Advocate Issue 1, 2022 by FVMA

ADVOCATE ISSUE 1 | 2022

THE 95TH PRESIDENT OF THE FLORIDA VETERINARY MEDICAL ASSOCIATION Marta P. Lista, DVM

President's Message 207 Monetary Drive 7 Orlando, Florida 32809 Phone – 407.851.3862 Toll-free – 800.992.3862 Fax – 407.240.3710 info@fvma.org www.fvma.org

To serve the veterinarians of this great state as the 95th FVMA president is a great honor.

OFFICERS

I want you to know that I understand the challenges of balancing life, family and work. I am a mom, a wife, a practice owner and a veterinarian. My husband and I are raising my 14-year-old stepdaughter, Isabelle, and our 2-year-old son, Charlie. I couldn’t do my job without my family’s love and support. The support of my work family is just as important. I enjoy the challenges and rewards of practice ownership in addition to my veterinary responsibilities. I appreciate the autonomy veterinary practice brings me, my doctors and staff. My priority with the FVMA is to support veterinarians and their teams. I hope to provide resources and advocacy for the success of our practices. I also hope to promote leadership and entrepreneurship for the next generation.

DISTRICT REPRESENTATIVES

This is a challenging profession in a changing world. I am looking forward to post-COVID veterinary practice. I’m sure you all experimented with different appointment types (like curbside, in person and drop off) and adopted new communications (like text, email and video). The practice of veterinary medicine changed more in the past two years than the previous ten.

Dr. Marta P. Lista President Dr. Jacqueline S. Shellow President-elect Dr. Alex 'Steve' Steverson Treasurer Dr. Mary Smart Past President

Dr. Julie Moodoyan District 1–Big Bend

Dr. Thomas E. Hester District 2–Northeast Dr. Todd Fulton District 3–Central Dr. Donald S. Howell District 4–Tampa Bay Dr. Beth Keser District 5–Treasure Coast Dr. Robert L. Swinger District 6–South Florida Dr. Barbara Lewis District 7–Southwest Dr. John R. Wight District 8–Northwest

In Tallahassee, groups have been pushing for deregulating telemedicine and have successfully been deterred by the FVMA. Throughout the year, we will be meeting with and educating law makers on veterinary medicine and the importance of in-person patient-client consultations in the context of telemedicine. I am the daughter of Cuban immigrants. I believe that in America, if you work hard and believe in yourself, you can accomplish anything. The FVMA believes in us and works hard for us from wellness support to practice support to advocacy. We are blessed with one of the largest and strongest VMAs in the country. In this edition of the FVMA Advocate, we can look forward to more insightful articles from practice ownership to bad veins. We’ll be welcoming new board members, honoring award winners and saying farewell to one of our most dedicated staff members. I hope you enjoy!

Dr. Ernest C. Godfrey AVMA Delegate

I look forward to a successful year with the FVMA, working with my team on the FVMA Executive Board and meeting FVMA members. I am eager to welcome veterinarians at this year’s TGAVC on September 22-25 at the JW Marriott Resort and Spa in North Miami. We’ll have a stimulating meeting and some fun at the water park with our families.

Dr. Richard B. Williams AVMA Alternate Delegate

Yours in service,

Dr. Christine M. Storts District 9–Space Coast

Dr. Sally DeNotta FAEP Representative to the FVMA Executive Board

Marta Lista, DVM

FVMA MISSION:

TO ADVANCE THE VETERINARY MEDICAL PROFESSION, PROMOTE ANIMAL HEALTH AND WELL-BEING, AND PROTECT PUBLIC HEALTH.

Opinions and statements expressed in the FVMA Advocate reflect the views of the contributors and do not represent the official policy of the Florida Veterinary Medical Association, unless so stated. Placement of an advertisement does not represent the FVMA's endorsement of the product or service.

2 | FVMA Advocate

Thank you FOR BEING A VALUED MEMBER Your membership entitles you to a new benefit known as the Member Assistance Program (MAP). There is no enrollment or payment required to utilize this service. We have partnered with McLaughlin Young Group, an independent provider of MAP/EAP services. The MAP offers help for personal and/or professional concerns by providing free, confidential, short-term counseling and personal consultation. Additionally, the MAP provides work-life resources such as legal and financial consultations, online learning, and resources. They also host a variety of helpful seminars. MAP ALSO HAS A NETWORK OF COUNSELORS that are conveniently located. They can help you improve or resolve personal difficulties whether big or small, personal or work-related. Some examples of concerns that the MAP addresses include: • • • •

Family conflict and relationship issues Depression and anxiety Resiliency and coping skills Work-related issues

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Grief and loss Alcohol or drug use Stress Legal and financial issues

CONFIDENTIALITY IS ONE OF THE MOST IMPORTANT FEATURES of the MAP. No one will know that you have used this resource, unless you offer that information or unless someone’s safety is threatened. THERE IS NO COST TO YOU FOR YOUR PHONE CALLS OR FACE-TO-FACE VISITS WITH THE MAP. The FVMA covers all expenses for this program. You are eligible to use the MAP immediately. To seek assistance through the MAP, simply call 704.529.1428 or 800.633.3353. Your call is important - see how the counseling process works. Visit mygroup.com | Click on My Portal Login | Work-Life | Username: fvma2021 | Password: guest The MAP staff at McLaughlin Young is available 24 hours a day, seven days a week, ready to assist you. Appointments are available during daytime and evening hours. The MAP is not designed to evaluate fitness for duty or authorize leave of absences but will provide referrals as needed. www.fvma.org

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Images courtesy of FVMA.

FVMA SPOTLIGHT Farewell Ann Wade

- FVMA DEPUTY EXECUTIVE DIRECTOR Ann Wade joined the Florida Veterinary Medical Association (FVMA) with the intention of using her diverse media experience to adapt the FVMA to a veterinary medical industry trending younger and on the cutting-edge. After nine years of leadership, Wade is retiring with a deep legacy of preparing veterinary medicine for a vibrant future. Executive Director Phil Hinkle hired Ann Wade, a 40-year communications and media professional, as a temporary employee in January 2013 to establish The Gulf-Atlantic Veterinary Conference (TGAVC), a national FVMA brand focused on delivering conference-based, cutting-edge continuing education. Her work in building a new tentpole for the FVMA—which has thrived and continued to grow to this day—landed her a full-time job that saw her continue to revise the way the FVMA communicated and developed its programming. “It was a process that was extremely energizing,” Wade said. “It was a lot in part due to who the executive director was at the time, the kind of spirit and the kind of drive that he brought to the work of the FVMA.”

This was a new course for the FVMA, as it was the association’s first foray into developing a program for international audiences. Nearly two years after Phil's passing, Wade still attributes much of her inspiration and growth to Hinkle’s passion and leadership. “It was exciting because we were charting a new course,” Wade said. “Putting that together with the guidance of Phil Hinkle became an extremely dynamic process.” The idea of fresh, innovative opportunities for veterinary professionals became a hallmark of Wade’s work throughout her time at the FVMA. She closed her career with introducing the Power of Ten, a leadership program in development for several that selects ten young veterinary professionals to join a network of peers in a series of learning experiences and mentoring sessions during the course of a year. “The experience of charting a new course with TGAVC helped us build a new program with the Power of Ten, ” Wade said. In recognition of her intense dedication to the FVMA and veterinary medicine, Wade was awarded the 2020 President’s Award, a rare honor bestowed upon veterinary medicine’s greatest advocates (see center photo above).

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The 2019 FVMA staff, including Ann Wade (right of center), is pictured together at The 7th Annual Gulf-Atlantic Veterinary Conference.

Images courtesy of FVMA.

As much as engaging with new projects built the foundation of Wade’s time with the FVMA, she said the people are what fueled her passion most. Thus, she said she looks to retire as the staff continues to grow and evolve the foundations she implemented alongside Hinkle.

“I’m retiring as we begin a new era at the FVMA, after the loss of Phil and enduring the pandemic,” Wade said. “Phil’s passing was a huge loss after unprecedented association growth in his thirteen years as executive director, but the direction he steered us to is clear, and the current staff of the FVMA are extremely capable of taking us to the next level.” Wade assisted in the development of a large portion of the FVMA's current staff, as she took on the role of interim executive director following Hinkle’s passing and was tasked early with building upon the communications department she led for nine years. “I’m so proud of this team for all their hard work to ensure we remained consistent in informing our members and others that, despite the rough times we were experiencing, the FVMA was strong and capable of continuing our services to the veterinary community,” Wade said.

Ann Wade (left) is pictured with 2016 FVMA Pet Hall of Fame Pet Hero Award winner, Magic, and his handler (right).

Images courtesy of FVMA.

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As the FVMA’s primary writer, Wade spent early parts of her career in FVMA Executive Board meetings as the recording secretary, where she built, human connections that fostered her love for the members throughout her FVMA tenure.

“Fairly early on, I got to meet some of the most devoted people,” Wade said. “Some of the members of the executive board had been involved in organized veterinary medicine since they came out of veterinary school.” Wade said those people and their dedication to the health and wellbeing of humans and animals propelled her passion throughout her time at the FVMA. “I really enjoyed coming to the FVMA every day. It was not a chore, always in the morning I would wake up looking forward to what we would accomplish that day,” Wade said. Though her personal time at the FVMA has come to an end, her influence will leave a legacy of creativity and forward thinking. “Knowing that you’re equipped to face the challenges and rise above them, having that sense that the association is well and ready to meet the challenges of the future is what I go away with,” Wade said. She also said she intends to spend her time after the FVMA relaxing, splitting her time between her family in Florida and her original home, Belize. “I’m looking forward to spending some time and delving into all of the places and beauty of Belize that I haven’t been able to see in some time,” Wade said.

Ann Wade (center right) sits next to former FVMA Executive Director Phil Hinkle (center left) at an FVMA board meeting.

Images courtesy of FVMA.

Even in her relaxation, she said she cannot help but return to the passions that got her career started as a young adult. “I want to devote some time to writing some things that I’ve had in the pipeline for some time,” Wade said. It is that ever-present passion of hers that she hopes will leave a lasting impression on the FVMA, its people and its work for years to come.

The 2022 FVMA staff is pictured together at the FVMA Annual Conference 2022. From left to right: Damon Patai, Alssa Mathews, Ann Wade, Cyndi Whitaker, Tiffany Stewart, Jim Naugle, Erika Meyer, Alexandra Johnson, Collin Brazan, Natalie Schol, Erica Tomberlin.

Images courtesy of FVMA.

