January 2016 WVMA Voice

VOICE

WVMA In This Issue 2

From the President The Affirming Power of Yes

3

From the Executive Director Clearing up Confusion on DEA Registration Numbers

5

Legal Briefs WVMA Legislative Update

6

Veterinarian-Client Communications Regarding Zoonoses: A Survey of Wisconsin Veterinarians

9

WVMA Membership Approves Changes in Membership Categories

10

In the News Canine Brucellosis: Veterinarians are Important to Reducing the Risk

11

20 Human Resource Lessons Learned in 20 Years

16-19 Classifieds

January 2016

28 Wisconsin Counties Receive Much-Needed Veterinary Services through Federal Loan Repayment Program Wisconsin Department of Agriculture, Trade and Consumer Protection Twenty-eight counties in Wisconsin previously underserved by veterinarians will now get some added help thanks to a federal program administered by the U.S. Department of Agriculture’s National Institute of Food and Agriculture. The Veterinary Medicine Loan Repayment Program (VMLRP) helps provide veterinary services in rural, underserved areas by awarding loan repayment benefits to new veterinarians in exchange for a three year commitment to serve in a shortage area.

“Veterinarians are very important to America’s food safety system and to the health of both animals and humans, so we are pleased that four of the five areas that we identified in Wisconsin will benefit from the program,” said Dr. Paul McGraw, State Veterinarian for the Wisconsin Department of Agriculture, Trade and Consumer Protection (DATCP).

One of the leading causes for shortages in veterinary services is the heavy cost of education which leaves graduates with average debt of more than $135,000. To pay this off, graduates opt for jobs in higher population areas where they can receive better salaries. Shortages are more critical in rural areas and in highpriority specialties that require advanced training, such as food safety, epidemiology, diagnostic medicine and public health.

“The award recipients are required to alleviate one of three types of shortage situations. In Wisconsin, we had three areas that were experiencing a Type 1 shortage which requires at least 80 percent of the recipient’s time to provide food animal veterinary services. The other is a Type 2 shortage that requires the recipient to devote 30 percent of their time to that function,” McGraw said.

Areas of Wisconsin that will benefit from the awards are: • Iowa County including Grant, Richland, Sauk, Dane, Green and Lafayette counties (Type 1) • Barron, Burnette, Chippewa, Dunn, Polk, Rusk, Sawyer, St. Croix, and Washburn counties (Type 2) • Manitowoc County including Sheboygan, Fond du Lac, Calumet, Brown and Kewaunee counties (Type 1) • Jefferson, Dodge, Rock, Walworth, Washington, and Waukesha counties (Type 1) Wisconsin is one of 26 states that will fill at least one shortage area through the program. Nationally, more than $4.5 million will be paid to recipients over a three year period. Average awards are $95,543 including loan repayment and a federal tax benefits.

More information is available about the program at http://nifa.usda.gov/program/veterinary-medicineloan-repayment-program. n

FROM THE PRESIDENT

The Affirming Power of Yes Isn’t it Great Being a Veterinarian?...

Dr. John T. Been

I love the slogan that we adopted for our WVMA 100 year celebration....

“100 years of membership, a future of possibilities”. Possibilities equal opportunities and opportunities require a conscious decision to be acted upon. As a profession, an organization, a clinic family, or as individuals, we all are presented with various opportunities which come our way. In this month’s column, I’d like to address that voice within us all to say yes when we are presented with a choice to act or serve.

There is a certain magic to the word yes. It opens doors, it defeats fear of failure, and expands our taste of life. Richard Branson said “If someone offers you an amazing opportunity and you are not sure you can do it, say ‘yes’. Then learn how to do it later”. When I think of many of the most important chances I’ve taken on in my life, they have involved that very choice – saying ‘yes’ to an opportunity that I was sure I was not (and probably wasn’t) qualified for. Conversely, saying ‘no’ can admit a fear of failure and rejects life’s brilliant opportunities. When we say ‘no’, more than the opportunity is lost. We reject the fun it brings and everything that the experience can teach us. When ‘no’ becomes the dominant voice in our heads it acts like an autoimmune disease, shutting down our possibilities. ‘Yes’ feeds a spark of curiosity and nurtures our intuition to achieve and contribute.

One of my jobs as president of the WVMA is to identify and recruit members to populate the various committees and task forces which serve our organization. I think back on all the roles I’ve taken over the years with the WVMA and other community services, and can remember the inner struggle that always occurred before accepting each time. Without exception, I feel I became a better veterinarian and a more fulfilled person by taking on an active role. I can’t tell you how refreshing it is to hear our members say yes with enthusiasm when asked to serve. Thanks to all of you who assist us in your various roles to make us such an effective organization.

came across to say ‘yes’ in your life: 1. You block the miracle if you don’t say ‘yes’. Opportunity sometimes knocks gently and does not wait for perfect timing.

The truth is, there is no perfect timing. We need to trust that the universe has a bigger plan for us – one that we can only understand from hindsight.

2. There are an infinite number of reasons to say no. Something is stirring the yes within you. Pay attention to that ‘yes cheerleader’ within you.

3. Someone believes in you. Harness the confidence that other people have in you.

4. ‘Yes’ leads to more open doors (‘no’ often closes those doors).

5. Opportunities do not always rise again. Regret is sometimes the biggest risk of all.

6. ‘Yes” means life is richer, fuller, and more vibrant.

7. ‘Yes’ attracts positivity. It is inviting and empowering.

8. Stretch yourself – invite that possibility into your life to test your capabilities.

9. Life is short. Ask not why, but why not? Steve Jobs said “Remembering that I’ll be dead soon is the most important tool I’ve encountered to help me make the big choices in life”.

Yes, let’s make 2016 a great year of opportunities seized and enjoyed.

Happy New Year to all!

...Yes, it is! n

Here are nine reasons that I will relate from an anonymous blog that I

2015 WVMA EXECUTIVE BOARD President

John T. Been, DVM

District 5

Judith Batker, DVM

EX-OFFICIO MEMBERS

STAFF

President-Elect

Scott Spaulding , DVM

District 6

Alan Holter, DVM

Past President

Jane Clark, DVM

District 7

Kimberly Kratt, DVM

District 1

Katrina Geitner, DVM

District 8

Kevin Landorf, DVM

District 2

Chris Keim, DVM

District 9

Gary Johnson, DVM

District 3

Trisha Fasse-Neerhof, DVM

Student Rep.

Brandon Scharping

District 4

James Ziegler, DVM

Treasurer David Jeans, DVM AVMA Delegate Ann Sherwood Zieser, DVM Dean, UW-SVM Mark Markel, DVM, PhD State Veterinarian Paul McGraw, DVM WVDL Director Philip N. Bochsler, DVM,

PhD, DACVP Student Rep. Holly Hovanec

Executive Director Kim Brown Pokorny Executive Assistant Torrie Kennedy Communications and Project Specialist Bailey Quam Development and Marketing Specialist Jeremy Panizza Food Armor® Katie Mrdutt, DVM Outreach Specialist

2 January

2016

FROM THE EXECUTIVE DIRECTOR WVMA VOICE

The WVMA Voice is published on the 15th day of each month by the Wisconsin Veterinary Medical Association, 4610 S. Biltmore Ln., Suite 107, Madison, WI 53718; (608) 2573665; toll-free (888) 254-5202; fax (608) 257-8989; e-mail: wvma@wvma.org; website: www.wvma.org. It is sent free of charge to all WVMA members. Office hours: 8 a.m.–5 p.m., Monday-Friday.

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Classified ads run for two months and must be renewed for additional months. Classified ads are to be received by the first working day of the month. Display advertising is available at the editors’ discretion. Call (608) 257-3665 for more information. The deadline for receipt of all material submitted for publication is the first working day of the month, to insure consideration for the next month’s newsletter.

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Clearing up Confusion on DEA Registration Numbers Kim Brown Pokorny

I have decided to reprint a former Legal Briefs article on DEA license requirements. Recently, I have been receiving calls from veterinary clinics that are receiving conflicting and incorrect information from distributor representatives. It is important to note that each state has different requirements, in addition to the federal requirements.

unless an exemption applies, any person who manufactures, distributes, dispenses, imports, exports, or conducts research or chemical analysis with controlled substances must register with DEA and track and maintain records to account for all controlled substances.

Yes, the DEA relies on the Wisconsin state licensing boards to determine which practitioners are qualified to dispense, It is my hope, that this article clears up the prescribe or administer controlled substances confusion and helps everyone remain in in this state. Accordingly, Wisconsin laws compliance with both state and federal laws. determine what level of authority veterinarians The following article was written by Jordan Lamb, attorney with DeWitt Ross & Stevens, s.c. have with regard to prescribing and dispensing controlled substances (i.e., state law Does state or federal law regulate the establishes what schedules veterinarians may distribution and dispensing of controlled substances in Wisconsin? Both. The federal dispense, prescribe and administer.)

