FVMA Advocate Issue 3, 2019 by FVMA

F V M A ADVOCATE ISSUE 3 | 2019

DON'T BELIEVE EVERYTHING YOU THINK

Philip Richmond, DVM, CHC-BCS, CCFP

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BEING A LEADER IN YOUR PRACTICE Peter A. Weinstein, DVM, MBA | Pg. 20

THE PRESIDENT OF THE FLORIDA VETERINARY MEDICAL ASSOCIATION

Michael Epperson, DVM

President's MESSAGE I am honored to be the 92nd president of the FVMA. I want to take a moment to recognize the FVMA executive director and staff. I believe they are second to none. These men and women are the work horse behind the scenes and are the reason for much of our success as a state association. Our staff works countless hours making sure we offer world-class education, continue to build upon our current programs, stay up to date by having a voice on social media and provide a support system at our headquarters for our local VMAs.

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

DISTRICT REPRESENTATIVES Dr. Scott Richardson District 1–Big Bend Dr. Thomas E. Hester 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. Barbara Lewis 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

It’s a busy time of year for the FVMA. The president-elect, AVMA Delegate, AVMA Alternate Delegate and I represented the membership at the annual AVMA Convention in Washington D.C. This experience helps us stay engaged in the issues affecting veterinarians on a state and federal level. Topics discussed in our meetings ranged from CBD to the declawing of cats to federal legislation that could ultimately affect us all. Following the conference, UF CVM will be hosting a leadership conference in High Springs, Florida. We have a wonderful working relationship with the College and are eager in doing our part in assisting with the development of the next leaders of our profession. The FVMA continues to be the voice of veterinary medicine in the state of Florida through its many programs and activities. I encourage you to participate and donate to the FVMA PAC. We do a lot in Tallahassee, but we need your support financially, as well as participation. We are looking forward to offering additional conferences and bringing world-class education to veterinarians in the entire state of Florida. We continue to bring value and strength through our services, programs and staff. One service I want to bring attention to is the Professional Wellness and Well-being Committee, which serves as a resource for Florida veterinarians and looks to address topics like work-life balance, job satisfaction, work-life struggles and suicide prevention. Chaired by Dr. Philip Richmond, the committee and its members are passionate about helping and providing support to veterinarians that may be in need. The information from the committee is often disseminated in the FVMA Advocate, via emails and through workshops offered at our conferences, as well as through other avenues. We should all take care of each other. We have resources available if you or someone you know are in need. I would like to encourage all of you to reach out if you find yourself in need. Lastly, I would highly encourage all members to become more involved. If you are asked to represent your profession in your community, represent it. If you are asked to aid in disaster relief, provide aid in whatever means possible. If you are asked to participate in Legislative Action Days, participate and advocate for our profession. Be a voice for our profession not just in words but in purpose and passion. Together, we can continue our momentum and represent our profession. Thank you for allowing me to represent the members of the FVMA. You have had great leadership thus far, and I appreciate all the words of wisdom that has been passed down to me. It should be a busy and exciting year for the FVMA.

Dr. Jacqueline S. Shellow FAEP Representative to the FVMA Executive Board

Michael Epperson, DVM

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

In Remembrance R. Kenneth Braun, DVM Dr. R. Kenneth Braun, who was a professor emeritus, bovine specialist and former administrator at the UF CVM, passed away on May 17. He contributed to the wealth of knowledge and research for the bovine industry, acting often as a mentor to veterinary students during his tenure at UF CVM and prior at Cornell University. Before his educational pursuits, Dr. Braun owned a dairy farm and played semi-professional football in his home state of New Jersey. He attended Cornell University, where he received his bachelor's degree in 1961 and his DVM in 1965. He then continued to work as a faculty member for Cornell's College of Veterinary Medicine for 13 years. During his time at Cornell, he took a sabbatical leave to pursue a master’s degree in veterinary medicine at the University of California at Davis.

Dr. Braun accepted a faculty role at UF in 1978, and he was one of the College of Veterinary Medicine’s first faculty members while the teaching hospital was still under construction. While at UF CVM, he served as chief of the rural animal medicine service, which is now called food animal reproduction and medicine service. In 1984, Dr. Braun was named chair of the former department of preventive medicine. When the College reorganized in 1988, he was then named chair of the Department of Large Animal Sciences and chief of staff of the UF Large Animal Teaching Hospital. He taught and was involved in clinical service at UF CVM until he retired in 2001. Over the years, he has received numerous awards for his work in the profession, including the American Association of Bovine Practitioners’ Award of Excellence. His teaching interests included physical diagnosis and preventive medicine programs for dairy cattle, and his research interests included diseases of dairy calves and the applied use of dairy records systems.

Steven Jeffrey "Jeff" Godbey Jr., DVM Dr. Steven Jeffrey “Jeff ” Godbey Jr., 32, passed away unexpectedly on June 15. He was recently nominated to the FVMA Public Relations Task Force and was said by many to be an up-and-coming leader in the FVMA and Florida veterinary community. He was a 2013 graduate from Cornell University. In 2016, Dr. Godbey addressed the UF CVM Class of 2016 at the UF CVM Commencement Rehearsal Breakfast program hosted by the

FVMA. His talk was titled “You're Already a Rockstar, So Hold the Mic With Confidence and Enjoy Your Time on Stage!” Dr. Godbey was a beloved husband to his wife Leah Jean (Selman) Godbey and father to their 14-month-old daughter Livi-Jean Louise. He was also a dearly loved son, grandson, cousin, nephew and uncle. He always had a passion for helping animals. When he wasn’t helping animals, he dedicated his free time to his family, music and community service. Dr. Godbey was practicing full time at Allied Veterinary Emergency Hospital in Tallahassee, Florida at the time of his death. A Celebration of Life is planned for September 2019, at which time the family will receive friends.

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MEMBER SPOTLIGHT FVMA MEMBER EXPANDS DOG FITNESS CLASSES TO OCALA Darian Mosley, CVT, who is an FVMA member and the owner/ operator of K9 Fit Club of Central Florida, has opened a new K9 Fit Club in Ocala, Florida. K9 Fit Club is an organization focused on providing a unique human-animal interaction using a variety of fun fitness regimes. The fitness classes help develop the human-animal bond using health, fitness and wellness for both dogs and their owners.

Darian Mosley planks next to 14-year-old shepherd mix named Tommi. Mosley receives some doggy kisses as she works her core in what she calls “puppy planks.” Photo courtesy of Jonathan Trombetto

“As a CVT, I am developing an even greater use of my skill set as it relates to the human-animal bond and preventative health practices,” Mosley said. “Being able to utilize my knowledge base in a way that furthers my personal growth beyond the clinical setting is so rewarding. Building my own business has given me an entirely new avenue to help animals.” K9 Fit Club of Central Florida started with its K9 Fit Club branch in The Villages, which Mosley is the licensee of too. It offers group and individual sessions at a variety of locations. She then expanded into Ocala starting the K9 Fit Club in Ocala in July 2019. Mosley is a certified K9 Fit Club Master Trainer, and she works to develop classes and programs for all fitness levels and individuals including programs for children, seniors and people with disabilities. She has worked in the veterinary field for more than 10 years. She is a certified veterinary technician (CVT) and has been certified in fear-free handling and care of pets since 2018. Her involvement in K9 Fit Club has allowed her to interact with dogs and people in a whole new capacity that is both rewarding for her career and personal growth.

Owner Tony Versetti and his dog Mingo (center) participate in circuit training during a group class for the K9 Fit Club Villages. Photo courtesy of Darian Mosley

“Working with volunteers and fosters to introduce new enrichment and healthy exercises beyond the typical leash walking is a huge benefit for all parties involved, especially for the dogs,” Mosley said. Visit www.k9fitclubcfl.com for more information about K9 Fit Club Central Florida, or visit their Facebook (K9 Fit Club of Ocala/ Villages) and Instagram (@k9fitclubcfl) to learn more. A client Kelli West and her dog Coco bond over fun fitness time they can both participate in. Photo courtesy of Jonathan Trombetto

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FVMA HOSTS REHEARSAL BREAKFAST FOR UF CVM ’19 GRADS drive containing useful resources for the young veterinarians. Executive Director Phil Hinkle also presented Dr. Mosca with an award of recognition in appreciation for her work and dedication representing the Association on campus. Photo courtesy of FVMA

The FVMA hosted a Rehearsal Breakfast on the morning of May 24, 2019, for graduating UF College of Veterinary Medicine seniors. The Class of 2019 enjoyed a delicious breakfast at the Phillips Center for the Performing Arts at the University of Florida. FVMA President Dr. Michael Epperson gave the keynote, welcoming the seniors into the profession, and FVMA Class of 2019 Student Representative Dr. Leandra Mosca also spoke of the important and special relationship the FVMA has with UF CVM. FVMA Executive Director Philip Hinkle and many UF dignitaries were present at the Rehearsal Breakfast to make this a special occasion. As new graduates, the new DVMs receive complimentary membership to the FVMA for 2019, reduced membership renewal and reduced registration to FVMA continuing education conferences for the next two years. The FVMA presented each graduate with a gift of a specially prepared USB

UF CVM Class of 2019 attend the Rehearsal Breakfast hosted by the FVMA.

