Update on Antimicrobial Use and Stewardship Recommendations in Large and Companion Animals
August 13, 2024 | 12:30 PM–2:00 PM (1.5 CEUs)
August 14, 2024 | 5:30 PM–7:00 PM (1.5 CEUs)
This course satisfies the one hour of California CE requirement on the judicious use of medically important antimicrobial drugs. For more information, see page 34.
CVMA Fall Seminar in San Diego
October 4–6, 2024 (12 CEUs)
For more information, see page 20.
CAVMRC Disaster Response Training
November 3, 2024 (7 CEUs)
For more information, see page 31.
Registration for all CVMA events can be made online by logging onto cvma.net or by calling 800.655.2862.
PROGRAMS
California Veterinarian (ISSN 00081612) is published bi-monthly by the California Veterinary Medical Association, e-mail: staff@cvma.net. California Veterinarian is an official publication of the California Veterinary Medical Association. Annual subscription rates to non-members: $50 U.S., $60 Canada/Mexico, $70 overseas. Price per single copy: $10 current year, $12 back issues. Periodicals postage paid at Sacramento, CA and at additional mailing offices. POSTMASTER: Send address changes to California Veterinarian, 1400 River Park Dr., Suite 100, Sacramento, CA 95815-4505. Phone: 800.655.2862
The Publication of the California Veterinary Medical Association
Publisher Dan Baxter
Managing Editor Taryn DeOilers
Editor Kristen Calderon
Publication Designer Marissa Collier
Classified Advertising Laura Phillips
BOARD OF GOVERNORS
President Dr. Jennifer Hawkins
President-Elect Dr. Peter Bowie
Member-at-Large Dr. Jodi Woods
Members
Dr. Heather Bessoff
Dr. Kelly Byam
Dr. Patrick Connolly
Dr. Eleanor Dunn
Dr. Inez del Pino
Nicole Dickerson, RVT
Dr. Misty Hirschbein
Dr. Diane McClure
Dr. Teresa Morishita
Dr. Shari O'Neill
Dr. Kevin Terra
Dr. Laura Weatherford
Dr. Brent Wooden
Treasurer Dr. Ron Kelpe
Chair, House of Delegates Dr. Georgina Marquez
STUDENT REPRESENTATIVES
University of California, Davis Alexis McBride
Western University Samantha Rosander
CVMA STAFF
Executive Director Dan Baxter
Director of Member Services Kristen Calderon
Director of Communications Taryn DeOilers
Director of Conferences and Events Sarah Erck, CMP
Director of Regulatory Affairs Grant Miller, DVM
Director of Finance Thomas F. Palmieri, CPA
Membership and Student Services Manager Laura Phillips
Finance Coordinator Sharmele Browne
Design & Print Manager Marissa Collier
Conference Speaker Coordinator Lily Briggs
Conference Expo Coordinator Erica Ferrier
Membership Coordinator Jennifer Smith
Receptionist Mary Young
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Please contact Erica Ferrier at 916.649.0599 ext. 15 or email eferrier@cvma.net.
Iturned 50 years old in late February, an event that such a (seemingly) short while ago felt like a distant, futuristic occurrence. I still have vivid memories of my father’s 50th birthday some 36 years ago, a surprise party that I helped to execute by placing a call to my parents—who were out with friends—falsely claiming that the house alarm was going off and I couldn’t get in the front door…something like that.
It’s hardly novel for a person to take stock when they reach an age-related milestone. For me, the combination of turning 50 along with the significant changes I have made over the last five years (notably including joining the CVMA) has given me reason to do just that, producing a number of reflections both personal and professional. One of those reflections is appreciation and gratitude to the CVMA for the opportunity to serve as its executive director. Although my prior service as the CVMA’s outside legal counsel gave me some measure of insight into the veterinary profession and what it means to represent it, these last 3 ½ years of direct CVMA service have been decidedly eye-opening, all in positive ways. The work that the CVMA’s Board of Governors, leadership, and staff does on behalf of the profession is impressive to behold, and I am grateful to be a part of the team providing that service.
And speaking of gratitude, I don’t want to let this moment pass without thanking all of you readers who are and remain CVMA members, and exhorting the rest of you to become members. We do so much here at the CVMA, and if you haven’t been a member for a while—or previously considered membership but decided against it—I would invite you to take a look at what we have to offer. In the last couple of years alone, we have introduced a dozen new member benefits ranging from discounted subscriptions for Plumb’s Pro to reputation management services by ReviewTree to crowdfunding for veterinary treatment through PetFundr. If you haven’t taken a look at our vast array of member benefits, I invite you to do so at cvma.net/membership/cvma-member-benefits.
I should also note that one of our overarching aims as an organization is to offer veterinary practitioners a sense of community, and we are always working hard to fulfill that goal. In an era of increasingly exclusive reliance on remote platforms to find connection, the CVMA has charted what we believe to be an effective course that marries the convenience of technology with the importance of personal contact. Our Pacific Veterinary Conference (PacVet) and Spring and Fall Seminars are now fully hybrid offerings, and both our inperson and virtual attendance at those events has been robust since we decided to make that hybrid status permanent coming out of COVID. In-person contact remains important, and as I attended last year’s PacVet and walked the exhibit hall floor and break-out events, I couldn’t help but notice the satisfaction of attendees and vendors alike to be interacting with one another on a face-to-face basis. Perhaps the best example of that was the Technician Fair, our dedicated appetizer/ cocktail hour where RVTs and veterinary assistants interface with industry partners and NAVTA-approved academies and societies. It was a packed house, and attendees seemed truly happy to have the opportunity to mix and mingle with their peers.
Community can also be derived from knowledge, and the confidence to share that knowledge with colleagues. Accordingly, a lot of what we do here at the CVMA is focused on professional development, an objective that we fulfill through sources as disparate as articles in California Veterinarian to CE offerings throughout the year to our regulatory compliance program through CVMA Watchdog (cvma-watchdog. net). We value the opportunity to inform and educate veterinary practitioners on clinical, regulatory, and political matters, and to serve as a trail guide to our members on where the profession is, where it’s going, and how to best navigate what is in front of us.
I remain thrilled to be a part of the CVMA team, and look forward to working with and representing the veterinary community now and in the years to come!
Dan Baxter Executive Director
JULY 22–25, 2024
Veterinary Medical Board Meeting
AUGUST 28–29, 2024
Veterinary Insurance Services Company Board Meeting
OCTOBER 4–6, 2024
CVMA Board of Governors Meeting in San Diego
OCTOBER 15–17, 2024
Veterinary Medical Board Meeting
= HYBRID OR VIRTUAL EVENT
News Now & CVMA
CVMA Creates New Legislator of the Year Award
The CVMA is pleased to announce the creation of our new Legislator of the Year Award! This annual award will be presented to legislators demonstrating an understanding of and appreciation for the unique complexities of the veterinary medical profession. Further, the award will acknowledge those legislators who celebrate the positive contributions of veterinarians, registered veterinary technicians, researchers, veterinary students, and veterinary medical faculty in our state. This year’s recipient(s) will be announced in early August.
August 15 Is National Check the Chip Day
The American Veterinary Medical Association (AVMA) and American Animal Hospital Association (AAHA) have declared August 15 Check the Chip Day to encourage pet owners to get their pets microchipped and keep the registration information up-to-date. By updating their pet's microchip information annually, pet owners can increase their pet’s chances of returning home if lost. Visit www.avma.org/events/national-check-chip-day for more information and to download a flyer or copy-and-paste social media posts to share with your clients.
CVMA members have access to low-cost microchips, collar tags, scanners, and free microchip registries for their clients through SavingLife. To access this member benefit, visit Member Benefits under the Membership tab at cvma.net.
National Disaster Preparedness Month Is This September
National Disaster Preparedness Month is recognized each September to promote disaster planning across communities. The CVMA provides resources for the California Animal Response Emergency System (CARES) to assist the state with disaster planning as it pertains to animal welfare. CARES is an operational guidance system that helps with all aspects of animal care and management during disasters or emergencies, including planning and mitigation, search and rescue, evacuation, transportation, sheltering, veterinary care, and recovery.
Download CVMA’s Updated Mobile App!
The CVMA’s mobile app has recently received an update. Please scan the QR code to download the newest version to access the most up-to-date information and register for CE.
I AM THE
Jeni Goedken, DVM
c Owner of Fond Farewell, Consultant to the California Veterinary Medical Board (CVMB), Member of the Multidisciplinary Advisory Committee to the CVMB.
c University of Illinois (Class of 2005)
c Home hospice and euthanasia
I knew I was in the right profession when I decided to start my own practice and limit the scope of medicine to what I do best.
I volunteer with Street Dog Coalition, Santa Clara Valley Veterinary Medical Association (SCVVMA), the CVMA, and Silicon Valley Pet Project (featured in this photo from SVPP rescue is Calvin, a 7-month-old puppy who was a few weeks post op from an ulnar growth plate avulsion fracture repair).
I would like to be known for being a helper.
My favorite quote is “I’ve learned that people will forget what you said, people will forget what you did, but people will never forget how you made them feel.” -Maya Angelou
Five adjectives that best describe me are compassionate, fair, hardworking, generous, and adaptable.
The most interesting place I have visited is tied between Japan and Singapore.
Members are the heart of the CVMA
I pursued in-home euthanasia because I feel fulfilled taking care of pets and the people that love them on the day they need care the most.
I am a CVMA member because the CVMA is the only organization that prioritizes the best interests of veterinarians and technicians when state regulations and legislation are discussed. The CVMA is not about politics—it’s about advocating for and protecting our profession.
PHOTO BY: BIJOU PET PHOTOGRAPHY
® Member Benefits
Continuing Education Information
• High-quality CE offered in person and online at special member rates – cvma.net/continuing-education/
• Continuing education record maintenance on the CVMA website with licensure renewal reminders – cvma.net/continuing-education/
• CVMA’s Certified Veterinary Assistant Program – cvma.net/resources/
Business
• Free legal and regulatory consultation for member veterinarians
• CVMA Watchdog program to assist with workplace safety, legal issues, and laws and regulations – cvma-watchdog.net
• Relief Veterinarian Directory
• Find-a-Veterinarian allows potential clients to find you by name, city, and practice type
Advocacy
• CVMA legislative advocacy at the State Capitol and in front of regulatory boards – cvma.net/advocacy/
• Continual monitoring and reporting of unlicensed veterinary activity
• Immediate access to important information through California Veterinarian magazine, CVMA’s Connect e-newsletter, the CVMA website, press releases, and action alerts
Wellness
• TELUS Health (formerly LifeWorks) is the CVMA’s full-service member assistance program
• LetsGetChecked provides discounts on over 30 home health tests
• Active&Fit gives discounts to over 12,500 national fitness centers
Insurance Coverage
• Veterinary Insurance Services Company (VISC) insurance specialized for the needs of veterinary professionals – visc-ins.com
• Delta Dental Insurance
• Vision Service Plan
Career
• The CVMA Career Center post and view classified employment and practice sales ads
• CVMA members-only online directory
• Mentorship Programs
» MentorVet discounted fee for peer support coaching for new veterinary graduates
» JUST ADDED! Ready, Vet, Go
• RVT Distance Learning Programs
» NEW PROGRAM! Penn Foster
» VASE
Student
• Summer Work Experience Program (SWEP) connecting veterinary students with veterinary practices for summer employment
– cvma.net/resources/
• VISC UC Davis and WesternU veterinary student members receive complimentary professional liability insurance
Entertainment
• California Academy of Sciences
• Car Rental Savings
• TicketsAtWork discounts for theme parks and more
Savings on Products and Services
• CareCredit healthcare financing with free member enrollment
• The Castle Press discounts on printing services and products
• Clean Harbors discounts on medical waste services packages
• Epicur Pharma discounts on its 503B product line for in-house use and administration as well as secondary dispensation to clients
• GlobalVetLink discounts on electronic prescriptions, health certificates, feed directives, and other products
• National Pharmaceutical Returns discounts on mail back disposal services for unwanted prescription and over-the-counter drugs, and reverse distribution of unwanted controlled substances
• PetFundr provides pet owners access to create crowdfunding campaigns that send funds directly to your account for their pet's care
• RECENTLY ADDED! The OnHold Experience discount on professionally produced "on hold" message campaigns
• JUST ADDED! ReviewTree See page 10 for full description
• The ULTI Travel Bag by CONMIGO 15% off!
