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Sept/Oct 2015 Volume 9 • Issue 5

WA PHYSICIANS HEALTH PROGRAM IS HERE FOR YOU 8 RELIEF VET OR PART-TIME EMPLOYEE? 10 DR. THOMAS MEYER NAMED AVMA PRESIDENT-ELECT 14

PUBLISHED BY WSVMA: BECAUSE BEING A VETERINARIAN IS MORE THAN JUST A PROFESSION. WSVMA.ORG

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DID YOU KNOW? Studies show that veterinarians are at high risk for psychological burnout


WE NEED YOUR HELP Together we can: Make preventive care a big deal Keep veterinary medicine uncompromised Help over 3.5 milion animals live longer

Find out more at wsvma.org

Washington State Veterinary Medical Association wsvma.org

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ON POINT Upcoming elections for WSVMA Board of Directors.

PRESIDENT'S MESSAGE We have a problem in the veterinary profession.

NEWSWIRE The latest veterinary news in Washington State.

Cover Story

NEED HELP?

Washington Physicians Health Program is here for you.

RELIEF VETERINARIAN OR

10 PART-TIME EMPLOYEE?

Employee or independent contractor?

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AVMA NEWS Dr. Thomas F. Meyer named AVMA president-elect.

RELIEF VETS In-state directory of available relief veterinarians.

CLASSIFIEDS Career & practice listings.

* U.S. Pet Ownership & Demographics Sourcebook (2012) ** US Census Quick Facts


Sept/Oct 2015 • Volume 9 • Issue 5

Upcoming Elections Notices have been sent to members announcing that voting for two new Board directors will take place at the WSVMA Annual Membership Meeting in conjunction with the Pacific Northwest Veterinary Conference on September 26, 2015 at the Greater Tacoma Convention & Trade Center. Drs. Lisa Parshley, current president, and Michael Anderson, current vice president are running for the two open positions on the WSVMA Board of Directors. They will join directors Drs. Paul DeMaris, Kathy Hickey, Diane Pinkers and Diana Thomé as the final transition to the smaller board goes into effect this fall. There are two ways to vote in the election. Members can attend the Annual Membership Meeting if they’re attending the Conference. Members who are unable to attend the Conference are asked to sign the form that assigns a proxy to vote on your behalf. By signing the proxy form, you are giving permission to the proxy to vote for Drs. Parshley and Anderson for the open positions. The ability to write in another candidate’s name will also be included on the proxy form. Proxies can be signed online on the WSVMA website, returned by email, fax or US Mail up until the morning of Saturday, September 26, 2015. WSVMA Bylaws require a voting quorum of at least 10% of the membership, so it’s important for members to either attend while at the conference or return the proxy form. This election will start the third and final year in our transition to a smaller governance model. Two years ago, we had an Executive Board made up of 19 regional and practice representatives. We met quarterly to conduct business, and decisions had to wait three months for the Board to review. This past year on our transitional Board of Directors, we had ten directors and we met monthly, making us timelier in addressing important issues. As we developed our new Strategic Plan, by meeting regularly we were able to constantly assess the effectiveness of the plan, and practice working under a new strategic management system. Partnering with the Board of Directors is the new Leadership Development Committee (LDC) whose task is to invite volunteers to populate task forces, the Board of Directors and other volunteer positions open within the Association. There are several task forces and committees looking for members, including the LDC. Please visit the WSVMA website for more information. For those of you attending the Pacific Northwest Veterinary Conference, we have a stellar line-up of 45 speakers, over 100 hours of CE, and over 70 vendors exhibiting this year in the beautiful Greater Tacoma Convention & Trade Center. I want to call attention to the Saturday evening Match.Vet where we’re going to have a lot of fun with students. It’s a ticketed event and we want to see you there. Are you curious about hiring a new graduate? Do you have wisdom to share with your soon-to-be colleagues? Please plan to attend and meet these impressive young future veterinarians.

A Washington State Veterinary Medical Association Publication

Editorial & Publications Committee Dr. Richard DeBowes Dr. John Cannon Dr. Angela Lehman Dr. Jim McCutchan Dr. Debora Wallingford Dr. Saundra Willis

Editorial Comments & Contributions Please send all comments and/or contributions to:

Washington Veterinarian Magazine 8024 Bracken Place SE Snoqualmie, WA 98065 Tel (425) 396-3191 Toll Free (800) 399-7862 Fax (425) 396-3192 info@wsvma.org Editorial comments and contributions must be received no later than the first day of the month prior to publication. Publication months are January, March, May, July, September, and November each year.

Advertising

Please refer to the Classifieds Section for classified advertising details, rates, and deadlines. For commercial advertising rates and deadlines, please contact the WSVMA office at (425) 396-3191 or info@wsvma.org

Magazine Template by Breightly breightly.com

WSVMA Board of Directors Executive Vice President Candace Joy

President Lisa Parshley, DVM

Vice President Michael Anderson, DVM Paul DeMaris, DVM Diana Thomé, DVM

Secretary Diane Pinkers, DVM

Treasurer

Sincerely,

Jerry Gemar, DVM

Directors: Michael Burdette, DVM Katherine Hickey, DVM Chantal Rothschild, DVM Stephen Ruark, DVM Tamara Walker, DVM

AVMA

Candace Joy is the Executive Vice President of the Washington State Veterinary Medical Association. She can be reached at candacejoy@wsvma.org

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Rena Carlson-Lammers, DVM Kim Nicholas, DVM Saundra Willis, DVM

Bd. of Directors, Dist. XI Rep. Delegate Alternate Delegate


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We Have a Problem in the Veterinary Profession.

President’s Message by Lisa Parshley, DVM WSVMA President

Veterinary medicine is, humbly, the best profession in the world. Most veterinarians when asked cannot imagine being anything but a veterinarian. Those who enter the profession are not seeking money or prestige; they are driven by a true need to care for animals. Veterinarians are passionate about providing the best possible care even at the risk of their own happiness and health. It is a calling, a way of life. But the very thing that makes veterinarians special could lead many to the brink. Over the last few years all of us have heard numerous stories about veterinarians hitting their limit or even taking their own lives. Some of these stories were sensationalized, but most are never heard outside an individual community. It is clear we have a problem in the veterinary profession, a mental health problem. Our problem is not confined to a single culture or country. In Britain, veterinarians are four times more likely to take their life than the general public and two times more likely than any other medical professional. In Australia, a veterinarian will commit suicide every 12 weeks. Unfortunately, data for the United States is less definitive (due to a lack of good studies). What data does exist for the USA suggests a very similar trend in the number of veterinarians committing suicide. What is scary is that these statistics only focus on those who have reached a point where death is preferable to life. It is a good bet that for every veterinarian who commits suicide, there are many who are suffering from compassion fatigue, burnout, or outright depression. Essentially, each suicide represents the tip of the proverbial veterinary mental health iceberg. Our work ethic and drive have created a culture that rewards overworking and self-sacrifice; one where self-care and quality of life are sweet goals, but not likely attainable for a lot of veterinarians and staff. Unfortunately, our problem does not begin in the clinic but in the classroom. Up to 36% of veterinary students

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report symptoms that could indicate clinical depression or anxiety diseases. Once these new graduates reach the clinic, we teach them by example, showing them that to be a good veterinarian means long hard hours, working through pain and illness, and ignoring our own needs. We all have heard about the markers of compassion fatigue, burnout, and depression. Some of these symptoms are subtle and some are not. Symptoms include, among others, lack of interest in things that normally make us happy, blaming clients or staff excessively, being tired all the time, the loss of feeling pain when we lose a patient, or difficulty concentrating. How many of us have seen some of these in our clinic or even in ourselves? In the United States we still view mental illnesses as something that equates to a character weakness or personality flaw. Perhaps this is why we, the veterinary profession, have trouble opening up and admitting that we have a problem or need help. Or perhaps at some level we do not want to admit our job, our calling, our life, has the potential to hurt us. Regardless, too many of our colleagues suffer in silence. Every day, good friends and colleagues are succumbing to the hazard of our calling and passion. It is time to open our closet and come out, the veterinary profession has a mental health problem. We need to own the mental health issue so we can begin fixing it. We owe it to our profession, our friends, and ourselves to address it with honesty, empathy, and caring, such as we show our patients and their families every day.


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for years in places like Europe and Canada. Benefits of EMV chip cards include a reduced risk of fraud for your practice and your customers. Because EMV chip cards use a microchip to store account information, they are more difficult to counterfeit than magnetic stripe cards, so card-present (CP) transactions are more secure. Businesses need to have updated EMV equipment by October 15, 2015 or they could be financially liable for card-present fraud that could have been prevented with the more secure EMV system. Banks have been absorbing credit card losses but the liability for card-present fraud is expected to shift to merchants that don’t update their system. With new equipment, you will be able to run customers who have Chip cards as EMV transactions and not swiped transactions, reducing your risk of fraudulent transactions. The new equipment will also accept Apple Pay and Google Wallet, making it more convenient by only using one piece of equipment.

