Advocate Issue 5, 2012

F V M A ADVOCATE www.fvma.org

Issue 5 – 2012

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fro y Holi days mo u to y r fa our mily s!

IN THIS ISSUE 6 | Member Spotlight 8 | FL Veterinarian CongressmanElect Yoho Take Office in Washington 10 | FL Board of Veterinary Medicine Adopts Changes to Adminstrative Code

12 | March 2-3, 2013

Food Animal Conference 16 | Hide Your Goat - Part 2 22 | Classified Advertisements

PRESIDENT’S MESSAGE 7131 Lake Ellenor Drive Orlando, Florida 32809 Phone – (407) 851-3862 Toll Free – (800) 992-3862 Fax – (407) 240-3710 info@fvma.org www.fvma.org

OFFICERS

Dr. John R. Bass President Dr. Jerry L. Rayburn President-Elect Dr. Richard B. Williams Treasurer Dr. James A. Kanzler Past President Mr. Philip J. Hinkle Executive Director

DISTRICT REPRESENTATIVES

Dr. Charles P. Hall District 1–Big Bend Dr. Richard C. Sutliff District 2–Northeast Dr. Marc A. Presnell District 3–Central Dr. Donald H. Morgan District 4–Tampa Bay Dr. Mark D. Dew District 5–Treasure Coast Dr. Ronald W. Todd Jr. District 6–South Florida Dr. Richard M. Carpenter District 7–Southwest Dr. Michael Epperson District 8–Northwest Dr. Christine M. Storts District 9–Space Coast Dr. Ernest C. Godfrey AVMA Delegate Dr. Stephen Shores AVMA Alternate Delegate Dr. Corey Miller FAEP Representative to the FVMA Executive Board Ex Officio Dr. Glen F. Hoffsis, Dean College of Veterinary Medicine

FVMA STAFF

Brenda Eggert Brader Communications & Public Relations Director Sandra P. Brooks Accounting/Membership Director Amber Coon Executive Administrative Assistant Ralph E. Huber Industry Relations Director Alssa Mathews Multimedia Art & Design Beni Jean Price Financial/Membership Coordinator

As I travel around the state, I get many questions about national issues impacting veterinary medicine. These are national in scope but also are important at the state and local levels. The AVMA provides a great deal of coverage through the Journal of the American Veterinary Medical Association (JAVMA) and the Smartbrief e-mail service, but I am not sure our members follow these closely. My comments here are meant to answer some of the questions encountered in my travels.

Everyone wants to talk about the oversupply of veterinarians and the increasing size of the freshman classes across the U.S., without a defined need for more veterinarians. There is a study from the National Research Council that identifies areas in education, corporate practice, and rural food production as areas of unmet needs. This terminology is different from previous studies that referred to this situation as a manpower shortage. The AVMA and the Association of American Veterinary Medical Colleges (AVMC) are working to respond to the study in an appropriate manner.

A part of the complex issue is the rising student debt and the decreases in state funding for education. Veterinary schools are more expensive to operate than any other professional school, making it more difficult to respond to across-the-board spending cuts. Legislators and university leadership need to be made aware of this.

The continued growth of not-for-profit corporate practice and its impact on the private practice veterinarian is a national concern. Every major metropolitan area is affected. While we are frustrated by their growth, we must find creative ways to coexist. We need to examine this issue without the volatile emotion it evokes.

Shelter medicine is one of the most popular areas of interest among current veterinary students. Animal welfare is the heart of our profession and the public doesn’t believe private practice is doing enough to help the homeless animal population.

The AVMA is serving as a facilitator among the concerned groups.

I don’t get as many questions about the One Health Initiative, but this is a major issue for the future. The veterinary profession has not done a good job of articulating our capabilities to other health professionals. The veterinary degree is uniquely qualified to deal with the areas of human, animal, and environmental health. The survival of the planet will be dependent on cooperation among the health professions. The AVMA is addressing this as one of its most important actions.

These are not my thoughts. Everything I have mentioned has been discussed in more detail in the last few issues of JAVMA. Organized veterinary medicine is tackling the tough problems we all experience. It is our responsibility to stay informed if we intend to convince the public we can solve these problems from within our profession.

Wishing you and your families a very Happy Holiday Season!

John R. Bass, DVM

Happy Holidays!

Supporting the Leaders that Protect Our Profession!

Dear Colleagues and Friends, I want to personally thank all the concerned member veterinarians and friends of veterinary medicine who contributed to the 2012 capital fund-raising campaign by making a contribution to the FVMA CCE (PAC). This was a tough political year since all legislative positions were up for re-election due to re-districting. That meant every legislator was up for re-election or new candidates were running for office. By December 6, 2012, the FVMA received more than $56,000 in contributions.

As a result of your generous support, the FVMA CCE (PAC) was able to contribute more than $52,000 to 104 political campaigns that resulted in an election success rate of more than 85%. This means that your contributions were spent very wisely with maximum political impact.

Remember, these contributions do not, in any way, buy votes. Your contribution provides the FVMA the means to financially support candidates for office, regardless of party affiliation, which provides the FVMA access to those who will protect the interest of the veterinary profession in Florida. It is this access that allows appropriate representation of FVMA member interests.

Contribution levels have been established to provide the opportunity for veterinarians and friends of veterinary medicine to be recognized for their participation. These Elite Membership Levels are: Governor Senator Representative Legislative Aide

$ 1,000/year $ 500/year $ 250/year $ 100/year

It’s an honor to recognize the 2012 Elite Members by level of contribution on the following pages.