I practice at two veterinary clinics in and state governments work together to regulate controlled substances in Wisconsin. Wisconsin. Do I need DEA numbers for each location? No, not necessarily. The The Drug Enforcement Administration (DEA), CSA requires that a separate registration a division of the United States Department be obtained for each principal place of of Justice, enforces the federal Controlled business or professional practice where Substances Act (CSA) (21 U.S.C. § 801controlled substances are manufactured, 971). Under the CSA, the DEA is required to distributed, or dispensed (21 U.S.C. § 822(e)). establish a “closed system” of control for the DEA has historically provided an exception manufacture, distribution, and dispensing for a practitioner who is registered at one of controlled substances. The result is that, >>> Continued on Page 9

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Share, retweet or repost any of the content the WVMA posts on Facebook, Twitter or on wvma.org on your clinics social media!

All information shared on these sites is for our members to help in sharing news and can also be shared with clients.

If you have not already, like us on Facebook, Wisconsin Veterinary Medical Association and follow us on Twitter, @WVMA. By following the WVMA through these outlets, you will be able to stay current on happenings in Wisconsin and on the national veterinary medical scene.

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LEGAL BRIEFS

WVMA Legislative Update Jordan Lamb, DeWitt Ross & Stevens, s.c.

The 2015-16 legislative session is nearing its final months and the Legislature is hard at work on proposals that will be considered at the end of this session. Although the Legislature does not officially adjourn until April 2016, it is likely that the bulk of their work will be done in January and February of 2016. The following are two recent legislative issues of interest to WVMA members.

DATCP for the purpose of providing services to these professions.

This new position will assist in providing services related to the duties of the VEB including investigating complaints regarding licensed violations and allegations of unlicensed practice.

Immunity for Forcible Entry into a Vehicle Enacted

On November 11, 2015, Governor Walker signed AB 308 into law as 2015 Wisconsin Act 103. This new law provides that a person is immune from In mid-November, the Joint Committee on Finance approved 1.0 full-time civil liability for property damage or injury that results from his or her position for the Department of Agriculture, Trade and Consumer Protection forcible entry into a vehicle if a person or domestic animal is present in that will be specifically used to provide services to the Veterinary the vehicle and the actor has a good faith belief that the person or animal Examining Board, which was transferred to DATCP under the 2015-17 is in imminent danger of suffering bodily harm unless removed from the biennial budget bill. vehicle.

The WVMA supported this move and is encouraged that the VEB will now Specifically, under the new law, a person will be granted immunity if: (1) be served and housed at DATCP. We believe that the VEB and our licensed the person determines that the vehicle is locked and that forcible entry members will be well-served by DATCP. is necessary to enable him to enter the vehicle or to enable the person The VEB meets quarterly and is authorized to promulgate administrative or animal to be removed from the vehicle; (2) the person dials “911” or otherwise contacts law enforcement, emergency medical services (EMS), rules defining the professional standards and the regulatory policies or animal control before he or she forcibly enters the vehicle; (3) the governing the occupation and activities of Wisconsin veterinarians and person remains with the person or animal until a law enforcement officer, veterinary technicians. In addition, the VEB determines the education EMS provider, animal control officer, or other first responder arrives at and experience required for obtaining a credential, developing and the scene; (4) the person uses no more force than he or she reasonably evaluating credentialing examinations and establishing and enforcing believes necessary to enter the vehicle; and (5) the person places a notice standards of professional conduct. Further, DATCP is authorized to conduct investigations, hold hearings and make findings with regard to with certain information on the vehicle’s windshield if he leaves the scene before the vehicle’s owner or operator returns. whether a person is engaged in the unauthorized practice of veterinary medicine. All of the license fees that are collected from new and This law became effective on November 13, 2015. n renewing licensed veterinarians and veterinary technicians are paid to Position Approved for VEB and DATCP

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Veterinarian-Client Communications Regarding Zoonoses: A Survey of Wisconsin Veterinarians Kaitlyn Meyers, DVM/MPH Candidate

Readers may recall a survey that was emailed to WVMA members last year regarding veterinarians’ perceptions and practices in discussing zoonotic diseases with their clients. The survey was part of my MPH Capstone project at UW-Madison. We were encouraged to receive nearly 200 survey responses from veterinarians who had been in clinical practice within the last five years. This article summarizes pertinent findings from the project. Thank you to all who responded and to the WVMA for facilitating the survey.

Our study built upon a survey of Wisconsin veterinarians and physicians conducted by Dr. Sara Grant and Dr. Chris Olsen in 1998. That prior study found that, although both professions saw a need for the other to be involved in zoonotic disease diagnosis and education, there was little to no collaboration on the topic. They also found that veterinarians wanted to discuss zoonoses with immunocompromised clients, but clients rarely made veterinarians aware that they had a potentially immunocompromising condition.

immune compromised persons in the household. These resources could also include addresses of reputable websites to allow clients to do their own research.

Only 40 percent of respondents reported asking whether patients serve as therapy animals. When respondents did ask, it largely did not change their screening and treatment plans for that animal or their discussions about zoonoses and reverse zoonoses with the client. Although recommendations for therapy animals in health care facilities exist, most veterinarians are unaware of them.

Finally, the relationship between veterinarians and physicians was again found to be problematic. Approximately 80 percent of respondents thought that veterinarians should work with physicians more often, but 90 percent of those surveyed reported talking to a physician only once every couple of years or less. Although state and local public health officials can provide public health advice and can serve as a conduit Our study examined communication about zoonotic diseases, as well between veterinary medical clinicians and their physician counterparts, as the education of therapy animal owners and health screening of 78 percent of veterinarians indicated they contact a public health official therapy animals. Over recent years, the use of therapy animals has only once every couple of years or less. Regarding veterinarian-physician raised questions about zoonotic disease transmission to susceptible communications, events such as joint medical seminars were frequently populations, while also highlighting the emotional and psychological suggested to improve relationships between the professions. Organizing benefits of animal contact. these events locally increases the potential for veterinarians and Many of our survey results were encouraging. Sixty percent of respondents physicians within a community to get to know one another, and for both groups to recognize common concerns and areas of expertise. reported talking about zoonotic diseases with clients at least a couple of times per week, and 80 percent discussed the topic with clients at Thank you again to all who participated in this survey. Please see the least a couple of times per month. Nearly all respondents thought that articles listed below for more background on veterinarian-client zoonotic veterinarians should discuss zoonoses with the owner of an animal disease communication and the veterinarian-physician relationship. n diagnosed with a potentially zoonotic disease. Approximately 80 percent of surveyed veterinarians believed that veterinarians should discuss zoonoses with all clients and provide special consultations to 1. Grant S, Olsen CW. Preventing zoonotic diseases in immunocompromised immunocompromised clients. persons: the role of physicians and veterinarians. Emerging infectious Some barriers remain to effective veterinarian-client communication about zoonotic diseases. Although 88 percent of respondents would be more likely to discuss zoonoses if they knew or suspected a client was immunocompromised, only 25 percent felt that their clients would tell them if they or a member of their household had an immunocompromising condition. When asked to rate barriers to zoonotic disease communication with clients, veterinarians chose “Clients do not make me aware of their immunocompromising conditions� as the most important barrier. Survey participants also provided suggestions to improve communications about zoonotic disease risks. Posters and brochures displayed within veterinary medical clinics could serve as tools to encourage clients to initiate conversations about zoonotic diseases, particularly if there are

6 January

2016

diseases. 1999;5:159-163.

2. Hill WA, Petty GC, Erwin PC, Souza MJ. A survey of Tennessee veterinarian and physician attitudes, knowledge, and practices regarding zoonoses prevention among animal owners with HIV infection or AIDS. Journal of the American Veterinary Medical Association. 2012;240:1432-1440.

3. Lipton BA, Hopkins SG, Koehler JE, DiGiacomo RF. A survey of veterinarian involvement in zoonotic disease prevention practices. Journal of the American Veterinary Medical Association. 2008;233:1242-1249.

4. von Matthiessen PW, Sansone RA, Meier BP, Gaither GA, Shrader J. Zoonotic diseases and at-risk patients: a survey of veterinarians and physicians.

AIDS. 2003;17:1404-1406.

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Clearing up Confusing on DEA Registration Numbers >>> Continued from Page 3

location, but also practices at other locations. Under the exception, the practitioner is not required to register separately for any other location at which he or she prescribes controlled substances (21 CFR 1301.12(b)(3)). However, if the practitioner maintains supplies of controlled substances, administers, or directly dispenses controlled substances at the separate location, then the practitioner must also register that location.

non-registered veterinarians may dispense or administer controlled substances under certain circumstance, but only a DEA registered veterinarian can prescribe controlled substances.