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MEET THE PRESIDENT A Conversation with FVMA President Dr. Marta Lista

FVMA QUESTIONS FVMA: Tell us about your experience so far with the FVMA. Dr. Lista: I became involved in the FVMA when the FVMA

helped to stop tax-funded veterinary facilities being built in Miami. We lobbied against large crowds chanting “pets have no voice.” If it had not been for the FVMA and my local VMA, the veterinarians would have had no voice. Instead, we implemented a plan that still exists 10 years later where existing privately owned veterinary hospitals are funded to provide veterinary care. After this experience, I began to lobby in Tallahassee on behalf of the FVMA and became the District 6 representative, where I served for six years until becoming president elect.

FVMA: What are some of the best experiences that stick out to you when talking about your involvement with the FVMA? Dr. Lista: Meeting with passionate colleagues in different stages of their careers from across the state and working toward the goal of advancing veterinary medicine in Florida has been an immensely rewarding experience.

Dr. Marta Lista being sworn in as FVMA President at the the FVMA Annual Conference 2022.

Images courtesy of FVMA.

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Dr. Marta Lista addresses FVMA Annual Conference 2022 attendees for the first time as FVMA president.

Images courtesy of FVMA.

FVMA: What are your goals for this year? Dr. Lista: I am passionate about veterinarians making

decisions for veterinarians in practice and in politics. My priorities with the FVMA are to support veterinarians and their teams and provide resources to support and promote practice success. My goal is to succeed with telemedicine legislation that benefits veterinarians and our patients. I want to continue our support of the University of Florida College of Veterinary Medicine (UFCVM) and increase the FVMA’s engagement with veterinary students.

FVMA: What are some issues right now for Florida veterinarians and what do you recommend is done about it? Dr. Lista: We are educating our lawmakers about the

complexity of veterinary medicine and guidelines for telemedicine once a patient relationship is established. We are taking the lead in Tallahassee to advocate for patient care with appropriate use of telemedicine. Through the Power of 10, we are engaging the next generation of veterinarians with leadership tools to help them succeed in veterinary medicine. I am concerned about the declining trend in practice ownership. The FVMA promotes and supports practice success. Maintaining a healthy number of privately owned practices is in everyone’s interest.

FVMA: In what ways do you hope to engage more veterinary professionals to become members? Dr. Lista: I hope the value of membership is appreciated by all

veterinarians in Florida. With the FVMA team, I am working on enhancing the FVMA member presence at the University of Florida College of Veterinary Medicine (UFCVM). Also, if you have not seen the FVMA anthem video, check it out and share it. I hope through social media we will reach every veterinarian in Florida.

Dr. Marta Lista works with a patient in her veterinary practice.

Images courtesy of Dr. Marta Lista.

VETERINARY PRACTICE QUESTIONS FVMA: What made you want to become a veterinarian? Dr. Lista: I wanted to be a veterinarian my entire life – like

many of our members. It is not one incidence but the feeling of love and comfort my family pets provided me. I also was a total math nerd.

FVMA: Tell us about your history in the veterinary field. Dr. Lista: I graduated from the UFCVM. I started as an

associate veterinarian for the largest private veterinary practice in Miami. In 2008, I purchased a veterinary hospital from a retiring veterinarian and former FVMA president, Dr. Perry

FVMA: What would you say to FVMA members who haven’t taken the time to be more involved? Dr. Lista: Thank you for your membership. Every veterinarian in Florida benefits from the FVMA. Please encourage other veterinarians to become members.

FVMA: How has the board changed since your tenure with the FVMA? Dr. Lista: The FVMA presidency is really a three-year term; president-elect, president and past president. This is the first time these roles are filled by women and our FVMA Executive Board is evenly split amongst gender. We represent a diverse board in line with our membership.

Dr. Lista (right) holds her son, Charlie, and stands in front of the UFCVM sign alongside her step daughter Isabelle (left).

Images courtesy of Dr. Marta Lista.

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Smith. He believed in me and lent me money for a down payment. I am forever grateful to him and his family. We are now a three-doctor practice and growing.

FVMA: How long did it take you after graduating to be truly comfortable as a practicing veterinarian? Dr. Lista: I'm still working on it. FVMA: What advice do you have for veterinary school graduates in 2022? Dr. Lista: Be yourself, work hard, find what makes you tick in this field, and go for it.

RAPID FIRE QUESTIONS Tell us about your family:

(L-R) Dr. Lista, her son, Charlie, her step daughter Isabelle, and her husband, Charles Hanemann.

Images courtesy of Dr. Marta Lista.

My husband and I are hard working professionals. We are raising a fourteen-year-old girl and a two-year-old son. Despite the age difference, they both love animals.

Any pets currently at home?

A golden retriever, bearded dragon and chinchilla.

Favorite place to go on vacation: Bahamas.

A good book or podcast you’ve been into lately: "The Knowledge Project" podcast.

A movie you could watch over and over again: "Avatar".

A quote you try to live by:

“You have brains in your head. You have feet in your shoes. You can steer yourself any direction you choose.” - Dr Seuss

Dr. Lista poses with her family near the beach.

Images courtesy of Dr. Marta Lista.

A fact about yourself that may surprise people:

My family has a cabin in the middle of the Big Cypress National Preserve. You have to ride a swamp buggy for two hours to find it.

A celebrity or public figure you admire:

Pitbull. His music makes me feel good. He stands for so many of the values of Cuban Americans in Miami. “There’s nothing owed to you in life,” Pitbull said. “Those who make it, work hard for it.”

Favorite veterinary professional you’ve ever heard at a conference: Rob Swinger.

If I weren’t a veterinarian, I would probably be a:

A starving professional tennis player. I have no idea. I cannot imagine doing anything else. I would do it all over again.

Dr. Lista and her family after a successful fishing day.

Images courtesy of Dr. Marta Lista.

FVMA Advocate

REMINDER FOR MAY 31, 2022: LICENSE RENEWAL DEADLINE

Is Fast Approaching!

Veterinarians must complete a minimum of 30 hours of continuing education (CE) every two years, to renew their licenses. The deadline for acquiring the required CE this year is May 31. The guide for the required CE that Florida veterinarians need for licensure purposes, is Rule Chapter 61G18-16, Florida Administrative Code of Chapter 474, Florida Statutes. The rule directs that licensed veterinarians must renew their licenses every two years in the even numbered year. The last renewal date was June 1, 2020. The next renewal date then, is June 1, 2022. The code stipulates “All licensed veterinarians shall be required to obtain continuing professional education which contributes to the advancement, extension or enhancement of professional skills and knowledge in the field of veterinary medicine.” It also spells out requirements pertaining to the hours of CE and types or categories of CE accepted, as well as standards that must be upheld and adhered to by the providers of continuing education.

The Requirements for Active Status License Renewal • • • • • • • •

Completion of 30 hours of continuing professional education in veterinary medicine every two years. No less than one hour of CE in the area of dispensing legend drugs. No less than two hours of CE in the area of the laws and rules governing the practice of veterinary medicine (Chapters 455 and 474, F.S. and Rule Title 61G18, F.A.C.) Not more than fifteen hours are to be non-interactive, correspondence courses. Computer on-line courses that involve on-line, real time, live or delayed participatory questioning or responses are not correspondence courses. Not more than five hours in complementary and alternative medicine modalities. Not more than five hours of CE in business, practice management courses or stress and impairment seminars. Five hours of CE in laws and rules may be obtained once during the biennium by attending a full day or eight hours of a Board of Veterinary Medicine meeting where disciplinary

hearings are conducted by the board. The attendee must sign in with the executive director of the board or designee before the meeting begins; must remain in continuous attendance; must sign out with the executive director of the board or designee at the end of the meeting day or at a time earlier as affirmatively authorized by the board.

COMPLETING THE ONLINE COURSE

When you order the course, you will be provided with a link and unique access code. When you go online, you will be prompted to view the following audiovisual presentations: One Hour - Dispensing Legend Drugs - Edwin Bayó, JD Two Hours - Florida Laws and Rules Governing the Practice of Veterinary Medicine - Edwin Bayó, JD Once completed, you will be prompted to take the online quiz. Your quiz will be scored automatically, and a passing score of 70% will enable you to print your certificate of completion. The course may be viewed at one time or paused and restarted at your convenience. The course needs to be viewed on a flashenabled device such as a smart phone, tablet, laptop or computer.

ONLINE COURSE PRICING FVMA members: $99.00 Non-member: $149.00

Scan QR code to order the course today! You may also order the online course by calling the FVMA at 800.992.3862 (payments by credit card only). Please note: Florida-licensed veterinarians must complete a minimum of 30 hours of CE to renew their licenses. No less than one (1) hour must be in the area of dispensing legend drugs and no less than two (2) hours must be in the area of laws and rules governing the practice of veterinary medicine.

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BAD VEIN: GAINING ACCESS TO NAUGHTY VEINS Amy Newfield, MS, CVT, VTS (ECC)

Image courtesy of Shutterstock

Intravenous catheters are placed to administer fluids or drugs. Depending on the illness/ injury, the age of the patient, the breed/size of the patient and what is available, it may be a difficult and frustrating task to place an intravenous (IV) catheter. Peripheral catheters come in a variety of sizes and types. The type and gauge of catheter should be selected based on patient size, catheter location, volume and rate of fluid to be infused, and health of veins. Over-the-needle catheter is the most common type of catheters used.

Getting a Catheter In

It seems so simple: prep the area, bevel up, insert into vein, advance, remove needle, leave catheter in, wrap and secure into place. Then, you take a look at your patient. It’s old, obese, anemic and has bad skin. There’s a myriad of reasons why getting a catheter in may not be so simple. Below are a list of “tricks of the trade” that have been performed by numerous seasoned veterinary professionals throughout the years.

Modified Cut-down (mini cut-down): Depending on the state you are in, veterinary technicians may be able to perform a modified cut-down under the guidance of a veterinarian. A

Percutaneous Approach: This is the most common approach. Failure generally occurs because of a few simple things. The fur should be clipped away from the site wide enough to visualize the area. The first attempt should begin as distal as possible to allow subsequent proximal attempts should the first attempt fail. Ensure that the restrainer is rolling the vein appropriately, and the skin should be as tense as possible. Once a flash is noted in the catheter, don’t be too greedy. Ensure the catheter is traveling the correct path and that you are fully in the vessel by inserting the entire catheter and stylet in another 1mm. If you still are obtaining blood, then advance the catheter over the needle and into the vessel. Surgical Cut-down (full cut-down): In animals where percutaneous placement is difficult, a surgical cut-down can be performed. A true surgical cut-down should be performed by a veterinarian and generally occurs to gain access to the jugular vein. A routine surgical preparation of the area is made, pending the patient is stable enough, and an incision is made just lateral to the vein. The incision is then rolled from side to side to allow direct visualization of the vein. A brief blunt dissection will be made to allow for better access to the vein. The vein itself can then be isolated and lifted out of the skin via forceps. Suture material is then placed around the vein so that the vessel is raised up and out of the skin. A catheter is then placed into the vessel. The cut-down site should be covered with a sterile dressing. The catheter should be withdrawn within 24 hours if placement was not performed using strict aseptic technique.

