AVMA Update Summer 2022

The AVMA House of Delegates (HOD) convened in Philadelphia on July 28-29 in conjunction with the annual convention. The House of Delegates are the principal body within the Association responsible for establishing policy and providing direction for matters relating to veterinary medicine and shall be the representative body of the Principal and Constituent Allied Veterinary Organizations of the Association. This is Hawaii’s opportunity to weigh in on upcoming policy updates and other topics relating to our profession.

On the agenda for this meeting:
●  Resolutions:
–  New policy on use of prescription drugs in Veterinary Medicine
– New policy on Adverse Event Reporting
– Revised policy on genetic modification of animals in agriculture
– Revised policy on the approval and availability of antimicrobials for use in food-producing animals
– Revised policy on raw milk

●  Elections:
–  President Elect Candidates: Drs Grace Bransford and Rena Carlson-Lammers
–  Vice-President Candidate: Dr. Jennifer Quammen
–  Other: Councils, House Advisory Committee

●  Veterinary Information Forum: at each semi-annual meeting, HOD members seek your input on current issues in the profession and bring your thoughts to the House Floor for discussion. The debate is sometimes quite lively with diverse perspectives brought to the table. Often the VIF is the birthplace of new AVMA policies, programs, and initiatives. Thank you to our colleagues who have contributed to the discussion. Topics on the docket for the summer 2022 meeting are: (we have included a comment from our colleagues and look forward to hearing from you too.)
○  Needed Updates to the Model Veterinary Practice Act (MVPA). We are seeking feedback on whether the MVPA language might be revised to better support license portability; whether the MVPA should provide more detail around the roles and supervision of veterinary technicians and veterinary assistants; and provide more guidance around the practice of veterinary telehealth, including telemedicine.

○  Comment: License portability would be the biggest help in my area, which has a serious lack of veterinarians. It is expensive to live in Hawaii so it is difficult to get vets to commit to owning a practice here. Telemedicine would be helpful as well, especially for some emergency services, since we have no emergency clinics on our island and the existing practices are functioning at beyond capacity already. We need help here!

○  Responsibility to Provide Emergency Care. What is the ethical responsibility to provide essential services for animals when necessary to save life or relieve suffering? When not available, what should our responsibility be to provide readily accessible information to assist clients in obtaining emergency services? How do these obligations fit with maintaining a sustainable work-life balance and protecting the safety of our workforce?

○  Comment (partial): I think providing emergency care for your patients is important. Providing emergency care for all animals regardless of whether they have ever been to a veterinarian or not or whether they have an ability to pay or not seems to be an unfair burden for the veterinarian. The vast majority of emergency cases are the result of owners not taking proper care of their pets. Where I live veterinarians don’t answer their phones after hours to avoid taking care of emergencies when with a cell phone and call forwarding it is easy to answer the phone. We are on an island so there is no driving to an emergency clinic elsewhere. There are none. People want pets but don’t want to take good care of them in a manner that would avoid emergencies. Most emergencies are avoidable or could be handled in regular hours. We have enough trouble taking care of those who have been willing to try to care for their animals.

Please feel free to share your thoughts by contacting Leianne Lee Loy and Carolyn Naun.

Highlights of recent AVMA activities

AVMA Annual report
●  AVMF has funneled over $500,000 to relief efforts in Ukraine. Funds are being directed to groups working on the ground to help people and animals affected by the crisis. Read more.

●  The annual AVMA Legislative Fly-In brings veterinary professionals from across the country together with their members of congress to discuss matters important to our profession. It also provides us with the opportunity to position ourselves as nonpartisan experts on animal related matters within their constituencies. This year’s fly-in was, once again, virtual and involved 200 of our colleagues across 49 states. Dr. Jenee Odani and Dr. Carolyn Naun met with the offices of Senators Hirono and Schatz and Representative Kahele, and directly with Representative Case and asked them to cosponsor or support the following pieces of legislation:
○  The Healthy Dog Importation Act would require all dogs entering the US to be accompanied by a health certificate signed by a licensed veterinarian and to create a database of this information to enable disease tracking and increase biosecurity.