The FVMA faces significant political issues in the coming session. Without your continued support, powerful forces may be successful in promoting legislation that is detrimental to the veterinary profession. The FVMA has made significant gains in our grassroots advocacy efforts that would not have been accomplished without the generous support of members and friends of our profession.

Thank you again for your unselfish support and I promise you will get your money's worth in effort.

Respectfully,

Stephen Shores, DVM Chairman, Legislative Committee and CCE

Florida Veterinary Medical Association PAC 7131 Lake Ellenor Drive • Orlando, FL 32809 | www.fvma.org • info@fvma.org | P (800) 992-3862 • F (407) 240-3710

The FVMA Gratefully Recognizes PAC CHAMPION $10,000 Mr. Edgar Otto

GOVERNOR LEVEL $1,000 Stephen A.Shores, DVM James A. Kanzler, DVM Mark D. Dew, DVM Larry G. Dee, DVM Mr. Philip J. Hinkle John G. McLemore, DVM

SENATOR LEVEL $500 David J. Andrix, DVM John R. Bass, DVM Robert Wade Bullock, DVM David W. Cromer, DVM Charles P. Hall, DVM Joel Murphy, DVM David B. Nichols, DVM Christine M. Storts, DVM Ronald W. Todd Jr. , DVM

REPRESENTATIVE LEVEL $250 James M. Brechin, DVM Karl B. Brock, DVM Brent Carnathan, DVM Mark W. Coleman, DVM Kimberly A. Donovan, DVM Michael Epperson, DVM Nancy M. Gerhardt, DVM Guy C. Gibson, DVM Ernest C. Godfrey Jr. , DVM Jeffrey S. Godwin, DVM Heather A. Hartley, DVM Debbie J. Hasse, DVM Jan M. Hasse, DVM Glen Hoffsis, DVM Douglas J. Lammers, DVM 4 |

FVMA ADVOCATE

Dani G. McVety, DVM Andrea Morgan, DVM Philip Eugene Stine, DVM Linda G. Stoddard, DVM Jacob Susla, DVM Scott J. Swerdlin, DVM E. Lynn Turner, DVM Sergio E. Vega, DVM Richard B. Williams, DVM Patrick J. Wright, DVM Theodore S. Yoho, DVM

LEGISLATIVE AIDE LEVEL $100 E. Howard Acree Jr. , DVM Todd E. Anderson, DVM Tracy W. Anderson, DVM Arlene Barbara Antz-Hanson, DVM Joel A. Arana-Roman, DVM Stuart H. Aultman, DVM Billy S. Austin, DVM Mieke Baks, DVM Jack E. Beal Jr. , DVM Kaci Beckett, DVM William W. Bennett, DVM Andrea J. Bivens, DVM Luke H. Blanton, DVM James H. Block, DVM Gregory D. BonenClark, DVM David Bordelon, DVM Jim H. Brandt, DVM Jonas Glenn Brewer, DVM Joshua Broadwater, DVM Donald S. Brown, DVM Casandra L. Budd-McGowan, DVM G. Maureen Bushnell, DVM Emilio J. Bustillo, DVM Antonio Campo, DVM Susan M. Carastro, DVM Richard M. Carpenter, DVM William J. Carson Jr. , DVM Sergio Carvajal-Manieu, DVM Kerry N. Chatham, DVM Terry Clekis, DVM

Elizabeth L. Conrad, DVM Donald F. Cook, DVM Jeffrey M. Cooper, DVM Lisa A. Cooper, DVM Deborah Kemmerer Cottrell, DVM Dan Cowden, DVM Kenneth Cox, DVM Rene A. Cruz, DVM Brandon K. Culbertson, DVM Denise Davidson, DVM Glenn R. Davis, DVM Stephen Wayne Davis, DVM Jorge De Cabo, DVM Mark S. DeGrove, DVM Jacek J. DeHaan, DVM Edwin C. Derks, DVM Gerardo J. Diaz, DVM Randy Dominguez, DVM Randall S. Dugal, DVM Ronald L. Dumas, DVM Max G. Easom, DVM Martha Ellen Edwards, DVM David W. Eich, DVM David Elmer, DVM Robert H. Encinosa, DVM Cara Erwin-Oliver, DVM Jan Wallace Evans, DVM Sarah E. Evans Murray, DVM James W. Fawcett, DVM George M. Floyd, DVM Thomas A. Freiberg, DVM Jason Z. Frydenlund, DVM Carolyn Keller Gable, DVM Eduardo Garcia, DVM Matthew Gatof, DVM Nola Z. Gedeon, DVM Thomas F. Gillaspie, DVM Clay K. Glenn, DVM Arthur Goebel, DVM Archie S. Gordon, DVM Lynda Green, DVM David E. Greenfield, DVM Jonathan W. Greenfield, DVM Charles Mark Griffin, DVM Stephen W. Grigsby, DVM

