NVMA Veterinary Views | Spring 2023

VETERINARY VIEWS

A publication for members of the Nebraska Veterinary Medical Association

SPRING ISSUE 2023

NVMA SUMMER2023CONFERENCE

Looking for a change of scenery and an opportunity to earn CE this summer? If so, plan to join us at The Lodge at Deadwood on June 21-23, 2023 for expert speakers, entertainment, camaraderie, and relaxation. The 2023 NVMA Summer Conference will have something for everyone. Bring your friends, colleagues, classmates, and family - all are welcome to enjoy the many amenities of the The Lodge and they won’t want to miss the fun adventures.

THE LODGE @ DEADWOOD | DEADWOOD, SD | JUNE 21-23, 2023

To learn more & register, please visit: www.nvma.org/summer-conference

PRESIDENT’S LETTER

I wanted to take this opportunity to introduce myself to the Association and share a small part of my story. Like all of us, I hold several titles. I am mixed animal veterinarian by trade, but I have a great deal of pride being a 4th generation Nebraska cattlewoman, raising the 5th generation of my family in Webster County, Nebraska. I was in practice in south central Nebraska before joining Nebraska Extension, where I serve as a Livestock Systems Educator. My husband and I run a small cow/calf operation and spend our days hauling our three kids to various cattle shows and sports events. I look forward to spending this year connecting with old friends and meeting new colleagues from across our state.

A few thoughts and updates as I begin my tenure as your president. When I was driving home from the 2023 NVMA Winter Conference, my heart was grateful for time spent learning with NVMA members. The educational sessions were full, with almost 300 participants registered for the event. Our industry partners were well represented in the trade show as we thanked the continued support of our Association. One of my highlights was walking into Thursday evening’s Alumni event to find a mini-reunion of my KSU-CVM Class of 2008 and visiting with Hodes Family Dean Bonnie Rush. The annual Awards Banquet on Friday evening was spent celebrating the best of our profession with the future generation of Nebraska veterinarians. Hearing stories from veterinary students is a refreshing change from the normal day-to-day of our profession. Their excitement and positivity are encouraging.

We are looking forward to taking our summer conference on the road to Deadwood, South Dakota June 21-23. The CE Committee is busy finalizing plans for a fun, family-friendly trip with great education and story-telling. Keep an eye on the website for agendas and registration.

Veterinary medicine is a small world, yet we make a big impact in our communities. During the Winter Banquet, I encouraged each of you to share how veterinary medicine fits into your life. Perhaps your story will connect with a new graduate who is looking for a positive mentorship or encourage local youth to follow their passion. Sharing what we do and how we got here is therapeutic and it creates connection between us, expanding our circle. Please reach out to me or anyone on the Board of Directors with questions or comments. I look forward to hearing your story.

Enjoy the Spring!

Dr. Lindsay Waechter-Mead, 2023 NVMA President Dr. Waechter-Mead may be reached at lindsay.waechter-mead@unl.edu

Award Recipients

Veterinarian of the Year

Dr. Robin Nelson

Outstanding Young Veterinarian of the Year

Dr. Morgan Wachal

Outstanding Veterinary Technician of the Year

Katie Hostler, LVT

Distinguished Service Awards

Debra Royal

Commercial Representative of the Year

Katie Hostler, LVT

HIGHLIGHTS: UNIVERSITY OF NEBRASKA

Brodersen Retires from Nebraska Veterinary Diagnostic Center

Lincoln, Neb. —Bruce Brodersen, director of the Nebraska Veterinary Diagnostic Center (NVDC) and professor of veterinary medicine, retired Feb. 28 after 31 years of service to the University of Nebraska-Lincoln.

Brodersen joined what was then called the Department of Veterinary Science, now the School of Veterinary Medicine and Biomedical Sciences, in 1985 as a graduate student and pathology resident. He began his work toward a master’s and then a Ph.D. and was hired as an instructor at UNL in 1992. He was ultimately promoted to professor.

Brodersen brought to UNL a strong background in swine health, having worked as a veterinarian in a practice with a caseload that was 70 percent swine. As part of the NVDC, he collaborated with researchers working to develop vaccines for swine. For 13 years, he chaired the popular George A. Young Swine Conference for producers.

In early 2019, Brodersen was named director of the NVDC. Under his leadership, the NVDC became a Level I National Animal Health Laboratory Network (NAHLN) lab, elevating the status of the laboratory and opening avenues for increased funding.

Loy to Lead Nebraska Veterinary Diagnostic Center

Lincoln, Neb. —Dustin Loy has been selected as the next director of the Nebraska Veterinary Diagnostic Center at the University of Nebraska-Lincoln. His appointment was effective beginning March 1.

Loy succeeds Bruce Brodersen, who spent more than 30 years on the UNL faculty and has led the center since 2019.

Loy grew up on a small beef operation in central Iowa. He received his bachelor’s degree in animal science, veterinary degree in food animal medicine, and doctoral degree in veterinary microbiology from Iowa State University. In addition, Loy is a diplomate of the American College of Veterinary Microbiologists with specialties in bacteriology, virology and immunology.

His currently a professor, veterinary diagnostic microbiologist and faculty supervisor for the bacteriology and molecular diagnostic laboratories in the Nebraska Veterinary Diagnostic Center. Prior to joining UNL, he worked at a biotech startup developing RNA-based vaccines for animals.

Scan to read full announcement

NVMA Legislative Update from Zulkoski Weber

On March 9, the Nebraska Veterinary Medical Association held an advocacy day at the Nebraska State Capitol. A session was held in the Capitol where NVMA members met with Governor Jim Pillen, Director of Agriculture Sherry Vinton, State Veterinarian Dr. Roger Dudley, Health and Human Services Legislative Committee Chair Senator Ben Hansen, and Agriculture Committee Vice Chair Senator Teresa Ibach. Following the session, the association hosted a luncheon for lawmakers and their staff, which was also attended by Governor Pillen. Members enjoyed a positive discussion on issues ranging from workforce incentives to pending animal ID regulations.

The Nebraska Veterinary Medical Association shared with policymakers that members stand ready to serve as a resource as issues relating to animal health and welfare, public health, scope of practice, prescription drugs, small business, and taxation are considered.

The Nebraska Veterinary Medical Association appreciates the leadership of the Governor and Legislature to provide tax relief. The Legislature is expected to pass legislation this session that will reduce the top individual and corporate income tax rate to 3.99% and provide further property tax relief—without imposing any new sales taxes.

