AVMA Updates

AVMA Update – Jan 2020

The AVMA House of Delegates (HOD) conducted association business, considered policies, discussed topics of interest to members, deliberated and presented action items at the winter session held January 10-11 in Chicago. The Winter session for the House of Delegates was held at the same time as the Veterinary Leadership Conference.

The Volunteer Leaders are committed to representing member interests with this years passionate discussion around AVMA’s Resolution: Policy on Declawing of Domestic Cats. The revised policy states that declawing should not be considered a routine procedure and emphasizes the importance of professional judgment and client education in making decisions that best protect the health and welfare of the patient: “The AVMA discourages the declawing (onychectomy) of cats as an elective procedure and supports non-surgical alternatives to the procedure. The AVMA respects the veterinarian’s right to use professional judgment when deciding how to best protect their individual patients’ health and welfare. Therefore, it is incumbent upon the veterinarian to counsel the owner about the natural scratching behavior of cats, the alternatives to surgery, as well as the details of the procedure itself and subsequent potential complications. Onychectomy is a surgical amputation and if performed, multi-modal perioperative pain management must be utilized.”

Other Resolutions discussed and were approved by the HOD:
Resolution 1: AVMA Policy on Use of Technology in Veterinary Medicine, which states, in part: “The AVMA affirms and encourages the responsible and ethical development and use of technology for a variety of applications in veterinary medicine that can benefit and protect public health, animal health and welfare, and environmental health.”
Resolution 2: AVMA Policy on Cribbing in Horses, which states, in part: “The AVMA condemns the use of hog rings or other devices placed around the teeth to prevent cribbing in horses. These devices are detrimental to the welfare and health of the horse due to the potential to cause persistent pain, damage to the gingiva, periodontal disease and abrasive wear to adjacent teeth. The AVMA encourages research to understand and address the underlying causes of cribbing.”
Resolution 4: Revised Policy on Microchips, which states, in part: “The AVMA endorses the implantation of electronic identification in companion animals and equids and supports standardization in materials, procedures, equipment, and registries. Veterinary healthcare teams are thereby encouraged to recommend the implantation of electronic identification of animals to their clients.”

Membership

The AVMA membership is stronger than ever, with the association’s membership at more than 95,300. Three out of every four veterinarians are members of the AVMA. HOD members also heard updates on the AVMA’s member-focused initiatives: digital education platform, AVMA Axon; our Direct Connect practice resource; our wellbeing and recent graduate initiatives; and efforts related to advocacy and public policy.

The Veterinary Information Forum

Three topics were discussed during the HOD’s Veterinary Information Forum:
Student extern/practice volunteer: Veterinary work experience prior to and during clinical time in colleges of veterinary medicine is valuable. These experiences are part of the non-academic evaluation; give an understanding of our profession; provide to the students and volunteers a degree of comfort with animals in the clinical setting; and provide some basic technical skills and insight into the veterinary working world. These experiences come with the concern of risk, particularly in the case of injury and determination of liability. The action item for this topic is the AVMA Board of Directors develop a toolkit, including potential forms and an awareness campaign, for the protection of practitioners, students and other
members of the veterinary health care team.
Telehealth: An update on AVMA activities in 2019 included support for state veterinary medical associations to engage with regulators; communication and collaboration with industry; and further development of member-focused resources, including continuing education and online resources. The AVMA will continue its work to develop guidelines on telehealth and
connected care.
Cannabis and cannabis-derived products: While the House made no specific recommendations related to cannabis, the AVMA remains committed in 2020 to advocacy for regulatory clarity and the development of additional member-focused resources and education.

Other topics discussed during the Veterinary Information Forum were updates on sexual harassment in the workplace and the utilization of veterinary technicians. During the 2019 annual meeting a resolution was passed recognizing that sexual harassment in the workplace is a serious issue and asked the AVMA Board of Directors to develop supporting resources and report back to the House. The AVMA will work in 2020 to update the AVMA web site to include additional resources on the prevention of sexual harassment in the workplace, as well as include sexual harassment education in AVMA continuing education programs. In addition, the AVMA will explore identifying specific workplace harassment training programs to recommend to veterinary practices.