Veterinary Newswire The Latest Veterinary News in Washington State

PIVOT Study to reduce veterinary workplace injuries needs volunteers The University of Washington School of Public Health’s Center for One Health Research (COHR) is looking for veterinarians, veterinary technicians, and veterinary assistants that are 18 years or older to participate in a study that aims to identify and address attitudes towards safety behaviors among veterinary personnel. Subjects will be asked to participate in a number of study activities, including 1) a 90 minute focus group interview discussing factors that influence safety behaviors in clinical practice, 2) worker task observation, and 3) an online survey on worker injury history. All participants will receive a $25 visa® gift card for participating in the focus groups and task observations portions of the study. Survey participants will be given the opportunity to enter in a raffle for one of three $50 gift cards. Study participants must be at least 18 years of age, currently employed in animal care work and have worked for at least one month in the veterinary medical/animal care field. For more information on the PIVOT study and other research opportunities, please visit http:// deohs.washington.edu/cohr/pivot/ or contact study coordinator Dr. Heather Fowler, VMD, MPH at 206-616-8861 or email her at hfowler@ uw.edu.

Fairness to Pet Owners Act is back again The alleged Fairness to Pet Owners Act (H.R. 3174/S. 1200) has once again surfaced in Congress, but this time, it may have legs, which is why we need your help. This legislation, which Rep. Jason Chaffetz (R-Utah) introduced on July 24, would require veterinarians to provide clients with written prescriptions for their pets, regardless of the clients’ wishes. Some of the bills’ advocates argue that veterinarians withhold prescriptions to increase profits, but this claim was not substantiated in a recent Federal Trade Commission report. Clients can already ask for prescriptions, and veterinarians should be honoring that request. Washington’s Veterinary Board of Governors is in the process of passing a rule that will require veterinarians to provide a prescription to the client if they ask, as long it’s under a valid veterinary-clientpatient relationship Please take a few minutes to sign the AVMA alert and urge your congressional officials to oppose this legislation. For more information, go to http://tinyurl.com/rxmandate.

Important Oct. 15 deadline for EMV credit card processing equipment Because of the rapid increase in credit card fraud, card issuers in the U.S. are now migrating to the more secure EMV chip card payment technology that has been in use

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WSVMA’s preferred merchant services provider for over 20 years, Alliant Merchant Solutions (formerly Bancard USA) can provide new or existing customer upgrades to point-ofsale (POS) equipment, system, and software to EMV capability. It may be as simple as adding an EMV-compatible PIN with a software update, though, you may need to replace your terminal completely. Alliant offers WSVMA members big savings in both rates and equipment. Call today and help protect your clients’ credit card information while reducing your liability. Call (866) 888-2872 or email help@alliantms.com.

National Veterinary Technician Week October 11 – 17, 2015 The National Association of Veterinary Technicians in America, Inc. (NAVTA) has proclaimed October 11-17, 2015, as National Veterinary Technician Week. Veterinary Technicians are critical to the success of veterinary practices and work to preserve animal health and welfare. Although veterinarians value their technicians each and every day, this week is a time to truly honor all that they do.

Member News and Moves WSU/CVM’s Veterinary Business Management Dr. Saundra Willis, WSVMA’s alternate delegate to the AVMA House of Delegates (HOD) was elected to HOD’s House Advisory Committee, at-large position. The House Advisory Committee consists of seven members elected by the House of Delegates to advise and make recommendations to the House of Delegates and Board of Directors, and to review and approve the credentials of candidates for President, President-Elect, Vice President, councils, and the House Advisory Committee.


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Washington Physicians Health Program is here for you

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he Washington Physicians Health Program (WPHP) is an independent, nonprofit organization that serves as the provider recovery support program for doctoral level health care providers in the state of Washington. Like the general public, health care providers fall ill to health conditions that cause temporary functional impairment, such as bipolar mood disorder and substance use disorders. Should these conditions go untreated, ill healthcare providers place our state’s patients at high risk of preventable injury secondary to their impairment. Veterinarians face a plethora of external stressors that may put them at increased risk of developing these conditions compared to the general population, including an increased potential for financial problems, professional isolation, staffing

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shortages (particularly for the solo practitioner), and the emotional toll of performing frequent euthanasia. Veterinarians also have relatively easy access to controlled substances. Since 1986, WPHP has protected the people of the state of Washington by identifying healthcare providers at risk for impairment, getting them into successful treatment for their illness, and assisting with their recovery and safe return to work. The Department of Health (DOH) contracts with WPHP to provide crisis intervention, assessment, referral, recovery monitoring services for providers, and education for the medical community at large. By contract and by statute, WPHP is the qualified provider of services for potentially impaired MDs, DOs, PAs, DDSs, DPMs, DVMs, and students and residents of these disciplines.


What is WPHP?

What is the goal of WPHP?

WPHP is a support and monitoring program for healthcare providers who have a condition or illness that is impacting their personal and or professional life. The program seeks to create a safe harbor where healthcare providers can confidentially obtain the help they need. WPHP services include outreach, crisis intervention, informal assessment, treatment monitoring, advocacy, and guidance when a veterinarian needs help. WPHP also provides resources for families and employers.

The goal of WPHP is to maintain a healthy population of veterinarians and to help them recover from their illnesses. The program supports the well-being of the veterinarian while protecting his or her professional status and the safety of his or her patients. If you have concerns that a veterinarian or veterinary trainee may be in need of assistance, please call WPHP toll-free at 1 (800) 552-7236.

When is WPHP able to help? WPHP is a confidential resource for any health-related concern including: substance abuse, depression, stress-related illnesses and burnout, bipolar disorder, major anxiety issues, cognitive concerns, and other medical or emotional concerns. Veterinarians, their colleagues, and their family members can access WPHP services at any time.

When should I call WPHP? We encourage concerned parties to call WPHP at the first sign that a veterinarian might be in need of assistance. WPHP staff members are available to answer questions when there are concerns about a veterinarian’s health, safety, or judgment and can provide guidance in what can be an uncomfortable situation. All healthcare providers licensed in the state of Washington are required to identify any other licensed provider who has a condition, physical or mental, that may affect his or her ability to practice with reasonable safety.

What happens when I call WPHP? When someone calls WPHP, staff members are immediately available to confidentially discuss the presenting concerns and answer questions. If an appointment is appropriate, WPHP will ask the individual to meet with two to three WPHP staff members at its Seattle office, or WPHP staff members may go to the veterinarian or veterinary trainee to explore the reported concerns. There are no fees associated with an initial referral or meeting. After meeting with the veterinarian, WPHP is able to provide referrals for appropriate evaluation and treatment. If neither evaluation nor treatment is necessary, WPHP can endorse an immediate return to work. If treatment is indicated, WPHP monitors the individual’s treatment and his or her progress in recovery, providing support, resources, and advocacy for the veterinarian to appropriate parties. Throughout this process the veterinarian will not be reported to any disciplinary authority or outside agency unless he or she is clearly impaired and refuses to complete recommended medical treatment before returning to work. Doctors don’t get reported to the Board for being sick – they do get reported to the Board for being too sick to work but refusing to take leave, continuing to place their patients at unacceptable risk. Fortunately, these difficult situations are incredibly rare.

How common are medical disorders among healthcare providers? Recurrent depression strikes 18% of females and 12% of males in the U.S., healthcare providers included. Suicide rates are 2-4 times higher in veterinarians than they are in the general public. Rates of problematic substance use are elevated in veterinarians in part due to access issues and workplace stressors. Bipolar mood disorder strikes 1-3% of people in the U.S., including doctoral level healthcare providers. These illnesses can be fatal, and can cause acute impairment that threatens patient safety if not addressed early and aggressively.

Many veterinarians report they are not aware there’s help for Washington veterinarians who are suffering from depression, suicidal thoughts, substance abuse, bipolar disorder or other physical or mental conditions that may prevent you from enjoying life or that affect your ability to practice. There is confidential help available simply by picking up the telephone. The Washington Physicians Health Program is specifically designed for medical and veterinary professionals. They understand the stressors veterinarians face.

How is WPHP funded? WPHP is funded through a surcharge collected from the licensing fees of the healthcare providers served directly by this program. By statute (RCW 18.17.310 & RCW 18.71A.020), all funds deposited to the “impaired provider fund” surcharge must be used solely for implementation of the state’s impaired provider program. Licensed veterinarians pay $10/year into this fund. Every other type of discipline participating in WPHP pays $25-50/year into this fund.

How successful is WPHP? WPHP is very successful. Roughly 95% of WPHP clients with a substance use disorder have a very successful outcome, as do 85% of WPHP clients with a significant mental illness. WPHP keeps high demand providers in practice and improves access to care. If untreated, substance use disorders, mental illness and physician burnout have high risk of causing premature retirement from healthcare professions. WPHP helps good providers safely continue their career, improving access to care. Workforce losses can financially decimate a small practice, particularly in rural areas of our state. In this economic climate, keeping the veterinarians we have is a good investment for our state.

How can WPHP help me if I don’t have one of these serious illnesses? WPHP has been structured as an organization to rescue veterinarians and other providers with severe illnesses that are life and career-threatening. This service is needed, we think, by about 1-2% of the professional community. However, the rest of us are at

ALL CALLS ARE CONFIDENTIAL.