While efforts to address our state’s workforce shortage challenges are appreciated, NVMA opposes legislation that would undermine our state’s licensure standards. Specifically, this session NVMA testified in opposition to LB16 as drafted, which would require professional licenses be given to individuals based on work experience or licensure in another state. NVMA testified that licensure for veterinary technicians varies significantly from state to state, and the NVMA wishes to protect our state’s licensure standards and the authority of the Nebraska Board of Veterinary Medicine and Surgery. An amendment has been filed that would resolve concerns by removing automatic licensure based on work experience or private certification for professions credentialed under the Uniform Credentialing Act.

It is our pleasure to represent the NVMA, and we are proud of the great work you all are doing across our state. If you have questions on any legislative matters, please do not hesitate to reach out:

NVMA Legislative Day participants with Governor Jim Pillen. From left: Dr. Orval Gigstad, Dr. Jessika Benes, Dr. Dustin Loy, Governor Pillen, Dr. Ron Wallman, Dr. Jennifer Glaesemann, Dr. Roger Dudley, Dr. Lindsay Waechter-Mead, Dr. Scott McVey, Dr. Anna Fitzwater, and Dr. Rich Cockerill

Highlights from the State Veterinary Office

by Dr. Kaylie Fritts, Deputy State Veterinarian

At the Nebraska Department of Agriculture, we’re focusing our efforts on exciting new initiatives that will distinguish Nebraska as a leader in animal disease emergency preparedness and protect our state’s invaluable livestock resources.

Toward the end of 2022, we developed and began instituting the Animal Health Emergency Management Program. This program focuses on four components: planning, outreach, equipment management, and training. We are moving forward with each of these initiatives on schedule and are partnering with industry leaders to help us achieve our goals. For planning, we are in the process of developing state specific disease response plans. We will have these plans completed by the end of the year and hope to begin exercising them shortly thereafter. We have assembled an outreach committee consisting of leaders in various livestock industries. The goal of this committee is to get the word out about animal disease traceability, secure food supply, and biosecurity. We plan to reach producers through their most trusted ally- their veterinarian. Last year, we were awarded a large sum of money by the state government for emergency preparedness. Most of this money will be allocated toward the purchase, storage, and maintenance of critical equipment that will aid in the response to a livestock disease outbreak. Finally, we have upper-level emergency management training scheduled for most of our staff. This will increase the scope of our emergency response capabilities in the event of a statewide outbreak.

The USDA proposed a new Animal Disease Traceability rule on January 20, 2023. It is currently open for public comment, and we strongly encourage veterinarians and producers read through the document and comment if they so choose. NDA has interpreted the following changes: the definition of official identifications, the definition of dairy animals, Official Animal Identification Device Standards (OAIDS), and record keeping requirements when issuing official ID. If you have questions about the changes listed above, please call 402-471-2351, option 1.

We experienced our second HPAI outbreak of the calendar year in mid-February. This detection occurred in the large backyard flock in Lincoln County. This outbreak aligns with the predictions of the USDA and we are preparing for another year of viral detections statewide. While it’s difficult to predict the path that this virus will take, we continue to improve our response efforts to best serve avian producers in Nebraska. We continue to recommend stringent biosecurity practices and recommend that anyone with sick birds call the NDA at 402-471-2351 or the USDA at 402-434-2300.

As always, we’re always available to answer your questions or discuss your concerns.

Animal Health protects producers and consumers, as well as the health of livestock in Nebraska, by enforcing rules and regulations governing eradication and control of certain livestock and poultry diseases.

Auction markets and livestock dealers are licensed by Animal Health in order to regulate the health requirements of animals moving within the state. The import of animals into the state is also monitored according to established health standards which allow only healthy animals to enter.

Animal Health also licenses and inspects pet feed and rendering plants to ensure that finished products from these plants are safe for livestock and pets.

Alternate Delegate Position AVMA

Thank you, Dr Ylander

The NVMA board of directors, and membership, is grateful for the many years Dr. David Ylander has volunteered on the House of Delegates with the American Veterinary Medical Association. After serving since 2006, Dr. Ylander will be stepping down following the 2023 AVMA annual conference in July.

Dr. Ylander has been a dedicated volunteer of the NVMA for a large part of his career, serving on the board of directors since 2002. As AVMA delegate, he has represented veterinarians, students, and technicians with professionalism and integrity on the national level.

Thank you Dr. Ylander for all you have done and will continue to do for the veterinary profession in Nebraska. The time you have given to veterinary medicine has not gone unnoticed.

Are you interested in serving as AVMA Alternate Delegate?

The NVMA board of directors is seeking candidates for the position of AVMA Alternate Delegate.

What are the expectations of the AVMA Alternate Delegate?

- Study the issues of the AVMA House of Delegates and present to the NVMA board of directors for input.

- Represent Nebraska veterinarians, students, and technicians on issues pertinent to those practicing in Nebraska.

- Attend all AVMA House of Delegate meetings, which are currently held in January and July/August each year. The AVMA pays for travel expenses associated with the meeting.

- Attend all NVMA board of directors meetings as a voting member.

Criteria to be considered for the position:

- Must have been an active member of the NVMA for the past 5 years.

- Must be an active member of the AVMA.

- Must be able to commit to necessary travel.

- Should be able to understand and leverage power and politics in organizations.

- Should be a good communicator and work well with others.

- Preference given to candidates who have attended the AVMA Veterinary Leadership Conference.

Interested candidates should submit a letter of interest, a CV, and any letters of reference to the NVMA board of directors by June 15 for consideration. Materials may be emailed to: nvmaorg@gmail.com. Additional information may be found on the website at www.nvma.org/leadership/

Compounding: How do new rules affect you?

shared with permission from the American Veterinary Medical Association

The U.S. Food and Drug Administration has announced that in April it will begin phasing in inspectional activities in relation to Guidance for Industry #256, Compounding Animal Drugs from Bulk Drug Substances.

In this guidance, the FDA specifies the circumstances in which it plans to exercise enforcement discretion for relevant violations of the federal Food, Drug, and Cosmetic Act for drug approval, labeling, and manufacturing. This means that although compounding from bulk substances for animal patients is still considered illegal, pharmacists and veterinarians may compound drugs in this way, without concern for enforcement action, provided they follow the guidance and adhere to certain criteria.

When it comes to enforcement, the FDA indicates it has no plans to inspect veterinary care facilities that do not compound animal drugs from bulk drug substances. Rather, it anticipates a limited number of inspections of state-licensed pharmacies. With regard to those inspections, the FDA indicates it will “afford individuals and firms an opportunity to voluntarily take appropriate and corrective action prior to the initiation of enforcement action.”