• RECENTLY ADDED! Plumbs Pro™ discounted subscription for an essential tool providing diagnostic and treatment guidance, reliable drug information, and pet owner education
INTRODUCING CVMA'S NEW MEMBER BENEFIT:
ReviewTree for Online Reputation Management and Client Feedback
Elevate your practice’s online reputation and client satisfaction with ReviewTree, the latest member benefit offered by the CVMA. Using ReviewTree’s post-appointment surveys, your practice can effortlessly gather real-time customer feedback, satisfaction ratings, and net promoter scores, while quickly increasing your positive online scores. Satisfied clients can choose to share their positive experience with others on Facebook, Google, and other top sites.
ReviewTree makes it easy for your clients to broadcast their satisfaction to the world! Clients can seamlessly convert and publish their positive feedback into 5-Star Reviews with a single click. No cumbersome log-ins or retyping is necessary. ReviewTree’s website plugin showcases positive client comments
directly on your website, automatically. The platform’s proactive approach redirects negative feedback to managers, enabling prompt client follow-up and mitigating the likelihood of detrimental online reviews.
Integrating with most Practice Information (PIM) systems, ReviewTree empowers practices to collect valuable customer feedback, diminish client turnover, and grow online reviews by 20-30 times. As an added benefit, ReviewTree can improve staff morale by making it easy to share positive feedback. All with no extra work for your staff!
With its unique “You Rate—We Donate” initiative, ReviewTree incentivizes clients to share their comments by offering to make a donation to a charitable cause. Select from more than two million charities,
including the California Veterinary Medical Foundation, your own angel fund, a local shelter, or a national cause.
CVMA members receive special discounts and free services adding up to a $1,000 value! Members already utilizing ReviewTree can access the discount by emailing CVMA@ReviewTree.com.
CVMA Considers Initiatives to Introduce the Veterinary Profession to Underrepresented Groups
Borne from its goal of promoting veterinary medicine as an accessible and welcoming profession to people of all communities, including members of historically underrepresented groups, the CVMA is proposing two potential programs that would introduce veterinary medicine as a viable career path to K-12 students, including those from underserved and underrepresented communities. As both of these programs are in the early stages of development, changes to the format specified below are possible.
Career Days
The CVMA’s first proposed initiative is a grassroots-style career day campaign set up by veterinary professionals throughout the state. In this program, CVMA
member volunteers would contact local schools—possibly ranging from kindergarten to high school—to set up a career day, in which they speak to students about life as a veterinarian, getting into veterinary school, and more.
Summer High School Program
The second initiative would be a potential summer program in which CVMA member practices host high school students from underrepresented communities and expose them to the dayto-day work of veterinary professionals. The mission for this program would be to afford high school students the opportunity to gain hands-on experience in a veterinary practice, learn about the profession, and feel empowered
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to consider veterinary medicine in the future. This program would differ from the CVMA’s Summer Work Experience Program (SWEP), a summer program that accepts students who are already in veterinary school.
As the CVMA considers the logistics of these potential programs, we want to hear your initial thoughts! We have put together a short survey to gauge our members’ interest in participating and to receive relevant feedback, and we would ask you to scan the QR code to the left and fill out the survey. If you express interest in participating in the career day or the summer program, we will contact you with more information in the future. Thank you for your assistance and consideration!
Bionote’s Vcheck V200 truly raises the bar for veterinary care. bionote.com/v200
Sales and Use Tax and the Veterinary Profession
By Grant Miller, DVM, CVMA Director of Regulatory Affairs
In general, sales tax must be paid to the California Department of Tax and Fee Administration (CDTFA) either at the time a veterinarian purchases an item from a wholesale distributor, or when a veterinarian sells an item to a client and collects sales tax for remittance to the state. Certain caveats exist to the payment of taxes, as described below.
If a veterinarian pays sales tax on drugs and medicines at the time of purchase from a veterinary wholesale distributor or pharmaceutical manufacturer, they need not charge the client a sales tax provided that they are furnishing those drugs or medicines to clients in conjunction with a professional service under the following conditions:
1. The veterinarian has an established Veterinarian-Client-Patient Relationship (VCPR) for the condition the drug or medicine is being used to treat; and,
2. The veterinarian is not reselling the drug or medicine to the client for a higher cost than it was purchased by the veterinarian from the wholesaler; and,
3. The item is not an excluded item (see the tax law below).
This tax exemption is written in California Revenue and Taxation Code section 6018.1, as follows:
Veterinarians. A licensed veterinarian is a consumer of, and shall not be considered a retailer within the provisions of this part with respect to, drugs and medicines used or furnished by him or her in the
performance of his or her professional services. For the purposes of this section, "drugs and medicines" includes substances or preparations intended for use in the diagnosis, cure, mitigation, treatment, or prevention of disease in animals and which is commonly recognized as a substance or preparation intended for this use. The term includes legend drugs, pills and capsules (other than vitamins), liquid medications, injected drugs, ointments, vaccines, intravenous fluids, and medicated soaps if those soaps are available only to veterinarians. The term does not include vitamins, shampoos, pet foods, prescription diet foods, artificial diets, flea powders, and flea sprays.
Of note, the sales tax exemption does not apply to vitamins, shampoos, pet
foods, specialty diet foods, artificial diets, flea powders, or sprays.
This exemption is further reinforced in the CDTFA’s regulations:
California Sales and Use Tax Regulation 1506(j) pertaining to licensed veterinarians.
(1) Definitions. As used herein:
(A) The term "licensed veterinarian" means any person licensed as a veterinarian by the California Department of Consumer Affairs, Board of Examiners in Veterinary Medicine.
(B) The term "drugs and medicines" includes substances or preparations intended for use in the diagnosis, cure, mitigation, treatment, or prevention of disease in animals and which is commonly recognized as a substance or preparation intended for this use. The term includes legend drugs, pills and capsules (other than vitamins), liquid medications, injected drugs, ointments, vaccines, intravenous fluids, and medicated soaps if those soaps are available only to veterinarians. The term does not include vitamins, shampoos, pet foods, prescription diet foods, artificial diets, flea powders, and flea sprays.
(C) The term "professional services" includes the diagnosis and treatment of disease or trauma in animal life. It also includes the administration of drugs and medicines by means of, for example, injection, intravenous solution, or oral or bodily application.
(2) Application of Tax.
(A) Licensed veterinarians are consumers of drugs and medicines which they
use or furnish in the performance of their professional services. Accordingly, tax does not apply to a licensed veterinarian's charges to clients for such drugs and medicines, whether or not separately stated.
The negative corollary of the last subsection excerpted above is that if a veterinarian is not furnishing drugs and medicines in relation to professional services, then they are mandated to collect and remit sales tax.
Example: A veterinarian uses a drug or medicine to treat a patient, for which the veterinarian paid sales tax when purchased from their wholesale distributor. The drug or medicine was used pursuant to a valid VCPR and the veterinarian charges the client a fee for services, without marking up the price of the drug or medicine used. In this scenario, the veterinarian does not need to charge the pet owner an additional sales tax on the item sold. If, on the other hand, the veterinarian did not pay sales tax at the time of purchase from the wholesaler, then the veterinarian owes tax for using the product and must either pay it themselves, or collect it from the client and remit it to the CDFTA.
Also, if a veterinarian marks up a product on which they paid sales tax at the time of purchase from a wholesale distributor or manufacturer, they are responsible for remitting the difference in tax between the wholesale purchase price and the marked-up price at retail sale.
Example: Product X price at the time of sale between the wholesale distributor and veterinarian = $10.00. Assuming a tax rate of 7.25%, the use tax paid by the veterinarian is $0.73. If the veterinarian marks up Product X to a price of $15.00 and dispenses it to a client in conjunction with a service provided pursuant to an established VCPR, the tax amount is
$1.09 (7.25% of $15.00). The wholesale distributor has already remitted $0.73 to the CDTFA from the transaction that occurred when the veterinarian purchased Product X. The difference between the two tax amounts, $0.36, is now due to the state and must be remitted by the veterinarian.
Reporting sales and use taxes can be a complicated process that requires proper recordkeeping. If you are uncertain about pertinent recordkeeping and reporting requirements, you may want to consult with your sales tax or accounting professional.
This article is for informational and general educational purposes only. It is not intended to take the place of legal advice nor should it be considered as a legal interpretation. Although significant effort has been made to ensure the accuracy and completeness of the information at the time of publication, the CVMA shall not be responsible for any errors or omissions, or any agency’s interpretation, application, or enforcement of the information presented herein.
2024 California Legislative Update
The California legislative cycle has passed its halfway point with surviving Assembly bills now being reviewed by Senate committees, and vice versa. At this stage of the legislative process, nearly half of the bills that the CVMA was originally lobbying have died, leaving approximately 20 bills still active in the legislative process. The CVMA’s legislative team is participating in frequent meetings to ensure that the voice of the profession is heard by lawmakers and other stakeholders on these remaining bills. The CVMA’s lobbyists are also working hard to meet with legislative staff and committee consultants to address issues with each bill.
Below is a summary of the CVMA’s priority bills and their current status.
SB 1233 (Wilk) University of California: veterinary medicine: spay and neuter techniques.
CVMA-Sponsored Bill
CVMA Position: SUPPORT
CURRENT BILL STATUS: Awaiting Assembly Appropriations Committee review
To help address pet overpopulation issues, the CVMA is sponsoring SB 1233 (Wilk) to create High-Quality, HighVolume Spay-Neuter (HQHVSN) certification programs at both of California’s veterinary schools: the Western University of Health Sciences in Pomona, and the University of California at Davis. The bill intends to provide HQHVSN elective certification courses for qualified California veterinary students, as well as for veterinarians and registered veterinary technicians (RVTs) in private practice. The certification programs will teach respective roles, tasks, and techniques in an HQHVSN environment.
Students enrolled in the certification course will learn HQHVSN surgical techniques in addition to the assemblyline/team approach principles of HQHVSN. Students and veterinarians will be required to successfully complete a set number of surgeries using HQHVSN techniques to earn their certificate. RVTs will not be authorized to perform surgery under the terms of this bill. Licensed veterinarians and RVTs
who complete the program will earn continuing education credit in addition to their certificate. Veterinary students will be able to take the certification courses for free, while licensees will pay a nominal fee. The spay and neuter surgeries will be provided at either no cost or at a low cost to qualified dog and cat owners, based on financial need. Each school will have the ability to structure its own program in accordance with HQHVSN best practices, available facilities, resources, and staff.
This legislation provides short-term and long-term solutions to the issue of dogs and cats needing to be sterilized by not only creating two large HQHVSN centers in both Northern and Southern California, but also by better equipping the veterinary workforce with the knowledge, skill, and ability to safely and efficiently perform HQHVSN surgeries.
The CVMA believes that only veterinarians possess adequate education and training to perform surgery, and thus recognized the need to sponsor legislation to alleviate California’s pet overpopulation epidemic.
This bill has passed all of its committee reviews and the Senate with unanimous bipartisan support. Its major hurdle will be a mechanism for funding, which will be decided in the Assembly Appropriations Committee. Given that our state is facing a dire $50+ billion budget deficit, the state legislature will likely face challenging decisions on this and several other spending bills.
AB 3029 (Bains) Controlled substances.
SB 1502 (Ashby) Controlled substances: xylazine.
CVMA Position: SUPPORT CURRENT BILL STATUSES:
AB 3029: Awaiting Senate Appropriations committee review
SB 1502: Held in Committee
Both of these bills were written to add xylazine to the Schedule III category of the State of California controlled substances list to help reduce the illicit use of xylazine among human substance abusers. Xylazine, also known as “tranq” in the illicit drug trade,
is commonly combined with fentanyl and taken by drug abusers. The physiologic ramifications of these drugs in humans can be lethal, and thus California is taking steps to limit the availability of xylazine to anyone other than a licensed veterinarian who is using it for legitimate veterinary medical practices. Xylazine is a commonly used sedative among livestock, equine, and wildlife veterinarians and is also utilized by animal control officers in the field who administer it under veterinarian direction. The CVMA has worked closely with both authors to help ensure that veterinarian access to xylazine is maintained following the transition of xylazine becoming a scheduled drug. AB 3029 is being authored by Assemblymember Jasmeet Bains, a physician specializing in addiction medicine. SB 1502 was sponsored by Governor Gavin Newsom and authored by the Senate Business, Professions, and Economic Development Committee Chair, Senator Angelique Ashby. SB 1502 was held in the Assembly Public Safety committee and thus only AB 3029 will progress to the next phase of the legislative process. The CVMA has testified as a support witness for both bills during multiple committee hearings at the Capitol.