(800) 552-7236

risk of premature retirement and professional dissatisfaction due to psychological burnout. Multiple studies have shown that veterinarians are at very high risk for this phenomenon. Over the next several years, WPHP is piloting a new wellness program for providers throughout Washington State. These new services are oriented towards alleviating burnout in providers and protecting those who have yet to experience it. Our initial focus is on providing access to provider mindfulness meditation training. This is the lone evidence-based intervention in the medical literature that provides protection against provider burnout.

Confidentiality Assurance WPHP is a confidential resource for healthcare providers and their spouses, domestic partners, families, employers, and colleagues who have concerns that a provider may be in need of assistance. Confidentiality is one of the program’s most important components. Have questions or concerns about you or a colleague? Call WPHP today. (800) 552-7236.

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or

Relief Veterinarian Part-Time Employee? by Carin Smith, DVM


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s the veterinarian you recently hired a relief veterinarian or a part-time employee? For utmost clarity, the words “relief veterinarian” should be reserved for the self-employed contractor.

It is important to realize that the question of a veterinarian’s employment status depends on whether a state or federal agency is asking the question. The state’s definition of an independent contractor (IC) differs from, and is more restrictive than, the IRS guidelines.

FOR FEDERAL TAXES PURPOSES For federal taxes purposes, the IRS determines independent contractor status by considering three aspects of control: behavioral control, financial control, and the business relationship. An IC relief veterinarian who meets the IRS requirements pays his or her own federal taxes and is eligible for specific tax deductions. The part-time employee (one who does not fit the IRS guidelines) must have taxes withheld from wages. Relief veterinarians should consult their accountant and attorney to find out if they fulfill the IRS requirements for independent contractor status. The remainder of this article deals with the state’s position.

WASHINGTON STATE Washington State has its own definition of independent contractors, which differs from and is more restrictive than the federal guidelines. The state is concerned that unemployment insurance and worker’s compensation coverage is obtained for veterinarians who are part-time employees. This coverage is not necessary for independent contractors when they meet six requirements to be considered independent contractors by the state. In 2002, Dr. Carin Smith (author of The Relief Veterinarian’s Manual) and Greg Hanon (WSVMA’s legislative advocate) met with representatives from the Employment Security Department and the Department of Labor and Industries. As a result, it was found that it is possible for relief veterinarians to be considered independent contractors by the state. To do so, they must fulfill all six requirements. Both departments will work together in the future to consistently apply their decisions regarding relief veterinarians. A review of this document in 2012 upheld the main points and reiterated that such decisions will be decided on a case by case basis. The state departments are not willing to make a “blanket ruling” for all relief veterinarians, nor will they give a one-time “stamp of approval” for an individual relief veterinarian, because of the potential for changes in working conditions. Since relievers vary in the way they conduct business, each relief veterinarian’s situation will be judged on a case-by-case basis. The work situation will only be examined in the event of an audit or a claim for unemployment or worker’s compensation benefits. Relief veterinarians will be considered independent contractors by the state if they fulfill the requirements discussed here. Examples are given to illustrate the means by which a relief veterinarian may fulfill the requirements. The words “relief veterinarian” or “reliever” in this article refer only to the independent contractor relief veterinarian. The words “part-time employee” refer to the veterinarian who does not fulfill these six requirements.

The individual is free from direction and control of the business. Relief veterinarians

examine, diagnose, and treat patients using knowledge gathered through schooling, continuing education, and practice experience. Relievers are legally responsible for the outcome of every case they treat, and they carry their own liability (malpractice) insurance since they are not covered under the hiring veterinarian’s liability insurance. Because of this liability, the ultimate control of how procedures are performed, what diagnoses are made, and how patients are treated always rests with the relief veterinarian.

Relief veterinarians are generally hired for a block of time ranging from one day to several weeks. Even though the hospital may have certain hours of operation, the reliever has the right to modify those hours in order to treat or monitor patients under his or her care. The reliever also controls the daily schedule. For example, the reliever may choose to conduct treatments prior to performing scheduled surgery, to spend as much or as little time performing an examination as necessary, or to examine an unscheduled patient at any time. The reliever’s actions and decisions are based on his or her professional judgment and are under his or her control at all times.

The service is outside the usual course of business, OR outside all the places of business of the employer OR the individual is responsible, both under the contract and in fact, for the costs of the principal place of business from which the service is performed. Relief

veterinarians are unlikely to fulfill the first two criteria, therefore must meet the third description. The relief veterinarian’s principal place of business is their home office. This home office is eligible for a business deduction for federal income tax purposes. Relievers are responsible for expenses related to keeping a home office, including office supplies, office equipment, professional journal subscriptions, book purchases, and specific veterinary equipment that is carried to each job. Other expenses incurred by relievers include insurance, continuing education, and automobile maintenance. Relievers bill the hiring veterinarian rather than collecting payment from customers of the clinic. For example, after a relief veterinarian examines a dog, its owner pays the veterinary clinic (not the relief vet). In a separate act, the reliever charges the hiring veterinarian a daily and/or hourly fee. In addition, relievers have the right to modify the clinic’s basic fee schedule. Because of the complexity of certain medical and surgical procedures, it is not possible for veterinary hospitals to make a price list that covers every eventuality. Whereas a simple vaccination is customarily billed at the same fee for each customer, a lengthy exam might be billed out at a higher rate, based on the reliever’s judgment. The reliever may also modify the charge billed for a complex surgery, based on his or her determination of the difficulty and time involved.

The individual is engaged in an independently established trade of the same nature as the contract, OR the individual has a principle place of business eligible for business deductions. Relief veterinarians

have independent service businesses. They temporarily work for each veterinary clinic to fulfill a short-term need. Relievers keep their own records, pay their own taxes, and have their own state veterinary and business licenses.

Relief veterinarians must be differentiated from part-time employee veterinarians, such as those who work one day a week for one (or more) practice(s).

THE RELIEF VETERINARIAN: •• Offers services to all veterinarians (with or without geographical limitations); •• Will work at many (perhaps ten to thirty) different hospitals throughout the year; •• May return to work at a particular hospital more than once during a year; •• Does not maintain a regular, consistent schedule of working at any hospital.

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ALSO, RELIEF VETERINARIANS: •• Have their own business license with a Unified Business ID number from the state; •• Have a business that exists both before and after each job they perform for a particular clinic, and they do not depend on any one clinic for their work; •• Set their own schedule, fees and policies, and may accept or decline work that is requested; •• Diagnose and treat animals under their care using methods they choose; •• May use some of their own equipment, supplies, or medications in addition to those at the place of work; •• May hire others to assist them. (Although most relievers do not do so because of financial constraints, they have the right to hire their own assistants). •• Present a bill when the job is finished, are paid, and the relationship ends. The individual is responsible for filing a schedule of expenses with the Internal Revenue Service. Relief veterinarians are responsible for filing their own state and federal tax forms, including a schedule of expenses with the IRS. (These expenses may include but are not limited to those discussed in 2, above). Relievers keep all necessary records to accomplish those requirements. They do not have taxes deducted from a paycheck, but instead make quarterly payments to the IRS as necessary. (Hiring veterinarians must file a 1099 form for any relief veterinarian who receives more than $600 in any one year). The individual has established an account with the department of revenue and other appropriate state taxing agencies. Relief veterinarians obtain a state license from the state department of revenue, receive a unified business identifier, and pay applicable state taxes such as the B & O tax. As independent contractors they do not expect to receive unemployment benefits at any time. Relief

veterinarians generally carry their own health, liability, and disability insurance to cover any eventuality. The individual maintains a separate set of records for the business. Relief veterinarians maintain a separate set of books for their own business. Their records reflect all items of income and expenses of their business. They set their own fees and policies, supply the hiring veterinarian with a contract or letter of agreement for each job, bill for their work, and record expenses incurred in the course of their business.

CONCLUSION: It is a basic understanding of veterinary medicine that the veterinarian who is responsible for the outcome of a case always has the ultimate control in determining how it is managed. Relief veterinarians have customarily worked under the guidelines listed above. Yet when we are working with non-veterinarian professionals such as accountants, attorneys, auditors, and the like, we cannot assume an equal understanding. Thus we must clearly define what relief veterinarians do and how they perform their work. Relief veterinarians (who are bona fide independent contractors) have no interest in or right to any claims against the state agencies (unless they carry their own worker’s compensation), and need not be covered by the hiring veterinarian’s policies. Part-time employee veterinarians should not be referred to as “relief veterinarians,” and they should receive the worker’s compensation and unemployment insurance benefits they rightly deserve. To be considered an independent contractor, the relief veterinarian must meet the above requirements in fact and intent. Both the relief veterinarian and the hiring veterinarian are responsible for ensuring that they understand their work arrangement. The relief veterinarian should show proof of a business license. (To obtain a business license, relief

veterinarians should contact the Washington Department of Licensing at (360) 664-1400 and ask for a Master Business Application). Using a clear contract to define the work relationship will help support one’s IC status, but it is important to realize that it is not possible to design one contract that all relief vets could use to be able to “become” an independent contractor. Instead, relief veterinarians should validate their IC status by obtaining their own business license, keeping appropriate records, advertising their services, and maintaining control over their work.