The FDA also does not intend to conduct routine inspections of federally registered outsourcing facilities that compound drugs until it provides clarification on how GFI #256 applies to them.

What you need to know

To understand how GFI #256 may impact your own prescribing and dispensing practices, check out the extensive resources at avma.org/GFI256. These include details of how the guidance affects veterinarians, FAQs, a new one-page summary of key points, and a free webinar led by FDA veterinarian Dr. Amber McCoig.

You’ll also find information about how the AVMA advocated on behalf of veterinarians throughout the FDA’s process of developing this guidance. AVMA made clear to the regulators the nuances and importance of veterinary access to compounding, including from bulk drug substances.

Championing veterinary needs

The AVMA actively works with the FDA to ensure that veterinarians have medically appropriate access to compounded drugs, including those prepared from bulk drug substances, and that veterinary access is not unduly burdensome. The Association will continue to advocate for changes if implementation of the guidance does not meet veterinarians’ needs.

WHAT YOU NEED TO KNOW

FDA GFI #256, Compounding Animal Drugs from Bulk Drug Substances

о Compounding in veterinary clinics beginning with FDA approved, conditionally approved, or indexed finished pharmaceuticals as the starting material is outside the scope of GFI #256.

о Patient-specific compounding for nonfood-producing species has few restrictions unless the requested preparation is a copy (same active pharmaceutical ingredient [API] and route of administration) of an FDA approved, conditionally approved, or indexed drug.

о Requests for patient-specific compounded products that are considered copies of FDA approved, conditionally approved, or indexed drugs must include your medical rationale for why an existing FDA approved, conditionally approved, or indexed drug will not work for your patient (referred to as a “clinical difference”).

Examples of acceptable clinical differences for copies include:

• “Patient is allergic to ingredient [X] in approved product.”

• “[Ingredient name] in approved product is toxic to this species.”

• “Patient would require too many tablets of the approved product.”

• “Patient requires dose that would require a fraction of the approved tablet, and tablet is not scored to accomplish this fractionated dose.”

• “Patient cannot safely be pilled with the approved capsule.”

Examples of unacceptable clinical differences for copies include:

• “The compounded drug is less expensive.”

• “Prefer [compounded drug/compounder].”

• “Need half strength” (approved product is 10 mg/ml solution, prescription is written for 10 ml dose of 5 mg/ml solution)

о GFI #256 applies when you request compounded preparations from compounding pharmacies for:

• Office stock for non-food producing species, like dogs, cats, and horses.

• Food-producing species and free-range wildlife, regardless of whether your request is for a patient-specific prescription or office stock.

о If the product is compounded from a bulk drug substance (BDS), compounders will need to check FDA’s “lists” before compounding office stock for non-food producing species and either patient-specific or office stock for food-producing and free range wildlife species. FDA’s lists include:

• BDS for Compounding Office Stock Drugs for Use in Nonfood-Producing Animals

• BDS for Compounding Drugs for Use in Food-Producing Animals or Free-Ranging Wildlife Species

• BDS Currently Under Review

• BDS Reviewed and Not Listed

FDA Inspections: FDA has indicated it does not intend to inspect veterinary care facilities that do not compound animal drugs from BDS. FDA will also delay inspection of federally registered outsourcing facilities until it clarifies the applicability of GFI #256 to them. A limited number of inspections at state-licensed pharmacies are anticipated. FDA indicates it will “afford individuals and firms an opportunity to voluntarily take appropriate and corrective action prior to the initiation of enforcement action.”

For additional information see Axon webinar: Understanding FDA GFI #256; Compounding: FAQs for veterinarians; Compounding from bulk drug substances; FDA releases final guidance on compounding from bulk substances;

Questions? Email compounding@avma.org

Growing Leaders in Your Practice: The Role of Mentorship

written by Wendy Hauser, DVM - Peak Veterinary Consulting

In a study1 of early career veterinarians, mentorship was identified as one of the three most sought-after factors in accepting a job. While 51% of respondents stated that practice mentorship and support were among the primary reasons they decided to remain employed in a practice, 38% of the respondents stated a lack of mentorship was their main reason for leaving a position. What is mentorship and how can your hospital create a team-based approach to mentorship of all employees?

The Importance of Mentorship

Mentorship is a partnership between the mentee, which is a person with less experience in certain areas and a mentor, who is a person with more experience in those same areas. A mentor serves as a guide, helping the mentee to develop skills and grow new competencies. Mentors serve as a support system and sounding board as the mentee navigates different stages of their career. Finally, they are role models, helping the mentee to develop a professional identity by setting examples of professional ethics and attitudes that will aid the mentee in forging a successful career.

Both the mentor and the mentee are responsible to each other, and while they work together to create positive outcomes that benefit the mentee, in many cases the mentor finds meaning and purpose in the relationship as well.

Mentorship is the most desirable non-monetary benefit that attracts new veterinarians to a practice2. Despite this finding, discussions about mentorship expectations are rarely discussed. This creates disconnection, frustration, and stress for both parties that often results in turnover when the disappointed mentee leaves the practice. When effective mentorship exists, both parties’ benefit; the mentee from having a trusted advisor that is deeply invested in their success and the mentor, whose efforts are meaningful as they help their mentee develop into a confident professional.

Characteristics of Good Mentors

Mentors are experienced professionals that are willing to inspire and guide others. They share knowledge that helps smooth the career paths for their mentees; part of this process means sharing missteps so that their mentees can avoid making the same mistakes. There are five basic traits that characterize good mentors3 .

Knowledge

The mentor must possess the necessary skills and knowledge in the area in which they are providing mentorship.

Credibility

Mentors should have relevance and status as competent professionals in the fields in which they are providing mentorship

Communication

A good mentor understands that mentees will need different communication styles at different times. Sometimes, mentees are best served by asking coaching questions, helping them find their own answers. At other times it is more helpful to share information that helps them identify and avoid pitfalls

‘Other’ Serving

Mentors give freely of their time and attention in a mentoring relationship. Their job is to help their mentee grow and develop, both professionally and personally. They willingly use some of their hard-earned ‘relationship currency’ to open doors for their mentees, providing them with opportunities to succeed. These actions are selfless, and the reward the mentor receives is in seeing their mentee reach their potential.

Commitment

Being a mentor requires being consistently present for their mentee. The mentor and mentee should agree upon the frequency of mentoring sessions, how they will occur (in person, virtual video platform, telephone) and what the goals for the mentorship are. All attempts should be made to honor these boundaries.

