September/October 2013 Vol. 78 No. 5
2013 NYS-VC Conference Wrap-up This year’s New York State Veterinary Conference (NYS-VC), held Oct. 3-6, at the Cornell University College of Veterinary Medicine, was a rousing success. The conference drew nearly 650 attendees, including 406 veterinarians, 89 licensed veterinary technicians, veterinary students, speakers and more. In addition to providing attendees with more than 20 CE credits, this year’s conference featured a series of lectures on disaster preparedness sponsored by the American Veterinary Medical Foundation and facilitated by members of the New York City Veterinary Emergency Response Team; interactive ultrasound and radiology learning opportunities; and a new laboratory animal track. The culmination of the conference was the annual awards banquet, held Saturday, Oct. 5, at Celebrations Banquet Facility. A festive night of dinner and dancing was held with NYSVMS President Linda JM Tintle, DVM, beginning the evening by presenting the NYSVMS awards. The Distinguished Life Service Award, was presented to Lawrence W. Bartholf, DVM, in absentia. The award is the highest honor to be conferred upon an NYSVMS member. It honors an individual of the highest caliber in the profession; one who has been a good and faithful NYSVMS member for a period of 35 years and has actively and fully partaken in society activities. Dr. Bartholf has been a member of the NYSVMS and the Hudson Valley Veterinary Medical Society since 1969, and during that time he has been an avid proponent and activist for organized veterinary medicine. He served both organizations in many capacities over the last 30 years. For the past seven years, he has served as the treasurer of the NYSVMS and will continue to do so in 2014.
NYSVMS Veterinarian of the Year: Eric Bregman, VMD, and NYSVMS President Linda JM Tintle, DVM
Daniel Elmer Salmon Award for Distinguished Alumni Service: Dean Michael I. Kotlikoff, VMD, PhD; Linda Peddie, DVM; James Peddie, DVM, and Edward von der Schmidt, III, DVM
NYSVMS President’s Citation: Lisa Chelenza and Linda JM Tintle, DVM
The Veterinarian of the Year award was presented to Eric Bregman, VMD. It is given to a NYSVMS member who, over the course of many years, served the regional, state society, and veterinary profession in an exemplary and distinguished manner and who is judged by his/her peers to be the most deserving of the Veterinarian of the Year award. In 2011, Dr. Bregman was an inaugural member of the NYSVMS’s leadership development program, Leaders 2000 (L2K). After two years as an active L2K member, he was elected by his regional colleagues to represent them on the NYSVMS executive board. In 2011, he served as NYSVMS President in 2011 and is currently the Nominations and Leadership Development Committee Chair. He is also an active member of the VMA of New York City, serving as co-chairman of the Ethics Committee for several years, as secretary in 2001 and president in 2009. In 2011, he received the VMA of NYC Veterinarian of the Year Award; VMA of NYC Outstanding Service to Veterinary Medicine in 2010; and the VMA of NYC Award of Merit in 2001. For her final presentation of the evening, Dr. Tintle presented a President’s Citation to Lisa Chelenza of YNN (Your News Network, Syracuse). Celebrating its 10th anniversary this year, Lisa Chelenza’s Pet Pointers on YNN provides the public with vital animal health and preventative care information. In addition, Lisa has been a valuable asset to the NYSVMS in her generous promotion of the Hall of Veterinary Health at the New York State Fair. By producing a series of “Pet Pointers” spots to highlight the Hall continued on page 7 1
Sept./Oct. 2013 • Vol. 78 No. 5
O f fi c i a l P u b l i c a t i o n NEW YORK STATE VETERINARY MEDICAL SOCIETY, INC.
President’s Message Linda J M Tintle, DVM
ISSN (1045-3903) USPS (407-350) 100 Great Oaks Blvd., Suite 127, Albany, NY 12203 Tel.: (518) 8NYSVMS Fax: (518) 869-7868 staff@NYSVMS.org www.NYSVMS.org Affiliate of the American Veterinary Medical Association VETERINARY NEWS is published bi-monthly by the New York State Veterinary Medical Society, Inc., 100 Great Oaks Blvd., Suite 127, Albany, NY 12203. Subscriptions are $1/year to members as part of their annual dues, $25/year to subscribers and $50 to non-member veterinarians in New York State. Opinions expressed in articles and editorials of VETERINARY NEWS are those of the authors and are not necessarily those of the New York State Veterinary Medical Society, Inc., Second-class postage paid at Albany, New York. POSTMASTER: Send address changes to: VETERINARY NEWS, 100 Great Oaks Blvd., Suite 127, Albany, NY 12203. Executive Director Jennifer J. Mauer, CAE Marketing/Membership Specialist Stacey Allen Education/Conference Specialist Bryana Wachowicz Office Assistant/Bookkeeper Marianne Gould NYSVMS Legal Counsel Barbara J. Ahern, Esq. 2012 NYSVMS Officers President Linda J.M. Tintle, DVM President-elect Christopher Brockett, DVM Past President Linda E. Jacobson, DVM Treasurer Lawrence W. Bartholf, DVM AVMA Delegate Walter K. McCarthy, DVM Regional Directors Capital District Mark E. Will, DVM Catskill Mountain David C. Leahy, DVM Central New York Mark S. Chmielewicz, DVM Finger Lakes Robert Hamilton, DVM Genesee Valley Dean M. Snyder, DVM Hudson Valley James C. Zgoda, DVM Long Island Surinder S. Wadyal, DVM New York City Allan P. Bregman, DVM Northern New York Jessica Scillieri Smith, DVM Southern Tier Bridget M. Barry, DVM Westchester/Rockland Robert J. Weiner, VMD Western New York Susan S. Wylegala, DVM
Veterinary News/NYS • September/October 2013