Does every licensed veterinarian in my Wisconsin clinic need his or her own DEA registration number? No, not necessarily. The CSA and Wisconsin law allows an authorized person to act on behalf of, or at the direction of, a manufacturer, distributor or dispenser.

See 21 U.S.C. § 802(3) and Wis. Stat. § 961.32. That means that

civil and criminal penalties.

Under current law, one veterinarian may register with DEA and other licensed veterinarians in the same practice may act as agents of the registered veterinarian when they administer or dispense controlled substances at the registered location. When multiple veterinarians I have one clinic in Wisconsin and one clinic in Minnesota. Do I need dispense from a common stock, it is the registered veterinarian’s separate DEA registration numbers for each of those locations because responsibility to ensure that the practice generates and maintains they are in two different states? Yes. The exception described above all required records, reports and inventories as required by the CSA. DEA also expects the responsible veterinarian to utilize adequate applies only to secondary locations within the same State in which security measures to prevent diversion. Importantly, each prescribing the practitioner maintains his/her registration. This is because DEA veterinarian must have their own DEA registration number. That individual practitioner registrations are based on State authority means that if a non-registered veterinarian would like to write a to practice medicine and prescribe controlled substances. Since prescription for a controlled substance to be filled outside of the a DEA registration is based on a State license, it cannot authorize controlled substance dispensing outside of that State. Therefore, if practice by a retail or online pharmacy, then the veterinarian with the DEA license for that clinic must also be familiar with the patient (i.e., a veterinarian is licensed in Wisconsin and has a DEA registration show an established VCPR) and write the prescription. number assigned to a principal place of business in Wisconsin, she cannot use her Wisconsin DEA registration number to trigger the May controlled substances be stored or kept in a veterinary truck? No. exception above and allow her to prescribed controlled substances Under the CSA, controlled substances must be stored in a securely at a clinic in Minnesota. To do so, she would need a Minnesota DEA locked, substantially constructed cabinet. See 21 CFR § 1301.75. registration number for the Minnesota clinic. The separate registration This securely locked, substantially constructed cabinet must physically exception applies only to locations within the same State in which be at the registered location. Storing controlled substances at a nonpractitioners have their DEA registrations. registered location is a violation of the CSA, which carries potential More information can be found at: www.deadiversion.usdoj.gov . The Final Rule was published in the Federal Register on December 1, 2006, Titled: Clarification of Registration Requirements for Individual Practitioners. n

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IN THE NEWS

Canine Brucellosis: Veterinarians are Important to Reducing the Risk Yvonne M Bellay, DVM, MS, Animal Welfare Programs Manager/Epidemiologist, DATCP Division of Animal Health Canine Brucellosis, caused by Brucella canis, is a significant cause of infectious abortion and reproductive failure in dogs and is a source of great economic losses in kennels. In addition, B. canis is a zoonotic organism that causes a public health risk. Consequently, the expertise of veterinarians provides them a critical role in the One Health approach to preventing and managing the disease.

Brucella canis organisms are shed in aborted material, post-abortion vaginal discharge, semen, urine and milk, and they easily cross mucous membranes. Besides venereal transmission, oral-nasal contact with infected fluids or tissues, fomites, and aerosolized material are common modes of transmission. Consequently, spayed or neutered as well as “virgin� animals may easily become infected through contaminated environments, a fact to be mindful of when dealing with random source dogs of unknown origin and history.

Although the exact prevalence of the disease is not known, the incidence of B. canis infection in the dog breeding industry is on the rise. The disease is readily transmitted between breeding kennels, largely due to management practices that allow the frequent trade and sale of breeding stock without employing effective testing and quarantine protocols.

other laboratories do not. Consequently, the veterinarian is the party responsible for reporting positive results to the State Veterinarian’s office within one day of the diagnosis. Any positive screening test will be considered to be positive unless a follow-up confirmatory test shows the result to be a false positive result.

Laboratory confirmed positive test results in a dog breeding facility will result in a quarantine being placed on the facility. Disease eradication from the facility requires quarantine, testing, and euthanasia of infected dogs. All dogs on the premises are tested at 4 to 6 week intervals until all dogs on the premises have tested negative for brucellosis on two consecutive tests.

Laboratory confirmed positive test results in a privately owned household pet dog may result in euthanasia of the pet or the pet placed under a lifelong quarantine to the premises combined with neutering, treatment and periodic repeat testing.

In order to prevent brucellosis in a kennel, breeding dogs should be purchased from known brucellosis-free kennels. All newly acquired dogs should be isolated and tested twice at least 4-6 weeks apart before they are incorporated into the breeding group. All breeding dogs in a facility Increased awareness and improved diagnostic testing abilities may have should be tested yearly at the same time. Dogs bred outside the facility made the disease more recognizable. The disease in humans is often should be tested 2-4 times per year. Females should be tested at least 3 misdiagnosed and is underreported. weeks prior to onset of heat.

The disease is considered a lifelong infection in dogs. Clinical signs of canine brucellosis are extensive and variable and depend on the sex and age of the dog affected. In females the disease commonly causes abortion between 45 and 55 days of gestation. Other signs include failure to conceive and infertility, and decreased puppy survivability.

Males develop epididymitis, orchitis, testicular swelling or atrophy, and sperm abnormalities. Non-specific signs seen in both sexes may include uveitis, meningioencephalitis, spinal arthritis, weight loss, poor hair coat, listlessness, swollen lymph nodes and behavioral changes. Some infected dogs remain asymptomatic but serve as a source of infection for other animals and people.

B. canis infection is a reportable disease in Wisconsin. Wisconsin approved labs report any positive B. canis result directly to DATCP but

10 January

2016

Veterinary involvement is crucial in a well-managed breeding facility.

Veterinarians can assist clients in developing general animal husbandry and disease control plans, proper cleaning and disinfection procedures, and in evaluating kennel layout/organization and flow to track and monitor potential disease spread.

The Dog Sellers and Shelters Program requires all licensees to provide a Certificate of Veterinary Inspection for every dog that is sold or adopted, as well as to provide adequate veterinary care. These requirements provide an excellent opportunity for veterinarians to work with breeders, sellers, shelters and rescues in developing good management, husbandry and biosecurity programs which will in turn ensure that puppies and dogs sold to the public are healthy and well-socialized. n

20 Human Resource Lessons Learned in 20 Years Darren Osborne, MA, Director of Economic Development, Ontario Veterinary Medical Association

2011 marked 20 years in economic consulting in veterinary medicine. Fresh out of school I started working for R. K House and Associates as an analyst for the Manitoba Veterinary Medical Association Economic Study. The next year came Ontario Veterinary Medical Association (OVMA) and then, North America. OVMA currently offers economic consulting as a partnership with CVMA and the provinces and works extensively in the US with the Veterinary Hospital Managers Association. Following are 20 Human Resource Lessons I have learned over the last 20 years. The following are generalizations, anecdotes analysis from 20 years of economic research, and interviews with thousands of veterinarians.

1. Veterinarians love their job. When OVMA conducted a career and job satisfaction survey, the researchers reported back that they had never seen an industry with so much job satisfaction. (Source: OVMA Career and Job Satisfaction Report) 2. Veterinarians don’t earn enough money. When compared to other health care professionals, veterinarians earn less. Many professionals are entrepreneurial but veterinarians have different motivators – have you ever met a dentist who went to dental school because they loved teeth as a child. (Source: StatsCanada 2006 Census) 3. Veterinary staff don’t earn enough money. A significant number of non-dvm staff leave veterinary medicine for higher paying jobs. Treat your staff well because they sure are not there for the money. (Source: OVMA Focus Vol. 22 / No. 1: Why Technicians Leave the Veterinary Profession) 4. Veterinarians with the best staff are not the best at hiring; they are the best at firing. Get rid of the dead wood before it infects the rest of your staff. If you keep up with your firing, you will be able to practice your hiring. (Source: OVMA Focus Vol28. / No.4: Real Life Success Stories) 5. Commission only works with new hires. Commissioned based associates earn more but veterinarians in general are so risk averse, staff veterinarians will opt for the regular salary over commission any day. Success with commissions comes from hiring new staff with the promise of commission. Starting on commission works better than switching to commission. (Source: Interview with Dr. Drew VanEikerk, Receruiter for Associated Veterinary Clinics) 6. Most practices have too many staff. When you look at the best and worst hospitals by profitability, the one thing that jumps out is the staff costs. Profitable hospitals have fewer, higher paid staff and their wage expense is 10% lower than hospitals with a higher number of lower paid staff. (Source: 2010 OVMA Practice Diagnostic Survey) 7. More staff does not necessarily make you more money. High density scheduling and high delegation were in vogue a decade ago and it cost many veterinarians a lot of money. In most practices, more staff means more headaches and less for everyone else to do. Practices with fewer staff per dvm are more profitable. (Source: OVMA Practice Diagnostic Survey) 8. It is impossible to clone yourself. Successful veterinarians fall into the trap of thinking, “if one practice is successful, two practices will be twice as successful.” What you don’t take into account is that you are successful because your clients have a relationship with you. Clients want face time with “their” veterinarian. If you open a satellite practice or a second practice, clients who expect you will be disappointed to find someone else and your practice will suffer. Unless you figure out a way to be two places at once, don’t expand. (Source: Interviews with Satellite Practice Owners ) 9. Many practices do not have employment contracts. A contract between associates or partners helps put everything on the table so there is little to discover down the road. In the absence of a contract you are left with differing expectations that can eventually lead to breakup.