QUESTIONS ABOUT THE STATE REQUIREMENTS MAY BE DIRECTED TO: WA Employment Security Department: Una Wiley Audit Director (360) 902-9550 uwiley@esd.wa.gov Employment Security Department http://www.esd.wa.gov/employer-taxes/ independent-contractors WA Department of Labor & Industries Steve Beaty Worker Compensation Coverage Determination (509) 324-2627 For further information, consult your attorney, accountant, and the references listed below. FlexVet: How to Be One, How to Hire One: The Comprehensive Practice Guide to Hiring Relief & Part-time Veterinarians. Carin A. Smith, DVM Smith Veterinary Consulting PO Box 698 Peshastin WA 98847 www.smithvet.com IRS Publication 15A Employer’s Supplemental Tax Guide www.irs.gov

ADDENDUM: Independent Contractor Exemption Further Defined RCW 51.08.180 stipulates that an independent contractor is a covered worker if the essence of their contract is personal labor. An additional RCW gives an employer an alternative 6-part test to determine if an independent contractor is exempt from mandatory coverage. This rule was adopted for both Labor and Industry and Employment Security, giving an employer an advantage in that both L & I and Employment Security will use the same 6-part test to determine exemptions for independent contractors. This alternative 6-part test states that a person is exempt if: 1. They are free from control and direction over the performance of the service, AND 2. The service is outside the usual course of business OR outside all the places of business OR the individual is responsible for the costs of the principal place of business from which the service is performed, AND 3. The individual is engaged in an independently established trade of the same nature as

the contract, OR the individual has a principle place of business eligible for business deductions, AND 4. The individual is responsible for filing a schedule of expense and income with the IRS for the business, AND 5. On the effective date of contract or within a reasonable period, has established required accounts with state agencies, AND 6. Individual maintains separate set of books and records that reflect items of income and expense for the business. Copyright 1992 / 2002 / 2015 WSVMA and Carin A. Smith, DVM Other than for the individual WSVMA veterinarian’s personal use, this article may not be reprinted or copied, in print or electronically, without written permission. Originally printed in the WSVMA Newsletter, March 1992 and 2002 *This material is for information only. Laws continually change, so please consult your attorney and tax advisor for current information.


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FEATURED LISTING Columbia Basin—Well established veterinary practice and real estate. One doctor practice in a small but fast growing community in the beautiful Columbia basin. Two free standing buildings offering 1800 square feet of space located on a large corner lot with room for growth. The area has potential to support a mixed animal or small animal practice. Consistent growth in collections. Video walk thru available! Contact Jim Vander Mey (Omni) (877) 866-6053 ext. 2. More listings at omnipg-vet.com

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Dr. Thomas F. Meyer named AVMA president-elect

AVMA News by Michael San Filippo AVMA Senior Media Relations Specialist

Dr. Thomas F. Meyer, Vancouver, WA, has been named president-elect of the American Veterinary Medical Association (AVMA). Meyer, who was elected to the post by the AVMA House of Delegates (HOD) at its summer session on July 10, succeeds Dr. Joseph H. Kinnarney, who has officially assumed his role as AVMA president. As president-elect, Meyer will assist the president in supervising all the business affairs of the AVMA. He also will serve on the AVMA Board of Governors, which acts as the executive committee of the association, and will be the presiding officer at all sessions of the HOD. Meyer will become AVMA president in 2016, upon expiration of the current president’s term of office. “Over time, veterinary professionals have created better solutions to meet the changing needs of society. We need to continue our good work in developing new technologies to detect, prevent and treat diseases in animals and people. It is also important that we increase awareness of the other ways veterinary professionals play a critical role in our society. For instance, the public may be less familiar with the role veterinarians play in inspecting food for harmful bacteria, monitoring lakes and rivers to keep water safe to drink, discovering ways to restore and protect endangered species, and delivering public health programs around the world,” said Meyer. “As the profession continues to evolve, I am committed to preserving the trust that the public has placed in us, as veterinary professionals, to care for their health and the health of their animals,” he added. “As president-elect, I look forward to helping the AVMA advance its mission of advocating for its members and advancing the science and practice of veterinary medicine to improve animal and human health.” Meyer and his wife are co-owners of a mixedanimal practice in Vancouver, Wash., which is certified by the American Animal Hospital Association (AAHA). Shortly after graduating from Washington State University (WSU) College of Veterinary Medicine, he established Mountain View Veterinary Hospital, which employs five associate veterinarians. He has served organized veterinary medicine in many capacities, including leadership positions at the local, state and national levels. Meyer

14

w a s h i ngton ve te ri nari an

served on the AVMA Board of Directors from 2008-2014, and as its chair from 2013-2014. He is a past chair of the AVMA House Advisory Committee and also previously represented private practice-predominately equine on this committee. He served in the AVMA House of Delegates as a delegate or alternate delegate for 20 years and is a past president of the Washington State Veterinary Medical Association, where he was honored as its Veterinarian of the Year in 2004. He also was chair of the WashingtonOregon-Idaho Steering Committee and was the equine representative on the AVMA Clinical Practitioners Advisory Committee. Meyer’s interest in leadership development led him to be an advocate for the AVMA Veterinary Leadership Experience, an experiential leadership program for students and faculty from across North America that teaches life skills in better communication and collaboration with one another. “Through his many years of experience as a mixed-animal practitioner, Dr. Meyer has a strong understanding of veterinary medicine from many perspectives,” said AVMA Chief Executive Officer Dr. Ron DeHaven. “He has demonstrated his commitment to advancing the profession and providing quality, veterinary care to improve animal and human health. Dr. Meyer is a compassionate individual whose management, decision making and communication skills will be a tremendous asset to the AVMA as we work to address important issues in veterinary medicine now and into the future.” Meyer has been an active member of the Washington State Veterinary Medical Association, the AAHA, the American Association of Equine Practitioners and the American Association of Bovine Practitioners. He is a past recipient of the WSU College of Veterinary Medicine’s Distinguished Veterinary Alumni Award for Excellence in Practice (2010). Meyer received his doctor of veterinary medicine degree from WSU, where he previously completed a master’s degree in zoology, and a bachelor’s degree in biology from Central Washington State College.


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Total Practice Solutions Group Veterinary Practice Sales & Appraisals

Our Pacific Region Includes 8 states to help our colleagues NOW IS THE PERFECT TIME TO BUY OR SELL A VETERINARY PRACTICE! Demand is high, and low cost financing is available. TPSG brokers have the training, knowledge, experience, and professional support for a successful practice sale, or buyer representation,

CALL OUR HAPPY CLIENTS! More available upon request. Dr. Stephanie Wallendorff Rock Springs, WY (307) 362-3184  Buyer  Management Consulting Dr. Richard Steel Tillamook, OR (503) 842-9348  Seller  Employment Contract  Lease Agreement

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Relief Bank

Do You Want to Be in the WSVMA Relief Bank? All you have to do is email or fax your information to the WSVMA offices. If you are a current WSVMA member, your ad is free! Contact classifieds@wsvma.org or fax to (425) 396-3192 to get your ad started!

Dr. Jessica Allmendinger UC Davis, ‘08 SA Medicine and Surgery,ER (day only) Greater Seattle Area (530) 220-3868 jlallmendinger@gmail.com

Dr. Tracy Fuelleman MIN ‘89 SA Medicine Greater Puget Sound area (206) 361-8009 tracydvm@hotmail.com

Dr. Kathy Johnson Ohio State `83 SA Snohomish & South Skagit (360) 659-7252 katherine@earthlink.net

Dr. Sonia Amador Ross and Cornell ‘03 SA General Medicine Surgery, and ER Greater Seattle area, 7 days (206) 369-5308 healerfox1@gmail.com

Dr. Cory Gadwood Ross, ‘04 SA, with strong interest in feline dentistry and medicine Southwest WA (360) 600-6134 corygadwood@yahoo.com

Dr. Rebecca Johnson OSU / WSU ‘94 SA Medicine Greater Puget Sound area (206) 719-2056 reliefdoc@comcast.net

Dr. Douglas Anderson WSU ‘94 (360) 249-3550 doug270@gmail.com Dr. Veeda Angell WSU ‘04 SA/MA King, Snohomish, Pierce and Thurston Cos. (509) 432-3225 vangell_dvm@hotmail.com Dr. Janice Anthony WSU, ‘03 Small Animal Medicine King and neighboring counties Short notice OK jaadvm@cs.com

Dr. Catherine Gamber Texas A&M 2011 Small Animal Medicine and Surgery, ER, Exotics Greater Seattle Area (281) 352-3987 catherine.gamber@gmail.com Dr. Michelle Gengler ISU, ‘05 Small Animal North King and Snohomish County Short notice OK (206) 920-0219 genglerdvm@gmail.com

Dr. Bela Belle Tufts ‘97 ER, SA Medicine/Surgery, PT (425) 770-3193

Dr. Emma Harvey Edinburgh, Scotland ‘12 SA medicine & surgery, Food animal, equine, exotics Anywhere in WA, Short Notice OK (206) 601-0620 emmarosefiala@gmail.com

Dr. Evelyn Bittner MSU ’91 SA Medicine/Surgery Greater Seattle & Eastside area (206) 301-0580 evelynbittner@comcast.net

Dr. Lee Harris WSU, 1974 Pierce, Snohomish and King Counties Small Animal Medicine with Surgery (253) 569-5360 dr.harris@pacificcrestvets.com