AB 814 (Lowenthal) Veterinary medicine: animal physical rehabilitation.
CVMA Position: OPPOSE
CURRENT BILL STATUS: Dead for the year
This measure would have permitted physical therapists to open their own practices to provide animal physical rehabilitation services to all species of animals by veterinary referral. The bill was an attempt to override current state law by proposing that direct veterinarian supervision be removed in practices run by physical therapists and avoiding minimum standards required of veterinary practices and by inclusion of a licensee manager and other consumer protection provisions. The bill did not address access to veterinary care as the sponsors have contended, but instead introduced a scope of practice creep by medical professionals with no formal licensing education in animals. This would have been unsafe for animals and deeply insulting to the veterinary profession, and if allowed would have paved the way for incursions by other healing arts professions. In addition, the Veterinary Medical Board (VMB) estimated a $1.2 million implementation cost if the bill passed. Since the VMB’s operating budget is not augmented by the general fund and comes solely from licensing and permit fees, the CVMA voiced concern about how this cost would have been covered.
This bill was held over in the Senate Business, Professions and Economic Development Committee during last year’s legislative session, but was scheduled to be heard in the committee during this year’s session. As a result of intense lobbying efforts by the CVMA, the AVMA, and several veterinarians and RVTs throughout the state, committee members received a high volume of calls, emails, and letters voicing strong opposition to the bill. Additionally, the VMB voiced strong opposition and the state Physical Therapy Board expressed concerns. As a result,
the bill was held in the committee. Thank you to everyone who took time to call or email key legislators.
This is the fourth and latest attempt by a small group of physical therapists over the course of the past 15 years to pass legislation to expand their scope of practice to include animals. The CVMA views scope of practice expansion attempts by human health care practitioners to be the highest opposition priority and will always fight to protect animals, consumers, and the veterinary profession.
CURRENT BILL STATUS: Awaiting Assembly Appropriations Committee review
This bill will add specific language to existing law that better defines what written protocols must be established by shelter veterinarians for RVTs to follow when managing animals in shelters. The protocols include time periods by which an impounded animal must be assessed at intake and monitored while in the custody of the agency; protocols to address the treatment of common medical conditions that are encountered in animals and for controlling infectious and zoonotic diseases, controlling acute pain, and preventing environmental contamination; communication requirements between the registered veterinary technician and the supervising veterinarian; and euthanasia criteria for medically related cases. The CVMA has been in communication with the author as well as with several shelter veterinarians and other stakeholders and will continue to closely monitor this bill as it makes its way through the legislative process.
2024 Legislative Calendar
August 23
August 31
September 30
Last day to amend bills on the Floor (general session)
Last day for each house to pass bills
Last day for governor to sign or veto legislation
CVMA Legislative Action Center
For specific information on bills or to track CVMA-monitored bills through the legislative process, visit the CVMA’s online Legislative Action Center in the Advocacy section of cvma.net.
How Does the California Veterinary Medical Board Handle Complaints Against Your License?
By Bonnie Lutz, Shareholder, Klinedinst PC
The question I am asked very frequently is what happens after a complaint is filed with the California Veterinary Medical Board (CVMB). This article is intended to provide a summary of the actions taken by the CVMB and how the process generally works.
What initiates an action by the CVMB?
Most actions taken by the CVMB are initiated by a complaint filed against a veterinarian directly, a veterinary hospital, or a veterinary hospital staff person. Most complaints come from unhappy clients, although anyone can file a complaint with the CVMB, including family members, neighbors, competitors, staff, or anyone else.
An action is also initiated by the CVMB if a veterinarian settles with a client for over $10,000 in a claim or action for damages for death or injury caused by negligence, error, or omission in practice or rendering unauthorized professional service.
What is included in the CVMB’s initial investigation?
When the CVMB receives a complaint or a report of a settlement over $10,000, it begins an investigation that normally includes correspondence sent to the veterinarian named in the complaint or to the licensee manager of the veterinary hospital. This correspondence from the CVMB includes a description of the complaint’s allegations and requests medical records regarding the subject matter of the complaint. This correspondence also allows the veterinarian or licensee manager to provide a narrative statement in response to the complaint’s allegations.
If the complaint includes allegations regarding the physical condition of the veterinary hospital, the CVMB may perform a “complaint-related” inspection. If the CVMB has reason to believe that there are issues related to controlled substances, it may contact the U.S. Drug Enforcement Administration (DEA). In addition, if the complaint relates to serious allegations like drug or alcohol use at the facility, sexual harassment, animal cruelty, or other potentially criminal offenses, the CVMB may hire the Division of Investigation of the Department of Consumer Affairs (DOI) to perform an investigation into the allegations in the complaint. Often, a serious complaint will trigger a visit to the veterinary hospital by the CVMB, DEA, and DOI together.
What occurs following the initial investigation?
The CVMB reviews what was submitted by the veterinarian. If the CVMB determines that there was no evidence of violation of the California Veterinary Medicine Practice Act (“Practice Act”), it will issue a closing letter or possibly an Education Letter that is retained as part of the licensee’s file at the CVMB but not displayed to the public.
If it is determined that there is possible evidence of violations of the Practice Act, the CVMB will issue a Potential Violations letter. The veterinarian is given the opportunity to respond to this correspondence.
Most complaints come from unhappy clients, although anyone can file a complaint with the CVMB, including family members, neighbors, competitors, staff, or anyone else.
What is an Accusation and how is it handled?
In cases where the seriousness of the complaint triggered a hospital inspection or involvement of the DEA or DOI, the veterinarian or licensee manager will either not hear anything further regarding the matter because it has been dismissed or will receive from the CVMB a Citation, an Accusation as described below, and potentially additional correspondence from the DEA if that agency was involved.
What occurs following the Potential Violations letter or an inspection or investigation by the CVMB, DEA, and/or the DOI?
At this point, the CVMB can dismiss the matter, issue a Citation, or file an Accusation. A Citation is not considered formal discipline, but is still posted online for public access. A Citation requires payment of a fine and the issuance of a Citation remains on the CVMB website for five years. A Citation can be appealed through an informal conference or a hearing before an administrative law judge.
An Accusation—discussed further below—constitutes formal discipline and therefore will also be posted online for public access.
If there is evidence of negligence, incompetence, unprofessional conduct, or other violations of the Practice Act, the CVMB can submit the matter to the Attorney General’s office for filing an Accusation. This normally occurs when the veterinarian has had numerous complaints that the CVMB considers justified, there are serious violations of the Practice Act found during a hospital inspection, and/or there are serious violations regarding controlled substances or other misconduct determined through investigation by the DOI. If the CVMB is particularly concerned that the veterinarian is a danger to the public, they can file an Interim Suspension Order (ISO), which immediately stops the veterinarian from being able to legally practice. If the ISO is granted, the veterinarian’s license is placed on suspension pending the resolution of the Accusation.
The purpose of an Accusation is to revoke the veterinarian’s license.
Management of an Accusation requires either settlement with the CVMB or attendance at a hearing before an Administrative Law Judge. In most cases, the CVMB and the veterinarian are able to agree to a stipulated settlement, which includes a period of probation and other terms as determined by the CVMB. The license revocation is “stayed,” meaning that it is suspended during the period of the probation. If the veterinarian fails to comply with the terms of the stipulated settlement, the CVMB can file a Petition to Revoke Probation. If that petition is granted, the license is revoked.
What are the timelines of each action by the CVMB?
Unfortunately, there are no “timelines” for any of the above described actions. Often an Accusation includes allegations based on complaints filed four or five years previously. There is also no statute of limitations on regulatory actions.
What are points to consider regarding avoidance of the CVMB actions described above?
• Retain an experienced attorney to prepare your response to the CVMB’s initial letter, the Potential Violations letter, and to defend against an ISO or Accusation.
• Do not respond to any CVMB correspondence with vitriol or anger.
• Do not submit to an interview by the DOI without an attorney present.
• Comply 100% with the Practice Act, maintain detailed and compliant medical records, and ensure that your facility is in compliance with the statutes and regulations in the Practice Act.
Bonnie Lutz is a Shareholder of Klinedinst PC's Irvine office. She has been practicing law for over two decades, defending veterinarians in litigation and administrative actions, in addition to providing general counsel services for humane societies throughout California. Due to her unique practice areas, she has extensive knowledge of the California Veterinary Medicine Practice Act and the laws which regulate humane societies. She is an experienced litigator and has defended over 500 veterinarians in Veterinary Medical Board actions, including clients of Veterinary Insurance Services Company.
New 2024–2025
CVMA Officers and Board Members
Installed
At this year's Pacific Veterinary Conference, the 2024–2025 CVMA Board of Governors was sworn in, pledging to serve in their elected/appointed positions. Outgoing Board members were also recognized and thanked for their many contributions to the CVMA, and Dr. Jennifer Hawkins was sworn in as the 2024–2025 CVMA president. Please visit page 24 of this issue of California Veterinarian to meet Dr. Hawkins!
Dr. Peter Bowie | President-Elect
Dr. Bowie graduated from the University of Minnesota College of Veterinary Medicine and continued his studies at the University of Pennsylvania with an internship in Emergency and Specialty Medicine and Surgery. He practiced emergency and critical care medicine and served as the medical director at Pet Emergency and Specialty Center of Marin. Dr. Bowie has served on the American Veterinary Medical Association’s PAC Board and currently serves on the board of Veterinary Insurance Services Company (VISC). He has now started his own consulting firm, TowardHealth Consulting, which works with private practitioners, corporate management, and startups in the veterinary space.
Dr. Jodi Woods | Executive Committee Member-at-Large
Dr. Woods currently owns the Cardiff Animal Hospital & Wellness Center in Encinitas, CA. Dr. Woods is certified in canine rehabilitation and veterinary acupuncture and is one of only 136 veterinarians in the world to hold the Certified Veterinary Pain Practitioner title, also making her the only veterinarian in San Diego County to hold all three certifications. She is also certified in the PennHip radiographic procedure and she
completed certifications in Veterinary Food Therapy (CVFT) and Veterinary Tui-Na (CVTP) through the Chi Institute of Traditional Chinese Veterinary Medicine. Dr. Woods earned her DVM from the University of Wisconsin – Madison.
Dr. Ronald Kelpe | Treasurer
Dr. Kelpe continues to serve as the CVMA and VISC treasurer after having already served in myriad roles for the CVMA and its affiliated organizations, including terms in the House of Delegates and Board of Governors, respectively, the latter of which culminated in his 2013–2014 CVMA presidency. Dr. Kelpe also served as a member of VISC’s Board of Directors from 2015–2022. Away from the CVMA, Dr. Kelpe has been active in local veterinary medical associations including the Southern California Veterinary Medical Association (SCVMA), where he served as president in 2006. Dr. Kelpe earned his DVM degree from Iowa State University in 1984 and was the CEO and medical director of Santa Margarita Animal Care Center. Since retirement from full-time practice, Dr. Kelpe has served as a relief veterinarian, predominantly in Southern California.
Dr. Heather Bessoff | District V
Dr. Bessoff earned her DVM degree from the University of Wisconsin in 1990. She started her professional career in livestock practice and herd management consulting, then shifted to introducing new technologies into animal health and agriculture biotech start-up companies to reach their full market potential. She is now the CEO of Aptimmune Biologics, Inc. Dr. Bessoff has served as the president of the Northern San Joaquin VMA, as a member of the CVMA's Pacific Veterinary Conference Program Committee representing hobby animal medicine, and on the CVMA's House of Delegates.
Dr. Eleanor Dunn | District VIII
Dr. Dunn is co-owner of The Grand Lake Veterinary Hospital in Oakland. She attended the University of Illinois College of Veterinary Medicine, graduating salutatorian in 1986. Dr. Dunn was a boarded diplomat of the American Board
of Veterinary Practitioners for 20 years. In 2009, she completed certification in veterinary acupuncture with the International Veterinary Acupuncture Society. Dr. Dunn has served on the board of the Alameda County Veterinary Medical Association. She also served on the board of the East Bay SPCA through the development of its spay/ neuter facility in Oakland, as well as the Tri-Valley/Dublin Adoption Center. She has served as a delegate to the CVMA House of Delegates. She also helped found and is a current board member of the Friends of Sausal Creek, a creek restoration nonprofit in Oakland.
