Fall Quarterly 2022 by movma

Quarterly Missouri Veterinary

• A Publication of the Missouri Veterinary Medical Association •

Fall 2022

MISSOURI VETERINARY MEDICAL ASSOCIATION 2500 Country Club Drive Jefferson City, MO 65109 Phone 573-636-8612 • Fax 573-659-7175 email: mvma@movma.org website: www.movma.org BOARD OF GOVERNORS Dr. Edward Migneco President Dr. Matt Silvius President-Elect Dr. Kacie Ulhorn Vice President Dr. Shelia Taylor Secretary/Treasurer Dr. Marcy Hammerle Board Chair EXECUTIVE BOARD Dr. Kenton Morgan Northwest District Delegate Dr. Jeffrey Sparks North Central District Delegate Dr. Laura Moon Northeast District Delegate Dr. Christi Belew Kansas City District Delegate Dr. Jessica Stroupe West Central District Delegate Dr. Jessica Farris Greater St. Louis District Delegate Dr. Justin Berger East Central District Delegate Dr. Julie King Southwest District Delegate Dr. Sean Byrd Southeast District Delegate Dr. Chuck Barry AVMA Delegate Dr. Carol Ryan AVMA Alternate Delegate Dr. Carolyn Henry (Ex-officio) MU College of Veterinary Medicine Dr. Chuck Lemme (Ex-officio) AVMA District 7 Representative Dr. Cliff Miller (Ex-officio) MVMA Legislative Chair Stephanie Gilliam, RVT, MS (Ex-officio) MVTA Legislative Chair Robert Schmidt, Student Board Member Clayton Powell, Alternate Student Board Member At-Large Delegates Dr. Lynn Martin • Dr. Tom Rose • Dr. Jason Nickell STAFF Julie Braun Executive Director Brette Frank Member Relations & Event Manager Jessie Schulte Bookkeeper Lori Muhlenbruch District Coordinator Lizzie Benke Digital Communications & Program Coordinator Kim Ralston Director of Print Communications Michelle Gentges Executive Assistant Dawn Felger 2 Member Data Specialist

MVMA QUARTERLY - FALL 2022

Inside this issue... Happenings: MVMA People and Events........................................... 4-5 Fun Time at the State Fair.................................................................................6 AVMA House of Delegates Report............................................................8 MOVVC Needs You! ....................................................................................10 Upcoming MVMA Meetings/CE & Events..........................................13 Loan Forgiveness for Rural Veterinarians...................................... 14-15 Is Your Bucket Empty?.....................................................................................16 Pandemic Shut-In Effect for Pets ..............................................................18 Associate Member News..............................................................................20 AVMA Workforce Update...........................................................................22 Foundation Update ........................................................................................27 Classifieds ..................................................................................................... 30-34 2022 Partners For Progress Sponsors ...................................................35

On the Cover... Autumn... What a great season of the year to take time for you, even if it’s only a walk (or ride) in the woods. Nature helps clear your mind and gives your body a chance to unwind. Another chance to change scenery is the upcoming MVMA convention. A way to get out of the office and meet up with friends while receiving top-notch continuing education in all fields of veterinary medicine, practice management and soft skills. Let’s not forget about the fun events like the Foundation’s Drawing and Silent Auction on Friday plus the Exhibit Hall Party on Saturday. Whether it’s nature or fellowship, don’t forget to unwind... you deserve it.

MVMA QUARTERLY - FALL 2022

From the President It’s hard to believe 2022 is already nine months old as 2023 comes into view. It seems we have weathered the storm of Covid-19 and although it still looms out there, Edward Migneco, DVM it appears we are getting a handle on it. Now the next new health emergent issue is Monkeypox. I am confident we are resilient and will get past this problem also. Veterinarians helped the world figure out a vaccine for Covid, and we should all be proud of the contribution our profession does on a daily basis for the protection of not only animals, but for human health as well. We will prevail from these current health crises and we will be stronger for it.

to face-to-face meetings with colleagues, exhibitors, and continuing education. We humans do love social interaction and it was evident everyone enjoyed getting back together as a group. Zoom meetings continue to be very popular and our office is doing a great job of coordinating those meeting for our members across the state.

It seems strange to say it this way, but 2022 has been a relatively quiet year for the MVMA, despite dealing with Covid and legislative issues. We were able to meet in person in January at our annual convention, and it was great to get back

Workplace shortages, including staffing of veterinarians and technicians, continue to be an issue we are dealing with. On a local level, leadership in the St. Louis area are meeting with members of a variety of

Very recently our state has had to deal with some deadly and devastating flooding. At least one of our member’s practices got hit very hard by the floods and suffered significant damage and even loss of a pet’s life. Our office and the leadership of the MVMA reached out to our members to offer any help and assistance needed and also provided links to state and federal assistance available to those affected by the floods. Our hearts go out to all of those who suffered any losses, whether financial or personal in this latest tragedy.

practice types, including specialty practices, general practices, and emergency clinics, to try and formulate a plan. Our main goal of these meetings is public awareness, along with a database of clinics that are accepting new clients and can see urgent care cases. We realize we are not going to solve the workplace shortage issue, but if we can inform the public of what we are dealing with, and how hard we are all working behind the scenes, then maybe the public will have some understanding, and we can relieve the backlog happening across the area for those seeking veterinary care. We will keep the members aware of our actions and if our efforts could be useful across the state. Your leadership at the MVMA is still hard at work on your behalf and is always available to you for any help or assistance you may need. Please feel free to reach out to me or to the office if you have any questions. I look forward to seeing all of you in January 2023 in Columbia. Ed Migneco President

From the Secretary-Treasurer Clear As I began to contemplate what I would share with you this year, I was in the swimming pool doing laps. The water was clear and the sunlight Shelia Taylor, DVM danced on the bottom of the pool and my mind shouted out the word ‘clear’. We have all used this little word. Clear as a bell (I just assume the bell is made of crystal). Clear as the sky is blue (how can a color be clear?). Crystal clear. Clear as anything. Clear headed (I don’t think I would like crystal skulls, but then we could count the wrinkles on individuals’ brains). And my personal favorite, clear as mud (hmm, what??). These are just a few, but what does it mean to be clear? The Oxford dictionary defines it as “easy to perceive, understand, or interpret” or (of a 3

substance) “transparent; unclouded”. We often report a urinalysis stating the urine is clear meaning there is no perceivable turbidity. Often, as we work with our patients, their diagnosis is clear. All the clinical signs, test results, physical findings point to a specific diagnosis. Then there are those patients whose diagnosis is anything but clear. We might then use the term ‘clear as mud’ when referring to these patients, and we understand we just cannot see what is there because it is being obscured. In today’s society we are often told to just stop and clear our minds. What does this mean? Sometimes I think my mind is clear, but some thought intrudes and there it goes again being all muddled up. When I swim laps, I often just let my mind run where it wants to and sometimes I just watch the pretty sunlight dancing on the bottom of the pool to just let my mind relax. I like to think about this quote: “Clear your mind.

Your heart is trying to tell you something.” We just need to learn how to listen. My husband and I had the opportunity to visit Hannibal this summer. We did the Mark Twain museums and truly enjoyed our experience. Mark Twain has always been a favorite of mine and it was wonderful to walk in the footsteps of Samuel Clemens. I even got to dip my toes in the Mississippi River which was, of course, as clear as mud! Clearly, (pun intended), I hope you all are doing well and look forward to seeing you clearly come next January at our annual Convention. So, I leave you with this quote from Mark Twain: “Definite speech means clarity of mind” and I hope my thoughts were crystal clear and not as ‘clear as mud’. Sincerely, your Secretary-Treasurer Shelia Taylor, DVM

Happenings...

MVMA QUARTERLY - FALL 2022

MVMA PEOPLE & EVENTS

MVMA Offers Many Ways to “Stay in the Game” at the 131st Annual Convention

he MVMA Convention Planning Committee is encouraging you to stay in the game by advancing your knowledge and skills while networking with fellow members. This year’s meeting will be held January 26-29, 2023 at the Holiday Inn Executive Center, Columbia, Mo. The convention will offer our members, their families, students and practice staff a weekend of the best in education, friendship and fun. As in past years, you can build your own program. The convention will offer an option to register for any day or days you want to attend, or register for the entire fourday event. You attend the days you want to attend. Thursday seminars include a variety of topics including Ophthalmology; recognition and management of equine malnourishment; various food-animal topics; pathology; feline and canine precision medicine, etc. In addition, there is Missouri Stocker/Feeder Quality Assurance Certification and the MVMA Academy Mini-Topics Seminar packed with short, informative presentations on a variety of subjects. Furthermore, Thursday is packed with committee meetings, and meetings of the MVMA Executive Board and the Foundation Board. Full registration (Thursday-Sunday) encompasses 24 contiguous CE hours across multiple tracks covering companion animal, food animal, equine, soft skills, special interest, practice management and labs. See the schedule of continuing education programs included in the convention registration booklet. Again this year... The registration booklet will be mailed inside the winter issue of the Missouri Veterinary Quarterly Magazine in November. Online convention information and online registration coming soon at www.movmaconvention.com At the convention, don’t forget to drop by the Exhibit Hall where over 60 vendors will show you the latest innovations and programs in veterinary medicine, and a chance of winning one or more of many door prizes. Win or lose, you don’t want to miss the fun and excitement at the Foundation Reception and Drawing. Admission is free to all (no purchase required) but Silent Auction and 50/50 participation is appreciated. Hors d’oeuvres will be served. Be sure to purchase your ticket for a chance to win $10,000 and many other cash prizes. Tickets are $100 and can be purchased through the registration form, on our website or by calling the office at 573-636-8737. You need not be present to win. The drawing will take place during the Reception. Support your Foundation by purchasing a ticket. Purchase a ticket by December 15 to be eligible for the Early Bird Drawing. During the same evening, the Foundation also holds a silent and a live auction. If you have items you wish to donate for this auction, it would be very much appreciated. Please call 573-636-8737 to make arrangements for pick-up or drop-off. Something special: On Saturday, MU-CVM recent graduates are invited to a reception/ forum to network and share experiences with each other. Later on Saturday, DVM students are invited to gather for a mixer to ask questions of early-career veterinarians. The MVMA holds its Annual General Membership Meeting and Breakfast on Saturday morning with additional continuing education workshops throughout the day. For Veterinary Technicians and Practice Staff: Throughout the weekend, veterinary technicians will have the ability to attend the same continuing education sessions as veterinarians. Also, a technician/practice staff reception is planned for Saturday with lots of swag from Hill’s Pet Nutrition. 4

On Friday, you’ll want to attend the Veterinary Business Management Association/MVMA Student-Vet Networking event. CVM students and veterinarians meet and greet to match up for mentorship, preceptorships, and contacts for future post-graduation employment. An opportunity for an all-around win-win. The MVMA welcomes Gary Pinkel as our keynote speaker at the General Membership Session Saturday morning. Gary Pinkel was born in Akron, Ohio — the same state he’d begin his coaching career two decades later. At Kent State, he played with Alabama head coach Nick Saban. His first head-coaching job was at the University of Toledo in 1991. There, he holds the record with the most wins in school history (73-37-3) and was voted MAC Coach of the Year in ’95. Pinkel’s next — and final stop — would be in Columbia, Missouri, where he took over a program Gary Pinkel with just one 10-win season in school history and two winning seasons in the previous 17 years. As the head coach at the University of Missouri from 2001-15, Pinkel lead the Tigers to five 10-win or more seasons, ten winning seasons, and earned the most wins in MU history at 118-73. Since retirement, Pinkel heads up the GP M.A.D.E Foundation. The non-profit organization supports children battling leukemia or lymphoma; children facing physical challenges; and children working to overcome socioeconomic challenges. Many MVMA members come to the MVMA Convention planning to “refill their bucket”. Not only can you expect this to happen during Coach Pinkel’s address but every year the Saturday evening’s events are the highlight of the weekend. Start out with an MVMA members reception where stories and laughter are shared across the room followed by the infamous MVMA Awards Ceremony where presentations are made to highlight some of the unsung heroes in the profession. Stick around after the awards ceremony for fellowship with family, friends, and colleagues. A meal is available with a purchased ticket but not required for the awards presentations. Sunday continues with the MVMA/MU-CVM Breakfast With the College and another half-day of lectures and labs.

MVMA QUARTERLY - FALL 2022

MVMA Introduces Itself to Incoming MU-CVM Students

MVMA Holds Annual Summer Equine Seminar

In August the incoming class of 2026 at the College of Veterinary Medicine had several web meetings, one of which was an introduction to the MVMA.

The MVMA held its annual Summer Equine Seminar on Sunday, June 26, 2022 at the University of Missouri-College of Veterinary Medicine, Adams Conference Center in Columbia, Mo.