Geriatric feline with bad skin which may make catheter placement difficult.

Image courtesy of Dr. Amy Newfield.

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Twist & Turn: Perhaps your angle isn’t perfect, and you land against the vessel wall or are stuck on a valve. Be sure to partially remove the stylet before trying this method to avoid lacerating the vein. Have your restrainer gently and ever-so-slightly retwist the vein for you. It may move the catheter off the wall and give you enough room to advance without a problem. You KNOW You’re In: Remember that in some patients that are really unstable, you may not get a flash at all. If you really think you are in, you may need to flush 0.05-0.3 mls of saline to see if it you notice it blowing. If not, advance the catheter and recheck to ensure you are in. The restrainer should be able to feel the flush pass by their fingers if the vessel is flushed “hard” and the restrainer has their finger on top of the vessel. First attempt failed? Don’t remove the first-attempt catheter: if you remove your first-attempt catheter, a large hematoma will form. If possible, remove the first attempt catheter a little bit and leave it in the leg. Then, with a second catheter, go above the first catheter (0.5-1” higher). If your second attempt is successful, remove the first catheter and place a pressure bandage on the first insertion site while you wrap in the second catheter. If you fail with the second attempt, you will likely need to remove both catheters and try a different leg.

Above: Catheter being inserted into cephalic vein.

Images courtesy of Dr. Amy Newfield.

modified cut-down is similar to a surgical cut-down except that the vessel is never isolated out of the skin. It is important to use a scalpel blade instead of a needle to ensure a smooth and fast approach. A cut-down attempt should be performed in an area where IV catheterization attempts have not been made as generally these areas are bruised and the vessel damaged. Making a 0.5-1” incision laterally to the vessel and then using blunt dissection will allow for better visualization of the vein. Floating It In: You just hit the vein, there’s a good flash, but you can’t advance. Some theorize that you could be up against the wall of the vessel or be next to a valve. If you know you are in, you can try administering some flush and advancing the catheter only (no needle) at the same time. The theory is that by flushing you will get past the valve or off the wall of the vessel, which will allow your catheter to advance. Tourniquet + Person = Better Holding Off: There is nothing tighter at holding off a vein then a tourniquet. The problem is a tourniquet doesn’t roll the vein for you. By placing a tourniquet and having someone roll the vein, you will get a tight pumpedup vein. Don’t forget it may take a minute or two for the vein to become enlarged, especially if the pet has perfusion issues. 14

FVMA Advocate

Conclusion: Everyone has their own special technique on how to place a catheter. Remember, there are many techniques out there to try and no technique is perfect. Being open to new ideas and practicing will be the best defense to the “naughty” vein.

AMY NEWFIELD

MS, CVT, VTS (ECC)

Amy is currently employed with the Veterinary Emergency Group as the director of Veterinary Nursing Leadership. She is also the owner of Veterinary Team Training. After working in general practice for many years, Amy found her passion in emergency medicine and went on to obtain her Veterinary Technician Specialist (VTS) in Emergency and Critical Care. She has held several board positions in the Academy of Veterinary Emergency & Critical Care Technicians & Nurses including president. Amy’s new focus is on team and leadership development. She is well published in over 20 subjects and recently published her own best-selling book “Oops, I Became a Manager” focused on creating happy veterinary teams. She lives in Massachusetts with her wonderful furry kids where you can find her eating chocolate, running in the woods, competing in agility and diving in the ocean.

FVMA/FAEP UPCOMING EVENTS 2022 JULY 24-26, 2022 HILTON OCALA

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Offering 25 hours of cutting-edge CE The FAEP invites you to Ocala, Florida, “The Horse Capital of the World,” from July 22-24, 2022, for its world-class program of cutting-edge lectures and hands-on instruction. Ocala is the proud home of the facility and personnel who were instrumental in the early training of American Pharoah, the first horse to win the “Grand Slam” of American horse racing, the Triple Crown and Breeders’ Cup Classic, in 2014. Ocala also has some of the leading equine veterinary practices that provide state-of-the-art veterinary care to their patients. This is an exciting opportunity for equine professionals to gather in Florida’s horse country for their CE and to network with colleagues as well as with representatives of the business sector who will showcase their products and services in our vibrant Exhibit Hall. We look forward to welcoming you to Ocala on July 22-24, 2022!

CONFERENCE HOST HOTEL HILTON OCALA 3600 SW 36th Ave.Ocala, FL 34474 www.hiltonocala.com Telephone: 352.854.1400 Fax: 352.854.4010

Special room rates available through June 13, 2022, or until block is SOLD OUT. Reserve your room today! Telephone: 352.854.1400 Group Code: FVMA

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AAVSB RACE This program 20-865863 (CE Broker #50-27127) is approved by AAVSB RACE to offer a total of 25 CE credits in jurisdictions that recognize RACE approval with a maximum 25 CE credits available to veterinarians and 17 CE credits available to veterinary technicians.

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MEET OUR NEW BOARD MEMBERS Images courtesy of the FVMA.

DR. JACQUELINE SHELLOW – PRESIDENT-ELECT Dr. Shellow worked and was a partner (1990-2005) with TFB Equine, an equine racetrack practice, since graduating from veterinary school in 1987 until 2019. She currently works part time at Embassy Lakes Animal Hospital in Cooper City, Florida. She also fills in as a track veterinarian at Gulfstream Park and did the same for Hollywood Greyhounds and Palm Beach Kennel Club. Dr. Shellow is a past president of the Florida Association of Equine Practitioners (FAEP) (2010) where she has served as an FAEP council member (2006-present). She was the FAEP representative to the Executive Board of the Florida Veterinary Medical Association (2017-2022), and is currently the president elect of the FVMA. The FVMA named Dr. Shellow as a 2010 Gold Star Award winner for her work as liaison between the FVMA and the FAEP, and in 2014 she was the FVMA’s Veterinarian of the Year. Dr. Shellow graduated from the University of Florida College of Veterinary Medicine in 1987. Prior to veterinary school, Dr. Shellow attended Stephens College and then the University of Kentucky, where she obtained a master’s degree in Equine Nutrition. In 1994, she was certified in veterinary acupuncture by the International Veterinary Acupuncture Society, and in 1998, certified in animal chiropractic by the American Veterinary Chiropractic Association. Dr. Shellow brings a storied love and a high level of experience across various animals to her knowledge of the FVMA Executive Board and the FVMA's membership. Her tenured knowledge of FVMA operations lends her the skills necessary to lead the FVMA.

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WELCOME NEW BOARD MEMBERS!

DR. ALEX “STEVE” STEVERSON – TREASURER Florida Veterinary Medical Association (FVMA) members elected Tallahassee veterinarian Alex “Steve” Steverson as the association’s new treasurer after Dr. Donald Morgan stepped down. With a seven-year tenure on the FVMA Executive Board where he served as president in 2017, Steverson brings immediate familiarity of the FVMA’s operations. During his previous stint on the board, Steverson, serving as FVMA Foundation president, oversaw the distribution of disaster relief funds to veterinarians impacted by two hurricanes. Having been involved in the field since the 1970s, Steverson’s 35 years of serving pets as a veterinarian and animal surgeon adds a deep understanding of veterinary medicine to his finance experience and gives him perspective on the industry’s future. His tenure in the industry and alongside the FVMA has led to familiarity with the FVMA’s staff and its new executive director, Jim Naugle, placing him in a position to contribute to both the Association’s people and its budget from his first day as treasurer.

DR. SALLY DENOTTA – FLORIDA ASSOCIATION OF EQUINE PRACTITIONERS’ REPRESENTATIVE TO THE FVMA EXECUTIVE BOARD

Sally DeNotta is board-certified by the American College of Veterinary Internal Medicine and is a member of the clinical faculty at the University of Florida College of Veterinary Medicine (UFCVM). She also currently serves as the chair of the AAEP Infectious Disease Committee. Originally from the rural Oregon coast, she received her DVM from Oregon State University and spent time in private practice in Oregon and Colorado before completing an internal medicine residency and PhD at Cornell University. Dr. DeNotta joined the University of Florida (UF) faculty in 2018, where her clinical, teaching and research interests include equine infectious disease and clinical neurology. When not in the hospital, she is the UF equine veterinary extension specialist, serving as the liaison between UFCVM and the Florida horse industry. As the FAEP representative to the FVMA Executive Board, Dr. DeNotta will serve both associations while working to ensure alignment and collaboration across their collective missions and professional programs. Dr. DeNotta joins the board in a position that helps align the missions of the FVMA and FAEP, providing each with resources to help one another grow. “I consider my position on the FVMA Executive Board to be a great honor, and I look forward to representing the FAEP membership and equine practitioners everywhere with integrity and enthusiasm,” DeNotta says.

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DISTRICT REPRESENTATIVES INSTALLED

District Representatives (L-R): Dr. Julie Moodoyan and Dr. Beth Keser were installed by FVMA President Dr. Marta Lista

DR. JULIE MOODOYAN

DISTRICT 1 REPRESENTATIVE

DR. BETH KESER

DISTRICT 5 REPRESENTATIVE

Dr. Julie Moodoyan was sworn in as the District 1 Representative on the FVMA Executive Board at a board meeting during the FVMA Annual Conference 2022.

Dr. Beth Keser was sworn in as the District 5 Representative on the FVMA Executive Board at a board meeting during the FVMA Annual Conference 2022.

Representing the Big Bend region, Dr. Moodoyan represents an area close to her hometown of Live Oak, Florida. An alumna of Florida State University and the University of Florida College of Veterinary Medicine, Dr. Moodoyan has been involved in the Florida veterinary medical scene since her career began.

Representing the Treasure Coast region, Dr. Keser brings knowledge gained as a member of numerous veterinary associations to Southeast Florida.