Use OVMA’s free legal counsel program and find out what you need to do to get contracts underway (Source: OVMA Report on Associate Compensation and Benefits Report).

10. More women in veterinary school reflect the applicant pool. There is no conspiracy to take over the world. If the graduation class at OVC was 90 percent female then that meant 90 percent of the applicants were female. In trying to answer the question, why are there more female veterinarians, ask why there are more female applicants. (Source: OVC Deans Office) 11. Female veterinarians manage their practices the same as males. A decade ago, the Mega Study in the US came out with a laundry list of reasons why the feminization of the profession was a bad thing. The US researches launched into a rant of how the management style >>> Continued on Page 12

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20 Human Resource Lessons Learned in 20 Years >>> Continued from Page 11

of female veterinarians would be the downfall of the profession. They were wrong. Female practice owners charge the same fees, see the same number of clients, and produce the same revenue as their male counterparts. In contrast to the “sky is falling” scare tactic reporting in the US, female associates want to buy practices. According to a practice valuator, there are several dozen young female associates looking to purchase practices in the Greater Toronto Area right now. (Source: OVMA Focus Sept / Oct 1999: Gender Demographics) 12. Female veterinarians work less and male veterinarians are envious. In a OVMA demographic survey, female veterinarians reported working a lot less than males but when asked, male veterinarians indicated they desired to work less too. (Source: OVMA 2006 Demographic Survey) 13. Half of large animal veterinarians leave large animal practice after years. There is a strong migration away from large animal practice in the first five years. In speaking with hundreds of mixed animal veterinarians come companion animal exclusive, they can pinpoint the exact time when they made up their mind to give up large animal practice. For one veterinarian, it was that caesarean at 2:00 am in February when they had to keep breaking the ice on top of the bucket of water when they asked themselves, “what am I doing here.” The other half that stick it out after five years will generally stay in mixed and large animal practice until retirement. (Source: OVMA 2006 Demographic Survey) 14. The standard work week has gone down. For the last 20 years, OVMA has been publishing economic data based on a 2000 hour full time equivalent. Two thousand hours used to accurately represent the number of annual hours a veterinarian works in a year. Today, 1750 annual hours better reflects the annual hours worked. The average full time veterinarian in Ontario worked 1756 in 2010. This includes all species, owners and associates combined. Simply stated, veterinarians are working less. (Source: OVMA Practice Owners Diagnostic Survey) 15. You likely won’t hire a student at the OVMA conference. Veterinarians looking to hire a new graduate will go to the OVMA conference with the expectation to hire during the student interviews. Truth be told, by the time January rolls around, most 4th year students have already found employment upon graduation. If you are looking to hire a new graduate, you have to start earlier than the conference.

(Source: Interviews with 4th year OVC students) 16. OVMA Help Wanted Index is a pretty accurate bellwether for the industry. When the future prospects for veterinary medicine are high, veterinarians will hire more staff and the number of help wanted goes up. When expectations are low, the number of ads declines. Given the state of the economy, it is not surprising that we are experience a five year low in Help Wanteds. (Source: OVMA Focus Help Wanteds Index) 17. Not enough attention, time or money is paid to the receptionist. The receptionist is the point person for all clients on the way in and on the way out. This person is also responsible for point of sale purchases and booking clients. If your receptionist is having a bad day then you will suffer. Give your receptionist more training, more assistance and more money. (Source: Interviews with Practice Owners) 18. Bonuses don’t work. A bonus based on anything is appreciated the first time and then expected forever after. The other reason bonuses don’t work is that unless you have complete transparency, your staff will question the calculations. (Source: Interviews with Practice Owners) 19. Complete financial transparency is not worth it. Showing all your financial figures to your hospital staff is a waste of everyone’s time.

In financial industries, this works because people understand the information and even the mail room clerk at the bank can dream to be president of the company. Your kennel assistant will likely not takeover your job as veterinarian so how can you motivate them by showing how well you are doing. Most technical staff don’t care about your finances. They are there to do there to work on animals and could care less about your accounts receivable or how much you spend on office supplies let alone your financial ratios. (Source: Interviews with Practice Owners) 20. Managing a successful practice takes leadership. Successful practices have a conspicuous leader with a plan that people want to follow. Work on your team building and leadership skills on a regular basis; you will be a better manager and you will have a more successful practice. Fail to practice – practice to fail. (Source: Interviews with Practice Owners) n

12 January

2016

YOUR PR CT L IC L SE and keep YOUR name, E

WVMA Member Apparel Now Available!

YOUR team, YOUR culture and medical direction. ’ll take care of the rest!

C

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Y

CM

MY

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CMY

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HELPING PRACTICES THRIVE

Log in at wvma.org to access the Member Apparel link under Member Resources.

call or email Dan Gavis to learn more 617.901.0044 / dgavis@ vetcor.com

Questions? Contact the WVMA at (608) 257-3665 or wvma@wvma.org Scott Ford DVM, DABVP-Avian Practice limited to avian medicine & surgery: parrots, raptors, poultry, waterfowl and ratites • • • • • •

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Oak Creek: 2400 W. Ryan Rd. | 414.761.6333

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Dr. Melvin W. Downing, Waukesha, WI

Congratulations to Dr. Jane Clark on correctly guessing 2004 for December’s picture!

Thank you to everyone who participated in Guess the Year throughout 2015 and helped celebrate the WVMA 100 year anniversary!

14 January

2016

Support the Wisconsin Veterinary Medical Foundation today!

The WVMF’s goal is to fund activities supporting the veterinary medical community and those we serve.

• Charitable • Outreach • Education

Want to make a tax-deductible donation?

Contact the WVMA at 608-257-3665 15

CLASSIFIED AD CHANGES All classified ads, including veterinary relief ads, will be published at the following rate: Members: First 30 words, $10. Every additional word after 30 is $1.50 per word.

Non-members: First 30 words, $50. Every additional word is $1.50 per word.

Ads will run 2 consecutive months, and then be removed, unless the WVMA is notified you would like to continue your ad for another 2 month run. You will be invoiced at the end of the first month during a 2 month period.

Ads are placed online at the beginning of the month they are featured in the newsletter.

Immediate placement of ads is an additional $25 fee. Additional $10 fee for blind box ads.

SMALL ANIMAL Lakeshore Veterinary Specialists seek an ER DVM to join our team in Port Washington, WI! Lakeshore is an independently owned, multi-specialty and referral center. We offer surgery, internal medicine, oncology, neurology, neurosurgery, dermatology, dentistry, emergency and critical care, rehabilitation, a blood bank, grief support counseling, and a residency and internship training program. We are proud to be named the first VECCS-Certified Level-1 Emergency and Critical Care Facility in the nation. Our three state of the art hospitals are expanding, to include a high field MRI, stereotactic radiosurgery, and we have just started a 9000 sq. foot addition to our Glendale facility. We are located north, south and central to downtown Milwaukee. From world-famous music and ethnic festivals to lakefront activities, Milwaukee has something to offer everyone. Working at Lakeshore means being part of an immensely talented and collaborative team of professionals.

Our total compensation package is complemented by a generous benefits package. We encourage and promote professional growth and sustained learning among our staff through continuing education paid time off and an education allowance to attend conferences and other events. We also offer many in-house learning opportunities, and are committed to the continuing education of our referring community. We offer more CE opportunities than any other facility in the state of Wisconsin. Please visit us at www.lakeshorevetspecialists.com.

We look forward to welcoming you home!

Associated Veterinary Clinic, a MA practice in Ripon, WI, seeks a FT SA associate veterinarian. The qualified candidate will join

16 January

2016

an experienced SA doctor in a busy full-service practice. An excellent staff will support you, and you will practice in a fully equipped clinic, including a new IDEXX in-house laboratory station, new high speed dental unit, and new digital radiology unit. Competitive salary and benefits package. Will consider new graduates as well as experienced doctors. Ripon is a wonderful college town located within 60-90 minutes of Milwaukee, Madison, Green Bay and the Fox Cities, and within 15 minutes of the Green Lake recreation area. Please send resume to Dr. Michael Herrick by email associatedvetclinic@ gmail.com, by phone (920) 748-5144, or by regular mail, Associated Veterinary Clinic, P.O. Box 352, Ripon, WI 54971.