Dr. Brittany Kennedy, co-chair to the MVMA Early Career Task Force, encouraged the new class to learn about organized veterinary medicine and take part in being a member of the MVMA. Julie Braun, MVMA executive director, reinforced the importance of organized veterinary medicine with the multitude of efforts made on behalf of the veterinary profession, due to the membership and volunteers of the MVMA. In addition, MU CVM Veterinary Enrichment Training (V.E.T.) is an event for the incoming class to relax and get to know each other as a group that will spend a lot of time together over the next four years. Dr. Shelia Taylor, MVMA secretary/treasurer, and Julie Braun, attended the event to interact with and encourage the new class to ask questions and join the MVMA as a collegiate student. Student membership is complimentary for five years and reduced for an additional three years.

Twenty members attended the conference which was presented by the Missouri Veterinary Medical Association Equine Committee. Speakers included Elizabeth Giuliano, DVM, MS, DACVO and Lynn Martin, DVM, MPH, DACVIM. Dr. Giuliano is a tenured Professor of the Department of Veterinary Medicine and Surgery at the University of Missouri and Section Chief of their comparative ophthalmology service. Dr. Martin is currently an Assistant Teaching Professor of Equine Internal Medicine in the Department of Veterinary Medicine and Surgery at the University of Missouri. The seminar highighted a variety of ophthalmology presentations including: Practical Treatment Pearls in Equine Ophthalmology; Looking Beyond the Eye: Providing and monitoring systemic medical therapy; Equine Acquired Corneal Disease; and Sedation Protocols.

Dr. Shelia Taylor (standing center) speaks to students about the benefits of joining the MVMA during the MU-CVM Enrichment Training event.

In Memory Theodore J. Mertens, DVM

Brodhead, Wis. Passed Away: July 21, 2022 Survived by his wife, Barbara and son, Jason.

Eugene A. “Doc” Miekley, DVM Columbia, Mo. Passed Away: June 20, 2022 Survived by his wife Frankie; daughters, Sara and Rebecca, and son, Kevin.

Participants received six hours of continuing education credits by attending the seminar.. 5

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Fun Time at the Fair! I

t’s been another great year at the fair with MVMA members making many new friends with lots of questions at

the association’s booth during the Missouri State Fair, August 11-21 in Sedalia, Mo.

Over 40 members donated a day of their time reaching out to the public with information about the MVMA, answers to questions about pets, and good conversation. Our volunteers were kept quite busy throughout the event visiting with fair-goers and spreading the word about good health care for their animals and encouraging children that they can be a veterinarian, too. This year, the MVMA combined its booth with the MU College of Veterinary Medicine’s. Volunteers greeted booth visitors, answered a myriad of questions, and handed out bookmarks, coloring pages, brochures on MVMA programs, and information on pet health and welfare. Emphasis was also made on the MVMA’s Missouri Stocker/Feeder Quality Assurance Programs and the Missouri Veterinary Medical Foundation’s Animal Archives of Missouri and Veterinary Museum.

A big thanks goes to these MVMA volunteer State Fair Ambassadors...

Tony Martin, Dave Prigel, Ben Leavens, Philip Falch, Steve Nickell, Bob Graves, Ken White, Raymond Stegeman, Dennis Weaver, Shelia Taylor, Udell Simmers, Linda Hickam, Karen Campbell-Motsinger, Dave Hopson, Sarah Reinkemeyer, Ken Vroman, Taylor Woods, David Wilson, Burton Schauf, Linda Scorse & “Lisa” (Border Collie), David Rybolt, Susan Sczepanski & “Robert” (Boston Terrier), Bruce Whittle, Charlotte Cliford-Rathert, John Holste & “Aspen” (Min. Golden Doodle), Lonnie Blum, Melissa Fulda, Shuping Zhang, Laura Moon & “Pretzel” (Mutt), R.C. Ebert, Tom Rose, Heather Jones, Roy Davis & “Molly” (Border Collie Mix), Jeffrey Sparks, Chad McNeal, Michael Pfander & “Ramsey” (Native American Indian Dog), Rodney Chapman, Clark Fobian, and Debbie Leach.

Dr. Laura Moon (left) with her dog “Pretzel” and a happy fairgoer (right) It’s all smiles at the MVMA booth.

Dr. Tony Martin visits with a face-painted, Brooks Frank. It’s all part of having fun at the fair.

From left: Kenna, Lana and Julie Braun with Dr. Pfander’s dog “Ramsey”.

Dr. Raymond Stegeman (left) and Dr. Ken White ready to greet fairgoers and answer questions. 6

From left: MVMA executive director, Julie Braun, with Rita Fobian, Dr. Clark Fobian and Dr. Shuping Zhang during the annual Governor’s Breakfast at the fair.

A great big thank you to all of our members who helped this year. Think about joining us at next year’s fair. August 10-20, 2023

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House of Delegates Report By Chuck Barry, DVM and Carol Ryan, DVM

AVMA Convention • July 28-29, 2022 • Philadelphia, Pennsylvania The AVMA House of Delegates met on July 28-29 in Philadelphia. Your MVMA, delegates to the AVMA met along with the representatives of 52 Jurisdictions and 18 Allied Groups for an in-person meeting in Philadelphia over 2 days to conduct the governance business of the AVMA. Your association is now nearly 100,000 members strong and works to represent, guide, and enhance our ability to thrive in our profession every day. The House discussed three hot topics in veterinary medicine during the veterinary information forum. The HOD discussed needed updates to the Model Veterinary Practice Act such as license portability, roles and supervision of veterinary technicians and assistants, as well as telemedicine. In addition, the HOD also discussed the Responsibility to Provide Emergency Care as it pertains to the principles of veterinary medical ethics. There were 5 resolutions brought forward to the House of Delegates for review. Resolutions will be brought to the House if a new policy is created, or if the Board of Directors determines the policy to be pertinent to the scope of practice. AVMA policies are reviewed and potentially updated and modified every 5 years. Additional information regarding a given policy can be found by using the search function and searching for “AVMA Policy on......” • Resolution 6 - New Policy on Use of Prescription Drugs in Veterinary Medicine. This resolution passed. • Resolution 7 - New Policy on Adverse Event Reporting This resolution passed. • Resolution 8 - Revised Policy on Genetic Modification of Animals in Agriculture. This resolution passed. • Resolution 9 - Revised Policy on Approval and Availability of Antimicrobials for Use in Food-Producing Animals. This resolution passed. • Resolution 10 - Revised Policy on Raw Milk. This resolution passed. Officer Election Results Officer elections were held. Rena Carlson was elected as PresidentElect and Jennifer Quamen was elected as Vice President. The House elected two new members an one incumbent to the House Advisory Committee. Libby Todd will serve a second term and Diana Thome, and Stuart Brown were both elected for their first term. Other Council elections took place and the results can be found on the AVMA website. The Board of Directors welcomed new District 11 Director, Amanda Bisol. The new BOD Chair is Ronald Gil, and the new Vice Chair is Charles Lemme. Three individuals announced their candidacy for AVMA President Elect: Sanda Faeh Butler, Arnie Goldman, and Bob Murtaugh. This is a historical election with the most candidates to date for AVMA president-elect. International Dignitaries AVMA HOD heard from many international dignitaries including the President of the Mexican Veterinary Medical Association, Treasurer of the World Small Animal Veterinary Association, President of the World Veterinary Medical Association, President of the Australian Veterinary Association, President of the Canadian Veterinary Association, 8

President of the Commonwealth Veterinary Association, President of Federation of Veterinarians of Europe, President of Japan Medical Association Journey for Teams Journey for Teams is a new initiative to incorporate DEI actions and thinking into daily life that was launched on July 29th, 2022. There will be webinars and booklets that will help your team with improving diversity in your workplace. All resources can be found at https:// www.journeyforteams.org/. Telemedicine There was an increased interest in telehealth during pandemic. Now that in-person visits have largely returned, telehealth visits have declined. Unfortunately, telehealth continues, but mostly outside of veterinary practices. On July 30th 2022 AVMA launched a Coalition for Connected Veterinary Care to collaborate across the veterinary and animal health industry to enhance and expand care by leveraging technology, while simultaneously respecting the integrity of the veterinarian-client-patient relationship. The founding members are the AVMA, Veterinary Study Groups, and Merck Animal Health along with more than 30 other veterinary organizations and companies that have signed on so far. Workforce Issues AVMA is investigating the causes for workforce shortages, first to identify why there is a shortage so then a solution can be identified. Some key factors include under-utilization of technicians, salary not keeping up with debt load, practices growing faster than DVM production which puts pressure on labor market, and pet numbers growing slower than DVM growth which constrains DVM wages. AVMA will host round tables to drill down on workforce needs and challenges. Boots on the ground expertise is needed here, so keep an eye out for opportunities to join the discussion. FDA Compounding Guidance FDA finalized and published Guidance for Industry (GFI) #256 which describes the agency’s approach to situations where veterinarians need access to unapproved drugs compounded from bulk drug substances (BDS). These compounded drugs are critical to providing appropriate care for the medical needs of the diverse species veterinarians treat when no FDA approved (including conditionally approved) or indexed drug can be used to treat the animal. This means FDA is granting use of drugs compounded from the FDA approved animal and human bulk drug substances list. The good news is it places few restrictions on patient-specific prescriptions for nonfood producing species. There is a call for nominations to attempt to get bulk drug substances (BDS) on the FDA list for use. Consult the Appendix of GFI #256 for needed information and submit a request for AVMA assistance to compounding@avma.org. AVMA Government Relations Division While politics are pretty polarized right now, AVMA remains nonpartisan. The AVMA works with those in congress that want to work with AVMA on veterinary issues. AVMA will remain dedicated to veterinary issues only. In the long haul for our profession, it’s important to remain supportive of both sides of the aisle as long as they will work to support issues important to veterinary medicine. Veterinarians need to be the cause of good change, not forced to react to some other groups policy change. The AVMA will continue to advocate for the success of our profession and the safety and welfare (continued on page 12.)

For all you give, we give our thanks Bank of America Private Bank is a proud sponsor of Missouri Veterinary Medical Association

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MVMA QUARTERLY - FALL 2022

Missouri Volunteer Veterinary Corps: Here for the bad times. Are you interested in putting your unique skill set to use in case of a disaster? The Emergency Management and Public Health (EMPH) Committee of the MVMA is actively recruiting veterinarians, registered veterinary technicians, and veterinary students to enroll in the Missouri Volunteer Veterinary Corps, MOVVC, “The Corps”. Currently we have over 300 members. The Mission of The Missouri Voluntary Veterinary Corps is to provide veterinarians and veterinary paraprofessionals as assets in support of government and nongovernment actions in response to the needs of animals and animal owners during disasters. The MOVVC is a project founded in 2002 by the MVMA EMPH. The objectives are: Assist the Missouri Department of Agriculture, State Veterinarian, and the USDA/APHIS Area Veterinarian in Charge for Missouri during response to an animal disease emergency, and assist local/county emergency managers with planning for animal disease and natural disaster emergencies in a role as a Medical Reserve Corps (MRC) unit of the Missouri Department of Health and Senior Services. Corps enrollees will be required to take one National Incident Management System (NIMS) IS 700 course and IS 100. b., introduction to the Incident Command System. These courses takes about 3-hours each to complete including an examination. No need to wait until you complete these courses to sign up. Signup now and take the courses at your earliest convenience.

TWO Steps to Becoming a Veterinary Volunteer in a Disaster: 1. Sign up with ShowMeResponse.org - www.ShowMeResponse.org MOVVC member information is housed in the Show Me Response (SMR) database. SMR is a statewide, cross discipline emergency response database of volunteers. Create a login and fill out your personal information on their website at www.ShowMeResponse.org. 2. Take FEMA online course To be deployed, all volunteers must be certified to two courses in FEMA incident command structure. Two courses are needed ICS 100.C and ICS 700.B. This is a set of online courses to review the leadership structure and organization in emergencies. These courses are free and can be found online. When an animal disease emergency or natural disasters occurs, the MOVVC could be activated, and enrollees will be notified by phone or e-mail. Enrollees should keep their contact information up to date on their Show-Me Response profile. Activation will be done by the State Veterinarian and/or the AVIC (area veterinarian in charge) or by SEMA. In case of activation, response by CORPS enrollees will be entirely voluntary. Currently the state cannot offer compensation to MOVVC volunteers for time spent during the first 48 hours of response. If the emergency continues for more than 48 hours and/or extends beyond state borders, an APHIS program, the National Animal Health Emergency Response Corps (NAHRC) would likely be activated.