FVMA PRESENTS SCHOLARSHIP AWARDS AT SENIOR BANQUET & AWARDS CEREMONY The FVMA presented three scholarship awards during the UF College of Veterinary Medicine Senior Banquet & Awards Ceremony on the evening of May 24, 2019, at the Stephen O’Connell Center at the University of Florida. FVMA President Dr. Michael Epperson presented each recipient with their scholarship award.

recipient received a $1,500 scholarship and plaque from the FVMA Foundation. The Charlie Bild Clinical Proficiency Award Scholarship is named in honor of the late Charles Everett Bild, who was known internationally for his clinical research of cancer and cardiovascular disease. The selected recipient is a senior student who demonstrates outstanding clinical proficiency with both large and small animals, and they’re presented with a $1,000 scholarship and plaque.

Drs. Jordan Carbary and Chantel Nelson were presented with the Champion of Veterinary Medicine Scholarship, and Dr. Catherine Seeds was presented with the Charlie Bild Clinical Proficiency Award Scholarship. The Champion of Veterinary Medicine scholars are senior students selected for their exceptional academic achievements, along with possessing outstanding leadership and communication skills. Each Photos courtesy of Charlotte Kesl

The FAEP Scholarship Award was presented to Dr. Taylor Murphy, who will pursue a career in equine medicine post-graduation. The selected recipient demonstrates high ethical standards, solid communication and a strong desire to serve horses and people. Dr. Murphy received a $1,000 scholarship and plaque.

Dr. Taylor Murphy (L) receives the 2019 FAEP Dr. Jordan Carbary (L) receives the 2019 Scholarship Award from FVMA President Dr. Champion of Veterinary Medicine Scholarship Michael Epperson. from FVMA President Dr. Michael Epperson.

Dr. Catherine Seeds (L) receives the 2019 Charlie Bild Dr. Chantel Nelson (L) receives the 2019 Champion Clinical Proficiency Award Scholarship from FVMA of Veterinary Medicine Scholarship from FVMA President Dr. Michael Epperson. President Dr. Michael Epperson.

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MEET THE PRESIDENT MICHAEL EPPERSON, DVM

FVMA President | 2019-2020

A Conversation With FVMA President Dr. Michael Epperson

GOALS AND OBJECTIVES FVMA Advocate:

What are your goals as president of the FVMA?

President:

Keep the momentum going. The future is looking bright for the FVMA, as membership continues to reach all-time historical highs. The FVMA has experienced unprecedented growth, program expansion, and financial strength and security. This organization is committed to continued strength and advancement to ensure it can readily respond to any threat against the veterinary profession in Florida.

FVMA Advocate:

Describe your overall vision for the Association into the future.

President:

I envision an association that continues to work for its members — an association that is the voice for veterinary medicine in Florida, as well as influential on a federal level. I see it as a pioneer for all other professions to imitate. An association that is financially sound so we can have staying power to continue to do our work. I also see an association that continues to focus on post-graduate education, allowing our members to continue to improve on their craft so they can offer world-class veterinary care for their patients and clients.

FVMA Advocate:

What does your vision for the FVMA mean for it and its members?

President:

Every member matters. This means providing support to our current members and programs to ensure all disciplines are represented, which will strengthen our association and encourage new membership. We plan to provide a network of

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resources to aid in all stages of veterinarians’ career from entry to retirement and all those struggles in between. Veterinary medical professionals are no strangers to struggles within the profession such as financial, legal and mental health concerns. We want to ensure that we can provide support to those members who reach out for help in all areas. As an association, we want to be able to continue to provide world-class education to our members that will help us better ourselves, therefore bettering our profession. Having a partnership with University of Florida College of Veterinary Medicine is imperative to help cultivate future veterinarians and encourage continued participation after graduation. We must allow our profession to have an ever-evolving social media presence and provide public awareness for issues at hand using all media facets. We want to be the first source of information for the consumer, not the last. By protecting public health and providing public education about how we are providing protection for the public, livestock and companion animals, this will help strengthen the confidence the general public has in our profession. Supporting our regional and local VMAs with advanced communication and personal relationships also allows us

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The future is looking bright for the FVMA, as membership continues to reach all-time historical highs.

- Dr. Michael Epperson

to promote our purpose and membership while educating and engaging with those who are actively working in every discipline of our profession.

FVMA Advocate:

How long have you been involved with the FVMA?

President:

I served as the District 8 representative five years ago. I enjoy participating in the FVMA and have been active in all levels of veterinary medicine. My wife and I have been FVMA members since becoming Florida veterinarians, and we believe being a part of this organization is important to our profession.

FVMA Advocate:

What is your philosophy about service and in organized veterinary medicine specifically?

President:

I believe it’s about two things. First, giving back to the profession that has taught me so much about life, people and, of course, animals. This profession has provided so much for me and my family. I feel that it is my obligation to give back and help better the profession. I strive to work hard for our profession and will work with our association to bring issues to the forefront and conquer battles to improve and protect veterinary medicine. No one person can change everything, but together, with hard work and dedication, we can change anything. Veterinary medicine has shaped me into who I am today. The people who have mentored and supported me — and the clients that I encounter daily — give me strength and insight to be the person whom a community depends on to provide care for their beloved companions. This is very special and something I do not take for granted — being able to serve the Association as a leader and trustworthy partner in pets’ health care is rewarding. Secondly, being able to serve and be a voice for veterinarians across my district and my state. The profession continues to evolve. Being involved allows you to be a part of the discussion. It is more of a proactive then reactive approach. We, as an organization, must stand together to ensure the future of our profession continues to be a strong force that speaks for all veterinarians in this great state on a local and global level. Our profession is deemed one of the most trusted professions, and we need to ensure that it remains one of the most trusted. Veterinary medicine is ever-changing, and we must stay on top of the emerging issues and obstacles we face to continue providing stabilization for us and our future colleagues. The

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future of veterinary medicine is bright. Even though we have areas of concern that need to be addressed and improved, we together as a profession can overcome these and continue to better our profession.

FVMA Advocate:

What are important issues for Florida veterinarians, and why are they important?

President:

Some important issues affecting Florida veterinarians include income-to-debt ratio, mental health and wellness, postgraduate education, emergency response to natural disasters, the evolution of the profession, and the shortage of both large and small animal veterinarians in the workplace. These are just a few of the issues that are in the minds of our Florida veterinarians. The FVMA, I can assure you, has active programs in all these areas that are currently implemented or are developing ideas that will one day will be implemented.

FVMA Advocate:

What are your ideas about addressing those issues mentioned above?

President:

As far as income and debt, we must start in the schools. We must provide financial literacy to the students before entering veterinary school. I feel as too many students are caught up in the dream, as I was, and are not factoring the financial impact student loans will have on their post-graduate lives. As president of the FVMA, I applaud the work of the FVMA Professional Wellness and Well-being Committee, which is to “provide veterinarians with better resources that address issues like work-life balance, job satisfaction, how to deal with work and life struggles, and create awareness and prevention of suicide within the profession.” We are going to continue to support the work of the committee because its work is so important to our profession. We want to be a resource for a practitioner that may be in need. I feel as though too many younger veterinarians are operating in a state of fear. Procedures that were done in a general practice setting are now being commonly referred. In some cases, this is the right thing to do, but, in others, the practitioner may just lack the confidence to perform said procedure. Postgraduate education will help them build confidence and grow as practitioner, therefore offering state-of-the-art techniques in their current facilities.

FVMA Advocate:

Natural disasters are something, as Floridians, we will probably be impacted with annually. Our association — along with FVMA Disaster Preparedness Committee Chair Dr. Terry Clekis of Bradenton, Florida — are developing ideas to be implemented so we can better serve our members impacted by such disasters. We want to be able to respond and be a part of the initial response, as well as help FVMA members that have been financially impacted.

After your tenure as president, will you remain active in organized veterinary medicine?

President:

Yes, as much as they will have me. There are a lot of great people in the FVMA. I have grown both personally and professionally by serving on the Executive Board. This experience has changed my life, and I would not change it for anything.

As far as a shortage of veterinarians, we want to work with the AVMA and help identify students that will be good fits for our large and small animal needs. We can also help petition our legislators for loan forgiveness, therefore incentivizing veterinarians to work in underserved and rural areas.