Dr. Frank Bousaid TAMU ‘95 SA, Acupuncture/Chinese Herbal Therapy Eastern Washington including Wenatchee, Moses Lake, Spokane (206) 683-3770 snohobear@gmail.com

Dr. David Hildreth MO ‘70 Small Animal (360) 914-1234 dhildr9770@aol.com

Dr. Kimber C. Brawley KSU ‘89 SA & Exotics, Medicine/Surgery, some Orthopedics King & Snohomish (425) 367-1288 docb333@aol.com Dr. Erika Cantamessa WSU, ‘06 SA and exotic pet medicine Adams, Grant and Spokane Counties (509) 660-0234 Erika_18@hotmail.com Dr. Stacy Chartrand WCVM ‘01 Small Animal Medicine, Surgery and Emergency and Critical Care Greater Seattle and Eastside (206) 445-9994 stacychartrand@gmail.com Dr. Leah Cloud WSU ‘05 SA Medicine King County (425)223-7618 leahclouddvm@gmail.com Dr. Patricia Dorsey IL ‘84 Cats and Dogs (253) 851-8234 (Gig Harbor) reliefvet@dorsey.cotse.net Dr. Leah Ferguson Kansas State, ‘02 SAl medicine and surgery Snohomish and King counties (503) 380-4810 leah.jia@gmail.com

Dr. William D. Hougham UCD ‘75 SA Surgery and Medicine South King County and Pierce County (360) 825-1981 drbilldvm@gmail.com Dr. Elizabeth Hughs STG ‘09 SA (206) 992-1730 elizabeth.hughs@gmail.com Dr. Brian Hur WSU ‘11 SA, Medicine/Surgery/Dentistry, ER/CC Greater Seattle Area (206) 856-0928 brian.hur@gmail.com Dr. Julie Janiak Colorado State University ‘07 Small Animal Medicine, Surgery, Emergency and Acupuncture Internship trained Greater Spokane Area and nearby counties (970) 420-9556 jagej@hotmail.com Dr. Emily Jewell Liverpool ‘98 SA General Medicine & Surgery Seattle and surrounding, Walla Walla and surrounding (206) 579-1012 eajewell@hotmail.com Dr. Kari Johnson WSU, ‘93 SA (206) 832-6928 kari@raincityvet.com Calendar/rates available at www. raincityvet.com

Dr. Kathryn Okawa WSU ‘81 SA, Small mammals (425) 870-7088 okawak@aol.com Dr. Sarah Jane Owens Tufts ‘02 Small Animal, Equine, and Exotics Within 2.5 hours of greater Seattle (206) 661-6005 sarahowens@hotmail.com

Dr. Darlene King WSU ‘98 Snohomish and King County area (425) 344-7996 dnmking@yahoo.com

Dr. Pamela Powell WSU ‘82 SA, ER, HQHV spay-neuter WA, ID, OR. Short notice OK. (253) 229-7816 pamvetdr@aol.com

Dr. Cynthia Knapp Ohio State ‘98 SA, ER Medicine/Surgery North King and South Snohomish Counties cyn.knapp@comcast.net

Dr. L. Louise Rutter Cambridge, England ‘95 SA Medicine and Surgery relief work King County, Lake Washington area (425) 999 6765 louiserutter1000@gmail.com

Dr. Kathleen Koppa WSU ‘07 SA Medicine and Surgery King and Snohomish Counties (425) 495-2626 kkoppa@yahoo.com

Dr. Michael Ryan WSU ‘84 SA Medicine and Surgery Kitsap and West Sound region (360)830-4911 ryanserv@msn.com

Dr. Jamelyn Kyser University of Georgia ‘10 SA ER/CC (cats, dogs) King, Snohomish, Pierce counties for multiple/consecutive shifts, farther WA and CA considered drkyser@gmail.com

Dr. Aja Senestraro WSU, ‘14 SA, LA, some exotics, Integrative medicine Tumwater to Bellingham (425) 492-0323 SeatoSkyVet@gmail.com

Dr. Lori Maness Tufts, ‘92 Whatcom, Skagit and Snohomish Counties (307) 277-8819 Maness.lori@gmail.com

Dr. Amy Small Glasgow ‘88 SA Medicine/Surgery Central and Eastern Washington & Idaho (509) 420-3554 (text or leave message) amysv1@yahoo.com

Dr. Kira MacKinnon (Dr. Mac) Ross ‘06 References available SA medicine, surgery, dentistry, ER Spokane, Stevens County (928) 580-8819 (text, call or email) knmdvm@gmail.com Dr. Regina Mansfield WSU ‘85 SA Medicine SE King/ NE Pierce (360) 825-6753 regina.scott.m@gmail.com Dr. Alina McClain Ross ‘06 SA, Ultrasound, Soft Tissue Surgery Northern Western Washington to Seattle Tuesday, Wednesday, Friday and some Sat/Sun (360) 682-6216, (614) 563-9914 ndcrud42@yahoo.com Dr. Cheryl Meyers MSU ‘96 Small Animal Medicine, Surgery & Dentistry Greater Puget Sound area (206) 683-0685 cherylmeyers101@gmail.com Dr. Gary Miller WSU ’84 SA & MA WA, OR, Northern ID, Western MT (509) 248-7398 millerg@bossig.com Dr. Sue Moriyasu WSU ‘02 SA, high volume spay/neuter King & nearby counties (425) 830-2784 sue.moriyasu@gmail.com

Dr. Timarie Simmons OK State ‘98 Small Animal Medicine/Surgery and Some Exotics Greater Seattle and Statewide Options (703) 606-3300 timariedvm@yahoo.com Dr. Heather Smith WSU ‘03 SA Medicine/Surgery, Exotics (small mammals) North King/South Snohomish counties (425) 501-8008 heatherlosmith@yahoo.com Dr. Hank Snelgrove, CVA UCD ‘81 Integrative Small Animal Practice: medicine, dentistry, surgery, acupuncture, and TCVM herbal therapy Olympic and Kitsap Peninsulas and Central and Western Washington (360) 301-0096 tsetsibus@olympus.net Dr. Mary Sprague WSU ‘89 SA Medicine King, S. Snohomish Counties (425) 880-4073 dr.sprague@cablespeed.com Dr. Priscilla Stockner Min ’70 King, Snohomish, Skagit and Whatcom Counties. (360) 926-8371 or (360) 420-3717 priscillastockner@mac.com Dr. Michael Stone OSU ‘99 SA,ER, Medicine/Surgery (253) 988-1200 nwdvmrelief@gmail.com

Dr. Dorothy Villareal Texas A&M ‘85 SA Medicine and Surgery Kitsap, Clallam, Jefferson and Mason counties (360) 479-9053 docvillareal@live.com Dr. Peggy Vogt Auburn, 2000 SA Medicine & Surgery Seattle to Olympia (253) 686-2048 pevdvm@comcast.net Dr. Melissa Walker Cornell ‘04 SA Medicine and Surgery, Integrative Medicine Greater Seattle Area (206) 595-2382 mwalkerdvm@gmail.com Dr. Shelby Watson MN ‘02 Kitsap Peninsula (360) 473-6260 swatson@wavecable.com Dr. Karen Wichert WSU ‘89 SA Medicine and Surgery Snohomish, King Counties (425) 312-3376 karen.wichert.dvm@gmail.com Dr. Evelyn Wilson, WSU ‘90, ABVP canine & feline med. Small animal medicine, surgery, dentistry, E.R. and exotics Snohomish, King, Skagit and Whatcom counties. (360) 631-2400 evwilsonvet@wavecable.com Dr. Heather Woodke WSU 2002 small animal medicine, surgery, ER, mobile small ruminant Western Washington (509) 990-8854 woodkemagpie@comcast.net Dr. Michelle Zachry Purdue ‘02 SA, Medicine/Surgery/Dentistry, ER/ CC, Public Health/Food, Shelter King County and surrounding areas (425) 654-3521 reliablevetrelief@gmail.com Dr. Sharon Zito UC Davis, 1984 SA Medicine Seattle/King County Area 3 or more days in a row (619) 733-6875 s.zito@yahoo.com


  RATIS URRNT AAIAB: WASHINGTON NW ISTING S  S  G                      SA    S    x & R   5 (WA5)

IAHO NW ISTING A      I     /              q S          x   (I)

AASKA ONSIRING A ORS      A H           G            x   5      5 (AK6)

NW ISTING     HIGH    I SA  G            x  6 (I) —IAHO RATIS— B  T- R   A N N  S N

Nikki Nitz, CPA, CMA l Simmons Northwest 208.664.3100 l www.simmonsinc.com l northwest@simmonsinc.com

Great News

Now serving the Puget Sound area in two locations

SVS-Kirkland

11814 115th Ave NE Kirkland, WA t. 425.823.9111

SVS-Downtown 805 Madison Street Seattle, WA t. 206.624.9111

24-hr specialty | emergency | critical care | www.SVSVET.com


Classifieds WSVMA 2015 Classified Advertising Rates

staff, excellent clientele. Generous compensation/ benefits package. Submit resumes to recruiting@ navanet.com.