Our Elite Level of PAC Contributors Jonathan Gurland, DVM Stephen Hart, DVM Theresa Harty, DVM Robert R. Hase, DVM Forrest D. Hayes, DVM Paul S. Hayman, DVM Robert E. Hess Jr., DVM Robert E. Hicks, DVM Allison Hiers, DVM Dorsey G. Hightower, DVM Joseph R. Hooker, DVM Donald S. Howell, DVM Elizabeth Hughes, DVM Julio A. Ibanez, DVM Joseph L. Imburgia, DVM Robert Irelan, DVM Stephen F. Iulo, DVM William H. Jernigan, DVM William Lawrence Jernigan, DVM Gerald J. Johnson, DVM Rhonda N. Johnson, DVM Glenn S. Kalick, DVM Julie Kane, DVM Terrence S. Keene, DVM Cheryl A. Kenlin, DVM Kwang Jae Kim, DVM Peter Krolikowski, DVM James E. Kurzydlo, DVM William E. Kyser, DVM Jack Lawrence Landess, DVM Calvin T. LeClear, DVM Teresa Lightfoot, DVM Andrew J. Lischin, DVM Joyce E. Loeser, DVM Kimberly Griffin Lovell, DVM John D. Lynch, DVM Clark D. MacCullough, DVM David H. MacMahon, DVM Charles D. Magill, DVM George A. Malnati, DVM Lester Mandelker, DVM Olfat A. Mansour, DVM Eugenio J. Marquez, DVM Richard L. Marrinson, DVM John A. Martellini, DVM

Danise S. Martinez, DVM Guy R. Maxwell, DVM Paul A. May, DVM Linda A. McCollough, DVM Dennis Michael McDonough, DVM Michael E. McNulty, DVM Miriam Ana Mendez, DVM Kris K. Meyerer, DVM Frank Mills II, DVM Christopher Mladinich, DVM Risa R. Moore, DVM Anne L. Moretta, VMD Donald H. Morgan, DVM Michael K. Morgan, DVM James L. Mosley Jr., DVM Michael A. Mossler, DVM Anirude Motie, DVM Timothy R. Mountain, DVM Dwight M. Nash, DVM Vladimir Nunez, DVM Richard Morgan Oglesby, DVM Bruce M. Olson, DVM Harold E. Ott, DVM Nicole C. Patterson, DVM R. Michael Peak, DVM Douglas S. Pearce, DVM Michael J. Peltier, DVM Steven R. Pepper, DVM Lesley L. Phillips, DVM Patricia A. Pinkham, DVM Laszlo Elemer Poduszlo, DVM John H. Porter, DVM Thomas L. Powell, DVM Constance I. Pozniak, DVM Marc A. Presnell, DVM Don D. Price, DVM Michael J. Pridgeon, DVM Daniel R. Priehs, DVM Heather Puckett, DVM Robert M. Purvis, DVM Anthony S. Qureishi, DVM Spencer L. Ratnoff, DVM W. J. Ray, DVM Jerry L. Rayburn, DVM Paul Reifer, DVM

Julia Jones Reynolds, DVM Arsenio Rodriguez, DVM Stuart R. Rosenburg, DVM Honey G. Rothberg, VMD Michael J. Rumore, DVM Christopher W. Ruzicka, DVM M. A. Salisbury, DVM John H. Sameck, DVM John R. Sanders, DVM Roque A. Santa Cruz, DVM Juan M. Santamarina, DVM Jeffrey T. Saunders, DVM Nancy J. Saxe, DVM Sheila Scroggins, DVM Earnest E. Pete Seiler, DVM Donna L. Shamrock, DVM Gregory K. Shamrock, DVM Jerry P. Shank, DVM Neil Shaw, DVM Don Shields, DVM Gregg C. Shinn, DVM Jonathan M. Shivers, DVM Marci A. Simpson, DVM J. Jeffrey Slade, DVM Mary Smart, DVM C. Perry Smith, DVM Perry F. Smith, DVM Thom A. Smith, DVM Douglas J. Spiker, DVM Richard C. Sproc, DVM Kenneth A. St. John, DVM Mary Lynn E. Stanton, DVM John R. Steele, DVM George C. Steers, DVM Troy Douglas Stinman, DVM Hannis L. Stoddard, DVM David L. Stone, DVM Lee B. Stuart, DVM Richard C. Sutliff, DVM Robert L. Swinger, DVM Janine C. Tash, DVM Robert G. Tate, DVM Billy J. Taylor, DVM Neil B. Tenzer, DVM

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MEMBER SPOTLIGHT College Admissions Committee

Fills Two New Open Positions

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r. Rick Sutliff of Jacksonville, and Dr. Timothy Lynch of Ocala have been selected to fill the University of Florida College of Veterinary Medicine’s Admissions Committee two open positions for 2012. Open committee positions occur each year on a rotating basis. The two, three-year terms that needed to be filled this year started December 1, 2012, continuing through November 30, 2015.

Service on the Admissions Committee is a three-year commitment that entails meetings and individual student packet reviews. Committee members typically spend a total of 45-60 hours conducting individual packet reviews during that time. No honorarium is paid for service on the Admissions Committee.

Dr. Sutliff is the District II Northeast Representative for the FVMA Executive Board. He studied Organic Chemistry and Animal Science at New College in Sarasota and Morehead State University in Morehead, KY. At age 36, he applied to UF CVM and graduated with honors in 1999. After two years of emergency medicine practice in Chicago post graduation, he returned to Jacksonville in 2001 to work in a private small animal practice and purchased the Scott Mill Animal Hospital in 2003.

Dr. Sutliff has served as the secretary for the Jacksonville Veterinary Medical Society from 2004-2007, vice president from 2007-2008 and president 2008-2009.

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If you know Someone....

• The Member Spotlight features news, important happenings and/ or kudos highlighting veterinarian members and their profession. The FVMA welcomes information on you or your colleagues.