FVMA Advocate:

What message would you like to leave the membership?

President:

The FVMA works very hard fighting for its members. We believe in the Association as a voice for its members. Our staff located in the Orlando headquarters are here to help you with any question you have. Our staff at the FVMA is second to none. They are hardworking, caring individuals that are qualified to help you. Please do not hesitate to reach out to them if you’re ever in need.

The evolution of veterinary practice holds many unknowns. Many practices are becoming corporate. Walmart and other corporations are joining the profession. Our members’ needs will continue to evolve. We are dedicated to continuing to meet the needs of our members in our current model as well as future models.

 PRACTICING AS A VETERINARIAN FVMA Advocate:

FVMA Advocate:

Look 15 years down the road and tell us how you envision the veterinary profession in Florida at that time.

What inspired you to become a veterinarian?

President:

A mixed animal practitioner named Dr. “Dub” Ewell. He loved what he did, and it showed. I felt working with him, we made a difference for the animals as well as the owners. People were so Photo courtesy of Dr. Epperson

I envision veterinarians to continue to be the voice for animals. When a law is being considered, legislature will consider us for an expert opinion. Veterinarians will continue to participate in the FDA, CDC, USDA and other governmental agencies that are on the frontlines of disease control. There will be continued involvement in the protection of our food supply, both in the U.S. as well as abroad for our soldiers in harms way. This profession will continue to contribute to our global community. We have so much positive influence in the world, and I do not see this changing in the next 15 years.

FVMA Advocate:

Describe your history as a veterinarian.

President:

I was introduced to veterinary medicine in my teenage years. I began working for a mixed animal practioner in rural Mississippi. Here is where I began my journey and learned about my passion for animals, as well as the art of veterinary medicine. We saw everything that came in the front door. It was something that I felt like I could do the rest of my life and never work a day in my life. There was never a boring day. I started working in the kennels, cleaning the barn and was able to advance in time. I literally started from the ground up. These experiences taught me a lot about people and life in general. I would not have traded this experience for anything. FVMA President Dr. Michael Epperson and his wife Dr. Heather Hartley. WWW.FVMA.ORG WWW.FVMA.ORG| |

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President:

Yes and no. We participate in church, sports and school activities with our children. But for the most part, our time and philanthropy is centered around veterinary medicine. Photo courtesy of Dr. Epperson

appreciative for your help, and they cared so much for the animals. It was just something that I felt I needed to be a part of. By joining this profession, I would be able to help, and I would be able to make a difference. This is truly a profession that you can impact the people around you as much as the animals before you. Who wouldn’t want to be a part of that?

FVMA Advocate:

Do you have any special anecdotes about your practice or milestone stories you would like to share about your work as a veterinarian?

President:

I do not know about any anecdotes, but our secret sauce was to show up every day. Treat people as you would want to be treated and take care of the client. We believe if you take care of the client, they will take care of you. We are close to most of our clients and promote the human-animal bond. We have been able to grow our practice and are currently building a new hospital and acquired a second hospital in June 2018.

FVMA Advocate:

Do you participate in any community programs and entities outside of veterinary medicine?

FVMA President Dr. Michael Epperson and his wife Dr. Heather Hartley with their daughters Addison (L) and Grace (R).

 BALANCING A BUSY SCHEDULE FVMA Advocate:

Tell us about your family and hobbies.

President:

Any advice on balancing private life with the responsibilities of a veterinary medicine career?

President:

Be true to yourself. Find out what is important to you in life and what you want to give your attention to. Find a company or group of people that share your work-life values. Photo courtesy of Dr. Epperson

I have a beautiful wife Dr. Heather Hartley, as well as two beautiful daughters Addison and Grace. Addison is 8 years old, and Grace is 6 years old. They keep us busy when we are not at the clinics. As a family, we enjoy living on the Gulf Coast. We take advantage of beach and boat days as much as we can. We also enjoy deep-sea fishing and try to go whenever time permits. Our biggest family hobby is watching college football on Saturdays in the fall.

FVMA Advocate:

How are your extra duties as president impacting your practice as a veterinarian?

President:

They can have a direct impact on our practice. Thankfully, my wife is also my business partner, and she is more than willing to sacrifice for me to serve. We also have the benefit of having wonderful associates that work hard and share our practice values. They take care of the clients and patients and practice state-of-the-art medicine. Our support staff is like no other. They truly make us better clinicians and are imperative to our success. If my wife and I were not surrounded with great people, it would be a much greater impact on both practices.

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FVMA President Dr. Michael Epperson spending quality time with his family.

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Don't Believe

EVERYTHING YOU THINK By Philip Richmond, DVM, CHC-BCS, CCFP “Don’t believe everything you think.” I first heard this gem about eight or nine years ago on a retreat in Ohio. By that time, during my own journey of recovery and selfawareness, I had a fairly good grasp on how wrong I had been in the past — passing judgement or acting certain ways toward people and events in my life when I didn’t have all the facts. It is peculiar how a short, pithy saying can encompass so much. “What does it truly mean?” you may ask, as I did. “How can my thinking deceive me? I’m a veterinary professional. I think critically. I make my decisions everyday based on facts.” Except, we don’t. With regard to the many situations life will put in front of us, our thought process often leads us to assuming negative outcomes. This is known as our “negativity bias.” Many of us are hard wired to think this way. However, once we learn to question and challenge our initial — and usually incorrect — thoughts on a given event or situation, we have the opportunity to change our perception. Why would we want to do that? The short and simple answer: It leads to increased happiness and a positive sense of well-being. So how does a simple thought have the power to overtake our assessment of what we believe to be true? Let’s take, for example, a friend not calling or texting us back when we really need to speak to them. Can anyone relate to thinking, “I can’t believe they would ignore my call right now. I’ll bet it’s because they know what I’m calling about”? At this point, we may begin to question why we would have chosen such a shiftless layabout as a member of our wolfpack in the first place. We may be short with that person the next time we see him or her — or practice avoidance altogether. You find yourself harboring a resentment toward this person. A few days later, you hear that your friend’s mom ended up in a car accident an hour before you called. As the late Sheriff Buford T. Justice would say, “Oof.” How about this one: Ever had a dream that your significant other or a friend did something that really upset you? How did you feel the next morning? I know for me, I wake up and, even though 12 | FVMA ADVOCATE

I know it was a dream, those feelings can still sting well after breakfast. Even though we know it wasn’t true, we have a strong emotional response that lingers. Similar examples can be seen with our veterinary client interactions. The 1, 2, 3, 4 model used in behavior demonstrates the following pattern: event, thought, feeling and reaction. Our beliefs about an event elicit an emotional response. Our emotional response leads to a behavior. All the previous discussion leads us here: Regardless of the accuracy of our thoughts regarding an event, we experience the resultant emotions as though they were indeed real. So, if we aren’t certain of the facts and/or our beliefs could be irrational, why would we choose to suffer needlessly? We can be happier and live more peacefully by learning how to identify these thoughts before we have an associated negative emotion and resultant bad behavior. There are some distinct thinking patterns that most of us can recognize in ourselves. These “cognitive distortions” are found aplenty with us veterinary professionals. We often will focus on the negative and discount the positives. We will overgeneralize, making broad and negative assessments from a single negative event. A statement that illustrates this would be: “I can’t believe I lost my stethoscope. Nothing ever goes right for me.” We sometimes assume someone is reacting negatively to us, even when we have no evidence for it, for example: “I know this person thinks I don’t know what I’m talking about.” Recognizing and challenging this thinking will lead to less negative self-talk and views. Result? Our state-of-well-being meter stays above average. Thankfully, those who have walked through this emotional forest fire before us have some effective solutions. For example, in 12-step recovery, the 4th and 10th steps deal partly with identifying resentments. The individual performing the inventory will list harms that they think someone has done to them, assess how that internally affects them, looks at what part they played in the resentment itself and, finally, what could have been done to improve the situation. This process fundamentally changes how members of 12-step programs view the world around them.

Or as my dear, late spiritual mentor Dr. Art Waltzer, would say: “If I am not the problem, then there is no solution.” This, of course, means we often can’t change the events of the world or the people around us, but we can change our own perceptions and reactions concerning them. Making a concerted effort to shift these thoughts in the direction of positivity, or even neutrality, are the first steps in moving toward resiliency and living a happier life.

