groups that want what you have and they are becoming more and more organized to accomplish their goals. Many groups want the same privileges you enjoy as a licensed veterinarian – without licensure. This affects everyone, whether you are an owner or an associate. So when asked to participate in activities of the FVMA, please say “What can I do to help?”!

The FVMA will continue to provide outstanding CE with the annual conference and the GulfAtlantic conference. We are also developing several regional conferences that will allow you to get quality CE for you and for your staff in your own area of the state. If you haven’t been to one of the FVMA continuing education conferences, you’re missing a real treat. There is something for everyone, from practice owner to manager to associate to technician. Last year we began emphasizing our outreach and servicing of the whole team including noncredentialed technicians, practice managers and assistants to go along with the support we have been providing our credentialed technicians. If you haven't taken advantage of this for your non-veterinary staff, now is the time to do so.

Thank you again for allowing me to serve. The FVMA will continue to focus on the needs and vision of its members. Don't hesitate to contact me with ideas or suggestions. My door is always open.

Respectfully,

Alex M. Steverson, 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 JAMES D. CARRIER, DVM Dr. James Dale “Doc C” Carrier of Lakeland, Fla., passed away Saturday, February 25, 2017, at the age of 72.

A long-standing member of the FVMA, Dr. Carrier was retired at the time of his passing. He operated Care Animal Clinic in Lakeland, and also held memberships in the AVMA and Ridge Veterinary Medical Association.

He was born in El Dorado, Kans., to parents who served in the Air Force, and grew up travelling the world with them. He was graduated from the University of Missouri, School of Veterinary Medicine in 1968 and himself served two years in the Air Force at Charleston, SC. He established Care Animal Clinic in 1974 and practiced veterinary medicine in Lakeland for 40 years.

Doc C really loved his profession and after retirement, worked

part time as a veterinarian.

He is survived by his loving family including his wife of 48 years, Connie; children, Heather Carrier of Virginia and Christo‑ pher Carrier, DVM, of Lakeland; father James E. Carrier; and brothers, Dr. Gary and Bill Carrier.

EMERSON BESCH, PhD Honorary FVMA Member Passes Dr. Emerson Louis Besch, PhD, though not a DVM, was an honorary member of the FVMA. Our records show he was hon‑ ored by the FVMA in 1981 as Citizen of the Year. No doubt, the fact that Dr. Besch played a great role in the establishment and early life of the UF College of Veterinary Medicine, accounted for his special relationship with the Association.

Dr. Besch passed away on November 16, 2016, and is survived by his four children: Karen J. Cejka of Lakeville, Minn.; Kevin D. Besch of Gainesville, Fla.; Kathleen (Jack) Winningham of Orlando, Fla.; and Kristine (David) Porter of San Antonio, Texas; six grandchildren, and five great-grandchildren. He was 88 years old.

He was the UF CVM’s founding associate dean for academic affairs and a professor emeritus in the department of physi‑ ological sciences. He served as a professor of physiology and mechanical engineering at UF from 1974-1993. His tenure as

founding associate dean for aca‑ demic affairs lasted from 19741980, after which he worked as executive associate dean from 1981-1988. Dr. Besch served as acting head of the department of physiological sciences from 1974-76 and was acting dean of the college from 1980-81, fol‑ lowing founding Dean Charles Cornelius’ retirement. Dr. Besch also served as acting associate dean for research and graduate studies in 1987.

He earned his Ph.D. in animal physiology from the University of California, Davis, saw service in the US Navy and US Navy Reserves from which he retired as a Captain, and also worked on projects for the US Air Force and NASA.

In This Issue 4 | New FVMA President and President-Elect 5 | FVMA 2017 Award Honorees 9 | 88th FVMA Annual Conference Highlights 13 | Medical Marijuana in Veterinary Practice 14 | FVMA Mentoring Program 15 | Dr. James Wellehan - FVMA Clinical Investigator Awardee

16 | The 5th Annual TGAVC Save the Date 20 | Veterinary Feed Directive (VFD) 23 | Screwworm Eradication Efforts Succeed 24 | HCCE 26 | Practice Pulse 29 | Classified Advertisements

NEW FVMA PRESIDENT AND PRESIDENT-ELECT DR. ALEX M. “STEVE” STEVERSON FVMA PRESIDENT 2017-2018 Alex M. “Steve” Steverson, DVM, was installed as presi‑ dent of the FVMA for the year 2017-2018, on April 7, 2017.

The installation ceremony was held in conjunction with the FVMA’s 88th Annual Conference in Tampa, Florida.

He succeeds Richard Sutliff, DVM, who now serves on the executive board as immediate past president.

Dr. Steverson was first elected to the FVMA Executive Board as District 1 Representative, encompassing Bay, Calhoun, Franklyn, Gadsden, Gulf, Homes, Jackson, Jefferson, Leon, Liberty, Madison, Taylor, Wakulla and Washington counties in 2000, when he served for six years. He was elected district representative again in 2013, and subsequently elected president-elect, in 2016.

He graduated from Auburn University in 1987 and did an internship at Central Animal Hospital in St. Petersburg, Fla., and practiced veterinary medicine at several different clinics before purchasing Bradfordville Animal Hospital in Tallahassee in 1991, which he continues to operate.

DR. MARC A. PRESNELL FVMA PRESIDENT-ELECT 2017-2018 Marc A. Presnell, DVM, was elected to serve as the Association’s president-elect for 2017-2018 earlier this year and was installed in Tampa, Fla. in April, along with FVMA President, Steve Steverson, DVM, and other recently elected representatives to the board.

Before assuming the office of president-elect, Dr. Presnell served five years as District 3 Representative on the FVMA Executive Board. District 3 Central, covers Lake, Seminole, Orange, Osceola and Polk counties, and three local VMAs: the Central Florida

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He joined the FVMA in 1988, the year after graduation, and is also a member of the AVMA, American Animal Hospital Association and Veterinary Orthopedic Society. He has served as president of his local VMA, Big Bend Veterinary Medical Association, which he has been a member of since 1989.

Besides general veterinary medicine, Dr. Steverson is interested in orthopedic surgery and ophthalmology. In his down time, he enjoys fly-fishing, hunting, skiing and camping.

Past President Dr. Richard Carpenter, master of ceremonies swearing in President Dr. Alex Steverson VMA, Ridge Veterinary Medical Society, and Lake County VMA. H i s pr a c t ic e , S a nt a Fe Anima l Hospita l in Lakeland, has served clients in Lakeland, Winter Haven and Auburndale over the past twenty years, and was recent ly na med “Sma l l Business of the Month.”

Dr. Presnell balances the demands of a busy practice with a service-driven lifestyle. Along with his service to the FVMA and its members, he is an elder in his church and conducts weekly classes, works in educational programs with needy students, is involved with the Veterinary Academy at George Jenkins High School in Lakeland, and has served two terms as president of Ridge Veterinary Medical Society in Polk County.

He graduated from the University of Florida College of Veterinary Medicine in 1986, and served on the FVMA Budget and Finance Committee for eight years. He was awarded the 2017 Veterinarian of the Year, and the Gold Star Award in 2009.

FVMA 2017 AWARD HONOREES DISTINGUISHED SERVICE TO VETERINARY MEDICINE DR. RICHARD B. WILLIAMS

– PRESIDENT'S AWARD & CHAMPION OF VETERINARY MEDICINE Dr. Williams is the Alternate Delegate to the AVMA on the FVMA Executive Board. Previously, he served on the board as District 2 Northeast Representative and FVMA Treasurer.

Dr. Richard Sutliff He served with commitment and distinction for two terms as presents Dr. Williams treasurer before being elected alternate delegate in 2016. He has the President's Award also served in various FVMA committees and task forces, and presently co-chairs the FVMA Legislative Committee.

The FVMA has honored Dr. Richard B. Williams to recognize Dr. Williams became active in organized veterinary medicine him for dedicated, exemplary service and his many achievements right after graduating with honors from the University of Florida on behalf of the members of the Association and the profession of in 1981. He joined the Jacksonville Veterinary Medical Society veterinary medicine in the State of Florida.

(JVMS) as well as FVMA, and went on to serve as JVMS treasurer, Dr. Williams was presented the President’s Award during the continuing education chairman, and ultimately President, in 1986.

Annual Awards Ceremony held in Tampa, Fla. on April 7, and two He has operated Hidden Hills Animal Hospital in Jacksonville days later, the FVMA Foundation Executive Board voted to name providing high-quality medical and surgical care to patients in that Dr. Williams the 2017 Champion of Veterinary Medicine. city, and was named Jacksonville Veterinarian of the Year in 1991.

He was selected by the FVMA to receive the Gold Star Award in 2003 and 2006, and FVMA Veterinarian of the Year Award in 2010.