○  The Veterinary Medicine Loan Repayment Program Enhancement Act would make the awards non-taxable, thus freeing up additional funds and allowing more positions in USDA designated shortage areas to be filled.

Veterinarians press lawmakers on rural veterinary shortages, dog importation

●  AVMA has created free printable resources for members to quickly reference antibiotic prescription recommendations. Two are handouts that can be given to cat and dog owners or printed as posters, and two are white sheets for practitioners, one for cats and one for dogs, both broken down by location of infection and/or disease. Read more and access the downloads (AVMA members only) here: When do cats and dogs need antibiotics?

Thank you for your engagement and we look forward to continue to represent your voices!

Leianne Lee Loy (Delegate – Hawaii)
Carolyn Naun (Alternate Delegate – Hawaii)

2022 Legislative Update – SB2798

SB2798 was signed into law by the governor in June. This bill amends the veterinary practice law in Hawaii to better define the practice and parameters of veterinary medicine and veterinary telemedicine to protect consumers and their pets from inadequate, improper, or unlicensed veterinary care.  This bill also helps to address the shortage of licensed veterinarians in Hawaii by allowing the temporary permitting of out-of-state veterinarians, providing for international veterinary school graduates to qualify for licensure examination in Hawaii, and extending the amount of time that out-of-state veterinarians may practice in Hawaii while awaiting their licensing exam date. The HVMA is grateful for support from the American Veterinary Medical Association and across the state from multiple organizations, legislators, and individual citizens to help push this bill across the finish line. 

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.

Hawaii Veterinary Medical Association Mentorship Program

The Hawaii Veterinary Medical Association will be starting a mentorship pilot program. This program is for recent graduates who are interested in connecting with a HVMA veterinarian that has knowledge and experience to share, as well as guidance for your career.

Mentors and mentees shall both be HVMA members and commit to the program for 12 months. The process will begin with the interested mentee initiating contact through an introductory e-mail or letter. If accepted, a mentor will contact the mentee to set up a meeting to discuss the expectations, goals, frequency of meetings, and confidentiality of the program.

Why be a mentor?
Being a mentor can be a rewarding experience as you share the knowledge and expertise you have with fellow mentees to help them transition to veterinary professional life. You also gain opportunities to build upon your communication and leadership skills. Mentees can share with you the latest
techniques, and treatments in the veterinary field.

Why be a mentee?
Being a mentee is an amazing opportunity to discuss any challenges, concerns, and goals you have with another colleague who may have gone through similar experiences. Mentors can be a source of information, provide encouragement and support.

Read more and find the applications on our Mentorship Program page.

Mentorship Opportunity with Assets High School

Looking to mentor a student in the community? Assets High School’s Mentorship Program extends learning beyond the curriculum. It enhances self-esteem through career related responsibility and provides access to community role models. The Mentorship Program matches students, based on their interests and personal qualifications, with various companies and organizations in the community. Students in grades 10 through 12 work for high school credit at their mentorship sites every Wednesday from September through April.

The program is similar to college internships, but for high school students. A prospective student will create a resume and cover letter and actually “interview” to get the job. We try to give students as much real world experience as possible. This is a non-paid position. Most of our students complete their required 5.5 hours per week on Wednesdays. However, the hours are flexible, based on your needs.

To inquire about being a mentor, or to learn more about the Assets program, download the brochure or contact Jason Wagner at 808-423-1356 or jwagner@assets-school.org.

Letter from the President – April 2022

Alfred Mina, DVM
HVMA President

Happy Easter Everyone!

Hope everyone is doing well and adjusting to the new COVID-19 Pandemic lifting of the mask mandate. Do what is best for your situation to keep you and your staff safe.

The HVMA board is continually preparing for 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 all of us.