Member Services and Members Serving As I look back over what the NYSVMS has done this year, I see a healthy expansion in both the services that the organization is providing to our members and the active participation of a larger number of individual members in association projects and activities. Membership in our state veterinary association has always been a two-way street. Many members support the society by simply paying their dues, attending a few continuing education seminars, reading the newsletter as time permits and keeping up-to-date on changes in laws and regulations. By “simply belonging,” you are joining with your colleagues to support and protect your profession. This is and always will be important. Choosing to pay your dues is an investment which is appreciated. If you are an employer who is paying your associates’ dues, I applaud you for recognizing the importance of this investment. I want to recognize the large number of members serving in organized veterinary medicine at both the regional, state and national levels. I am very grateful for your voluntary commitment of time and resources to the benefit of our profession. I know it is not easy but you do it anyway. Thank you. One of my first acts as President this year was to reconfigure the NYSVMS committees and I am delighted with the positive results. Internal changes in how we have structured our organization have resulted in major changes in a very short time. Under the direction of our Executive Director, Jennifer Mauer, CAE, we have a great staff to support the NYSVMS’ many activities. But, as a new employer, that has also meant expanded oversight responsibility for our Management Relations Committee, chaired by 2007 President Joan Hilfiker, as we explore new ground in this role (Personnel Manual, benefits guidelines, contracts, etc.). This has also increased the responsibilities of the Budget & Finance Committee, chaired
by our Treasurer Lawrence Bartholf (and 2013 NYSVMS Distinguished Life Service Award recipient!), who has also done an amazing job working with Ms. Mauer and outside accountants to bring our financial recordkeeping up to the highest standards. I proposed changes in the Nominating Committee’s function to make the process more open and transparent and to expand its role in providing mentorship to veterinarians interested in leadership development beyond that offered by the Committee for Leadership Advancement (CLA). CLA supports the important contributions of recent graduate veterinarians to the NYSVMS and has been one of the most successful of our programs. In 1997, then-President Douglas Aspros (and 2012-2013 AVMA President) initiated the Leaders 2000 program to bring the energy and unique perspectives of young veterinarians to the NYSVMS. The “Y2K” program evolved into CLA and facilitated the participation of an impressive collection of young veterinarians who have advanced our mission, many of whom have gone on to serve in leadership roles both regionally and at the state level. CLA’s current Chair is Bronx Zoo staff veterinarian John Sykes, who is also serving as President of the NYC regional this year. 2011 President Eric Bregman (and Leaders 2000 alumnus) is the current Chair of the Nominating Committee. There is now a more formal process for identifying and interviewing candidates for officer positions. The committee is also charged with identifying veterinarians who could be future leaders and determining if they have the aptitude, interest and desire to serve and, if so, how to help them acquire the necessary skills to assume leadership responsibility. This expansion of the committee’s role should also open up alternative, more diverse paths to leadership. The Continuing Education (CE) and NYS Veterinary Conference (NYS-VC) committees, chaired by 2014 President-Elect Dean Snyder and Sue Wylegala, have had enormous
President - from page 2 challenges brought on by implementation of mandatory CE in New York and the success of our combined CE conference with Cornell in Ithaca. A Spring NYS-VC to be held May 16-18, 2014, in Westchester is in its final planning stages. The fall conference will still be offered in Ithaca, all of which has doubled the effort required for success. New webinars and weekend programs are planned which will further widen our CE options state-wide. The Veterinary Facility Accreditation Program (VFAP) is being reborn with the tireless efforts of Francis Fassett. The restructuring of the entire program has been a huge project for Dr. Fassett and Jennifer Mauer this year and is an important member benefit, particularly in this climate of changing regulatory requirements for the practice of veterinary medicine. VFAP enrollment will help ensure that your hospital is compliant and brings peace of mind… and CE credits! Walt McCarthy, our AVMA Delegate and NYSVMS Government Relations and Advocacy Committee Chair, has continued to put in a great many hours reviewing pending NYS legislation and assisting our lobbyists. He has also worked with our seven member Task Force on Foreign Accreditation of Veterinary Colleges
to prepare a Resolution that was approved by the Executive Board to be introduced in January 2014 to the AVMA House of Delegates. The Resolution states that the AVMA will no longer accredit Foreign Veterinary Schools, defined as those schools located outside the United States and Canada so that it may focus on our U.S. and Canadian colleges. Regardless of its adoption, we expect this Resolution to stimulate national discussion on the topic of AVMA’s future role in foreign accreditation. Large Animal Committee Chair Dave Leahy has done an extraordinary job of leading the effort for regional veterinarians to work with county Farm Bureau groups and move our push for legislation to include dentistry as the practice of veterinary medicine in NY forward. This has been a concerted and successful grassroots effort that demonstrates what we can accomplish when we work together across the state to educate on issues important to our profession. I am very grateful to the many NYSVMS members who supported this endeavor by attending Farm Bureau meetings and speaking with local farmers, particularly our equine veterinarians who stepped up to share their knowledge about the challenges of performing dentistry safely and correctly in the horse.
President-Elect and Member Service Committee Chair Chris Brockett has investigated opportunities to offer insurance to our members extensively in the past but this year, because of changes in the health insurance market due to the Affordable Care Act, we are finally able to do so. We are excited about the USI Affinity program which offers our members a wide range of insurance products. One-stop insurance shopping from a highly regarded national insurance giant! As Dr. Brockett has remarked, when entering a foggy cloud bank on uncharted ocean waters (health insurance post-ACA), you want to be on a very big ship. Preferably double-hulled. We have also newly partnered with TekCollect to offer collection services as an additional member benefit. These are just a few examples of the many NYSVMS committee activities. My word count limit precludes me from giving an update on all the committees’ contributions but they are vigorous and helping the society to reach its ambitious strategic goals. I would also like to thank Jennifer Mauer, Bryana Wachowicz, Stacey Allen and Marianne Gould at headquarters for implementation of our audacious ideas and making all things possible.