Please submit the information as an email attachment to info@fvma. org, attention: ADVOCATE Member Spotlight.

Submit as follows: • Complete information in written form • Photographs must be submitted with entries • Photo cutline information written with everyone identified, left to right • Name and daytime telephone number of contact person Information is welcomed by all members and will be included based on space availability.

Questions may be addressed to Brenda Eggert Brader, Communications and Public Relations Director, at (800) 992-3862.

r. Lynch is a partner at Peterson & Smith Equine Hospital in Ocala, joining the hospital in 2002 to head the sports medicine program. He is a former staff surgeon for Tiegland, Franklin and Brokken DVMs in Fort Lauderdale, and staff surgeon at the Equine Specialty Hospital in Cleveland, Ohio.

Dr. Lynch earned his DVM degree in 1991 from the University of Wisconsin, completed an internship at Rood and Riddle Equine Hospital in Lexington, KY, and a surgical residency at Michigan State University. He was board certified by the American College Veterinary Surgeons in 1999. Dr. Lynch is interested in scintigraphy, gastrointestinal surgery and lameness.

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FVMA ADVOCATE

Florida Association of Equine Practitioners Install New Council Officers for 2013

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he Florida Association of Equine Practitioners, an equine-exclusive division of the FVMA, installed new Council officers for 2013 at the 8th Annual Promoting Excellence Symposium held in October at the Waldorf Astoria Naples. New officers will assume their positions in January 2013.

Dr. Anne Moretta is the new President-elect; Dr. Suzan Oakley, president-elect; and Dr. Gregory BonenClark, Past President.

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r. Moretta is a solo equine practitioner in Wellington, FL. She completed her Master’s work in marine ecology, received her VMD degree from The University of Pennsylvania School of Veterinary Medicine and established Maroche Equine Clinic, a sport horse and reproductive center in Pennsylvania. She also developed and managed Stony Run Veterinary Clinic for several years, a small animal facility in Pennsylvania.

Dr. Moretta’s career background includes veterinary work at Thoroughbred and Standardbred racetracks, sales barns, horse shows, large breeding farms, and sport horse facilities. She completed advanced professional development training in marketing communications and public relations at Johns Hopkins University, and trained in advanced equine acupuncture in Chantilly, France. Dr. Moretta (as Maroche Equine Consultants) has been a veterinary consultant, board member, and lobbyist for international racehorse and breeding groups, involving racehorse breeding, racing and sales syndicate investments in Europe, New Zealand, Australia, and the United States.

Dr. Moretta is a current member of AAEP (having served on the Public Relations Committee), AVMA, FVMA/ FAEP, American Hanoverian Society, and USEF. Education of the younger generations has been a priority for her through her work with 4-H and pony club equine veterinary lecture programs. She places a priority on encouraging future veterinarians through mentorship programs in their career paths. Her current areas of veterinary interest are in equine sports medicine, equine and small animal acupuncture, equine reproduction, and international equine veterinary consulting and public relations.

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r. Suzan Oakley is a 1991 graduate of the University of Florida College of Veterinary Medicine. She has owned a sports medicinebased practice in Florida since 1994 and was certified in Equine Practice by the American Board of Veterinary Practitioners (DABVP) in 1998. Dr. Oakley is certified by the International Society of Equine Locomotor Pathology (ISELP) and is a frequent instructor at ultrasound wet labs. She currently has a referral lameness and ultrasound practice in Ocala and Wellington, FL.

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FL Veterinarian Congressman-Elect Yoho Takes Office In Washington In January

By BRENDA EGGERT BRADER, Director of Communications and Public Relations

can have in our nation and in my district is going after the burdensome tax structure and the regulations.” Congressman-elect Yoho said.

Background

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lorida veterinarian Theodore S. Yoho of Trenton was elected to Congress on November 6 to begin a career as a U.S. representative, to take office in January. Dr. Yoho ran for the newly redrawn Florida's 3rd congressional district. In the Republican primary Dr. Yoho defeated longtime incumbent U.S. Congressman Cliff Stearns by winning 11 of the district’s 13 counties.

“The economy and getting jobs going is of the utmost importance, but the bigger picture is getting our nation back to the founding principles, core values and the Constitution,” said Congressman-elect Ted Yoho in Washington as he organizes his office and puts plans in order. “Coming from an agriculture background, I know how the regulations impact our ranchers and farmers that have a trickledown effect of negatively impacting veterinarians and ultimately small business owners. Those are the regulations that I plan to go after.

“Right now our tax code is too confusing, with too many loopholes. My biggest issue with the tax code currently is the inheritance tax. It needs to be done away with immediately if we are to preserve the family farms and ranches.”

Dr. Yoho supports reduction in taxes, replacing the current tax code with the flat tax, reducing corporate tax rates, and eliminating Federal programs that cannot be balanced with the revenues collected.

“The big issues like balancing the budget and getting our debt under control are issues that we all will be working hard on but the immediate impact that I

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FVMA ADVOCATE

r. Yoho, 57, earned a Bachelor’s in Agriculture at the University of Florida, and earned his DVM from the University of Florida College of Veterinary Medicine. He is a member of the American Veterinary Medical Association, Florida Veterinary Medical Association, Florida Association of Equine Practitioners, Florida Cattlemen’s Association, and the National Rifle Association.