Countryside Veterinary Services in Appleton, WI is seeking an energetic and motivated PT associate to join our busy, well equipped SA clinic. Our skilled staff focuses on providing quality patient care and delivering comprehensive preventative medicine and proven surgical procedures to a wide variety of clientele. We have a very dedicated technical and support staff to assist in our busy practice. No emergency responsibilities. Check us out at www.countrysidevets.net.

Contact Tara Thurber, CVT, or Denise Stempa, DVM, at (920) 968-3322 or countryside@countrysidevets.net.

Associate Veterinarian for two days per week must be able to work with equine and SA. Starlightvetclinic@yahoo.com, (608) 437-8428.

certified practice is looking for an experienced veterinarian to join our staff. We have two clinics including one that was recently renovated. Both clinics are stocked with the necessary toys including surgical laser, digital x-ray, in-house lab equipment, ultrasound, etc. We are hoping to find a long term fit. We offer health, dental, and life insurance as well as 401k profit sharing, CE allowance and vacation. If interested, please send a resume to Michael Hotchkiss, 1802 Mineral Point Ave., Janesville, WI 53548 or email info@janesvillevetclinic.com.

Bay View Veterinary Clinic has an exciting opportunity for an experienced associate veterinarian to join our team. Our team provides exceptional quality care including outstanding preventative medical and surgical care in a manner flexible to the clients’ needs. Our standards include a clean hospital, courteous, knowledgeable staff. We have respect for all living things, and aim to provide an exceptional experience for every client. Our state of the art facility allows us to perform top of the line medicine including advanced surgeries. Our skilled and supportive staff is excited to add a new veterinarian to our team.

Our high surgical case load requires a veterinarian with basic orthopedic surgery skills. Experience or an interest in ultrasound would be ideal. We reward our veterinarians with a generous compensation package including a competitive salary, medical, dental, and liability insurance, as well as CE, PTO and more.

Please contact Dr. Austin Bell at abell@vetcor.com.

Well established and long running Vaccine and Wellness Clinic in Fond du Lac is looking to hire a new Veterinarian. Our Vet is leaving to start her own clinic elsewhere. Clinic runs twice a month for roughly two - three hours, evenings. High volume and fast paced. Heather Rogers, Head to Tail, 154 Satterlee St., Fond du Lac. (920) 933-5111.

Experienced veterinarian wanted to join our SA practice in SE Wisconsin near Lake Geneva. We are well equipped with digital x-ray, ultrasound, dental digital X-ray, Surgitron, and a full in house diagnostic laboratory. Well trained, stable staff.

Extra pay for on call but not required for position. Mon., Tues. and every other Sat. schedule. FT or buy in potential. Contact: burlingtonlongview@yahoo.com. Or phone: (262) 763-6055.

Seeking a PT associate, potential for FT soon, for our growing practice in beautiful Pewaukee. We are a family friendly, client focused practice. The clinic is 3 years old and has inhouse Idexx lab equipment, digital x-ray, surgical suite, and a hardworking, friendly staff. The ideal candidate would have at least 2 years of experience, be competent in medical and surgical procedures, be able to work independently, be friendly, outgoing, and enjoy communicating with clients and staff. Benefits and salary are negotiable. Please email your resume to dranna@lakeviewanimalclinicwi.com .

FT SA associate needed for a 7 doctor MA practice in North Central Wisconsin. The Medford Vet Clinic is well established, diversified, and looking to meet our growing SA needs. Our team focuses on outstanding diagnostics, therapy, dentistry, and surgery while keeping a fun work environment. We have a wellequipped and recently built clinic. Emergency will be rotated among all 8 vets. The ideal candidate is outgoing, motivated, and dedicated to the highest quality of medicine. We will foster any areas of special interest and future buy-in is encouraged with the right person. Experienced and new grads welcome to apply.

Contact mmoodie2@gmail.com or (715) 748-2341 to apply.

We are seeking a caring, competent, and conscientious PT associate to join our expanding AAHA Accredited 2 doctor practice. We are well equipped with a friendly and team oriented atmosphere. At For Pets’ Sake, we strive to emphasize quality care and personal attention for our clients and their pets. Special interests are encouraged and will be supported.

Interested candidates should have strong communication skills, an energetic attitude, empathy, compassion and enthusiasm for helping clients and patients alike. New or recent graduates will be considered. Please send your resume to Jennifer Schmidt at 9000 Charles Street, Sturtevant, WI 53177, or admin@forpetssakevet.com.

PT/FT associate needed for busy, rural SA practice. The relaxed, friendly atmosphere allows us to maintain strong client relationships while practicing quality medicine. Up-todate equipment. Flexible hours. No emergency calls. Please contact Dr. Gedymin at animaniac57@yahoo.com.

Are you a top veterinarian? Work for the #1 Veterinary Clinic in Rock County WI for 5 years running! A four-doctor AAHA

PT position available in our long established, 4 doctor practice.

We are located in the small friendly, south central Wisconsin town of Delavan. Flexible work schedules, a generous benefit package.

No after hours or on call. Year around recreational opportunities and close to Milwaukee and Chicago. Call Sonya at Delavan Animal Clinic, (262) 728-3303.

Lakeside Animal Hospital is an AAHA accredited SA hospital located on the north shore of Milwaukee in Glendale, WI. Established in the community for over 75 years, we pride ourselves on offering exceptional medical care. Our support staff is friendly and knowledgeable. We are looking for a FT associate veterinarian. We are seeking a candidate who is compassionate, friendly and outgoing with a commitment to providing the very best and highest quality of patient care, strong communication and time management skills and confidence in his/her medicine and surgical skills. The ideal candidate will have 2-5 years of practice experience and hold a current WI license but we will also consider new grads. Hospital is offering a 4-day work week with a rotating half day Saturday schedule. Benefit package includes

group health insurance, paid vacation, Simple IRA, discounted pet care, association dues and much more. Enthusiastic and highly motivated veterinarians are strongly encouraged to apply. For consideration please send resume and a list of three working references to Penny Engebose, Hospital Administrator at Lakeside211@yahoo.com or 211 W. Bender Road, Glendale, WI 53217.

We are looking for an experienced shelter medicine veterinarian.

Responsible for the sterilization and daily care of all surgical patients. Responsible for all aspects of shelter animal health including; health evaluations, vaccinations, treatments, heartworm and feline leukemia testing and establishing and maintaining all health related policies and protocols to maximize animal placement and minimize euthanasia of adoptable animals. Candidate must be a team player, and be a positive and motivating influence. Please submit cover letter, resume and salary requirements via email only. Email: vetsearch8@gmail.com.

Busy SA, multi-doctor practice in Milwaukee is looking for a FT veterinarian starting January 2016. We are well established clinic with all diagnostic tools and toys to practice quality medicine. Work 4-days a week with excellent pay and benefits.

New graduates are encouraged to apply. Please forward your resume to the attention of Dr. Singh at drgss95@yahoo.com or call (608) 347-8668.

Looking for FT or PT veterinarian for a progressive two doctor practice in Stevens Point. Our practice prides itself on taking the time to create lasting relationships with our clients along with providing excellent medical care for pets. We have a great support staff that excel at their positions. Services offered include surgical laser, in house diagnostics, digital radiography, dental radiography, high speed dental, and ultrasound. No oncall, no weekends, no holidays because of a local emergency facility. Central Wisconsin has a great community, wonderful schools and easy access to numerous outdoor activities. Please send inquiries and resume to spah54482@gmail.com.