The Corps Missouri Volunteer Veterinary Corps

MVMA QUARTERLY - FALL 2022

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MVMA QUARTERLY - FALL 2022 (continued from page 8.)

of the animals for which we care. The AVMA is attempting to expand both “grass tops” and “grass roots” capabilities, grow the PAC, continue to improve the quality of interactions with state and allied VMAs. AVMA PAC The AVMA Political Action Committee has grown 30% over this time last year. This is an incredible accomplishment! Our new goal is $400k by end of year. Membership support is so important. This money does not stay in PAC bank account; it does no good if it’s not contributed. All of this money goes out to congressmen. The PAC website is updated regularly to show where money goes state to state. PAC funds are distributed on a non-partisan basis focused on veterinary issues only. It’s this historical non-partisan stance that allows AVMA access to both sides of the aisle. AVMF The mission of the AVMF is to raise funds to improve animal health. The AVMF has raised over half a million dollars for Ukraine relief including supplies, care, food etc. You can visit the website AVMF. org where you can find stories and heartbreaking images of what our colleagues are going through in this part of the world. New this year to the AVMF mission is education. There is an educational debt problem and workforce shortage, so AVMF plans to award $300,000 in scholarships for veterinary technicians. Information about these programs can be found on the AVMF website.

Dr. Lori Teller Newly Elected AVMA President for 2022-23 During the recent AVMA Convention held in Philadelphia, Dr. Lori Teller was elected the 2022-2023 president of the association. Dr. Teller is a board-certified diplomate of the American Board of Veterinary Practitioners in canine and feline practice and clinical associate professor at the Texas A&M College of Veterinary Medicine and Biomedical Sciences. She pledges to strengthen the profession through collaboration and a Lori Teller, DVM focus on wellbeing. “The AVMA is here to protect, promote and advance the veterinary profession,” Dr. Teller told the AVMA’s House of Delegates on Friday at the organization’s annual convention. “This is what we do every single day, and we are really good at it because our focus is on you, the veterinarian.”

AVMA Trust The AVMA Trust doubled down on its efforts to provide new /better ways to help, recognizing needs of members at every step of their professional journey. For practicing DVMS the trust has been working on insurance portability, consent to settle, and individual coverage limits, Trust Vets do claims review, advocating for 4000 claims a year and handle more than 1000 calls. Risk management resources include 13 webinars, 12 publications, 7 educational blogs. School based teams at each school are available to encourage awareness for students. Expanded liability coverage is available for students during their 3rd and 4th year with very simple underwriting: The trust has created 2 new axon webinars, and 5 new “My Veterinary Life” podcasts. For practice owners, in addition to the Association Healthcare Plan, there is also a new Practice Healthcare Solutions (PHS a solution-based program), a veterinary safety manual, online training, and resources available for online reputation management.

“Nourishing all parts of our complicated selves makes us better veterinarians—and better people,” Dr. Teller said. “So, from one human being to another, let’s work together to be role models for wellbeing, for dignity, for kindness and for respect. As president of the AVMA and its first mom to serve in this role, I will work hard to build bridges, increase our collaborative efforts and continue to focus on improving veterinary medicine for all of us.”

AVMA Online Educator Community The AVMA Online Educator community has continues to grow. Individuals involved in academia and the education of the next generation of our colleagues are invited to join this online community. This is a place to exchange ideas, learn about AVMA resources designed to make jobs easier, and discuss challenges and opportunities unique to the world of academia. Educators can sign up at http://form.jotform./com/210466066513047

Dr. Teller is a clinical associate professor of telehealth at the Texas A&M University College of Veterinary Medicine & Biomedical Sciences (TAMU), from which she graduated in 1990. Last year, she was elected to serve as AVMA’s president for the 2022-2023 term.

We are looking forward to the next House of Delegates meeting held in January 2023 in conjunction with the Veterinary Leadership Conference. The next summer House of Delegates meeting and AVMA convention will be held in Denver in 2023. We hope to see you there! If you have any questions regarding the AVMA, member benefits, or governance, please feel free to contact Dr. Chuck Barry or Dr. Carol Ryan. Respectfully Submitted, Chuck Barry, DVM • chuck.barry63@gmail.com • 660-909-1504 Carol Ryan, DVM • rhodesgang@yahoo.com • 636-295-3020

“We have real issues that the AVMA continues to address and tackle,” Dr. Teller told the delegates, adding: “We also have much to celebrate, and I want to make sure we remember that, too. So, when I have the opportunity to meet with you and our colleagues, be sure to tell me about your concerns, and be sure to share with me your joys and accomplishments because I also want to celebrate those.”

Dr. Teller practiced for several years at Meyerland Animal Clinic in Houston before joining Texas A&M University’s faculty in 2018. She was a founding board member of the Women’s Veterinary Leadership Development Initiative and is a former chair of the AVMA Board of Directors. For many years, Dr. Teller has been involved in organized veterinary medicine at the local, state and national levels. She has served in the AVMA House of Delegates, AVMA Board of Directors and on several AVMA committees and task forces, including the Animal Welfare Committee and as chair of the State Advocacy Committee.

MVMA QUARTERLY - FALL 2022

October 2022 6 East Central District Meeting. 6:00 pm at Stone Hill Winery, Hermann, MO, 1110 Stone Hill Hwy., Hermann, Mo. 65041. Presenter: Dr. Nicholas Perez, Boehringer-Ingelheim

7-9 11th Annual Missouri Veterinary Trail Ride & Continuing Education. Held at Panther Creek Trailrides & Campground, & Events 379 Humphrey Creek Rd., Tuscumbia, Missouri 65082. Reservations: Panther Creek at pctrailrides@gmail.com. Phone: 573-793-2375. Go to movma.org Upcoming Events section for more information. 15 MU CVM Job Fair. The MU College of Veterinary Medicine is hosting a job fair on October 15th from 1:00-4:00PM in Adams Conference Center. Head to the MVMA website calendar (www.movma.org) for details. 15 Join the Missouri Vet Tech Association 2022 Fall Conference at the Academy of Pet Careers in St. Charles, MO! Registration is FREE for full and associate members, Go to www.movta.org for more information.

November 2022

1 MU Bovine Club Meet & Greet with Boehringer-Ingelheim. Adams Conference Center, University of Missouri. 5:00 p.m. - 8:30 p.m. Contact your BIAH cattle representative for details.

mark your January 26-29 MVMA Annual Convention 131st MVMA Annual Convention. Held at Holiday Inn Executive Center, Columbia, Mo. One-day registration available. Continuing education, exhibit hall, Awards Banquet, MVMA Drawing and Silent Auction. Watch for Registration Book to be included in the Winter issue of the Quarterly Magazine..

calendar!

Upcoming

January 2023

26-29 131st MVMA Annual Convention. Held at Holiday Inn Executive Center, Columbia, Mo. One-day registration available. Pick the day or days you want to attend. Watch for Registration Book to be included in the Winter issue of the Quarterly Magazine.

/MissouriVMA /MissouriVMA missourivma

MVMA QUARTERLY - FALL 2022

Loan Forgiveness Offers Solution to Rural Veterinarian Shortages

another week at Bowling Green Vet Clinic when she was 16. When another chance at job shadowing came up during her senior year, she chose the Bowling Green Vet Clinic again. Perry was pulled away from Bowling Green for a time but only to pursue those veterinarian dreams. During veterinary school at MU, she came across the Dr. Merrill Townley Large Animal Veterinary Student Loan Program, which provides loans to vet students who plan to practice on large animals. The state forgives the loans for students who go on to practice large animal medicine.

By Evan Lasseter. Photo by Margo Wagner (Reprinted from the Columbia Missourian)

After Perry graduated from veterinary school in 2019, she spent a year doing veterinary work in Franklin County before returning to the Bowling Green Vet Clinic, where she worked for two years as an associate. Given the amount of money she saved through the loan program, she was able to make a down payment and become a co-owner. “I really do feel like on a daily basis, I am living my childhood dream.”

Margo Wagner - Columbia Missourian

The Missouri General Assembly created the Large Animal Veterinary Student Loan Program in 2007. Veterinary students at MU can be forgiven up to $20,000 a year in the loan payments for a maximum of four years. The total amount awarded through the program by the Missouri Department of Agriculture so far is around $1.5 million.

onja Perry went to the Bowling Green Vet Clinic on her seventh grade job-shadowing day.

She already had the itch to become a veterinarian after raising some goats on her family’s land in Bowling Green. At first, she wanted horses, like every 5-year-old girl in the world, she said. Perry ended up with goats, but it wasn’t like she settled. She began breeding them, and when they had health problems she would always wonder why. “I hated calling someone else to come solve the health problems of my goats,” she said. Perry wanted to solve them herself, so by the age of 10 she was committed to a career as a veterinarian. She spent 14

Tackling student debt targets one of the largest barriers to veterinary school. The estimated cost to attend the MU College of Veterinary Medicine is around $51,000 per year. However, around half of its students are from out-of-state, Cohn said. Those students pay around $93,000 per year. “They need some kind of foothold, some kind of opportunity,” Steve Strubberg, Missouri’s state veterinarian, said. “So it’s a good way to get them started, I believe.” The program is one way for Missouri to tackle shortages of large animal veterinarians, a problem that is felt nationwide and affects mostly rural areas. Forty-six states have at least one shortage area, which can include small or large animal veterinarians, according to a shortage map from the U.S. Department of Agriculture. There was an increase in demand for all veterinary care during the height of the COVID-19 pandemic, but there is evidence to suggest sustained demand for food and farm animal veterinary services in some rural areas, Michael San Filippo, media relations manager for the American Veterinary Medical Association, said in an email. Although data on the shortages is hard to track, a prepandemic survey by the Missouri Veterinary Medical Association Rural-Veterinary Task Force found around 80% of its respondents perceived a rural vet shortage. The USDA map lists rural vet shortages in multiple regions of the state.

MVMA QUARTERLY - FALL 2022

Leah Cohn, interim associate dean for student and academic affairs at MU’s veterinary college, receives requests from practices almost daily looking for new veterinarians to join them. The issue is particularly problematic in rural areas and small towns, she said. In Missouri, the shortages could be worse. Forty-six students have been recipients of the loan program, and nearly all are practicing in a rural area, Christi Miller, communications director for the Missouri Department of Agriculture, said. “You’re not going to make as much money (in rural practice),” Cohn said, “and helping to pay down some of the debt may be the difference in being able to go to a rural community and being forced to go to a more lucrative practice in an urban area.” Katelyn Bischof came to MU’s veterinary school after earning an undergraduate degree in animal science from the University of Illinois. She grew up in a rural area in the southern part of that state, and while Bischof was at MU, she knew she wanted to practice with large animals. Bischof was a program recipient in her fourth year of veterinary school after being uncertain about working in Missouri. Since graduating in 2020, she has worked at the Hermann Veterinary Clinic in Hermann, where at least 50% of her work is with large farm animals, mostly cattle, she said.

vaccine and tattooed each cow’s ear with the Calfhood sign for documentation. The process worked like a well-run assembly line, with Perry vaccinating and tagging 40 heifers in around 50 minutes. On her way back to Bowling Green, she stopped in Paynesville to check on a show heifer with a limp. She removed a rock from its hoof and prescribed painkillers. When she finally made it back to the office, a bull was waiting for a semen check. All that happened before 11 a.m. Although the work can be tough, Tappmeyer said perceptions that quality of life for rural veterinarians is lower than others, is false. Missouri’s loan program is providing needed respite for some students in light of these challenges. In the task force survey, 78% of respondents said the Missouri Veterinary Medical Association should support it. “I would love to see an expansion,” Cohn said. “I would love to see more veterinarians be able to have a chance to practice in rural and underserved areas through loan forgiveness.”

Bischof’s experience is one example of the trade-offs graduates who want to practice on large animals face. Bischof’s one year of loan forgiveness covered more than 15% of her debt, which allowed her to take the Hermann job. “It has continued my interest in large animal medicine because it’s helped me out quite a bit financially,” Bischof said. Still, the reasons for veterinary shortages are vast, and loan forgiveness only addresses one part of the problem. Many in the field point to a rise in corporate practices whose higher wages and benefits offer enticing opportunities, Cohn said. Rural vet work can also be a large professional commitment, and needs can surface on a whim. Daniel Tappmeyer, cochair of the Rural-Veterinary Task Force, once received a call for a calving from a client about an hour away from his practice in Hermann. Just last Friday, Perry left her Bowling Green clinic at 6:30 a.m. to visit a farm in Silex. She drove around 25 minutes to give Brad and Steff Mosby’s heifers a Calfhood vaccine. The Mosbys and Perry’s vet technician, Rachel Hatfield, herded the cattle through the squeeze chute, which holds the cows in place and relaxes them. Then Perry gave the 15

Dr. Steve Strubberg

“They need some kind of foothold, some kind of opportunity,” Steve Strubberg, Missouri’s state veterinarian, said. “So it’s a good way to get them started, I believe.”