References

Green, D. and Muth, N. (Eds.) (2019). Coaching Behavior Change. San Diego, CA. American Council on Exercise. Beck, A.T. (1975). Cognitive Therapy and the Emotional Disorders. Madison, CT: International Universities Press. Burns, D.D. (1999). Feeling Good: The New Mood Therapy (revised edition). New York: Wm. Morrow and Co. Grant, A.M. (2003). The impact of life coaching on goal attainment, metacognition and mental health. Social Behavior and Personality, 31, 253-263. Green, L.S., Oades, L.G. and Grant, A.M. (2006). Cognitivebehavioral, solution-focused Life coaching: Enhancing goal striving, well-being, and hope. Journal of Positive Psychology, 1, 142-149.

Now, of course, not everyone will have the opportunity to work through a 12-step program. There are other methods to help us change our view of occurrences. Health and wellness coaches utilize a process called cognitive behavioral coaching. This is based on the work of Drs. Albert Ellis and Aaron Beck, both of whom are considered to have been two of the most influential psychotherapists in the U.S. While this coaching tool can take weeks to months with professional guidance to be most effective, one aspect of this process can be put into practice today. When faced with our initial belief or thought regarding a situation or event, we challenge it with the following questions: • What evidence do I have to support this? • What would I tell a friend in the same situation? • Is my thinking in this situation helping myself or others, or is it making things worse? • Are there any other possible responses other than blaming myself? • Is there any conceivable way to look at this positively? Dr. Ellis said this about the transformation that can take place when we implement cognitive behavioral change into our daily lives: “[t]he best years of your life are the ones in which you decide your problems are your own. You do not blame them on your mother, the ecology, or the president. You realize that you control your own destiny.”

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Philip Richmond, DVM, CHC-BCS, CCFP Dr. Philip Richmond is a graduate of the University of Florida College of Veterinary Medicine and practices in New Port Richey, Florida. He has been in recovery and passionate about helping medical professionals in recovery for more than 10 years. He currently serves as the chair of both the FVMA Professional Wellness and Well-being Committee and the FVMA Outreach Committee. The Professional Wellness and Well-being Committee serves Florida veterinarians with alcohol and substance abuse disorder, depression, anxiety and other mental health conditions. In addition, the committee works to improve the level of wellness and well-being of the state’s veterinary professionals. He has also served on the Board of Directors of the Florida Medical Professionals Group, an organization that supports medical professionals in recovery in the state. Dr. Richmond is a Certified Health Coach — Behavioral Change Specialist, Certified Compassion Fatigue Professional, Certified QPR Suicide Prevention Gatekeeper Instructor and has earned the AVMA Workplace Wellness Certificate. Dr. Richmond is married to Dr. Carla Channell, who is also a veterinarian. They have two children, three dogs, a bevy of cats and turtles, a sulcata tortoise and a corn snake. He is a Krav Maga practitioner, and he enjoys weightlifting and functional training.

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BEING A LEADER IN YOUR PRACTICE Peter A. Weinstein, DVM, MBA PAW Consulting, Irvine, CA

Leadership is a relationship based upon trust and credibility. They are the foundation of being a great leader. The people around you must believe in you before they will willingly follow you. You must earn the trust and confidence of the team to be a leader. Being the leader of a veterinary hospital team is no greater feeling. The saving of a life, the counseling of a terminally ill patient/client or the bonding of a new client to your practice are the culmination of the efforts of everybody working together, as a championship team, under your leadership. When the energy of the group comes together, what can be accomplished is amazing. All in all, leadership has many definitions. But, when all is said and done, the most important requirement for a leader is to have followers.

LEADERSHIP Your DVM, CVPM or other title does NOT automatically come with respect from the veterinary hospital team and most definitely doesn’t mean you are a leader. If you want to be a leader in your practice, you have to EARN IT. When asked what people expect from their leader, there were some definitive attributes that the majority of people look for: • Honest, truthful, character, trusting • Creativity, forward looking, visionary, fore-sighted, sense of direction • Motivating, inspiring, uplifting, enthusiastic, cheerful, humorous, optimistic • Team builder, competent, capable, proficient, professional

LEADERSHIP IN PRACTICE Strong leadership is supported by four integral concepts. The practice must have: • A vision • A mission • Core values • Standards of care VISION — This means the practice has a compelling vision statement that answers the question of “WHERE ARE WE GOING?” MISSION STATEMENT — This is the sense of purpose that a leader and their team works under. It answers the question of “WHY ARE WE HERE?”

To earn your leadership stripes, you must exhibit the attributes noted. It takes time to achieve the trust needed to be a leader. It takes seconds to lose it. When you demonstrate honesty, vision, inspiration and competency, you will be a leader in your practice.

CORE VALUES — These are the principles which everything is done under by the team, including the leadership. It answers the question of “HOW WILL WE BEHAVE AS WE WORK TOGETHER?”

People, who work with leaders they admire and respect, feel good about themselves. Strong leaders set their team free to accomplish levels of success not seen previously. Credible leaders raise selfesteem of those around them by the trust they show them. Leaders make a difference in the lives around them and those around them make a difference in other lives.

And finally, the STANDARDS OF CARE are the set of consistent approaches to the delivery of health care within the practice. These standards are based upon a community standard but are unique to each practice and answer the question of “HOW WILL WE DO IT HERE?”

20 | FVMA ADVOCATE

The role of leadership in successful veterinary practices is to help employees know their role, help employees succeed and, in doing so, to help the practice to succeed. In conjunction with managers, they help the team answer the question of “WHO WILL DO WHAT BY WHEN?” Managing the dream or vision is the responsibility of the leader. The ultimate objective of the leadership and management team is the successful accomplishment of the goals and objectives through their people.

COMMUNICATION What should be the top priority of all successful leaders? COMMUNICATION — clear, honest, frequent and frank communication using a variety of tools (memos, meetings, coaching, etc.) to ensure that key messages are reaching and engaging everyone. The secret is to communicate effectively. That means information is given and received in each exchange. Rule of thumb: About the time you are sick of talking about something is about the time your employees are starting to get it. Recognize that even in the most successful business, less than 50 percent of the employees are clear about what the business is trying to achieve and what is expected of them to help achieve it. Successful leaders make their followers successful and by doing so make their practice thrive. The trust you build and the actions you agree to take are essential steps toward becoming an exceptional practice and communication is foundational. Veterinary medicine requires a team approach to be successful. No one individual makes a practice run effectively, efficiently and profitably. It takes a group of people, each with specific roles and responsibilities, to provide client service and patient care at the highest level possible. To that end, it is the leadership of the team that determines:

Whether it is players aging, injuries or offers of more money, the bygone era is history. Is your practice a model of the old sports teams, or do you emulate the revolving door model of the 21st century? Based upon studies in virtually any industry, staff retention has an amazing impact on client retention, and client retention portends well for your business in any economic environment. So, what can you do to keep your team together? What is it the staff members want? Can you ever satisfy them?

REQUIREMENTS FOR A TEAM High-performing teams have:

• Who is on the team? • How well do they work together? • What are their goals and roles? • Why do they come to work in the morning? • Will this team play together or fall a part? Working in teams does not come easily for veterinarians who still most often see themselves as heroic lone healers. Nonetheless, developing teams is a key leadership function for health care providers of all types and a critical competency for veterinary leaders. The ability to build high-performance teams confers a competitive advantage.

TEAM BUILDING These days one of the greatest challenges in professional sports is the ability to keep a winning team together from year to year.

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• Vision, mission, values and standards of care. • Autonomy and are empowered to act and make decisions and choices with clear boundaries. • Relationships and open communication with no fear of taking risks or sharing their opinions. • Flexibility in that they are inter-dependent, where each are responsible for the ultimate outcome of the team as a whole and are willing to change as needed to achieve their outcomes. • Productivity — not just the quantity but the quality of the work done based upon high standards. Team members hold each other accountable and seek continuous quality improvement. • The 3Rs — Respect, responsibility and recognition  Respect  Responsibility  Recognition - Positive feedback provided by the leadership and teammates. • Great morale, which includes enthusiasm and pride.

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Bill Capodagli, author of “The Disney Way” notes:

“

Putting together a culture where a people’s ideas are valued, and they’re respected, and they’re trusted is one of the most important things, and when people know that they are being trusted to do their work, they rise to levels that surprise even themselves many times.

”

TIPS FOR PUTTING A TEAM TOGETHER THAT STAYS TOGETHER

Train to make people successful Give people the tools they need to be successful right from the very first day and for every day that they are in your employment. Education adds value to the team members and to the clients and patients. See your team as a whole Teamwork makes the dream work. Envision the team working together right from the beginning. See it as a living, integrated system rather than a collection of individuals. The real challenging goal is to take a group of individuals and create a high-performing team.

SUMMARY Not all practices work. Not all leaders work. One of the most significant reasons for failure is the “perception gap” between the hospital’s leadership and their followers or team. The simple solution found by most Fortune 500 companies is to ensure that the leaders and their team all understand and support the business’ mission, vision and values.

