MVMA reveals member-focused and value-driven goals and initiatives for the future - NUMBER 22 SUMMER - Michigan Veterinary Medical Association

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MVMA reveals member-focused and value-driven goals and initiatives for the future - NUMBER 22 SUMMER - Michigan Veterinary Medical Association
STRATEGIC WHAT?
                                  MVMA reveals member-focused
                                    and value-driven goals and
                                      initiatives for the future.

VOLUME XX · NUMBER 2 · S U M M E R 2021
MVMA reveals member-focused and value-driven goals and initiatives for the future - NUMBER 22 SUMMER - Michigan Veterinary Medical Association
TABLE OF CONTENTS
                                                                                                   2021 BOARD OF DIRECTORS
                                                                                                                                               05   CHARTING OUR COURSE

                                                                                                                                                                 By John Tramontana, MS, CAE
                                                                                                                                                                                                 24   ADVOCACY - A KEY TO THE FUTURE
                                                                                                                                                                                                      OF VETERINARY MEDICINE
                                                                                                                                                                                                                            By Larry Letsche, DVM

                                                        Elevate your expertise with                 Dr. Christian Ast, President
                                                                                                 Dr. Erin Howard, President-Elect

                                                        advanced specialty-level CE
                                                                                              Dr. Larry Letsche, First Vice President

      REGISTER NOW!
                                                                                          Dr. Dana Tatman-Lilly, Second Vice President
                                                                                          Dr. Melissa Owings, Immediate Past President
                                                                                               Dr. Stephen Steep, AVMA Delegate
                                                                                                                                               07   STAYING THE COURSE TO ADDRESS
                                                                                                                                                    THE PROFESSION’S NEEDS
                                                                                                                                                                        By Christian Ast, DVM
                                                                                                                                                                                                 26   CAPITALIZING ON PANDEMIC
                                                                                                                                                                                                      GROWTH OPPORTUNITIES
                                                                                                                                                                                                        By Boeckman Cotter Spitzer Wealth Partners
                                                                                             Dr. Jill Lynn, AVMA Alternate Delegate

                                                                                             DIRECTORS REPRESENTING DISTRICTS                                                                         COVID-19 VACCINES: CAN I REQUIRE
                                                                                               Dr. Megan McQuade,(1) Southern
                                                                                        Dr. Kristin Knirk, (2 & 3) Michiana & Southwestern
                                                                                                    Dr. Erin Whalin, (4) Jackson
                                                                                                                                               09   THREE LIFE LESSONS I LEARNED
                                                                                                                                                    FROM THE PANDEMIC
                                                                                                                                                                         By Julie Cappel, DVM
                                                                                                                                                                                                 28   MY EMPLOYEES TO BE VACCINATED
                                                                                                                                                                                                      AND SHOULD I VOLUNTEER TO
                                                                                                                                                                                                      ADMINISTER THEM?
                                                                                       Dr. Chelsea Render, (5 & 9) Washtenaw & Livingston
                                                                                           Dr. Tim Duncan, (6 & 8) Wayne & Oakland                                                                                   By Erin Hopper Donahue, Esq.
                                                                                                Dr. Matthew Hynes, (7) Macomb
                                                                                               Dr. Laurie Lockman, (10) Mid-State
                                                                                                                                                                                                      HOW TO BUILD MORE LOYALTY

                                                                                                                                               10   REVISED LARA BOARD OF VETERINARY
                                                                                                                                                                                                 30
                                                                                             Dr. Susan Schoen Farmer, (11) Western
                                                                                                                                                                                                      AMONG BOTH MILLENNIALS &
                                                                                          Dr. Joseph Kline, (12 & 13) Saginaw & Thumb               MEDICINE GENERAL RULES
                                                                                                Dr. Anne Shuff, (14) Northeastern                                                                     BABY BOOMERS
                                                                                                 Dr. Kenny Rogers, (15) Northern                          By Nancy Frank, DVM, MPH, DACVPM
                                                                                                                                                                                                                                    By Eric Garcia

                                                                                          DIRECTORS REPRESENTING ASSOCIATIONS
                                                                                              Dr. Jeff Bunn, MI Equine Practitioners
                                                                                         Dr. Lucy Henney, Southeastern Michigan VMA
                                                                                                                                               13   MEMBER SPOTLIGHT:
                                                                                                                                                    ALEXANDER STRAUCH, DVM
                                                                                                                                                                              By Samuel Florio
                                                                                                                                                                                                 32   OH NO! NOT ANOTHER NAIL TRIM!

                                                                                                                                                                                                           By Jill Lynn, DVM & Stephen Steep, DVM
                                                                                                      AT LARGE DIRECTORS
                                                                                                 Dr. Henry Reinart, Food Animal

                                                                                                                                               16   A FEW REMINDERS FROM THE
                                                                                                                                                                                                 35
                                                                                                Dr. Srinand Sreevatsan, MSU CVM
                                                                                                                                                                                                      NEW CLASSIFIEDS &
                                                                                           Dr. Claire Hankenson, Lab Animal Medicine
                                                                                                                                                    STATE VETERINARIAN’S OFFICE                       RELIEF VETS
                                                                                                                                                          By Nora Wineland, DVM, MS, DACVPM

Save 15%                                                                                The Michigan Veterinarian is published quarterly in
                                                                                            March, June, September, and December.