DISTINGUISHED SERVICE

Dr. Robert Hase, who presently serves as vice-chair of the Florida Board of Veterinary Medicine, is the 2017 recipient of the FVMA’s Distinguished Service Award. He is the medical director of Bayonet Point Animal Clinic in New Port Richey, Fla., his companion animal medical practice since 1972.

A member of the FVMA for 44 years, Dr. Hase served on the FVMA Legislative Committee and the College Advisory Committee. The FVMA honored Dr. Hase in 1998 as Veterinarian of the Year. He received the Gold Star Award in 2009.

Dr. Hase was one of a group of veterinarians, who worked for the establishment of the College of Veterinary Medicine at the University of Florida which was inaugurated in 1976.

His service also included providing expert testimony in court as an authority on animal abuse cases, and serving on the Pasco County Animal Control Advisory Board for 30 years.

Dr. Hase is a 1970 graduate of Texas A&M University College of Veterinary Medicine.

VETERINARIAN OF THE YEAR Dr. Marc Presnell was presented with the 2017 Veterinarian of the Year Award at the FVMA Annual Award Ceremony. This award recognizes a member of the FVMA for distinguished and unselfish, dedicated service to the Association for the advancement of veterinary medicine and the profession.

Three colleagues endorsed his nomination by Past President Dr. Jerry Rayburn, who praised Dr. Presnell’s accomplishments as a full time veterinarian in the Lakeland community, and for his service WWW.FVMA.ORG |

THE FVMA |

on the FVMA Executive Board, as well as his service as a church volunteer in developing countries around the world.

Dr. Presnell served as District 3 Central Representative on the executive board of the FVMA for two terms, leading up to being sworn in as president-elect, later in the evening. He owns Santa Fe Animal Hospital in Lakeland.

Dr. Presnell balances a busy practice with his service to the FVMA and the veterinary medical profession, his church in which he is an elder and conducts weekly classes, providing educational programs for needy students, his involvement with the Veterinary Academy at George Jenkins High School in Lakeland, and serving as an officer in his local VMA, Ridge Veterinary Medical Society in Polk County.

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FVMA 2017 AWARD HONOREES ...CONTINUED HILLSBOROUGH HOSPITAL MANAGER RUSS SWISHER IS 2017 FVMA CITIZEN OF THE YEAR Russell Swisher is a good friend of the veterinary profession who has made an outstanding contribution to the advancement of veterinary medicine. In recognition of his valuable service, the FVMA recognized him as the 2017 Citizen of the Year at its award ceremony on April 7.

Known as Russ to friends and colleagues, he runs the charitable hospital Vets 4 Pets which is a Hillsborough Animal Health Foundation (HAHF) initiative founded in 2015. The HAHF is the non-profit arm of the Hillsborough County Veterinary Medical Society and through programs such as this, the society is increasing its outreach to underserved members of the community.

The hospital provides care to the indigent population and animal rescue groups in Hillsborough. Vets 4 Pets is providing low cost or no cost care to the truly needy in the community, including surgeries.

During a year as practice manager, Russ Swisher has increased the number of days the hospital is open, increased the number of rescue groups utilizing services of the hospital, and increased revenue. He has also been instrumental in creating a local “buzz” about the hospital, building the volunteer base, as well as building fundraising opportunities.

Russel Swisher is a veteran of over 20 years in the veterinary profession.

He worked before as a technician, and he has been an outspoken advocate for public health as well as the welfare of animals.

THER APY LLAMA INDUCTED INTO FVMA PET HALL OF FAME His name is Oak Rest’s Paintball Pete, he’s a therapy llama and the FVMA’s 2017 Pet Hero. Paintball Pete was inducted into the Association’s Pet Hall of Fame on Friday, April 7, at the gala award ceremony held in Tampa, Fla. during the FVMA’s 88th Annual Conference.

Paintball Pete was a welcome guest at the Tampa Convention Center, creating quite a stir and excitement among conference attendees who interacted with him, took pictures, and enjoyed the company of the gentle large animal. Llamas are South American camelids that have been domesticated among Andean cultures since the Pre-Columbian era. This year’s Pet Hero was very comfortable among his many admirers in Tampa during the ceremony and during his walk-about at the convention center.

Debbie Morrill of Adult Day Services in Sarasota, Fla. wrote the FVMA Awards Committee to endorse the nomination of the gentle giant for his prestigious award saying, “We have enjoyed Llama Therapy for over 5 Dr. Carpenter presents the Pet Hero Award to years and have witnessed the miracle connections of these gentle animals Kathy Wilbanks and Oak Rest's Paintball Pete with our cognitively impaired participants. Few words are said (or the same words are repeated) however communication and understanding exists between the animal & human.”

Paintball Pete and partner Serendipity, who is also a therapy llama, visit nursing homes, Alzheimer’s units, and mental health communities under the expert and loving guidance of Kathryn Wilbanks of Sarasota. They also take part in Easter Seals and Community Haven in Sarasota.

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GOLD STAR

Award RECIPIENTS

The FVMA awards the Gold Star to member veterinarians who go above and beyond the call of duty to care for patients, and who exemplify dedication and compassion in their veterinary practice.

Gold Star recipients Drs. Brooke Certa, Kevin Drygas, Natalie Hashey and Rebecca Williams BROOKE A. CERTA, DVM Dr. Brooke Certa is the North Florida Area Medical Director at Banfield Pet Hospital. She’s also an adjunct instructor in the St. Petersburg College Veterinary Technology Program.

Dr. Certa graduated from the University of Florida College of Veterinary Medicine, and she presently is an active member of the DR. BROOKE A. CERTA Pinellas County Veterinary Medical Association which she served as president in 2016. She also is a member of the board of directors of the Pinellas Animal Foundation.

A young and vibrant FVMA member, Dr. Certa is active in her Association, recently traveling as a member of the FVMA delegation to Legislative Action Days in Tallahassee, and volunteering to be a part of Closing the Gap Roundtable which formed part of the Student Day Program at the 88th FVMA Annual Conference in April.

KEVIN A. DRYGAS, DVM, DACVS Dr. Kevin Drygas is an organizer and speaker for the Jacksonville Veterinary Medical Society’s (JVMS) continuing education programs.

Dr. Drygas also volunteers for vaccine clinics for the homeless in his community, along with other members of the JVMS. He is an accomplished board certified veterinary surgeon, and DR. KEVIN A. DRYGAS the author of multiple refereed publications and published abstracts. His is co-owner of Capital Veterinary Specialists, which serves clients in Tallahassee, and he partners with local family veterinarians to provide advanced medical and surgical services to manage challenging cases.

Dr. Dryas graduated from the University of Florida College of Veterinary Medicine in 2006, was board certified in 2011, and was honored in 2012, as the University of Florida Outstanding Young Alumni.

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Heartiest Congratulations!

NATALIE D. HASHEY, DVM Dr. Natalie Hashey is a relief small animal exotics veterinarian in Jacksonville, and is an active member of the Jacksonville Veterinary Medical Society (JVMS). She served a term as secretary of JVMS. Dr. Hashey is a busy mom of four and shares her time between being a mother and a veterinarian at Scott Mill Animal Hospital in Jacksonville. She has served as PTA president, is a member of her DR. NATALIE D. HASHLEY church parish council and has chaired the free vaccine program which she coordinates with the Salvation Army.

Dr. Hashey graduated from the University of Florida College of Veterinary Medicine in 1999, and is a repeat recipient of the Gold Star Award. She was first awarded by the FVMA in 2013.

REBECCA WILLIAMS, DVM Dr. Rebecca Williams is past president of the JVMS and currently serves on the Society's social committee and community outreach committee.

Dr. Williams is a member of the executive board of the Child Cancer Fund of Jacksonville.

Soon after graduating from Auburn University, she joined the Mobile Alabama Veterinary DR. REBECCA WILLIAMS Medical Society where she was president. Since returning to Florida in 2002, she has continued to serve the veterinary profession.

She has volunteered for service on the FVMA Finance Committee.

Dr. Williams was also a previous FVMA award recipient in 2009, when she received the Gold Star.

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Make every dog a GARD dog.

®HEARTGARD, NexGard, and the Dog & Hand logo are registered trademarks, and ™FRONTLINE VET LABS is a trademark, of Merial. ©2015 Merial, Inc., Duluth, GA. All rights reserved. MER15NAVCSIGNAGE (1/16).

88

THE

TH

FVMA ANNUAL CONFERENCE APRIL 6-9, 2017

HIGHLIGHTS

It all came together perfectly in Tampa, from April 6-9, 2017, for a phenomenally successful 88th FVMA Annual Conference.

The beauty and functionality of the conference location, our exceptional host hotel, and, the brilliant and invigorating air of the City of Tampa in the late spring were just the perfect backdrop for the meeting, which offered a diverse program to fit the continuing education needs of members of the entire small animal veterinary care team.

Attendees from 37 states, Canada and the Caribbean came to Tampa.

“

“ "

This is a great venue.

I love the outdoor spaces.