MVMA QUARTERLY - FALL 2022

Now is the time to refocus so that more of us can thrive instead of just survive.

Is Your Bucket Empty? F

all in MIssouri is my favorite time of the year. The leaves turning and weather cooling is truly beautiful. It’s also a time when we can appreciate all the diversity within veterinary medicine in Missouri.

Fall is traditionally a time in small animal practices where business eases up a bit as families get their kids back to school. In production and large animal practices things are just really getting busy. I think this juxtaposition is what makes practicing in Missouri so unique. The fall and this new ”slow down” or “speed up” in business offers a perfect opportunity to reflect on our practice’s wellness efforts. The pandemic was challenging and veterinarians were called upon in unprecedented ways. From public health, to food supply protection, to research, to vaccine development, and to the incredible boom in the demand for companion animal care services: veterinarians have been stretched. As always our profession is made of resilient, creative problem solvers who rise to the occasion. Perhaps you are feeling tired, burnt out, or you’re noticing your staff is tired, or the staff is dwindling to a skeleton crew. Now is a great time to reflect on personal and team centered wellness. The pathway to healthy veterinary businesses is healthy veterinary professionals. Are you taking good care of yourself? Are you an example your staff can learn from? Is your bucket empty? Or leaking? Now is the time to refocus so that more of us can thrive instead of just survive. Client complaints and aggressive client interactions have been reported in many customer service related industries. Veterinary medicine and flight crews being among the top professionals who have responded to national surveys with a 4-5 fold increase in aggressive client interactions. This will fuel burn out, staff turnover, and financial losses. Does your practice have a plan in place to mitigate the risk and turn them into opportunities? I’ll share a few ideas I have heard from teams in the trenches. Many practices have initiated a client conduct agreement which new clients are asked to sign. This agreement dictates that the client veterinary relationship is one of mutual 16

respect and communication. Setting boundaries clearly may help the entire staff cope with these challenges. Other clinics have instituted a no tolerance policy for threatening statements or actions, including those on social media. MVMA’s Well-being Task Force created code of conduct flyers (Page 26). You can print them from the website at www.movma.org/page/codeofconduct. One clinic shared with me they are debriefing once a week their challenging client conversations. They are teaching better communication and coping skills in real time. This level of communication review and rehearsal is what sets a successful practice apart from a superstar practice. One small suburban area shared with me practice managers got together and exchanged ideas and struggles: They then rallied together to work not as competitors, (there seems to be more than enough business for most of us), but as partners: leveraging the abilities of all the clinics to share the load and allow each clinic to close for a weekend and let staff have extra time away. We must all “Walk the walk”. We cannot pour from an empty or damaged bucket. Encouraging wellness behaviors in staff members may help slow the rapid exodus in paraprofessionals and help recruit new ones. Ideas shared with me include: offering discounted gym memberships, yoga coupons, coupons for meal delivery etc. Encouraging days off be really “off”, making exercise, rest, eating right, and staying hydrated priorities. I mean who among us hasn’t had a day when we didn’t stop to eat, drink, or go to the bathroom. What if we changed this paradigm a little? This used to be a badge of honor we wore proudly: perhaps if we honored being truly healthy and happy we could make that our new normal? Take some time this fall too, in the words of my mentor Dr. Fred Bendick, “ Sharpen your axe”. Refocus on your well being and that of your staff. Reach out to classmates and colleagues. Share ideas, share experiences, share support. We may be a small profession, but we are powerful beyond measure when we work together.

Abby Whiting, DVM MVMA Wellbeing Task Force

MVMA QUARTERLY - FALL 2022

A million thanks. Actually, over 220 million—that’s how many times NexGard ® (afoxolaner) has been prescribed.1 The only flea & tick control product indicated for the prevention of Borrelia burgdorferi infections as a direct result of killing black-legged ticks Gentle protection in a bite-sized monthly dose Proven safety for puppies as young as 8 weeks, weighing 4 pounds or more The savory beef-flavored chew that makes compliance a treat

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MVMA QUARTERLY - FALL 2022

Difficult Young Dogs at the Vet:

Pandemic Shut in Effect By Sally J Foote DVM, CABC-IAABC, LSHC-S

Over the past year, veterinary practices have commented on forums about the increase in dogs under the age of two struggling, during veterinary exams. Before the pandemic shut down of 2020, dogs under the age of two would be resistant to handling and veterinary exams it they missed puppy class or other socialization outlets. In general, a young dog who had social interactions, with regular veterinary care did not show anxiety or aggression during handling at the veterinary clinic. Since the shutdown of 2020, many veterinary clinics have continued the curbside care approach of having the client wait outside, as the staff takes the animal inside for care. The purpose is to minimize contagion of the COVID 19 virus. Families have limited the number of people coming over to the house for picnics or gatherings, and retail stores have limited allowing pets inside for socialization. As the pandemic stay at home orders continued, and social distancing was continuing, clinics were finding puppies raised during this time, were developing into adult dogs who were resisting, or aggressing during routine veterinary care. I created a survey to veterinary staff focused on the in-clinic exam behavior of dogs two years of age as of December 2021. Dogs at this age, were 8–12-week-old puppies at the start of the stay-at-home orders, and switch to curbside care at the veterinary clinic. Puppies did not have outlets for petting, handling, or touch by unknown people during this time, except during veterinary care. The client was limited in communication with the veterinary staff during exams, due the separation of the animal from the client during exams and care.

The Survey:

A ten-question survey, with opportunity to comment was circulated to Facebook, association, and general veterinary groups from November 1 20201 to Jan 5, 2022. Participants could take the survey one time. There was not sponsorship by any industry or group outside of the investigator, Sally J Foote DVM. Survey Results: 131 respondents Question 1 – Check all the veterinary care settings that you work in on a regular basis. 96% work in a brick-and-mortar veterinary small animal practice; 8% mobile 3% shelter clinic 3% vaccine clinic Question 2 – What is your degree level? 60% DVM only, 23% certified veterinary technician/ licensed veterinary nurse; 2% technician with specialty; 3% DVM with diplomate, 3% practice management/ administration. Question 3 – How would you describe your work interactions with young dogs and clients? 92% responded that they examine all dog patients for all care 1% surgery only and the remaining responses were comments about specialty care or administration. Question 4 – Have you noticed any difference in the level of anxiety/aggression/ rowdy behavior of dogs under two years of age as of December 2021 compared to dogs presented for exams pre-pandemic stay at home and under the age of two? 65% reported dogs pulling away, jumping on the staff, flipping the head when touched, 18

and physically struggling more when handled for care. 46% reported dogs are quicker to snap, nip when feet, ears, mouth, or the body is handled, 37% reported growling, staring or barking more readily at stimuli at the clinic. 15% did not see a difference, and 12% were not sure as they were not clear if the dog’s behavior was overly friendly or lacking manners rather than aggressive or anxious. Question 5 – Has there been any change in bite and near bite incidents at your workplace when examine/handling dogs under two years of age as of December 2021? 31% yes 47% no 15% not sure due to non-reporting but witness an increase. Question 6 – Did your facility use curbside care between March 202 and December 2021? 70% yes, 7% no 10% modified by limiting the clients to one at a time or taking care outdoors. Many comments about using curbside part of the time, then limited client entry or end curbside once vaccination available. Question 7 – Was there a difference in your ability to educate clients about puppy care and behavior during the Stay-at-home orders? 31% no – they took the time to advise and send home resources. 32% could not talk directly but used resources 30% yes, it was difficult to keep up with case load and time demands for puppy education, 3% do not do much puppy behavior education. Question 8 – Have you seen any change in the number or type of puppy and young dog exams at your clinic since March 2020? 60% yes – more puppies! 32% yes – either more pet ownership or more people available to bring pets in for care7% not sure 5% no – saw the same number of puppies as pre pandemic. Question 9 – What effects of the stay- at- home orders do you feel have influenced puppies raised from March 2020 to Dec 2021? 84% lack of socialization to car rides, people visiting, petting, and missing puppy class increased poor manners and fear of new things 75% over bonding to the client due to work at home increased separation anxiety and other anxieties 25% curbside and lack of time with clients lost our ability to help puppy parents. (continued on page 20)

risk doesn’t end at your practice’s doorway

MVMA QUARTERLY - FALL 2022

what happens outside your practice matters

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Cover injuries unrelated to treatment to animals in your care, custody, and control with the animal bailee endorsement

Protect practice-owned vehicles with a commercial auto policy

(continued from page 18)

The Summary:

The results show most general practices are experiencing an increase in young dog handling resistance. Lack of socialization to touch from nonfamily members and over bonding to the owner are contributors. The lack of non-family members petting, these dogs decrease handling acceptance, resulting in increased handling aggression (1,2). Hyper bonding to the owner can increase resource guarding, resulting in increased growling, staring or body blocking of the veterinary staff when the dog is near the owner (3). This resource guarding will increase growling, barking and other aggressive behaviors when the owner is present with the dog. Low stress veterinary care techniques, focused on adapting the approach, and touch during handling to decease stress is important for all patients. These young dogs raised during the pandemic shut down, have missed an important development period in their life to accept handling and will be a higher risk patient for injury during care. Reducing this staff injury risk will require more education in reading body language, clinic care environment management, behavior-based handling techniques, and use preexam medications to manage anxiety and aggression. Owners of young dogs will need to be compliant in preparation for a low stress veterinary visit. Clear recording of the handling plan and triggers to anxiety and aggression in the medical record is important for consistent safe veterinary care. The pandemic of 2020 changed many things in our culture. Many industries and educators are continuing remote options. The hyper bonding effect between young dogs and their owners will continue to be a challenge as people are more home based. As homes and community gatherings open, puppies can now socialize to petting and handling, to prevent handling anxiety. The young dog also called “pandemic puppies” can improve. It will take time, repeated training, and increased staff skill levels for low stress veterinary care. Further studies are needed to monitor the effects of the pandemic shut down on young dog behavior. 1. Yin.S Perfect puppy in 7 days pg. 131- 139 Copywrite 2011 Cattledog publishing 2. AVSAB Position statement on Puppy Socialization access 2 10 2022 https://avsab.org/wp-content/ uploads/2018/03/Puppy_Socialization_Position_ Statement_Download_-_10-3-14.pdf 3. Resource guarding in dogs Preventive Vet access 2 10 2022 https://www.preventivevet.com/dogs/ resource-guarding-in-dogs 4. Position Statement Positive Veterinary Care accessed 2 10 2022 https://avsab.ftlbcdn.net/wpcontent/uploads/2019/01/Positive-Veterinary-CarePosition-Statement-download.pdf 20

MVMA QUARTERLY - FALL 2022

Associate Member

News Briefs

Boehringer Ingelheim, a global leader in animal health, and CarthroniX, a biopharmaceutical company focused on developing small molecule-based therapies for degenerative and aging-related diseases, announce that they have entered into a research collaboration to pursue small molecule therapeutics in canine oncology.

When it comes to the treatment of cancer in dogs, veterinarians have limited therapeutic options compared to other areas. Due to this unmet medical need, Boehringer Ingelheim is committed to oncology research in animal health. Under the agreement, Boehringer Ingelheim will test a select group of small molecules provided by CarthroniX with the goal of determining their impact on canine cancers. “Cancer is the leading disease-related cause of death in dogs. Current therapies to treat cancer in dogs are often non-specific and sometimes have significant side effects. “The impressive work of CarthroniX in developing small molecules could potentially be an effective way to treat cancer.” Payroc LLC, a leading merchant acquirer and payment processor, is excited to announce its merger with NXGEN International. The transaction creates a full-service global merchant acquiring and payment facilitator powerhouse operating in 46 countries, while serving more than 55,000 merchants processing $23 billion in annual bankcard volume. Advancing into the top ranks of non-bank merchant acquirers, the combined enterprise, with its additional capabilities, will carry a new and enhanced Payroc brand. The combined company is poised to drive rapid expansion and growth through sales, marketing and forward-facing technology – integrated with proprietary U.S. and international front-end and back-end processing platforms. Zoetis Foundation, AVMF create scholarships for veterinary technician students. With a grant from the Zoetis Foundation, the American Veterinary Medical Foundation is offering a new scholarship program to support students in veterinary technician programs. The Zoetis Foundation Veterinary Technician Scholarship Program will provide $1,000 scholarships to up to 270 students. The scholarship application cycle opens on Sept. 1 and closes on Oct. 7. The Zoetis Foundation is funding the scholarships, and the AVMF will manage the program, including selecting and notifying recipients. For more information about the scholarship program and criteria, please visit the AVMF website. To apply, eligible students should visit the VetVance website.