Muskego/ Wind Lake Animal Hospital is looking for a FT DVM to supplement our team. We currently have two hospitals and five DVM’s. Enjoy working with a great support staff including five CVT’s and many great assistants. We have a new GE ultrasound, and all the other toys: digital x-ray, tonvet, in house lab, etc. No emergency duty. We have a great support system for the new DVM here and work life balance is very important to us. Submit resume for consideration to info@ muskegoanimalhospital.com.* PT veterinarian, with potential for FT, needed for growing veterinary practice on the eastern Wisconsin-Michigan border in Iron River, MI. Currently SA but opportunity exists to add LA and exotics. No after-hours emergencies. We are a new practice that aims to deliver the highest degree of patient care and customer service. In addition to providing services to our community we provide all care for animals at the local humane society. We are equipped with a surgical suite, digital radiology, in house lab analyzers and ultrasound. If you are interested in growing with our team please contact Kelly at 4seasonsanimalhospital@gmail.com. Experience is preferred but all levels are encouraged to apply.* WVRC, one of the largest and most diverse emergency and referral practices in Wisconsin, is seeking a FT emergency veterinarian. A PT position would also be considered for the right candidate. Our three facilities, located in Waukesha, Grafton and Racine, allow for flexible schedules and work

locations. The hospitals are equipped with modern diagnostic capabilities combined with beautiful and spacious work environments. Enhancing the facilities are a team of dynamic coworkers, including a broad range of specialists in Cardiology, Internal Medicine, Neurology, Oncology, Critical Care, Surgery, Ophthalmology, Dentistry, Anesthesiology, and Medical Imaging, 18 emergency veterinarians, 4 emergency interns, dedicated technicians and client-focused support staff. Marshfield Laboratories, a full diagnostic veterinary laboratory with on-site clinical pathology, compliments the practice in the Waukesha location’s lower level. Our ER team is hard working, highly skilled and always engaged. We believe in a team approach to patient care, an enjoyable work environment and a schedule conducive to life outside of work.

Candidates should have strong organizational skills, a desire to both learn and teach, and the ability to work well within a team. Each of WVRC’s 3 locations provide easy access to the attractions of the city of Milwaukee: theater and concert performances, fine dining, and upscale shopping as well as an active sports scene that includes the Milwaukee Brewers, Bucks, and Admirals. The cities of Madison, Green Bay, and Chicago are easy accessible and the surrounding suburbs provide multiple options for top rated schools and various leisure opportunities for the outdoor enthusiast. Interested candidates may apply online at www.wvrc.com or contact Dr. Kari Severson at kari.severson@wvrc.com.* Hales Corners Veterinary Clinic is a beautiful and well equipped animal hospital located in the suburbs of Milwaukee. We are growing and looking for a fourth veterinarian. We practice high quality medicine with opportunities of mentorship and growth professionally as well as financially. We offer excellent salary and benefit package. Please contact and send resume to Dr. Dhillon at dhillondvm@gmail.com.* We are looking for a FT/PT veterinarian to join our busy Sheboygan practice. Motivated and dedicated to providing excellent patient care and client communication. Clinic is equipped with in-house lab, digital x-ray and dentistry.

Competitive compensation package provided, including CE, 401(k), PTO. No after-hours emergencies, Please send cover letter and resume to animalclinicsc@yahoo.com.* Shelter from the Storm is a successful non-profit animal rescue looking to add a FT veterinarian for our Spay Me! Clinic as we expand our services at our current location in Madison and at a new location near Milwaukee. Must be a team player, be able to work in a high paced environment and be dedicated to our mission of providing affordable veterinary care to all animals. This position involves working in our high volume spay/neuter program and full service veterinary clinic.

Request a complete job description or e-mail cover letter and resume to wis_animalrescue@yahoo.com.* FT DVM wanted for a well-established, growing SA practice in Milwaukee. Experience preferred, but new graduates welcome.

Send resume to: West Allis Vet Clinic, 11504 W. Greenfield Ave., West Allis, WI 53214.* Two energetic associates to join the health care team at our 3 DVM AAHA practice in a family friendly Central Wisconsin medical community. SA experience with an interest in surgery a plus. Will consider exceptional new graduates. Visit us at www.wildwoodanimalhospital.net. Curious? Contact me at docrogekrog@aol.com or call (715) 387-1225.* Associate Veterinarian needed for 3 doctor SA veterinary

practice in the beautiful Northwood’s of Minocqua, WI. Experienced veterinarian or new graduate with an interest in medicine and surgery are encouraged to apply. Our practice is a newer, modern clinic with digital x-ray, ultrasound and full in house lab. With over 1500 lakes in our county we offer some of the best outdoor recreation opportunities in the country. We offer a competitive salary, production bonuses, full benefits and ample time off. The position is FT but we are willing to consider PT or seasonal help (April-September). Contact Janet Knutson at All Creatures Veterinary Clinic, 7665 Hwy 51 S, Minocqua, WI 54548. Email: janetacvc@gmail.com Phone: (715) 358-4300. www.minocquavets.com.* FT associate needed for growing SA practice in Marshfield (Central WI). Excellent facilities and great staff. New graduate welcome. Buy-In potential. Would be joining three other veterinarians. Contact Dr. Virginia Thorne (715) 498-2323 or (715) 389-1011; Castlerock Veterinary Hospital, 1214 S. Oak Ave., Marshfield, WI 54449; or email at wthorne@tds.net.* Seeking FT/PT SA veterinarian for growing practice in central WI. Buy-in potential! Practice is well established with compassionate & dedicated skilled team to provide quality care at an affordable price. Complete IDEXX in-house laboratory including Catalyst, Lasercyte, SnapShot Dx (T4/Bile Acids/ Cortisol), CoagDx, UA analyzer, Ultrasound, Isoflurane gas anesthesia, Advisor Monitor v9200 with NIBP, ETCO2, SPO2, ECG, Radiosurgery Unit, Tonopen, AccuGard NIBP, Summit x-ray & AFGA processor, Impromed Infinity software & hardware.

Emergencies referred to surrounding referral centers. Competitive pay with benefits including CE, health, dental, life & long-term disability. Supplemental insurance also available. Please send resume to shannon@fdlvet.com or to Fond du Lac Veterinary Clinic, 252 S Main St, Fond du Lac, WI 54935.* Looking to help at-risk animals in a new and challenging way?

Come join a leader in animal welfare! The Wisconsin Humane Society is expanding and looking to add a 2nd FT Veterinarian at our new Spay/Neuter Clinic in Milwaukee. Responsibilities include, but are not limited to: Performing high-volume, high-quality, safe spay/neuter surgeries, ensuring safe, effective and efficient medical processes from check in to discharge (including follow up), develop and manage inventory system for surgical supplies, vaccinate animals and providing quality medical screenings, provide medical information to clients and answer questions as needed, providing post-surgery follow up as needed, monitoring the health of client animals, providing direction to surgical staff.

Qualifications: DVM degree required, shelter medicine experience or high volume spay/neuter experience preferred, must be positive, flexible, and work well with coworkers and the public, availability to work occasional weekend and holiday hours if needed, experience working in fast paced, high volume setting is preferred, must be committed to treating animals with kindness and respect. A competitive salary and comprehensive benefits package (medical, dental, vision, life & disability insurance, paid time off, vacation, holiday, and retirement) is provided for FT employees. WHS is an Equal Opportunity Employer. To apply, please visit: www. wihumane.org/employment.* Confucius said: “Choose a job you love, and you will never work a day in your life”. Confucius wasn’t a vet - we believe you can work hard and still love what you do but it helps if you can maintain a work life balance. We are a progressive and rapidly growing practice on the shores of Lake Michigan looking for a long term team minded associate. We have all the latest technology (digital radiography, digital dental x-ray, ultrasound with DACVR support, complete in house lab...), our support team

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is excellent, our hospital is new, and we laugh a lot. We have long established and loyal clients and patients. We are excited about the possibilities for our practice and are looking for team members who are excited about their future and want to grow with us. This is your chance to have a voice in your practice while being part of our team. Excellent salary and benefits.

Contact: Angela Madden-Heinzen, 920-682-6801, Port Cities Animal Hospital, Inc, 3910 Dewey Street, Manitowoc, WI 54220.* Bay View Veterinary Clinic has an exciting opportunity for a new associate veterinarian to join our team. We provide excellent quality care, including fostering a positive work environment, knowledgeable/caring staff, and a clean facility.

We are a SA clinic practicing according to current standards of care. We aim to provide an exceptional experience for clients and employees alike. Seeking an individual with motivation, discipline, flexibility, compassion, and humility. Additional experience and sense of humor a plus. Generous compensation package including a competitive salary, medical/dental/liability insurance, CE, PTO and more. For more information contact: Dr. Bell at abell@vetcor.com.* Seeking a FT/PT SA associate veterinarian for practice located in Reedsburg WI, one hour NW of Madison. Expanding client base, great support staff with 2 CVT’s and flexible hours. Student loan repayment option. Applicant should be self-motivated, a team leader and be interested in primary vet medicine. Clinic has digital x-ray, starting soon with cloud based software for easy record keeping (hand written notes gone!) and the clinic is only 2 years old. Skills needed: basis exams, sick animal work ups, dentals, surgery (spay, neuter, mass removal, etc) client communication and education, continue to grow practice. No after-hour emergencies. New clinic allows assoc. vet to mold this practice into what they are looking for. Assoc Vet will be the only SA vet in practice. Experience is recommended but new graduates are welcome to apply. Send resume to svsdvm@rucls. net. We are looking forward to hearing from you.* Animal Clinic of Elkhorn is seeking FT SA veterinarian to join our enthusiastic staff in its rapidly growing clinic. Our clinic was remodeled 1 year ago and includes all tools needed to practice quality medicine and surgery. Experienced or new graduates considered. Send resume to jseverson1961@gmail.com.*

LARGE ANIMAL LA Veterinarian wanted for a practice in SW WI, one hour from Madison. Expanding client base. Herds range in size from 20-450 for dairy and up to 150 head cow/calf operations.