Dr. Laura Weatherford | Governor-at-Large
Dr. Weatherford is the owner of Tustin Santa Ana Vet Hospital, where she has worked since 2005. Dr. Weatherford is active in the SCVMA, serving on the Board of Trustees for two three-year terms and as the SCVMA President from 2018 to 2019. She has served multiple terms as a member of the CVMA House of Delegates since 2016, including as the House of Delegates Chair from 2022 to 2024. Dr. Weatherford graduated from UC Davis with her DVM degree in 1994.
Dr. Georgina Marquez | House of Delegates Chair
Dr. Georgina Marquez was born and raised in Mexico City, Mexico. She graduated from the Universidad Nacional Autonoma de Mexico and was accepted into the University of Minnesota to complete a rotating internship in small animal medicine and surgery. She then attended UC Davis to complete a small animal medicine and surgery residency. Dr. Marquez worked at a commercial laboratory as a consultant and received extensive training in clinical pathology. She then moved into working in private practice for both veterinarian owner practices as well as corporate owner practices. In 2020, amid the pandemic, she bought a general practice in Yorba Linda and converted it into a mixed practice of general medicine as well as a specialty hospital. She is a past-president of the SCVMA.
Samantha Rosander | Western University of Health Sciences College of Veterinary Medicine
Samantha Rosander received her BS in biomedical sciences from California State University, Sacramento in 2022. At WesternU, Samantha is the co-chair of the Student American Veterinary Medical Association (SAVMA), the treasurer for the veterinary Class of 2026’s student government, and the student ambassador for VCA. She is also involved with the Student Veterinary Emergency and Critical Care Society, the Student American College of Veterinary Internal Medicine, and the Student American College of Veterinary Pathologists. Samantha aspires to focus on small animal medicine with an ultimate goal of being boarded in either ECC or surgery.
1. Dr. Jennifer Hawkins
President
District II, Southern CA VMA
2. Dr. Peter Bowie
President-Elect
Governor-at-Large
3. Dr. Jodi Woods
Executive Committee Member-at-Large
District I, San Diego County VMA
4. Dr. Inez Del Pino
District II, Southern CA VMA
5. Dr. Misty Hirschbein
District II, Southern CA VMA
6. Dr. Kelly Byam
District III, Kern County VMA, Orange Belt VMA
7. Dr. Patrick Connolly
District IV, Mid-Coast VMA, Santa Barbara-Ventura VMA, Monterey Bay VMA
8. Dr. Heather Bessoff
District V, Central CA VMA, Delta VMA, Merced-Mariposa VMA, Northern San Joaquin VMA, Tulare-Kings County VMA
9. Dr. Brent Wooden
District VI, Sacramento Valley VMA, Mother Lode VMA
10. Dr. Kevin Terra
District VII, Humboldt-Del Norte VMA, Marin VMA, MendoLake VMA, Northern California VMA, North Valley VMA, Redwood Empire VMA
11. Dr. Eleanor Dunn
District VIII, Alameda VMA, Contra Costa County VMA, NapaSolano VMA
12. Dr. Shari O’Neill
District IX, Peninsula VMA, San Francisco VMA, Santa Clara VMA
13. Nicole Dickerson, RVT
Governor-at-Large
14. Dr. Diane McClure
Governor-at-Large
15. Dr. Teresa Morishita
Governor-at-Large
16. Dr. Laura Weatherford
Governor-at-Large
Alexis McBride | UC Davis School of Veterinary Medicine
Alexis McBride earned her BS in global disease biology in 2022 from UC Davis. As a veterinary student at UC Davis, Alexis serves as the dermatology officer in the Veterinary Medicine Specialties Club. She is currently working on a case report of a dog with paralagenidiosis alongside the dermatology faculty. For her career after graduation, Alexis is still deciding on specializing in dermatology and pursuing general practice—having discovered a passion for dermatology this year.
Beautiful Beaches, Sunshine, and High-Quality CE at the
CVMA Fall Seminar
OCTOBER
4–6, 2024
The Westin San Diego Bayview 400 W Broadway, San Diego, CA 92101 New Location!
The stunning California coastline beckons! The CVMA’s Fall Seminar in San Diego offers veterinarians, RVTs, and CVMA CVAs the latest updates on dermatology and cardiology presented by two world-class experts in their fields. Morning sessions leave afternoons free for attendees to customize the perfect trip in beautiful San Diego, where adventure meets relaxation!
The possibilities are endless, whether you are drawn to sun-kissed beaches, outdoor wonders, vibrant nightlife, family-friendly activities, or San Diego’s world-renowned craft beer scene and trendy cuisine. Discover for yourself why San Diego is considered “America’s Finest City” and why the Fall Seminar is one the CVMA’s most popular events!
Speakers:
Dermatology (Friday-Saturday | 6 CEUs)
Valerie Fadok, DVM, Ph.D., DACVD
• Understanding the Pathogenesis of Atopic Dermatitis: Why It Matters
• Diagnosis and Management of Atopic Dermatitis in Dogs
• What's New with Allergy Testing and Immunotherapy: How to Incorporate It into Your Management of Allergies in Dogs and Cats
• Food Allergy: New Ideas About Diagnosis and Management
• Allergies in Cats: What Do We Know and What Do We Do?
• Updates from The World Congress Veterinary Dermatology: Tips for Your Practice
Cardiology (Saturday-Sunday | 6 CEUs)
Heidi Kellihan, DVM, DACVIM (Cardiology)
• Myxomatous Mitral Valve Disease: An Update
• Feline Cardiomyopathies: An Update
• Diet-Associated Cardiomyopathy in the Dog: An Update
• A Cardiologist’s Interpretation of Thoracic Radiographs
• Overview of Canine Congenital Cardiac Disease
• Cardiac Emergencies
For more information and to read the full course descriptions, visit the Continuing Education tab at cvma.net or call 800.655.2862.
Unable to join us in person? Sign up for our virtual option!* Virtual attendees will be able to communicate with speakers and moderators in real-time, all from the comfort of their home or practice.
*The CVMA reserves the right to cancel the virtual option due to low registration, whereupon all virtual registrants would receive a full refund or the option to switch to in-person registration.
Sponsored by:
San Diego County Veterinary Medical Association 2024 Fall Veterinary Conference & Tech Seminar
Internal Medicine & Infectious Diseases for the General Practitioner
Dr. Audrey Cook is a Diplomate of both the American and European Colleges of Veterinary Internal Medicine, and is one of the very few residency-trained internists with additional recognition as a specialist in Feline Practice through the American Board of Veterinary Practitioners. After a decade in private referral practice, Dr. Cook joined the faculty at Texas A&M. She is now Professor of Small Animal Internal Medicine with particular interests in endocrinology, gastroenterology and interventional radiology. Dr. Cook has authored/ co-authored over 80 peer-reviewed papers and routinely speaks at national meetings. She has a Masters in Veterinary Education, and is known for her engaging and practical continuing education presentations.
SATURDAY TOPICS
Feline Diabetes: A New Chapter • Feeding The Feline Diabetic • Rocky Mountain Spotted Fever, Ehrlichiosis, and Platelet-associated Anaplasmosis in San Diego and Northern Mexico • Less Pathogenic Rickettsiae Circulating in San Diego: Rickettsia 364d, R. parkeri, R. massiliae, and Flea-borne Typhus • What You Need to Know to Protect Dogs and Families from RMSF
Janet Foley is a veterinarian and ecologist in the School of Veterinary Medicine, UC Davis. She has served as chair of two different graduate groups, past chair of the Center for Vector-Borne Disease and current tick research lead at the CDC-funded Pacific Southwest Center of Excellence in Vector-Borne Disease. Her primary research relates to ticks and tick-borne diseases, with much recent work on prescribed and wild fires and their impacts on risk of Lyme disease and anaplasmosis. However, increasingly the laboratory is engaged studying the ongoing epidemic of Rocky Mountain spotted fever in northern Mexico and spillover cases that are occurring in the United States. Working with international collaborators, the lab is aiming to better understand spatial dynamics of RMSF, how co-infections with other rickettsial organisms impact epidemiology, and what strategies in a home and at the population level could reduce cases and death.
Feline CKD: Diagnostic Essentials • Feline CKD: Management and Mitigation • Management of Leptospirosis and the Role of the Vaccine • Lyme and Anaplasmosis in Southern California SUNDAY TOPICS
This program offers 12 interactive continuing education units with 2-day attendance.
Registration Now Open • Please visit www.sdcvma.org for full program details.
Hosted by the San Diego County Veterinary Medical Association (619) 640-9583 • admin@sdcvma.org • www.SDCVMA.org
Conference & Seminar held at:
DoubleTree by Hilton San Diego Mission Valley 7450 Hazard Center Drive, San Diego, CA 92108 (800) 222-TREE
The SDCVMA is a California Statutorily Approved CE Provider.
• September29,2024
This half day seminar offers 3 interactive continuing education units.
Janet Foley, DVM, PhD
PREVENTING ANIMAL BITES AND SCRATCHES REVISITED:
What Can We Learn from Our Workers’ Compensation Injuries?
Animal bites and scratches are the number one cause of injuries experienced in veterinary practices. Veterinary Insurance Services Company’s (VISC) 2023 injury data shows that 72% of reported claims were caused by bites and scratches from cats and dogs. The injuries are fairly evenly distributed, with 50% attributed to cats, 45% dog-related, and the remaining 5% not specified.
A deeper dive can tell us more. The most frequent and serious injuries were to the upper extremities (finger, thumb, hand, wrist, arm), comprising 84% of all injuries, followed by injuries to the face/ head at 11%.
The reported descriptions reveal that injuries can happen at any point during an interaction with the patient, from the waiting room, to the scale, to any phase of treatment, or even in the kennel. Injuries happen during exams, injections, x-rays, intubation, and dental cleaning, to name a few. In some cases, there were behavioral warning signs from the patient, but in many cases, there were not. And in some cases, a protective measure failed, such as a muzzle coming off.
There are several identifiable common causes for bites and scratches, including:
• Fear, and Anxiety: Fear can trigger defensive behaviors, especially if the animal perceives the handling or examination as threatening.
• Pain: Animals in pain may react defensively if touched in sensitive areas or if their discomfort is exacerbated during treatment.
• Aggression: Some animals may have an aggressive temperament or may become aggressive due to illness, injury, or previous negative experiences.
• Protective Instincts: Animals may feel protective of themselves, their owners, or their offspring, especially if they perceive a stranger (like a veterinary worker) as a threat.
• Provocation: Mishandling or improper restraint during handling, grooming, or medical procedures can provoke a defensive response from animals.
• Territorial Behavior: Animals may perceive the clinic environment as their territory, especially if they're regular visitors, and may respond defensively to unfamiliar people or animals entering their space.
Preventing bites and scratches involves addressing the patient behaviors described above using a combination of the following best practices:
1. Staff Training: Provide comprehensive training for all clinic staff on animal behavior, body language interpretation, and safe handling techniques. This includes recognizing signs of fear, anxiety, and aggression in animals. The Animal Care Technologies (ACT) videos offered on the VISC website are a great place to start. Scan the QR code to access these videos.
2. Educating Clients: Educate pet owners about the importance of restraining and managing their pets, and ask if their pet has a history of aggression or fear at previous appointments.
3. Use of Restraints: Use appropriate restraint techniques and equipment during examinations and procedures. This may include muzzles, leashes, towels, and/or other tools.
4. Approach with Caution: Approach animals calmly and confidently, avoiding sudden movements or loud noises.
5. Handling with Care: Handle animals gently, minimizing stress and discomfort.
6. Create a Calm Environment: Maintain a quiet and calm clinic environment, with separate waiting areas for dogs and cats to reduce stress and potential conflicts.
7. Utilize Positive Reinforcement: Use positive reinforcement techniques, such as treats and praise, to reward calm and cooperative behavior.
8. Personal Protective Equipment: Provide staff with appropriate PPE to minimize the risk of scratches and bites.
9. Emergency Procedures: Establish clear protocols for situations when an animal becomes aggressive. This may include having a plan for safely removing the animal from the situation or calling for assistance.
Implementing these best practices can help veterinary practices ensure the safety and well-being of their staff and patients!
In partnership with
the President Meet
Dr. Jennifer Hawkins
Like so many veterinarians, I knew I wanted to be a veterinarian as a young child. My late grandfather, a former cattle rancher, shared his deep love of animals with me. My mom and I always had a cat and, while we didn’t have a place to keep a dog, I got to dote on the dogs my grandparents had over the years. I also admired our veterinarian for his kind demeanor and, of course, how he cared for and interacted with the cats we brought to him. As I got older, my interest in veterinary medicine faded temporarily after someone told me I’d have to dissect a cat! That sounded abhorrent to me at the time, but by the time I reached middle school science curriculum (and its required dissections), I became more interested in this field than ever.