Dr. Yoho turned to politics while working as a large animal veterinarian in Gainesville (the North Central Florida area). He was listening to clients’ relate stories on how they felt government wasn’t giving them a fair shake — how the latest regulation was making it impossible to continue doing business.

He sold his veterinary practice and began campaigning for Congress.

Dr. Yoho’s campaign war chest was $129,000. A donation of $5,000 in PAC money from the American Veterinary Medical Association (AVMA) given in the final weeks of the primary

campaign, is what he contributes to helping him win that election.

Comparing serving in Washington to his profession, Congressman-elect Yoho adds “veterinarians are trained to diagnose a problem and then look to treat the root cause – not just the symptoms. We often have to get creative and be resourceful which I think is something we can use in Washington now.”

Getting Organized “Currently we are in the process of transitioning from the campaign to the Congressional office,” said Kat Cammack, Chief of Staff for Dr. Yoho. “We are excited about the team we are building – each person brings a unique and conservative mindset to the table. Once our team is in place and we get through swearing in on January 3, we will be hitting the ground running working for our district, state and the nation. So far it’s been an incredible experience and we can’t wait for what’s to come. We are ready to get to work.”

Second Veterinarian Dr. Yoho will become the second veterinarian in Congress. Veterinarian U.S. Rep. Kurt Schrader, 61, a Democrat from Oregon, was elected to a third term on November 6.

In 1996, Congressman Schrader was elected to the Oregon State House of Representatives, elected to the Oregon State Senate in 2003 and elected to U.S. Congress in 2008. He attended Cornell University where he received his BA in Government in 1973 and earned his veterinary degree from the University of Illinois in 1977.

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FL Board of Veterinary Medicine Adopts Changes to Administrative Code – Medical Records NOTICE OF RULE CHANGE: Rule 61G18-18.002 at a location where the client keeps the animals, one medical record may be kept for the group of animals. This record must include the species and breed of the animals, and the approximate number of the animals in the group. However when one specific animal is treated, the record must include the identification, diagnosis, and treatment regime of the individual animals examined and treated at each visit to the location, as well as all other information required by this rule.

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n November 18, 2012, the changes to Chapter 61G18-18.002 Florida Administrative Code – Maintenance of Medical Records, adopted by the Florida Board of Veterinary Medicine, became effective. These changes outline the record keeping requirements more specifically in subsections three (3) and four (4).

The relevant portion of the rule is printed below with the changes/additions highlighted and underlined. Where applicable, the copy that was omitted is shown stricken. No changes were made in subsections one (1), two (2) and five (5) through nine (9), however, the entire ruling is here for your perusal. Should you have any questions or need any additional information, please don’t hesitate to contact the FVMA helpline at (800) 992-3862.

(3) Medical records shall be created as treatment is provided or within 24 hours from the time of treatment contemporaneously written and include the date of each service performed. They shall contain the following information: Name of owner or agent Patient identification Record of any vaccinations administered Complaint or reason for provision of services History Physical examination to include, but not limited to patient weight, temperature, pulse, and respiration, or noted exceptions to the collection of said information Any present illness or injury noted Provisional diagnosis or health status determination

(1) There must be an individual medical record maintained on every patient examined or administered to by the veterinarian, except as provided in (2) below, for a period of not less than three years after date of last entry. The medical record shall contain all clinical information pertaining to the patient with sufficient information to justify the diagnosis or determination of health status and warrant any treatment recommended or administered.

(4) In addition, medical records shall contain the following information if these services are provided or occur during the examination or treatment of an animal or animals: Clinical laboratory reports Radiographs and their interpretation Consultation Treatment – medical, surgical Hospitalization Drugs prescribed, administered, or dispensed along with the route, strength, and dosage of the drug and time said drug was administered if not otherwise discernible from the record Tissue examination report Necropsy findings

(2) When a veterinarian is providing services to a client owning or leasing 10 or more animals of the same species

The remaining portion of the rule, consisting of subsections five (5) through nine (9) remains unchanged.

61G18-18.002 Maintenance of Medical Records

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FVMA ADVOCATE

Rule 61G18-18.002 – Maintenance of Medical Records Amended Rule (in its Entirety) Effective November 18, 2012 The following is the full rule 61G18-18.002 Maintenance of Medical Records from the Department of Business and Professional Regulation, Board of Veterinary Medicine as finalized with 2012 recent rule changes that became effective November 18, 2012.

61G18-18.002 Maintenance of Medical Records.

(1) There must be an individual medical record maintained on every patient examined or administered to by the veterinarian, except as provided in (2) below, for a period of not less than three years after date of last entry. The medical record shall contain all clinical information pertaining to the patient with sufficient information to justify the diagnosis or determination of health status and warrant any treatment recommended or administered.

(2) When a veterinarian is providing services to a client owning or leasing 10 or more animals of the same species at a location where the client keeps the animals, one medical record may be kept for the group of animals. This record must include the species and breed of the animals, and the approximate number of the animals in the group. However when one specific animal is treated, the record must include the identification, diagnosis, and treatment regime of the individual animals examined and treated at each visit to the location, as well as all other information required by this rule.