                                                                                                                                               18   DEMAND FOR VETERINARY CARE
                                                                                                                                                                                                 49   NEW SERIES FOR THE BUSY
                                                                                         Deadlines are the first of the preceding month.
on veterinarian registration category                                                                                                               EQUALS DEMAND FOR DIAGNOSTICS                     PROFESSIONAL – LUNCH & LEARN
using code*: 2021VMA                                                                     Michigan Veterinary Medical Association                                    By James Averill, DVM, PhD

                                                                                                   2144 Commons Parkway,
• Meet all of your CE needs in one place                                                           Okemos, MI 48864-3986

• Learn from the best and brightest veterinary specialty presenters
                                                                                                                                               20   STRATEGIC WHAT?
                                                                                                                                                                                                 50
                                                                                            p. (517) 347-4710 f. (517) 347-4666                                                                       COMMITTEES, MEETINGS
                                                                                          mvma@michvma.org | www.michvma.org                                                                          & EVENTS
• Explore the latest research in veterinary specialty medicine                                                                                                           By Erin Howard, DVM

                                                          On demand learning,
                                                                                                                                               22
                                                                                           The Michigan Veterinary Medical Association
                                                                                                                                                    ENSURING EVERY MVMA MEMBER IS
                                                          designed with you in mind!
                                                                                         represents the veterinary profession in Michigan,
                                                                                           advances the knowledge and standards of its
                                                                                                                                                    WELCOMED, INCLUDED AND VALUED
                                                                                         membership, and promotes the science, practice,             By James Lloyd, DVM & Lauren Walker, DVM
                                                          Now through September 2021     and value of veterinary medicine for the benefit of
                                                                                                    animal and human health.

*Code valid only on general veterinarian registration     ACVIMForum.org
                                                                                              MVMA | THE MICHIGAN VETERINARIAN                                                                                          SUMMER 2021          03
MVMA reveals member-focused and value-driven goals and initiatives for the future - NUMBER 22 SUMMER - Michigan Veterinary Medical Association
At MedVet Commerce,
               Collaborative,Comprehensive Care
                                                                                                                 CEO MESSAGE
     Now Includes Cardiology, Internal Medicine, and Surgery!
                                                                                                                 Charting Our Course
                                                                           MedVet Commerce
                                                                           Specialty Services                                                                                                                               By John Tramontana, MS, CAE

                                                                          24/7 Emergency Medicine
                                                                                 Cardiology                      When 2020 began, we had no idea what would be in store. If           We’ve already gotten to work on structural changes in our or-
                                                                                                                 someone turned the year into a movie script, no one would            ganization. We’re developing new membership options for
                                                                              Internal Medicine
                                                                                                                 greenlight it. It would be too far-fetched, too improbable. Per-     members so you can select a model that fits your needs. We’re
                                                                                  Neurology                      haps, even impossible. Yet, here we are—nearly halfway through       improving our volunteer program to ensure there are equitable
                                                                                Rehabilitation                   2021 with hope finally on the horizon.                               long- and short-term opportunities for all. We’re enhancing our
         Marco Cervi           Alyssa Pinkos         Jennifer Clooten
       DVM, DACVS-SA           DVM, DACVIM             DVM, DVSc,                  Surgery                                                                                            sponsorship and advertising opportunities so industry partners

                                (Cardiology)         DACVIM (SAIM)                                               When MVMA’s Board of Directors and staff convened in early           can better connect with members. We’re diversifying our content
                                                                                                                 March 2020, we spent two days together charting a course for         and speaker lineup to bring you the highest quality continuing

     MedVet Commerce                                                                                             our future. It was a future that looked much different than what     education. We’re raising PAC dollars to expand our influence at
     1120 Welch Rd.                                                                                              2020 would bring, but looking back, our Board demonstrated ex-       the Capitol. And we’re just getting started.
     Commerce, MI 48390                                                                                          cellent foresight and helped the staff prepare for what was next.
     248.960.7200
                                                                                                                                                                                      The future we’re building is forward-thinking and inclusive. We
     medvet.com                                                                                                  The strategic plan focuses on revamping the organization’s           can’t afford to leave anyone behind. This past year has taught us
                                                                                                                 structure and positions us to be more proactive to better the pro-   not to take anything for granted, to work collectively to achieve
                                                                                                                 fession and improve the lives and careers of our members. This       our goals, and to ensure we move forward together even stron-
                                                                                                                 issue of The Michigan Veterinarian dives deeply into that plan.      ger than before. The opportunities are right in front of

                                                     According to LARA & MVMA,                                   You will read about our priorities as well as how they adhere        us. It’s now our job to seize them.