Veterinary News/NYS • September/October 2013
The NYSVMS would like to thank this year’s New York State Veterinary Conference sponsors
Many thanks to this year’s NYS-VC Exhibitors:
Best Pet Rx
Aesculight – LuxarCare
Fallon Wellness Pharmacy Patterson Veterinary scil Animal Care Company
Abbott Animal Care ASPCA Pet Health Insurance Bayer Animal Health Best Pet Rx CareCredit Ceva Animal Health
Cornell University College of Veterinary Medicine Cornell Feline Health Center
Western New York Veterinary Medical Association
Elanco Companion Health Fallon Wellness Pharmacy GXC Imaging/Goodyear X-Ray Co.
Henry Schein Animal Health
ASPCA Pet Health Insurance
Iams Veterinary Formulas – P&G Pet Care
Hill’s Pet Nutrition Meds for Vets Pharmacy
Friend Henry Schein Animal Health Cornell Feline Health Center Southern Tier Veterinary Medical Association
Merial Midwest Veterinary Supply MWI Veterinary Supply Novartis Animal Health US, Inc. Nutramax Laboratories NYS Department of Agriculture and Markets NYSVMS Patterson Veterinary Supply Pet Health Pharmacy PBK Animal Health Regency Forest Pet Memorial Cemetery Roadrunner Pharmacy Royal Canin Rx Vitamins for Pets scil animal care company Simmons Northeast Standard Process Success Concepts – Medical Information The Veterinary Cooperative Universal Imaging USDA APHIS VS VetOfficeSuite.com Vetoquinol USA VPI P&WS Wedgewood Pharmacy Zoetis
Veterinary News/NYS • September/October 2013
Build the importance of preventative pet healthcare with Partners for Healthy Pets power tools People have a special relationship with their pets, and most recognize that visiting a veterinarian enhances that relationship. But you see it every day in practice — pet owners who have been bombarded with incorrect and incomplete information and are confused about what’s best for their pets. So much so that they may not follow your clinical advice, and may not bring their pets to critical preventative care appointments at all. As a profession, we have a great opportunity to help pets and pet owners enjoy a longer and healthier life together. Veterinary professionals work hard to provide the best possible care to pets so that they and their owners can enjoy long and healthy lives together. Partners for Healthy Pets was founded to help you make the preventative healthcare you provide even more powerful. We’ve developed tools and resources — available at no charge —
that can help you build better relationships with owners and help them understand the value of preventative healthcare so that more patients can benefit from what you do best. Individual practice involvement is key. The Partners for Healthy Pets Practice Resources Toolbox was conceived to provide the profession with a sound mix of information and materials that collectively elevate the level of preventative care offered across the country. Each of the tools and resources provide dynamic ways to reinforce a practice-wide focus on preventative pet healthcare. Used collectively, they can help healthcare teams enhance communications with pet owners about the value of and need for routine care and take preventative pet healthcare to an optimum level within your own individual practice. Make the decision to be a voice for vitality… of the veterinary profession, of your practice, and of our nation’s pets!
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2013 NYS-VC Awards Banquet
Evaluators Wanted The Veterinary Facility Accreditation Program is in need of dedicated veterinarians to evaluate practices for compliance to current standards. This is your chance to give back to the profession that has given you so much.
Call NYSVMS headquarters at (800) 876-9867 for more information.
Veterinary News/NYS â€˘ September/October 2013
NYS-VC - from page 1 each year, Lisa has given the Hall excellent publicity throughout YNN’s range of viewership. Dr. Tintle was presented with the NYSVMS President’s Award for her service to the association this year. NYSVMS Immediate Past President Linda Jacobson, DVM, was on hand to present the award. The NYS-VC 2012 Outstanding Speaker Award was presented by Margret Thompson, DVM, DACVR, to Daniel J. Fletcher, PhD, DVM, DAVECC. This annual award recognizes a Cornell Faculty or NYSVMS member for his or her outstanding contribution to the continuing education of the veterinary community as voted by the NYS-VC attendees. Dr. Fletcher is a veterinary clinician scientist who is board-certified in Veterinary Emergency & Critical Care Medicine. He has been a faculty member in the Department of Clinical Sciences at the College of Veterinary Medicine since 2006.
Reeve Peddie, DVM, also Class of 1965, who “he met in veterinary school at Cornell and has been his partner in all things — personal and professional — for more than 50 years.” NYSVMS President’s Award: Linda JM Tintle, DVM, and Linda Jacobson, DVM
The final award of the evening was the Cornell Veterinary Alumni Association’s Daniel Elmer Salmon Award for Distinguished Alumni Service. Established by the Alumni Association in 1986, the award honors Cornell Veterinary College DVM graduates who have distinguished themselves in service to the profession, their communities or to the College and is the highest honor bestowed by the College. Edward von der Schmidt, III, DVM, presented the award to James Peddie, DVM, Class of 1965. Dr. Peddie accepted the award on behalf of himself and his wife Linda
NYS-VC Outstanding Speaker Award (2012): Dean Michael Kotlikoff, VMD, PhD; Daniel Fletcher PhD, DVM, DACVECC; and Meg Thompson, DVM, DACVR
Veterinary News/NYS • September/October 2013
Nearly $10,000 raised for scholarships, V-PEC at annual Purple Party
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The Silent Auction to benefit NYSVMS student scholarships and the Veterinary Political Education Committee at the New York State Veterinary Conference was a rousing success this year. Nearly $10,000 was raised through the Silent Auction and the very popular Wine Wall.