Types of Mentorships

While mentorship is usually viewed as formal, one-one pairings, there are many different ways that individuals find mentorship:

Four Basic Models of Mentorship4

The recognized form of mentorship is a longstanding relationship between a seasoned professional and a person with less experience. This definition restricts mentorship by classifying it in one dimension, when there are four basic models of mentorship. It is important for mentees to understand what type of mentorship would be most helpful to them in reaching their goals.

Traditional Mentor

A traditional mentor is someone who provides more formal, long-term guidance. This type of relationship is most helpful for veterinary students and for early career veterinarians. Traditional mentors schedule frequent meetings, where the mentor provides feedback on skill development, performance and helps the mentee to recognize ways to overcome challenges. Because the mentor becomes highly invested in the mentee, this relationship has been described as more of a “professional parenting bond than boss-employee relationship”4

Coach

A coach helps the mentee improve in a specific skill or area. Examples where a coach would be helpful include when the mentee wants to learn or improve surgical techniques, develop dentistry skills or for career development. A coach differs from a traditional mentor in that they focus on performance related to a particular topic rather than growth in many areas. Mentees should understand, due to the focused nature of the relationship, that they will receive less time and interaction with a coach when compared to a mentor. While coaches may be temporary, they are often vital to the mentee’s long-term success.

Personal Board of Advisors5

Sponsor

Sponsors are people who have garnered substantial social and political capital over their careers. They are willing to risk their reputations when recommending mentees, ”using their positions to help grow the field and the talent pipeline”4. Sponsors use their relationship currency to make mentees more visible, helping them join prestigious committees, secure academic positions, or obtain new roles, most often when transitioning from private practice to industry. The work of a sponsor is often behind the scenes, and often mentees do not realize when sponsors have supported them. Sponsors are particularly important advocates for women and minority mentees, “who might be less likely to have mentors that can act as sponsors or be overlooked when opportunities arise”4 .

Connector

The final type of mentorship occurs when mentees need a Connector, a master networker who can help mentee find a new mentorship match or build a mentorship team. Connectors are less invested in the individual; their motivation is to ensure that the veterinary profession “attracts, retains and grows”4 high-potential employees in all areas of the industry, including in private practice, organized veterinary medicine, academic institutions and in industry.

While mentors, coaches, sponsors, and connectors all play vital roles in personal and professional development, another concept deserves mention: The Personal Board of Advisors. Rather than having a single mentor, most professionals need a developmental network or mentoring team, otherwise known as a “personal board of advisors” that fits their entire lives, both professional and personal.

An advisory board supplements the individual’s strengths and experience with their own. They act as sounding boards to test ideas and plans, to push the professional into uncomfortable situations, and to provide feedback. The people chosen for a personal board of advisors should have different perspectives and contribute diverse thinking to help shape the mentee’s viewpoints. It is helpful to include someone that is in a different industry; this introduces a different dimension of critical thinking and identifies unique business practices that might be the answer to a challenge in the veterinary industry. Members of a professional’s board of advisors should know more about something than the mentee, be better at something than the mentee, or offer differ points of view.

When designing a personal mentoring team9, it is important to start with the end in mind. What does the mentee hope to accomplish? What needs to be done to reach this goal? Once this is defined, then a mentoring team can be assembled.

The mentoring team should be assembled strategically, with three differing levels of personal connection: an inner circle, middle circle and outer circle9. The inner, or personal, circle is comprised of those closest to the mentee, their best advocates that can be counted on to always be candid with the mentee. These could be best friends, family members or other highly trusted people.

The middle, or professional, circle represents the mentee’s closest coworkers. They have worked alongside the mentee and understand their strengths and weaknesses, and how they respond in different situations.

The outer, or network, circle consists of those with whom the mentee does not have a personal relationship. These people are identified by mentee as having attributes they admire, or they have achieved success in an area that the mentee would like to emulate. Sometimes these individuals are identified by inner or middle circle mentoring team members. This is the most difficult ring, as it requires the mentee to have the bravery to reach out to a potential mentor team member with whom they do not have a relationship.

Mentors-of-the-Moment6

Does mentorship always have to be a formal program, with defined mentor and mentee roles? While these relationships are important, there are limitations with these formal relationships, including the hierarchical structure and the time commitments needed in a profession where patient needs often take priority over mentorship. There is also the insular nature of these relationships if they are not balanced by robust mentoring networks, allowing for multiple mentors to contribute to the growth of the mentee. One solution to these challenges is to create a workplace culture where there are “mentors of the moment.”

When team members embrace the concept of mentors-of-the-moment, they actively look for ways to develop or grow peers during everyday interactions. This model uses “shorter exchanges to enhance self-esteem, self-confidence, and sense of belonging”6. In this culture, mentors-of-the-moment take advantage of daily opportunities such as working together in surgery, in the treatment area or sharing a lunch break together to engage others by providing positive feedback about an observed contribution or interaction. These brief touch points could sound like:

• “I noticed that you have been working on _____. Well done!”

• “I overheard you speaking to Fluffy’s owner. Nice job explaining how the recommendations would benefit both Fluffy and her owner. I could see that she appreciated the information.”

• “I know it’s hard to take all the knowledge you’ve learned and apply it on a day-to-day basis. It will get easier. What

can I do

to help you today?”

Consider the value to a newly graduated veterinarian or veterinary technician when they have not one mentor, but many mentors-in-the moment that can help smooth their introduction to hospital clients, provide guidance on policies and procedures and affirmation after new risks are taken by the doctor. Mentors-of-the moment help to provide collegiality and a sense of well-being to all team members, as this approach serves the secondary purpose of promoting positive feedback to all team members.

Setting the Stage for a Successful Mentee-Mentor Relationship

As mentioned earlier in this article, expectations between mentees and mentors are rarely discussed and defined. Successful mentoring relationships depend on mutual accountability and trust. There needs to be a candid conversation about expectations at the beginning of the mentor-mentee relationship. This discussion should clarify what the mentee expects from the relationship and match it against the mentor’s expectations. This allows both parties to reach an understanding and creates some guidelines for the mentorship to thrive. Things to discuss7 8 include:

A regular meeting cadence, including when, where and how long.

• What constitutes an urgent matter that needs to be discussed outside of the regular meeting? How do those out of bounds conversations occur-scheduled calls? Emails? Mentoring can be time consuming; observing agreed-upon boundaries conveys respect for the mentor’s time.