“I have been practicing small animal medicine for over 20 years, and been a practice owner in the District 1 area for more than 10 years. I am familiar with the day-to-day struggles and rewards involved with small animal practice and leading a team,” Dr. Moodoyan says. Dr. Moodoyan has been involved in the FVMA’s advocacy efforts and joins an executive board that has placed emphasis on ensuring legislation remains fair to veterinary professionals. Between her involvement in legislation and her experience working for nonprofits, as she serves as treasurer for Companion Animal Rescue Endeavor, Dr. Moodoyan brings to the FVMA a toolset of understanding both veterinary medicine and the concepts needed to propel it into the future. “Dr. Moodoyan is a true example of today's veterinarian: family oriented, practice owner, advocate for the profession,” Naugle says. “She is not afraid of the goliaths in Tallahassee and will defend this profession without hesitation. She a strong addition to the executive board.” 20

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With education from programs across the United States, Dr. Keser brings a wide array of learnings from across the country. “I’m bringing over twenty years of veterinary experience,” Dr. Keser says. “I’ve held positions in leadership as a medical director which taught me how to listen, lead and rally my teams to perform at their best.” Dr. Keser serves as the associate veterinarian at Gardens Animal Hospital. “Dr. Keser's love for this profession is clearly understood the first time you meet her,” Naugle says. “Her experience along with her passion and drive for veterinary medicine brings a new perspective to the executive board. I look forward to working with her for many years.”

THANK YOU FOR YOUR OUSTANDING SERVICE!

Outstanding Years of Service (L-R): Dr. Donald Morgan, Dr. Scott Richardson, Dr. Susan Carastro, Dr. Jacqueline Shellow

(Left) FVMA Past President Dr. Mary Smart presented Dr. Richard Sutliff with a plaque commemorating his outstanding leadership and service as the 2021-2022 president of the FVMA at the FVMA Annual Conference 2022.

“This past year is one that has made me proud of the FVMA, what it stands for, and those who work tirelessly to keep it supporting organized veterinary medicine as we set the example for the entire country,” Dr. Sutliff said in his acceptance speech. “The transition and forward motion we are undergoing, launched from the solid foundation set by our previous veterinary leaders, and also notably Mr. Phil Hinkle, places this association ready and able to support the future. Our membership and, from within that membership, our leadership is strong. Our focus on the wellness of our members as well as our industry is fundamental to our core. I am confident and pleased with the state of our association and excited for what the next year brings.” www.fvma.org

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FVMA PRESENTS CVT SCHOLARSHIPS

To Jessica Montilone And Rachel Oestreich All images courtesy of Hillsborough Community College

On behalf of the FVMA, Dr. Donald Morgan visited with Hillsborough Community College this week to deliver Certified Veterinary Technician scholarships to Jessica Montilone and Rachel Oestreich.

Jessica Montilone holds her FVMAawarded plaque, commemorating her CVT Scholarship given on behalf of the FVMA Foundation.

Rachel Oestreich holds her FVMAawarded plaque, commemorating her CVT Scholarship given on behalf of the FVMA Foundation.

With the FVMA Foundation’s support, the FVMA can provide scholarships to veterinary and team member educational programs across the state. We’re proud to be a part of veterinary medicine’s vibrant future.

Dr. Don Morgan stands at a podium giving an address to HCC certified veterinary technician students.

Dr. Don Morgan (right) is pictured with HCC certified veterinary technician students.

We're excited to extend this opportunity to technical colleges across the state of Florida. To donate to the scholarship fund and help students across the state, go to www.fvma.org/about-us/fvma-foundation/ 22

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FVMA AWARDS SCHOLARSHIPS TO UFCVM STUDENTS All images courtesy of UFCVM

In 2001, the 25th anniversary of University of Florida College of Veterinary Medicine (UFCVM), the first group of scholarships was given in honor of all FVMA members who worked tirelessly in the mid-1960s to create the UFCVM. Since 2001, the FVMA has awarded six scholarships annually to UFCVM students. The students receive checks of $1,500 and award plaques. The plaques honor a veterinarian who has been named “Champion of Veterinary Medicine” for his or her contributions to advance the veterinary profession. Annual UFCVM student scholarships also include the Charlie Bild Award and the FAEP Scholarship to graduating seniors.

Rachel Mester

Molly Mancusco

Kassandra Miller

Andrea Rodriguez

Alexander Basso

Harrison Warman

In 2016, the FVMA Foundation also created the Kugler Student Research Grant ($6,000). FVMA scholarships help reward students dedicated to forwarding veterinary medicine’s future, giving them opportunities to indulge in their studies while removing financial barriers. This year’s scholarships were awarded to seniors Rachel Mester and Molly Mancusco, juniors Kassandra Miller and Andrea Rodriguez, and sophomores Alexander Basso and Harrison Warman. Such opportunities are only made possible by the FVMA Foundation, which is primarily funded by donations. By donating any amount of money, you are directly contributing to the future of your profession and giving young professionals the gift of opportunity. The Foundation was founded in the year 2000 to complement the work of the FVMA. The FVMA Executive Board is the governing body of the Foundation with the FVMA Past President serving as the Foundation President. In addition to scholarships, the FVMA Foundation supports disaster relief efforts, public education, animal disaster relief, animal medicine research, the FVMA Power of Ten leadership program and so much more! Your donation allows the FVMA to continue being the voice of veterinary medicine in Florida. Give today and join our mission to advance the veterinary medical profession, promote animal health and well-being, and protect public health.

Scan the QR code to learn more

If you would like to make a tax-deductible gift to the FVMA Foundation, please scan the QR code to donate now. Your support of our mission is greatly appreciated. www.fvma.org

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WELCOME TO 24

FVMA Advocate

THE PROFESSION

Image courtesy of UFCVM

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2022 AWARD HONOREES

The FVMA Annual Awards Ceremony was held March 18 at the FVMA Annual Conference 2022.

Images courtesy of the FVMA.

DR. SCOTT RICHARDSON – PRESIDENT'S AWARD Dr. Scott Richardson, worked tirelessly to advocate for organized veterinary medicine’s position during the last two legislative sessions in Tallahassee. Not only did this require a nonstop year of reconnaissance of legislative bills and legislative interactions, but also navigating our membership's response and showing the most engaged veterinarians how to tread lightly in areas where their enthusiasm could mistakenly derail ongoing efforts. When other FVMA board members were unable to testify in Tallahassee at legislative committee meetings, Dr. Richardson took time away from his family and practice to stand and represent organized veterinary medicine with dignity and eloquence. Thank you for supporting the FVMA through your tireless engagement as the District 1 representative for the past six years!

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Dr. Amy Stone has been critical to the Alachua County VMA’s operation as the treasurer. An FVMA member since graduation from veterinary school, she has encouraged multiple colleagues to become active in their local and state associations. A frequently awarded educator and professional, she is a well-respected and distinguished clinical professor in the Primary Care and Dentistry Service at the University of Florida Small Animal Hospital. Her dedication to the profession through teaching, research and the previously mentioned topics is unmatched. She has earned the Pfizer Distinguished Teacher Award, the 2009 University of Florida Superior Accomplishment Award, the 2009 University of Florida Teacher of the Year Award, the FVMA Gold Star Award in 2007 and 2004, and many, many more awards across her storied career.

DR. RICHARD WILLIAMS – DISTINGUISHED SERVICE AWARD

CONGRATULATIONS

DR. AMY STONE – DISTINGUISHED SERVICE AWARD

Dr. Williams is the Alternate Delegate to the AVMA on the FVMA Executive Board. He previously served on the board as District 2 Northeast Representative and FVMA Treasurer. He currently serves as chair of the FVMA Legislative Committee. He previously served as JVMS treasurer, continuing education chairman and president.

Operating Hidden Hills Animal Hospital in Jacksonville, he was named Veterinarian of the Year in 1991. He was selected by the FVMA to receive the Gold Star Award in 2003 and 2006 and Veterinarian of the Year Award in 2010.

DR. DANA ZIMMEL – VETERINARIAN OF THE YEAR Dr. Zimmel was appointed dean of the University of Florida College of Veterinary Medicine (UFCVM) in June 2021, after having served as interim dean since December 2019. She previously was lead administrator of the UF Veterinary Hospitals, serving as associate dean for clinical services since 2015, and before that, for five years as chief of staff and chief medical officer for the clinical enterprise. Under her leadership, hospital caseload grew from 20,542 patients in fiscal year 2011 to 41,811 patients seen in fiscal year 2019, with another 6,578 animals treated at the UF Pet Emergency Treatment Services clinic in Ocala. In 2012, Dr. Zimmel spearheaded the effort to create UF PETS, which has evolved as a hugely successful collaboration with Marion County-area veterinarians. The UF Small Animal Hospital gained accreditation through the American Animal Hospital Association in 2015, under Dr. Zimmel’s leadership, and is now a Level 1-certified facility as designated by the Veterinary Emergency and Critical Care Society.

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2022 AWARD HONOREES ...CONTINUED

JIM KANZLER – LIFETIME ACHIEVEMENT Dr. Jim Kanzler is a native Floridian who, after serving four years in the Navy, received his DVM from Auburn University. He then returned to his hometown where he has practiced ever since. He is currently semi-retired, after passing down his business, DeSoto Animal Clinic, to his son, Alex, and daughter-in-law, Ashley, who are also veterinarians. Dr. Kanzler has been involved with UFCVM offering input as the college expanded over the years. He has been on the Auburn CVM Alumni Advisory Council since 2013 and was an integral part of developing the Dean’s Circle of Excellence. Dr. Kanzler also served on the Executive Board and as president of the FVMA.

CAMERON MOORE – CITIZEN OF THE YEAR Cameron Moore leads the consultation program at the University of Florida’s Maddie’s Shelter Medicine Program, its related VEM5890 Consultations in Shelter Animal Medicine clerkship for veterinary students and their Shelter Consultation Mentorship, a professional continuing education program for working professionals. Cameron has been unrelenting in her pursuit to teach humane organizations how to move animals into foster and forever homes more efficiently.

ANGELA OSBORN – CVT OF THE YEAR Angela works hard behind the scenes and consistently ensures everyone else gets recognition for their efforts. She is always the first one on the spot to help guide, teach or hear others out in times of need. It is Angela’s dedication to her peers that makes her so commendable. Angela recently underwent a nutritional counselor program so she could tackle conversations on diet and what to feed patients with her practice’s clients.

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CONGRATULATIONS

KATY YOUNG – TEAM MEMBER OF THE YEAR

Katy was hired by the Veterinary Clinic of Okaloosa in February of 2015 as the office manager after an emergency crisis developed within the company, and was noted for her trustworthiness, competence and work ethic. Katy oversaw the establishment of a second emergency clinic location, staffing and the challenges of COVID.

BELLA – PET HERO AWARD Bella Bray has served as a therapy dog in several different capacities and in several different programs over the last 10+ years.

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Image courtesy of Marni Bellavia

She has helped countless children as they face the challenge of the loss of a parent or loved one. For almost a decade, children have benefitted from Bella's presence as they learn coping mechanisms to deal with their grief. Whether with Camp Braveheart, Reading Pals, Parker Street Ministries or Chapter Health’s Hospice House, Bella’s efforts throughout Florida have made a substantial impact in the lives of people.

