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. 

One Health Collaboration

Michelle Barbieri, DVM, MS, speaks to first and second-year medical students at the John A. Burns School of Medicine One Health Symposium in September. Dr. Barbieri is a Veterinary Medical Officer with NOAA and currently leads the Hawaiian Monk Seal Research Program. She shared her passion for conservation medicine and ecosystem health through the lens of her work with the endangered Hawaiian monk seal, discussing her team’s approach to threats posed from toxoplasmosis, canine distemper (morbillivirus), stray fishing gear, and rising sea levels. Her engaging presentation helped demonstrate the One Health concept: the inextricable interconnection of human, animal, and environmental health.

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.”

Board Nominations 2022

The HVMA Annual Business Meeting will be held on Saturday November 12 from 12-1pm at the Hilton Waikiki Beach Hotel in the Prince Jonah Room. Even if you are unable to attend the conference, all HVMA members and interested veterinarians are welcome to attend the business meeting. This year elections for board positions will also be held.

Our current slate of board nominees are as follows:
President-elect: Heather Kihara
Vice-President: Malia Lyons
Secretary: Jamie Furutani
Treasurer: Caren Tamura-Taira
AVMA delegate: Carolyn Naun
AVMA alternate delegate: Jenee Odani
Maui County delegate: Leo Murakami
Hawaii County delegate: Jacob Head
Executive Vice-President: Jill Yoshicedo

Other nominations may also be made at the Annual Business Meeting. If you are interested in serving on the board or on any of our committees, please speak to any current board member. We would love to have your participation!

ByLaws Amendment Proposal

The ByLaws Committee has proposed a change to Article 1, Section 1, regarding Active Members. This section currently reads:

Section 1.  Active Members. An Active Member shall be a graduate of a college or school of veterinary medicine accredited by the American Veterinary Medical Association and shall reside in the State of Hawaii.

To align with current Hawaii veterinary licensing requirements of the Hawaii Board of Veterinary Medicine (recently updated with the passage of SB2798 CD 1 in 2022), the proposal is to change Article 1, Section 1 to read:

Section 1. Active Members. An Active Member shall be a graduate of a veterinary college meeting all the standards established by the American Veterinary Medical Association Council on Education or a foreign college of veterinary medicine who has successfully completed the requirements established by the American Veterinary Medical Association Educational Commission for Foreign Veterinary Graduates or the American Association of Veterinary State Boards Program for the Assessment of
Veterinary Education Equivalence, and shall reside in the State of Hawaii.


The ByLaws amendment will be voted on at the Annual Business Meeting on Nov 12, 2022.

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

HVMA Mentorship Program Update

The Hawaii Veterinary Medical Association (HVMA) Mentorship program is a voluntary program that offers guidance and resources for new graduate veterinarians and mentoring opportunities for senior veterinarians in Hawaii. In addition, the program aims to foster mentee-mentor relationships among the veterinary community. 

The HVMA has recently partnered with MentorVet, which is a national organization that offers a structured platform for new graduate veterinarians and mentors in online modules, coaching, and resources. If you’re a new graduate veterinarian who has recently graduated within the past five years (class of 2017 to 2022) or you’re a veterinarian who has practiced for many years, please apply for the HVMA mentorship program below:

New Graduate Veterinarians/Mentee
Senior Veterinarians/Mentor

Meet a Board Member – Jerrisa Ching, DVM

Jerrisa Ching, DVM

Jerrisa was born and raised on the island of Oahu. She graduated from Moanalua High school and received her Bachelors of Science in Animal Science at the University of Hawaii at Manoa. Jerrisa then attended Washington State University and received her Doctor of Veterinary Medicine in May 2021. Shortly after, in December 2021, Jerrisa completed her Masters of Public Health with a Veterinary Public Health focus at University of Missouri – Columbia. Jerrisa is currently working in small animal general practice at Kama’aina Pet Hospital & Vetco Total Care. 

As the New Graduate Delegate, Jerrisa provides resources and information to new graduate veterinarians in Hawaii. She oversees the HVMA Mentorship Program for new graduate veterinarians, who graduated within the past five years, and veterinarians who have many years of experience in the veterinary profession. Jerrisa’s goal as a New Graduate Delegate is to strengthen the relationship among veterinarians in Hawaii while improving the veterinary medical profession.   

In Remembrance – Russell Shoji, DVM

Russell Shoji, DVM

Dr. Russell Shoji of Kaimuki passed away on June 9, 2022. He was a loving husband and father, former veterinarian, enthusiastic golfer, and avid fisherman. Russell is survived by his wife Laureen Shoji (née Katsuda); daughter Alyson Shoji; stepchildren, Daniel (Christina) Kong, Jenilee (Chris) Green, and Justin (Keiko)Kong; brother Dean (Renee) Shoji and sister Sandy (Paul) Hoshino; nephews Rane (Rie) Shoji and Lon Hoshino. Visitation from 10:00 a.m. Saturday, July 23, 2022, at Borthwick Mortuary, Maunakea Chapel; service 11:00 a.m. No flowers. Casual attire.