MVMA QUARTERLY - FALL 2022

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MVMA QUARTERLY - FALL 2022

AVMA Workforce Update: Tackling Today’s (and Tomorrow’s) Workforce Challenges

While COVID-19 is slowly becoming endemic, the disruptions it caused continue to exacerbate workforce challenges that were already evident before the pandemic. While all areas of the profession have been impacted, those providing services in rural areas and those in emergency and specialty practices have been particularly overwhelmed. And – front and center virtually everywhere – there is a very clear shortage of veterinary technicians and other staff. To effectively address these challenges with future-proof solutions, we must look holistically and collaboratively at the factors driving veterinary workforce supply and demand. The AVMA has undertaken and continues to support comprehensive workforce analyses to improve upon our existing data. As part of this process, the AVMA is actively seeking and considering information from as many sources and stakeholders as possible. Being deliberate and inclusive, and working together to gather, broadly share, and analyze robust information is tremendously important, because some remedies that have been suggested to improve our current situation will take years to implement, while having long-term and lasting effects felt across the profession that could include some unintended consequences. We anticipate some preliminary results from our workforce modelling studies will be available in the fourth quarter of 2022. Among other things, when complete, we hope these analyses will help the profession better understand the motivations and dynamics of those entering and leaving the veterinary workforce, including those limiting their hours of practice, focusing on relief practice, or transitioning from one segment of the profession to another.

What we know about the supply of companion animal veterinarians Labor economics are incredibly complicated, and it can be very difficult to identify all the factors that impact the labor market and to obtain data that fully and accurately represent them. In volatile times such as these – with so many continuing stressors, evolving opportunities, and changing employer and employee expectations – doing so is even more challenging. Unfortunately, there has also been some inaccurate media coverage causing confusion. For instance, several news articles have suggested there are only 2,500 to 2,600 veterinary graduates entering the U.S. workforce annually. Actually, in 2021, there were 3,308 U.S. graduates and 22

1,197 international graduates (U.S. citizens) from AVMA COE-accredited schools added to the veterinary workforce in the United States. Approximately 3,470 (77%) of those veterinary graduates provide services for our nation’s pets. In addition, three new U.S. veterinary schools are on track to be graduating their first classes in 2023, 2024, and 2025, respectively, and two additional U.S. colleges are under development. Putting this all together, by 2030 it appears we will have more than 5,100 veterinarians entering companion animal practice annually. This is based on what we know now, and our estimates are conservative. By 2030 it seems quite likely that class sizes of accredited institutions will have grown even more than anticipated. In addition, at least two additional international schools are seeking AVMA COE accreditation hoping to attract more U.S. students.

What we know about the demand for companion animal veterinary services The aforementioned media coverage also equates all growth in the pet services market to an increased demand for veterinary services. However, growth in the market and growth in demand for veterinary services are not equivalent for multiple reasons. The “pet services” market, projected to grow 33% by 2030, includes many products and services unrelated to veterinary care, such as pet food, bowls, beds, grooming, and daycare. Only slightly less than one third of that 33%, or approximately 10%, is actually “veterinary services.” In addition, 33% growth as reported was not corrected for inflation. Inflation is conservatively estimated at 3% per year for the period from 2019 through 2030, so it follows that projected market growth may be largely attributable to increased cost, rather than to increased demand for services. For instance, according to the US Bureau of (cont. on page 24

QUICK TIP

MVMA QUARTERLY - FALL 2022

With labor costs increasing, how do I keep my profit up? We know there is a shortage of veterinarians across the country. Nearly every client we have is looking to hire at least one doctor if not more. Some clients are also starting to see the hiring challenges drift into the rest of the support staff. I foresee these challenges getting worse before they get better. Basic economics tell us that when demand exceeds supply, prices increase. The demand for hiring doctors and staff is high while supply is low which correlates to employees demanding higher compensation. We are seeing some impressive compensation packages. The demand for veterinary services is also very high which should correlate to hospitals increasing their fees. When your labor costs are increasing due to short supply, this is also a reason for you to increase your fees. Increasing fees is the only way you are going to be able to grow revenue and generate a profit, especially if you cannot see any more patients because your schedules are full. When is the last time you increased your fees? Do you keep track of your average invoice charge? You should! Donʼt be afraid of a 10% fee increase! If I go to the dentist one year and my bill is $100 then I go back the next year for the same service and my bill is now $110, I donʼt even notice. Most people wonʼt. This is a 10% increase. Go for it! You are going to need to in order to remain profitable. Sure, you may lose some of your lower tier clients due to a fee increase. Would this be all that bad when you are overcapacity? Wouldnʼt you rather have more time to spend on your higher tier clients anyway? When we complete valuations for our clients, we coach them on how their expenses are lining up with industry benchmarks and point out areas of opportunity. This includes labor costs. Give us a call if youʼd like us to coach you too!

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MVMA QUARTERLY - FALL 2022 (Workforce cont. from page 22

healthy. However, if the demand for veterinary services is overestimated, the need for veterinarians will be as well.

Putting it all together Using the best currently available estimates for future demand for veterinary services, and accounting for retirees, the AVMA estimates the profession will need an additional 31,200 companion animal veterinarians in the workforce by 2030 (on an FTE basis). Considering the number of new graduates expected each year, the impact of new schools and incremental growth of class sizes, ECFVG and PAVE certificate holders, and the contributions of mixed animal practitioners who also treat companion animals, theoretically there will be approximately 42,900 additional graduate veterinarians focused on providing companion animal services by 2030. To understand what this really means, we need more information about what expectations for a veterinary workweek will be in this new era; how veterinarians will choose to deliver their services (e.g., traditional employment, mobile, relief); how better utilization of our teams’ skills and the adoption of technology will impact the efficiency of veterinarians; and how changing work and lifestyles, availability of discretionary income and spending choices, and strengthening of the humananimal bond will impact supply and demand for veterinary services. As an example, while we’re looking at supply, we need to consider that veterinarians want to work fewer hours, so they have more time for family and other interests. AVMA survey results indicate that about one-third of companion animal veterinarians would like to work one-third fewer hours than they currently do. To accommodate this, the number of these practitioners would need to be increased by about 10% (approximately 11,000 veterinarians). However, a veterinarian indicating they would like to work fewer hours does not mean they will actually do so, especially if that results in less income. No one has a crystal ball, but we do have a responsibility to ensure we are being as thoughtful and deliberate as possible when trying to understand supply and demand for veterinary services. It is important to recognize that these are bare-bones calculations, not an economic model, and the fact that the numbers being reported by various sources are so different is a clear indicator that we need to take a closer look. The more information and bright minds we bring to the table, the better our analysis will be. Getting the numbers right is critically important, because any changes we make based on those numbers are likely to have long-term impacts on patients, clients, and our profession.

While we are digging more deeply, there are some areas we can focus on right now to help practices that are still reeling from the impacts of COVID and facing hiring challenges caused by today’s tight labor market. While ensuring a healthy pipeline of veterinarians is important, focusing on retention is critical. Workplace culture and support for wellbeing have always been important for retention, but they are even more important now as practices face staff shortages, particularly of technicians. The AVMA is committed to providing support for practices, including the continued development of resources on wellbeing, suicide prevention, student debt, burnout, and practice efficiency (including potential boosts to that efficiency associated with the thoughtful adoption of technology). One place where we can have an immediate impact is in addressing the veterinary technician shortage and ensuring opportunities for these professionals to work to the top of their degree. This will support their career growth and job satisfaction, while also improving the efficiency, effectiveness, and wellbeing of our teams. AVMA has shared some helpful resources at www.avma.org/technicianutilization.

Key Demographic Projections: •The number of active veterinarians in the U.S. is expected to continue increasing through at least 2030, with substantial increases in companion animal practitioners and small increases for food animal, equine, and mixed animal veterinarians. •The average starting salary for companion animal veterinarians is expected to rise from $88,000 in 2020 to $102,000 in 2030, and for food animal veterinarians from $80,500 to nearly $94,000. In the public sector, a net gain of veterinarians will be driven by more people working in higher education, industry/corporate, and nonprofit practice. •The U.S. dog population is expected to increase from 85 million in 2020 to over 100 million by 2030. The cat population is expected to grow from 65 million to over 82 million by 2030. •The proportion of households owning a dog is expected to grow from 38% of all U.S. households to 45% by 2030.

MVMA QUARTERLY - FALL 2022

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MVMA QUARTERLY - FALL 2022

We appreciate you trusting us with the care of your pet. We understand having a sick pet is often an emotional time. The best veterinary-client relationships are based on...

Trust Communication & Mutual respect. Our team wants the best for your pet. We will treat you and your pet with kindness and respect and ask you to do the same. Developed in support of veterinary caregivers by the Wellbeing Task Force of the Missouri Veterinary Medical Association 26

Foundation Update Event Highlights from Your Missouri Veterinary Medical Foundation

Foundation Drawing Tickets On Sale Now!

Win

$10,000! T

he Missouri Veterinary Medical Foundation is once again inviting members, friends, and family an opportunity to walk away $10,000 richer after the MVMF Drawing to be held at the MVMA convention’s Foundation Reception on Friday, January 27, 2023 at the Holiday Inn Executive Center in Columbia, Mo.

AVMF Requesting Donations for Kentucky Flooding In the wake of the devastating flooding in Kentucky that has claimed at least 37 lives and left hundreds more unaccounted for or homeless, the American Veterinary Medical Foundation is launching a fundraising effort to support the state’s veterinary community. The AVMF has committed a gift of $25,000 to the Kentucky Veterinary Medical Foundation to support those providing emergency veterinary care, food, boarding and supplies. “Shelters in the stricken areas are overwhelmed and many veterinarians are doing pro bono work for those that lost their homes and have pets that are injured and in need of care,” said Dr. Jose Arcé, President of the AVMF. “We encourage you to join us in supporting our colleagues and animal owners in Kentucky during this time of great need.”

Thanks to your support, in the past 23 years, the MVMF event has netted over $330,000 for the Foundation and Museum, public relations activities and animal/public health and welfare. Your donations have helped the Foundation provide assistance to organizations such as Ag Education On-the-Move, Working Dog Enterprises and TreeHouse of Greater St. Louis.

“On behalf of the Kentucky Veterinary Medical Association, our veterinary community is very grateful for the donation from AVMF to help with the ongoing needs caused by the devastating floods in eastern Kentucky,” said Executive Director Debra Hamelback. “Searchand-rescue operations are still ongoing, with many areas unreachable due to washed-out roads. Many people have lost everything when they had so little to begin with. This will be an on-going effort for rescue and clean up for weeks and months to come.”

Only 300 tickets will be sold for the event, which makes your chance of winning way better than the Powerball Lottery. (Your chance with Powerball is 1 to 292,000,000.)

Donations will help provide food, medical care, disaster relief, and emergency support for veterinarians providing care.

In addition to the $10,000 grand prize, four tickets each will be drawn for $1,000, $200, $150, and $100. All non-winning tickets will be eligible for door prizes and other surprises.

To make a donation, or for more information, go to https://www.avmf.org/forms/donate-to-avmf/.

The price of the tickets are $100 each, and can be purchased online at www.movma.org or by calling the office at 573-6368737 or with convention registration. During the same evening, the Foundation also holds a silent and live auction where you can bid on many fabulous items from artwork to bicycles and everything in between.

Please note: The Foundation is always accepting donated items for the silent auction. If you have a donation, please call the office at 573-636-8737. 27

Photo by Kinship Circle

MVMA QUARTERLY - FALL 2022

Sponsor a Deserving Individual Practice Staff Member or Entire Staff In a Special Way.

The Practice Staff Honor Roll expresses your gratitude to a practice staff member or your entire staff.

ou can now honor a practice staff member or entire staff for their admirable life’s work. It’s easy! Simply contribute the minimum donation to honor the practice staff member(s) you choose. Go to www.mopetmemorial.com for more information on the nomination process or call 573-636-8737. The Honoree’s picture and name will be placed on the Practice Staff Honor Roll web page within the Missouri Veterinary Medical Foundation’s website and in the Foundation’s Museum in Jefferson City.. They will also receive a recognition plaque or certificate at their induction ceremony at your clinic Sponsoring an outstanding practice staff member for the Practice Staff Honor Roll is a special way to support the Missouri Veterinary Medical Foundation and its programs and at the same time show your appreciation for a special practice staff member(s). Your donation is 100% tax deductible.