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Auction items this year included: a vacation getaway to Florida; a purple Dyson vacuum; a two-night stay in Lake Placid; Wahl dog clippers; a stunning veterinary-themed handpainted bicycle; paintings; registrations for NAVC, NYS-VC and the inaugural NYS-VC Spring; a number of veterinary drawings and specimens from Howard E. Evans, DVM; and much more. The biggest draw of the night quite possibly was the Wheelbarrow of Fun — a wheelbarrow filled to the brim with wine, beer and various bottles of liquor. Bidding on it was intense and went well above its estimated value.
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Many thanks to all who donated to make this night a success! Tony Miele, DVM Howard Evans, DVM Marlene Button, DVM Tony Beane, DVM David Jenkins, DVM Dean Snyder, DVM/Nancy Snyder Rene van Ee, DVM, DAVCS Bridget Barry, DVM Mike Darling Douglas Cohn, DVM Marco Coronado, DVM Dianne Wolter Susan Wylegala, DVM Mark Chatterly Robert Lynk, DVM Mark Chmielewicz, DVM Lawrence Bartholf, DVM Jean Dearlove Chapman Jennifer Mauer, CAE Ray Long, DVM Maureen Vaillancourt, DVM/ Peter Smith Chris Brockett, DVM Matthew McDaniel, DVM Eric Bregman, VMD Anne Marie Carmichael, DVM FLVMA SOTVMA NYSVMS GVVMA WNYVMA LIVMA WRVMA HVVVMA VMA-NYC CDVMA AVMA NAVC/Linda Jacobson, DVM Veritas/Meg Thompson, DVM, DACVR MWI Veterinary Supply Royal Canin Henry Schein Animal Health Statler Hotel Elsevier South Putnam Animal Hospital Welch Allyn Simmons Inc. Rx Vitamins for Pets High Peaks Resort
Purple Party/Silent Auction Nearly $10,000 was raised through the Silent Auction and the very popular Wine Wall.
Veterinary News/NYS â€˘ September/October 2013
Living with the Affordable Care Act – Requirements and Resources By Jim Stephenson, DVM Simmons Northeast
Veterinarians’ loss of their AVMA Group Health Insurance delivered the sobering reality that we need to be ready for the changes occurring in our health insurance system. Veterinarians will be facing these changes from the standpoint of our own individual insurance and as business owners. Leaving the politics aside, learning what we can about the new requirements and the options available is essential for future management of our health insurance. Additional administrative burdens for employers will be lessened if practice owners know how to prepare.
New Medicare Assessment on Net Investment Income Beginning Jan. 1, 2013, a 3.8 percent tax will be assessed on net investment income such as taxable capital gains, dividends, rents, royalties, and interest for taxpayers with Modified Adjusted Gross Income (MAGI) over $200,000 for single filers and $250,000 for married joint filers.
The changes are a little easier to assimilate if they are broken down into categories that are most relevant. Looking at those guidelines and regulations that apply to small businesses with less than 25 employees is most fitting for the majority of veterinary practices. The 2011 AVMA Report on Veterinary Practice Business Measures indicates there is an average of 10 employees for companion animal exclusive practices. All other practice types average less than this amount. The Small Business Administration (SBA) offers guidance for the self-employed, and businesses of less than 25 employees. 1
Small Business Health Care Tax Credits The small business Health Care Tax Credit is specifically targeted for small employers with low- and moderate-income workers. The credit is designed to encourage small employers to offer health insurance coverage for the first time or maintain coverage they already have. The criteria for qualifying for this credit is the same since first instituted in 2010: • Have fewer than 25 full-time equivalent employees (FTEs), • Pay average annual wages below $50,000, • Contribute 50 percent or more toward employees’ self-only health insurance premiums. In 2014, this tax credit goes up to 50 percent and is available to qualified small employers that participate in the Small Business Health Options Program (SHOP). Eligible small employers can claim the current credit through 2013, and the enhanced credit can be claimed for any two consecutive taxable years beginning in 2014 through the SHOP.
