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AVMA Update – January 2023

Your AVMA continues to advocate for the profession and animal welfare issues. As always, the House of Delegates met during the 2023 Veterinary Leadership Conference in balmy Chicago. We had a busy agenda and lively discussion. Keep reading to discover important resources available to you, our members, and find out what we made progress on this January!

If you aren’t already a member, consider joining over 100,000 veterinarians and gain access to valuable benefits. Some recent highlights of what AVMA has been doing for YOU:

  • Be an industry leader in diversity, equity, and inclusion. Practices are encouraged to join Journey for Teams, an interactive program to educate and engage your workplace to make it a safer space for all. Get involved at journeyforteams.org

In the next newsletter we’ll take a deeper dive into what your AVMA has to offer. In the meantime, here are the updates from the winter meeting. 

Veterinary Information Forum topics:

Every meeting, members of the AVMA House of Delegates meet to discuss some of the most pressing issues facing our profession. AVMA members shared their thoughts on the following topics:

Utilization of credentialed veterinary technicians and the creation of a “mid-level practitioner” role: It is no secret that we are facing serious workforce shortages. What is the best way to reduce burnout and better meet increased demand for our services? This topic generated over 160 pages worth of responses from constituents! While some favor the creation of a “Veterinary Professional Assistant” who could diagnose, prognose, prescribe, recommend treatment plans, and perform minor surgery, most members feel we are still underutilizing the skills of credentialed veterinary technicians and the focus should be there first. Creating a new position within the profession presents some significant challenges including:

  • The need to develop educational programs to train these individuals. Accredited institutions are already having trouble filling teaching positions for veterinary and veterinary technician programs
  • The need for changes to be made in federal laws and regulations as well as those in all 50 states

In short, implementing such a solution will be costly and could not be deployed in time to address the immediate workforce shortage. 

We also had a lively discussion regarding workplace culture and how to improve quality of life for veterinary team members. A recurring theme was the need for leaders to set an example and demonstrate that it’s OK to ask for help. Practical suggestions included the use of Employee Assistance Programs (larger employers and some state VMAs already offer these as a member benefit) or providing access to free counseling to struggling veterinary professionals. There are many relevant AVMA resources available, including the Workplace Wellbeing Certificate program, the Brave Space Certificate program, the Train the Trainer program and Journey for Teams (diversity, equity, and inclusion training for your workplace). These resources are available to members at avma.org. Watch for more details about these programs in the next newsletter. 

AVMA business and policy actions:

Several resolutions came before the House for a vote, touching on a variety of topics ranging from policy on dog bite prevention, service animals, horse racing, responsible breeding, dehorning and castration of cattle. Most were housekeeping and minor updates to existing AVMA policies. 

Of interest was a new policy on so-called “bush track racing,” or unregulated horse racing, which presents grave animal welfare and public safety threats. Bush tracks operate with no veterinary oversight. Practices include the use of stimulants, electric shock and other abuses. Bush track operations have been linked to outbreaks of piroplasmosis (via use of contaminated needles to inject performance enhancing drugs) and equine infectious anemia. The HOD passed a resolution condemning unregulated horse racing. This is hopefully a first step in creating pressure to make unlicensed horse racing illegal. You can learn more about this issue at https://www.washingtonpost.com/sports/2022/08/05/bush-track-horse-racing-georgia/

With aloha,
Carolyn Naun, Hawaii Delegate
Jenee Odani, Hawaii Alternate Delegate

American Heartworm Society Survey

APEX, NC —The American Heartworm Society (AHS) is urging veterinarians to participate in the 2022 AHS Heartworm Incidence Survey.

The AHS maps, dating back to 2001, are generated every three years and are widely used by veterinarians, animal shelters, animal rescue organizations and media to educate the pet-owning public about the threat of heartworm disease. The maps, which are built using data submitted by thousands of veterinary practices and animal shelters, also provide vital insights for veterinary professionals about trends in heartworm incidence and the spread of heartworms into new areas of the country.