I was born and raised in Sacramento, which has the advantage of being in close proximity to UC Davis. I attended community college and then transferred to UC Davis to complete my bachelor’s in zoology and continued there through veterinary school. In my third year of veterinary school, I became a board member of the Student American Veterinary Medical Association (SAVMA) Chapter. I had no idea at the time that this would be the beginning of a long career in organized veterinary medicine.
I graduated veterinary school in 2000 and moved to Orange County, where I worked as a small animal practitioner. At the same time, I started to pick up relief work, including working at the Orange
County Animal Shelter. In my first clinic as a practicing veterinarian, my mentors insisted I attend a local VMA chapter meeting. Many of my relief gigs were a product of my networking at my local VMA. Once other veterinarians in my community got to know me, they felt comfortable asking me to hold down their practice while they were away. Within a few years, I was one of the officers running our VMA chapter. As such, I became closer to the members, the expert speakers, and the allied industry people who sponsored our meetings.
In 2004, I met my best friend and husband, Scott. Scott is a graphic designer, so he’s had to learn about the care and feeding of a veterinarian the
hard way. In spite of that, he still married me in 2008. In 2009, I joined the Board of Trustees of the Southern California Veterinary Medical Association (SCVMA), which serves Los Angeles and Orange Counties. In 2012, Scott and I welcomed our daughter, Audrey, into the world and, four months later, I became president of the SCVMA. At the same time, I participated in the CVMA’s House of Delegates meetings and became its Chair in 2016. As a busy veterinarian and mom, I feel fortunate to have a partner in Scott who can help support the family schedule and my career goals.
As parents do, we tried to expose Audrey to various sports during her early elementary school years. When the pandemic hit, some of those sports became limited in availability. In 2021, Audrey fell in love with a sport involving the one animal with which I have the least amount of experience and knowledge— horses. Becoming a “barn mom” has been an amazing experience. I truly love being around the horses and have even started some riding lessons myself.
In the 20-plus years of my career, I found myself shifting back and forth between private practice and shelter work, often overlapping the two areas of practice. I also taught at Cal Poly Pomona in their registered veterinary technology program. In 2014, I took a full-time position as Chief Veterinarian of the Orange County Animal Shelter and for a few years, I wore both hats of Director and Chief Veterinarian
“I’m looking forward to the forthcoming year of working with amazing veterinary professionals who share a passion for this great profession and a drive to ensure its continued success.”
there. A source of great pride for me is my contribution to the planning and building of the new animal shelter in Tustin.
Being available to my family as my daughter gets older has a been a motivating factor in choosing to step away from practice and into full-time association work. In late 2021, I took the position of Executive Director of the SCVMA. It’s an honor to be able to run an organization that delivers over 100 hours of continuing education yearly, publishes a monthly magazine, offers community forums and social events, and is a resource for my colleagues in this region. This busy role is a rewarding one that also affords enough flexibility for me to be available to my family. And, because I can’t help myself, I also still perform spays and neuters for a local animal shelter.
I am greatly honored to be selected as the CVMA’s 2024–2025 president. Perhaps I’m overdoing it a bit, but I do really feel that association work is important. What’s the draw of that work? For a functional introvert like me, it can seem like a lot. What I’ve found is that I am energized after attending these board and committee meetings. I feel a bit like I discovered a secret society of like-minded leaders in veterinary medicine. These are fantastic, intelligent people from whom I learn a great deal and who value what others have to say.
If you have ever considered volunteering for association work, I can share that the
commitment is very manageable, and you get the opportunity to deliver your perspective and shape the profession. Feel free to reach out to me, or any CVMA governor or delegate, or an officer of your local VMA to learn more about the time commitment and expectations of these roles.
Every year presents new challenges to our profession, and there is much we can accomplish when we work together. Speaking for myself, I’m looking forward to the forthcoming year of working with amazing veterinary professionals who share a passion for this great profession and a drive to ensure its continued success.
CDFA: Responding to an Emerging Disease
By Mandy Murray, DVM, MPVM, PhD; Animal Health Branch, Branch Chief
As veterinarians, we all take an oath to “use my scientific knowledge and skills for the benefit of society through the protection of animal health.” Some veterinarians protect the health of individual animals; others do so for herds, flocks, or groups. As veterinarians working for the California Department of Food and Agriculture (CDFA), our mission is to protect the health of all the herds, flocks, and groups of livestock and poultry in the state from diseases that cannot be controlled at the individual or herd/flock/ group level. One of the ways we carry out this mission is to respond to detections or reports of diseases or conditions listed on California’s Reportable Disease list.
But what if livestock are getting sick from something not on the Reportable Disease list? That is exactly what happened across the country in early 2024 as dairy cattle started developing an unexplained morbidity event that caused, among other clinical signs, a significant and rapid decrease in milk production. In California, it is mandatory, per the Reportable Disease list, to report “in addition to listed conditions, any event with high morbidity or mortality.” The cattle syndrome was a good reminder of this mandatory reporting requirement. This dairy cattle event has now been determined to be due to infection with Highly Pathogenic Avian Influenza (HPAI) that was due to a spill-over event from wild birds into a dairy herd.
To date, California has not had a detection of HPAI in dairy cattle; however, CDFA has been actively engaged and working with national, state, academic, and industry partners to protect our herds and prepare for a positive detection should one occur.
How do we prepare for the unknown or a new/emerging disease?
One of the primary missions of the CDFA Animal Health and Food Safety Services Division is to prevent, detect, and eradicate livestock and poultry diseases. As such, the Animal Health Branch (AHB), under the direction of the State Veterinarian Dr. Annette Jones, has developed general and disease-specific response plans to use when a disease is detected. In the case of an emerging disease like HPAI in dairy cattle, CDFA staff drew upon our years of experience in responding to disease threats as well as United States Department of Agriculture (USDA) disease response plans to develop an initial situation-specific California response plan to improve our ability to respond to an immediate detection of HPAI in dairy cattle. Our response plan consists of the effective and timely flow of information amongst dairy farm personnel, private veterinary practitioners, CDFA and USDA field and office staff, California Animal Health and Food Safety (CAHFS) Laboratory staff, and the National Veterinary Services Laboratory.
The first decisions we had to make were how to protect our California herds. We cannot create a ‘bubble’ and stop all cattle movement in and out of the state, as there are thousands of cattle that move interstate daily. To stop all movement would create animal welfare issues. Following our four (4) goals (see side bar) of disease response, our first steps were to collaborate with industry partners and disseminate the message of biosecurity as the best prevention and control measure. Additionally, through collaboration and discussion with the other State Animal Health Officials (SAHOs), CDFA implemented some enhanced import requirements for dairy cattle entering California wherein the timeframe from Certificate of Veterinary Inspection issuance and movement was shortened to seven days and the accredited veterinarian must state that the cattle are not showing signs of, nor have come from a herd with, HPAI.
CDFA’s Four Primary Disease Response Goals
Prevent: Biosecurity (keep disease off a premises) and biocontainment (confining disease to a premises if already there); import requirements and/or restrictions.
Control: Quarantine premises and implement intra- and interstate movement controls through permits.
Eradicate (if possible) or Mitigate: Depopulation, vaccination, isolation of infected animals until not infectious.
Maintain Continuity of Business: Allow the safe movement of animals and animal products to maintain business needs by using enhanced biosecurity protocols and movement permits.
Because of the nature of the H5N1 HPAI virus to mutate and infect other animals as well as the potential impact on the food supply, there is great interest from several state and federal oversight agencies in this evolving situation. CDFA has been collaborating closely with other SAHOs, USDA staff, California Department of Public Health, and California Department of Fish and Wildlife, to name a few. As more herds have been discovered in other states, epidemiological surveys are being conducted to get critical information, such
as mechanisms for viral spread, length of incubation period, asymptomatic carrier states, etc. To further prevent the spread of HPAI, on April 24, 2024, USDA’s Animal and Plant Health Inspection Service (APHIS) issued a Federal Order requiring dairy cattle moving interstate to have a negative HPAI test prior to movement.
In response to this Federal Order, CDFA and CAHFS collaborated to develop a pre-movement testing protocol and communication tree to ensure a smooth process for sample collection, testing and communication of results, and any resulting actions. We continue to work closely with our industry partners to disseminate information as it becomes available and update our website page dedicated to the event: CDFA - AHFSSAHB - Highly Pathogenic Avian Influenza (HPAI) H5N1 Virus in Livestock.
Over the past several years, CDFA has responded to detections of large
numbers of animals with HPAI, Low Pathogenic Avian Influenza (LPAI), and virulent Newcastle disease in poultry, as well as Vesicular Stomatitis Virus, Equine Herpes Myeloencephalopathy, and Equine Infectious Anemia in horses. These responses have all been structured around the four goals of a response. However, individual response action plans differ depending on, among other factors, the infectious agent, the impacted animal species, animal welfare issues, human health effects, and international trade impacts. In determining the appropriate response to a disease, CDFA must balance a myriad of issues and competing needs, using our mission to protect the overall health of all the herds/flocks/groups of animals and the animal agricultural industries in the entire state as a guide for making the tough decisions.
Responding to any disease requires everyone to be involved. Accredited veterinarians have a critical role in disease prevention, detection, and response, as they are on the front lines, are often the ‘eyes
and ears,’ and may be the first to detect a problem. Accredited veterinarians also have relationships with clients and producers to talk and educate about biosecurity; any step forward to improve biosecurity is a step in the right direction. CDFA has created a variety of biosecurity resources for producers that can be found on our website: CDFA - AHFSS - AHBBiosecurity (ca.gov).
By working together, CDFA, industry, private practitioners, academia, and the state and federal partners can continue to improve the lives and health of the animals that we swore to protect.
2024 Dr. George Bishop Lifetime Achievement Award: Dr. Jon Klingborg
Each year, the CVMA honors individuals who exemplify the very best of the veterinary profession in California. This year, the CVMA bestowed the Dr. George Bishop Lifetime Achievement Award—the CVMA’s highest honor—upon Dr. Jon Klingborg.
Dr. Klingborg’s involvement in organized veterinary medicine at the CVMA began immediately after graduating from the UC Davis School of Veterinary Medicine in 1992. Since then, he has devoted himself to working in a multitude of CVMA task forces and committees and has served as a member of the CVMA’s House of Delegates and Board of Governors. In 2004, Dr. Klingborg was elected as the youngest CVMA president in the Association’s history.
“He is a true leader. His impact upon the veterinary profession in California cannot be overstated.” Dr. Cheryl Waterhouse
Dr. Klingborg’s time at the CVMA has been defined by his clear-eyed and bold leadership. This is perhaps best demonstrated by Dr. Klingborg’s monumental work in advocating for the interests of animal welfare in the early 2000s, when even the phrase “animal welfare” was controversial. At a time when the CVMA faced a number of animal welfare-related issues—including sow gestation crates, veal crates, forced molting, and pet cloning—Dr. Klingborg felt the CVMA needed consistent animal welfare policies to provide guidance to the veterinary community, veterinarians, animal owners, and welfare organizations. He became the first Chair of the CVMA’s Animal Welfare Task Force. What started as a single sentence on top of a blank page—
“how animals ought to be treated”— transformed into the “CVMA’s Eight Principles of Animal Welfare, Care, and Use,” which philosopher and “father of veterinary medical ethics” Bernard Rollin called “the beginning of a proper ethic for farm animals.”
The ripple effect of the Eight Principles has been astronomical, with the American Veterinary Medical Association (AVMA) and many state VMAs across the U.S. developing their own animal welfare principles shortly thereafter. It was also the draft of these principles that convinced the AVMA to ban forced molting after years of back-and-forth debate.
“One of the CVMA’s core principles is to be vocal advocates for animals and the profession,” Dr. Klingborg said, reflecting
on his decision to pursue animal welfare. “I don’t think it’s an accident that animals come first in that statement. I’m a strong believer that what is good for animals is good for the profession.”
“Jon exhibits many admirable qualities in his professional career, but the one that impresses me the most is his willingness to address a contentious issue with clarity, professionalism, and conviction.”
Dr. William Grant II
Another cornerstone of Dr. Klingborg’s legacy is his steadfast effort to protect the veterinary profession, even in the midst of controversial debate. At great personal risk and despite not being an advocate for its practice, Dr. Klingborg led the CVMA to sue the City of West Hollywood for attempting to ban the practice of feline declawing. Under his leadership, the CVMA successfully preserved the legal freedom of veterinarians to determine the best treatment option for their animal patients and owners. “Of course, what I was really defending wasn’t the practice of declawing, it was whether or not we should allow city councils to dictate what a state and federally regulated profession is allowed to do,” Dr. Klingborg noted.