• What are the mentor’s expectations for the mentee regarding their professional behavior, quality of commitment and work and specific milestones they should accomplish? If they fail to meet the expectations, what are the consequences?

• A commitment to mutually candid, non-judgmental conversations. The mentor should ask how the mentee likes to receive feedback, and how frequently they want it.

Avoid these Mentor Missteps

• Mentorship success rests on the mutual belief that what is discussed in mentorship situations is confidential. These sessions should promote safety and trust.

• Mentors and mentees should commit to being fully present and engaged for their mentoring sessions. They should be committed to the scheduled appointments and do their best to prevent any interruptions or distractions during these meetings.

• Mentors should be empathetic and try to see the mentoring session through the eyes of the mentee. This approach helps the mentor deliver feedback that could feel harsh in a kinder tone, which helps the mentee to feel supported.

The power dynamic between mentors and mentees is unbalanced; the mentor is in the dominant position in the relationship, holding the power and having the most experience. When the mentor is the employer or a senior associate, as is often the case in private veterinary hospitals, they may be mentors by default and assigned to mentor the new employee. This heightens the mismatch in the relationship, and places mentee in a more vulnerable position. Mentors can unknowingly sabotage the relationship by creating “mentorship malpractice”7. What are ways the mentors focus on the mentee’s best interests and wellbeing, and avoid being self-serving?

• Give credit to the mentee

Mentorship is selfless-it is not about the mentor, it’s about passing on experience and knowledge to your mentee. One of the key duties of the mentor is to promote their mentee by sharing their mentee’s accomplishments. Mentors should never take credit for mentees’ ideas or displace them from leadership roles in new hospital initiatives. Identify projects that benefit the mentee’s growth rather than those that are self-serving to the mentor.

• Create developmental opportunities

Mentors should ensure that any projects on which they have mentees contribute helps the mentee to learn and grow in their area of expertise, and not to the benefit of the mentor.

• Keep things moving

Avoid undermining your mentee by being slow to respond to them. If they seek your approval for case review or need feedback to move to the next step, communicate with them about when they can expect your assessment and follow through in a timely manner.

• Allow your mentee to branch out

Be aware of discouraging mentees from seeking other mentors. This ‘captive’ situation is self-serving, feeding the mentor’s ego while preventing the mentee from accessing broader learning and recognition.

• Being conflict averse

As with any relationship, disagreements are inevitable. Tackle concerning behaviors when they are seen, as the mentee depends on the mentor to help them learn. Tell your story, then listen to the mentee’s story. Mutually explore what is a fact and what is an assumption. Work together to find resolution. Summarize the resolution and set a time for a follow-up conversation. Finally, reiterate that you have belief in the mentee, their abilities, and their character.

Growing leaders in your practice starts with healthy mentorship relationships. When less experienced team members feel “invested in” by recognizing and nurturing their potential, then they can fully contribute their unique strengths within your hospital. Mentorship requires a willing mentor and mentee that are aligned on the process of mentorship and can maximize on the promise it holds. It is through mentorship that the veterinary profession can maintain an engaged, purpose-driven workforce.

References:

1. Jelinski MD, Campbell JR, MacGregor MW, Watts JM. Factors associated with veterinarians’ career path choices in the early postgraduate period. Can Vet J. 2009; V 50: 943-948

2. Tait J. The marketplace for new graduates in 2004. Can Vet J. 2005; V 46:461–464

3. Holmes DR, Warnes CA, O’Gara PT, Nishimura RA. Effective attributes of mentoring in the current era. Circulation 2018; V 138, Issue 5:455-457

4. Chopra V, Arora VM, Saint S. Will you be my mentor? Four archetypes to help mentees succeed in academic medicine. JAMA Internal Medicine 2018; V 178, 2:175-176

5. Shen Y, Cotton R, Kram K. Assembling your personal board of advisors. MIT Sloan Management Review Spring 2015

6. Johnson WB, Smith DG. Real mentorship starts with company culture, not formal programs. Harvard Business Review December 30 2019; https://hbr.org/2019/12/real-mentorship-starts-with-company-culture-not-formal-programs

7. Chopra V, Sanjay S. 6 things every mentor should do. Harvard Business Review March 29, 2017. https://hbr.org/2017/03/6-things-every-mentor-should-do

8. Saint S, Chopra V. How doctors can be better mentors. Harvard Business Review October 4, 2018. https://hbr.org/2018/10/how-doctors-can-be-better-mentors

9. Gotian R. How to develop a mentoring team. Forbes July 6, 2020; https://www.forbes.com/sites/ruthgotian/2020/07/06/how-to-cultivate-a-mentoring-team-in-five-easy-steps/?sh=6b863fdd244a

About the Author:

Wendy Hauser, DVM is the founder of Peak Veterinary Consulting and has practiced for 30+ years as an associate, practice owner and relief veterinarian. She has worked in the animal health industry as a pet health insurance executive and as a technical services veterinarian. Dr. Hauser, passionate about education and innovation, consults with both industry partners and individual veterinary hospitals. She is a regular presenter at veterinary conferences, facilitating workshops on hospital culture, associate development, leadership, client relations and operations. Frequently published, she is the co-author of “The Veterinarian’s Guide to Healthy Pet Plans.” Learn more about Peak Veterinary Consulting at https://peakveterinaryconsulting.com/

Did you know the NVMA offers a Mentorship Program?

The NVMA is proud to partner with the UNL Professional Program in Veterinary Medicine to provide mentorships for students. The inclusion of the PPVM students into our NVMA “family” helps students and veterinarians become acquainted and develop camaraderie that is so important to the profession.

Interested NVMA members are matched with a UNL PPVM student to serve as a mentor throughout the year. Students are encouraged to visit their mentors’ practice or work place for externships. NVMA mentors help welcome the students at NVMA functions, include the students in their social groups, and introduce the students to other veterinarians as opportunities arise.

Would you like to get involved in the Mentorship Program? Simply email the NVMA office at nvmaorg@gmail.com to be added to the list.

Dr. Shari Sandoz Meyer, NVMA Past President, on the golf course with veterinary technician student Keely Holm, 3rd year PPVM student Tressa Reiner, and 2nd year PPVM student Erin Weaver.