“Each veterinary practice that submits data enables the AHS to create a more comprehensive and useful map,” states AHS President Jenni Rizzo, DVM. “We urge every practice—large or small—to take a few short minutes to submit their information.”

The deadline to submit survey data on heartwormsociety.org/2022survey is March 15, 2023. The new 2022 AHS map will be made available in April as part of Heartworm Awareness Month.

HVMA Mentorship Program

The HVMA MENTORSHIP PROGRAM is still looking for mentees and mentors who are interested in connecting with the Hawaii veterinary community! The program is aimed to provide guidance for mentees who are recent graduate veterinarians who graduated from 2018 to 2023 while building strong, long-lasting relationships among the veterinarians in Hawaii. Mentors have the opportunity to provide knowledge, skills, and experience to recent graduate veterinarians on various topics! Interested in being a part of the HVMA Mentorship program? We’d love for you to join us! 

Sign up here: 

Mentee Application

Mentor Application 

In addition, the HVMA Mentorship program has collaborated with “MentorVet”, which is a five-month, 5-10 CE RACE virtual mentorship and professional development program that promotes wellbeing in the transition to practice with a combination of training in professional skills, financial and mental health coaching, and mentorship. HVMA members who are part of the HVMA mentorship are eligible for a DISCOUNTED registration for the MentorVet program. Want to learn more about “MentorVet”? Reach out to Addie Reinhard at addie@mentorvet.net or visit https://www.mentorvet.net/.

Conservation Corner: Hawaiian green sea turtles

While there are several species of marine turtles that can be found in Hawai’i , the most common is the honu, or the Hawaiian green sea turtle (Chelonia mydas). Basking, or resting on the beach or at the water surface, is a behavior unique to this species in Hawai’i that is thought to have a thermoregulatory function. The green sea turtles that are found in Hawai’i are currently listed as threatened under the U.S. Endangered Species Act. The good news is that this population is showing some signs of improvement, and nesting is increasing at 3-5% per year. There is a lot that the species still has to contend with in order to be recovered, especially with sea level rise and storms affecting their low-lying nesting grounds: 96% of the population nests at one location, Lalo (French Frigate Shoals) which is located in the Northwestern Hawaiian Islands and part of Papahānaumokuākea Marine National Monument. Other threats to our honu include fisheries interactions, disease, and boat strikes. When turtles and fisheries interact, it is often the line, not the hook, that is most dangerous for the turtle: the line can cause strangulating injuries to the flippers and line ingestion can lead to GI obstruction. Prevention is always best, so if you enjoy fishing, please dispose of your line properly to keep it out of the marine environment and pick up discarded line anytime you see it. NOAA Fisheries’ FAST (Fishing Around Seals and Turtles) guidelines also say that if you accidentally hook a sea turtle, it is okay to reel it in, cut the line as close to the hook as possible, and release the turtle – IF you feel safe doing so. 

As veterinarians, you can also help sea turtles by being knowledgeable about what to do if you are contacted or come across wild turtles that are in trouble. First, pause before taking any immediate veterinary action. Dead turtles or those that are entangled, hooked, injured, or appear sick, should be immediately reported to the Hawaiʻi statewide NOAA Marine Wildlife Hotline at (888) 256-9840. Call this number and wait for a return call for further guidance. If you observe illegal activity, such as harassment or illegal fishing/gear, send photos or video (including contact information of the suspected perpetrators) to RespectWildlife@noaa.gov and the Hawaiʻi Department of Land and Natural Resources (the DLNRTip app is a rapid and effective way of filing such reports, or you can contact DLNR at (808) 643-DLNR).

Letter from the President – January 2023

Jenee Odani, DVM, DACVP
HVMA President

Aloha Everyone! Hau‵oli Makahiki Hou!

Firstly, let me start by saying how excited and honored I am to be serving as your HVMA president. Together with the amazing individuals comprising our hard-working board, I hope to help guide our organization through the next two years as we adapt to the “new normal” after nearly three years.

Our 69th annual conference was held in-person this year, and it was a wonderful time for our veterinary community to come together in the spirit of learning and growing.