Self-Employed Implementation of the Patient Protection and Affordable Care Act (PPACA) occurs in stages, with many of the reforms and requirements taking effect in 2013 and 2014. Some of the key provisions that may impact self-employed individuals include the following. Individual Shared Responsibility Provisions Starting in 2014, the Individual Shared Responsibility provisions of the Affordable Care Act call for each individual to have minimum essential health insurance coverage unless qualifying for an exemption, such as hardship or religion, or if the only coverage they qualify for is unaffordable. Qualifying plans include those from the individual marketplace, employer based insurance plans as well as government subsidized plans such as Medicare, Medicaid and Tricare (military). Individual Insurance Marketplaces Coverage through new competitive health insurance marketplaces for individuals and small businesses will be in place Jan. 1, 2014, with open enrollment having begun Oct. 1, 2013. The individual health insurance marketplaces will offer a choice of four levels of benefit packages that differ by the percentage of costs the health plan covers. Individuals and the self-employed may qualify for individual tax credits and subsidies on a sliding scale, based on income. The marketplace and additional pertinent information regarding individual coverage can be accessed online at http://finder.healthcare.gov/. 1 http://www.sba.gov/healthcare
Veterinary News/NYS • September/October 2013
Employers with Fewer than 25 Employees
Workplace Wellness Programs Twenty-five to 50 percent of the cost of health care coverage may be available to employers that implement health-contingent wellness programs. Examples are programs that provide a reward to employees who don’t use, or decrease their use of tobacco and programs that reward employees who achieve a specified level or lower cholesterol. Small Business Health Options Program (SHOP) Starting in 2014, small employers with generally up to 50 employees will have access to the new health care insurance marketplaces through the Small Business Health Options Program (SHOP). This can be accessed at www.healthcare.gov/marketplace/shop/. To enroll, eligible employers must offer SHOP coverage to all full-time employees. Health and Human Services (HHS) recently launched a new call center specifically to serve small businesses with 50 or fewer employees interested in the SHOP Marketplace. That number is (800) 706-7893. c o n t i n u e d o n p a g e 11
Affordable Care Act - from page 10 Employer Notice to Employees of the New Health Insurance Marketplace By Oct. 1, 2013, those practices that have at least one employee and at least $500,000 in annual dollar volume of business), must: • Provide notification to their employees about the new Health Insurance Marketplace; • Inform employees that they may be eligible for a premium tax credit if they purchase coverage through the Marketplace; • Advise employees that if they purchase a plan through the Marketplace, they may lose the employer contribution (if any) to any health benefits plan offered by the employer. The Department of Labor (DOL) has provided employers with sample notices they may use to comply with this rule. 2 Summary of Benefits and Coverage (SBCs) Disclosure Rules To help employees better understand and evaluate their health insurance options Employers are also required to provide employees with a standard “Summary of Benefits and Coverage” form explaining what their plan covers and what it costs. 3 Limits on Flexible Spending Account Contributions For plan years beginning on or after January 2013, the maximum amount an employee may elect to contribute to health care flexible spending arrangements (FSAs) for any year will be capped at $2,500, subject to cost-of-living adjustments. Note that the limit only applies to elective employee contributions and does not extend to employer contributions. Health Savings Accounts (HSA) contributions are not reduced but some limitations on use of the funds for over-the-counter drugs have been instituted and early withdrawal penalties have been increased. Additional Medicare Withholding on Wages As of the beginning of 2013 the employer is responsible for collecting additional employee portion of Medicare on employees with incomes of over $200,000 for single filers and $250,000 for married joint filers. The employer portion of the tax remains unchanged. 90-Day Maximum Waiting Period Beginning Jan. 1, 2014, individuals who are eligible for employer-provided health coverage will not have to wait more than 90 days to begin coverage.
Transitional Reinsurance Program Fees Beginning in 2014 and continuing until 2016, employers (for selfinsured plans) and insurers (for insured plans) will pay a fee that reimburses insurers in the individual insurance Marketplaces for high claims costs. HHS estimates that the fees for 2014 will be $5.25 a month (or $63 for the year) for each individual covered under a health care plan, with the required fee for the following two years to be somewhat lower. Health Insurance Coverage Reporting Requirements Beginning with health coverage provided on or after Jan. 1, 2014, employers that sponsor self-insured plans must submit reports to the IRS detailing information for each covered individual. The first of these reports must be filed in 2015. Practice owners have enough management headaches already and are understandably concerned about the new health insurance regulations being thrust upon them as employers. Becoming informed of the relevant parts of the PPACA will help all concerned benefit where possible and cope as necessary. Many resources are available to help us understand and navigate the new system. The time to dig in and learn the system is now!
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For information on USI Affinity — NYSVMS’ newest affinity partner offering health insurance, see page 14 2 http://www.dol.gov/ebsa/newsroom/tr13-02.html
Veterinary News/NYS • September/October 2013
NYSED-Approved CE Providers We often field calls from members asking if a specific CE provider is NYSED-approved. The following listing is all providers currently approved by the New York State Education Department. The full listing, complete with addresses, contact information and expiration dates is available online at: www.op.nysed.gov/prof/vetmed/vetceproviders.htm. l AALAS - American Association for Laboratory Animal Science
l National Veterinary Associates
l Nestle Purina PetCare Company
l American Animal Hospital Association (AAHA)
l New England Veterinary Medical Association
l American Association of
l New York State Association of Veterinary Technicians