PRACTICE STAFF HonoR Roll of Missouri Missouri Veterinary Medical Foundation 2500 Country Club Drive, Jefferson City, MO 65109 573-636-8737 • mvma@movma.org • www.movma.org 28

MVMA’s Quality Assurance Program What Is the Missouri Stocker/Feeder Quality Assurance Program? The Missouri Stocker Feeder Quality Assurance Program is designed to meet the quality improvement and pre-conditioning needs of producers, feeders, and consumers. This program educates participants in immunology, animal well-being and the economics of disease. Participation in the program increases producer accountability for quality and safety of the product they sell.

How Does the Program Work? Veterinarians and producers must be certified. Veterinarians are certified by MVMA MSFQAP Committee members. Producers are certified by their veterinarian. Veterinarians and producers learn how they can influence carcass quality and consumer confidence by monitoring where and when injections are administered. Once certified, the producer may participate in the program at one of three levels (white, red or blue tag). The three-level approach allows all producers the opportunity to match their level of management and facilities to the level of participation.

Level 1: Show-Me Select (White Tag) • Participating veterinarians and producers must be certified. • Calves must be properly identified with an approved ear tag. Tag numbers will be listed on an approved certificate. • External and internal parasite control is administered. • Calves will be dehorned and healed. Calves will also be castrated with a knife and healed or verified to be steers. • Vaccinations: 7-way clostridial, IBR, BVD, PI3,

BRSV, Mannheimia haemolytica with leukotoxoid, (Histophilus is optional.) • Cattle must be born on the producer’s farm. A range of birthdates or the birthdate of the oldest calf in the group must be recorded. • Bull in and out dates will be provided. • Individual calf treatments will be recorded to include date, product, dosage, route of administration and injection site. • Vaccinations must be given no younger than four months of age and at least 21 days before sale.

Level 2: Show-Me Superior (Red Tag) • Weaned 45 days before offering for sale. • Meet Level 1 requirements - NOTE: Initial vaccinations may be given at an age determined by an attending veterinarian. • In addition, a second round of vaccinations must be given using the following guidelines: • A 7-way clostridial as well as a modified live vaccine containing IBR, PI3, BVD and BRSV must be administered; • Histophilus somni is optional; • Only one dose of Manheimia heamolytica is required if that dose is administered to calves 5 months of age or older; • The time frame between initial and second vaccinations must be a minimum of 21 days and all vaccinations must be completed at least seven days prior to sale; • If a veterinarian determines initial vaccinations should be given to calves less than 4 months of age then second vaccinations must not occur until calves are 5 months of age or older.

Level 3: Show-Me Supreme (Blue Tag) • Meet Level 1 and Level 2 requirements. • All cattle must be tested and be negative for persistent BVD infection. • Genetic information is optional.

MSFQAP Electronic Resources: go to movma.org/page/msfqap • Veterinarian MSFQAP Certification (1 hour CE) • Tag Submission Forms: Part 1 & 2 • BQA Certification Webinar • Guide for Veterinarian & Staff • Producer Manual

MVMA QUARTERLY - FALL 2022

Classified Ads Classified Ad Policy

Ads can be submitted online (see “Submit an Opening” at top) or to Liaazie Benke at lbenke@movma.org and are due by the dates shown below. The MVMA is not responsible for omissions or errors. Member ads will be run for two issues, unless otherwise requested, up to a maximum of three issues. Non-member ads run one issue. Ads will run on the movma.org website and in the Missouri Veterinary Quarterly Magazine.

Rates:

Members’ Ads Online and Print: Free (up to 70 words). Additional words beyond 70 words will be billed at a cost of $3.00 for each additional 7 words.

Closing Dates: February 10, May 15, August 15, October 5 Veterinarians Wanted Associate Veterinarian wanted for Mixed animal practice in Southwest Missouri. 70%small/30% large, equine and small ruminant. Split on call and a technician will screen calls first. Open to new grad or seasoned vet. If interested or want more information please email resume and/or questions to econrow@vetcor.com or call 417-684-7351 We are a well-established, AAHA accredited, small animal practice located in Independence, MO. Our doctors and dedicated staff strive to be ever evolving and progressive in order to bring the highest quality and most effective treatments available. Having an AAHA (American Animal Hospital Association) accreditation shows that we truly are a step above when it comes to excellence in the practice of veterinary medicine. **New Grad Mentorship Available** We are fully Equipped with: Ultrasound; Digital Dental x-ray and high-speed dental unit; Digital Full Body x-ray; Laser Therapy; Full in house Idexx lab; Two table surgery suite and two table treatment area; No “on call” or after hours’ emergency duty; PAW Plans; Telemedicine Services; Services Grooming, Day Boarding – Bed & Breakfast. We offer an attractive compensation package that includes: Up to $50,000 signing bonus and/or retention, student loan repayment. A comprehensive Medical Benefits plan including health, dental, vision, ancillary coverage and 401K match. Attractive PTO & flexible schedule. Annual CE allowance, Paid Licensing, DEA & Membership dues. Discounts on Pet Insurance, Wee Care & ClassPass Independence, Mo is an eastern suburb of Kansas City located just north of I-70. The area is growing and has a lot to offer including great shopping and award-winning schools. We are minutes away from a variety of sporting events, cultural attractions, and fantastic restaurants. It’s a friendly community with so much to offer! Come join our expanding practice and help us continue to grow! Apply Online at: https://nva.avature.net/jobs/ JobDetail?jobId=7791

For more information please reach out to our recruiter Erin, at Erin.Farrell@nva.com or our medical director, Dr. Huelsman, at Brice.Huelsman@ nva.com Odessa Animal Clinic in Odessa, Missouri is seeking a full-time Associate Veterinarian to join our team! Odessa Animal Clinic is a growthoriented, state-of-the-art practice with some of the newest technology for diagnostics, imaging, and laser therapy. We are a full-service, mixed animal hospital treating canine, feline, avian, exotics, pocket pets, and large animals! New graduates are welcome to apply! Interested candidates should send their resume to Ashley@DVMStaffing.com. Seeking a part time or full time veterinarian. Please follow the link for information about our hospital and application link: https://amcma.org/ about/employment-opportunities. Please submit your curriculum vitae/resume to Dr. Travis Arndt, Medical Director office: 314 951-1513 . tarndt@ hsmo.org. Mixed Animal Veterinarian needed for a newly remodeled multi doctor practice. We welcome preceptorships and or externs as well. We are looking for an additional mixed animal veterinarian to add to our multi doctor practice. Our patient mix is 60% small animal and 40% large animal. We are in a rural community approximately 60 miles south of Kansas City Metro area. Compensation is negotiable based upon experience. The position will share emergency duties. Resumes can be sent to practice manager missygirl123@embarqmail. com Questions can be answered by phone at 660-679-8491. Busy Small Animal Practice in Southwest Missouri Looking to Hire Full- or Part-time Associate Veterinarian. All Creatures Animal Clinic, Ltd. is a well-established small animal practice located in Bolivar, MO. We are located close to Springfield, have two lakes in the county and lots of outdoor recreation nearby. We have a nice 6270 sq. ft. facility with digital radiograph, Abaxis lab, ultrasound, therapeutic laser and radiosurgical unit. We fully utilize our veterinary team which allows us to have an active surgical and exam schedule.

No after hour emergency calls. For those interested in a full-time position, we offer a benefit package which includes medical/dental/vision/ term life/short-term disability insurance as well as PTO. If you are interested, please contact mchhale@windstream.net. Busy and growing 4-doctor practice seeks FT or PT veterinarian! Our hospital is equipped with IDEXX lab equipment and a support staff large enough to provide each doctor with two technicians! Excellent benefits (that are tailored to you!) provide ample time to enjoy Branson and the surrounding area. Join a highly skilled team with happy clients and low turnover by applying today at https://bit.ly/APPLYBranson . Quail Valley Veterinary Clinic in Jefferson City, Missouri is seeking a full or part time mixed animal or small animal veterinarian. We are a well equipped clinic serving approximately 50% small, 50% large animal with many in house capabilities including digital xray, ultrasound, Idexx blood machines and cold laser. We have both equine and bovine haul in facilities and mobile units for farm calls. Contact 573-893-8621 or send resume angie@quailvalleyvet.com Regional DVM opportunities in Kansas and Missouri! Generous compensation, mileage reimbursement, 3 weeks PTO, and more! Contact Western Veterinary Partners at twoodward@ westernvetpartners.com . Small animal practice in St. Louis is seeking a full or part time veterinarian to complete our fourdoctor practice. Practice is celebrating its 50th birthday and enjoys loyal clientele, helpful staff, and a laid-back atmosphere. Paperless clinic has digital radiography, digital dental radiography, Doppler, and hand-held portable ultrasound. Only one Friday and one Saturday shift per month, with no after-hours or on-call duty. Please submit your resume to grantviewah@mypm.vet. Summit Veterinary Services in Central Missouri is seeking a full or part time mixed animal or small animal veterinarian. We are a well equipped clinic serving approximately 70% small, 30% large animal with modern in house capabilities and excellent equine, bovine haul in facilities and mobile (continued next page.)

MVMA QUARTERLY - FALL 2022

units for farm calls. Holts Summit is a bedroom community of Jefferson City, near Columbia and Lake of the Ozarks with many things to experience. If you ready for the next step in your career or just beginning your journey call, Dr. Dean Bates at 573-896-9301 or e mail at summitvet@aol.com www.summitveterinaryservices.com. Join us in the growing community of Springfield, Missouri. We have it all AND our cost of living is on the lower end of the national average in regards to food, housing, and gas. Sunshine Animal Hospital has a amazing reputation of first rate care for not only dogs and cats but also for most exotics you can name. We have been in practice for 29 years and have a clientele who expects the best care for their pets and family members. You will have the opportunity to join a practice with great mentors to help you build your skills in medicine, surgery, and exotic animal care. We have a new owner who has worked as an associate here for 23 years. She loves to teach and learn new things. Come share your knowledge and we’ll share our experience. We have digital radiographs, ultrasound, 2 therapy/ surgical lasers, and Abaxis blood analyzers. We give back to the community by caring for injured and orphaned wildlife. We offer a yearly salary starting at $88,000 and up based on experience. We provide a production based bonus,. IRA, CE, and vacation. Our overnight emergencies are cared for by the local emergency clinic and we offer flexible hours/scheduling. We are passionate about patient care, and we believe in having fun as well. We are looking for one or two FT/PT veterinarians to join us in our many adventures. Please email resumes to sunshineahdoctors@ gmail.com or call 417-889-0090 for more information. Seven Hills Veterinary Clinic (in Southwest Missouri, between Branson and Springfield) is hiring small and mixed animal DVMs. Part-time or fulltime. Our practice includes a large animal haul-in facility, in-house diagnostics, rads and therapeutic laser, 6 exam rooms, an in-house pharmacy and two dental and surgery tables. Interested applicants, please email your cover letter, resume and references to sarah@sevenhillsvetclinic.com. Southwest Missouri mixed animal practice seeks full or part time veterinarian. Mitchell Veterinary Clinic in El Dorado Springs was established in 1995. We are a doctor owned, plus one associate practice. We are located centrally between Springfield, Joplin and Kansas City in a rural area with short drives to several lakes, resorts, and state parks for outdoor activities and local hunting opportunities. We’re settled in a small town that’s a great community to raise a family. Our clinic is fully computerized with Avimark software, in house labs, digital x ray and ultra sound. We offer a modern 6000 sq ft small and large animal facility as well as stocked vet trucks for mobile work. Salary is negotiable with experience. Benefits include group medical insurance, PTO, association 31

dues and licenses, liability insurance and Simple IRA with match. Future buy in/buy out potential exists. Contact Dr. Bryan Mitchell for more information or email resume to docmitchellvc@gmail. com or call 417-876-5717 We are a thriving five doctor, small animal hospital located in Springfield, Missouri. VCA Parkcrest Animal Hospital and Pet Lodge is looking for an Associate Veterinarian who enjoys practicing advanced medicine with a cohesive, tenured team. You will enjoy the assistance of a large support staff of 19 talented individuals that includes 5 RVT’s. Benefits **Offering a $50,000 Sign on Bonus** Health & Well-being • Innovative associate health and well-being department (Headspace app subscriptions, Vault financial wellness tool, and access to additional mental health resources) • 401k retirement savings plan with company match • Health/dental/vision insurance, infertility benefits, gender affirmation services • Paid parental, vacation and sick leave Professional Development • Continuing Education Allowance and paid Continuing Education Days • WOOF University – offering abundant CE for Doctors and Staff • VCA Academy’s Mentorship Program – participate as a mentee or mentor in a GP or ER setting • Opportunities to participate in a robust Clinical Studies program Additional Benefits • Up to 100% Pet Care Discount for your own pets • 100% paid professional liability coverage • 100% paid life insurance • 100% paid shortterm disability insurance • Access to a network of 5,000 doctors, including more than 600 specialists. Interested candidates can access additional details through the following link: https://vca.wd1.myworkdayjobs.com/en-US/Careers/job/Springfield-MO/Veterinarian_R-49110 Arnold Animal Hospital, a privately owned veterinary clinic in northern Jefferson County is looking for a full time or part time veterinarian. Our clinic is currently staffed with 7 veterinarians and 9 licensed technicians Experienced clinicians, recent graduates, and those who are slowing down into semi-retirement are welcome to inquire. Check out our web site at ArnoldAnimalHosp.com or email petfixerupper@aol.com. Looking for a Full time Licensed Veterinarian to join our team in the beautiful Lake of the Ozarks. We are an established full service animal hospital and have been in business for over 25 years. New graduates are encouraged to apply. We will mentor until comfortable working on your own. Salary negotiable depending on experience. Apply online or contact Christy , office manager at 573-374-5279. District Veterinarian. The Animal Health Division, under the direction of the state veterinarian, is responsible for controlling, eradicating and