As a veterinary medical organization, HVMA strives to continue to grow and adapt to the needs of our members. Over the next few months, we will monitor the state legislative session, review applications for the HVMA scholarship, and grow our mentorship program for recent graduates. If you are interested in participating, please let us know! New volunteers are always welcomed!

Jenee Odani, DVM, DACVP
HVMA President

AVMA House of Delegates Report

AVMA House of Delegates (HOD) Summer Session: July 28-29, 2022 Philadelphia

Aloha mai kakou! (Greetings to all of you!) I share with you the topics of discussion during the meeting of the AVMA House of Delegates:

RESOLUTIONS
Resolution 6 – New policy on use of prescription drugs in veterinary medicine.
Resolution 7 – New policy on adverse event reporting
Resolution 8 – Revised policy on genetic modification of animals in agriculture
Resolution 9 – Revised policy on approval and availability of antimicrobials for use in food-producing animals
Resolution 10 – Revised policy on raw milk
All resolutions were passed by the AVMA House of Delegates.

VETERINARY INFORMATION FORUM
HOD’s Veterinary Information Forum was devoted to the topics of:
1) Updates to the AVMA Model Veterinary Practice Act— including updates related to license portability, veterinary technicians, and telehealth.

Ahead of the HOD meeting, most of the comments from AVMA members about updating the AVMA Model Veterinary Practice Act were to support the idea of providing license portability from state to state. Regarding veterinary technicians, Veterinarians are pushing to define the duties of certified veterinary technicians versus noncertified veterinarians in the practice act. Pertaining to telehealth, an emphasis in the model practice act for the requirement of an in-person examination to establish a veterinarian-client-patient relationship before initiating telehealth.

2) The responsibility to provide emergency care

The reference committee that discussed the responsibility to provide emergency care suggested the following points for the Council on Veterinary Service to consider while reviewing the Principles of Veterinary Medical Ethics.
• Define “emergencies.” Is this meant to refer to immediate life-threatening situations and situations in which the animal is in intractable pain and suffering?
• Address payment.
• Add wording regarding whether providing the emergency care is prudent, with considerations to include the following:
◦ The number and skill level of available staff members. 
◦ Available equipment.
◦ Working conditions that are safe for veterinary team personnel.
◦ Sufficient knowledge of the species.
◦ Geography or location of the emergency, particularly for large animal or mobile practices.
◦ Whether a veterinarian-client-patient relationship has been established. In other words, is it an established client and patient?
• Clarify that euthanasia is acceptable to prevent intractable pain and suffering even if a client is not identified, for example, an animal brought in by animal control or other government agency.

OFFICER ELECTION RESULTS
Dr. Lori Teller assumed the presidency of the American Veterinary Medical Association (AVMA) with a pledge to strengthen the profession through collaboration and a focus on wellbeing.

AVMA President-elect 2022-2023: Dr. Rena Carlson
AVMA Board Chair 2022-2023: Ronald E. Gill
AVMA Vice President 2022-2024: Jennifer Quammen
House Advisory Committee: Libby Todd (Alabama), Diana Thome
(Washington) and Stuart Brown (AAEP)

Elections for 2023-2024
Three individuals have announced their candidacy for 2023-24 AVMA
president-elect; they will campaign for one year, with the election in Summer 2023:
Sandra Faeh Butler (past AVMA Vice-President)
Arnie Goldman (current AVMA Treasurer)
Bob Murtaugh

JOURNEY FOR TEAMS
The AVMA is co-launching a multiyear educational initiative to help veterinary workplaces become more diverse, equitable, and inclusive. The upcoming Journey for Teams program is under development by the AVMA and the Veterinary Medical Association Executives. Details were provided in an announcement event July 30 at AVMA Convention 2022 in Philadelphia, and program content will be released in stages beginning this fall. There will be webinars and booklets that will help your team with improving diversity in your workplace.  All resources can be found at https://www.journeyforteams.org/ .