Beautiful location on the water!

Most of the time I leave wishing the content had been more in depth or taught at a higher level but I was very happy with the content and level of information in the lectures I attended. The venue was very nice and well maintained; it also came with the most wonderful view….

"

THE 89TH FVMA CONFERENCE IS SCHEDULED TO RETURN TO TAMPA IN 2018, FROM APRIL 5-8.

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Cutting-edge CE

provided 305 credit hours for veterinarians; and 149 hours for members of the veterinary care team, reflecting the conference’s theme, Building the Dynamic Veterinary Team.

The program featured 17 exciting wet labs and 3 workshops, and lectures on clinical and scientific topics in veterinary medicine, as well as business.

Students and young people preparing for a career in veterinary medicine were a great presence in 2017.

For UF College of Veterinary Medicine Student’s Day,

more than 60 veterinary students arrived by bus, on Saturday, April 8, courtesy of the FVMA, to attend a full day of lectures, networking events, and the Closing the Gap Roundtable.

The students engaged in a two-hour exchange with practicing veterinarians who shared their experiences and information with them. This unique meeting of students and practitioners is offered by the FVMA to help bridge the gap between students and professionals, as well as to share useful information to help prepare them for their own careers as veterinarians.

Thank You

Veterinary technology students of

Hillsborough Community College (HCC) volunteered to assist the conference wet labs,

demonstrating a love and commitment to the pursuit of excellence in their future profession. FVMA thanks the students of the HCC Veterinary Technology Program who participated!

The Tampa Convention Center was an excellent staging ground for the conference which hosted more than 1,200 attendees, comprising veterinarians, practice managers, veterinary technicians and assistants, administrative staff, and veterinary and technician students.

Kevin Drygas, DVM, DACVS, of Captial Veterinary Specialists, Tallahassee, FL R FO

NOMINA T

CAL L

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FVMA Awards Ceremony and Officer Installation

was an evening of recognition and tribute.

The Exhibit Hall was

vibrant and exciting. 120 industry booths added color and excitement, and their representatives informed attendees about their latest services and the advanced products available in the sector today.

“PASSPORT TO INDUSTRY”

RAFFLE DRAWING

is the new interactive program introduced in the exhibit hall this year. Exhibitors gave attendees multiple chances to win valuable prizes on Friday and Saturday.

PR

O GR A M

PASSPORT

FL

E

R AF

~Festival on the Bay ~ FVMA Charitable Gala Reverse Raffle, DINNER and DANCE

was great fun; a special event on Saturday night, to benefit the work of the FVMA Foundation.

FVMA ADOPTS POSITION STATEMENT ON MEDICIAL MARIJUANA IN VETERINARY PRACTICE

Shortly after the November 7 general election when medi‑ cal marijuana was voted for in Florida, members began seeking guidance from the FVMA on its application in veterinary medicine. Clients were asking their veterinar‑ ians about medical marijua‑ na as a treatment option for their pets.

The FVMA placed the is‑ sue with the FVMA Ani‑ mal Welfare Committee for their consideration and rec‑ comendation. The commit‑ tee presented its Proposed FVMA Position Statement -Medical Marijuana to the executive board at its meet‑ ing held on March 15, 2017 in Tallahasee.

The board adopted the com‑ mittee’s proposed position statement, which we pub‑ lish for the guidance of our members.

Association Florida Veterinary Medical32809-5 738 7207 Monetary Drive, Orlando, Florida 2 (407) 851-3862  Fax (407) 240-3710  Toll Free (800) 992-386

FVMA Position Statement - Medical Marijuana ut a class 1 DEA license 1. It is not legal for a Florida veterinarian witho ssion of any marijuana posse have or to perform research, prescribe or marijuana based products. ting medical benefits of 2. There is not enough research currently indica s in pets. Current effect side se marijuana administration or adver ng to investigate ongoi is rch information is purely anecdotal. Resea ingredients. active the and many properties of medical marijuana narian is veteri a until Until such benefits can be established and ribe Class 1 presc or ister appropriately licensed by the DEA to admin of use the substances, veterinarians should not recommend

marijuana in pets. no THC. At this time, 3. Products derived from hemp contain little or human or animal laws fail to address use of hemp products in either value of hemp-derived species. Because research on the therapeutic n from recommending products is lacking, veterinarians should refrai recommendations to their use in pets until such time as established clinical indications are include dose, duration, pharmacokinetics, and established. tion may have additional 4. Many of the products made for human inges cause harm to pets ingredients in them such as xylitol which can clients aware of the their make to need and therefore veterinarians ients. ingred concern with these additional

Adopted by the FVMA Executive Board March 15, 2017

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Coating Ceremony UF CVM PROFESSIONAL

FVMA Scholarships Awarded to Rose Worobec and Sharon Swift The FVMA presented two FVMA Foundation scholarships to veterinary scholars, Rose Worobec and Sharon Swift, on May 12, 2017, during the University of Florida College of Veterinary Medicine’s Professional Coating Ceremony. Each student received a $1,500 check, along with a commemorating plaque, which were presented by the 2017 FVMA Champion of Veterinary Medicine, Richard B. Williams, DVM. Dr. Williams is also the AVMA Alternate Delegate on the FVMA Executive Board.

The FVMA Foundation has awarded medical scholarships annually to outstanding students at UF CVM, for the past 17 years. The FVMA Foundation Scholarship Fund was established in 2000.

The Class of 2019 Professional Coating Ceremony marked the end of sophomore year and the next phase of training for veterinary students due to graduate as DVMs in 2019, as they begin their clinical training.

Dr. Williams addressed the Class of 2019 on “Professionalism,” saying it is how you respond to mistakes and those of others that will define you as a professional. “Will you lie to your client, cover it up, blame someone else or will you be honest and attempt in every way possible to make amends and rectify the situation?” he asked. “How you respond in these situations,” said Dr. Williams, “will be one of the biggest testaments to your character as a professional.” Dr. Williams told the class that as veterinarians they will be held to a higher standard than most others in their local communities, encouraging them to be proud of their profession and be mindful to be as professional in their workplace as well as away from it.

Champion of Veterinary Medicine Dr. Richard B. Williams addressing the Class of 2019

14 | FVMA ADVOCATE

This year, 111 sophomores were coated during the ceremony, each presented with professional white clinic lab coats at the Phillips Center on the UF CVM campus. The students were joined by family members and friends, distinguished guests, faculty, staff and other students of the college as well as representatives of the FVMA. The FVMA also gifted each student with FVMA-branded scrubs, with the Association’s congratulations, for having successfully completed their pre-clinical training.

Sharon Swift receives her award from Dr. Williams

Dr. Williams presenting to Rose Worobec

FVMA Clinical Investigator Award goes to Dr. James Wellehan James F. X. Wellehan Jr., DVM, MS, PhD, is the 2017 recipient of the FVMA’s Clinical Investigator Award.

FVMA recognized Dr. Wellehan as an outstanding investigator for his expertise in wildlife and zoonotic medicine.

He was presented with an award plaque and a check for $500 at an awards ceremony during UF CVM’s annual Research and Phi Zeta Celebration which was held on April 13 & 14, 2017.

Dr. Wellehan is an assistant professor in the department of small animal clinical sciences that specializes in virology and zoological medicine. He is board certified in zoological medicine and veterinary microbiology. His research interests revolve around comparative infectious disease diagnostics, novel pathogen identification, and host/pathogen evolution and ecology.

Dr. Wellehan has earned graduate faculty status at the University of Florida and is mentoring PhD students.

Dr. James F. X. Wellehan (center) with UF CVM's Dr. Ammon Pech (left) and FVMA Past President Richard Carpenter, DVM (right)

FVMA MENTOR PANEL SHARES WITH UF CVM STUDENTS ON

Stress, Debt & LIFE AS

A VETERINARIAN

Veterinary students were counseled on the topic, Stress, Debt and Life as a Veterinarian, by three outstanding FVMA member veterinarians at the Following Footsteps University of Florida College of Veterinary Medicine - FVMA Mentor Panel held on May 8th, 2017 at the college.

Dr. Robert Encinosa, who spearheaded the event on the FVMA’s behalf with assistance from FVMA Class of 2018 Student Representative, Heather Morrissey, was one of the event mentors, along with Dr. Teresa Nenezian, and Dr. Corey Miller.

Dr. Encinosa is a small animal veterinarian, and operates Boyette Animal Hospital in Riverview, Hillsborough County, Florida. He graduated from the UF College of Veterinary Medicine in 1987.

Dr. Terri Nenezian (formerly Parrott) is a zoo/wildlife veterinarian from Davenport, a 1983 UF graduate, and the owner of St. Charles Veterinary Hospital. Dr. Miller is an equine practitioner, is the co-owner of Equine Medical Center of Ocala, and is a 1994 graduate of the University of Tennessee.