The AVMA Task Force on Veterinary Technician Utilization report was also shared with House members. The focus of the report was on veterinary technician education, licensing and regulation, economics, supply and attrition, and wellness.

Public Service Loan Forgiveness Program

The AVMA continues to advocate to protect and enhance the Public Service Loan Forgiveness Program, which has been under scrutiny due to the incredibly low acceptance rate to date and concerns about overall costs. The AVMA’s past efforts include:
– Leading 127 animal health organizations in sending a letter to Congress underscoring the program’s importance to the industry and asking lawmakers to protect Public Service Loan Forgiveness.
– Joining a broad coalition of organizations in sending a letter to Education Department officials expressing concern about the loan forgiveness denials.
– The AVMA is continuing to communicate members’ concerns about the program’s administration to Congress and the U.S. Department of Education.

If you were denied forgiveness through PSLF or have experienced issues with the program, please share your story using the AVMA’s online advocacy tools.

Leianne Lee Loy, Hawaii Delegate
Carolyn Naun, Hawaii Alternate Delegate

AVMA Report Summer 2019

Aloha HVMA Colleagues and Happy Summer!

We are preparing for the American Veterinary Medical Association (AVMA) Summer Session for the House of Delegates which will begin prior to the AVMA Convention – “A Monumental Experience.”

Here are the highlights for our session beginning on Thursday August 1, 2019 in Washington DC:

2019 D.C. Hill Visits: Because we are in DC, we are planning on visiting our legislators to discuss the issues that are important to the AVMA and the veterinary profession. With over 200 individual meetings, this will be the largest veterinary event on Capitol Hill ever conducted by the AVMA!

We are scheduled to meet with Hawaii’s Members of Congress or their staff – Senators Mazie Hirono and Brian Schatz; Representatives Ed Case and Tulsi Gabbard. We will be focusing on three issues for the visits: Veterinary Medicine Loan Repayment Enhancement Act (VMLRPEA); Fairness to Pet Owners Act (FTPOA) and Association Health Plans Act (AHP).

Resolutions to be discussed and voted by the House of Delegates:
a) Model Veterinary Practice Act: The AVMA adopt the revised policy Model Veterinary Practice Act
b) Revised Policy on Judicious Therapeutic Use of Antimicrobials
c) Revised joint AABP-AVMA Policy on Judicious Therapeutic Use of Antimicrobials in Cattle
d) Sexual Harassment Awareness
e) Revised Policy on Pet Heath Insurance
f) Revised Policy on Veterinary Dentistry

Proposed Bylaws Amendment:
a) Council on Research – Responsibility
b) Board of Directors – Qualifications
c) Board of Directors – Composition

AVMA Elections:
There are multiple positions that will be voted on by the House of Delegates:
a) President-Elect
b) House Advisory Committee
c) 6 Council Positions

Congratulations to Carolyn Naun who will be a speaker at this year’s AVMA Convention!

If you need to contact us with comments about the topics we mentioned, here is our email: AVMA_Delegate_HI@avma.org

Aloha!
Leianne K. Lee Loy
Hawaii Delegate

Carolyn Naun
Hawaii Alternate Delegate

AVMA Update Spring 2019

Aloha HVMA members! These are some highlights from the AVMA.

AVMA Convention 2019

A monumental experience awaits you in Washington, D.C. and we can’t wait to see you there! This year’s event will take place August 2-6 and the CE and events schedule is now available for you to search. Start planning an itinerary that will earn you more than 40 hours of CE and still leave plenty of time for networking, fun events, and sightseeing . Choose from nearly 900 education sessions over the course of the five-day conference. There are hands-on labs, interactive workshops, panels, lectures, and poster presentations. Register at AVMA.org.