Ultrasound (Ease-Scan III) used for pregnancy diagnosis. Truck and all equipment provided. Compensation includes salary commensurate with experience, retirement plan, paid vacation, paid CE time. The two other vets have 15+ years experience and will help with mentoring. Experience preferred, but new graduates are encouraged to apply. Email resumes to svsdvm@ rucla.net.

MIXED ANIMAL FT position available for a SA or MA associate veterinarian in a 4.5 doctor AAHA practice on the border of northern WI and the Upper Peninsula of MI. If you’re looking for a progressive, state of the art practice in a beautiful north woods atmosphere then the Iron Mountain Animal Hospital is the place for you. You will also enjoy our friendly, easy going, yet very qualified team.

18 January

2016

Interested associates must have a desire to practice medicine, surgery, and preventive care. We offer a very competitive salary that includes production bonuses and full benefits.

We are also willing to consider a PT position. Please contact Stephanie Mieras, CVPM or Dr. Brian Scott at (906) 774-5961.

Address: 325 Kent St, Iron Mountain, MI 49801. Website: www. ironmountainanimalhospital.com

DAIRY Associated Veterinary Clinic, a progressive MA practice in Ripon, WI seeks a FT LA associate veterinarian. Join 3 other experienced LA doctors in a primarily dairy production medicine practice. The qualified candidate must have good palpation skills and be proficient in portable ultrasound scanning. Responsibilities include mobile herd health management, medical and surgical large animal services, and shared emergency service. Will consider new graduates as well as experienced practitioners. Competitive salary and benefits package with future ownership potential. Clinic located in Ripon, a wonderful college town located within 60-90 minutes of Milwaukee, Madison, Green Bay, and the Fox Cities. Please send cover letter and resume to Dr. William Bartlett by email associatedvetclinic@gmail.com.

Dairy/LA veterinarian needed PT one day per week and one weekend per month. Chalet Veterinary Clinic, Box 317, 1621 E. Main St., Stoughton, WI 53589.*

RELIEF SA relief Veterinarian for central Wisconsin. Experienced.

Versatile. Call Dr. Gary, (715) 652-2065 home, (715) 3057014 cell. Email: garysthevet@aol.com.

Experienced SA relief veterinarian available. Versatile.

Great with staff, clients and pets. Willing to travel. Dr. Lori Zimmerman, (608) 592-7779 or doclori@hotmail.com.

People patient, interactive and adaptive SA veterinarian with 35 years’ experience available starting October 15, 2015 for per diem or regular weekly relief or PT services within +/75 miles Madison. Small mammal experience also. Karen Bressett, DVM: Background, references on request. I look forward to hearing from you. Email: kbressett@live.com.

Reliable, competent, SA relief with over 25 years’ experience.

Wis. license, accredited. Will travel. Capable at soft-tissue surgery and medicine. Great communication skills with clients and staff. ShortTerm Relief, LLC. Call Kate Short, DVM at (608) 963-5208 or email: windsor9917@gmail.com.

Compassionate and reliable SA Veterinarian with 20+ years’ experience available for relief veterinary services in Kenosha and surrounding counties. www.niznikvrs.com. Please email, Dr. Rose Niznik, at drroseniznik@gmail.com or call (630) 915-0156.

SA relief vet since 1995. Thorough, reliable, easy going. Will travel to Green Bay, Kenosha, Janesville, Wisconsin Dells and areas in between. Julie Lakin DVM, (920) 269-7264.

Dependable, 20+ years’ experience. Med/Surg serving Northern/Central Wisconsin. Contact Rich Piwoni, at (715) 627-0957, rapiwoni@hotmail.com.

SA and equine relief work. 21 year experience. Proficient in SA soft tissue surgery and equine ultrasound and power floating.

Will travel. Call Sabine Hartmann, DVM (715) 267-7443 or

twinoaks@tds.net.

Experienced SA clinician available for work in central and western Wisconsin. Excellent communication skills; enjoy working with clients and staff. Nancy Leverance, D.V.M. Email: nleverance52@ gmail.com or call (608) 369-4115 or (608) 429-9408.

Friendly, team-oriented SA veterinarian available for relief work in the twin cities and surrounding suburbs and western Wisconsin. I have over twenty years’ experience working in 1, 2 and 3 doctor practices. I am comfortable with preventative medicine, as well as diagnosing and treating medical and surgical diseases. I will provide good customer service, a common sense approach to medicine and hopefully a little humor. Contact: David Datt, davidrdatt@gmail.com.

Experienced SA veterinarian available for relief work, 15 years relief experience, WI licensed and accredited. Please call/email Mark Clemons, DVM (262) 862-1121, macdjc4209@aol.com.

SA Veterinarian offering relief work. Reliable with excellent communication skills. Great with staff, clients and pets. Will travel. Katie Cotter, DVM, kabcotter@uwalumni.com.

Caring and compassionate relief veterinarian available. 25+ years of AAHA experience. Competent medical and soft tissue surgery skills. Emphasis on quality and integrity. Paul Danhaus, DVM. (715) 571-8091 or paul.danhaus@gmail.com.

Communicative, productive SA veterinarian available for relief work in western WI, surrounding areas. Licensed in MN/WI. Experienced in surgery, medicine, dentistry, staff management.

Outstanding customer service, client-building skills. Victori Ribeiro, MS, DVM, (651) 503-0482; neyx0003@umn.edu.

Quality relief care since 1992. Special interests include surgery and dermatology. Personable, reliable service. Please call Robert Patyk, DVM, at (262) 567-2832. Or email: robert.patyk@att.net.

Experienced SA ER and daytime DVM who loves pets and people and understands how their care is critical to your practice, available in SE/SC Wi and NE/NC IL, David Trask, DVM, traskdr@ gmail.com.

SA veterinarian available for relief in SE and SC WI and NE and NC IL. 13 years’ experience in general and emergency practice.

Contact: Sharon Grogan at sgrogan1@wi.rr.com, or (262) 3086853.

20+ years’ experience, skilled in surgery, diagnostics and client communication. Southern Wisconsin and Northern Illinois. Let me care for your clients and your hospital team. Erika Gibbs, DVM, doctor.gibbs@gmail.com, (920) 988-4431.

SA relief available. Personable with 20+ years’ experience. Call Dr. Katrina Geitner (262) 349-3466 or kgrelief@wi.rr.com.

Quality Customer friendly SA relief services available covering SE WI. Over 20 years’ experience in both SA and emergency medical care. Dr. Pete Gaveras, (414) 795-7100, lavajava@aol.com.

TECH/STAFF Gentle Care Veterinary Hospital will have a position open for a FT CVT in January or February 2016. Will consider recent grad.

Looking for a confident, service oriented, compassionate person to join our team. Competitive pay and benefits. Please send resume to: Sue Ross, gcvhpracticemgr13@gmail.com.

Seeking experienced practice manager for growing practice in

beautiful Lake Country. Ideal candidate would have previous experience in a veterinary clinic, be familiar with QuickBooks, be comfortable managing the staff, be outgoing and enthusiastic about growing the practice even more! Benefits and salary are negotiable. Please send resume to dranna@ lakeviewanimalclinicwi.com.

We’re seeking a personable, compassionate FT/PT Veterinary Technician or Assistant for our SA practices in Oconomowoc/ Delafield, WI. Qualified candidates are hardworking, selfmotivated, and detail oriented. Individuals with exceptional communication skills and adaptation to a team setting is essential. Responsibilities include patient care, laboratory procedures, surgical monitoring, dentistry, radiology and reception. We offer competitive salary and benefits. Please submit resume and cover letter to windi@summitanimal.com.* The Wisconsin Humane Society is looking for a FT/PT CVT at our Milwaukee Campus. Responsibilities: surgery prep and post op care, anesthetize animals and monitor anesthesia, calculate drug dosages, handle and track controlled substances, vaccinate animals, clean and maintain equipment, surgical quarters and animal areas as needed, ensure prompt and accurate paperwork procedures, maintain inventory of surgical and animal care supplies, computer entry and other duties as assigned. Qualifications: veterinary technician certification achieved and maintained, must be positive, flexible, and work well with coworkers and the public, must be committed to treating animals with kindness and respect. A competitive salary and comprehensive benefits package (medical, dental, vision, life & disability insurance, paid time off, vacation, holiday, and retirement) is provided for FT employees. WHS is an EOE. To apply, please visit: www.wihumane.org/employment.* PT/20 hours per week - for Creature Comforts Veterinary in Burlington WI. We are an alternative medicine and western medicine combo clinic and need to have support staff that believes in both types of medicine. Your role here would be diverse, but customer service and computer skill are mandatory.