It seems like we’re still facing professional staffing shortages in the islands. Many of us have been affected by the pandemic, causing staff shortage and supply chain issues. 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 renew 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

Updated HI State Laws Related to Animals

The following are law changes passed in 2021:

New: Animal sexual assault https://www.capitol.hawaii.gov/hrscurrent/Vol14_Ch0701-0853/HRS0711/HRS_0711-1109_0008.htm

Amended: Tethering https://www.capitol.hawaii.gov/hrscurrent/Vol14_Ch0701-0853/HRS0711/HRS_0711-1109.htm

New: Veterinary emergency care https://www.capitol.hawaii.gov/hrscurrent/Vol10_Ch0436-0474/HRS0471/HRS_0471-0017.htm

New: Veterinary mandatory reporting https://www.capitol.hawaii.gov/hrscurrent/Vol10_Ch0436-0474/HRS0471/HRS_0471-0018.htm

Microchipping, statewide:
Amended: https://www.capitol.hawaii.gov/hrscurrent/Vol03_Ch0121-0200D/HRS0143/HRS_0143-0002.htm
New: https://www.capitol.hawaii.gov/hrscurrent/Vol03_Ch0121-0200D/HRS0143/HRS_0143-0002_0002.htm

Upcoming free training on the role of veterinarians in identifying animal abuse:

Tuesday, May 3rd, 10:00-11:15am HST
https://www.justiceclearinghouse.com/webinar/the-forgotten-partner-in-responding-to-animal-abuse-the-veterinarian/ (registration required)

Meet a Board Member – Atiya Hakeem

Atiya Hakeem
Assistant to the Exec VP

Atiya Hakeem received her PhD from the University of Hawaii at Manoa. Until 2015 she was a neuroscientist at Caltech studying primate vision and social cognition in humans, apes, elephants, and cetaceans. In 2016 she moved back to Honolulu and has worked in various capacities at the Honolulu Zoo as an animal keeper and veterinary assistant until joining the HVMA as Assistant to the Executive VP in 2021.

Legislative Update 2022

The Hawaii Veterinary Medical Association (HVMA) seeks to amend Chapter 471, Hawaii Revised Statutes, to better define the practice and parameters of veterinary medicine and veterinary telemedicine to protect consumers and their pets from inadequate, improper, or unlicensed veterinary care.  Further, because there is a shortage of licensed veterinarians in Hawaii, HVMA is proposing to provide for the temporary permitting of out-of-state veterinarians and providing for international veterinary school graduates to qualify for licensure examination in Hawaii.

The COVID-19 pandemic and its associated restrictions brought about consumer demand for telehealth in the field of veterinary medicine. Telemedicine has allowed consumers more access to veterinary services for their pets, particularly in areas where access to veterinary care is limited.  However, HVMA is aware that the use of telemedicine may also be abused without an established veterinary-client-patient relationship.  Without actual physical examination of a pet, veterinary services rendered through telemedicine alone can be inadequate and below the standard of veterinary care. The addition of telehealth definitions and the telemedicine section will help to clarify the practice of veterinary telemedicine and assist the Hawaii Board of Veterinary Medicine in ensuring consumers in Hawaii receive proper and licensed veterinary telemedicine services.

Additionally, the pandemic highlighted the shortage of veterinarians available to provide specialty and routine veterinary care for Hawaii’s people and their pets. At times, veterinary emergency hospitals were unable to operate 24/7 and surgeon schedules were completely booked for months due to the inability to fill these staffing shortages by temporary permit. In one specific case, there was a veterinary surgeon within the state that could have assisted during this period, but due to her international veterinary school degree, was unable to sit for Hawaii’s state licensing exam due to a technicality in the administrative rules. These amendments are critically important to prevent such veterinary care shortages in the future, and ensure that all qualified veterinarians are allowed to sit for the Hawaii state licensing exam.

This bill has currently been introduced to the House (HB 1598) by Representatives Johanson, Hashem, and Nishimoto; and into the Senate (SB 2798) by Senators Lee, Gabbard, Keith-Agaran, Misalucha, Acasio, Ihara, and San Buenaventura . Please take the time to thank them for their support, and write your local representative to ask for theirs!