Axon: Next-generation digital education

AVMA Axon™ is an online learning tool that you can incorporate into your daily life. Veterinarians, veterinary technicians, practice managers, or other team members, can find CE with information you need – about the newest studies, techniques, and trends – along with actionable ways to apply it to your daily life and work. Examples of topics:
Agile Pioneers
Career Development
Financial Health
Leadership
One Health
Policy and Practice
Wellbeing, Diversity, Inclusion
Advocacy

AVMA Axon™ is a resource for the entire veterinary community. As an AVMA member, all of the current offerings are free. Start exploring today at axon.avma.org.

AVMA establishes veterinary technician task force

Veterinary technicians are important members of the veterinary health care team. Their skills and expertise help both the patient and the practice. Improving veterinary technician utilization would only enhance that level of service and increase job satisfaction. At the AVMA Board of Directors spring meeting April 12-13, the Board voted to approve a task force which will develop a plan to improve vet tech use while recognizing the importance of financial and career sustainability, effective task delegation, and the wellbeing of both the veterinary technician and the practice.

The task force comes after the AVMA House of Delegates discussed technician utilization and ways to enhance it during its January meeting. It was clear during the discussion that the value of veterinary technicians is important and that efforts need to be made across the profession to increase technician use. The consensus among House members led them to recommend that the AVMA Board convene a task force to design a plan to improve veterinary technician utilization and that a progress report be
shared with the House Of Delegates within a year.

Guiding the profession: Policy actions

AVMA councils and committees reviewed more than 40 AVMA policies prior to the Board meeting that were subsequently submitted for reaffirmation, revision and approval. Highlights include the Board voting to:
– Reaffirm the AVMA Policy on Transport, Sale Yard Practices and Humane Slaughter of Hoofstock and Poultry
– Approve the revised Policy on Animal Abuse and Neglect
– Approve the revised Policy on Veterinary End-of-Life Care
– Refer the revised Policy on Judicious Therapeutic Use of Antimicrobials to the AVMA House of Delegates with a recommendation to approve
– Refer the revised Joint American Association of Bovine Practitioners-AVMA Judicious Therapeutic Use of Antimicrobials in Cattle Policy to the House of Delegates with a recommendation to approve
– Refer the revised Model Veterinary Practice Act to the House of Delegates with a recommendation to approve

Carolyn Naun and I are your AVMA House of Delegates. Please feel free to contact us if you have any questions, comments or topics of discussion.

Aloha,
Leianne K. Lee Loy, DVM

AVMA Update Jan 2019

American Veterinary Medical Association (AVMA) Winter Session and The Veterinary Leadership Conference (VLC)

Aloha to you all and a belated Happy New Year!

The House of Delegates convened for the Winter Session in combination with the Veterinary Leadership Conference in Chicago, Illinois, January 10-13. This years theme was Evolution of Leadership – Learn, Grow, Lead, Evolve your Leadership Journey. The purpose of the VLC was to provide veterinary professionals, at all stages of their career, personal and professional leadership that benefits the individual attendee and the Veterinary Profession. The conference included:

a) AVMA governance meetings

b) Continuing Education Sessions focused on leadership development

c) Network opportunities

At this conference, Rising Leaders are interacting with Experienced Leaders to expand leadership skills and gives everyone the tools to create a roadmap for our leadership journey.

Here is a summary of our AVMA House of Delegates Winter Session:

Membership

AVMA membership is strong with the association’s official membership at more than 93,400. AVMA retained a higher percentage of members to start the year. Three out of every four veterinarians are members of the AVMA.

Health Insurance is returning!

Beginning in July, members and their employees in the AVMA LIFE Trust, or a related entity, may be able to offer health insurance as an ‘association of employers.’ This means veterinarians who are employers – including those who are self-employed – might be eligible to purchase group health insurance for themselves, their families, and their employees through the AVMA family. The program is expected to build over time.