For more information please call (262) 206-4591 or send resume to housecallvet@sbcglobal.net.* Dodge County Humane Society has an immediate opening for a FT animal care manager/vet tech. The animal care manager is responsible for planning and coordinating the daily animal-related operations of the shelter including feeding, cleaning, exercise and enrichment. The position works closely with animal care staff and contracted veterinarian. Responsibilities include performing initial screening examinations; documenting medical findings; performing daily rounds; administering a variety of medical tests, treatments and vaccinations; and coordinating veterinary schedule. The successful candidate must have the ability to manage multiple priorities in a fast-paced environment. Qualified applicant must possess or be willing to obtain a Euthanasia Certification in the state of Wisconsin. DCHS offers a competitive salary based on experience. Please submit resume and salary requirements to director@dchs-wi.org.* The Wisconsin Humane Society is expanding! We are looking for a FT CVT to join us at our Spay/Neuter Clinic in Milwaukee.

Responsibilities: surgery prep and post op care, anesthetize animals and monitor anesthesia, calculate drug dosages, handle and track controlled substances, vaccinate animals, clean and maintain equipment, surgical quarters and animal areas as needed, ensure prompt and accurate paperwork procedures, maintain inventory of surgical and animal care supplies, computer entry and other duties as assigned.

Qualifications: veterinary technician certification achieved and maintained, must be positive, flexible, and work well with coworkers and the public, must be committed to treating animals with kindness and respect. A competitive salary and comprehensive benefits package (medical, dental, vision, life & disability insurance, paid time off, vacation, holiday, and retirement) is provided for FT employees. WHS is an EOE. To apply, please visit: www.wihumane.org/employment.* Bristol Veterinary Service is seeking a FT experienced technician.

Exceptional communication skills and working as a team player are essential. Bristol Veterinary Service offers a competitive salary with a comprehensive benefit package. We take great pride in practicing high quality medicine. Qualifications include, but not limited to, a veterinary technician certification. Field assistants considered with qualifying experience. Please send a resume to bristolvet@yahoo.com, attn: Jamie. (262) 859-2560.* Busy Veterinary Clinic seeks immediate FT Practice Manager.

Duties include but are not limited to managing accounts payable and receivable, working with accountant, meeting with vendors, overseeing inventory, submitting payroll and managing staff. Knowledge of QuickBooks required. Candidate must be able to work well as a team member and have excellent communication skills. Please send resume with cover letter to sheboygananimalclinic@gmail.com.*

FOR SALE 2004 Chevrolet Silverado 2500 Regular Cab. Has Bowie America 8 foot veterinary box currently installed. 2WD 6.0L V8. 160,000 miles.

Asking $5000 obo. Please call with interest at (262) 859-2560.

GE LOGIQ Book XP Vet Enhanced with DICOM and Doppler options. Includes 4-10MHz Microconvex Transducer and 2 batteries. Purchased new Dec 2012. Excellent condition. Contact: spah54482@gmail.com.

2001 Chevrolet Silverado 2500HD Diesel 4WD. Has Bowie Ultra 6 veterinary box. Truck has power everything. 292,000 miles.

Will go another 100,000 miles. Perfect starter veterinary truck.

Asking $8500 obo. Please call with interest at (262) 859-2560.

PRACTICE FOR SALE Well established SA practice located 35 miles west of Milwaukee.

Over 400K gross. Inquire at vcfsch@gmail.com or mail to Blind Box: 16PFS001, c/o WVMA, 4610 S. Biltmore Ln., Ste. 107, Madison, WI 53718.

NEW! Southwest Milwaukee area SA practice grossing $825K for 2015. Px is well equipped and staff is well trained. Beautiful building with 3 exam rooms. Real estate priced at appraised value of $305K. Px price $625K. Contact Dr. Kurt Liljeberg of Total Practice Solutions Group, (800) 380-6872, or kurt@ tpsgsales.com.

75% SA , 25% LA clinic with computed digital radiography, inhouse bloodwork, surgical laser, surgical room with anesthesia, computerized record keeping, 2 exam rooms, heated garage, 3 livestock stalls, building with living quarters, approx. 1 acre land, grossing $250k, opportunity for expansion, asking $250k, motivated seller, call (608) 343-3401.

Huge price reduction due to health issues! MA practice grossing $860K in far northern WI on Lake Superior shoreline. Practice is 70% SA and 30% LA. Digital radiology, digital dental, surgical

and therapy lasers. Large state of the art building. Practice and RE only $650K. Would sell only the SA practice if desired.

Contact Dr. Kurt Liljeberg of Total Practice Solutions Group, (800) 380-6872, or kurt@tpsgsales.com.

NEW! Green Bay area 97% SA practice grossing over $1,471,000.

Established over 20 years, 3 exam rooms. Seller would stay to help buyer. Contact Dr. Kurt Liljeberg of Total Practice Solutions Group, (800) 380-6872, or kurt@tpsgsales.com.

A very busy successful SA practice for sale including real estate.

We have an excellent location and wonderful clients. Large building with complete furnishings. We are computerized and well equipped. Please contact for further details at jmajjb@ amerytel.net.

North Central Wisconsin SA practice grossing $1.4M. Located NW of Green Bay. Well equipped, digital radiology, Dentalaire dental, 4 CVT, excellent office manager. Contact Dr. Kurt Liljeberg, (800) 380-6872, or kurt@tpsgsales.com.

Michigan, Bay County: Great Investment! 2,500sf SA, nearly 1/3 acre, 2-exam rooms. MI1. Western UP: Growing practice, home and +/-40 acres. MI2. Missouri, St. Louis: Feline - Ideal Area! 2,200sf, 3-exam rooms. MO1. New York, Elmira: Turn-Key! 3,500sf SA, +/-.33acres, 2-exam rooms. NY8. Ohio, Cuyahoga County: Solid Practice. +/-2,700sf, 2-exam rooms. OH1. PS Broker, Inc., (800) 636-4740. psbroker.com. info@psbroker.com.

West Central WI. All SA, one DVM practice w/real estate.

Practice & RE for less than one year’s gross! $100K+ to new owner! Contact: Dr. Ken Ehlen, Simmons & Assoc. Midwest Inc. simmons@simmonsmidwest.com. (877) 322-6465.

NW Wisconsin near Minnesota line. SA practice gross $450K. Well equipped. Owner has other interests. Contact Dr. Kurt Liljeberg of Total Practice Solutions Group, (800) 380-6872, or kurt@tpsgsales.com.* Michigan, Bay County: Great Investment! 2,500sf SA, nearly 1/3 acre, 2-exam rooms. MI1. Western UP: Growing practice, home and +/-40 acres. MI2. Missouri, St. Louis: Feline - Ideal Area! 2,200sf, 3-exam rooms. MO1. New York, Elmira: Turn-Key! 3,500sf SA, +/-.33acres, 2-exam rooms. NY8. Ohio, Cuyahoga County: Solid Practice. +/-2,700sf, 2-exam rooms. OH1. PS Broker, Inc., (800) 636-4740. psbroker.com. info@psbroker.com.* Marshfield Wisconsin high quality SA AAHA practice grossing $970,000. The hospital is well equipped with digital radiology, ultrasound, surgical laser and much more. Hospital has 3 doctors with 5 exam rooms. The hospital has been serving the community nearly 40 years. Facilities are excellent and less than 10 years old at the current location. Practice and real estate offered for $1,125,000.Contact Dr. Kurt Liljeberg of Total Practice Solutions Group, (800) 380-6872, or kurt@tpsgsales.com.* NW Wisconsin near Twin Cities. SA revenue $645K. Practice and RE offered for $675,000. Easy terms and low entry cost for ownership. Contact Dr. Kurt Liljeberg of Total Practice Solutions Group, (800) 380-6872, or kurt@tpsgsales.com.new.* When buying or selling a veterinary practice, count on the experience of Total Practice Solutions Group. See our display ad this issue. Contact Dr. Kurt Liljeberg of Total Practice Solutions Group for a free consultation, (800) 380-6872, or kurt@ tpsgsales.com.*

19

Wisconsin Veterinary Medical Association 4610 S. Biltmore Ln., Suite 107 Madison, WI 53718

Mark Your Calendar!

2016 WVMA Convention!

October 13-16 Madison, Wis. Mind, Body, Soul - A Team Wellness Workshop April 9 & 10 Location TBD

VOICE

2016 WVMA

20 January

January 2016