Hire slow, fire fast Look for people who meet the culture of the team. Hire for personality, and train to a level of competency and trust. When someone with training and coaching doesn't meet the standards, it is better to let them go early on than carry them. Hire strong If you need to scare off applicants, do so. A thorough job description and list of expectations should be shared early in the process. The interview process should be reserved for those that have been thoroughly screened. Use behavioral interview questions rather than just asking about past experiences. Challenge a candidate’s ability to think on their feet. Use a hiring team A team composed of various team members can be used for the initial stages of the hiring process. This team knows the culture and will look for people like themselves and will work very hard to identify people that they can work with.

“

You can give a great idea to a mediocre team, they may screw it up. But, if you can give a mediocre idea to a great team, they’ll turn it into a great product.

”

- Ed Catmull, Pixar

22 | FVMA ADVOCATE

Focus on “what you do” and “how you are going to do it;” however, you must have the “WHY” you are doing it to be successful. Effective leadership is accomplishing the mission with minimum expenditure of personal time and effort and an appropriate balance between practice, staff, and individual needs and goals. Emotional engagement is fundamentally more important to your company than intellectual engagement. You can instruct your team about the direction of your company. You can train them in the skills they need to move the company in that direction — but inspiring your people to use those skills and pursue those goals is another matter. Traditional health care leaders try to buy time, fend off change and maximize revenue under the existing system while they can. The new leaders focus on outcomes and use performance measurements as a motivating tool to organize their colleagues and drive improvements.

Peter A. Weinstein, DVM, MBA

PAW Consulting

Dr. Peter Weinstein worked as an associate veterinarian for three years before opening his own practice, where he identified the need for business acumen. While practicing full time, he attended the MBA degree program at the University of Redlands Business School in Redlands, California. Subsequently, he relocated, expanded and sold his practice to a corporation. He has served as president of the Southern California VMA, California VMA and VetPartners, and he chairs the AVMA Veterinary Economic Strategy Committee. He offers consulting as PAW Consulting, while acting as the executive director of Southern California VMA. He co-authored “The E-Myth Veterinarian: Why Most Veterinary Practices Don't Work and What to Do About It.”

As the boss treats the staff, so will the staff treat the clients. The leader’s vision and dream will be supported best when the team is led by example.

protecting your veterinary license Your license is one of the most important assets you need to protect. Don’t face complaints against your veterinary license alone. Our Veterinary License Defense program helps veterinarians get the legal protection they deserve. 800-228-7548, option 2

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FVMA Foundation Hurricane Michael Relief & Recovery Fund Update

FOUNDATION

Photos courtesy of Dr. Darren Ruff

Hurricane Michael’s impact on multiple counties in the Florida Panhandle can only be described as devastating. Making landfall at Mexico Beach just south of Panama City on Wednesday, October 10, 2018, the Category 5 storm caused catastrophic damage to communities in Bay, Jackson, Calhoun, Jefferson and Franklin counties. This hurricane has severely disrupted the lives of half a million Florida residents, and caused tremendous suffering and displacement to countless pets and animals in a total of 24 counties in the Panhandle. As assessment of the damage in the Panhandle began after the storm, the FVMA Foundation set up the Hurricane Michael Relief & Recovery Fund to support Florida veterinarians and animals who were impacted, including individuals who helped with animal care and rescue efforts during and after the hurricane. Generous donations to the fund were received from FVMA members, the general public, industry, sister state associations and the AVMA. To date, more than $52,000 has been raised for those impacted.

Photos of damage to Bay Animal Hospital in Panama City, Florida. Photos courtesy of Dr. Joseph Atwell

Funds were disbursed to those who qualified and were eligible, including FVMA members who assisted in rescue, relief and recovery efforts; those who faced unreimbursed losses as a result of the storm; and those who provided emergency boarding to animals during Hurricane Michael. A task force was appointed to consider the applications and met in May 2019 to review applications. The task force is comprised of Drs. Alex “Steve” Steverson (chair), Jerry Diaz, Jim Zettler, Todd Fulton and Heather Rodriguez. So far, the following veterinarians and their practices have received assistance: Dr. Joseph Atwell – Gulf Coast Animal Hospital in Panama City, Florida Gulf Coast Animal Hospital was lucky and did not sustain substantial structural damages from Hurricane Michael. Being so fortunate, they were open and quickly started serving the community. They were able to provide emergency care for pets and working dogs that were involved in the recovery effort. When they were advised that it would be several weeks before power would be restored to the area, their veterinarians and staff had a meeting to devise a plan to acquire generators and cords to provide enough power to run the clinic. After gathering the supplies and equipment needed from nearby Fort Walton Beach, they were able to keep the hospital’s power on for several weeks. As a result, Gulf Coast Animal Hospital was able to provide medical and surgical services to all who needed them in the surrounding impacted area. Dr. Carla Hubbard – Critter Care LLC in Panama City, Florida The Panama City location of Critter Care LLC was decimated by Hurricane Michael. Thousands of dollars were spent and hours of work were put in to keep the clinic going after the hurricane to help pets during the recovery. A mobile classroom was bought, set up and turned into a clinic to continue providing services to clients. Critter Care LLC, though open and providing limited services, is expected to be bulldozed. 24 | FVMA ADVOCATE

Because they didn’t sustain substantial damages, Gulf Coast Animal Hospital was able to open quickly after Hurricane Michael to provide emergency care for pets in the community.

Photo courtesy of Dr. Carla Hubbard

Drs. Nikki Korda & Jeffrey D. Palgut – Callaway Animal Hospital in Panama City, Florida

A snapshot of a hole in the roof of Critter Care LLC in Panama City, Florida. Photo courtesy of Dr. Gregory Winter

Callaway Animal Hospital sustained significant damage, including damage to the hospital’s roof, fencing, the clinic sign and a broken front-area reception window, resulting in tens of thousands of dollars in repair costs. The hospital lost electrical power for 18 days, resulting in the loss of all perishable, refrigerated drugs and laboratory test kits. Although they were not able to practice for three weeks after the storm, the hospital provided boarding care for animals that were already at the clinic during and after the storm. Boarding was also provided at no cost for neighborhood animals whose owners’ homes sustained damage and were unlivable. Callaway Animal Hospital also donated vaccines that were salvageable to another veterinarian and distributed pet food locally to clients who were in need. Dr. Darren M. Ruff – Bay Animal Hospital in Panama City, Florida After walking eight miles through unpassable roads to make it to the clinic after the storm, Dr. Ruff discovered that Bay Animal Hospital suffered severe damage from Hurricane Michael. Dr. Ruff didn’t evacuate from the area of impact because there were five hospital patients in his care, two in critical care. The hospital lost its entire roof which landed in the front parking lot. Trees came down, including one that fell onto the hospital. The privacy fence was destroyed, and all the exterior lights were damaged. The back of the building was knocked down, but, luckily, no animals were hurt. They had no power or water for 12 days. More than two months after the storm, they still didn’t have working phones or Internet. Dr. Ruff and his wife spent every day for 12 days cleaning up and moving debris to get the hospital open. They were fortunate to be able to pay to get a temporary roof before getting their permanent roof. In the days after Hurricane Michael, they volunteered their time to help triage and save pets’ lives and gave away drugs to help pets in the area. Dr. Gregory S. Winter – Winter Animal Hospital in Havana, Florida Winter Animal Hospital lost power for eight days, resulting in almost $13,000 in lost revenue. Dr. Winter paid Convoy of Hope out of pocket to assist in providing dog, cat and horse food for victims of the storm. He also boarded patients to help clients who experienced significant damage, water loss and power outage to their homes, providing a safe environment for their pets. The FVMA Foundation still has funds available for Hurricane Michael relief and continues to accept disaster relief grant applications. Actively licensed Florida veterinarians at the time of the disaster who were affected are eligible to apply and receive funds. Up to $2,500 can be disbursed to any individual for out-of-pocket expenses incurred as a result of providing medical care, food or shelter to animals affected by Hurricane WWW.FVMA.ORG |

Dr. Gregory Winter comforting Josie during her stay at Winter Animal Hospital while her family repaired their damaged home.

Michael, or for out-of-pocket clinic expenses resulting from damage from the hurricane. Applications Still Being Accepted Applications for disaster relief related to Hurricane Michael will be accepted by the FVMA Foundation until remaining funds are disbursed. If you are still recovering from the effects of Hurricane Michael, we encourage you to apply today. You can access and download the application criteria and form on the FVMA website: https://fvma.org/disaster-relief/. For assistance, please contact the FVMA at 800.992.3862 or info@fvma.org. The FVMA Foundation is registered as a 501(c)(3) non-profit organization. Contributions are tax deductible to the extent permitted by law. The FVMA Foundation tax identification number is 59-3669363. Florida Law Requires the Following Notice: “A copy of the official registration and financial information may be obtained from the Division of Consumer Services by calling toll-free (800) 435-7352 within the State. Registration does not imply endorsement, approval, or recommendation by the State.” Registration # CH11722.