For more information and to sign up for the latest updates, go to: AVMALife.org or call 800-621-6360.

Enhancing the utilization of veterinary technicians

During the House of Delegates business meeting, the HOD’s Veterinary Information Forum was committed to the topic of enhancing the utilization of veterinary technicians. Prior to the forum, AVMA members were asked to provide their input on the topic to their House representatives, and more than 400 comments were received.

The value of veterinary technicians is certain and that efforts need to be made across the profession to increase technician use and boost job satisfaction. Members of the House of Delegate recommends that the AVMA Board of Directors convene a task force to design a plan to improve veterinary technician utilization and that a progress report be shared with the HOD within a year.

Governance: House of Delegate Actions

HOD members also acted on several resolutions and bylaws amendments, including:

Model Veterinary Practice Act: Refer to the AVMA Board of Directors
- Consideration of a revised version that incorporates input from HOD deliberations conducted during the meeting.

Membership Dues Increase: Approved
- A resolution submitted by the AVMA Board of Directors to increase annual membership dues $30 in 2020, and, if necessary, up to $10 in 2021 and 2022 for regular and affiliate memberships. Reduced dues memberships will be made equal to 50% of the annual dues of regular members.

Bylaw amendment expanding the composition of the AVMA Council on Veterinary Services to include a credentialed veterinary technician. Approved.

Bylaw amendment changing the name of the AVMA Council on Public Health and Regulatory Veterinary Medicine to the AVMA Council on Public Health. Approved

Bylaw amendment removing a statement of responsibility of the AVMA Council on Research. Approved.

Bylaw amendment removing a statement of responsibility of the AVMA Council on Biologic and Therapeutic Agents. Approved

Bylaw amendment that replaces the AVMA Judicial Council with an ad hoc hearing panel to adjudicate complaints of unethical conduct by AVMA members. Approved

Bylaw amendment related to the maintenance of House status for House of Delegates member organizations. Approved

Bylaw amendment expanding eligibility of membership on the AVMA Council on Public Health (formerly known as the AVMA Council on Public Health and Regulatory Veterinary Medicine). Approved

Keynote speaker Drew Dudley: Day One Leadership.

Leadership is more than money, power and influence. Drew’s message is to focus on the “everyday leadership.” We have all changed someone’s life — usually without even realizing it. Let us celebrate leadership as the everyday act of improving each other’s lives. Create those moments that have powerful impacts and growth and that can be life changing for you and your organization. To learn more about Drew’s message refer to his Ted Talk on Leadership or enjoy his book: This is Day One, A Practical Guide to Leadership That Matters.

Future VLC Meeting

January 9-12, 2020

VLC benefits veterinary professionals at all career stages to take on new challenges and leadership roles that benefit both the individual attendee and the veterinary profession. The benefits of attending the combined VLC and House of Delegates winter session are:

Evolve your leadership skills – Gain new insights, expand your personal tool set, and learn from those who’ve come before you.
Connect with a diverse network of leaders from across the veterinary profession.
Deepen your understanding of how the AVMA works and discover exciting opportunities to get involved!
Earn up to 8 hours of continuing education credit.

Please feel free to contact your AVMA Hawaii Alternate Delegate – Carolyn Naun, or myself – Leianne Lee Loy if you would like to learn more about this meeting (avma_delegate@hawaiivetmed.org).

AVMA Convention: A Monumental Experience

Save the date: August 2-6, 2019 in Washington D.C.

Aloha!

Leianne K. Lee Loy

Hawaii Delegate for AVMA

Feline Fix by Five Campaign

Why the change in recommended age of sterilization of cats?