WSVMA Members First 30 words Each additional word WSVMA Blind Box (one-time fee) Include ad in next print issue

$65.00 $1.00 $5.00 $10.00

No charge for contact information. Rates are for two months on the website. Ad will be included in the next available print issue for an additional $10.00. Non-Members First 30 words Each additional word WSVMA Blind Box (one-time fee) Include ad in next print issue

$115.00 $ 1.50 $ 5.00 $20.00

No charge for contact information. Rates are for two months on the website. Ad will be included in the next available print issue for an additional $20.00. Classified ad forms are available upon request. Call (800) 399-7862 or (425) 396-3191 or email classifieds@wsvma.org. Deadlines for Classifieds Ads for the Nov/Dec 2015 issue of the WSVMA Classifieds will be accepted until October 31, 2015. No refunds or changes will be allowed after the deadline has passed. The WSVMA WA Veterinarian Magazine and WSVMA Classifieds are sent to all WSVMA members. More Information For further information on classified advertising, please contact: WSVMA Office (800) 399-7862 or (425) 396-3191 classifieds@wsvma.org New Ad Deadlines Nov/Dec 2015 • October 31, 2015

DVM Wanted, King-Pierce-Snohomish Counties An independently owned Veterinary Hospital in Issaquah has an opening for a small animal Veterinarian. This busy 2-3 doctor practice is looking for a physician with integrity, enthusiasm, and a deep commitment to the care of our patients. The ideal candidate must have strong medical, surgical, dental, and communication skills, and will possess the ability to build strong relationships with our valued clients. Experience with acupuncture and/or other Eastern or natural remedies is a plus. We seek an individual whose confidence and positive team-0oriented attitude contributes to the vibrant growth of the practice, and supports our core values. The practice uses Cornerstone software, digital x-ray (and digital dental x-ray) equipment, and has a full Idexx in-house lab. Experience is preferred. Competitive salary and benefits include a productivity bonus. Contact info@vetsivh.com. Northpointe Animal Hospital in Lynnwood seeks Associate DVM. Some experience necessary. Modern, well-equipped hospital includes digital x-ray, ultrasound, surgical laser, in-house lab. Dedicated, trained support

Pilchuck Veterinary Hospital is in search of an experienced full-time Small Animal Emergency Veterinarian to join our team. We value integrity, ethics, compassion, teamwork, great medicine and client service. Applicants should enjoy their career and enjoy their lives. Applicants need to have a Washington State Veterinary License, 2+years of experience and an understanding of AAHA practice standards. Medical and communication skills are top priorities. PVH provides high quality medical care for small and large animals at our campus in Snohomish, Washington. The Small Animal Department consists of a General Practice, an Emergency Practice and an Integrative Medicine Practice. Snohomish is located in the foothills of the Cascade Mountains, about 30 minutes NE of Seattle with a short drive to the Puget Sound to the west, or mountain skiing to the east. The area is semi-rural and is a haven for outdoor activities of all kinds. Please visit our web site, www.pilchuckvet.com to explore PVH further. Shifts currently available are primarily overnights and weekends with salary commensurate with experience and excellent benefits for FT. If you are interested in the position: apply at http://pilchuckvet.catchthebest.com/ apply/eb03/a7ef Ok, by now you’ve read enough vet ads that you’ve heard it all: high quality medicine, great equipment, great facility, good benefits, staff that’s helpful and friendly and focuses on customer service, and so on. Yes, we have all those things and they’re necessary to run any successful veterinary practice, but a truly outstanding practice needs more. We’d love you to come join a group that’s making the “more” a reality day-by-day. Here’s what it takes: A doctor that has both medical and people skills and who can advocate for the patient while listening to the client, and a support team dedicated to the cause of taking care of pets and their people. Are your patients your passion? Can you communicate any and all of your recommendations in lay terms that a client can easily understand? Do you follow-up with your clients religiously? Can you build on your strengths and work with others to bolster your weaknesses? Can you work with a positive attitude day-in and day-out both with clients and your fellow team members? Are you willing to actively participate in growing the practice you work in? Are you interested in owning your own practice? If this is your kind of thinking, then we might be the fit for you. What you get in return: collaborative problem solving and brain-storming rather than fingerpointing; a non-corporate, single-owner practice with a woman’s touch (Our reception area walls are adorned with unique art tiles commemorating beloved pets.) voted best Kirkland vet in 2015; a management willing to help you learn/implement business and marketing strategies you’ll use for the rest of your career; a central location near downtown Kirkland, Washington (a charming community with lakeshore beauty); a recently expanded facility with a staff committed to growing both the practice and our presence in the community; and, of course all the benes everyone else is talking about. Competitive salary, DOE. Fax resume to 425.814.8421 or email your response to crittrdoc@yahoo.com. www. critterdoctor.com FULL TIME/PART-TIME Associate Veterinarian wanted for a well-established independently owned small animal hospital in North Seattle. Provides progressive high quality medicine in a well-equipped hospital. RECENT GRADUATES considered. Contact Mike Bellinghausen @ kenmorevet@yahoo.com or (425) 485-6575.

Diamond Veterinary Associates / Emergency Clinic of Everett is seeking a full-time veterinarian to join our team. If you are looking to work for a hospital that provides excellent opportunities for varied experiences and challenges, education and growth, then our hospital is the place for you! The ideal candidate will be motivated, compassionate, professional, courteous and comfortable working independently, performing surgeries, and maintaining the long-term relationships we have established with our clients throughout Snohomish County and beyond. Diamond Veterinary Associates / Emergency Clinic of Everett is an established small animal practice, located in Everett. State-of-the-art equipment includes a fully equipped surgical suite, computerized practice management, an inhouse laboratory, digital radiology, and ultrasound. We pride ourselves in our high quality medicine, excellent reputation and supporting the Everett community for over 25 years. This position offers a very competitive salary and generous benefits, commensurate with experience. To apply, please email a cover letter and resume to laura@diamondvet.com. We are looking for an exceptional Veterinarian to join our small, steadily growing, animal practice in Kent Washington. Our compassionate and knowledgeable team provides exceptional service which our clients have come to expect and is the reason they chose to come to our hospital. The Reber Ranch Veterinary Hospital is a state of the art, paperless, facility. We utilize Cornerstone Software for patient records that offers online medical charts and no need for paper. Our clinic is equipped with Idexx in-house lab, digital radiology, exceptional dental equipment and surgical suite. We ensure you will have the tools you need to best assist your patients. There are several things that set Reber Ranch Veterinary Hospital apart from other clinics including: office hours on Sunday (we are open 7 days a week) as well as having a 14,000 sq. ft. retail store full of premium pet products right outside the clinic to help with all of our client’s needs. Reber Ranch has been in business for over 30 years and is a brand the community has come to associate with excellence. Our veterinary hospital benefits from our reputation and is held to a high standard of professionalism, compassion and outstanding care. If you have a passion for providing exceptional medical care to animals and enjoy working as part of a dynamic team we would like to hear from you. We are looking for Full Time or part time. Qualifications are: Current Washington state licensure, Strong surgical skills, Compassionate communication skills, Ability to make decisions and communicate clearly and effectively with clients and staff. A commitment to practice the highest quality of medicine, upholding the Veterinary Code of Ethics. Must be willing to practice professional integrative medicine. Benefits to include: Liability insurance, DEA License, Paid CE, Medical Insurance (for full time associates) AVMA and WSVMA enrollment. Please contact Janet Pryor at jpryor@reberranch.com or fax to (253) 630-0687. FT Associate Veterinarian wanted for progressive family-owned small animal practice in West Seattle. Our 7 doctor hospital is well-equipped with a positive culture and highly trained staff. Good communication skills and a desire to practice high quality medicine, dentistry, and surgery required. Please send resume, cover letter, and references to bethfritzler@ gmail.com. Seeking experienced small animal veterinarian for established non-corporate small animal hospital. Part or Full-time. Good salary. Bremerton, WA. Contact Dr. James E. Young (360) 710-0182.

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Find More Classified Ads Online at wsvma.org VCA Alderwood Companion Animal Hospital is seeking a PT or FT associate to join our busy 4-doctor, AAHA-accredited, client-focused practice in Lynnwood, WA. We value excellent customer service while practicing progressive medicine, surgery, and dentistry. Candidate should be motivated to grow their clientele, our hospital, and complement our 4 experienced doctors. Strong communication skills are essential. Our large, newer hospital is equipped with 2 surgical suites, large treatment area, 2 dental units, digital radiography (full and dental), ultrasound, therapeutic laser, in house laboratory, endoscopy, and 6 exam rooms. We pride ourselves with low staff turnover, an extremely efficient and skilled technical staff, an excellent client experience, and supreme patient care. We are in close proximity to, and have a strong working relationship with the region’s specialty/ER hospital. Please contact jill.james@vca.com 425-775-7655. PT experienced veterinarian wanted for a growing, AAHA accredited, small animal practice in West Seattle. Greentree Animal Hospital focuses on exceptional communication skills, highest quality of medicine and building relationships with clients and patients. Competitive salary, benefits, fulfilling work environment. Flexible schedule allowing focus on professional development and life balance. Email gahdirector@gmail. com Privately owned and fully equipped progressive state of the art veterinary facility serving the community for more than 30 years. Looking for experienced overnight emergency and swing-shift doctors to complement a dedicated team of doctors and well trained support staff. The facility is located in the beautiful Northwest with access to several national parks and an easy drive to Seattle. Our general practice with 24 hour emergency and critical care includes digital x-rays, ultrasound, endoscopy, orthopedics, shockwave, rehab center, alternative medicine and much more. We value personal growth and will support your ambitions to pursue further training in the areas of your interest (surgery, endoscopy, ultrasound, etc). Excellent salary and benefits. For further information please contact Mike Lynch at mikel@sumnervet.com or call 253-863-2258.