FDA COMPOUNDING GUIDANCE
FDA finalized and published Guidance for Industry (GFI)  #256 which describes the agency’s approach to situations where veterinarians need access to unapproved drugs compounded from bulk drug substances (BDS) to provide appropriate care for the medical needs of the diverse species they treat when no  FDA-approved  (including  conditionally approved ) or  indexed drug  can be used to treat the animal. This means FDA is granting use of drugs compounding from FDA-approved animal and human bulk drug substances list. The good news is it places few restrictions on patient-specific prescriptions for nonfood-producing species. There is a call for nominations to attempt to get bulk drug substances (BDS) on the FDA list for use. Consult the Appendix of GFI #256 for needed information and submit our request for AVMA assistance to compounding@avma.org .

AVMA GOVERNMENT RELATIONS DIVISION
Although the political world appears to be polarized, the AVMA remains non-partisan.  The AVMA builds relationship with those individuals in congress that want to work with AVMA on veterinary issues such as: Veterinary Medicine Loan Repayment Program (VMLRP), Improve Loan Options for Veterinarians, Prevent All Soring Tactics (PAST) Act (H.R. 5441/S. 2295), and the Healthy Dog Importation Act.

Just announced:
The National Institute of Food and Agriculture within the U.S. Department of Agriculture announced Aug. 31 that it had awarded $3.2 million in grants to support rural veterinary services though the Veterinary Services Grant Program. The AVMA was instrumental in pushing Congress to create and fund the program, which was authorized by the 2014 Farm Bill. The first grants were announced in 2016.

AVMA PAC
The AVMA Political Action Committee (AVMA PAC) helps veterinarians build relationships with lawmakers, amplifying the AVMA’s voice in policy discussions on Capitol Hill. The AVMA Political Action Committee has grown 30% over this time last year and a new goal is $400k by the end of 2022.  Membership support is so important. PAC funds are distributed on a non-partisan basis focused on veterinary issues and therefore allows AVMA access to both sides of the political aisle.

FINANCIAL UPDATE 2022:
• Receipts to-date: $85,865 (33% higher than 2021!)
• Portion of AVMA Members contributing in 2021-22: 2%
• 2022 Election Disbursements made: $86,500
• Funds available for new disbursements: $213,375

AVMF
The American Veterinary Medical Foundation (AVMF) is the charitable arm of the American Veterinary Medical Association (AVMA), mission of the AVMF is to raise funds to improve animal health. The AVMF has raised over half a million dollars for Ukraine relief including supplies, care, food, etc. You can visit the website AVMF.org where you can find stories and heartbreaking images of what our colleagues are going through in this part of the world. New this year to the AVMF mission is education. There is an educational debt problem and workforce shortage, so AVMF plans to award $300,000 in scholarships for veterinary technicians.

AVMA TRUST
Insurance and risk solutions for every stage of your career – providing new/better ways to help members at every step of the journey.

AVMA ONLINE EDUCATOR COMMUNITY
The AVMA Online Educator community has continued to grow. Individuals involved in academia and the education of the next generation of our colleagues are invited to join this online educator community. This is a place to exchange ideas, learn about AVMA resources that may make jobs easier, and discuss challenges and opportunities unique to the world of academia.

FUTURE DATES TO REMEMBER:
Veterinary Leadership Conference: Leadership in a New Era
January 5-7, 2023 Chicago, IL

AVMA Summer Convention
July 14-18, 2023 Denver, CO

…..and that’s a wrap!

Mahalo from your Hawaii AVMA Delegate – Leianne Lee Loy
and Hawaii AVMA Alt Delegate – Carolyn Naun

Please feel free to contact us on any of these topics or about the AVMA. It
has been an honor to represent Hawaii. Aloha!