(3) Medical records shall be created as treatment is provided or within 24 hours from the time of treatment and include the date of each service performed. They shall contain the following information: Name of owner or agent Patient identification Record of any vaccinations administered Complaint or reason for provision of services History Physical examination to include, but not limited to patient weight, temperature, pulse, and respiration, or noted exceptions to the collection of said information Any present illness or injury noted Provisional diagnosis or health status determination (4) In addition, medical records shall contain the following information if these services are provided or occur during the examination or treatment of an animal or animals: Clinical laboratory reports Radiographs and their interpretation Consultation Treatment – medical, surgical

Hospitalization Drugs prescribed, administered, or dispensed along with the route, strength, and dosage of the drug and time said drug was administered if not otherwise discernible from the record Tissue examination report Necropsy findings (5) A veterinarian shall maintain confidentiality of all patient records in his/her possession or under his/her control. All patient records shall not be disclosed without the consent of the client. Appropriate disclosure may be made without such consent: (a) in any civil or criminal action, unless otherwise prohibited by law, upon the issuance of a subpoena from a court of competent jurisdiction and proper notice by the party seeking such records to the client or his/her legal representative; (b) when required by the Board's rules.

(6) A veterinarian shall, upon a written request, furnish, in a timely manner without delays for legal reviews, a true and correct copy of all of the patient records to the client, or to anyone designated by the client. Such records release shall not be conditioned upon payment of a fee for services rendered, except for the reasonable cost of duplication.

(7)(a) Reasonable costs of duplication of written or typed documents or reports shall not be more than $1.00 per page for the first 25 pages, and shall not be more than 25 cents per page for each page in excess of 25 pages. (b) Reasonable costs of reproducing x-rays, and such other special kinds of records shall be the actual costs. The phrase “actual costs” means the cost of the material and supplies used to duplicate the record, as well as the labor costs and overhead costs associated with such duplication.

(8) It is understood that there may be several files in different locations. Sufficient cross indexes are to be maintained for prompt retrieval when required.

(9) Medical records may be maintained in an easily retrievable electronic data format; however, the licensee shall be responsible for providing an adequate backup system to assure data is not lost due to system failure.

Rulemaking Authority 474.206, 474.2165 FS. Law Implemented 474.2165 FS. History–New 4-6-81, Formerly 21X18.02, Amended 3-13-90, Formerly 21X-18.002, Amended 7-4-95, 12-30-97, 8-23-98, 11-18-12.

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th Annual Dr. Harvey Rubin

Memorial Food Animal Veterinary Medical Conference

March 2 - 3, 2013

Early Registration Ends February 22 9

15 CEU Credits

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$100 Pre-registration

The Florida Department of Agriculture and Consumer Services, Division of Animal Industry; pharmaceutical and animal food industry partners, and the Florida Veterinary Medical Association, invite you to attend the Sixth Annual Dr. Harvey Rubin Memorial Food Animal Veterinary Medical Conference.

Our program provides 15 hours of continuing education obtained through quality food animal informational lectures presented by specialists in the field of food animal veterinary medicine.

We invite you to enjoy the steak dinner Saturday evening that also features native Southern foods compliments of our industry partners. Without their support, we could not bring you this high quality continuing education program.

The FVMA hosts the conference in conjunction with the Florida Department of Agriculture and Consumer Services, Division of Animal Industry. Pharmaceutical and animal food industry partners sponsor the annual steak dinner.

To register, call the FVMA toll free at (800) 992-3862 or visit the FVMA website at www.fvma.org. On-site registration begins at 8:30 a.m. on March 2 at the Osceola County Extension Building, Kissimmee, FL.

¾ Dr. John R. Bass, FVMA President ¾ ¾

¾ ¾ ¾ ¾

FVMA ADVOCATE

FREE

for CVM Students (Pre-registration is required)

SPEAKERS TO INCLUDE

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Florida Veterinary Medical Association Dr. C. Dix Harrell USDA-APHIS-VS Dr. Thomas Holt FDACS, Division of Animal Industry State Veterinarian/Director Dr. Ray Kaplan University of Georgia Dr. Diane L. Kitchen FDACS, Division of Animal Industry Dr. Susan Loerzel USDA, APHIS, Veterinary Services Dr. Kendra Stauffer USDA/APHIS/Veterinary Services and more.....

Schedule At-A-Glance Saturday, March 2, 2013 Registration Desk Open 8:30 a.m. - 5:00 p.m.

10:00 a.m. – 10:10 a.m.

10:10 a.m. – 11:50 a.m.

Introduction Captive Deer Farming & Cervidae Medicine – Dr. Diane Kitchen Lunch with FVMA President’s Welcome – Dr. John R. Bass and UF CVM Update – Dean Glen Hoffsis Captive Cervidae Industry in FL – TBA The Biology of Anthelmintic Resistance – Dr. Ray Kaplan Southern Cattle Parasite Issues and Resistance Concerns – Dr. Ray Kaplan Treatment Options for Parasites – Dr. Ray Kaplan Social Hour and Hotel Check-In Steak Supper Served at Florida Cattlemen's Association Headquarters Cases Presentations from 2012 – TBA Round Table Discussion – Practice Tips and Open Discussion

12:00 p.m. – 1:00 p.m.

1:00 p.m. – 1:50 p.m.

2:00 p.m. – 2:50 p.m.

3:00 p.m. – 3:50 p.m.

4:00 p.m. – 4:50 p.m.

5:00 p.m. – 6:30 p.m.

6:30 p.m. – 7:00 p.m.

7:00 p.m. – 7:50 p.m.

8:00 p.m. – 8:50 p.m.