DVM Wanted, Western Washington SA veterinarian wanted to add to fast-paced, 2-doctor practice. Client-oriented, full service general practice. Looking for an enthusiastic doctor with good communication skills and a desire to practice quality medicine while serving others. Great, exper4ienced staff and pleasant working atmosphere. Benefits package available. Possible buy-in potential. Contact daupperlee@ comcast.net. Greywolf Veterinary Hospital in Sequim seeks Associate DVM. Full service small animal, avian/exotic pet hospital. Treats local Fish and Game wildlife. Wellequipped progressive practice. Dedicated trained support staff includes LVT anesthetist. Excellent compensation/ benefits package, sign on/retention bonus. Submit resumes to recruiting@nvanet.com. Full-time position available for a small animal veterinarian in a thriving 3 doctor practice, located in beautiful Anacortes, WA. Our hospital focuses on progressive medicine and surgery, with a small town, family=oriented feel. Great clients and strong support staff allow us to practice with a high standard of care. Excellent mentorship available for new grad. Wellequipped hospital, with paperless records, digital radiology, full lab, K-laser, etc. Generous production based pay and full benefit package, including IRA, medical, vacation, and extra CE allowance. No on call and limited weekend hours. Please reply to famc@fidalgovets.com with resume.

Full-time or part-time veterinarian wanted for busy small animal hospital in Vancouver, WA. Must have good communication skills, be efficient in exam rooms and in routine surgeries. One-year plus experience recommended. We offer competitive salary, signing bonus, and good benefits. Please email resume to companion@ integraonline.com or contact Dr. Joseph Giffoni at Companion Pet Clinic – Cascade Park, (360) 254-8811. Orchards Veterinary Clinic in Vancouver, WA is seeking FT and PT associates for a small animal, 4-doctor practice. Must be driven, compassionate, have strong communication skills and enjoy a fast paced environment. Compensation based on experience great rotating schedule, vacation, CE, etc. Send resume to ovcjobs@rocketmail.com. Ridgetop Animal Hospital in Silverdale seeks Associate DVM. New grads encouraged to apply. AAHA accredited, paper light practice, new ultrasound, digital radiography, surgical/therapeutic laser, electrocautery, rigid and flexible endoscopy, Tonopen. Orthopedic/TPLO procedures. Generous compensation/benefits package. Submit resumes to recruiting@nvanet.com. Our privately owned hospital has an opening for a part-time or full time Associate Veterinarian for our well-established, full-service small animal hospital in Olympia, Washington. We are well-equipped with state of the art dental radiography, digital x-ray, ultrasound and in-house laboratory testing. We are committed to providing the highest quality of life for our patients, our clients and for our employees. Our staff is made up of dedicated, compassionate, fun people and we’d love to add you to the team. We offer a solid base pay with a 22% production bonus. Income from working 2.25 days per week averages $45,000 - $55,000 gross annual pay. Full time pay is between $80,000- $100,000. Benefits include paid license dues, AVMA & WSVMA membership, PLIT, medical insurance and continuing education stipend. Please email your resume and references to Dr. Steven Hamilton at docsteve2001@gmail.com or come by and visit. Our privately owned hospital has an opening for a part-time or full time Associate Veterinarian for our well-established, full-service small animal hospital in Olympia, Washington. We are well-equipped with state of the art dental radiography, digital x-ray, ultrasound and in-house laboratory testing. We are committed to providing the highest quality of life for our patients, our clients and for our employees. Our staff is made up of dedicated, compassionate, fun people and we’d love to add you to the team. We offer a solid base pay with a 22% production bonus. Income from working 2.25 days per week averages $45,000 - $55,000 gross annual pay. Full time pay is between $80,000- $100,000. Benefits include paid license dues, AVMA & WSVMA membership, PLIT, medical insurance and continuing education stipend. Please email your resume and references to Dr. Steven Hamilton at docsteve2001@gmail.com or come by and visit. Full or part time associate veterinarian desired to join our rapidly expanding, busy practice in Western Washington. A short commute from Olympia, we are a cat and dog hospital with access to the newest equipment and diagnostics in house. Very rewarding compensation package (ProSal) with vacation, insurances, licenses, CE, AVMA and WSVMA dues paid, no on-call work, and relocation funds available. Well trained and loyal staff to support you. We focus on high quality medicine and ensure our employees are well taken care of. Practice with your own protocols with a seasoned multi-doctor team available for mentoring. Inquire how practicing here can improve your professional life. Please send CV with references to: Chehalis-Centralia Veterinary Hospital - ccvh@ chehalisvet.comcastbiz.net or fax (360) 748-6623. The Pet Emergency Center in Mount Vernon, Washington is currently hiring an experienced Emergency Veterinarian. We are an after-hours facility,

open week nights, weekends and all holidays. The hospital is very well-equipped with a new digital x-ray and much more. We are located in scenic Skagit County. Please send your resume to Andy Porter at customerservicebootcamp@ gmail.com or call with questions at (360) 809-0661. PT/SA DVM wanted to join established 3-DVM companion animal clinic located in Skagit Valley, practicing preventative quality veterinary medicine with a team oriented support staff. Limited emergency duty. Contact vets@skagitanimal.com. VCA Ocean Beach Veterinary Hospital is seeking an experienced veterinarian to support their rapidly growing practice. We offer high-quality medicine and client service, with supportive technology (Full DR, Dental DR, endoscopy, ultrasound), a strong well-trained technical support staff, and a multitude of benefits, including competitive compensation, matching 401 K's, generous CE allotments, extensive time off, and a focus on doctor "quality of life" (limited daytime work hours, with no on call service). For the right candidate a signing bonus is available. Visit us at our website: vcaoceanbeachanimalhospital.com Contact us directly at the practice (360-425-0850) and/or Johanna.baldwin@ vca.com OKANOGAN VALLEY VETERINARY CLINIC seeking F/T small animal associate (experienced or new grad.) Modern facility with highly trained, service oriented staff. Digital radiology, digital dentistry, and in-house lab. Located in recreational capital of WA state. Strong mentorship environments and strong staff support. Ownership potential. Signing bonus, moving expenses and excellent benefit package. $70K minimum, higher for experience. Contact Gary Lesamiz, DVM at glesamiz@yahoo.com or (509) 322-4747. www. okanoganvalleyveterinaryclinic.com Seeking an experienced full time SA veterinarian who has the medical and surgical skills to provide high quality, compassionate care for our client’s pets who also has an interest in becoming a permanent part of a fun, collaborative, progressive, multi-doctor AAHA practice. Applicants with an internship experience are especially encouraged to apply. Interest in exotics or complementary medicine would be considered a plus. Pro-Sal style compensation with full benefit package. The Pacific Northwest is an ideal location for pursuit of outdoor recreation interests and other hobbies. Please send your resume and letter of interest or any questions to Advanced Care Animal Clinic (www.advancedcareanimalclinic.com) c/o Daniel Haskins, DVM 16820 Smokey Point Blvd, Suite 2, Arlington, WA 98223 or e-mail at nwvetstanwood@ gmail.com . Phone (3600 629-4571

DVM Wanted, Eastern Washington Part-time DVM wanted to join our busy AAHA accredited practice. We are a well-established mixed animal practice in Eastern Washington with a dedicated, friendly, and talented staff. Our hospital is well equipped with full in-house lab (Idexx), computerized medical records (Cornerstone), U/S, digital x-ray, and therapeutic laser. Successful candidate should have excellent clinical skills, great client service and leadership skills, and be a dedicated team player. Send resumes/email inquiries to : mgraham@avmcww.com. Pet Medical Center of Pasco seeking FT associate. Enjoy practicing in a modern building, with fully leveraged staff in sunny wine country! Ideal associate would see cats, dogs, avians, and exotics. Competitive and comprehensive benefits and compensation. Email CV to Stephanie McKennon, Practice Manager at Stephanie@blyleesoasis. com. www.animalhealing.net.