Bovine Practitioners- AABP l American Association of Equine Practitioners l American Association of Feline Practitioners l American Board of Veterinary Practitioners l American College of Veterinary Internal Medicine (ACVIM) l American College of Veterinary Radiology l American College of Veterinary Surgeons l American College of Zoological Medicine l American Dental Center of Western New York l American Society for the Prevention of Cruelty to Animals (ASPCA) l American Veterinary Medical Association l Animal Endocrine Clinic l The Animal Medical Center l Ark Sciences l Association of Avian Veterinarians l Atlantic Coast Veterinary Conference/ACVC l Atlantic Coast Veterinary Specialists l Bayer Healthcare Animal Health l BluePearl Veterinary Partners –New York l BoehringerIngelheimVetmedica, Inc. l Buffalo Academy of Veterinary Medicine l Center for Continuing Professional Education- UCAL, Davis l Chi Institute l Connecticut Veterinary Medical Association l ContinuEd l Cornell University -College of Veterinary Medicine l The CVC - Advanstar Communications l Dechra Veterinary Products l East End Veterinary Emergency & Specialty Center l First Choice Marketing LLC (Hambletonian) l Florida Veterinary Medical Association l Genesee Valley Veterinary Medical Association l Hill’s Pet Nutrition, Inc. l IDEXX Laboratories, Inc. l International Veterinary Acupuncture Society l International Veterinary Seminars l LiteCure, LLC l The Long Island Veterinary Medical Association l Long Island Veterinary Specialists, PC l Merial l Midmark Animal Health l Multimin USA, Inc. 12
Veterinary News/NYS • September/October 2013
l New York State Department of Agriculture and Markets l New York State Veterinary Medical Society l New York State Wildlife Rehabilitation Council (NYSWRC) l New York Veterinary Specialty Center l North American Veterinary Conference (NAVC) l North American Veterinary Dermatology Forum l Northeast Association of
l Northeast Dairy Production Medicine Symposium, Inc. l Novartis Animal Health US, Inc l Ohio Veterinary Medical Association l OnlineContinuingED, LLC l Pennsylvania Veterinary Medical Association l Pet Poison Helpline l Purina Animal Nutrition, LLC l Ross University School of Veterinary Medicine l South Carolina Association of Veterinarians l State University of
New York at Canton Veterinary Science l Tufts Cummings School of Veterinary Medicine l University of Pennsylvania, School of Veterinary Medicine l VCA Antech l Veterinary Cancer Society l Veterinary Consulting Services, PC l Veterinary Emergency and Critical Care Society l Veterinary Emergency and Referral Group l Veterinary Information Network (VIN) l Veterinary Medical Association of New York City l Veterinary Medical Center of Long Island l Veterinary Oncology Services (formerly Veterinary Specialty Center of the Hudson Valley) l Veterinary Professional Quest l Veterinary Specialists and Animal Emergency Service l Veterinary Technician Continuing Education Program of WNY l VetGirl, LLC l VetMedTeam l VetVine l Visionaire Research and Education l Westchester-Rockland Veterinary Medical Association l Western Veterinary Conference l Wild West Veterinary Conference l Zoetis (formerly Pfizer Animal Health) l Zoetis (formerly Pfizer Animal Health) c/o MEDtrak Educational Services
Continuing Education Schedule for Veterinarians Month of Registration
Year of Registration
Year of Registration
Year of Registration
2 ½ Hours
17 ½ Hours
32 ½ Hours
3 ½ Hours
18 ½ Hours
33 ½ Hours
7 ½ Hours
22 ½ Hours
37 ½ Hours
8 ½ Hours
23 ½ Hours
38 ½ Hours
12 ½ Hours
27 ½ Hours
42 ½ Hours
13 ½ Hours
28 ½ Hours
43 ½ Hours
continuing education credits (CE) will be issued in no less than ½ hour increments. Figures shown in the table in bold type are rounded downward to the nearest ½ hour. For example a licensee whose new registration period commences in August 2012 would be responsible for CE from January through July (7 months). Using the prorated monthly requirement of 1¼ hours per month and multiplied by the number of months (7) that licensee would owe 8 ¾hours. However, when rounded downward to the nearest ½ hour increment, the licensee would be responsible for 8½ hours of CE credit. A licensee in that position will not be penalized for having 15 minutes less than the prorated amount. No one will be required to have completed more than the prorated amount. The months when licensees benefit from the downward modification of the required CE are shown in bold. CE credits are counted up to the end of the month before your reregistration period begins. Therefore a licensee whose re-registration period begins in January will have to complete the required amount of CE by the end of December.
How to apply the chart
Licensees whose first re-registration period begins in January 2012 are not required to have completed any CE because the CE requirement was not in effect in December 2011. However, those licensees must complete the entire CE requirement (45 hours) by the time they reregister for the new registration period beginning in January 2015.
Veterinarians must complete 45 hours of continuing education during each triennial registration period. When prorated over the 36 months of the registration period, a veterinarian must complete 1 hour and 15 minutes (1¼ hours) during each month of the registration period in order to accumulate the 45 hours required. However,
Note that while the 45 CE credits required for a triennial registration period have been prorated on a monthly basis, a licensee IS NOT required to complete CE on a monthly schedule. You may accumulate the required CE at your convenience provided that you complete the amount required by the time you are scheduled to re-register.
NYSED answers frequently asked CE questions Continuing education is a regular source of member queries at the NYSVMS. The New York State Education Department has a listing of frequently asked questions on CE requirements available on their website. For the FAQ, log onto www.op.nysed.gov/prof/vetmed/vetcefaqs.htm.
student may communicate and interact with the instructor and other students.
We have included the most frequently asked questions we receive at NYSVMS below.
No. You will be asked to affirm that you have complied with the requirements, but you do not have to submit any documentation. Affirming that you have satisfied the requirements when, in fact, you have not, is an act of professional misconduct.
Are there any subject areas that are specifically required? Yes. During each triennial registration period, at least two hours of the required continuing education credits shall focus on the use, misuse, documentation, safeguarding and prescribing of controlled substances. Can I get credit for “self-study?” Yes but no more than 22.5 hours of continuing education credits, in the case of a veterinarian, or 12 hours of continuing education credits, in the case of a veterinary technician, may be completed through self-instructional coursework. Self-instructional coursework means structured study, provided by an approved sponsor, that is based on audio, audio-visual, written, online, and/or other media and does not include live instruction, transmitted in person or otherwise, during which the
Do I have to submit evidence of compliance with the continuing education requirements when I re-register?