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2022 AWARD HONOREES GOLD STAR AWARDS

...CONTINUED

GOLD STAR AWARDS ARE PRESENTED TO FVMA MEMBERS WHO HAVE CONTRIBUTED MUCH OF THEIR TIME AND ENERGY TO OUR ASSOCIATION AND/OR THEIR RESPECTIVE LOCAL ASSOCIATIONS FOR THE ADVANCEMENT OF VETERINARY MEDICINE.

2022 Gold Star Award recipients (L-R): Dr. Heidi Ward, Dr. Sherry Heather Rowe, Dr. Hillary Maedel, Dr. Lynda Perez, Dr. Julie Moodoyan, Dr. Daniel Jones, Dr. Stephanie D. Jones, Dr. Trisha Lynn Doswell, Dr. Anna Champagne Not pictured: Dr. Barbara Lewis, Dr. Sharon MacIvor Image courtesy of the FVMA.

DR. ANNA CHAMPAGNE

DR. TRISHA LYNN DOSWELL

DR. DANIEL JONES

Dr. Champagne has trained and mentored more than 45 Lap of Love veterinarians, who provide in-home hospice and euthanasia services across the country. She has also trained more than 20 veterinary students in the practice's externship program and presented a lecture titled "Delivering Pentobarbital in Alternative Routes in Front of Families" at this year’s 2021 International Association for Animal Hospice and Palliative Care (IAAHPC) Conference.

Dr. Doswell participated in the FVMA’s inaugural Power of 10 and is part of veterinary medicine’s promising future. While practicing in Marathon, she was lead of the hospital’s oncology cases. She now resides in Melbourne Beach.

Dr. Jones is a veteran leader in the veterinary industry, with over a decade of experience serving as PSIvet’s director of operations and business development and in various leadership roles with Banfield Pet Hospital.

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DR. STEPHANIE D. JONES

DR. JULIE MOODOYAN Dr. Moodoyan has just been named the FVMA’s District 1 representative. She has been involved in the FVMA’s advocacy efforts and has spoken in support of FVMA priorities at the Capitol. She has been involved in veterinary medicine from a young age, as she graduated from both Florida State University and the University of Florida College of Veterinary Medicine.

DR. BARBARA LEWIS

DR. LYNDA PEREZ

Dr. Barbara Lewis was elected in 2020 as the District 7 representative on the FVMA Executive Board. A District 7 Representative, she serves the veterinary community in Manatee, Hardee, DeSoto, Sarasota, Charlotte, Glades, Lee and Hendry counties.

Dr. Perez is a noted trainer of new veterinarians at Banfield Animal Hospital. She is an exceptional teacher and remains updated on the latest veterinary treatments, techniques and protocols in small animal medicine.

DR. SHARON MACIVOR

DR. SHERRY HEATHER ROWE

Dr. MacIvor is the current president of the SFVMA. She serves on the host committee for the Humane Society, is currently a board member of the Miami Zoological Society and has founded animal hospitals in South Florida.

Dr. Rowe moved to Green Cove Springs, where she operates Green Cove Animal Hospital with her husband, after serving animals in the Florida panhandle for seven years.

DR. HILLARY MAEDEL

DR. HEIDI WARD

Dr. Maedel currently serves as president of the Pinellas County Veterinary Medical Association and on the executive board of the Pinellas Animal Foundation. She excels at dermatology, internal medicine and dentistry, though she is passionate about all aspects of preventative care and family medicine.

Dr. Ward has a gift as a diagnostician of complicated and difficult cases. She coordinates, organizes and funds continuing education programs for local veterinarians at no cost to them. She has simultaneously assisted in organizing the SWVMA.

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CONGRATULATIONS

Dr. Stephanie Jones is co-owner of the Animal Hospital of Fort Lauderdale. Her passion for surgery, innovative medicine and optimal patient care allowed for the Animal Hospital of Fort Lauderdale to be one of only a few hospitals in South Florida to offer stem cell therapy. In addition to being a practice co-owner and veterinarian, Dr. Jones also serves as president of the Broward County Veterinary Medical Association. In 2019, Dr. Jones became the CEO and founder of Pets Help the Heart Heal, Inc., a non-profit organization dedicated to improving the social, physical and emotional health of youth through the human-animal bond.

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CONGRATULATIONS 32

As we push the veterinary profession forward, we seek to foster leadership among dedicated veterinarians. The Power of Ten, made possible with the financial support of from Elanco, CareCredit and the FVMA Foundation, is an annual leadership program, for which FVMA representatives and board members select recent graduates in the veterinary medicine field, who are FVMA members, to undergo a specially designed curriculum. This curriculum is designed to foster and support leadership potential in the profession through learning experiences to engage and develop foundational skills in leadership, communication and business.

Description

Ten participants will be selected from an applicant pool to participate in the Power of Ten. Participants will join a network of peers in a series of learning experiences and mentoring sessions during the course of a year. The program is intended to be a pathway to help selected recent DVM graduates maneuver and successfully handle the challenges of their new professional environments. The FVMA anticipates that the Power of Ten will also create a sense of community and build lasting bonds with other members of the leadership academy class. In-person learning experiences will be scheduled to minimize the impact on the participants’ working hours – and the entire program is designed to garner support from practice owners who recognize their key responsibility in developing veterinary leaders. Participants will have the opportunity to attend in workshops, webinars and other special offerings exclusive to the Power of Ten. Participants will receive full-tuition scholarships to the program, and the FVMA will publicly recognize Power of Ten graduates in an appropriate fashion.

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Key Benefits

Through the Power of Ten, the FVMA’s goals are for our young professionals to: • Develop a fundamental understanding of leadership skills and emotional intelligence • Deepening comprehension of communication styles and skills • Acquire critical skills to intensify business acumen • Gain the competency to utilize these skills within their life, practice and community • Heighten awareness of themselves and better understand how to maximize interactions with those around them • Develop a vision of the leader they can be – and what it takes to become that leader • Experience a supportive environment that fosters meaningful interpersonal relationships and collaborative, lifelong interaction

Our Classes

The inaugural FVMA Power of Ten class graduated on March 18, 2022, at the FVMA Annual Conference 2022. As we celebrated the young leaders who made our first Power of Ten program possible, we also inducted and introduced the class who will continue the program’s mission through the next year. Applications for the 2023-24 Power of Ten class is now open. You can apply using this link www.fvma.org/the-fvmaspower-of-10/

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CONGRATULATIONS GRADUATES!

The Power of Ten Award recipients (L-R): Dr. Hillary Jarrett Maedel, Dr. Sharon Pindar, Dr. Ellen Staples, Dr. Thomas E. Hester, Caitlin Holly, Dr. Trisha Lynn Doswell, Dr. Richard Nicholas Diaz, Dr. Natalie A. Davidson, Dr. Stephanie Bowes. Image courtesy of the FVMA.

WELCOME CLASS OF 2022-23! POWER OF TEN CLASS OF 2022-2023

The Power of Ten Class of 2022-23 (L-R) Front: Dr. Julie Mosher, Victoria Harris, UFCVM Class of ’23; Dr. Morgan Watkins Tiefenthal, Dr. Heidi Hulon (speaker); Dr. Rita Wehrman, Dr. Angel Law-Barnes, Dr. Taylor McLendon, Dr. Paul DiBiase (L-R) Back: Dr. Brooke Eubanks, Dr. Victoria Tomasino, Dr. Santiago Demierre

CONGRATULATIONS

POWER OF TEN CLASS OF 2021-2022

Image courtesy of the FVMA.

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FDA RELEASES FINAL GUIDANCE ON COMPOUNDING FROM BULK SUBSTANCES Source: www.avma.org/blog/fda-releases-final-guidance-compounding-bulk-substances

The U.S. Food and Drug Administration (FDA) has published final guidance describing the conditions under which it does not intend to take enforcement action against those who compound animal drugs from bulk drug substances. Guidance for Industry #256 (GFI #256), Compounding Animal Drugs from Bulk Drug Substances, establishes the parameters within which veterinarians may use compounded drugs that are prepared from bulk drug substances. Under the guidance, veterinarians may prescribe such compounded drugs for specific patients with few restrictions. For a pharmacy to provide compounds prepared from bulk drug substances for office stock or dispensing, however, the compound must be on one of three lists to be maintained by FDA: • List of Bulk Drug Substances for Compounding Office Stock Drugs for Use in Nonfood-Producing Animals • List of Bulk Drug Substances for Compounding Drugs for Use in Food-Producing Animals or Free-Ranging Wildlife Species • List of Bulk Drug Substances Currently Under Review FDA has indicated that it will work to populate the lists with additional nominations in an expedited manner. Further, FDA has expressed its intent to focus on education and stakeholder engagement before shifting resources toward inspectional activities in Fiscal Year 2023 (October 2022). Throughout the FDA’s development of this guidance, including before and after the agency’s November 2019 draft, the AVMA has actively communicated our profession’s needs for compounded products. As part of that ongoing communication, and informed by input from AVMA members, volunteer leaders, state and allied veterinary organizations, and other stakeholders, the AVMA submitted formal written comments to FDA on February 3, 2020, May 18, 2020, and October 8, 2020.

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Image courtesy of Canva

The final guidance reflects many changes made in response to advocacy by the AVMA. For example, the AVMA voiced considerable opposition to the use of lists due to concerns they could not be compiled and maintained to keep pace with clinical needs. In response, the FDA modified its approach to make the process of creating and reviewing the lists more dynamic, and has indicated it will work with the profession to ensure the lists are robust. The AVMA will continue to actively work with the FDA, and evaluate other options as necessary, to ensure that veterinarians have medically appropriate access to compounded drugs prepared from bulk drug substances and that such access is not unduly burdensome.

Visit AVMA.org to learn more about the FDA guidance.

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UPDATE from legal advisor Ed Bayó on

HEMP IN VETERINARY MEDICINE

New hemp rules were promulgated by the Florida Department of Agriculture and Consumer Services (“FDACS”). These rules went into effect on January 2, 2020. The most important rule is Rule 5E-3.003, F.A.C., which addresses hemp extract in pet food, pet treats, specialty pet food and specialty pet treats. Pet food, pet treats, specialty pet food and specialty pet treats may contain hemp extract, but not more than 0.3% total delta9-tetrahydrocannabinol concentration on a dry weight basis. Veterinarians may sell the above products without obtaining any additional licenses or permits. Veterinarians may sell the above products, as long as the products are not claimed to be “drugs.” This means that the label must not contain claims indicating the product is intended for diagnosis, cure, mitigation, treatment or prevention of disease. Just as in the case of “Prescription Diets” the veterinarian can explain that the products “help” in certain conditions and may provide “relief” or “alleviate” certain symptoms, but that they are not medicines and not intended to cure or treat a specific condition. Just like aspirin can alleviate arthritic pain but can’t cure it.