Chewelah Veterinary Clinic is looking for a full time veterinarian. We are a mixed-animal practice in a small town north of Spokane. Rotating after-hours on-call during week, most weekends off. Please contact Jes at 509-9356424 or docjesadams@gmail.com for more information. Seeking FT mixed-animal DVM with excellent people skills for thriving four-doctor practice (est. 1982). Modern facility with six exam rooms, digital radiography, latest ultrasound units. Benefits include 401(k) plan with employer matching; medical, dental, vision insurance; credit for CE expenses; 2 weeks paid vacation; relocation assistance (if moving >50 miles). Full reimbursement for professional liability, license renewal, and AVMA dues. Come join our friendly team in the sunny Tri-Cities! Contact practice manager Henry James at support@pascovets.com. More info at www.pascovets.com. Wanted: Full-time small animal veterinarian. No weekends or after-hours emergency calls. Friendly, small town atmosphere. Complete in-house lab and digital x-ray. Close to Yakima and Tri-Cities. New upcoming grads welcome. Send resume with references to zillahvet@gmail. com or fax to (509) 829-6520.

practice in 3300 SF facility, 1 DVM. Practice and RE priced $600,000 Simmons Northwest 208.664.3100 (LWA57) ALASKA – Southern Region CONSIDERING ALL OFFERS: Alaskan beauty, outdoor recreation. Highly profitable, 1 DVM, SA practice. Leasehold. Grossed $420k in 2014. Potential for $200k+ to buyer after debt. Asking $125,000 reduced from $350,000 Simmons Northwest 208.664.3100 (LAK06) WA – JUST REDUCED! - East of Seattle - 1 DVM Feline only SA practice, Leasehold, $500,000 Rev. Priced to sell only $300,000! Contact Karl Salzsieder (360) 636-1228 or Karl@TPSGsales.com WA- PRICE REDUCED! - East of Seattle -Feline only SA practice, Leasehold, OVER $300K Rev. w/DVM only working 3.5 days a week. $200,000 Contact Karl Salzsieder (360) 636-1228 or Karl@TPSGsales.com WA –East of Seattle – Two Cat clinics each in busy shopping centers, high demographics. One Rev. 300k. Second one 700k. Contact Karl Salzsieder (360) 636-1228 or Karl@TPSGsales.com

Small Animal Emergency Practice seeking FT or PT weekday, overnight and/or weekend shift veterinarian. Located in our own free standing building in Pasco, WA. Contact Dr. Chad Pilgeram at Mid-Columbia Pet Emergency services by email at gocougs@hei.net.

WA - S. of Seattle Great Income! Long term practice, on 4 1/4 day work week. Owner retiring. Nearly 400k rev. Contact Karl Salzsieder (360) 636-1228 or Karl@TPSGsales. com

DVM Wanted, Out-of-State

AK - South East– 1 DVM SA practice, leasehold. High profit, 2014 30% rev increase and great recreation area. Contact Karl Salzsieder (360) 636-1228 or Karl@TPSGsales. com

Come join our family and love where you work! SA hospital in Salem, OR is seeking a PT or FT veterinarian (no after hour emergencies). Candidate must be compassionate, well spoken, professional, and confident. And want to have a good time while working hard!! Minimum 1 year experience preferred. Future buy-in potential available to the right candidate. To Apply: Email cover letter and resume to drc@ovvcsalem.com. www. ovvcsalem.com

Practice for Sale or Lease Oregon: Linn County - 2-story SA hospital w/RE. Gross ^13% through May. OR2. California: Riverside County The Hill area – Priced to Sell; 2,000sf SA clinic, family area. CA9. California: San Diego County – 1,750sf SA hospital w/ RE. Highly respected. CA10. 1.800.636.4740 psbroker.com info@psbroker.com. Want to buy an established practice for FREE? Ideal opportunity for start-up. Take over 20-year practice for lease payment only. Excellent north Seattle location. Great freeway access. (206) 999-2909 or ahealingvet@comcast.net IDAHO – Central Region NEW LISTING!! LA mobile practice located in central Idaho area. Grossing over $400k/ year with great lifestyle for current owner, 1 DVM. Price incl: truck, inventory, and equipment. Asking $400,000 Simmons Northwest 208.664.3100 (LID30) Brokerage firm Tri-Cities Real Estate with Agent Nikki Nitz of Simmons Northwest IDAHO – South Central Region NEW LISTING!! Fantastic practice located in HIGHLY desireable south central Idaho. SA, leasehold. Grossed $770k+ in 2014 with potential for $180k to buyer after debt. Asking $600,000 Simmons Northwest 208.664.3100 (LID28) Brokerage firm Tri-Cities Real Estate with Agent Nikki Nitz of Simmons Northwest WASHINGTON – Southern Puget Sound NEW LISTING!! Southern Puget Sound area. Practice grossed $740k+ in 2014 with $100k+ to buyer after debt. SA

AZ - Northeast Phoenix- Very busy growing Small Animal practice 1.5+ DVM, Great location. Almost $600k Gross rev. Contact Karl Salzsieder (360) 636-1228 or Karl@ TPSGsales.com OR - Two Practices near Portland–High net, SA high tech 2 vet over $900k revenue combined. One w/real estate one leasehold. For details, contact Karl Salzsieder (360) 636-1228 or Karl@TPSGsales.com OR- NEW LISTING – Southern - 1 DVM small animal, $280,000 Gross Rev. Leasehold. Contact Karl Salzsieder (360) 636-1228 or Karl@TPSGsales.com OR- South Central- 2 DVM SA and Boarding Business with real estate, $800,000 Gross Rev. Contact Karl Salzsieder (360) 636-1228 or Karl@TPSGsales.com ID – Eastern ID. Practice and RE w/ Residence in the practice. Room to grow, in beautiful ID. $375,000 total package. Contact Karl Salzsieder (360) 636-1228 or Karl@ TPSGsales.com WA - East King County Equine mobile practice, $500,000 in annual collections....Very low overhead and high profit. Located in the heart of King County Horse Country. Call Jim Vander Mey at (877) 866-6053 ext 2 or email jim@omnipg-vet.com for more information. (Reference wv3006) http://omnipg-vet.com Omni Practice Group WA - Yakima small animal practice in the heart of wine country. Collections of $400,000 with business being turned away! Corner Lot on the main thoroughfare. Favorable lease with 3 separate kennel rooms. Contact Jim Vander Mey at 877.866.6053 ext 2 or at jim@omnipg-vet. com. (Reference wv3008) http://omnipg-vet.com Omni Practice Group

WA - East King County small animal practice, Owner retiring, low price, potential for growth located on the desirable East side. Started 2+ years ago, Better than a Start up! Call Jim Vander Mey at (877) 866-6053 ext 2 or email jim@omnipg-vet.com for more information. (Reference wv3001) http://omnipg-vet.com Omni Practice Group Veterinary Real Estate - Looking for a startup location? Moving to a new location, or buying/selling your building? Omni Healthcare Real Estate specializes in helping Veterinarians find an optimum location for your practice. Call us for a free consultation at 866-725-7013 ext. 3 http://omni-hcre.com Oregon Feline clinic. Lane County. Annual average collections of $745,000 with 1.5 to 2 doctors. Located on a busy street near the University. Rod Johnston(877) 8666053 #1 rod@omni-pg.com East King County Equine mobile practice, Collections: $500,000 Take home: $260,000, Price $175,000 Excellent clients. Omni Practice Group- Jim Vander Mey (877) 8666053 #2 jim@omni-pg.com Quincy Vet Clinic, Busy road, small but growing community, Great outdoor activities range from boating, hiking, horseback, to concerts at the Gorge. Real Estate Included! Omni Practice Group- Jim Vander Mey (877) 8666053 #2 jim@omni-pg.com

Miscellaneous Practice Sales Brokerage or Practice Buyer Representation. Increase profitability and Practice Sales price with Management Consulting. Practice Valuation and Employment contracts, buy-sells, startups, litigation support, representation before license board. Contact Karl Salzsieder, DVM, JD, AVA, (360) 577-8115 or karl@ salzsiederlaw.com.

Technician Wanted We have full-time opportunities for Certified Veterinary Technicians who want to grow their career in emergency and critical care. DoveLewis Emergency Animal Hospital is a non-profit, AAHAaccredited teaching hospital with a two-story, 22,000 square foot facility fully equipped for endoscopy, laparoscopy, digital radiography, ultrasound, fluoroscopy, CT scan, and long-term ventilator support. As a teaching hospital with a stray and wildlife program, we offer unique learning opportunities in addition to a significant (more than 13,000 patients/year) and diverse case load. In addition to a competitive salary and benefits, we offer relocation assistance to licensed out-of-area candidates, structured in-house training, and a professional learning allowance to attend veterinary conferences around the country. To learn more and apply, visit www.dovelewis. org/about-us/employment-opportunities. Experienced Tech needed for a private small animal practice in Snohomish. LVT preferred. Become part of our clinic family, having fun and working hard. Medical/dental/vacation/vet care. Email resume to companionvetclinic@gmail.com. Angeles Clinic for Animals is looking for a full-time LVT to join our team. Our three doctor practice is located on the beautiful Olympic Peninsula. Must obtain current license. Please contact Hannah Hooper, 360-452-7686 or Hhooper@nvanet.com.

Relief Technician Available Vet Tech Services – Let our experienced LVT’s keep your hospital running at full capacity. Please call Virginia Jones, LVT at (425) 330-5234.


From all of us at Summit Veterinary Referral Center, we’d like to say thank you for your support. Because becoming the leader in patient care and client services isn’t something you do alone.

24 HOUR EMERGENCY/CRITICAL CARE INTERNAL MEDICINE + CARDIOLOGY NEUROLOGY + ONCOLOGY + OPHTHALMOLOGY RADIOLOGY + SURGERY

2505 South 80th Street • Tacoma, WA 98409 (253) 983-1114 • summitvets.com

2015 Sept-Oct WA Veterinarian Magazine  
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