Dr. Miller told the FVMA the panelists shared their life-learned experiences with the students on the three different aspects of WWW.FVMA.ORG |

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Bob Encinosa DVM Small Animal

Teresa Nenezian DVM Zoo/Wildlife

Corey D. Miller DVM, MS, DACT Equine

the topic. “Students heard stress is a normal part of life, including the veterinary profession.” he said. “Panelists advised students to find coping mechanisms that work for themselves, as everyone is different; and told them to make time for these activities on a regular basis. Not to get overwhelmed by debt as repayment is achievable, but also to be mindful that the money will have to be repaid at some point; and not to borrow to support an extravagant lifestyle.”

Student mentoring panels are held regularly by the FVMA in conjunction with the College of Veterinary Medicine to bring students and practitioners together for open and informative dialogue about issues of interest and concern to students as they prepare for their careers as veterinarians.

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2017

TGAVC

I

SAVE THE DATE | NOVEMBE

• WORLD-CLASS CONTINUING EDUCATION

BY DISTINGUISHED INSTRUCTORS AND LECTURERS • FIRST-CLASS ACCOMMODATIONS COUCHED IN ENCHANTING HOLIDAY DECOR • AN EVENT THAT EMBRACES THE ENTIRE VETERINARY CARE TEAMS

REGISTRATION OPENING SOON!!

LECTURE TOPICS • BEHAVIOR • CARDIOLOGY • CLINICAL PATHOLOGY • COMPASSION FATIGUE • CRITICAL CARE • CYTOLOGY

• • • • • • • •

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WELL-TRAINED. DEPENDABLE. GRATEFUL. THAT MAKES TWO OF US.

Nothing makes us happier than knowing you trust us. We value that relationship, which helps drive our efforts to better serve not just animals across the state, but also the people and families who own them.

After all, we know how important they are to you and to your practice.

For more than 40 years, we’ve been making a difference in the health of animals, humans and the environment.

To get the full story, visit vetmed.ufl.edu and watch our Challenge Accepted video.

vetmed.ufl.edu

VFD VETERINARY FEED

DIRECTIVE

REQUIREMENTS FOR VETERINARIANS VFD Drug and Combination VFD Drug What is a “VFD drug”?

A “VFD drug” is a drug intended for use in or on animal feed, which is limited to use under the professional supervision of a licensed veterinarian.

What is a “combination VFD drug”?

A "combination VFD drug" is an approved combination of new animal drugs intended for use in or on animal feed under the professional supervision of a licensed veterinarian, and at least one of the new animal drugs in the combination is a VFD drug.

What is a VFD? A VFD is a written (nonverbal) statement issued by a licensed veterinarian in the course of the veterinarian’s profes‑ sional practice that authorizes the use of a VFD drug or com‑ bination VFD drug in or on an animal feed. This written state‑ ment authorizes the client (the owner of the animal or animals or other caretaker) to obtain and use animal feed bearing or containing a VFD drug or combination VFD drug to treat the client’s animals only in accordance with the conditions for use approved, conditionally approved, or indexed by the FDA. A VFD is also referred to as a VFD order.

VFD Drugs and Prescription Drugs What is the difference between a VFD drug and a prescription (Rx) drug?

FDA approves drugs in these two separate regulatory cat‑ egories for drugs that require veterinary supervision and over‑ sight for their use. When the drug being approved is for use in or on animal feed (a medicated feed), FDA approves these drugs as a VFD drug. When the drug being approved is not for use in or on animal feed, the drug is approved as a prescription drug.

Why VFD instead of prescription?

When the VFD drug category was created, the Federal Food, Drug and Cosmetic Act (the Act) made it clear that VFD drugs are not prescription drugs. This category was created to provide veterinary supervision without invoking state pharmacy laws 20 | FVMA ADVOCATE

for prescription drugs that were unworkable for the distribution of medicated feed.

I don’t plan practice food animal medicine, why should I learn about VFD? The law allows any licensed veterinarian to issue a VFD in the course of his or her practice and you may find yourself in a situation that requires one. For example, your pet owner client could ask you to issue a VFD for the flock of his/her backyard chickens.

What is really important for me to know about medicated feeds in addition to VFD? • FDA regulates medicated feeds; • Every use of a drug in feed has to be approved; • There are three types of products in relation to medicated feed use: o Type A medicated article, o Type B medicated feed, and o Type C medicated feed; • Type A medicated article and Type B medicated feed can be used only for further manufacture of other products.

Only Type C medicated feed can be fed to animals; • Medicated feeds are approved only as over-the-counter or VFD; they cannot be used under prescription; • All drugs approved for use in feed are placed in two drug categories on the basis of their potential to create unsafe drug residues. Category I drugs have lower potential for unsafe drug residues than Category II drugs; and • Finally, extra-label use of medicated feeds is prohibited by law.

How are VFD (blank) orders obtained?

VFD drug sponsors may make the VFD order for their drugs available, or, as a veterinarian, you will be able to create your own VFD. How do I send a VFD to the feed distributor?

You must send a copy of the VFD to the

www.fda.gov/ForConsumers/ConsumerUpdates/ucm378100.htm

distributor via hardcopy, facsimile (fax), or other electronic means. If in hardcopy, you are required to send the copy of the VFD to the distributor either directly or through the client. You must keep the original VFD in its original form (electronic or hard copy) and must send a copy to the distributor and client.

Veterinarians’ Responsibilities • must be licensed to practice veterinary medicine; • must be operating in the course of the veterinarian’s professional practice and in compliance with all applicable veterinary licensing and practice requirements; • must write VFD orders in the context of a valid client-patient relationship (VCPR); • must issue a VFD that is in compliance with the conditions for use approved, conditionally approved, or indexed for the VFD drug or combination VFD drug; must • prepare and sign a written VFD providing all required information; • may enter additional discretionary information to more specifically identify the animals to be treated/fed the VFD feed; • must include required information when a VFD drug is authorized for use in a drug combination that includes more than one VFD drug;

A considerable amount of useful information on VFD may be found on the FDA website: www.fda.gov/safefeed

• must restrict or allow the use of the VFD drug in combination with one or more OTC drug(s); • must provide the feed distributor with a copy of the VFD;

What is required for veterinarian supervision?

• must provide the client with a copy of the VFD order; • must retain the original VFD for 2 years, and

The veterinarian-client-patient relationship (VCPR) is the basis of professional supervision. A VFD must be issued by a licensed veterinarian operating in the course of his/her profes‑ sional practice and in compliance with all applicable veterinary licensing and practice requirements, including issuing the VFD in the context of a veterinarian-client-patient relationship (VCPR).

• must provide VFD orders for inspection and copying by FDA upon request.

Major and Minor Animal Species What are “major and minor animal species”?

What VCPR standard applies?

FDA regulations define cattle, horses, swine, chickens, turkeys, dogs, and cats, as major species. All animal species, other than humans, that are not major species are minor species.

When is a VFD needed for a minor species?

THE FVMA |

Florida VCPR standard applies, as referenced at Chapter 474.202 (12); 474.214 (y); Chapter 465.003 (8) & (14); 61G1830.001 (y).

Who is the “client” on the VFD?

The VFD requirements apply to all VFD drugs for use in major or minor species. One VFD drug is already approved for use in minor species (e.g., florfenicol in aquaculture). Other medicated feed drugs for minor species are expected to convert from their present over-the-counter (OTC) status to VFD (e.g., oxytetracycline in honey bees) and at that time a VFD will be required for their use.

WWW.FVMA.ORG |

VFD and VCPR, Client

“Client” is typically the client in the VCPR; the person responsible for the care and feeding of the animals receiving the VFD feed.

What is an “extralabel use” of a VFD drug and is it allowed?

“Extralabel use” (ELU) is defined in FDA’s regulations as actual or intended use of a drug in an animal in a manner that is not in accordance with the approved labeling. For example, feeding the animals a VFD for a duration of time that is different from the

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FLORIDA-VETERINARY-MEDICAL-ASSOCIATION | 21

duration specified on the label, feeding a VFD formulated with a drug level that is different from what is specified on the label, or feeding a VFD to an animal species different than what is speci‑ fied on the label would all be considered extralabel uses. Extra‑ label use of medicated feed, including medicated feed contain‑ ing a VFD drug or a combination VFD drug, is not permitted.

Reorders (Refills)

When can I authorize a reorder (refill)?

If the drug approval, conditional approval, or index list‑ ing expressly allows a reorder (refill) you can authorize up to the permitted number of reorders. If a drug is silent on reor‑ ders (refills), then you may not authorize a reorder (refill).

Use of medicated feed is authorized by a VFD not Rx. A Lawful VFD Has to Be Complete What do I have to include in a VFD?