If veterinarians sell the above products, they must make sure that the labels on the container comply with Section 581.217, Fla. Stat., as well as Rule 5E-3.005, F.A.C.: The container must include: a. A scannable barcode or quick response code linked to the certificate of analysis of the hemp extract batch by an independent testing laboratory; b. The batch number; c. The Internet address of a website where batch information may be obtained; d. The expiration date; If specific cannabinoids are claimed, the number of milligrams of each cannabinoid per serving must be declared on the label. The serving size shall be displayed on the label of the product. Pet food, pet treats, specialty pet food and specialty pet treats consisting of or containing hemp extract shall be labeled “Not for human consumption.” Bottom line: Vets should only obtain these products from reputable distributors that are in compliance with Florida laws and rules.

THE EPICUR OATH

Safer, consistent medications. Traditionally compounded medications available from a 503B Manufacturer overseen by the FDA Drugs manufactured following cGMP, the same regulations used by pharmaceutical companies Approved for distribution One of the largest portfolios of 503B drugs for animal health

For a list of drugs, visit epicurpharma.com

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PRACTICE OWNERSHIP IN A CORPORATE WORLD by Carly Watson Tobler & Evan Watson, Simmons & Associates Southeast

It’s no secret that corporate money goes farther than private, causing the constant expansion in corporate power. Though the veterinary industry is safe from a lot of societal ailments (i.e. recessions and pandemics), it is not protected from this corporate power, which is here and not going anywhere. However, we want you to know veterinarians CAN still be successful practice owners and SHOULD aim to do so. Before we go into the how, we must also point out that it is not the road for the faint of heart, as there are other hurdles to overcome aside from corporate competition. With the increased activity (and prices) from investment buyers in recent years, plus currently being a “sellers’ market”, it has become more challenging for veterinarians to own. However, if you are willing to be flexible with your practice needs, desires and the pathway towards ownership, you will find there are more options than you imagined. • Practice Start-Up: This is one of the most obvious routes to practice ownership. The concern with a start-up is that it’s not always a road to success. Many markets are saturated with veterinary practices, the pool of qualified employees is limited, and cost of drugs and supplies is ever increasing. We see many start-ups fail within the first few years of opening, and unfortunately there is rarely an option to sell a failing start-up. Not only does a start-up require a lot of work from the owner, but it also typically takes about five years to see any return on your investment. • Expand Your Location Preferences: Of course, most buyers (veterinarians and corporate investors) want to live in urban/ suburban areas. Unfortunately, there are a limited supply of practices available to buy in these markets, and you’ll most likely be outbid by corporate buyers. There are many great practices for sale in rural markets that are worth your consideration. While it might not be feasible to move your family to the community, with a little extra effort you could live somewhere between the practice and nearby suburban community. This might mean you have a commute, but chances are it would be in the opposite direction of traffic and a little more pleasant than the urban bumper-to-bumper. • Expand Your Practice Criteria: Having a shiny new facility and appealing equipment certainly helps to attract clients. However, having everything brand new is not often feasible, nor the most profitable way to manage a practice. Few practices for sale are new and spotless due to their age and long-term establishment in a community. Clients are accustomed to the dated facility and staff are adjusted to older equipment which still produces healthy revenues and profitability. Over time in your 15+ year ownership, you can incrementally make updates to equipment and the facility which would hopefully increase revenues. Consider how you can

update the facility with DIY projects or in phases. This would prevent loss of revenue from an interruption in services and allow you to conserve capital to invest in larger projects over several years. Equipment can be updated for little to no cost as well by committing to lab services and/or minimum supply agreements. While these are discouraged for owners considering selling in upcoming years, they can be great arrangements for a newer practice owner not selling soon. • Buy Into Your Employer’s Practice: While minority ownership is not always advised, there are reasons that you, as an associate, might want to go this route, especially if you’re employed at a larger practice. If your operating agreement is structured correctly, you will have input on the practice sale should the majority owner wish to capitalize on a corporate sale after you’re a partner. Not only will you be able to participate in the selling process and potentially choose a buyer that best fits your personality, but you will have the ability to decide whether you want to remain in partnership with the corporate buyer or also be bought out at the premium price. If you choose the latter, you will have more liquidity than you’ve likely ever had and could then start-up or purchase your own practice after riding out the employment expectations with the new owner. The other options are buying the majority owner out over several years, allowing them to transition out, or buying their remainder shares and becoming 100% owner when they’re ready to exit. As a minority partner at the outset, you would have more opportunities for ownership in the future. While this might be a slower route to getting to full ownership, you’d still get there in the long run, or at least make a nice return in a short period of time. • Sign On With the Corporate Buyer: This sounds counter intuitive to “practice ownership in a corporate world” but is a strategy worth considering. There is a chance your employer’s corporate sale could be contingent on you signing an employment contract with the new owner. This is often only a one-year contract, and you have the power to negotiate a minimal non-compete and other employment terms attractive to you. And you should request a signing bonus which could be paid by your current employer or the new employer at the time of sale. This bonus could be sizeable, allowing you to satisfy outstanding debt and save liquidity setting you up for better financing options when you are ready to purchase (or start-up) your own practice. As you can see, practice ownership is an option for you. The path to getting there likely isn’t what you envisioned, but it is achievable. Knowing your options and hiring the right representatives to assist you with the process will enable you to accomplish your ownership goals with ease.

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PRACTICE Pulse QUESTION: How long must we keep medical records?

A: The DBPR, “Rule 61G18-18.002(1), Florida Administrative Code,

provides that you must keep records three years from the date of last entry, including X-rays.” 61G18-18.002 Maintenance of Medical Records. (1) There must be an individual medical record maintained on every patient examined or administered to by the veterinarian, except as provided in (2) below, for a period of not less than three years after date of last entry. The medical record shall contain all clinical information pertaining to the patient with sufficient information to justify the diagnosis or determination of health status and warrant any treatment recommended or administered.

QUESTION: I had a practitioner in our area who recently retired

and asked what is the recommended time frame for a practitioner to continue to carry liability insurance in case of a claim that arises post-retirement for a case the practitioner was managing prior to retirement?

A: “The statute of limitations for professional services malpractice is two years. Carrying malpractice for two years after retirement would cover this.” This is called “tail coverage,” which is less costly considering the veterinarian is no longer actively practicing.

QUESTION: Who keeps track of my CE hours?

Per the DBPR, “it is the responsibility of the licensee to keep track of his or her continuing education hours. If you are audited by the board, you will be required to show proof of your 30 hours.” The FVMA keeps records of any conferences, wet labs and online CE courses attended. If you need an additional copy of a certificate of attendance, please email membership@fvma.org.

QUESTION: Are all 15 hours for CVTs allowed to be online during this next renewal period? Or are in-person classes required?

A: Current CVT certifications are valid through December 31, 2023. Continuing education requirements are evaluated each cycle and the FVMA will communicate requirements with ample time to be satisfied. Please continue to check FVMA correspondence for any updates.

QUESTION: We've recently had a change in management with

policies that seem misguided for our controlled drug record keeping. We had been told by previous management that it is a requirement to write a patient's address and the reason we are administering the

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controlled medication in the written drug logs. We currently use a computerized system for our medical records that contain all this information, and I would like to perform the correct policy. Is it a requirement to have this information in the written drug log since we have it in our computerized system?

A: The Code of Federal Regulations lists the information that is

required to be maintained, but it doesn’t say how. The records must be "readily retrievable." The definition of “readily retrievable” is: "Readily retrievable means that certain records are kept by automatic data processing systems or other electronic or mechanized recordkeeping systems in such a manner that they can be separated out from all other records in a reasonable time and/or records are kept on which certain items are asterisked, redlined, or in some other manner visually identifiable apart from other items appearing on the records." So, electronic records are allowed as long as they are readily retrievable.

QUESTION: We see in the law it states that 24-hour emergency services must be provided from the DVM at the practice, or from another licensed veterinarian. Does this mean that if we chose to discontinue providing emergency services, we can provide the contact information for the closest 24-hour emergency location and that would be sufficient to meet what the law requires? The minimum standards (61G18-15.002) states that a telephone must be answered 24 hours a day which one may call for emergency service, and that a legible phone number should be posted for emergency service. So, can this number be the number for the 24-hour emergency clinic, and that will meet the two above items? Lastly, the closest clinic that provides 24-hour service is about 58 minutes away. I do not find anything in the law that dictates distance, can you advise?

If the veterinarian does not personally provide 24-hour emergency care, the requirement for providing such emergency services is satisfied by providing the phone number and contact information for the nearest 24-hour veterinary emergency clinic. That must be done by the phone answering machine having that information for after-hours calls, as well as by posting that contact information at the clinic in a way that it can be read by anyone from the outside while the clinic is closed. If the nearest 24-hour clinic is one hour away, that is the nearest clinic.

QUESTION: In the past I reached out concerning the role

a veterinary technician or veterinary assistant plays regarding performing dental procedures. We are hoping to understand, specifically regarding dental extractions, what the staff may perform under the supervision of the attending DVM. The guidelines are fuzzy, and we are hoping to clearly understand what their boundaries are.

GOT A QUESTION? THE FVMA CAN HELP.

One of the benefits of an FVMA membership is our helpline (800.992.3862), which is available to members Monday through Friday from 8 a.m.-5 p.m. 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 as a part of an effort to keep our members up to date on current concerns, as well as regulatory and legislative changes.

A: The Board's rule on tasks that may be delegated specifically

(3) The administration of any vaccination by a veterinary aide, nurse, technician, intern or other employee of a licensed veterinarian which is not specifically prohibited by Rule 61G18-17.006, F.A.C., requires “immediate supervision” as that phrase is defined in Section 474.202(5), F.S.

fails to list tasks that can be delegated. So, there is no specific rule we can point to that states a technician cannot perform extractions. Keeping in mind that the veterinarian remains responsible for any task delegated, the answer then is that it is up to the veterinarian whether to delegate (or not) that task. That will take into consideration the experience/training/certification of the technician, so it is on a case-by-case basis.

So long as she is unlicensed, she should not be administering vaccinations or treatments for any of the conditions listed in 61G18-17.006. If she is doing anesthesia or administering any other allowable vaccination she should do so under onpremises supervision.