Additionally, as a member of the California Veterinary Medical Board, Dr. Klingborg was instrumental in protecting the veterinary profession from infringement on the scope of veterinary practice, or “scope creep,” by human physical therapists, who pushed for legislation that would allow them to practice on animals without the direct supervision of veterinarians. Successfully warding off this encroachment was one of the toughest battles Dr. Klingborg faced in his years of advocacy—and one he personally feels is his greatest contribution.
“The CVMA’s role in helping to shape and protect the profession has simply gotten bigger as the world has become more complicated and [...] interconnected. There’s always going to be a place for the CVMA, and I hope that people will engage and help their profession be better and stronger.”
Dr. Jon Klingborg
Dr. Klingborg felt called at a young age to get involved with his community and profession. His father is Dr. Donald Klingborg, Associate Dean Emeritus at the UC Davis School of Veterinary Medicine and himself a longtime CVMA leader, and his mother is a teacher for the deaf and hard-of-hearing who influenced a generation of children to become important contributors to the world. “The lesson she taught me was not that one person can make a difference, but that one person will make a difference. It is important to me that people recognize that this profession needs them, and they will make a difference if they get involved.”
In receiving this award, he hopes his career inspires this commitment
to service in others. “Part of being a professional is giving back to the profession,” he continued. “We are fortunate that our society respects us for our skill and our knowledge, but this is not a gift—it’s a loan, and we need to pay it back through service to the profession itself as well as being a voice of science and reason in our local communities.”
Dr. George Bishop Lifetime Achievement Award
Previously called the Lifetime Achievement Award, the Dr. George Bishop Lifetime Achievement Award was recently renamed to honor the contributions of Dr. George Bishop, a revered CVMA leader and advocate for organized veterinary medicine who passed away earlier this year. Receiving the first-ever “Dr. George Bishop” Lifetime Achievement Award means a lot to Dr. Klingborg. “I worked with George for over 20 years, and I can’t tell you how many hundreds of hours of meeting time I shared with him,” Dr. Klingborg said. “There was never a question about how much this profession meant to George, so to be seen in that light is the best possible accolade that I could expect.”
Today, Dr. Klingborg serves as the Chief of Staff at the Valley Animal Hospital of Merced and is serving on the Dean’s Leadership Council to the UC Davis School of Veterinary Medicine. In addition to this award, he has received Distinguished Life Membership (2018) and the President’s Award (2008) from the CVMA, as well as the Distinguished Service Award (2009) and the Alumni Achievement Award (2018) from the UC Davis School of Veterinary Medicine.
Opportunity to Unleash Your Passion: My Don Low/CVMA Practitioner Fellowship Experience
By Adrienne Bautista, DVM, Ph.D., DABVT
Iconsider myself fortunate to reside in a state that prioritizes the ongoing education of veterinary professionals, offering enriching opportunities like the esteemed Don Low/CVMA Practitioner Fellowship. I vividly recall seeing announcements for this fellowship in this magazine and receiving emails from UC Davis and the CVMA over the years, sparking a desire within me to one day seize the chance to apply. The perfect moment arose in 2022, following my transition from general practice to industry, when I began serving as a scientific communications veterinarian for Royal Canin.
Seeking to deepen my understanding of nutrition, I eagerly applied for and was honored to be selected as a 2023–2024 Don Low Fellow in Nutrition Service at UC Davis. In this role, I recognized the unique opportunity to collaborate with veterinary nutritionists and other specialists, working towards optimal health outcomes for animal
companions. My ultimate goal was to play a more impactful role at Royal Canin, crafting educational resources to enhance nutritional awareness while also addressing gaps in commercially available diets.
Throughout my fellowship, alongside fourth-year veterinary students, I continued to marvel at the journey of my veterinary career and embraced the chance to expand my knowledge base. Having missed out on a nutrition rotation during my own fourth year of vet school, I took advantage of the opportunity at hand to catch up. One of the most memorable aspects of my fellowship was participating in nutrition appointments, where I realized the critical importance of owner education in shaping a pet's dietary habits and overall health.
It became evident that effective communication about nutrition is essential, especially given the influence of marketing and social media on pet owners' perceptions. Many owners are well-intentioned but may lack accurate information, highlighting the need for veterinarians to initiate nutrition discussions early on and provide ongoing education throughout a pet's life stages. While most pets thrive on commercial diets, there are instances in which specialized nutritional intervention is necessary. Over half of the appointments I observed during my fellowship involved owners interested in home-prepared diets, either due to specific dietary requirements or personal preferences. Crafting such diets requires expertise and meticulous attention to ensure the pet's nutritional needs are met and should not be taken lightly.
“Throughout my fellowship, alongside fourth-year veterinary students, I continued to marvel at the journey of my veterinary career and embraced the chance to expand my knowledge base. ”
During my fellowship, I also truly appreciated the open-door policy of the Nutrition Service at UC Davis, which allowed me to witness firsthand the collaborative efforts between nutritionists and other specialty services. Veterinary nutritionists may not perform fancy surgeries or use advanced equipment, but their role in ensuring optimal nutrition for every pet is indispensable. Every pet needs to eat, and what a pet eats can certainly impact their overall health.
Armed with the knowledge and experiences gained during my fellowship, I am committed to applying them in my daily practice, whether it involves working in a veterinary hospital, delivering continuing education sessions, or influencing the direction of pet nutrition and education at Royal Canin. I can’t thank the UC Davis Nutrition faculty (Drs. Jennifer Larsen and Chih-Fan Jeff Chiang) and residents (Drs. Ally Spitz and Taryn Pestalozzi) enough for allowing me to share in their passion for nutrition over the past year
CAVMRC Disaster Response Online Training NOVEMBER 3, 2024
In support of its mission to train and credential veterinary professionals to protect animal welfare and public health during declared states of emergency, the California Veterinary Medical Reserve Corps (CAVMRC) is offering a low-cost, one-day continuing education course to veterinarians, RVTs, and veterinary assistants.
Looking to channel your free time into saving lives and helping communities across California?
The California Veterinary Medical Reserve Corps (CAVMRC) is the perfect fit!
ANIMALS IN DISASTERS – Common Medical Conditions course will be offered online on November 3, 2024.
This course will cover crucial information on emergency/critical care topics that will benefit you in everyday practice as well as during a disaster response.
TOPICS INCLUDE:
• How to Perform a Physical Exam on a Bird
• Housing and Husbandry Considerations for Birds in Disasters
• Deployment in the CAVMRC
• UC Davis CVET Team: Working with the CAVMRC to Help Animals in Disasters
• More topics to be announced!
REGISTER
By registering for this course, you are automatically registering to become a volunteer member of the CAVMRC. CAVMRC membership is free and participation is entirely voluntary. This course is only available to CAVMRC members.
Registration opens in August. Please watch your email for updates.
Unique Insights from an Otology Veterinarian
By Munir Kureshi, DVM
Growing up, I always wanted to be with animals. After graduating from college, I started to spend time at the local zoo. The zoo superintendent suggested that I pursue a career as a veterinarian, allowing me to spend my life working closely with animals.
I obtained a BS degree in zoology at the University of Gujarat in India as well as a BS degree in natural resources and wildlife management from the University of Florida. In 1987, I earned a degree in veterinary medicine from Bombay Veterinary College in India. Wanting to practice in the United States, I enrolled in the Educational Commission for Foreign Veterinary Graduates (ECFVG) program and completed rotations at the Animal Medical Center in New York and at the University of Missouri. And, in 1994, I purchased the Cupertino Animal Hospital, where I still practice today.
It was in the course of private practice that I discovered my true passion for veterinary otology. I found that I and many other veterinarians faced challenges in treating ear diseases in dogs, cats, and rabbits. Many of these conditions would return
after treatment, sometimes leading to total ear canal ablation and partial pinnectomy, removing portions of the ear.
Even after consulting with leading teachers and practitioners on how to treat stubborn ear diseases, I was not having much success in my practice treating ears. Unfortunately, veterinary medicine offers limited training in otology. Veterinarians oftentimes think otology is all about dermatology, which couldn’t be further from the truth. I followed dermatology concepts to treat ears for years and I faced failure after failure.
In search of answers, I started looking into human medicine, and that’s where my real journey with veterinary otology began. Attending human ENT training programs and studying ear anatomy, physiology, pathology, and pathophysiology, I found that human ears and diseases are identical to animal ears and diseases. The difference is a little variation in shape and size—and nothing else! I soon realized what was missing in veterinary otology: when a human being has an ear problem, they go to the ear specialist—not the skin specialist. It became clear that these persistent ear conditions in animals have nothing to do with allergies or atopic dermatitis, but rather what’s going on inside the ear.
I modified my techniques to incorporate human ENT practices and applied this knowledge to my animal patients. I started by identifying ear diseases and then treating them, rather than outright removing the organ after dermatological treatments failed. What a drastic difference in the outcome! Pet owners started noticing the difference, too. With less or almost no surgical discomfort and faster recovery, pets still kept their ears but had no ear disease. What a concept!
Today, I continue to combine veterinary and human otology, using one to inform the other. I became the first veterinarian member of the American Association of Otolaryngology and Head and Neck Surgery Foundation, the largest ENT organization. I even give talks at human ENT conventions.
Some highlights include being invited to talk at the 2019 World Congress on Endoscopic Ear Surgery at Harvard Medical School, being the keynote speaker at the International Society for Otitis Media’s Virtual Symposium, and speaking at the International Workshop on Ear Surgery in Modena, Italy. I have also taught endoscopic ear surgery courses at the Oquendo Center in Las Vegas, in Belgium, and at my own clinic with Karl Storz Endoscopy.
There is so much a veterinary professional can gain by following human ENT training. Otology has not been explored in veterinary medicine, and believing that dermatology will cover otology is an outdated concept. I encourage my colleagues to join human medical societies, organizations, and academies—otological or otherwise. Don’t be afraid to invest specifically in education, and don’t stop learning. Medicine is constantly changing. Better diagnostics, technologies, and treatments are always being discovered. You need to keep up with the times—what you learn today can be proven wrong tomorrow!
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1 hour to Sacramento, San Jose & Oakland, on the 5 corridor. Practice is located in a growing city with small-town charm and big-city development. Situated in a highvisibility location in the heart of downtown! Well, designed, efficient facility with extra storage. Currently operated w/1 full-time DVM. Currently DVM hours only 4 days per week. Emergencies referred about 20 minutes away. Owner’s surgeries are extremely limited. Minimal Competition.
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GREATER SACRAMENTO, FOOTHILLS:
Family-friendly oriented community. The surrounding area offers natural beauty and provides many opportunities for outdoor activities. Impressive, highly functional ~4,000 sq. ft. facility with favorable lease. Well equipped, general small animal practice. Growth potential. Ideal location for emergency hospital.
2023 GROSS: ~$1.39 Million CALL FOR DETAILS
SAN DIEGO, EAST COUNTY:
Within easy reach of nearby cities & attractions like great restaurants, Padre baseball, and SeaWorld. Well-established practice located in an active, popular shopping center. Practice needs a new energetic DVM. ~1,400 sq. ft. leased facility with 2 exam rooms, digital X-ray & new ultrasound.
PRACTICE PRICE ONLY: $400,000
NORTHERN CA:
A quaint community located 30 minutes north of Chico, two hours from Davis. Well-maintained 3,000 sq. ft. freestanding facility built in 2005. Exceptional profitability & growth potential. Owner available post-sale.
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GREATER SACRAMENTO, close to the City: This wonderful city offers a blend of smalltown charm, excellent cuisine & diverse economic sectors. Turn-key business opportunity! Located in a shopping plaza with a very favorable lease rate. 2,200 sq. ft. facility offers 2 exam rooms & is well equipped including ultrasound & digital XRay. 2023 Gross ~$1.73 Million. Well managed, excellent staff and EXCEPTIONALLY profitable practice. Requires skilled, personable owner with adequate liquidity.
2024 PROJ GROSS: ~$2, Million CALL FOR DETAILS
SANTA CLARA COUNTY:
A thriving community that boasts a great quality of life to its residents. Wellestablished PX is ready to welcome a new owner operator. 2,500+ sf building which sits on a quarter acre lot. Room for expansion within the footprint of the building.