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@FLORIDA_VMA

| 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:

Are there laws or guidelines for first responders, paramedics and firefighters giving medications to pets in distress, specifically in emergency vet medicine? We would use atropine epinephrine and vasopressin in emergency situations to try and revive a dog that is undergoing CPR. Can first responders give these medications also? A: This is not so much a legal question but a practical one. We could

not find a law that states that non-veterinarian first responders can perform such services. Nevertheless, the Florida Good Samaritan Act (§768.13, F.S.) provides at paragraph (3): (3) Any person, including those licensed to practice veterinary medicine, who gratuitously and in good faith renders emergency care or treatment to an injured animal at the scene of an emergency on or adjacent to a roadway shall not be held liable for any civil damages as a result of such care or treatment or as a result of any act or failure to act in providing or arranging further medical treatment where the person acts as an ordinary reasonably prudent person would have acted under the same or similar circumstances. With that being said, it would be next to impossible to sue a first responder that has received (some) training and is acting as an ordinary reasonably prudent first responder with some training under the same/similar circumstances. Likewise, it seems unlikely that such a responder would be subject to an allegation of unlicensed activity.

QUESTION:

I am a director of a county animal shelter. I have my own veterinary practice and DEA number for my practice. The staff veterinarian will be leaving soon, and there will probably be a period of time until we can hire another shelter veterinarian. We hope to have relief practitioners come to the shelter on some days to performs spays, neuters and other shelter veterinary services. How can we address the use of controlled substances, primarily for anesthetic induction, without a permanent DEA-licensed practitioner employed? I am going to inventory the existing controlled substances with the veterinarian currently employed before she leaves, but I know my DEA license can be used for my practice only. Any suggestions? A: There are two possible alternatives. DEA regulations require a separate registration for each office where a practitioner administers or dispenses as a regular part of the professional practice of the practitioner at such office.

§1301.12 Separate registrations for separate locations. (3) An office used by a practitioner (who is registered at another location in the same State in which he or she practices) where

26 | FVMA ADVOCATE

controlled substances are prescribed but neither administered nor otherwise dispensed as a regular part of the professional practice of the practitioner at such office, and where no supplies of controlled substances are maintained. A practitioner may have more than one such office. If you designate the shelter as another such office, you can register and handle it that way. The relief veterinarians can use the drugs, but you remain responsible for the recordkeeping. The other alternative is to require that the relief veterinarians bring their own controlled substances. As far as the inventory of existing controlled substances, those need to be transferred to you. Please refer to the excerpt below: For Schedule IIs, you must issue a DEA 222 to the departing veterinarian. Schedules III-V require that an accurate inventory be created (quantities, lot numbers, etc.) with the names of both registrants. It is recommended that it be signed by both the departing veterinarian and you. To transfer schedule II substances, the receiving registrant must issue an official order form (DEA Form 222) or an electronic equivalent to the registrant transferring the drugs. The transfer of Schedules III-V controlled substances must be documented in writing to show the drug name, dosage form, strength, quantity and date transferred. The document must include the names, addresses and DEA registration numbers of the parties involved in the transfer of the controlled substances.

QUESTION:

Can a veterinarian transfer his controlled drugs to the new owner when he sells his practice? A: Yes, a veterinarian can transfer his drugs to a new owner when

selling a practice. This is covered in Florida Statute s. 499.003 (53) (f), which provides an exemption from the definition of “wholesale distribution” and provides for a one-time transfer of drugs from one pharmacy to the other in case of sale. Our legal counsel advises that no specific exemption applicable to veterinarians is in the statute, but the principle is the same for veterinarians. In such a transfer, however, a detailed inventory and invoice showing the drugs being transferred must be kept and signed off by both the selling veterinarian and the buying veterinarian.

QUESTION:

What should my veterinarian do when a dog that is brought in for care is discovered to have a microchip and the chip shows ownership

of the dog to be different from the person who brought the animal in for care? A: A legitimate VCP relationship is established when the client brings

the patient to the veterinarian, arranges for treatment and assumes the financial responsibility for same. When that happens, the person is now the client. The veterinarian then has a duty to maintain that relationship confidential. If he/she contacts the "microchip owner" without authorization from the client, he/she is breaching his/her duty to the client to maintain confidentiality. There are four possible reasons why a dog microchipped to Person A is now under the control of Person B. 1. Person A sold the dog. 2. Person A gave the dog away. 3. Person A lost the dog, and Person B found it and took it in as his/her own. 4. Person B stole the dog from Person A. In three of the four reasons, Person B has not done wrong. Dogs do not come with a certificate of title (like vehicles). One can have paperwork showing purchase from a pet store (or breeder), records from a previous veterinarian, AKC registration or other documents that tend to demonstrate ownership, but the absence of such is not proof of non-ownership. Under the law, the greatest indication of ownership over personal property is possession. In the absence of any other factor, that would indicate the client is not the rightful owner (i.e. flyers in the neighborhood describing the dog as lost). A veterinarian has no legal obligation to contact the microchip owner.

QUESTION:

I was under the opinion that rabies vaccines cannot legally be purchased from Walmart online in Florida. Can any drug be bought online if available with the proper prescription? A: The issue with rabies vaccination is that in Florida, a licensed veterinarian must administer such a vaccination and provide the proper vaccination certificate. Legal counsel advises that it appears that a veterinarian should not write a prescription for a rabies vaccine because he/she would be aiding and abetting a violation of the statute.

828.30 Rabies vaccination of dogs, cats, and ferrets.— (1) All dogs, cats, and ferrets 4 months of age or older must be vaccinated by a licensed veterinarian against rabies with a vaccine that is licensed by the United States Department of Agriculture for use in those species. The owner of every dog, cat, and ferret shall have the animal revaccinated 12 months after the initial vaccination. Thereafter, the interval between vaccinations shall conform to the vaccine manufacturer’s directions. The cost of vaccination must be borne by the animal’s owner. Evidence of circulating rabies virus neutralizing antibodies shall not be used as a substitute for current vaccination in managing rabies exposure

WWW.FVMA.ORG |

or determining the need for booster vaccinations. (2) A dog, cat, or ferret is exempt from vaccination against rabies if a licensed veterinarian has examined the animal and has certified in writing that at the time vaccination would endanger the animal’s health because of its age, infirmity, disability, illness, or other medical considerations. An exempt animal must be vaccinated against rabies as soon as its health permits. (3) Upon vaccination against rabies, the licensed veterinarian shall provide the animal’s owner and the animal control authority with a rabies vaccination certificate. Each animal control authority and veterinarian shall use the “Rabies Vaccination Certificate” of the National Association of State Public Health Veterinarians (NASPHV) or an equivalent form approved by the local government that contains all the information required by the NASPHV Rabies Vaccination Certificate. The veterinarian who administers the rabies vaccine to an animal as required under this section may affix his or her signature stamp in lieu of an actual signature. (4) Each ferret vaccinated according to this section must be quarantined, when necessary, according to rules of the Department of Health. (5) An animal owner’s name, street address, phone number, and animal tag number contained in a rabies vaccination certificate provided to the animal control authority is exempt from s. 119.07(1) and s. 24(a), Art. I of the State Constitution. However, any person who has been bitten, scratched, or otherwise exposed to a zoonotic disease or the physician of such person; a veterinarian who is treating an animal that has been bitten, scratched, or otherwise exposed to a zoonotic disease; or the owner of an animal that has been bitten, scratched, or otherwise exposed to a zoonotic disease shall be provided with any information contained in a rabies vaccination certificate but only with respect to the particular animal biting, scratching, or otherwise causing exposure. Any person with an animal tag number may receive vaccination certificate information with regard to that animal. Law enforcement and prosecutorial agencies; other animal control authorities; emergency and medical response and disease control agencies; or other governmental health agencies shall be provided information contained in the rabies vaccination certificate for the purpose of controlling the transmission of rabies; however, the receiving agencies and authorities must not release the exempt information. (6) Violation of this section is a civil infraction, punishable as provided in s. 828.27(2). (7) This section does not prohibit or limit municipalities or counties from establishing requirements similar to or more stringent than the provisions of this section for the implementation and enforcement of rabies-control ordinances. However, local governments shall not mandate revaccination of currently vaccinated animals except in instances involving postexposure treatment for rabies.