EVENT LOCATIONS Osceola County Extension Building 1921 Kissimmee Valley Lane Kissimmee, FL 34744 Florida Cattlemen’s Association 800 Shakerag Road Kissimmee, FL 34744 (Saturday’s Social Hour, Dinner, Cases & Roundtable Events)

Sunday, March 3, 2013 Registration Desk Open 7:30 a.m. - 1:30 p.m.

8:30 a.m. – 9:20 a.m.

9:20 a.m. – 10:30 a.m.

10:40 a.m. – 12:00 p.m.

12:00 p.m. – 1:00 p.m.

1:00 p.m. – 3:30 p.m.

4

Options for Electronic CVIs – Rule Change Updates – Dr. Diane Kitchen Regulatory Updates and Program Diseases – Dr. C. Dix Harrell TBA Lunch – FDACS Update – Dr. Thomas Holt Veterinary Accreditation Modules (Specific modules may change based on availability) – Dr. Kendra Stauffer & Dr. Suzan Loerzel

Easy Ways To Register For your convenience a conference registration form is provided on page 14 in this issue of the Advocate.

MEALS & REFRESHMENTS SPONSORED BY

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| 13

6

Annual th Dr. Harvey Rubin

Memorial Food Animal Veterinary Medical Conference

March 2 & 3, 2013

MEETING VENUE: Osceola County Extension Building 1921 Kissimmee Valley Lane Kissimmee, FL 34744

SATURDAY EVENING EVENTS: Florida Cattlemen’s Association 800 Shakerag Road Kissimmee, FL 34744

TO REGISTER: Call: (800) 992-3862 Fax: (407) 240-3710

Online: www.fvma.org

Clinic Information

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State

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$100.00

$125.00

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$

Food Animal Industry Professional

$100.00

$125.00

B

$

No Charge

No Charge

C

$ 0.00

Number of Attendees

Registration Categories

Student (UF CVM)

Total

Total Registration Fee (Total A, B, & C) Name(s)

Payment Information

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5HPLW WR )90$ /DNH (OOHQRU 'ULYH 2UODQGR )/ ‡ (PDLO LQIR#IYPD RUJ ‡ :HE ZZZ IYPD RUJ 3KRQH ‡ )D[ ‡ 7ROO )UHH

‰ Check enclosed made payable to Florida Veterinary Medical Association ‰ Charge my credit card the total ‰VISA ‰MC ‰AMEX ‰DISCOVER Credit Card No. Name on Card Signature 14 |

$

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Exp. Date

2013 REGISTRATION

Name

The FVMA Gratefully Recognizes Our Elite Level of PAC Contributors Elite Level Contributors Continued from Page 5 HONORABLE MENTIONS

LEGISLATIVE AIDE LEVEL $100 Brian F. Theiss, DVM Douglas A. Thieme, DVM James Alex Thomasson, DVM Celia W. Thompson, DVM Richard S. Thompson, DVM David C. Tollon, DVM Ross M. Valdez, DVM Jonathan R. Wald, DVM Donald L. Walker, DVM Thomas Walker, DVM Amanda M. Wallen, DVM William A. Walsh Jr., DVM Robert E. Walton Sr., DVM Heidi D. Ward, DVM David A. Watkins, DVM Melissa R. Webster, DVM Stephen L. Wehrmann, DVM

Andrew M. Weiss, DVM Jeffrey Werwa, DVM Ruth E. West, DVM William James Whiteside, DVM Janet R. Whitlock, DVM William P. Wicker, DVM Richard Joseph Wigelsworth, DVM Richard D. Wilkes, DVM James M. Wilson, DVM Gregory S. Winter, DVM John S. Woodby, DVM Walter M. Woolf, VMD Camille Young, DVM Ira M. Zaslow, DVM Noam Zelman, VMD

Harold F. Albers, DVM Clifton G. Barnett, DVM Debra Hagerman-Rogers, DVM Michael Haney, DVM Ronald Heller, DVM Joy Jeanne Iezzi, DVM Donald H. Kanfer, DVM Lisa J. Mallett, DVM Rita Manarino, DVM Donna McWilliams, DVM Lowell D. Olson, DVM Christina Pellicane, DVM Jack F. Schmidt, DVM Julia M. White, DVM Cassandra L. Zinn, DVM

Why Join the FVMA PAC? MISSION OF THE PAC

Assist the legislative efforts of Florida’s veterinarians.

Enhance the FVMA’s visibility by encouraging members to take part in legislative affairs.

Educate veterinarians on the nature and actions of Florida’s government and how political donating affects outcomes.

Support candidates that care about issues important to the veterinary industry and small businesses by donating to statewide political campaigns.

The reason the mission works is simple…

Donating to political campaigns does not buy votes, but it does initiate access to policy-makers.

For additional information on the FVMA PAC, please contact the FVMA office.

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| 15

HIDE YOUR GOAT - Part 2

By STEVE GILLILAND, CSP, CPAE

Herding your Goats

T

oo many times in life we expect others to do what we have never done; to follow us to where we have never been and without reason, and to believe in us even when our actions don't match our own beliefs.

It becomes problematic when our actions, which create our outcomes, are determined by speculation, assumptions, misconceptions and numerous other thought patterns not based on the facts or reality of a given situation. As a child, our thinking is primarily influenced by our parents and the people we spend the most time around. Insecure adults have a tendency to create insecure children. Show me a mother who is a drama queen and I'll show you a child who grows up embracing the role of a victim.

While people and circumstances may get your goat, knowing how and why that happens will best help you to hide it. Later in this series we will examine more regarding the who -- or, as I will refer to them, The Goat Hunters.