Highly Pathogenic Avian Influenza in Mammals: A Case Report of Two Domestic Cats

written by Sarah Simman, DVM, PhD, dip. ACVP | UNL Veterinary Diagnostic Laboratory

In January, an outdoor, adult, domestic longhaired cat presented to the University of Nebraska Veterinary Diagnostic Center for postmortem examination after a history of rapid decline with clinical signs of anorexia, recumbency, anisocoria, pyrexia, seizures, tremors, nystagmus, loss of proprioception, and hyperesthesia. Gross necropsy revealed only a few visible changes to the organs including pulmonary congestion and edema, mild pericardial transudative effusion, and a subtle darkening of areas of the cerebrocortical grey matter. Complete histopathology examination revealed necrotizing lesions in the kidney, liver, adrenal gland, and pancreas; encephalitis with patches of extensive neuronal degeneration and necrosis, particularly in the cerebral cortex; and edema, vessel congestion, and mild inflammation in the lung and epicardium. The lesions were recognized as suspicious for highly pathogenic avian influenza virus infection, which was confirmed with molecular diagnostics. The PCR Ct value for avian influenza in the brain of this cat was remarkably low (12), indicating a very large amount of virus in the brain, as consistent with an acute infection. Highly pathogenic avian influenza Eurasian strain H5N1 was verified by molecular assay at National Veterinary Services Laboratories (NVSL).

Three other outdoor domestic cats of this household were noted at risk, and one of them developed clinical signs shortly after the first affected cat. This cat was described as somnolent and had episodes of walking in circles (circling). The cat was responsive to stimuli and seemed to eat and drink normally. It lived 10 days with neurologic impairment, when the cat suddenly became laterally recumbent with continual tremors, necessitating euthanasia. Gross necropsy documented major lesions only in the brain. There was excessive bloody cerebrospinal fluid from the subarachnoid space and obvious areas of malacia and hemorrhage in the cerebral cortex. On histopathology of affected brain, there was extensive loss of neurons with severe vacuolation and collapse of the supporting parenchyma, accompanied by reactive changes including astrogliosis and lymphocytic perivascular cuffs. Avian influenza was detected in the brain, although the PCR Ct value was higher (30), a consequence of the infection being chronic and/or less initial virus burden. Eurasian strain H5N1 was verified at NVSL. Acute hemorrhage from the damaged cortex leading to increased intracranial pressure could have caused the neurological crisis in this second cat. The remaining two cats in the household have been reportedly normal and nasal swabs collected from them did not detect avian influenza virus.

The current outbreak of highly pathogenic avian influenza

A (H5N1) virus (HPAI H5N1) has been a disaster for poultry flocks, affecting more than 58 million poultry from commercial and backyard flocks in the United States.1 Although primarily affecting birds, H5N1 can infect mammals, with many of these other affected species belonging to the order Carnivora. Documented cases of HPAI H5N1-infected carnivores include wild/exotic and domestic felids, bears, seals, coyotes, domestic dog, raccoons, foxes, and skunks.2 , 3 , 4 Other mammals infected include opossums and dolphins.2 These infections are sporadic and generally rare, but important as they appear to cause significant morbidity and mortality in the affected individuals. The cats in this case had obvious neurological signs and remarkable brain pathology including extensive neuronal degeneration and necrosis, reactive astrogliosis, and perivascular cuffing, consistent with other cases reported. Other lesions can variably be found in the lung, liver, pancreas, heart, adrenal gland, and kidney, as described in the first cat of this report.3 , 5 Therefore, complete necropsy evaluation sampling multiple internal organs and brain is essential to arriving at a timely diagnosis of HPAI H5N1 infection in a cat (or other carnivore) and ruling out other etiologies of neurologic

disease. At present, consumption of birds infected with HPAI H5N1 is understood to be the key route of transmission for carnivores naturally infected with the virus, although ingestion of virus-contaminated feces and environmental material is a possible route.1 , 6 It has been demonstrated that cats can become infected with H5N1 via the respiratory route and cat-to-cat transmission is possible.3 , 6 However, these sporadic H5N1 infection events are still initially precipitated by contact with infected birds.3 There is no evidence that cats or other infected mammals have a zoonotic role with H5N1.6 , 1 It is presumed that the two cats described here became infected from predation of wild birds infected with the virus given the circumstances of the case. Keeping cats indoors to prevent wild bird contact (particularly given the context of the current HPAI outbreak) and avoiding feeding uncooked poultry are recommendations to minimize risk of H5N1 infection. If H5N1 is suspected in a cat, best practice to minimize any risks of transmission would be to isolate the cat, minimize contact, wear personal protective equipment while handling the cat, and thoroughly decontaminate contact surfaces with appropriate disinfectants (see Thiry et al., 2009, for more detailed discussion6).

References

1. Centers for Disease Control and Prevention. Bird flu current situation summary. https://www.cdc.gov/flu/avianflu/avian-flu-summary.htm. Accessed 22 February 2023.

2. USDA Animal and Plant Health Inspection Service. 2022-2023 Detections of highly pathogenic avian influenza in mammals. https://www.aphis.usda.gov/aphis/ourfocus/animalhealth/animal-disease-information/avian/avian-influenza/hpai-2022/2022-hpai-mammals. Accessed 22 February 2023.

3. Thiry, E., Zicola, A., Addie, D., Egberink, H., Hartmann, K., Lutz, H., Poulet, H., & Horzinek, M. C. (2007). Highly pathogenic avian influenza H5N1 virus in cats and other carnivores. Veterinary microbiology, 122(1-2), 25–31. https://doi.org/10.1016/j.vetmic.2006.12.021

4. Songserm T, Amonsin A, Jam-on R, Sae-Heng N, Pariyothorn N, Payungporn S, Theamboonlers A, Chutinimitkul S, Thanawongnuwech R, Poovorawan Y. Fatal avian influenza A H5N1 in a dog. Emerg Infect Dis. 2006 Nov;12(11):1744-7. doi: 10.3201/eid1211.060542. PMID: 17283627; PMCID: PMC3372347.

5. Rimmelzwaan GF, van Riel D, Baars M, Bestebroer TM, van Amerongen G, Fouchier RA, Osterhaus AD, Kuiken T. Influenza A virus (H5N1) infection in cats causes systemic disease with potential novel routes of virus spread within and between hosts. Am J Pathol. 2006 Jan;168(1):176-83; quiz 364. doi: 10.2353/ajpath.2006.050466. PMID: 16400021; PMCID: PMC1592682.