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

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@FLORIDA_VMA | 27

CLASSIFIED ADVERTISEMENTS VETERINARIANS WANTED

VETERINARIAN WANTED – COASTAL SOUTH FLORIDA: AAHA small animal practice in affluent Coastal South Florida community looking for 4th doctor. We have a Phillips ultrasound, digital x-ray/ dental x-ray, the full IDEXX suite of lab machines, class 4 therapeutic laser, amazing veterinary nurses, and an even more amazing clientele. We are 5 minutes from glorious Jupiter Island beaches. Hour long appointments for new clients and half hour appointment times in general allow education of clients. Our nursing staff is highly experienced, so you can focus on doctor responsibilities. We’d like someone with at least a few years of experience, confidence, and most of all a charming upbeat personality. Bonus points if you also have good dental skills!! We are a strong dental practice. Skill and interest in dentistry helpful for the position. Dr Sutton happy to train applicants in dentistry. Call Dr Joi Sutton at 561-914-6403 or email joisuttondvm@yahoo.com. Our website is tequestaveterinaryclinic.com.(3/19: ID#8931)

VETERINARIAN WANTED - SARASOTA FL: We are seeking a full or part-time veterinarian to join our growing integrative veterinary practice. We are an established practice that provides preventative medicine, general surgery, reproduction services, physical therapy, chiropractic, acupuncture and much more. We have in house blood work, ECG, radiology, dental radiology and ultrasound. Experience is preferred but we will consider new graduates. We encourage and support work- life balance, offer competitive salary, bonus potential and many additional benefits. For consideration please email your resume to Jennie Dickson at jennie@westcoastvet.com. (3/19; ID#2842) ASSOCIATE WANTED – TITUSVILLE, FL.: Want to have a great work/ life balance while practicing top-quality medicine? Live and work where most people come to play! Located in Titusville, in beautiful coastal central Florida (also known as the Space Coast), Young’s Animal Hospital is currently seeking an Associate Veterinarian for our thriving small animal and exotic practice. Our 4-doctor practice allows us to offer excellent mentorship for newer grads, as well as other minds with whom to confer or collaborate for more experienced veterinarians. Our practice provides the tools you need to offer high caliber medicine, including digital radiology (dental too!), ultrasound, surgical and therapeutic lasers and in-house laboratory. We encourage and support our doctors to find their special interest niche, whether it be surgery, dermatology, exotics, ophthalmology, dentistry, etc. When you are not working, you can enjoy a variety of entertainment options within a one-hour drive, including Kennedy Space Center, Disney, Universal Studios, Cocoa Beach, Daytona Beach, or stay home and watch rocket launches from your backyard. Your time off is truly your time off, since we refer to our local emergency centers and therefore require NO on call. Salary is generous and commensurate with experience, with an additional benefit package including licensing, CE, PTO, 401k match, medical benefits and more. This package, combined with a relatively low cost of living, can help you pay down those student loans more quickly. Both part-time and fulltime positions will be considered. If you are interested in applying, or would like more information, please contact drabockelman@gmail.com. (3/19; ID#24469) VETERINARIAN WANTED – PARRISH, FL: Well-established small animal practice located on the west coast, looking for a full-time veterinarian. We provide full-service medical, dental, and soft tissue surgical procedures. We have in-house IDEXX vet lab stations, digital radiography, ultrasonic dental equipment. NO after-hour/emergency shifts. Great supportive staff, competitive salary. Benefits include: Insurance, 401-K, 2 weeks PTO, and CE. For contact Kelly Stoddard at eah34219@aol.com (3/19; ID#28303)

VETERINARIANS WANTED – SANFORD/SPRING HILL/SEMINOLE/ FLEMING ISLAND/JACKSONVILLE, FL: THRIVE Vet Care is looking for talented, friendly, passionate veterinarians of all experience levels to add to our teams. We have focused on raising the bar in veterinary medicine while lowering costs for our clients.

28 | FVMA ADVOCATE

We value independent thinking and entrepreneurial spirits. We have high technician to doctor ratios creating a fast-paced, fun and friendly environment. And most importantly, we put quality medicine first. Our call center keeps our team focused on patient care rather than phones. And our schedules allow our teams to maintain a work-life balance. Currently we have openings in Sanford, Spring Hill, Seminole, Fleming Island and Jacksonville Florida. Email sara.liac@thrivevet.com to hear more and learn about our industry leading benefits.(3/19; ID#46194)

VETERINARIAN WANTED – TALLAHASSEE, FL: Full-time small animal associate veterinarian is needed at Novey Animal Hospital. We are looking for a veterinarian to join our team that enjoys practicing high-quality medicine and surgery in a client-centered, compassionate and collaborative manner. We are located in Tallahassee, Florida, home of the state capitol, FSU, FAMU, and are only a short drive to the beach. Tallahassee is ranked in the top 100 best places to live in America and one of the best places to raise a family. We are a well-established hospital, with great clientele and a welltrained staff. We are equipped with digital dental radiography, digital radiography, ultrasound, laser, and more, with a specialty hospital and multiple emergency hospitals within minutes. Our associates enjoy great benefits, including a 4.5-day work week, no emergency on-call, health insurance, 401(k) match, and more! Recent and new graduates are welcome; mentorship will be provided and collaboration amongst our doctors is highly valued and expected. Please contact: Larry Novey, larrynovey@hotmail.com or (850) 508217. (3/19; ID#12890)

VETERINARIAN WANTED - OVIEDO, FL: Associate Veterinarian wanted for 4 Doctor small animal practice in Oviedo, Florida. Casual attitude, serious compassion required. New graduates would be welcomed and gently trained. Please contact Dr. Bob Moja or Katie Hogan. Central Florida Animal Hospital, 1272 Alafaya Trail Oviedo, FL 32765, 407-3664535, bobmoja@yahoo.com. (3/19; ID#15571) VETERINARIAN WANTED- NEASE ANIMAL HOSPITAL, PONTE VEDRA, FLORIDA: Looking for an AMAZING Veterinarian to work in a fast growing AAHA accredited veterinary hospital. Our mission is to provide a comprehensive care with a personal touch. Four day work schedule and one which will be alternating Saturday. Send your resume to neaseah@gmail.com. Nease Animal Hospital, Ponte Vedra, FL (3/19; ID#28811) VETERINARIAN WANTED – BROWARD AVIAN & EXOTIC ANIMAL HOSPITAL: Full time associate veterinarian position available at avian and exotic exclusive private practice - Broward Avian & Exotic Animal Hospital. Salary dependent upon experience. State of the art hospital with in house laboratory, ultrasound, endoscopy, true digital radiography and access to mobile CT unit. Excellent, skilled staff.

You can check us out by viewing episodes of "Dr. K's Exotic Animal ER". We will most likely be continuing to film this show here at the hospital. Filming happens for 3 months at a time. It's not as bad as you think it would be having to be on camera! Please don't let this deter you from exploring this position. (3/19; ID#26090) CVT OR DVM INSTRUCTOR NEEDED – MULTIPLE FLORIDA CAMPUSES: Southern Technical College is seeking full and part time day or evening instructors for its Veterinary Assisting diploma programs in Ft Myers, Port Charlotte, Brandon, Orlando, Sanford, and Auburndale. Permanent and month-to-month teaching assignments are available. Curriculum is provided. Qualified candidates will either hold a Doctor of Veterinary Medicine degree or be a certified Veterinary Technician, and have at least three years of work experience in the field. Teaching experience is not required, but is preferred. Please have all resumes emailed to Sherry Parker – sparker@southerntech.edu. (3/19; ID#46310)

RELIEF VETERINARIANS

RELIEF VETERINARIAN – MELBOURNE / COCOA BEACH, FL: Relief veterinarian for the Melbourne and Cocoa Beach area with 25 years’

experience, I am proficient in small animal medicine and surgery , I also have excellent communication skills with the clients and staff , I can provide references upon request , please email ericgator@hotmail.com or text 801499-0383. (3/19; ID#40805)

RELIEF VETERINARIAN – "Got to get away? "VetRxRelief , 37 years experience Florida small animal Veterinarian.Please call 321-508-3879 & Georgia Practices for Sale or Vetgator@gmail.com. (3,4/19; ID#9238)

Florida & Georgia Practices for Sale

FL: NEW! Solo dr, SA–prx. Gross PART-TIME RELIEFJacksonville: VETERINARIAN WANTED BONITA SPRINGS, $518K+.Part-time No after-hours ER. and/or RE Included. FL: Experienced Relief DVM Part-time(FL43J) to Full-Time Associate DVM Shifts available in Bonita Springs, FL at Animal Wellness GA: South Central GA: $959K+ gross, up 5% in 2019, Center of Bonita. Please text your contact info with resume to 239-565-0378 1.5 doctor practice. Nice facility & equipment. (GA14F) to schedule professional interview time. (3/19; ID#27123)