A quick review of other states’ regulations shows that some states specifically prohibit veterinary technicians from extracting teeth, but the majority do allow (or do not specifically prohibit it, like Florida). There is also the issue of extracting loose teeth versus extracting teeth during anesthesia. Finally, some states specifically provide that, although a veterinary technician may perform an extraction, the technician cannot perform “surgery” (periosteal elevation, sectioning of tooth, re-sectioning of bone). Taking all of that into consideration, it seems that the best answer is that a technician can extract loose teeth but should not extract teeth under anesthesia. If the veterinarian feels that an individual technician can extract teeth, that would be up to the veterinarian. No veterinarian should delegate to a technician the “surgery” aspect as defined in statute.

QUESTION: We recently hired a new graduate veterinarian who

is still in the process of taking her NAVLE accreditation. As part of the process, we want to start her in a mentorship program under the supervision of our DVMs (we have four other doctors helping in this process). Are there written guidelines on what a graduate student can and cannot do in this type of arrangement?

61G18-17.006 Diseases which Only a Veterinarian May Immunize or Treat. For the purpose of implementing the exemption provisions of Section 474.203(5)(a), F.S., the Board recognizes that the following diseases are communicable to humans and are of public health significance, and that only a veterinarian may immunize or treat an animal for these diseases: (1) Brucellosis. (2) Tuberculosis. (3) Rabies. (4) Equine Encephalomyelitis. What other treatments/tasks can be delegated will be an individual decision, taking into consideration her education, training and experience. Once she takes the exams and is awaiting results, she can practice under the provision of §474.207(5):

A: The new graduate will be acting as a veterinary aide/technician. The Board’s rule on delegation of tasks is very broad.

1G18-17.005 Tasks Requiring Immediate Supervision. (1) All tasks which may be delegated to a veterinary aide, nurse, laboratory technician, intern, or other employee of a licensed veterinarian shall be performed only under the “immediate supervision” of a licensed veterinarian as that phrase is defined in Section 474.202(5), F.S., with the exception of the following tasks which may be performed without the licensed veterinarian on the premises: (a) The administration of medication and treatment, excluding vaccinations, as directed by the licensed veterinarian; and (b) The obtaining of samples and the performance of those diagnostic tests, including radiographs, directed by the licensed veterinarian. (2) The administration of anesthesia and tranquilization by a veterinary aide, nurse, laboratory technician, intern, or other employee of a licensed veterinarian requires “immediate supervision” as that phrase is defined in Section 474.202(5), F.S.

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(5) An unlicensed doctor of veterinary medicine who has graduated from an approved college or school of veterinary medicine and has completed all parts of the examination for licensure is permitted, while awaiting the results of such examination for licensure or while awaiting issuance of the license, to practice under the immediate supervision of a licensed veterinarian. A person who fails any part of the examination may not continue to practice, except in the same capacity as other nonlicensed veterinary employees, until she or he passes the examination and is eligible for licensure.

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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WHAT'S YOUR

EXIT STRATEGY?

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CLASSIFIED ADVERTISEMENTS VETERINARIANS WANTED

VETERINARIAN WANTED – WINDERMERE, FL: We are a 2 doctor practice looking to add a pt vet 1-2 days per week. We are closed weekends and offer no boarding. We have great clients, new equipment (digital xray, digital dental xrays, u/s, in house blood machines, etc) and a well trained staff. Staff are fear free certified, 30 min appmts, a real lunch break! Schedule is flexible, full days or half days. Have a work life balance and enjoy your job! Contact Dr Angela Chesanek for info. Chainoflakesvet@gmail.Com WE WANT YOU! 4-DAY WORK WEEK!: Seeking an associate veterinarian that has a passion for excellent patient care and desires to be a leader within the hospital. Each of our veterinarians is provided opportunities to practice general medicine as well as perform surgical procedures. As leaders within the hospital, associate veterinarians are encouraged to research new standards of care and treatments to offer our patients, as well as help drive hospital culture. As a healthcare team, we provide consistent quality medicine, compassionate care and a fear free low-stress environment. Our hospital has been thoughtfully designed to maximize the workflow for our team while also providing a low-stress and inviting environment for our patients. We are an exclusive full-service companion animal hospital for dogs and cats. We offer routine wellness care, general medicine and surgery, dentistry, a complete full in-house laboratory, full body and dental digital x-rays, hospitalization, nursing care and pharmacy services. VETERINARIAN WANTED – MELBOURNE, FL: Brevard Aid To Animals, a private non- profit practice is currently seeking a fulltime veterinarian for our thriving small animal practice. Our hours are Wednesday-Saturday 7-4. Walk in and appointment hospital with 6 exam rooms, a spacious treatment area with 2 bays (exam and wet table), dedicated surgical suite, large surgical prep area, dedicated radiology suite, a large laboratory/pharmacy. We have digital radiography and in-house Abaxis diagnostics (CBC, Chem, T4, urine analyzer, cPL, FeLV/FIV, Parvo SNAP, etc.). Class IV Therapeutic laser, Ellman Surgitron,Tonography. Our pharmacy is stocked with a large variety of medications that allows freedom to dispense the most appropriate medication for your patient at the time of treatment. We offer a competitive salary, paid time off, CE benefits, and will cover the cost of state and national license fees. No after-hours shifts. Experience is a plus, and new graduates are welcome to apply. ASSOCIATE VETERINARIAN POSITION - CORNERSTONE VETERINARY HOSPITAL LARGO, FL: House Labs, Vetter paperless and Cloud-based Software) in a comfortable, caring environment. Established by a long-time, local associate DVM who did not want to be part of a corporate (YUCK!) buy-out of my previous employer so I built my own hospital! As a single-doctor start-up, Cornerstone Vet has grown quickly to nearly 2000 patients and is a community-respected, 5-star Googlereviewed, well-established, busy hospital looking for another kind, genuine, relationship-oriented doctor who desires a supportive environment in which to grow. Our team is a hard-working, cohesive, no drama, fun-as-heck, talented group to work with. Our mission is to love what we do and to have our clients and patients trust us in return. Cornerstone is a veterinarian-owned and managed hospital with NO corporate ties and NO corporate protocols or quotas. Practice medicine how YOU know best! Part-time or Flex-time or Full-time. No on-call, no Sundays. Compensation structure is flexible and benefits are negotiable and can include PTO, SIMPLE retirement plan contributions, CE allowance, association and license fees, etc. We are located in the Tampa Bay area of Florida between St Petersburg and Clearwater, just minutes from our beautiful Gulf Coast beaches and all the amenities Tampa Bay has to offer. Come grow with us! Contact: Dr Jane Mayo, Cornerstone Veterinary Hospital 11405 Seminole Blvd, Largo, FL 33778 | 727-222-5727 dr.mayo@cornerstone-vet-hospital.com www.cornerstone-vet-hospital.com

SA VETERINARIAN - $120,000 MINIMUM SALARY - $25,000 MOVING/SIGN-ON BONUS - BRADENTON, FL: Live where others vacation – Florida’s Suncoast. We are located near and between Clearwater Beach and Siesta Key; each was named the best beach in America. People are our most important asset: veterinarians, staff & clients celebrating their love of pets. We are searching diligently for the exceptional, energetic, compassionate, team-oriented associate with excellent communication skills to come grow with us! All experience levels considered. Established in 1947 and growing! Our 7,500 sq-ft facility houses our fast-paced hospital with a practice of excellence philosophy. Digital radiology, digital dental radiology, separate surgical and dental suites, ultrasound, radio surgery, therapy laser, chemistry, CBC, immunodiagnostics, coagulation, AI-assisted fecal and UA, pulse oximetery, ekg, CO2, blood pressure monitors, patient warming (acupuncture, herbal medicine welcome). Base plus production pay; health, dental, vision, and life insurance; retirement plan; CE stipend; PTO; holidays; and health savings account. Contact Jeff Logas, Bradenton Veterinary Hospital, 1324 17th Ave W, Bradenton, FL 34205 Jeffrey.Logas@BradentonVeterinary.com 941.746.2252 VETERINARIAN WANTED-SARASOTA, FLORIDA: 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 do consider new graduates. We encourage and support worklife balance, offer competitive salary, bonus potential and many additional benefits. For consideration, please email your resume to Jennie Dickson at jennie@westcoastvet.com. VETERINARIAN(S) WANTED – GAINESVILLE AND OCALA: Veterinarians needed for small animal general practice in Gainesville and Ocala. No weekends. Excellent pay and benefits. $25,000 hiring bonus. Email jstewart@ruralking.com ASSOCIATE VETERINARIAN(S) WANTED— PUNTA GORDA, FL: We are a very busy, fast growing, small animal practice. We offer cone beam CT, dentistry, PRP, Stem Cell injections, Soft tissue surgery, some orthopedic surgeries, endoscope, ligature for surgery and we have a full rehab suite that includes an underwater treadmill. We have 7 exam rooms, a large OR suite, special procedures room and 2 large treatment rooms. We are also looking to add satellite location(s). We offer competitive pay and benefits with flexible scheduling. Email managementbsah@gmail.com or call 239.315.0729 to inquire about the opening. BEECHWOOD VETERINARY CLINIC - FT/PT ASSOCIATE DVM: Beechwood Veterinary Clinic is looking for an experienced veterinarian to bring their knowledge and passion to their petloving community. Our progressive practice is located in beautiful Racine, Wisconsin where our wonderful lead doctor and amazingly experienced support staff provide top notch care to our multigenerational clientele. Full and part-time positions available. About life in Racine, WI: Also known as Belle City, Racine truly embodies the beauty of the Midwest. It may have a small-town feel, but it is bustling with activity. Being located along the shores of Lake Michigan AND having Root River winding through the city, fishing, hiking, and kayaking are easy to find for the outdoor enthusiast. Racine is also known for its large festivals (Independence Day), eclectic cuisine (You must try the Kringle!), and art galleries (the largest contemporary collection in America). • Website: https://www.beechwoodvetclinic.com/ • Real Racine: https://vimeo.com/359554924 • Discover Racine County: https://youtu.be/yJQ2Qp8mu0U What to expect from our team: • Ability to practice independently AND collaborate with colleagues • Competitive salary/exceptional benefits*