You must include the following information on the VFD for it to be lawful: • veterinarian’s name, address, and telephone number; • client’s name, business or home address, and telephone number; • premises at which the animals specified in the VFD are located; • date of VFD issuance; • expiration date of the VFD;

• name of the VFD drug(s); • species and production class of animals to be fed the VFD feed; • approximate number of animals to be fed the VFD feed by the expiration date of the VFD; • indication for which the VFD is issued; • level of VFD drug in the feed and duration of use; • withdrawal time, special instructions, and cautionary state‑ ments necessary for use of the drug in conformance with the approval; • number of reorders (refills) authorized, if permitted by the drug approval, conditional approval, or index listing; • statement: “Use of feed containing this veterinary feed directive (VFD) drug in a manner other than as directed on the labeling (extralabel use), is not permitted”; • an affirmation of intent for combination VFD drugs as described in 21 CFR 558.6(b)(6); and • veterinarian’s electronic or written signature.

• You may also include the following optional information on the VFD: • a more specific description of the location of the animals (for example, by site, pen, barn, stall, tank, or other descrip‑ tor the veterinarian deems appropriate); • the approximate age range of the animals; • the approximate weight range of the animals; and • any other information the veterinarian deems appropriate to identify the animals at issue.

Source: FDA

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Screwworm

ERADICATION EFFORTS SUCCEED The Florida Department of Agriculture and Consumer Services announced in March that it was winding down its response to the New World screwworm infestation in Monroe County. The announcement came after more than five months of aggressive response efforts and no new screwworm infestations found in the county located on the southern tip of Florida since January 10.

The animal quarantine for Monroe County was lifted and the Animal Health Check Point in Key Largo was closed effective Sat‑ urday, March 18, bringing an intense period of activity to contain the infestation and allay the great concern of many in Florida and elsewhere.

The United States Department of Agriculture's Animal and Plant Health Inspection Service first confirmed the presence of New World screwworm in Key deer from a wildlife refuge in Big Pine Key, Fla., in late September 2016. Florida, nor the United States, had had a screwworm infestation in more than 30 years.

Florida Commissioner of Agriculture Adam H. Putnam declared an agricultural state of emergency and in addition, his department established an Animal Health Check Zone from mile marker 91 south. Tens of thousands of animals were checked over the months of quarantine.

The last reported positive sample of screwworm infestation came from a deer on Munson Island. Only one case was con‑ firmed off the Keys and that was in a dog from Homestead, Fla., which was confirmed on January 5th.

A screwworm infestation is a potentially devastating occur‑ rence due to its grave threat to wildlife, livestock and domestic animals. Screwworm can also infect humans although it is a rare occurrence.

The Florida infestation which lasted 7 months affected many Key deer, a protected animal in the Keys which is a sub-specie of the white-tailed deer. Screwworm was also confirmed in a few cats, dogs, a pig and a raccoon.

The infestation killed an estimated 135 Key deer, which num‑ bered under a thousand in the reserve.

Animal health and wildlife officials at the state and federal levels worked jointly to eradicate the infestation in Monroe County. The U.S. Department of Agriculture, Florida Depart‑ ment of Agriculture and Consumer Services (FDACS), and other partners implemented aggressive control and surveillance mea‑ sures which included fly trapping to determine the extent of the infestation, release of sterile flies to eliminate the fly population and disease surveillance. It is reported that 154 million sterile flies were released in the eradication effort.

The University of Florida lent its assistance by using its resources to educate ranchers, property owners and residents

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THE FVMA |

about the pest, and in the eradication efforts.

USDA’s Animal and Plant Health Inspection Service and the Florida Department of Agriculture and Consumer Services will continue passive surveillance to ensure any new findings are quickly identified. This surveillance includes veterinarians reporting any suspicious cases, wildlife surveillance, concerned citizens that see suspicious wounds on animals or even on a person, and continued communication with the parks and the National Key Deer Refuge.

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FLORIDA-VETERINARY-MEDICAL-ASSOCIATION | 23

Evaluating Your Need for

HEALTH CARE CLINIC ESTABLISHMENT PERMIT (HCCE)

A

health care clinic establishment permit (HCCE) is required for the purchase of a prescription drug by a place of business at one general physical location owned and operated by a professional corporation or profes‑ sional limited liability company, or a corporation that employs a veterinar‑ ian as a qualifying practitioner. HCCE Permits are granted by the Division of Drugs, Devices and Cosmetics of the Department of Business and Professional Regulation (DBPR).

The law, Section 499.01(2)(t) Florida Statutes, pertaining to the HCCE became effective eight years ago, on January 1, 2009.

How does the HCCE permit require‑ ment affect licensed practicing veteri‑ narians in Florida?

In summary, the HCCE Permit is for veterinarians who want to order prescription drugs in their clinic or corporation name.

Veterinarians who order prescription drugs under his or her own name and license number do not need the permit, regard‑ less of other associates or relief veterinarians also using the drugs.

And veterinarians who are in a partnership do not qualify for the permit. They have to either order in one veterinarian’s name or incorporate and obtain the HCCE Permit.

How do practitioners evaluate whether or not they need an HCCE Permit?

Points to Remember

1. HCCE allows corporations to purchase and maintain pre‑ scription drugs in one corporate inventory to be dispensed by qualifying practitioners who work with them.

2. All licensed veterinarians have the legal authority to pur‑ chase and own prescription drugs.

3. HCCE Permit is required by any multi-veterinarian clinic or solo practitioner who orders drugs through a corpora‑ tion’s name. The permit covers all the practitioners in a group practice, but requires a “qualifying practitioner” to be named on the permit. That practitioner is responsible for all record keeping, storage and handling of all pre‑ scription drugs ordered and dispensed under the HCCE. 4. An Individual practice where there is a sole practitioner that orders prescription drugs under his/her name and license, does not need the HCCE permit.

5. A Veterinarian who has previously been issued an HCCE permit, but who has decided to purchase drugs under his/

24 | FVMA ADVOCATE

her individual license instead, should return the renewal notice to the Department of Drugs, Devices and Cosmetics Division of the Department of Business and Professional Regulation, along with a letter or simple note stating he/ she is not renewing the permit.

6. The law does not prohibit the use of Rx drugs by practitio‑ ners in a group practice that were purchased by another member of the group at that establishment.

An HCCE Permit is renewable every two years and must be renewed biennially on the last day of the issue month, for a fee of $225, made payable only by cashier’s check or money order to the Florida Department of Business and Professional Regulation.

For application requirements and to apply, visit: http://www. myfloridalicense.com/dbpr/ddc/HealthCareClinicEstablishment.html, or complete and submit form DH-MQA 1033K (12/08) and remit to the DBPR with the application fee.

Mailing Address: Department of Health Drugs, Devices and Cosmetics P.O. Box 6320 Tallahassee, FL 32314-6320 For help and other information concerning HCCE Permits, contact the Department of Drugs, Devices and Cosmetics Divi‑ sion of the Department of Business and Professional Regulation at (850) 717-1800, 8 a.m. to 5 p.m. Monday through Friday, or the FVMA helpline at (800) 992-3862.

BE VIGILANT, BE PREPARED FOR THE 2017 HURRICANE SEASON

Residents of Florida have fresh recollections of the powerful and destructive nature of tropical cyclones after our experiences last October with Hurricane Matthew, and the FVMA is asking members to be ready to respond to a hurricane emergency.

The hurricane season runs from June 1 to November 30, and on average, 12 tropical storms, 6 of which become hurricanes, form over the Atlantic Ocean, Caribbean Sea, or the Gulf of Mexico each year.

For the third consecutive year in a row, activity began early this year, with the formation of Tropical Storm Arlene on April 19 southwest of the Azores, nearly a month and a half before the official start of the season. Predictions are that this season will be a near average one with between 11 and 14 storms and 4 to 6 of those becoming hurricanes.

ARE YOU PREPARED FOR THE HURRICANE SEASON?

a) Determine your risk. Find out what hazards may affect you where your practice. b) Develop an evacuation plan if you operate or live in a storm surge hurricane evacuation zone. c) Secure your insurance by making sure you are properly covered. So speak to your agent. d) Have your completed hurricane plan handy for yourself and your staff.

DISASTER PLAN

A disaster preparedness plan is important. Veterinarians should have a written disaster preparedness plan in place for their veterinary practices. It should be readily available and executable in the event of a hurricane. The following seven basic parts are necessary in a master disaster preparedness plan for a veterinary practice/clinic: • Emergency Relocation of Animals • Medical Record Backup • Continuity of Operations • Security • General Emergency Planning • Fire Prevention • and Insurance and Legal Issues.

EMERGENCY RELOCATION OF BOARDED AND HOSPITALIZED ANIMALS

This includes leashes, carriers and other species-specific supplies. Be sure to plan for appropriate, pre-arranged animal transportation, and a temporary animal holding location; and include a 24-hour client contact list which should be appropriately stored to enable off-site access. In conjunction with legal counsel, veterinarians should involve staff and their clients their planning.

MEDICAL RECORD BACKUP

Medical records should be backed up on an off-site computer.