6. Thiry, E., Addie, D., Belák, S., Boucraut-Baralon, C., Egberink, H., Frymus, T., Gruffydd-Jones, T., Hartmann, K., Hosie, M. J., Lloret, A., Lutz, H., Marsilio, F., Pennisi, M. G., Radford, A. D., Truyen, U., & Horzinek, M. C. (2009). H5N1 avian influenza in cats. ABCD guidelines on prevention and management. Journal of feline medicine and surgery, 11(7), 615–618. https://doi.org/10.1016/j.jfms.2009.05.011

NVMA CLASSIFIEDS

EMPLOYMENT OPPORTUNITIES

Mixed Animal Veterinarian [Hastings, NE]

Full time Mixed Animal Associate Veterinarian | Salary: Competitive and experience based

Benefits: Health insurance, 401k, profit sharing, paid vacation, 4 day work week, sick days, paid maternity, equal call rotation, paid CE, state/national dues & membership.

Our practice is a mixed animal practice with about 60% small animal and 40% large animal medicine. We currently have 4 full time veterinarians, 4 full time technicians, and multiple support staff. We are proud to serve multiple communities in the south central part of Nebraska, covering not only Adams county, but Clay, Webster, Nuckolls, Kearney, and many others.

Small animal work is consistent and includes but not limited to surgery, dentistry, routine vaccinations and exams, lab work, ultrasound, digital radiographs, and client communications.

Large animal work is mostly seasonal and includes but not limited to preg checking, processing at all life stages, obstetrical work, general surgeries, breeding soundness exams, post mortems, and consultation. Most of our work is primarily bovine centered but we care for all small ruminants and swine as well. We also provide swine consultation and herd health visits to various swine farms throughout the state.

Equine work is more limited than other areas but we do provide general wellness and routine vaccinations, lameness exams, castrations, minor hospitalization, and dental work. We are equipped for equine radiographs and will refer if necessary. We are open to adding specialties, and incorporating areas of interest.

You can view our full ad on our website, http://www.animal-clinic.org/careers–opportunities.html

Please send resumes to schwenka@gtmc.net

Associate Veterinarian [Omaha, NE]

The Westgate Animal Clinic, located in Omaha, is currently hiring a full time Associate Veterinarian-licensed DVM.

Job Description:

- Full time Veterinarian

- Team Player, compassionate

- Proficient in Surgeries, Dentistry, and general medicine

- We offer our Veterinarians:

- Competitive yearly salary of $100,000-$150,000

- Sign on bonus

- Uniform allowance

- Paid CE Allowance

- Medical/ Dental Benefits

- 401k

Please send Resumes to contact@westgateomaha.com. Visit our website at https://www.westgateomaha.com/

Veterinarian [Norfolk, NE]

Companion Animal Veterinary Clinic is looking for a Veterinarian to join our fun and vibrant team! We are a family-oriented, multi-doctor practice that provides quality veterinary care to our community. Our goal is to provide innovative, personalized pet care while building community and growing relationships.

About CAVC - We are equipped to perform routine surgeries daily including dental x-rays, a surgical laser and advanced monitoring. We have a full Idexx diagnostic suite including CBC, Catalyst, Sedivue and DR xrays. We have a solid reputation in the community, with countless long-term clients and many potential new clients being referred to us daily and we are striving to change the veterinary medicine for the better, our employee well-being is important to us as a family-owned clinic.

About the position - Experienced veterinarians and new graduates are encouraged to apply!

Collaboration and mentorship are important to us! As a new grad, we aim to provide a mentorship program in which you can thrive! The opportunity to get further training such as ultrasound, dentistry or orthopedics will be encouraged! Our clinic sees a diverse caseload which allows for a fun mix of internal medicine, surgery and preventative care. 4 Day work week with rotating Saturdays and on-call. Extra pay for emergency visits.

Our benefits - Salary based on experience, Medical benefit stipend (including health, dental and vision), 401(k), CE allowance with time off for CE, Vacation time off, Dues and liability coverage, Family friendly atmosphere and more!

Norfolk Nebraska has a progressive small town feel. Great school systems with many fantastic parks. There are multiple events in the summer with live music perfect for family fun or a night out as a young professional. Norfolk is a town that invests in its future with a revitalized downtown and white water park that opens this spring. We would love to chat! Call Whitney at 402-843-6095 or email whitneytrampdvm@gmail.com

EMPLOYMENT OPPORTUNITIES

Associate Veterinarian [Arlington, NE]

Arlington Pet Hospital is a well-established, fast-paced, 2.5 doctor practice in Arlington, NE. We are a small animal GP clinic with caring, friendly, and informative staff! We serve our community with excellent pet care by offering services such as orthopedics, ultrasound, soft-tissue surgery, cold laser therapy, dental prophylaxis, digital x-ray, and more. Join us to practice big city medicine with small town charm!

Visit our website - https://www.arlingtonpet.net/meet-our-team.pml! Apply at: https://smrtr.io/cp-TC.

Large Animal Veterinarian [Red Oak, IA]

Omaha/Red Oak Livestock Market is looking for a large animal DVM, interest in a unique partnership opportunity. The ideal candidate for this position would have a strong understanding of sale barns and a desire to help producers. Our DVM would be required to work weekly livestock sales.

This is a new opportunity with the ability to adapt to a person’s individual vision and preferences. For more information, please contact Pat at 712-623-2531.

Full Time Veterinarian [Lincoln, NE]

Ehlers Animal Care is seeking a full-time veterinarian, experience preferred but welcome recent graduates or early career DVMs.

The benefit package includes healthcare, 401K w/ match, CE allowance, paid license renewal, membership fees, and more!

We offer a variety of services including, extensive list of soft tissue surgery, orthopedic surgery, oncology, and chemotherapy. We operate out of a beautiful 6,300sq ft facility and are well-equipped with a new digital radiology system, ultrasound, a comprehensive in-house lab, and more! We take a personalized approach to veterinary medicine and focus on caring for people through their pets.

Apply today via email: mpieper@ehlersvet.com

Associate Veterinarian [Curtis, NE]

Medicine Valley Veterinary Hospital is seeking:

- Associate Veterinarian-licensed DVM with interest in bovine/equine medicine and reproduction –New Grads welcome to apply.

- Compensation: competitive, commensurate with experience

- Benefits: medical, individual life insurance, CE, PTO, Association dues, Vehicle, Business phone

- Located Curtis NE

- Technologies include digital x-ray, ultrasound, laser, fiberoptic scope, and thermography

- Mixed Practice- 45% cow/calf, 45% Equine, 10% small animal

Send Resume to: Medicine Valley Veterinary Hospital | PO BOX 127 | Curtis NE 69025

ATTN: Steve Krull DVM or email: mvvhosp@gmail.com

Associate Veterinarian [York, NE]

York Animal Clinic has an opening for a full time veterinarian. We are a five doctor, mixed animal practice and need an individual that is primarily focused on small animal medicine and surgery but is also comfortable with large animal work. Our small animal caseload has been growing consistently, year after year. While we embrace the growth of our small animal business, we also take pride in our role of keeping our large animal clients profitable into the future.