I lost or misplaced some or all of my certificates of completion of continuing education activity. What can I do? You should contact the sponsors of the programs you attended and attempt to obtain duplicate copies of your certificates of completion. How long do my records have to be retained? Records must be retained for at least six years from the date of completion of the continuing education activity and must be made available for review by the Department. A sponsor’s failure to satisfy its obligation to retain records will not relieve a licensee of his or her obligation to provide evidence of participation in a continuing education activity for which credit is claimed. Veterinary News/NYS • September/October 2013
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Veterinary News/NYS • September/October 2013
CLASSIFIEDS Veterinarians Wanted
Seeking P/T Veterinarian for small animal hospital on the outskirts of Saratoga, N.Y.Great staff, wonderful clientele, no after hour’s emergency. Class IV laser, in-house Idexx lab, digital radiography. Please email resume to email@example.com. PT compassionate SA Veterinarian wanted. Must possess a strong confident and progressive approach to medicine, and a genuine love of animals and people. We emphasize preventative healthcare, quality medicine, client education and communications. Call 518-745-1177 or email firstname.lastname@example.org Catskills
FT/PT Associate wanted for busy small animal practice in beautiful Catskill Mountain area. One DVM mostly small animal.Digital Xray. Ultrasound.Buy-in potential.Large animal potential. Salary based on experience. Please send resume to email@example.com. Central New York
Compassionate SA Veterinarian with strong medicine and surgery skills. Busy hospital, great staff, well equipped- U/S, dental machine, therapeutic laser. Focus on high quality care, client communications, and enjoying what we do. Brenda R. Brockway, DVM. DeltaLakeVet1@msn.com, 315336-4280, 8723 Turin Rd., Rome, NY 13440. FT associate veterinarian needed for well-established small animal practice in central New York. We emphasize preventative healthcare, quality medicine and surgery and client education. AAHA accredited, well trained support staff. Competitive salary and benefits.Experienced veterinarian or new graduate. Send resume to: Mattydale Animal Hospital, 2703 Brewerton Road, Syracuse, New York , 13211. Phone: (315) 455-5915. Full time or Part time Doctor needed for busy small animal practice. Up to 5 day work week including some weekends. No after hour emergencies. Looking for a kind and considerate individual with good work ethic. Compensation based on prosale concept.Hospital has great support staff, digital xray, k-laser therapy unit, surgical laser, in house Abaxis lab equip, dental unit etc.Please send resumes to JEDavisdvm@aim.com or contact Kathy at (315) 699-0375. Genesee Valley
Opening for a SA practitioner in Lockport, NY. Competitive salary and comprehensive benefits. Well equipped, AAHA certified hospital. Send resume to Dr. David Monti, Wright’s Corners Animal Care Center, 4089 Lake Ave., Lockport NY 14094. Phone (716) 433-2434 or email ridge. firstname.lastname@example.org.
Relief Veterinarians Wanted Relief vet wanted for 100% holistic practice in Clifton Park, N.Y., for February 2014 and/or Fridays. Experienced veterinarian needed for one day a week and for the month of Feb. Must be able to do acupuncture and/or animal chiropractic. Practice uses TCVM herbs, Heel homeopathics, nutritional supplements. Call (518) 383-5697 or email email@example.com.
Relief Veterinarians Available Per diem work & steady P/T in NYC and surrounding metro areas. Available most Mondays, Tuesdays, Wednesdays, Thursdays, and Fridays. Contact Dr. Tobias Jungreis (516) 295-1125 or (917) 378-8447.Excellent people skills. Good practice builder. 35 years of clinical experience. Many references.
Veterinary Technicians Wanted F/T LICENSED VETERINARY TECHNICIAN – Family oriented practice in Nanuet, NY seeking experienced LVT, technician students in accredited programs are eligible. Excellent client education abilities required. Duties include appointments, lab, pharmacy, surgery, dentals, and general client service. Send CV to firstname.lastname@example.org. We are seeking an individual who enjoys speaking with clients, working with others, and working independently as they utilize all their technician skills and providing compassionate care for our hospitalized patients. To meet our health care team and visit our hospital, please forward your resume to CentralAH@aol.com and/or call Cookie Woltz at (914) 723-1250. And check out our website: www.bestvets.net. Exp. LVT for 4 DVM Practice Southern Tier N.Y.. Requires Confidence with Surgical, Dental, Digital Radiology/Lab. Full benes, including 401-K% , Uniform exp. Continuing Education Visit www.broadwayanimalhospital. com Contact Cathy Hamilton 607-734-127 send resume to bahosp@ stny.rr.com
Full/Part time associate with a minimum of two years’ experience wanted to practice in our growing paperless practice in a suburb of Rochester. We have a small leveraged staff, compliant clients, and very reasonable hours with flexible schedules/time off. Buy-in potential. Salary and method of pay (straight salary vs commission) are all negotiable. www. countylinevets.com. Apply by email to Dr. Mary Dyroff at Clahcats@ aol.com.
SIMMONS New York. Your practice sales broker and appraiser since 1977, we are dedicated exclusively to the veterinary profession and your success. Affiliated and accredited in New York for ethical and competent service. Listings and more information at www.simmonsnewyork.com New Listings wanted. For a free, confidential consultation, contact us at (800) 474-4775 or email@example.com. Jim Stephenson, DVM, Member NYSVMS.
Wanted - SA or mixed animal veterinary practice within 3 hours of Albany NY. Experienced veterinarian. Confidentiality assured. firstname.lastname@example.org / (607) 316-0850
VIP PetCare is seeking licensed Veterinarians to work as Independent Contractors in the Long Island and Buffalo areas. We provide affordable, high-quality, non-emergency pet care to improve the lives of pets and the people who love them! Contact Alaine Kalder (Alaine@VipPetCare. com) for more information. Immediate Opening: F/T Veterinarian Needed for 3 Doctor SA practice in East Meadow. High quality, well equipped, progressive practice. Recently renovated facility. Please fax resume to (516)735-8827, or email to email@example.com Western New York
Veterinary Associates needed for two positions to join our well established AAHA multi doctor small animal hospitals. Emergency and day shift openings located in Western NY area. Full service facility equipped to handle all types of emergencies or daytime cases. Great comp package, competitive salary, including health, 401(k), CE, vacation, dues, liability coverage. Contact Lou (716) 204-9078, email firstname.lastname@example.org or fax resume (716) 634-0954.Visit our website www.gianimalhospital.com.