testing for livestock disease in Missouri. This is accomplished through testing, vaccinations and regulatory programs involving cattle, swine, horses, poultry, exotic animals, sheep, goats and small animals as provided under the Diseased Animal Law. Our program is looking for a Veterinarian in the West Central area of Missouri. Counties this position will be responsible for include: Jackson, Lafayette, Saline, Cass, Johnson, Pettis, Bates, Henry or Benton counties. Surrounding counties will be considered. This is a field and administrative veterinary position and will work out of your home. ANNUAL SALARY: $70,338.96 (additional benefits include payment of veterinary license fee, AVMA and MVMA dues, and continuing education).Full State Benefit package included (medical/ dental/vision/life/long term disability insurance, 5 years to be vested for retirement, paid vacation and sick leave, etc) brings total compensation salary to $108,000 annually. For more information and to apply, look under “Classifieds” at www. movma.org. Wanted: Experienced associate DVM to help our growing independent, solo dr, small animal practice in St. Louis City. Our Values: Unique/ no drama culture, Fear Free, team QOL and satisfaction, client communication, patient care. Our Clinic: New build out, 5 exam rooms, digital rads/ dental, Idexx in house lab, US, cloud based PMS Benefits: Flexible schedule with NO weekends/ after hours. Great team and collaboration with colleagues. Competitive salary plus production compensation. Health insurance/401k/4 weeks PTO +sick leave . CE allowance/licenses and dues Website: https://www.citypawsvet.com. Social@ citypawsvet. Let’s try something different! What would it take to get your interest in a new job? I’m not going to name the terms, you are. Want to never see cat appointments? Always have Mondays off? Need help paying off your student loans? I am willing to entertain any and all ideas so get creative! We have all the usual toys but if we don’t have something you want we can probably get it. Privately owned. Please email your resume to Dr. Gerred Knopf at vetguy12@gmail.com Boehringer Ingelheim is hiring for a Site Veterinarian for our St. Joseph, Missouri location. Primary responsibility will be to provide excellent medical care to multiple species of animals, as well as offer regulatory compliance at the veterinary quality center. Experience in bovine medicine and research experience preferred. Email janna. chancey.ext@boehringer-ingelheim.com for more details. Twin Pines Animal Clinic is looking for full or part time veterinarians to join our small animal practice. Our veterinarians are given the opportunity to practice medicine and perform surgery their own way. We offer flexible scheduling and the option of after hour emergency visits. If you are interested in birds and exotics, there’s a place for you here, too. (continued next page.)

MVMA QUARTERLY - FALL 2022

We have a 10,000 square foot facility equipped with digital X-ray, ultrasound, in-house lab, and laser therapy. We have a large surgical suite, prep and recovery areas. We have an excellent, established clientele and we see new patients all the time. We are located in St. Joseph, MO, home of the Kansas City Chiefs training camp. The city offers a beautiful parkway with 10 miles of walk/bike trails. St. Joseph is home to 13 museums, including where the Pony Express began and the house where Jesse James died. There’s also a terrific arts culture with festivities throughout the year. Just 45 minutes north of Kansas City and 2-1/2 hours from Manhattan, KS, there are several referral centers, specialists and emergency clinics close by. Available for our ideal candidate is: • Signing bonus/or relocation assistance up to $30,000 • Salary commensurate with experience . Flexible scheduling and customizable mentorship • Paid time off for personal use and additional days to attend conferences/seminars. Sponsored health, dental, and vision insurance Paid life insurance Access to confidential counseling, travel assistance, and legal prep services. Paid licensure, dues and AVMA PLIT policy : $1500 annual CE stipend. If you would like to discuss joining our team, contact Kristi at the clinic (816)364-1089, cell phone (816)262-9473 or e-mail us at twinpines@live. com. Immediate opening for a small animal practitioner the the greater Kansas City area. Foxwood Animal Hospital is a small animal practice that was established in 1991 and under it’s current owner since 2010. The hospital is privately owned, has 2 veterinarians on staff and has a wonderful support staff. We are located in a suburban area of the city north of the Missouri River. We offer in house and outsourced lab, high speed dental, digital radiology, electrocautery, ultrasound, etc. Our clientele is diverse, loyal to the practice and their pets and know that we strive to offer paramount compassionate care affordably. The position is open for either full time or part time hours. There are no after hours emergencies as we are fortunate to have several local emergency clinics in the area. Salary commensurate with experience and offer a generous compensation package. New graduates or seasoned practitioners welcome to apply. Please contact Dr Harman at foxwoodanimalhos@ aol.com for more details or to submit a resume. Banfield Pet Hospital is hiring Veterinarians in St. Louis! Sign-on & Relocation Available! Are you looking to flourish in an environment that emphasizes personal and professional growth? Do you believe in practicing high quality, solutionoriented medicine? Does the thought of being supported by a team of dedicated professionals and given the freedom to practice at the top of your license excite you? Do you want to push yourself, take the lead on growing your career, and have the opportunity to affect change at the hospital level and beyond? If you answered “yes!” to any of the above, we want to talk to you today! 32

Whether you’re an experienced doctor looking for your next adventure, a new graduate seeking to find the perfect fit as you begin your career, or you’re anywhere else along your veterinary journey, the opportunity to grow with Banfield has never been better. Offering structured mentorship, outstanding benefits, powerful scheduling flexibility, and a dedicated focus on the health and wellbeing of our team, Banfield is committed to your success! Sound good? Let’s chat!

are fully equipped with all the bells & whistles you could ever imagine! Digital radiographs, an in-house laboratory, endoscopy, ultrasound, cold laser therapy, underwater treadmill, and therapeutic ultrasound. We are a full-service small animal practice and providing preventative care, surgery, advanced diagnostics & treatment plans, chiropractic care, acupuncture, laser therapy, shockwave therapy, pain management & physical rehabilitation.

Reach out to Gregory.Spunt@Banfield.com or call/text 360.823.3526 today to learn more about how you can #bhere and #bhappy.

Why choose us? Work/Life Balance. We provide flexible doctor schedules to accommodate your life, choose from 3-10’s, 4-10’s, or 5-8hr shifts; and one 4-hour Saturday per month - no emergency or overnight on-call duty and have a referral center one block from The Pet Doctor! Skilled Support Staff. Our awesome, fully staffed support team includes 9 RVT’s and total of 17 technicians with a 3:1 tech: doctor ratio. AAHA-accredited, high-quality medicine & standard of care with autonomy to practice medicine and surgery. Clientele base & demographic. Our wonderful clients are on board with doing whatever their pet needs. Fear Free Certified. Continued Education & Growth. If you have an interest in exotics, we see those, too. If you want to advance in a specific area…ultrasound, dental, rehab, etc we have a great CE package and will help you accomplish those goals. Community Involvement. The Pet Doctor has supported our local rescue for years and joining the fight to find forever homes for homeless pets! Competitive salary/benefits package: Starting salary$110K (straight salary with quarterly reassessment). Signing Bonus + Relocation assistance. Medical, dental, vision, and life insurance, 401K match. Annual CE allowance. State licensing, DEA, PLIT, membership dues. Employee Assistance Program. PTO. Please reach out if you are interested in more information or to schedule an interview -Marcydogdoc@sbcglobal.net, call/ text: 636-288-2375.

Banfield Pet Hospital is seeking Veterinarians in O’Fallon, IL! Sign-on & Relocation Available! Are you looking for industry leading compensation and benefits, cooperative and collaborative teams, comprehensive coaching and mentorship, and tremendous growth opportunities? Look no further, because Banfield Pet Hospital is hiring! Contact Gregory.Spunt@banfield.com today to learn more. Banfield Pet Hospital is seeking Veterinarians in Springfield! Sign-on & Relocation Available! Are you looking for industry leading compensation and benefits, cooperative and collaborative teams, comprehensive coaching and mentorship, and tremendous growth opportunities? Look no further, because Banfield Pet Hospital is hiring! Contact Gregory.Spunt@banfield.com today to learn more. Banfield Pet Hospital is seeking Veterinarians in St. Charles! Sign-on & Relocation Available! Are you looking for industry leading compensation and benefits, cooperative and collaborative teams, comprehensive coaching and mentorship, and tremendous growth opportunities? Look no further, because Banfield Pet Hospital is hiring! Contact Gregory.Spunt@banfield.com today to learn more. Banfield Pet Hospital is seeking Veterinarians in Brentwood! Sign-on & Relocation Available! Are you looking for industry leading compensation and benefits, cooperative and collaborative teams, comprehensive coaching and mentorship, and tremendous growth opportunities?Look no further, because Banfield Pet Hospital is hiring!Contact Gregory.Spunt@banfield.com today to learn more. The Pet Doctor is hiring an additional doctor at our location in O’Fallon and Cottleville, Missouri! The Pet Doctor was founded in 2005 and has provided quality care for O’Fallon and the surrounding communities ever since. Our practice is also St. Charles County’s only American Animal Hospital Association (AAHA)- accredited hospital and proud to open the first center for Pain Management & Physical Rehabilitation in our area! Our beautiful state-of-the-art facilities

Veterinary Specialty Services (VSS) is looking for Emergency Doctors to join our expanding team in both our Manchester and O’Fallon, MO locations. We have full time/ part time, weekend and/or PRN openings. Veterinary Specialty Services is the largest, privately owned, multi-specialty and 24-hour emergency hospital in the state with 2 locations in the metro region. We are in our 27th year of providing high-level care to St. Louis Metro area and beyond. Our doctors include 20 specialists in cardiology, critical care, internal medicine, oncology, radiology, neurology and surgery. In addition, our dedicated team includes 22 ER doctors, one surgical resident, two surgical interns, and a rotating intern. We have a highly skilled group of technicians and client service team members to support our doctors. Our facilities are equipped with the most advanced technology. Our Manchester hospital has on site MRI, CT, ventilator, full in house bloodwork/blood gas, Idexx laboratory (on site), fluo-

MVMA QUARTERLY - FALL 2022

roscopy, and physical therapy. Our O’Fallon hospital is also equipped with a ventilator and full in house bloodwork/blood gas. Our ECC team sees primary incoming emergencies, manages patients hospitalized in the ICU, and works closely with the other departments to assist in their incoming emergencies. We are dedicated to excellent patient care and client service. Our ICU is ‘open admission’ as patients are admitted into the ICU from all departments. The entire hospital works closely on cases and has a team-oriented approach to patient care. VSS has a very low turnover rate among our veterinarians. The ECC department was started in 2006 and became a 24 hour emergency facility in 2008. Since that time we have grown exponentially. We pride ourselves on team achievements and helping each other to provide the best care for the patient. Qualifications: DVM degree (Recent graduates may apply). Ability to be licensed in the state of Missouri. Professional, compassionate, excellent interpersonal and leadership skills Compensation & Benefits:: VSS offers a comprehensive benefit package to include a competitive base salary plus bonus along with other benefits such as 100% company paid medical for the employee, 401(k) with company contribution, paid CE allowance, hiring bonus, scrub/lab coat allowance, associated membership dues, paid vacation time (no negative accrual) and more. Please visit our website at www.vssstl.comto learn more about our hospital. If you are interested in learning more about this position please contact us at npace@vssstl.com. We are looking for a Veterinarian to diagnose and treat our clients’ animals. Our clinic specializes in dogs, cats and occasionally reptiles and pocket pets. Your day-to-day as a Vet includes seeing routine and sick appointments, treating wounds, spaying and neutering animals and prescribing medicine. If you love being around animals and are committed to offering them the best possible healthcare, we’d like to meet you. Ultimately, you’ll act as the point of contact for pet owners, whether it’s to treat illnesses and injuries or to advise on animal nutrition and general care. Responsibilities: Examine animals, diagnose illnesses, and determine the best treatment. Dress wounds of injured animals. Perform routine surgeries and comprehensive surgeries(if willing/ or able). Vaccinate animals to prevent diseases. Prescribe medication. Advise pet owners on nutrition, preventive healthcare and general care. Update client records. Skills: Work experience as a Veterinarian or Veterinary Student Graduate. Knowledge of medical equipment (e.g. X-ray machines) and anesthesia procedures. Excellent communication skills with the ability to explain medical terms and conditions using simple language. Availability to take early evening or weekend shifts in cases of emergency. Doctor of Veterinary