Canines in Conservation

We all know that dog sniffers are powerful and sensitive. But did you know that our beloved canines are fast becoming one of the key partners in conservation in Hawai‘i? Conservation Dogs of Hawai‘i is a nonprofit, Honolulu-based team of dedicated animal behaviorists that collaborates with researchers, biologists, and natural resource managers to train willing dogs in services such as detection of invasive plants and animals, agricultural pests, carcasses (for avian botulism prevention), cryptic seabird burrows, and providing support to biosecurity needs. CDH began in 2016 under the leadership of founder Kyoko Johnson. Their projects have helped in the efforts to reduce the spread of the invasive devil weed, a plant that is toxic to livestock, and listed as #23 on the 100 World’s Worst Invasive Species list. They have a growing role in supporting efforts to eradicate coqui frogs on Maui. CDH also offers a free Education Program, workshops on canine scent detection, and has projects reaching further afield in other island ecosystems and communities across the Pacific. The best way to keep tabs on what this exciting group is up to is on their Instagram @conservationdogshawaii. 

Meet a New Member

Jenn Kishimori, DVM, PhD

Dr. Jennifer M. Kishimori (“Jenn”) recently moved back home to Oahu after retiring from the U.S. Army as a Colonel in 2021. Jenn grew up in Aiea and overseas in Camp Zama, Japan, and attended Johns Hopkins University (BA, Biology, 1992) and North Carolina State University (DVM, 2003). She earned a PhD in Microbiology from the University of Hawaii with the Hawaii Institute of Marine Biology in 2010, where she studied a fish parasite affecting aquacultured amberjack. During her 22 years on active duty, Jenn served as a clinical veterinarian in North Carolina and South Korea, and then in medical research assignments in the Washington D.C. area, culminating in developing COVID-19 public health policies for the Department of Defense.

Over the past year, Jenn has volunteered with sea turtle rehabilitation at the National Aquarium in Baltimore, MD and wildlife rehabilitation at City Wildlife in Washington, DC. She is currently a consultant for the U.S. Fish and Wildlife Service’s Aquatic Animal Drug Approval Partnership Research Team, working on treatments for aquacultured fishes.

Jenn is excited to be back in Hawaii, where she hopes to balance family life, fun, and veterinary opportunities. She and her husband, Colonel (Retired) Dave Perrine have one rescued poi dog,“Miss Lani Belle.”

Letter from the President – October 2022

Alfred Mina, DVM
HVMA President

Aloha Everyone!

Hope everyone is doing well and ready for Fall and the Holiday Season because it’s coming up shortly. We are so excited to have the upcoming in-person HVMA Annual meeting scheduled for November 2022. We are planning on having great speakers from different disciplines to share their knowledge with us, and wet labs for our veterinarians and support staff. It seems like we’re still facing professional staffing shortages in the islands, causing limited services to the communities in certain areas. Hopefully the rest of 2022 gets better as we continue to stay healthy, vigilantly safe, and happy.

Thank you to those who continue to support HVMA. A lot of this is done through membership dues. If you haven’t renewed your membership yet, please feel free to do so here.

Please don’t forget to check in on our online CE provided by HVMA. Let us know if there’s any specific topics that we can investigate for future presentations. Please continue to stay safe and hope to see you all soon!

Aloha from Big Island,
Alfred J. Mina, DVM
HVMA President

2022 HVMA Scholarship Award

Congratulations to our two HVMA scholarship recipients for 2022!

Kealaka’i Matsumoto is a third-year student at Iowa State University. He plans to return to Hilo to offer veterinary care for food animals, companion animals, and exotic pets. He hopes to build collaboration between Hawaii clinics to reduce burnout and improve access to after-hours emergency services. He also hopes to become a diplomate of the American Board of Veterinary Practitioners in order to attract local students back to the state for externships and encourage them to practice in Hawaii after graduating. He graduated from Waiakea High School and worked for Maika’i Veterinary Clinic before going to Iowa State.

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Shelby Suzuki is a first-year at Western University. She has interests in ophthalmology, radiology, and exotic animal medicine. She is involved in her SAVMA chapter’s Mental Health Committee and hopes to advocate for mental health awareness throughout her career. Before leaving to veterinary school, she worked at Ohana Veterinary Hospital and volunteered at the Hawaiian Humane Society.

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We look forward to welcoming them back to Hawaii and our local veterinary community.