Practices For Sale 1-2 person practice in southern Westchester.Second owner, 37 years at practice.Adjacent boarding and grooming kennel.Excellent growth potential.Owner retiring.For further information email email@example.com. Long Island NY-EMER Clinic equipped & long established-Grossing 1M. Call George at TPSG: (419) 945-2408 or email: george@ tpsgsales.com Long Island NY-24 hr EMER Hospital, well equipped & long established. Very profitable, Grossing 2.5M. Call George at TPSG: (419) 945-2408 or email: firstname.lastname@example.org New Listing in Onondaga County, New York!Profitable ER. Freestanding facility with 3-exam rooms updated equipment and DVMAXX Software. Could also be a primary care facility. Other listings: AL, FL, GA, IN, NC, TX, WV. PS Broker, Inc. 1.800.636.4740 www.psbroker.com Northern Putnam CountyWell established solo SA practice in 2,000 square foot hospital plus leased ancillary outpatient office. Real estate includes hospital and separate 2,000 square foot home which is currently rented, all on 3 acres on a well traveled state route. The new owner could use the home as their residence or continue to rent it. Current gross is over $500,000 with great growth potential and no emergencies. Several sources are now offering exceptional financing options. Call Professional Practice Sales, Dr. Ed Williams 800-201-3678.Call Professional Practice Sales, Dr. Ed Williams 800-201-3678.
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Orchard Park, NY - FT/PT Associate Veterinarian needed for 24/7 full service hospital. Boarded surgeon and internist on staff. Beautiful new facility includes an in-house lab with dedicated lab staff, two-table dental suite with digital radiography, three surgical suites, U/S, endoscopy, large ICU and canine rehabilitation services. Internship or experience preferred. Please email or call Susan Metzger, DVM - smetzger@opvmc. net,(716) 662-6660, www.opvmc.com. Part-time Veterinarian desired for progressive, growing small animal avian/exotic/zoo animal practice in Buffalo, NY. Seeking experienced candidates with excellent medical/surgical skills are willing to embrace new learning opportunities. Ultrasound, laser, acupuncture, orthopedic plating added within the last year. Competitive salary, 401K/profit sharing, CE, membership/licensing dues, DEA registration, PTO, paid holidays, and health insurance offered. www.citycreaturesbuffalo.com. Email resume to Amy Albert, LVT, at email@example.com.
Veterinary News/NYS • September/October 2013
P ERI O D I C A L
100 Great Oaks Blvd., Suite 127 Albany, NY 12203
Awareness for Blastomycosis in New York Leia Lindley, DVM Blastomycesdermatitidis is an infectious fungal agent that is not only endemic in the mid-Atlantic and southern states of North America, but also some southern provinces in Canada, with a few cases in New York that were seen in 1997 presented by E. Cote et al. Within the past few years, there have been multiple reports of confirmed cases of dogs with blastomycosis that had traveled to, or resided in the Adirondacks, particularly Indian Lake, N.Y. The infective form of blastomycosis is found in sandy soils near rivers or lakes, which have high humidity and moisture to facilitate fungal sporulation. There is increased prevalence of the disease found in late summer or early fall. In May 2006, Cornell University confirmed a case of blastomycosis in a one-and-a-halfyear old Labrador Retriever named Bailey who presented with a draining cutaneous tract, coughing and lethargy. He was treated with Itraconazole for systemic blastomycosis with severe pulmonary involvement and survived. Bailey had lived in the Town of Indian Lake with no known history of travel. In addition, approximately four years ago, there was a dog that contracted cutaneous Blastomycosis from Blue Mountain Lake, also in the Adirondacks.
Veterinary News/NYS â€˘ September/October 2013
It was confirmed with histopathology and he responded well to Itraconazole. In September 2013, there were two separate events of dogs that had presented to veterinarians in Tupper Lake and Baldwinsville, N.Y., with fever, dyspnea, coughing and lethargy. The six-year old female mixed breed dog resided in the Adirondacks and presented to her veterinarian extremely sick. She was immediately treated with Itraconazole, after radiographs depicted pulmonary changes consistent with a severely infiltrative nodular disease. The referring veterinarian had suspected Blastomycosis, but was unconfirmed after she presented to Cornell Universityâ€™s emergency medical center with severe respiratory distress, and was subsequently euthanized due to the severity of the disease. Murry, a one-and-a-half-year old mixed breed male dog was taken to his veterinarian in Baldwinsville after traveling to Indian Lake for a weekend trip. He presented with a fever and cough, along with radiographic evidence of a consolidated lung lobe on the right side. The owners wanted to treat conservatively due to financial constraints, and it was recommended to have radiographs re-checked
in two weeks. He never improved on the broad spectrum antibiotics and subsequently presented with a diffuse interstitial nodular pattern when radiographs were re-evaluated. Despite aggressive treatment, the owners elected euthanasia due to poor response and financial constraints. On necropsy, the histopathologic findings concluded that it was Blastomycosis involving only the lungs. Blastomycosis has been described in the literature for more than 100 years, affecting mostly humans and dogs out of all the mammalian species. It is imperative that if doctors are presented with dogs that have traveled to the Adirondacks, and there is subsequent development of respiratory distress, they should consider Blastomycosis on our list of differentials. Although the disease is not zoonotic, people should be advised that they can contract the disease through direct inoculation from puncture wounds of infected tissues or through common environmental exposure. In conclusion, veterinarians have found that the epidemiologic study of Blastomycesdermatitidis is impeded by the difficulty in culturing the organism from nature therefore making detection so difficult. Leia Lindley, DVM, works at Animal Ark Veterinary Services in Baldwinsville, N.Y.