Medicine (DVM) degree. To apply, please email ivananimalhospital@gmail.com or call 636-6710700. You can also apply in person Ivan Animal Hospital in House Springs, MO. The Veterinary Clinic of the Mineral Area is seeking an associate doctor. We have full service hospitals in Farmington and Fredericktown, MO, Our practices operate with doctors and great support staff. We offer digital radiography, ultrasound, in-house blood analyzers, and large animal haul-in facilities. Farmington has great schools, shopping, dining and state parks. The benefits include competitive salary, paid vacation, paid licenses, health, vision, dental insurance, retirement and continuing education allowance. Contact Kara McDowell at 573-756-9400 or email vetclinicofmineral@sbcglobal.net Busy and growing 4-doctor practice seeks FT or PT veterinarian! Our hospital is equipped with IDEXX lab equipment and a support staff large enough to provide each doctor with two technicians! Excellent benefits (that are tailored to you!) provide ample time to enjoy Branson and the surrounding area. Join a highly skilled team with happy clients and low turnover by applying today at https://bit.ly/APPLYBranson . Full-time associate wanted for established and growing, AAHA certified practice in southwest Missouri. Fear Free, client-oriented medicine and surgery with advance diagnostic tools including ultrasound & digital dental radiography. No after hour emergency. Salary commensurate with experience. New graduates considered. Benefits include medical and liability insurance, professional dues, continuing education, vacation and retirement plan. Dr. Edward Caldwell, 2850 S. Ingram Mill Road. Springfield, Missouri. 65804. Call 417-889-2727 or FAX 417-889-5456 or email drned@deerfieldvet.com. Growing small animal, two plus doctor practice in West Central Missouri university / military community is seeking full time / part time associate veterinarian. Imagine working in a newer 5800 square foot facility with a skilled, enthusiastic, 18 person support staff. Benefits include competitive salary, bonus opportunities, subsidized health care offer, liability insurance, qualified access to Simple IRA program, CE allowance, Missouri state license renewal, MVMA and AVMA dues, rotational emergency schedule, business cell phone, paid vacation. Experience is a plus but new graduates are encouraged to apply. Great mentoring available with our team! Our community provides outstanding quality of life opportunities with access to the arts, sporting venues, community pools, fishing, hiking, hunting, boating, shopping, and many other interests and activities. Our local school district routinely provides earns the highest possible accreditation, “Distinction in Performance,” and provides a balance of diversity and opportunity while instilling a commitment to

lifelong learning. Start building your future with our “Lifetime” family today! Please send resume with references to lifetime.vets@gmail.com, or ...mail to Lifetime Animal Center, 227, S.E. State Rt. 13, Warrensburg, MO 64093. .Questions, call Dr. Chuck @ 660-422-7838. New Haven Veterinary Hospital is a full-service small animal hospital excelling in customer service and providing the highest standard of care for pets. We are seeking a full/part time Veterinarian who has the ability to make decisions and communicate clearly/effectively with team members and clientele. NHVH rewards its team members with a competitive salary and comprehensive benefits/retirement package. For more details please contact us. Please e-mail resume to nhvh@ newhavenvetclinic.com or call 573-237-7387

Relief Veterinarians Wanted Quail Valley Veterinary Clinic in Jefferson City, Missouri is seeking a full or part time mixed animal or small animal veterinarian. We are a well equipped clinic serving approximately 50% small, 50% large animal with many in house capabilities including digital xray, ultrasound, Idexx blood machines and cold laser. We have both equine and bovine haul in facilities and mobile units for farm calls. Contact 573-893-8621 or send resume angie@quailvalleyvet.com Busy Small Animal Practice in Southwest Missouri Looking to Hire Full- or Part-time Associate Veterinarian All Creatures Animal Clinic, Ltd. is a well-established small animal practice located in Bolivar, MO. We are located close to Springfield, have two lakes in the county and lots of outdoor recreation nearby. We have a nice 6270 sq. ft. facility with digital radiograph, Abaxis lab, ultrasound, therapeutic laser and radiosurgical unit. We fully utilize our veterinary team which allows us to have an active surgical and exam schedule. No after hour emergency calls. For those interested in a full-time position, we offer a benefit package which includes medical/ dental/vision/ term life/short-term disability insurance as well as PTO. If you are interested, please contact mchhale@windstream.net Washington Veterinary Clinic is in search of a relief veterinarian able to start immediately. Position would be roughly 40 hours a week Monday- Thursday. Every other Friday and Saturday would also be a possibility to cover if wanted, totaling another 10 hours. The position would need to be covered for 8 weeks. The practice is a mixed practice, and the position will be working alongside another associate veterinarian. A variety of appointments will be seen, from annual vaccines to sick patients, along with daily surgeries if possible. In house blood chemistry machine is available along with ultrasound and digital x-ray to use for diagnostics. Please send resumes to our email: Staff washingtonvetclinic.com. (continued next page.)

MVMA QUARTERLY - FALL 2022

Immediate opening for a small animal practitioner the the greater Kansas City area. Foxwood Animal Hospital is a small animal practice that was established in 1991 and under it’s current owner since 2010. The hospital is privately owned, has 2 veterinarians on staff and has a wonderful support staff. We are located in a suburban area of the city north of the Missouri River. We offer in house and outsourced lab, high speed dental, digital radiology, electrocautery, ultrasound, etc. Our clientele is diverse, loyal to the practice and their pets and know that we strive to offer paramount compassionate care affordably. The position is open for either full time or part time hours. There are no after hours emergencies as we are fortunate to have several local emergency clinics in the area. Salary commensurate with experience and offer a generous compensation package. New graduates or seasoned practitioners welcome to apply. Please contact Dr Harman at foxwoodanimalhos@aol. com for more details or to submit a resume.

Preceptorships Looking for more hands on experience? Check out our 2-6 week preceptorship for 3rd and 4th year veterinary students. Housing provided. Our busy AAHA-accredited, Fear Free Certified multi doctor hospitals are perfect for building your knowledge and skills. Focus areas include ultrasound, dentistry, integrated pain management, internal medicine and case work up with clinician. website: https://amcma.org. Hospitals located in downtown St Louis and Maryland Heights. Apply to Dr. Nicole Fulcher, Assistant Director nfulcher@hsmo.org 314 951-1559 or Dr. Jennifer Pearl jpearl@hsmo.org 314 951-1352

Veterinary Technicians Wanted Audrain Veterinary Clinic is seeking to employ a full time small animal Veterinary Technician. We are located in Mexico Missouri, 35 minutes North East of Columbia Missouri. Audrain Veterinary Clinic is a 3 doctor full service mixed animal practice. Job duties include; general care, laboratory testing, surgical care, appointment assistance, radiology as well as other duties as needed. We currently use AviMark software, Abaxis Labs and DR radiology. We are open Monday 7:30am 7:00 pm, T,W,R,F 7:30 a -5:00p so that leaves some flexibility with your work schedule. Compensation is based on experience and qualifications. We look forward to meeting with you! Please apply in person or online at audrainvet.com. To apply online visit www.audrainvet.com click contact us and select employment in drop down menu. Join us in a new adventure! Do you like to teach and care for animals? We are looking for a full time RVT to join our small animal/ exotic hospital. We also do wildlife rehabilitation to give back to the community. This position is full time with some flexibility in scheduling. Pay is $18-20/hour based on experience with scrub allowance, em34

ployee discounts, retirement, CE, vacation after 1 year. Please email your CV to sunshineahdoctors@gmail.com

Businesses For Sale/Lease Established mixed animal practice for sale: Work for yourself, design your own practice and build personal relationships with an established clientele. Located in a small, but growing, rural community, centrally located between Kansas City, Joplin, Springfield and Ft. Scott, Kansas. We are near to three Missouri lakes, conservation areas, local hunting options and other outdoor recreational activities. The rural community is nice place to raise a family or just come and get away from the hustle of the city. Practice has been in current location for over 40 years and the current owner has operated the clinic as a solo practitioner since 1999. Practice is 75% large animal/ food animal (mostly cow/calf with a good mix of equine and small ruminant) currently on a 5-day work week with limited emergency calls. Tremendous potential exists for growth in small animal practice, exotics, small ruminant and emergency services. Contract with local livestock market also a possibility. Current owner is transitioning away from private practice to regulatory medicine and will be available for the transition and relief work if needed. Practice includes 2 buildings located on 2+ acres, haul-in cattle facility with hydraulic tilt chute, 3 horse stalls, stocks, portable chute with alleyway, gas anesthesia, small and large animal equipment. Owner desires a quick sale to ensure continuity of care for current clients.. If you are interested, please email Dr. Collins at collinskb71@yahoo.com or call 417-876-5805 for more information. For Sale: 20 year established, exclusively small animal practice. VetTest chemistry and digital X-ray equipment, Shor-line cages Free standing 3000 square foot building on 1.2 acres. New roof 2021. Room to expand for large animal and/or grooming and boarding. Located in Mt. Vernon, Mo. , thirty minutes from Springfield, Mo. Please call: 417-771-7512 for more information.

Items for Sale 2 year old Electrojac 6 complete unit. Works great, just no longer needing it for practice. Asking $2500 obo. If interested: 417. 259.1998 or berlindvm@gmail.com For sale due to retirement med tech mobile x-ray machine in excellent condition include stand, hand switch, foot pedal and carrying case. Also selling miscellaneous equine reproductive equipment including CSU collection equipment and breeding Phantom. Other large animal equipment includes a Frank’s fetal extractor, calving chains, electric branding iron and a Bowie Cavalier service unit (needs reconditioning) fits any shortbed. For prices and information call (816) 320-3474 or email to dcjacksondvm@embarqmail.com

The Missouri Veterinary Medical Association is proud to present the Missouri Veterinary Quarterly as a benefit of membership in the Association. Publishing costs are partially paid by advertising sales. Purchase of any products or services from paid advertisements within this magazine are the sole responsibility of the consumer. The statements and opinions expressed herein are those of the individual authors and do not necessarily represent the views of Missouri Veterinary Medical Association. Any legal advice should be regarded as general information. It is strongly recommended that one contact an attorney for counsel regarding specific circumstances. Likewise, the appearance of advertisers does not constitute an endorsement of the products or services.

MVMA QUARTERLY - FALL 2022

Thanks to the following companies for their premiere support of the Missouri Veterinary Medical Association and it’s Foundation.

Missouri Veterinary Medical Foundation Partner for Progress Member

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ina CPAs for Veter

An MVMA Affinity Program

Partners for Progress 35

Missouri Veterinary Medical Association 2500 Country Club Drive Jefferson City, MO 65109

PRESORT STANDARD U.S.POSTAGE PAID JEFFERSON CITY, MO PERMIT NO. 400

The little museum that’s big on learning.

The Veterinary Museum of Missouri What strange objects does a veterinarian find in a cow’s stomach?

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In 1929, what did a veterinarian use to give Fido his medicine? Discover the answers to these questions, and see other strange and unusual objects at the Veterinary Museum of Missouri.

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The Museum has over 2,500 artifacts dating from the 16th century to the present, including: • manuscripts instructing Missouri’s first settlers how to care for their horses; • a steamer trunk filled with instruments used by a late 19th century horse doctor; • an 1870s wooden operating table for small animals • 19th century instruments, such as a wooden balling gun, a hog catcher, a Swiss trocar and farrier tools • a variety of strange and curious objects (horse pills, huge hairballs, kidney stones) Visitors touch and explore bones, animal skins, hairballs, veterinarian tools, etc., and view specimens showing the stages of a calf embryo and animal diseases. It’s a great place for children and adults to get a glimpse of the past. Visit us in Jefferson City, Mo. Take Highway 50 west to Highway 179. Exit and turn right. Take first right onto Country Club Drive. Go about one mile and look for us on the left. We’re open 9-4 Monday-Friday. Missouri Veterinary Medical Foundation Call 573-659-7175 for more information.

MVMF

Fall Quarterly 2022

Articles inside

Classifieds

AVMA Workforce Update

2022 Partners For Progress Sponsors

Associate Member News

Is Your Bucket Empty?

Loan Forgiveness for Rural Veterinarians

Happenings: MVMA People and Events

Fun Time at the State Fair

Upcoming MVMA Meetings/CE & Events

AVMA House of Delegates Report

MOVVC Needs You