2023 Gross ~ $849,000.
PRACTICE PRICE ONLY: $699,000 REAL ESTATE FOR SALE.
SANTA CRUZ on Monterey Bay:
Vacant, built-out, free-standing veterinary facility consists of 3,200 sf. Landlord desires long term tenant& will cooperate with a new tenant. The facility, on the West side of Santa Cruz at 2301 Mission St. (AKA State HWY 1) located in a thriving commercial center.
CALL FOR DETAILS
TEMECULA- Very profitable, Multi DVM:
About 1 ½ hours from LA & San Diego. Freestanding, well-maintained AAHAaccredited hospital consisting of 2,450 sq. ft. with three exam rooms. Wellequipped & includes an outstanding 15member staff w/ 4 RVTs & professional inhouse management. This practice offers some exotics. Open Monday-Friday, 9 AM- 6 PM. Owner open to remaining parttime. Room for growth with addition of third DVM & expanded hours.
2023 GROSS: ~$1,820,000 PRACTICE PRICE: $1.5 Million
SONOMA COUNTY:
Less than 1 hour to Oakland & SF. Solo DVM practice. Owner has been experiencing health issues. 2023 Gross ~$565,000 produced with limited hours & surgeries. Well-maintained, free-standing hospital. ~2,300 sq. ft. facility. Excellent location on major, heavily trafficked road.
PRACTICE PRICE ONLY: $380,000
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SAN DIEGO COUNTY:
Rare high-grossing, multi DVM, turn-key practice. ~4,000+ sq. ft. facility with very favorable lease rate. Hospital boasts stateof-the-art equipment & highly trained staff. Seller is available to remain long-term. If you are a qualified buyer, why lose this one to the corporates?
2023 GROSS: ~$3.4+ Million
CALL FOR DETAILS
Online Seminars
Update on Antimicrobial Use and Stewardship
Recommendations in Large and Companion Animals
Silene St. Bernard, DVM, DACVPM and Marissa Silva, DVM, MVB, DACVPM
August 13, 2024 | 12:30 PM–2:00 PM (1.5 CEUs)
August 14, 2024 | 5:30 PM–7:00 PM (1.5 CEUs)
This online seminar will cover important updates on antimicrobial use in both large and companion animals, as well as recommendations for antimicrobial stewardship.
Topics that will be discussed include:
• Why antimicrobial stewardship is crucial in veterinary medicine
• Updates on culture and sensitivity reporting
• Updates on stewardship practices and recommendations in large and small animals
• Applying the data to practical use in clinics
This course satisfies the one hour of California CE requirement on the judicious use of medically important antimicrobial drugs.
Register online by visiting the Continuing Education tab at cvma.net or by phone at 800.655.2862.
TELUS Health Wellness Webinars
Telus Health, the CVMA’s Member Assistance Program, is offering free webinars each month of 2024 addressing various wellness topics. Please note: TELUS Health webinars do not offer CE credit.
SPONSORED BY:
Motivate, Recognize, and Energize Employees
July 26, 2024 | 11:00–11:30 AM
This high-energy seminar will help participants create a tool bag of techniques to motivate employees and managers. We will cover self-care, positive psychology, resiliency, laughter, and more! This workshop discusses how motivation and recognition leads to increased productivity.
The Art of Giving Feedback
August 23, 2024 | 11:00–11:30 AM
The objective of this course is to teach participants how to give constructive feedback. Topics to be reviewed include the reasons to give someone feedback and why we avoid it. Participants will also learn about an effective feedback model and how to avoid value judgments.
Creating Positive Work Environments
September 6, 2024 | 11:00–11:30 AM
Topics covered in this seminar will include building trust, creating positive communication, setting expectations and needs, brainstorming creative ideas for recognition and rewards, building teamwork, finding meaning in your work, and accepting responsibility and humor in the workplace.
For more information and to register for Telus Health webinars, visit go.telushealth.com/en-us/wellbeing-calendar-2024#july.
The CVMA extends our sympathy to the friends and family of those remembered.
Dr. Frank Bartlett, Jr., a CVMA Life Member, recently passed away. Dr. Bartlett graduated in 1957 with a veterinary degree from UC Davis.
Dr. Ronald Ringen, a CVMA Life Member, passed away on April 18, 2023. Dr. Ringen earned his veterinary degree from UC Davis in 1966. He served on the CVMA’s House of Delegates from 1988–1996 as well as the Membership Committee from 1992–1995.
Dr. Peter Timm, a CVMA Life Member, passed away this past April. Dr. Timm graduated from UC Davis School of Veterinary Medicine before opening Dixon Veterinary Clinic in 1971. A beloved and active figure in his community, he was named Dixon’s Citizen of the Year in 2005.
WHAT IS YOUR VETERINARY PRACTICE WORTH?
Tom McFerson is one of the few CPAs serving the veterinary community who is Accredited in Business Valuation ( ABV ), by the American Institute of Certified Public Accountants
Why Talk to Us First?
In memory of deceased members, the CVMA makes a donation to the California Veterinary Medical Foundation, whose mission statement reads: “Nurturing kindness, education, and well-being for all animals, people, and the environment.”
Our expertise, experience, and reputation in the veterinary industry for over 44 years gives us the edge. We helped pioneer the standards highly regarded by lenders, catering to veterinarians and their industry. Gatto McFerson can help determine your need for a valuation or an appraisal.
BUYING, SELLING, EXIT STRATEGY, BUY-INS, LITIGATION, ESTATE PLAN, DIVORCE, ETC.
SCHEDULE A CALL
California’s New Workplace Violence Prevention Program: What Veterinary Practices Need to Know
By Jizell
On September 30, 2023, Governor Gavin Newsom signed SB 553 into law, which added Labor Code section 6401.9 requiring virtually all employers to implement a workplace violence prevention plan (WVPP) by no later than July 1, 2024. By that date, employers with ten or more employees must establish, implement, and maintain a WVPP and meet four categories of obligations: (1) the creation of a WVPP; (2) the creation of a workplace violence incident log; (3) employee training requirements; and (4) recordkeeping requirements.
Creating a WVPP
A WVPP provides a roadmap to address actual and potential incidents of workplace violence. By July 1, employees and employers should be able to identify and mitigate workplace violence incidents or threats. Labor Code section 6401.9 defines “workplace violence” as any action of violence or threat (excluding lawful acts of self-defense and defense
of others) that occurs at a worksite. The Labor Code further defines the following four types of “workplace violence” that employers and employees must recognize and identify:
• “Type 1 violence”—committed by a person who has no legitimate business at the worksite, including violent acts by anyone who enters the workplace or approaches workers with the intent to commit a crime
• “Type 2 violence”—directed at employees by customers, clients, patients, students, inmates, or visitors
• “Type 3 violence”—directed at an employee by a present or former employee, supervisor, or manager
• “Type 4 violence”—committed in the workplace by a person who does not work there, but has or is known to have had a personal relationship with an employee
To address these scenarios, the WVPP must include the following:
• Names or job titles of individuals responsible for the plan
• Procedures to obtain the active involvement of employees and
employee representatives in developing and implementing the plan, including hazard identification and evaluation, training, and incident reporting
• Methods the employer will use to coordinate implementation to ensure that employers and employees understand their respective roles, as provided in the plan
• Procedures for the employer to accept and respond to reports of workplace violence and to prohibit retaliation
• Procedures to ensure that supervisory and non-supervisory employees comply with the plan
• Procedures to communicate with employees regarding workplace violence matters, including how employees can report violent incidents, threats, or other workplace violence concerns, how those concerns will be investigated, and how employees will be informed of investigation results and corrective actions
• Procedures to respond to actual or potential workplace violence emergencies, including how employees will be alerted, evacuation and
Lopez, Wilke Fleury LLP
sheltering plans, and how to obtain staff and law enforcement assistance
• Training procedures
• Procedures to identify, evaluate, and correct workplace violence hazards, including periodic inspections
• Procedures to review the effectiveness of the plan itself, including potential revisions
For convenience, Cal/OSHA has released a model WVPP on its website for use by employers, which can be found at https://shorturl.at/dzU8r
Violent Incident Log Requirements
Employers must document and maintain a log of all incidents of workplace violence, even if the incident did not result in an injury. The log must be based on information solicited from the employees who experienced the workplace violence, witness statements, and investigation findings. Further, the log must be anonymous and periodically reviewed.
The log must include the following information:
• Incident date, time, location
• Workplace violence “Type” (1, 2, 3, and/or 4)
• Detailed description of the incident
• Classification of who committed the violence
• The circumstances at the time of the incident
• Where the incident occurred
• Specific incident characteristics, such as physical attacks, weapon involvement, threats, sexual assault, animal incidents, or other events
• What the consequences of the incident were, including any involvement of law enforcement
• What steps were taken to protect employees from further threat or hazards
• Who completed the log, including their name, job title, and the date completed
Employee Training
Employers must also provide annual employee training regarding the hazards specific to that employer’s workplace,
addressing all of the following:
• The company’s plan and how to access it at no cost
• How to participate in development and implementation of the employer’s plan
• The “definitions and requirements” in SB 553
• How to report workplace violence incidents or concerns to the employer or law enforcement without fear of reprisal
• Workplace violence hazards specific to the employees’ jobs, the corrective measures the employer has implemented, how to seek assistance to prevent or respond to violence, and strategies to avoid physical harm
• Details about the violent incident log and how to obtain copies of records (described below)
• An opportunity for interactive questions and answers with a person knowledgeable about the employer’s plan
Recordkeeping Requirements
Finally, employers must also comply with certain recordkeeping obligations and retention periods as follows:
• Records of workplace violence hazard identification, evaluation, and correction: 5 years
• Training records including training dates, contents or a summary of the training sessions, names and qualifications of persons conducting the training, and names and job titles of all persons attending the training sessions: 1 year
• Violent incident logs: 5 years
• Records of workplace violence incident investigations: 5 years
• Records must be available not only to Cal/OSHA but also to employees or their representatives upon request and free of charge, within 15 days of their request
As the July 1, 2024 implementation date approaches, employers must prepare to comply with the new regulations by developing comprehensive and effective WVPPs. This proactive approach not only protects employees but also fosters a
culture of safety and respect in California’s workplaces.
Need help developing your WVPP?
Check out the CVMA Guide to Cal/OSHA Compliance by scanning the QR code below.
Jizell Lopez is a civil litigation attorney who primarily represents clients in federal and state court litigation and before administrative agencies regarding all manner of employment claims, including single plaintiff lawsuits, class action lawsuits, and wage and hour representative lawsuits. Jizell’s practice includes allegations of harassment, discrimination, wrongful termination, retaliation, wage and hour non-compliance, and more.
CVMA member veterinarians are entitled to thirty minutes of free legal consultation each month with attorneys from Wilke Fleury. For full information, visit CVMA Member Benefits under the Membership tab at cvma.net.
Program Sponsored by
CVMA Honors Exemplary WesternU and UC Davis Students at Awards Ceremonies
This past May, graduating veterinary students from the UC Davis School of Veterinary Medicine and the Western University of Health Sciences College of Veterinary Medicine were recognized at events held in their honor. The CVMA praises the students’ achievements and tenacity, and we wish them the best as they embark on their careers!
UC Davis
UC Davis held its Senior Banquet on May 3. The CVMA’s 2023–2024 President Dr. Michael Karle led the CVMA-sponsored event and helped distribute awards to the student recipients. During the presentation, Dr. Karle discussed his time as UC Davis student representative to the CVMA House of Delegates and Board of Governors, which began his many years devoted to organized veterinary medicine and the CVMA. He also noted the importance of CVMA’s advocacy efforts to safeguard the veterinary profession, uphold veterinarians’ right to practice, and ensure the welfare of animal patients, including in the legislature, at the Veterinary Medical Board, and with many other state agencies and stakeholder groups.
Other speakers included UC Davis Dean Dr. Mark Stetter, alumna Dr. Emily Bingham, and keynote speaker Dr. Munashe Chigerwe. Also in attendance were the CVMA’s Director of Regulatory Affairs Dr. Grant Miller, Director of Member Services Kristen Calderon, and Membership & Student Services Manager Laura Phillips.
Alessandra Delucia received this year’s CVMA Award for Practice Excellence for demonstrating outstanding integrity and excellent potential for the execution of high-quality medicine, as
well as possessing good interpersonal communication skills and a professional attitude. Kaitlin Rickerl was the recipient of the Lifelong Learning Award due to her efforts in promoting continuing education while in veterinary school. Cynthia Alexandria Adkisson received the California Veterinary Medical Foundation Award, which recognizes outstanding service in veterinary medicine at a city or county animal shelter or during a recognized California disaster response effort.