Philip A. Bushby, DVM, MS, DACVS

In June of 2017, the AVMA formally endorsed the consensus document put forth by the Veterinary Task Force on Feline Sterilization for Age of Spay and Neuter Surgery, which recommends cats not intended for breeding be gonadectomized by five months of age. This joined endorsements from other veterinary medical and cat breeding associations including the
American Association of Feline Practitioners, Association of Shelter Veterinarians, American Animal Hospital Association, Winn Foundation, Catalyst Council, Cat Fancier’s Association and The International Cat Association. Feline Fix by Five (FFF) is a campaign promoted by the
Marian’s Dream Foundation to share this recommendation that has garnered such broad support. FFF was born out of awareness that cats can be reproductively active by 4 to 5 months of age, yet most veterinarians recommend spay/neuter of cats at 6 months of age or older. The
result of this mismatch between age at which cats can become pregnant and the recommended age of sterilization is demonstrated any time one walks into a local animal shelter.

Animal shelters are generally overrun with kittens, the vast majority of which are the result of unplanned and unexpected pregnancies of young cats. A survey conducted in the State of Massachusetts revealed surprising results. While many people believe that pet-overpopulation is the result of pets that are left intact for their entire life, the opposite is true. Cats that were eventually spayed accounted for 87% of all litters born. [1]

Cat owners who are unsure of when to have their cat sterilized or simply wait until 6 months of age or later are faced with the dilemma of what to do with an unexpected litter of kittens. Too often those kittens are relinquished to local shelters and too often those kittens are euthanized. The problem was not that the owners refused to spay or neuter their pet; it was that they didn’t have it done in time.

Esther Mechler of the Marian’s Dream Foundation, who initiated the FFF campaign, has stated that “the number of births prevented – simply by changing the recommended age for spay/neuter of cats from 6 months to between 4 and 5 months – could reduce the numbers of shelter intakes enough to balance the number of potential adopters with available cats and
kittens. We could end the overpopulation of cats by this one simple change.” [2]

As a profession, we need to recognize that there is, at present, no scientifically sound basis for waiting until 6 months of age or older to sterilize cats and no contraindications for spay/neuter at 4 to 5 months of age. Anesthetic concerns about juvenile surgery voiced in the 60s and 70s
are no longer valid. There are many anesthetic drugs and protocols in use today that are safe in cats as young as 6 weeks of age. Old fears that castration of juvenile male cats would predispose to urinary obstruction were disproven in the 90’s. [3]

There are numerous known health benefits for spay/neuter in cats, in addition to the population management benefits, and there is “no evidence to suggest that pediatric gonadectomy by 5 months of age is linked to any
increased risk of disease.” [4] A survey conducted in 2000 of veterinarians who were, at that time, spaying and neutering cats under 5 months of age, confirmed that the surgeries were easier, faster, and had fewer complications than spay/neuter of cats at 6 months of age or older. [5]

So, what should the practicing veterinarian do to make this change? Simply add one more appointment to your standard kitten wellness protocols. Make no changes in current vaccination and parasite control recommendations except add an appointment for spay/neuter two to three weeks after the last kitten vaccination. Owner compliance will be increased,
surgeries will be easier, and, in time, local shelters will not be overrun with kittens.

For more information on Feline Fix by Five go to http://www.felinefixbyfive

For more information on the AVMA’s position on spay neuter go to
http://www.avma.org/spayneuter

1. Manning MM & Rowan AN, Companion animal demographics and sterilization status: Results from a survey in four Massachusetts towns. Anthrozoos 5 (3).
2. Esther Mechler, Personal Communication, October 25, 2017.
3. Stubbs WP Scrugges SL, et al BMS. Prepubertal gonadectomy in the domestic feline: Effects on skeletal, physical and behavioral development. Vet Surg. 1993;22.
4. Dale S. When to Spay/Neuter Cats? Vet Consensus Says Fix by Five Months. Vet Pract News. 2016.
5. Land TDVM, Wall SDVM. Survey of the Coalition of Spay/Neuter Veterinarians. J Am Vet Med Assoc. 2000;216(5).