FL: NEW! Jacksonville: Solo dr, SA prx. Gross $518K+. No after-hours ER. RE Included. (FL43J)

Tampa. Established since 1960. 2018 gross $700,000. Owner retiring. Call FL: PENDING! South(2Central FL: $758K+ gross, solo Dr. F.R. Tellekamp813-971-7668. & 3/19; ID #4672) dr prx. No after-hours ER, 5 day work week. (FL28A) PRACTICE FOR SALE – NORTH CENTRAL FLORIDA: Small animal practice in a growing tri-county hub of high, dry and green North Central FL: SOLD! The Villages Area: $1.1M+ gross. 4.5 day Florida located directly on the main highway. In house lab, digital radiology, work week. Majorisolation growth potential. (FL52S) fully equipped surgery suite, ward, full dispensing pharmacy. Open 20 years with dependable staff and loyal, growing clientele. Averages a yearly FL: SOLD! North of Orlando: Congratulations to Dr. growth of 7.5%, estimated gross for 2019 over $700K. Call 352-215-0710 Kent Greer on the sale of his practice, River Oaks AH to (3/19; ID #45733) Dr. Ana Ortiz & Jose Berrios. (FL10L) PRACTICE FOR SALE – JACKSOVILLE, FL: Jacksonville Small Animal Practice for sale or lease. Recently renovated and equipped with Digital x ray, in house lab, updated surgical suite. Located on major highway. Great potential for growth. Lease to buy agreement is available for Road, a qualified applicant. 904 GA 56431522 9400. 1610 Frederica Saint Simons Call Island, (3/19; ID #40490) Toll Free: (800) 333-1984 | www.simmonsinc.com RENT TO OWN PRACTICE – WINTER PARK, FL: Winter Park 436 Email: southeast@simmonsinc.com practice & equipment - rent to own. Georgia, Dr. Larry Adkins 407-529-5651 Licensed in Florida, North Carolina, DrLarryAdkins@gmail.com http://lowcostanimalhospitals.com/ and South Carolina Real Estate Broker (3/19; ID #28095)

FL: PENDING! South Central FL: $758K+ gross, solo dr prx. No after-hours ER, 5 day work week. (FL28A)

FL: PENDING! West of Amelia Island: $772K gross. 4.5PRACTICES day work week.FOR $149K after-debt income. Major SALE OR LEASE area development. (FL65Y) PRACTICE FOR SALE – TAMPA, FL: Small animal practice for sale in

GA: South Central GA: $959K+ gross, up 5% in 2019, 1.5 doctor practice. Nice facility & equipment. (GA14F) FL: PENDING! West of Amelia Island: $772K gross. 4.5 day work week. $149K after-debt income. Major area development. (FL65Y)

FL: SOLD! The Villages Area: $1.1M+ gross. 4.5 day work week. Major growth potential. (FL52S) FL: SOLD! North of Orlando: Congratulations to Dr. Kent Greer on the sale of his practice, River Oaks AH to Dr. Ana Ortiz & Jose Berrios. (FL10L)

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

Veterinary Practice Real Estate Brokers, Licensed Nationwide Sales — Buyers Representation — Certiﬁed Valuation Analyst Florida & Georgia Practices for Sale

FloridaFlorida & Georgia Practices for Sale Practice Listings! NEW!Florida– Jacksonville: Solo dr, SA WestFL: Central Well established soloprx. Dr. Gross Pracitce gross$518K+. No after-hours ER. RE Included. (FL43J)rooms, ing just over $600K. RE available...3600 sq. ft. w/ 3exam in-house lab, digital X-ray and more. Not far from the Gulf. OwnGA: South Central GA: $959K+ gross, up 5% in 2019, er is ready to retire. Price Reduced!

We help veterinarians sell and buy

FL: NEW! Jacksonville: Solo dr, SA prx. Gross practices nationwide. $518K+. No after-hours ER. RE Included. (FL43J)

Florida Practice For Sale

1.5 doctor practice. Nice facility & equipment. (GA14F)

GA: South Central GA: $959K+ gross, up 5% in 2019, 1.5 doctor practice. Nice facility & equipment. (GA14F)

area development. (FL65Y)

FL: PENDING! WestCounty: of AmeliaThriving Island: $772K Hernando smallgross. 4.5 dayanimal work week. $149K after-debt income. by Major practice established area development. (FL65Y)

New-SE Coastal Fl.– Solo Dr. Practice grossing $822K, 6100 sq FL: PENDING! West of Amelia Island: gross. ft office and boarding space. Well equipped with $772K experienced staff. Located an upscale beach after-debt community.income. Major 4.5 day in work week. $149K Greater Orlando area– Solo Dr. has worked only part time. Nice 2700 sq.ft. freestanding on a new major 6gross, lane. solo FL: PENDING! South office Central FL: $758K+ Great dr opportunity for Start-up/Jump-Start. Priced to sell. prx. No after-hours ER, 5 day work week. (FL28A) Central-East Coast– Just minutes from the beach!! FL: SOLD! The Villages Area: $1.1M+ gross.Solo 4.5 Dr. day with high net fromMajor a $1.025mm gross. In-house lab, 2100 sq. ft. work week. growth potential. (FL52S) office on major 4 lane. Established for almost 40 years.

FL: SOLD!Groups North of Orlando: Congratulations to Dr. Are Corporate contacting you about buying your Practice? KentIfGreer onhelp themake sale sure of his River Oaks AH so, let us youpractice, get your best deal!!! Dr. Ana Ortiz & Jose Berrios. (FL10L) We are looking for quality practices to list in Florida.

long-time local vet in 2012. A great

central Florida location! gross/ FL: PENDING! South Central FL:$858k $758K+ gross, solo dr prx. No after-hours ER, 5 recent day work week. (FL28A) $147k net in most year. FL: SOLD! The Villages Area: $1.1M+ gross. 4.5 day Appx. 2600sq. facility has 3 exam work week. Major growthft.potential. (FL52S)

rooms, with up-to date equipment.

FL: SOLD! of Orlando: Congratulations StaffNorth is stable and well-trained. Thisto Dr. Kent Greer on the sale of his practice, River Oaks AH to practice still has room to grow! FL94 Dr. Ana Ortiz & Jose Berrios. (FL10L)

If your are considering selling your Practice, call us for a complimentary Consultation!!!

1610 Road, Simons Island, GA 31522 Contact Dr.Frederica Richard Alker forSaint further practice information. Toll Free: (800) 333-1984 | www.simmonsinc.com Email: southeast@simmonsinc.com 850.814.9962 or Richard@tpsgsales.com Licensed in Florida, Georgia, North Carolina, Showcase Properties of Central Florida, Broker and South Carolina Real Estate Broker

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1610 Frederica Road, Saint available Simons Island, GA 31522 PS BROKER has listings nation-wide! Toll Free: (800) 333-1984 | www.simmonsinc.com Email: southeast@simmonsinc.com

Licensed in| Florida, Georgia, North Carolina, | info@psbroker.com psbroker.com 800.636.4740 and South Carolina Real Estate Broker

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15 SYMPOSIUM ANNUAL PROMOTING EXCELLENCE

OCTOBER 10-13, 2019 SANIBEL HARBOUR MARRIOTT RESORT & SPA FORT MYERS, FLORIDA

Upscale elegance off the emerald green waters of the Gulf of Mexico! VISIT WWW.EVENTSCRIBE.COM/2019/FAEP TO REGISTER FOR #PES2019 TODAY! WWW.FAEP.NET |

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YOUR FUTURE. YOUR WAY. OWN IT.

PRACTICES FOR SALE P A N D A A NI M A L CL IN IC H i a l e ah, F L

S IE GE L- TLC AN I M AL C L IN IC N o r th M ia mi

SOUT H F LORIDA New Li sting !

Price Reduced- Only $800K! Grossing $1.4 Million. Offers state-of-the-art surgical suite and is well equipped. 3,000 SF Leased facility has a grand presence and is located on the main thoroughfare.

Well-established, solo doctor, practice, grossing $750K+ annually! The pristine 2,000 SF leased facility is located in an ideal commercial location. It's just waiting for you to take it to the next level!

Currently grossing over $1 Million, this practice averages 45% profit annually! Ideal for a new buyer. Owner is willing to assist with transition. Real Estate may be leased or purchased.

PRACTICE SALES | ASSOCIATE BUY-INS VALUATIONS | BUYER REPRESENTATION

844-4-PSA HELP | 912-268-2701 WWW.PRACTICESALESADVISORS.COM

Florida Veterinary Medical Association 7207 Monetary Drive Orlando, FL 32809

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