We enjoy mentoring new graduates but also appreciate veterinarians that have previous experience. The most important thing for us is finding an applicant that truly cares about providing excellent service. Our support staff is experienced, works hard, and has fun together. The clinic is equipped with 2 anesthesia machines, dentistry, digital DR radiology, ultrasound, and Heska lab. We have a mobile working cattle chute as well as a tilting silencer hydraulic chute at the clinic.

The weekly work schedule typically consists of 4 days with one weekday off. Weekend and evening emergency duty rotates between the doctors. Compensation includes a competitive salary, three weeks vacation, continuing education, health insurance, liability insurance, retirement, association dues, professional licenses, and a pickup and vetbox. Student loan forgiveness/sign on bonus is also available.

York is an excellent place to live (pop ~8000). We have tremendous schools, churches, healthcare, and restaurants; and we are only an hour from Lincoln. Thanks in part to York being a thriving community, York Animal Clinic is a growing practice. For more information, contact Dr. Ryan Koch at (402) 366-3798. Send resumes to 1529 Lincoln Ave., York, NE 68467.

NVMA CLASSIFIEDS

PRACTICES FOR SALE

Yankton, SD Practice for Sale

Currently operational established vet clinic and real estate in Yankton, SD is for sale. Owners planning to retire. Clinic can be accommodated to add another doctor and has the physical space to grow. Strong client base and well-trained staff eager to learn. Services range from general care and surgeries to grooming and boarding. Building Size: 3,488 sq. ft. Sale Price: $1,500,000. Contact Marcus Mahlen from NAI Sioux Falls at 605-228-9744 or mmahlen@naisiouxfalls.com for more information.

EQUIPMENT FOR SALE

Vet Clinic Closed – Equipment/Supplies for Sale: Amalgamator, Anesthesia Machine, Autoclave, Bloodpump, Centrifuge, Dental Suite, Electrosurge, Glaucoma Tonevet; Grooming Table, Pet Heating Pads, HM5 Hemolizer CBC Machine, Incubator, Kennel Fan/Dryer, Kennels, Patient Monitor, Pet Bath Unit, Platform Scale, Stainless Steel Exam Table, Surgery Table, Sullivan Blow Dryer III, Surgery Lights (2), Ultrasonic Cleaner, X-Ray Apron, Brown’s Medical Imaging X-Ray Machine, Brown’s Imaging X-Ray Tube, Miscellaneous Vet and Grooming Supplies. If interested Call Malori at 402 992-5966. Although no sale would be final without approval of Midwest Bank, they have asked Malori to help get a fair market value on the items.

RELIEF VETERINARIANS

Bill Burdett, DVM

Small animal, cattle, small ruminants, and equine

Available for practices in Kansas, Nebraska, and Colorado 308-379-3261

Mark Tracy, DVM

Large animal, mixed

Available for practices in NE and KS 308-962-6445

Nathan Kotschwar

Small animal, Large animal, Mixed animal, Emergency Available for practices in Nebraska 308-379-3261

Lacey Warning DVM

Small Animal, Soft tissue Surgery, Emergency medicine Available for practices in Nebraska 308-293-6354

Emily Murray, DVM

Large and small animal Available for practices in Nebraska and Kansas 785-541-1007 or mpvetrelief@gmail.com

NVMA OFFERS TWO GREAT WAYS TO ADVERTISE

NVMA Classifieds and the Veterinary Career Center

The NVMA Classifieds provide a complimentary posting for members to advertise position openings, practices for sale and equipment for sale. The listings are intended to be posted for 90 days or until the positions have been filled or practices and equipment has been sold. Non-members are allowed to post in the NVMA classifieds for a fee.

Another way for members to advertise open positions is through the Veterinary Career Center. The Career Center provides an opportunity for members to advertise on a nationwide, searchable on-line website. Advertising costs due apply however NVMA members receive a discount. As a part of the Veterinary Career Network, your Association receives a commission for each advertisement an NVMA member places. These non-dues revenue opportunities assist in program development and added member benefits.

Do you provide relief services and would like to be added to the list? Simply visit nvma.org/career-center/relief-veterinarians/ and click on “add your name as a relief veterinarian” tab and the NVMA staff will do the rest. Relief veterinarians will be listed in the Veterinary Views each publication.

Make plans to join us at the Crowne Plaza Hotel and Younes Conference Center North, in Kearney, for the NVMA Winter Conference. The CE committee has secured this location through 2026.

January 24-27, 2024 - Younes Conference Center North | Kearney, NE

January 29 - February 1, 2025 - Younes Conference Center North | Kearney, NE

January 28 - 31, 2026 - Younes Conference Center North | Kearney, NE

Congratulations FFA Award Recipients

The NVMA is a proud supporter of the Nebraska FFA. This year the association sponsored the Livestock Evaluation Senior Division, Specialty Animal Production Entrepreneurship, and Veterinary Science Entrepreneurship awards.

MEETINGS, COMMITTEES, & EVENTS

NVMA BOARD OF DIRECTORS

April 20, 2023 - Virtual Meeting

June 21, 2023 - Deadwood, SD

October 19, 2023 - Virtual Meeting

NVMA CE COMMITTEE MEETINGS

April 19, 2023 - Virtual Meeting

June 21, 2023 - Deadwood, SD

October 18, 2023 - Virtual Meeting

January 24, 2024 - Kearney, NE

UPCOMING EVENTS

UNL PPVM CLASS of 2025 SEND-OFF

April 21, 2023 | Lincoln, NE

ISU/UNL PPVM GRADUATION

May 12, 2023 | Ames, IA

NVMA DISTRICT 5 MEETING

May 16, 2023 | The Saddle Club | Grand Island, NE

2023 NVMA MEMORIAL GOLF TOURNAMENT

June 22, 2023 | 2:00 pm | Spearfish Canyon Golf Course | Spearfish, SD

2023 NVMA SUMMER CONFERENCE

June 21-23, 2023 | The Lodge at Deadwood | Deadwood, SD

AVMA SUMMER CONVENTION

July 14-18, 2023 | Denver, CO

NEBRASKA STATE FAIR BIRTHING CENTER

August 25 - Sept 4, 2023 | Nebraska State Fairgrounds | Grand Island, NE

NVMA WINTER MEETING

January 24-27, 2024 | Younes Conference Center North | Kearney, NE