Keep off-site copies of important documents and consider digitally storage of documents as a backup.

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THE FVMA |

CONTINUITY OF OPERATIONS

Communication is vitally important during and after a disaster. In a hurricane and the days directly following, there is a high possibility of power supply interruption for indeterminate periods.

Alternate electrical power source is important. Staff should be trained in the maintenance and operation of generators, and plenty of fuel should be stored. Also a list of supplies with current 24-hour contact information for suppliers working throughout a disaster including a five-to-seven-day supply of food and water for staff and patients, and five to seven days of personal medications for staff.

SECURITY OF BUILDING AND PERSONNEL

Contact local municipality for specific requirements. The local fire department can provide free inspection and evacuation drills.

GENERAL EMERGENCY PLANNING

This plan should address appropriate responses to all foreseeable emergencies including hazardous chemical spills.

Employee training is important here because there is a need for information and the proper equipment required to respond to the disaster. Florida occupational safety agencies can ensure full compliance of both federal and state regulations. Each county’s Extension Service has information on responding to chemical disasters that is provided to that group by the University of Florida Institute of Food and Agricultural Sciences.

FIRE PREVENTION

Identify major fire hazards in the workplace, proper handling and storage procedures, potential ignition sources such as open flames and electrical sparks and the type of fire protection equipment necessary to control each major hazard.

Regular maintenance of safeguards installed on heat-producing equipment is essential. Appoint employees responsible for maintaining equipment to present or control sources of ignition or fires.

INSURANCE COVERAGE AND LEGAL ISSUES

A current and comprehensive insurance policy is necessary for the veterinary practice. Discuss the details of a disaster drill with legal counsel to make sure you are covered by insurance for any injuries that might occur during the drill.

The FVMA Disaster Preparedness Committee urges members to create a disaster preparedness plan for their veterinary practices.

The State Emergency Response Team (SERT) website, sponsored by the state of Florida, offers more useful information to assist in the preparation of a comprehensive plan.

That website is www.Floridadisaster.org.

Don’t forget to encourage staff to be prepared at home so they can better help you in a disaster. First-aid training for employees in each work shift in the practice is essential.

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FLORIDA-VETERINARY-MEDICAL-ASSOCIATION | 25

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:

Is it Okay for a veterinarian to take an x-ray of his/her own hand or a technician’s hand seeing veterinarians are exempt from Part IV of Chapter 468 F.S.?

A: There is no specific exemption in Part IV of Chapter 468 for veterinarians. Instead, because it does not list veterinarians as "licensed practitioners" and because those laws specifically refer to using radiation on a human being, the result (or the implied exemption) is that technicians working in a veterinarian's office do not have to be certified as x-ray machine operators.

468.302 Use of radiation; identification of certified persons; limitations; exceptions.— (1) Except as provided in this section, a person may not use radiation or otherwise practice radiologic technology or any of the duties of a radiologist assistant on a human being unless he or she: (a) Is a licensed practitioner; (b) Is the holder of a certificate, as provided in this part, and is operating under the direct supervision or general supervision of a licensed practitioner in each particular case; or (c) Is the holder of a radiologist assistant certificate, as provided in this part, and is operating under the supervision of a radiologist, as specified in paragraph (3)(h).

If the veterinarian or technician x-raying his/her own hand happens to be a human, then there is a violation.

The law is not silent. A veterinarian's use of radiology is limited to the definition of the practice of veterinary medicine (i.e. animals). The use of radiation on human beings is controlled by (among other sources) Part IV of Chapter 468. The end result of the different laws is that veterinarians (or technicians working for them) have no authority whatsoever for x-raying a human being, or any part thereof, for whatever reason. Someone practicing radiologic technology without having a certificate may be prosecuted for a second degree misdemeanor. See

26 | FVMA ADVOCATE

§468.311. .

QUESTION:

Is it good medicine and legal to have an owner sign a waiver stating that they will not hold a veterinarian responsible if the owner does not want to have their dog heartworm tested yearly but want to purchase heartworm prevention?

I had read that some state boards will not support heartworm test waivers for veterinarians, so if the client decides to go after the veterinarian in the event that their dog suffers from the preventative killing microfilaria and causing an embolism, the Board would find the veterinarian at fault.

A: We are unaware of a definitive position taken by the Florida Board on this issue. But in a case such as you have described, we were advised that the veterinarian’s responsibility is to document that the available test was offered and declined after some informed consent. With a quick internet search, we found a few good waiver forms.

If your clinic is going to use a waiver form, use a good one that will show that the client was fully informed.

Legal counsel’s opinion to the FVMA is that it is unlikely the Board would discipline a veterinarian who provided a good informed consent waiver form to a client. On the question of being sued, no form can insulate someone from being sued, but it would be a good defense.

QUESTION:

A) Are radiographs the property of the veterinarian / practice or the owner? Upon a formal request for medical records, a veterinarian released radiographs (films, not digital images) to an attorney working for a client and the veterinarian did not keep copies. Can the veterinarian request/demand return of the radiographs, and if so, within what time frame should the return occur? Does the request for return need to be in writing

on a specific form?

B) What time frame is considered reasonable to print/assemble/ transport to mailing facility these records? In addition, is it permissible, appropriate and/or advised to assess a fee for these records and if so, can records be held until payment or are they required to be released whether payment is received or not?

A: Under Florida law, a veterinarian is the owner of the records he or she generates. This includes radiographs. You are required to provide copies of your records if they are requested by the client or the client’s attorney. You have the right to request the return of your radiographs- but there is no specific time frame in which these records must be returned to you and there is no specific form they must be in. You should make the request in writing and cite the statute referenced below.

This statute creates a property interest in those radiographs, which can be used as grounds for a small claims lawsuit in the event the property is not returned.

When a veterinarian receives a formal request for medical records from an owner or an owner’s attorney, pursuant to the Board of Veterinary Medicine’s Rule 61G18-18.002, Florida Administrative Code, requested records must be provided in a "timely manner." What constitutes a "timely manner" is left to the discretion of the veterinarian, but in general, records should be provided within approximately 2 weeks of the request.

It is permissible to assess a fee for the reproduction of records and the Board’s rule contemplates that these costs, "shall not be more than $1.00 per page for the first 25 pages, and shall not be more than 25 cents per page for each page in excess of 25 pages." You are also allowed to charge the "actual costs" of reproducing x-rays, which means the costs of the material and supplies used to duplicate the record, as well as the labor costs and overhead costs associated with such duplication.

Finally, records cannot be withheld from a client for failure to pay for services rendered. But they CAN be withheld for the client’s failure to pay the costs of reproducing the records.

example, can three hospitals band together to purchase products in order to receive bulk pricing? We want to order Frontline, (nonprescription) Heartgard (prescription) Previcox (prescription) and Purevax Feline 3 vaccine. The products would be ordered by our hospital using our account and when the products are delivered we would then divide them among the hospitals. The savings available by ordering in bulk are not inconsiderable. We have had it suggested to us that this would somehow be illegal.

A: The basic answer is yes there could be a very serious problem for your facility if you were to attempt such a procedure. However, the issues do not arise under Chapter 474, Florida Statutes (Veterinary Medical Practice Act), but rather are created under Chapter 499, Florida Statutes. If you were to order the drugs under your account/license number and then turn around and sell those drugs to the other hospitals you would actually be acting as a drug distributor under Chapter 499, FS. You would then have to obtain a license and provide proper invoicing to the other hospitals so that proper tracking could be accomplished. If you were to start this process without proper licensing you would be subject to discipline by the Department of Health. The problem could be solved if your drug company were willing to allow all three hospitals to submit your orders together with the discounted pricing but provide separate invoicing and tracking to each facility. The other option would be for your facility to obtain a limited prescription drug veterinary wholesale distributor permit from the Department of Health. However, this would likely require so much additional administrative work it would cost more than the benefit derived from the group pricing.

END NOTE: The ultimate responsibility in the

practice of veterinary medicine lies with the licensed veterinarian. Professional discretion must always be exercised.

QUESTION:

Is it legal for hospitals to purchase products together? For

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THE FVMA |

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FLORIDA-VETERINARY-MEDICAL-ASSOCIATION | 27

HIDDEN HILLS ANIMAL HOSPITAL

12134 Ft. Caroline Rd., Jacksonville Fl. 32225 Ph: 904 641-3384 VETERINARIAN WANTED Dedicated, motivated, professional Veterinarian to fill 4th associate position at a well-established and equipped small animal hospital in Jacksonville, Flor‑ ida. We strive to offer superior client service and exceptional patient care. Full time position; approx.

40 hours per week. Exotic / Wildlife interests can be pursued if so desired as we are a wildlife drop-off center for NE Florida.

Well trained staff to assist with both small animal and exotic patients.

Competitive salary with CE allowance, license fees and dues paid, 3 weeks paid leave and 1 week sick leave.