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• Ability to create an optimal schedule to support a healthy worklife balance • Opportunities to help guide the direction of the practice • Experienced support staff • Functional doctor to tech ratio • Support in bringing new ideas and implementations into the practice • Encouragement of pursuing CE opportunities • Self-care resources • Appointment based schedule-30-minute average appointment blocks Our ideal associate would: • SMILE! After all, you love your career, right? • Have a willingness to learn and grow professionally • Have a sense of humor • Be positive and energetic • Enjoy collaboration with colleagues, i.e., TEAMWORK! • Be an empathetic and competent communicator • Have a compassionate heart • Have an affinity for wellness and preventative care • Show proficiency in routine soft tissue surgeries and dentistry *Competitive salary based on skill and experience, health insurance, 401K with matching, license/dues/liability expenses covered, employee pet discount, generous paid time off, continued education allowance, assistance with relocation costs and ability to create a flexible schedule. Part-time benefits may vary. DODGEVILLE VETERINARY SERVICE - FT/PT ASSOCIATE VETERINARIAN: Dodgeville Veterinary Service is looking for a seasoned veterinarian to join their cohesive team and care for their amazing patients. Our progressive AAHA accredited practice is located in peaceful Dodgeville, Wisconsin where our wonderful 3 doctor team and amazingly experienced support staff provide top notch care to our multi-generational clientele. Full and part-time positions available. About life in Dodgeville, WI: Dodgeville is a great place to live and visit. The charming shopping district features an array of boutiques, cheese store, a variety of dining experiences, pubs and a historic movie theater. There are a variety of activities to keep you entertained yearround including the Annual Grilled Cheese Championship, Dodgeville Dodge Fest, Off the Vine Wine Walk and Farmer’s Appreciation Day just to mention a few. Dodgeville is located among the unglaciated hills of Wisconsin’s Driftless area and offers a wonderful region to explore. Three miles north of the city, Governor Dodge State Park offers camping, a waterfall, lakes and 5,000 acres of fun. Dodgeville truly is “at the heart of it all!” • Website: https://www.dodgevillevet.com/ • Welcome to Dodgeville: https://youtu.be/VEAFwUTJ6VM • Discover Dodgeville: https://youtu.be/oEsoTeXdm1k What to expect from our team: • Ability to practice independently AND collaborate with colleagues • Competitive salary/exceptional benefits* • Ability to create an optimal schedule to support a healthy work-life balance • Opportunities to help guide the direction of the practice • Experienced support staff • Functional doctor to tech ratio • Support in bringing new ideas and implementations into the practice • Encouragement of pursuing CE opportunities • Self-care resources • Appointment based schedule-30-minute average appointment blocks • No on call or after hours Our ideal associate would: • SMILE! After all, you love your career, right? • Have a willingness to learn and grow professionally • Have a sense of humozr • Be positive and energetic • Enjoy collaboration with colleagues, i.e., TEAMWORK! • Be an empathetic and competent communicator • Have a compassionate heart • Have an affinity for wellness and preventative care

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• Show proficiency in routine soft tissue surgeries and dentistry *Competitive salary based on skill and experience, health insurance, 401K with matching, license/dues/liability expenses covered, employee pet discount, generous paid time off, continued education allowance, assistance with relocation costs and ability to create a flexible schedule. Part-time benefits may vary. WOODHAVEN ANIMAL HEALTH | EXPERIENCED VETERINARIAN | FULL TIME OR PART TIME: At Woodhaven Animal Health, our multidoctor Fear Free practice is excited to add another experienced veterinarian to our team! We pride ourselves on offering quality recommendations and educating our clients to be empowered pet owners. Our support staff is top-notch and includes Certified Veterinary Technicians, allowing you to be focused on patient care and not get bogged down with busy-work. Full and part-time positions available. About life in Plover, WI: Located just outside Stevens Point in central Wisconsin, Plover has that hometown feel and encourages the “buy it local” mentality as it supports its farmers and wide variety of local enterprises. Residents enjoy the beautiful Wisconsin River and abundance of county parks and the many activities they bring for all seasons. Whether you kayak in the summer or curl up in a coffee shop in the winter, Plover is the perfect place to settle down and take time to revel in the little things. • Website: https://www.woodhavenanimalhealth.com/ • Town of Plover: https://www.comeovertoplover.com/ • Korean War Memorial: https://youtu.be/apk6v7tZ4uE What to expect from our team: • Ability to practice independently AND collaborate with colleagues • Competitive salary/exceptional benefits* • Ability to create an optimal schedule to support a healthy worklife balance • Opportunities to help guide the direction of the practice • Experienced support staff • Functional doctor to tech ratio • Support in bringing new ideas and implementations into the practice • Encouragement of pursuing CE opportunities • Self-care resources • Appointment based schedule-30-minute average appointment blocks • No on call or after hours Our ideal associate would: • SMILE! After all, you love your career, right? • Have a willingness to learn and grow professionally • Have a sense of humor • Be positive and energetic • Enjoy collaboration with colleagues, i.e., TEAMWORK! • Be an empathetic and competent communicator • Have a compassionate heart • Have an affinity for wellness and preventative care • Show proficiency in routine soft tissue surgeries and dentistry *Competitive salary based on skill and experience, health insurance, 401K with matching, license/dues/liability expenses covered, employee pet discount, generous paid time off, continued education allowance, assistance with relocation costs and ability to create a flexible schedule. Part-time benefits may vary. To apply, please contact Kirsten Friedrichs at kfriedrichs@heartlandvetpartners.com or 630-712-0120. VETERINARIAN(S) WANTED-OKEECHOBEE: Cowtown Animal Hospital is looking for a veterinarian to join our growing practice in beautiful Okeechobee, Florida. Okeechobee is the mecca for outdoor activities with that small town personal atmosphere. Experienced or New Graduates welcome. Salary is based on level of experience and benefit package to be discussed at the time of interview. Send resume or call 561-762-2983 to speak to Dr. Cook regarding the position. WE WANT YOU! 4-DAY WORK WEEK!: We WANT YOU!! Full and Part time Small Animal Associate Veterinarian positions available. New GRADUATES WELCOME. Enjoy practicing quality medicine in beautiful suburban West Palm Beach. Enjoy your time off and don’t get burnt out. We have 4-day work week (38 hrs.) for FT position. No afterhours Emergency. AAHA Certified practice. Excellent

compensation package includes Great salary, Health Insurance, 401k, CE and much more. If this sounds good to you, send resume to lindsey@animalhealthcare.com ASSOCIATE VETERINARIAN WANTED —MONTICELLO, FL: Busy three doctor practice seeking full time veterinarian for mixed predominantly small animal practice 25 miles east of Tallahassee. Part time considered and large animal work not a requirement. Salary based on experience with option of commission. Full benefits including professional expenses and CE allowance, health insurance and 401k. Enjoy small town living at its best. Please contact Dr. Davis at Shadtreedvm@gmail.com or 850-545-6639 VETERINARIAN WANTED – ORLANDO, FL: Well established downtown Orlando (5) doctor small animal practice is seeking a full time associate to join our team. Great schedule and benefits. Pay is pro-sal (base plus production bonuses). Very beautiful and busy practice with an amazing support staff. Look no further, because Banfield Pet Hospital is hiring! Contact Miranda.Adams-Ford@banfield.com today to learn more.

TECHNICIANS WANTED

TECHNICIANS WANTED – GAINESVILLE, FL: The University of Florida Veterinary Hospitals are comprised of the Large Animal Hospital (UF LAH), Small Animal Hospital (UF SAH), Veterinary Pharmacy, and Veterinary Diagnostic Laboratories which are located in Gainesville, FL. Also included are satellite clinics in Ocala, FL, including the currently operating Pet Emergency Treatment Services (UF PETS) and the NEW Veterinary Hospitals at the World Equestrian Center (WEC) opening Spring 2022. We are a major veterinary referral center treating over 49,000 animals annually from all over the world. Currently the UF SAH and UF PETS are AAHA Accredited. Furthermore, the UF SAH Emergency & Critical Care service is VECCS Level I Certified, the UF PETS facility is VECCS Level III Certified, and the UF SAH Primary Care & Dentistry service is AAFP Cat Friendly Certified. As we continually grow in both square footage and case load, we frequently seek technicians that are interested in growing personally and professionally in the veterinary field and even those considering a technician specialty certification. Technicians should be motivated individuals who possess the drive to succeed in a busy hospital and have an interest in working in an educational environment. Employment opportunities as a technician are available in the following specialty services throughout the various UF Veterinary Hospital departments: • Anesthesiology and Pain Management • Cardiology • Clinical Pathology • Dermatology • Diagnostic Imaging • Emergency and Critical Care • Integrative Medicine and Rehabilitation • Internal Medicine • Neurology • Oncology • Ophthalmology • Orthopedic and Soft Tissue Surgery • Primary Care and Dentistry • Reproduction • Zoological Medicine Benefits and perks provided as an employee may include: • Paid Leave • Paid Holidays• Weekend and Shift Differential • Pay On-Call Pay • Health Insurance • Dental and Vision Plans • Supplemental Health Plans • Retirement Programs • Employee Recognition Programs • Continuing Education Opportunities • Professional Development • Uniform Allowance • Pet Health Discounts • Relocation Assistance• Statewide Discounts and Rewards Program • Free City Bus Transportation VETERINARY TECHNICIAN WANTED - COCOA, FL: Seeking an experienced Veterinary Technician for a 2 doctor small animal exotic animal practice in Cocoa FL. We are located east of Orlando, on the Indian River and directly across from the Space Center. We are a full service state of the art facility offering top notch medical, surgical, dental, nutritional, and preventive care to our patients as well as education to our clients. Please call us today!

PRACTICE FOR SALE/LEASE

PRACTICE FOR SALE-NORTH PALM BEACH COUNTY: Solo practitioner in a very busy small animal practice. Affluent North Palm Beach County community. Upscale clientele. Major urban thoroughfare with great visibility. Grossed $650K in 2021. Easily 1.5 vet practice. Huge upscale potential. Be your own boss. Control your own destiny. Asking $395K. Contact Dr. Bob Miles at (561) 379-8748 (cell) or crbobmiles@aol.com.

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Veterinary Practice Sales, Acquisitions & Valuations

MIAMI-DADE COUNTY: Prime location! Leasehold facility + mobile unit. Gross revenue is over $550K. Option to buy real estate available. (FL105) PALM BEACH COUNTY: Prime location on ocean with dock! $618K gross revenue and $123K afterdebt income. Real estate included. Huge growth potential! (FL107) PALM BEACH COUNTY: Beautiful location and building! $819K gross revenue and $165K afterdebt income. Leasehold facility. Average annual growth rate over 18%. (FL109)

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Florida Veterinary Medical Association 7207 Monetary Drive Orlando, FL 32809

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Advocate Issue 1, 2022

Articles inside

Practice Pulse - Issue #1 2022

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Practice Pulse

Practice Ownership In A Corporate World

Update on Veterinary Hemp Rules

FDA Update on Compounding From Bulk Substances

Meet The President

FVMA Scholarships

License Renewal Deadline

Bad Vein: Gaining Access To Naughty Veins

Welcome New Board Members