WesternU
The WesternU Awards Ceremony and Family Barbecue honored College of Veterinary Medicine graduates on May 15, during which four veterinary students were recognized with CVMA awards. CVMA Board of Governors Drs. Teresa Morishita and Diane McClure helped present awards to deserving recipients.
The recipient of the 2024 CVMA Award for Practice Excellence was Joseph Cook, who was recognized for his remarkable administration of veterinary medicine and excellent personal principles. The CVMA Lifelong Learning Award was bestowed upon Alexandria Clifton for her exemplary support of veterinary continuing education. Shane Forman
earned the California Veterinary Medical Foundation (CVMF) Award for his excellent service efforts.
VISC Scholarships
The Veterinary Insurance Services Company (VISC) Award honors fourthyear students who have demonstrated outstanding business and communication skills throughout veterinary school. This year’s VISC awards were presented to UC Davis’ Sophia Schmidt and WesternU’s Joseph Cook.
UC Davis' Senior Banquet
CVMA 2023–2024 President Dr. Michael Karle attends the UC Davis School of Veterinary Medicine Commencement.
UC DAVIS 2024 STUDENT AWARD RECIPIENTS
WESTERN UNIVERSITY 2024 STUDENT AWARD RECIPIENTS
The California Veterinary Medical Foundation (CVMF) Award to Cynthia Alexandria Adkisson – Class of 2024
Dr. Diane McClure presenting the CVMF Scholarship Award to Shane Forman
Class of 2024
Dr. Karle presenting the VISC Award to Sophia Schmidt – Class of 2024
The Veterinary Insurance Services Company Award to Joseph Cook – Class of 2024
The Lifelong Learning Award to Kaitlin Rickerl
Class of 2024
Dr. Morishita presenting the CVMA Lifelong Learning Award to Alexandria Clifton
Class of 2024
The Practice Excellence Award to Alessandra Delucia – Class of 2024
Dr. Morishita presenting the CVMA Award for Practice Excellence to Joseph Cook – Class of 2024
INTRODUCING CVMA'S MEMBER BENEFIT:
Ready, Vet, Go Mentorship
Elevate your veterinary practice with Ready, Vet, Go Mentorship, the remote program designed to empower your associates to thrive, find joy in their profession, and foster growth through connection. With our emphasis on curiosity and professional development, we work alongside your in-clinic mentoring to provide tailored support your associates need to become happy, productive members of your team.
Ready, Vet, Go mentors are highly experienced, with a minimum of 10 years of clinical experience, and all have held leadership roles like medical director or practice owner. These seasoned professionals serve as guides and cheerleaders for our profession, offering invaluable insights and fostering a supportive environment for growth.
Ready, Vet, Go Mentorship is structured to accommodate the demanding nature of running a veterinary practice. Through a blend of live meetings and self-paced online components, associates engage in seven remote monthly Vet’s Success Workshops, featuring guest speakers, breakout rooms, and clinical case rounds. These sessions focus on monthly topics, providing a deep dive into essential areas of veterinary practice.
The core feature of the Ready, Vet, Go experience is participation in the bi-monthly Pack Meetings. Associates benefit from these intimate small group meetings (3-4 mentees) facilitated by their mentors, offering a safe space for discussion and growth. During these deep-dive sessions, mentees gain confidence and support as they explore key topics and develop their skills.
Additionally, Ready, Vet, Go offers AskMe-Anything live events, live and ondemand webinars with guest speakers, RACE-approved CE credits, and vibrant discussion forums, enriching the learning experience and fostering connections within the veterinary community. By investing in Ready, Vet, Go Mentorship, you're not only nurturing the professional development of your associates but also addressing critical issues of turnover and financial productivity. The national turnover rate for new graduates exceeds 30% within the first year. Our program can reduce turnover by 67%, saving your practice valuable resources in recruitment and training costs.
Join us in shaping the future of veterinary medicine—enroll your associates in Ready, Vet, Go Mentorship today! CVMA members receive a 10% discount on the program.
Something to About Wag
THE CVMA CONGRATULATES…
Campus Veterinary Clinic, for being rated one of the three best veterinary practices as well as a “neighborhood favorite” practice in Berkeley, CA! Managed by CVMA member Vilma Callejo, RVT, Campus Veterinary Clinic is a full-service practice providing routine check-ups to surgical procedures. Congratulations to the whole team for earning this recognition!
Folsom Ranch Veterinary Hospital and Urgent Care, for officially opening its doors on June 10 after two years of development! The practice’s team of three veterinarians have known each other for about a decade and bring together their collective experiences in academia, emergency medicine, dentistry, and general practice. Their hospital’s goal is to provide not only excellent medicine but also customer service. They designed a client lounge to be like a calming and relaxing waiting room of a spa in order to reduce the stress and anxiety inherent to bringing your animal to the veterinarian.
John Gil, DVM, for becoming a father! Dr. Gil, who works at Alhambra Veterinary Hospital, welcomed his son Andrés this past May with his partner Adria. Andrés was born in Bogota, Colombia via surrogacy. Dr. Gil, we wish you and Adria a lifetime of happiness with your new bundle of joy!
Tustin Legacy Animal Hospital, for celebrating its six-year anniversary this past June! The team celebrated with a free event open to the community, which included a pop-up vendor market made up of local small businesses, adoptable pets from local rescue organizations, and free food and activities for the community. As a small woman-owned private practice, they wanted to use this celebration—which several hundred community members attended—to promote and support of other local small businesses. To the team at Tustin Legacy Animal Hospital, we wish you continued success as you enter your seventh year in business!
Let’s Celebrate Your Achievements!
The CVMA likes to spotlight the many accomplishments of our members and their practices, whether a professional development or a personal milestone. Don’t be shy! Please send in your good news and a photo to Taryn DeOilers, the CVMA’s Director of Communications, at tdeoilers@cvma.net to be considered.
Dr. John Gil with his partner and newborn son
Campus Veterinary Clinic's veterinary team
Folsom Ranch Veterinary Hospital and Urgent Care's veterinarians: Drs. Matt Liang, Anjali Daryani, and Dustin Noack
Tustin Legacy Animal Hospital's veterinary team
SCHOOL OF VETERINARY MEDICINE GRADUATING CLASS OF 2024
Monica Inoue Maria Gonzalez Alessandra Delucia
Addison Cheng Azucena Barrios
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POSITIONS OFFERED
Northern California
Veterinarians
Thompson Peak Veterinary Clinic located in Janesville, California is seeking an ambitious small animal Associate Veterinarian. We are a busy and growing practice that services small animal, bovine, and equine clients. We provide a variety of services that provide opportunity for growth in the veterinary profession while also providing quality mentorship to our younger veterinarians, making this practice is a great place to learn and grow. Our practice has digital X-ray and ultrasound; endoscopy and rhinoscopy for small animal; and a complete in-house laboratory (CBC, Chemistry, TT4 and UA). The practice provides a variety of medical and surgical options including: orthopedics (TTA, lateral suture, patellar, bone plating), soft tissue, and dentistry. We offer a competitive compensation package that includes 401(k) contribution with an employer match as well as medical and dental insurance and paid time off. The practice pays for state veterinary licenses in California, Nevada, and Oregon and pays for CVMA and AVMA dues. Email rjdepaul@frontier.com.
Lomita Pet Hospital is looking for an experienced full-time or part-time associate. Someone who is comfortable working alone and comfortable performing routine surgeries. Working at least every other Saturday would be required. Benefits are available for full-time employees. We are a full-service small animal practice located in the South Bay. We have in-house IDEXX machines, digital x-rays, digital dental x-rays, and a K-laser. Interest in holistic medicine would be ideal, but not required, as we do offer holistic medicine as well. Our website is: lomitapethospital.com. Email lahospitalinfo@gmail.com.
Southern California
Veterinarians
We are looking for an amazing veterinarian to join our crew at Ventura County Animal Services (VCAS)! At VCAS, we offer a wide array of programs and services to the residents and animals of Ventura County. These services include animal sheltering, pet adoptions, lost & found, field services, cruelty investigations, pet licensing, TNR surgical services, low cost vaccination clinics, volunteer/foster opportunities, and emergency disaster response. As a shelter vet at VCAS, your duties may include performing high volume, high quality spay/neuter surgery, evaluating and treating our sheltered animals, providing preventative vet care and surgery to owned pets, assisting law enforcement by performing forensic investigations, and assisting people and their pets in the event of emergencies or disasters. It is never a dull day at the shelter! Benefits include annual leave redemption, deferred compensation plans, health plans, flexible spending accounts, paid holidays, pension plan, student loan forgiveness plans, and many more! If interested, submit an online application at www.ventura.org/jobs and attach your current resume and cover letter, or email your resume/CV to Brett.Ramirez@ventura.org.
HOSPITALS—SALES/LEASE/BUY
Practice for Sale - Located in beautiful Carson Valley, Nevada (Gardnerville) 20 minutes from South Lake Tahoe and Heavenly Valley Ski Resort. Gross $1.3 million with great staff. New owner could practice 1/2 time if needed as we have two Veterinarians on staff. Contact Animal Medical Services - Brian Burns
707.481.7167, bmbsurrey67@gmail.com or Sharon Burns 775.781.9247, sharonburns05@gmail.com. Great place to live!
For Sale - 5,000 sq ft. medical office building and land for sale in the High Desert of Southern California. Boasting 7 exam rooms, 2 waiting rooms (dogs & cats), a large pre-op and recovery room, a large operating room & sterile room, kitchen/break room, as well as 24 parking spaces. The building has been refurbished (no asbestos) and a new roof. This location and building would be ideal for a veterinary office in this underserved area! Great opportunity to own your own office on old Route 66! Located in Victorville in the fast growing high desert. This is ready for your business! $800,000. Don’t miss out… call today! Diane 760.963.3181.
Nestled amidst the picturesque landscapes and vibrant community of San Rafael, a golden opportunity awaits for passionate veterinarians and animal enthusiasts alike. Introducing a revered gem in the heart of San Rafael: a long-established, highly reputable small animal veterinary practice. For years, this beloved institution has served as a beacon of compassion and care for the furry companions of our community. Features Include: 2800 Square Foot Building: A spacious and inviting haven, meticulously
designed to provide comfort for both pets and their owners. State-of-the-Art Facilities: Boasting three meticulously designed exam rooms, a well-equipped surgical suite, and a cutting-edge dental suite, large, spacious reception area, this practice is primed to deliver top-notch care to every patient. Expertise & Reputation: With the demand for premium pet care services on the rise, the potential for expansion and further revenue streams is limitless. Don't miss out on the chance to capitalize on this booming industry! Why Invest in San Rafael? Natural Beauty: From lush parks to breathtaking coastal vistas, San Rafael offers a scenic backdrop for both work and play. Thriving Community: With a rich tapestry of culture, art, and culinary delights, San Rafael is a vibrant hub teeming with opportunities for growth and connection. Endless Potential: As a haven for pet lovers, San Rafael presents boundless opportunities for a thriving veterinary practice to flourish and make a profound impact within the community. Seize the Opportunity: Now is the time to embark on a new chapter of success and fulfillment in the heart of San Rafael. Don't miss your chance to take the reins of this esteemed practice and continue its legacy of compassionate care. For inquiries and further details, contact us today and step into a world where passion meets purpose.
Email sheila@vpveterinaryadvisors.com.
ADVERTISING INDEX
Popular Veterinary Clinic in an Excellent Location (CAV3029)
Fully Equipped Veterinary Hospital in Fresno County (CAV3034)
Practice Located in Affluent Community in Sacramento County (CAV3028)
Redwood Veterinary Hospital (CAV3027)
Well Established Practice in Sacramento County (CAV3021)
Sonoma County Veterinary Hospital for Sale (CAV3020)
El Dorado County Veterinary Hospital for Sale (CAV3018)
Northern California Small Animal Clinic (CAV3016)
Southern LA County Small Animal Practice and Pet Hotel (CAV3015)
Prime Location, Los Angeles County Veterinary Hospital (CAV3030)
Modern Veterinary Hospital in LA County (CAV3022)
Urban San Bernardino County with Real Estate Available (CAV3038)
Southern California Animal Clinic (CAV3024)
Long Established Successful Southern California Veterinary Practice (CAV3017)
Urban Southern Ventura County. Beautiful modern facility, 3 exam rooms, Collections over $1.1 million (CAV3037)