Send resume to info@hhahvets.com

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CLASSIFIED ADVERTISEMENTS RELIEF VETERINARIANS

SMALL ANIMAL RELIEF VETERINARIAN - ORLANDO AND SURROUNDING AREAS Friendly, outgoing, and caring DVM with over 20 years experience. Good diagnostic and medical skills. Proficient in soft tissue surgery. I enjoy meeting clients and their pets. Please contact Dr. Scott Wells at 4docscott@gmail.com or (763) 639-9841. (1 & 2/17; ID#21575)

ASSOCIATES WANTED

FULL-TIME VETERINARIAN NEEDED - TAMPA BAY AREA: Enthusiastic, full-time small animal/exotic veterinarian needed for busy, well-established practice in the Tampa Bay area. We pride ourselves on progressive, high quality medicine and surgery. Candidate must be professional, knowledgeable, and courteous with a focus on excellent patient care and client communication. Professional/personal balance is important and we provide a schedule that emphasizes quality of life with no after hours emergencies or holiday work. Digital radiography and in-house laboratory machines are part of the tools we use to offer high quality medicine. Salary is very competitive with benefits including paid health insurance, CE, holiday, sick and vacation days. Our patient load balances out at roughly 50% dogs and cats, and 50% exotics.

The Avian and Animal Hospital has been caring for cherished pets in Pinellas County since 1987. We care for dogs, cats, birds, rabbits, ferrets, reptiles, and other exotic pets. The Avian and Animal Hospital provides veterinary services to Largo, Clearwater, Pinellas Park, Seminole, Bellair Bluffs, St. Petersburg, and all of west central Florida.

Your pet’s health is our life’s passion. Please contact/send resume to Krista Donovan krista.donovan@avianandanimal.com (1 & 2/17: ID#3927) ASSOCIATE VETERINARIAN NEEDED-ORLANDO AREA: Associate Veterinarian needed, AAHA Accredited and Cat Friendly Practice in Orlando Area near UCF. AAHA mentorship program for new or recent graduates. Practice is focused on thorough 30 minute Health Exams, Health Screening, Ultrasound, and Dentistry. We follow AAHA guidelines. Base salary plus up to 25% commission based on experience. Every other weekend off. www.oviedoveterinarian.com Continuing Education provided and encouraged. email woodyvet2@hotmail.com (2/17; ID#10450) FULL TIME VETERINARIAN NEEDED: Seeking a motivated, friendly full time veterinarian for a busy practice in St. Pete Beach Florida. Full service hospital with digital x-ray, therapeutic and surgical laser, in house labs, acupuncture and Chinese Herbs. Friendly and dedicated staff in a relaxed environment. Loyal affluent clientele. No Emergencies. Compensation depends on experience. Contact Dr. Kevin Rose at (727) 367-0096. (crose4@tampabay.rr.com) (2/17; ID#25877) ASSOCIATE VETERINARIAN WANTED: P/T. Exc. work environment, digital x-ray, well equipped. Interesting cases and near the beaches.

Feline100%. thecatsmeowcatcl@aol.com. (2/17; ID#1419) CENTRAL FLORIDA ANIMAL HOSPITAL LOOKING FOR FULL TIME ASSOCIATE: My Pet’s Animal Hospital is seeking a passionate, outgoing and enthusiastic full-time veterinarian to join our AAHAAccredited Hospital located in Southwest Lakeland Florida. Did we mention that we won the Small Business of the Year Award for 2016?

Our rapidly growing, small animal and exotics practice is currently staffed with two full-time veterinarians (owner of hospital being one), an in-house full time Hospital Director, 3 Certified Veterinary Technicians and 15 full time staff members with very low employee turnover. Some of our staff members have been with us for 14 years! We are very proud of our friendly working environment, strong leadership team and attentive animal care staff.

At My Pet’s Animal Hospital we are eager to learn, care for our patients with a gentle hand and give nothing but the best service to our clients.

We offer our patients Digital Radiology, In-house pharmacy, Cold Laser Therapy, Laser Surgery, Acupuncture, Chinese Herbals, In-House

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Labwork, Professional Grooming, Boarding and Day Care and much more!

We offer our full-time veterinarians pet discounts, flexible hours, continuing education allowance, paid vacation, paid holidays, professional dues & licenses, liability coverage and 401K opportunities.

Our future associate veterinarian must have excellent client communication skills, willingness to learn new skills and have input from other veterinarians, have an outgoing and fun personality! Our general practice Veterinarians oversee primary case care with an opportunity to perform medical workups and surgery. This position will see a mix of urgent and wellness care. Our ideal future associate veterinarian is an experienced clinician or internship-trained doctor with strong medical, surgical and communication skills with an interest in clinical learning, professional growth and leadership.

If your skills and interests match our hospital-call us, email us, send smoke signals...because we want to hear from you! Take a look at our website at www.floridavet.com and please visit our Facebook page at www.facebook.com/mypetsah to learn more about why we love what we do and where we are doing it! Please send resumes to: resume@floridavet.com (2/17: #3421) ASSOCIATE NEEDED – JACKSONVILLE, FL: Associate needed to fill exotics, wildlife, small animal position as the fourth veterinarian at wellestablished practice in Jacksonville, Florida. Current veterinarian performing these duties is leaving to be the director of a wildlife rehabilitation center.

Fulltime position, approximately 80% small animal/ 20% exotic/wildlife in well-equipped hospital with great support staff. New graduates welcome.

Apply at Hidden Hills Animal Hospital, 12134 Fort Caroline Rd. Jacksonville, Florida 32225 or info@hhahvets.com (2/17; #1974) LEAD VETERINARIAN: NAPLES, FLORIDA: Licensed Veterinarian needed for laid back clinic located in a nice beach town. This is a great opportunity to step into a well-run practice with a strong manager and make it their own. Ideal hire should be driven to grow the practice and have a real interest in the clients and their pets. Typical day will include patient visits, surgery, follow up calls, record keeping and communication with practice manager and veterinary technicians. The DVM will not have strict protocols to adhere to and be free to practice medicine in line with the highest standard of care.

To apply, please contact Sue Gillis at 918-488-3902 or sue@thevetrecruiter.com (2/17; #37059) FULL TIME ASSOCIATE VETERINARIAN WANTED: Associate Veterinarian needed for busy, well established 2 doctor practice in Melbourne, Fl. We have an upscale clientele that expect progressive medicine through diagnostics and treatment plans that are in the best interest of the patient. Applicant should work well in a team oriented environment, have excellent communication skills with both clients and staff. Practice currently has: digital radiology, ultrasound, surgical and dental suites, recently remodeled reception area and 4 exam rooms. Full service Boarding Kennel and an excellent support staff with low employee turnover. Benefits include: Vacation Time, Paid Holidays, Simple IRA Match, CE, Licensing Fees… Salary commensurate with experience.

Please contact Susan Lynch at (321) 259-0904 or email resume to goobus2007@yahoo.com (2/17; #17831) METROWEST VETERINARY CLINIC - ORLANDO: MetroWest Veterinary Clinic in southwest Orlando is seeking a full time veterinarian.

We are an established, AAHA accredited, two doctor practice that has served the Orlando area for 25 years. We are currently a Feline Friendly Practice, and we are embracing the Fear Free Initiative. Our standard of care meets or exceeds the expectation of AAHA - and we continually strive for improvement and growth. Our clinic is equipped with digital whole body and digital dental radiographic equipment, ultrasound, full in-house lab equipment, EKG monitoring, etc. Our established client base, along with an excellent support team, provides a rewarding work environment. Excellent clinical and surgical skills, as well as strong communication skills and a heart

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FLORIDA-VETERINARY-MEDICAL-ASSOCIATION | 29

for not only the pet, but also the owner, are what we are looking for. No after hour responsibilities and no emergency shifts. Benefit package includes: CE hours, matching 401K, Health Insurance, Paid Vacation, Professional Dues. Please send your resume to dinah@metrowestvetclinic.com.

(2/17; #6527) FULL-TIME ASSOCIATED WANTED – TAMPA: Tampa Veterinary Hospital is seeking a full-time Associate Veterinarian to join our fast-paced veterinary team. Our doctors practice high-quality medicine within an established practice of 60 years along with the latest technology. We offer the newest Oncura Ultrasound, Cold Laser therapy, digital dental and fullbody x-ray, in-house Abaxis diagnostics and more.

The ideal candidate for our position will have: • excellent guest service skills • the ability to put the pet's interest above all else • a positive attitude • active listening skills • strong surgical talents • a work ethic that goes beyond 9 to 5 • impeccable attention to detail • leadership skills to effectively lead your own team of technicians daily We are a busy, multi-doctor practice caring for small animal, avian and exotics. The ability to multi-task is a must. You must be comfortable seeing up to 10 or more cases per day including some weekend shifts. The ability to share hospitalized cases with other team members is a must.