For the purpose of this article, let's figure out how to find and herd your goats by determining the how and why.

The problem with herding our goats is where do we look for them? For some of us, someone or something may have gotten our goat earlier in life and we have never found it.

When our goats jump the fence and we can't find them, that affects us for the rest of our lives. Instead of having closure and resolving our feelings, we harbor resentment and become susceptible to having someone or something else find our goat. Our past is a powerful dictator of our future, and unless we

determine why we feel the way we do, we are destined to allow certain things to always get our goat.

As a young child, I watched my father favor my older brother. As a young adult, I witnessed his approval of my brother and felt his disappointment in me. I did everything possible to win his approval. While my brother's birthday cards were signed "Love, Dad," mine were signed with merely his first name. By the time my 40th birthday rolled around, I was still seeking the approval of my father, family and friends. Only when I found my goat and herded my feelings did I understand I didn't need the approval of others. I stopped wasting time and energy on things beyond my control.

The hardest thing we do most days is to let go of our past, which has a few of our goats roaming around.

Have you ever watched a person you don't really know do something that bothers you so much it affects your attitude? Why is that? Why does their clothing, earrings, hair or fingernail color get your goat?

A few years ago, a young gentleman sat beside me on a flight from Amarillo, Texas to Dallas. I couldn't help but notice the vast array of tattoos covering his arms, neck and hands. What I noticed more than that, however, were the passengers across the aisle who looked absolutely appalled by his appearance.

After I introduced myself, he smiled, shook my hand and told me his name. When

"Our past is a powerful dictator of our future, and unless

we determine why we feel the way we do, we are destined to allow certain things to always get our goat.

"

16 |

FVMA ADVOCATE

" Good people listen, learn and edify people.

Average people talk about themselves.

Small people talk about others. " I told him I was from North Carolina he said, "Great state. I got my MBA at Duke University." We chatted throughout the flight, and when we landed, he said, "Thanks."

"For what?" I asked.

"You are probably the first person I have sat beside in the last three months that has even acknowledged me without thinking I was a thug," he said.

The good news for me here was that several years prior to this encounter I had found one of my goats and herded it.

Labeling is disabling, and the stereotypes and stigma attached to certain people is not only unfair to them, but an extremely unhealthy way for me to think.

I now believe that if I can change the way you think I will change your world forever. Good people listen, learn and edify people. Average people talk about themselves. Small people talk about others. You need only look at a person's Facebook page to see how he or she thinks. Good people post pictures and information that is positive and intended to allow REAL friends and family to keep up with their IMPORTANT events and the growth of their children. Average people post information intended to inflate their egos and make themselves, their children and their lives appear to be something they are really not. Small people post negative things about others, solicit responses to situations that should be handled privately and post quotes to underhandedly make a point. They thrive on the responses that make them "feel" better as a person, which, unfortunately, doesn't make them a better person. If

anything, they are viewed by the majority of good thinking people for who they really are — insecure, negative people fi lled with anger and unresolved issues.

Herding your goats is critical to hiding them. Yes, we will always be vulnerable to people and circumstances getting our goats; however, we can build a stronger fence around them once we find them. Being honest with ourselves and resolving issues in our own lives will give us the strength we need. The mastery of life is the mastery of self. Unfortunately, many people never master themselves, stranding their goats outside the fence where others can get at them.

Make a list of what and who gets your goat, and then ask how and why? What is it about YOU that adds to the negativity of the situation? Once you determine your contributions, figure out what you need to do in order to change the way you think. My unresolved feelings about my father led me down a path of thinking that produced behaviors detrimental to certain situations. Instead of being who I really was, years ago I would do almost anything to be accepted. By seeking the approval of others, I would act in ways that were all about the people I was trying to impress.

Once I finally looked in the mirror and saw what I liked, I stopped wanting to be the person I thought others wanted me to be. I herded my goat named Seeking the Approval of Others and fenced it in so no one could ever get it again. __________________________________ Continued on Page 18

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| 17

Continued from Page 17 The dilemma is that sometimes when you herd one of your goats, another one slips out — kind of like the guys who butt in line ahead of me when we're boarding a flight. Oh, but wait, I think I can grab this goat, too, and put it back behind my fence. You see, that kind of aggressive behavior annoyed me until I realized I used to do the very same thing to make sure my carry-on luggage would fit in the overhead bin above my seat. I was fine once I took a chill pill and realized that even if my carryon wasn't stored above me I'd still make it to my destination. Plus, the people who'd see those guys butt in front of me often hand my luggage forward to me as a way of saying, "We got your back!"

So before you can hide your goat, find it! Once you find it, figure out why and how you lost it, not who took it. The why and the how will allow you to begin Herding Your Goats! ____________________________________________________________________ Steve Gilliland is one of the most sought-after speakers in the world. His appeal transcends barriers of age, culture and occupation. His book, “Enjoy the Ride,” has been on the publisher’s best-selling list for seven years. Gilliland was named author of the year in 2010 and named to the Speaker Hall of Fame of the National Speakers Association in 2012. For more information about his presentations and resources visit his website at www.stevegilliland.com.

Up Next...

The Goat Hunters Part three of this series will expose the people who live their lives immersed in negativity and aren't happy until they find your goat.

You'll discover "why" they hunt, "who" they target and "how" you can protect yourself against them.

Until then, keep herding!

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22 | FVMA ADVOCATE

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