Our practice is ideally located in Tampa, Florida- directly between downtown and the Westshore business district and minutes from beaches, historic Ybor City and the vibrant nightlife of South Tampa.

Salary commensurate with experience. Florida license required.

Resumes should be sent to: dr.webster@tampavet.com (2/17; #25730) EMERGENCY VETERINARIAN NEEDED IN LAKEWOOD RANCH: The FT position requires nights, weekends and holidays. FT is 5 shifts over 2 weeks. PT options are available as well. We are a fully equipped emergency hospital with access to many specialists. Full benefits package provided. For more information email to aerupk@verizon.net (2/17; #25956)

VET TECHNICIANS & STAFF

NEEDED - LEAD VETERINARY TECHNICIAN: After-hours emergency animal hospital is seeking full-time Lead Veterinary Technician.

Candidate should be Certified Veterinary Technician or possess at least 2 years of technician experience. Use your skills and training to their fullest in a fast-paced, positive, and rewarding environment. Ideal candidates should be compassionate, enthusiastic, possess excellent communication & computer skills, able to lead others and influence change while projecting a positive attitude of respect and collaboration.

Candidates must be available for weekend, evening, or overnight shifts.

The Animal Emergency Clinic of St. Petersburg is centrally located in Pinellas County, only minutes from the Gulf Coast treasure of beautiful downtown St. Petersburg off I-275. We strive to provide exceptional, compassionate veterinary care to all of our patients and treat every patient as if they are our own.

Responsibilities include: • Patient care • Scheduling • Training and development of technical staff • Supervising daily work flow • Mentorship Benefits include: • Highly Competitive Wage • Shift differential • Vacation Pay • Holiday Pay • Flexible Scheduling • Uniform Allowance • Personal Pet Benefits • Medical & Supplemental insurance participation • Continuing Education Benefits Please email all serious inquiries to veterinary.hrcontact@gmail.com or fax your resume and cover letter to: 727-323-2154 (2/17: #782) VETERINARY TECHNICIAN WANTED (LARGO, FL): The Emergency Care Center at Tampa Bay Veterinary Specialists is looking for experienced veterinary technician to join our team. All serious applicants should be comfortable with caring for hospitalized patients, as well as drawing blood, placing IV catheters and administering and monitoring anesthesia for emergency surgical producers. This is not an entry level position. Our ideal candidate is someone who is motivated and willing to grow with us!

30 | FVMA ADVOCATE

Our facility is equipped with state of the art laboratory equipment for blood analysis, in-house digital radiology, ultrasound and cardiac ECG as well as more routine diagnostics capabilities. We are primarily a referral hospital with a large referral base. We provide emergency and critical care services for our referrals as well as walk-in emergency cases.

Must be a people-lover, always growing and learning, able to multitask, able to blend and accommodate multiple doctors who may have slightly different approaches. Great attitude and generally optimistic and positive, even during times of stress, able to rebound after stressful or sad events or busy times.

Minimal qualifications: minimum of 3 years clinical experience. Preferred qualifications: CVT, RVT/LVT with 1-3 years emergency clinical experience.

We are an emergency facility and the hours are evening, weekends, and all major holidays. The applicant should be comfortable and flexible in availability for these times. Shift differential pay for overnight hours. We offer an excellent salary, flexible schedules, generous time off and benefits package including health insurance, retirement plan with matching contribution, paid vacation, continuing education, licensing, etc.

ANY RESUMES RECEIVED WITH NO PRIOR VETERINARY TECHNICIAN EXPERIENCE WILL NOT BE CONSIDERED. Please fax resumes Attn: J. Andersen at 727-539-7865 or via e-mail emergencycaremgmt@gmail.com (2/17:ID#1700) VETERINARY TECHNICIAN WANTED: We are looking for an individual that has at least 1-year vet tech experience. We are looking for an individual that is comfortable with the following daily mandatory duties that consist of and are not limited to: Weighing, Taking temperature, Administering medications, Cleaning cages, exam rooms and lobby.

Laboratory and/or pharmacy duties, Dentistry, Providing nursing care before and after any surgical and/or medical procedures.

Nail trimming, Anal gland expression, Animal restraint, Fecal analysis Assisting the doctor, Light clerical duties, Answering the phone, assisting with check out.

The right individual is trustworthy, motivated, has a high standard for patient care and truly enjoys their profession. If you have exceptional communication and listening skills, must be able to pay attention to detail, multitask, respond quickly and calmly to crises, and maintain a very high standards of patient care.

ALSO, must be able to communicate well with clients, showing care and concern for their pets, as client education and patient care is our number one priority. Being reliable, motivated team player and a can do, helpful attitude is not only essential but is required.

Applicants please email your resume to Bayouvet@gmail.com (2/17; #1410)

PRACTICES FOR SALE OR LEASE

FOR LEASE – TAMPA, FLORIDA: 502 N. GILCHRIST AVENUE, TAMPA, FLORIDA 33606 6400 sq. Ft. Former veterinary hospital. Great for veterinarian looking for new practice expansion. Located in high growth area next to downtown tampa with all its residents and activities.

Large operating room. Pre-op and post-op rooms. 3 examinatoin rooms. Large customer waiting area. Equipped with hospital a/c including 3 phase power, air pressure, dust collection system. Visit www.vetopportunity.com for additional information and photo gallery Contact: Rob Dubsky (813) 2828466 (2/17: ID#36657) SMALL ANIMAL HOSPITAL AND REAL ESTATE FOR SALE: Zephyrhills, small animal hospital & real estate, sale at below appraisal values. Seller financing. Fred 407-529-5651. (2,3/17: ID#28095)

MISCELLANEOUS EQUIPMENT FOR SALE

FOR SALE – ENTIRE CONTENTS OF VETERINARY CLINIC For sale entire contents of a veterinary clinic. This will give you everything needed to start up, barring any perishable disposables.

Being sold as one lot; no picking! Asking $35,000. Call 727-804-7646.

Ask for Tim. (2/17: ID#1410)

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Pinellas County: Feline! +2,400sf w/RE, prime location.2-exam rooms & rental income. Busy Practice, Great Location, & Growth Potential.

FL86 Visit psbroker.com to see our full list of practices, or call our experienced staff for a free and confidential conversation to help you find the right practice in the right location.

psbroker.com | 800.636.4740 | info@psbroker.com

1610 Frederica Road * Saint Simons Island, GA 31522 Toll Free: 800.333.1984 * www.simmonsinc.com Email: southeast@simmonsinc.com Licensed Florida Real Estate Broker

We buy great practices.

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Duval Co.– Solo Dr. 2016 gross $500K, 3800 sq. ft. free standing hospital, digital x-ray, in house lab, 3 exam rooms.

North Florida– Solo Dr. small animal,for 2016Sale gross $887k, Florida Practices Well established, new digital X-ray. High net...Priced to sell.

New! FL: Miami. $664K+ gross,Fl.—Solo Solo dr, SA prx. No ER. Equine Practice-Central Dr. well-equipped Equine Practice.

Office, (FL46M) 2 trucks, well equipped, experienced staff, 2015 gross $450K. New-Central Florida-House call Practice.

Fully equipped Pinellas County. Seller eager to retire!

Well-established, solo dr, growth potential. work week.

(FL63P) mobile 4.5-day unit, 2015 grossRE of included. $375K with room to grow.

New– Central Florida– Solo Dr. 2016 gross $860K. State of Orange County. Price Reduced! 2 doctor, small animal practice. $1. 3M+ gross artNoequipment, space, great location, great (FL17O) staff. inthe 2015.

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New– Greater Tampa– Solo Dr. 2016 gross $435K, Prx.+RE Jacksonville.

Congratsreduced to Dr. Ed to McKnight on the sale of Family & Petinventory Hospital to Must sell...Price Real Estate, equipment Forte. (FL42J) New– West-Central Fl.– Solo Dr. 2016 gross $493K. Custom built hospital spacious, well Steinbrecher designed. on Dr.the ready toLoving retire.Care AH Sarasota County. Congrats to Drs. sale of

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Are Corporate Groups contacting you about buying your Practice?

If so, let us Community. help you make sure you getMichelle your bestStallions deal!!! on the Orange Park Bedroom Congrats to Dr. sale of Green Cove Animal Hospital. (FL12G)

Contact Dr. Richard Alker for further practice information.

850.814.9962 Richard@tpsgsales.com 1610 Frederica Road or * Saint Simons Island, GA 31522 Toll Showcase Free: 800.333.1984 * www.simmonsinc.com Properties of Central Florida, Broker Email: southeast@simmonsinc.com Licensed Florida Real Estate Broker WWW.FVMA.ORG |

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Sales & Acquisitions | Valuations | Exit Strategy | Facilitation | Buyers Agency 1­800­333­1984 | www.SimmonsInc.com | Southeast@SimmonsInc.com 1610 Frederica Road, St. Simons Island, GA 31522