                                                     compounded drugs for in office use and                      and adapt to trends in veterinary medicine. You will learn about
                                                                                                                 how we are putting that plan into action. And we will demon-
                                                     administration must come from a 503B                        strate how this plan will put us on the path to a future we all
                                                     Facility. Epicur is licensed in MI!                         believe is possible.

                                                                                                                 How will we create a stronger voice for the profession? How will
                                                                                                                 we create an organization where every member feels welcomed
                                                                                                                 and valued? How will we focus on advocacy to protect your
                                                                                                                 ability to practice, promote veterinary medicine, and produce
                                                                                                                 results for you? How will we create an emotional bond between
                                                                                                                 you and MVMA? It’s all part of our plan and we’re excited for
      Traditionally compounded medication                                                                       you to learn more about it.
         from a 503B MANUFACTURER
      Manufactured following cGMP, the same regulations
         used by pharmaceutical companies
      One of the largest portfolios of 503B drugs for animal health                                  ®
                                                                                                                              John Tramontana, MS, CAE, is MVMA’s CEO

       For a list of available drugs, visit epicurpharma.com                                                                  and can be reached at 517.347.4710
                                                                        FDA Registered 503B Facility                          or tramontana@michvma.org.
       888.508.5032

04   SUMMER 2021                                                             MVMA | THE MICHIGAN VETERINARIAN   MVMA | THE MICHIGAN VETERINARIAN                                                                                         SUMMER 2021      05
MVMA reveals member-focused and value-driven goals and initiatives for the future - NUMBER 22 SUMMER - Michigan Veterinary Medical Association
Locally Owned locally operated                                                                                                                   PRESIDENT'S LETTER
                                                                                                                                            Staying the course to address the profession’s needs
       Oakland Veterinary Referral Services (OVRS) is one of the most comprehensive
       veterinary specialty facilities in the country. Our Veterinary Specialists are
       board-certified in their area of expertise, and they are supported by a highly
       trained staff of licensed veterinary technicians.
                                                                                                                                                                                                                                                             By Christian Ast, DVM
       Our expert professionals, state-of-the-art technology and wide range of
       treatment options all contribute to excellent veterinary care. We are proud                                                         Veterinary medicine has seen a lot of changes over the past 18       plan that will lead you to where you want to be. Veterinary
       to have earned the confidence, trust and respect of thousands of local                                                              months. Some of those changes have included the shortage of          Medicine is changing, and we have the opportunity to shape
       veterinarians and pet owners alike by offering exceptional care and                                                                 veterinarians and veterinary staff. Even though this was pre-        that future.
        outstanding services in a nurturing environment.                                                                                   dicted, it was only accelerated by the pandemic. We saw and
                                                                                                                                           continue to see a surge in pet adoptions that was unexpected.        The Michigan Veterinary Medical Association (MVMA) was
                                                                                                                                           I know many of us are still trying to catch up and are feeling       fortunate that the strategic planning meeting we scheduled

                                                                                 Providing Specialty Care for      30     Years
                                                                                                                                           sometimes overwhelmed with the level of demand. However,             was in early March of 2020, just days before things shut down
                                                                                                                                           we are each doing our best to address the needs of our commu-        in Michigan. Having a plan in hand during the pandemic has
                                                                                                                                           nities. And that’s what matters.                                     allowed the MVMA to maintain a steady course during this pe-
                                                                                                                                                                                                                riod. Even with all the changes and challenges we’ve faced, our
                                                                                                                                           The recent rule updates from the CDC and vaccination an-             Association has been able to provide, in addition to other offer-
                                             1400 South Telegraph Road | Bloomfield Hills, MI 48302
                                                                                                                                           nouncements from the Governor’s office have made it seem as          ings, COVID guidance, legislative assistance, and high-quality
                             Ph: (866) 334-6877 Fax: (248) 334-3693 E-mail: info@ovrs.com www.ovrs.com
                                                                                                                                           if a light is shining at the end of the tunnel, and that the pan-    continuing education. We are thrilled to finally announce our
                                                                                                                                           demic is finally subsiding. That being said, it looks like we are    first in-person large event, the Great Lakes Veterinary Con-
                                                                                                                                           on our way to returning to ‘normal.’ We all must continue to do      ference (GLVC) that will take place on Aug. 22-24 at Boyne
                                                                                                                                           our part, even if the wait makes it seem like the ‘new normal’       Highlands Resort. In addition, we are working on multiple ini-
                                                                                                                                           will never come. As a supportive community, we should care           tiatives, including one on diversity, equity and inclusion, and
       Are you talking to a corporate consolidator/buyer?                                                                                  for each other in this time and remind others that we have come      another focused on our community of volunteers.
                                                                                                                                           a long way. We are stronger, smarter, and better equipped for
         Let TOTAL PRACTICE SOLUTIONS GROUP assist you!                                                                                    whatever the future brings our way.                                  Having a strong strategic plan has helped MVMA during this
       Rely on my experience and expertise with veterinary consolidators to:                                                                                                                                    chaotic time. I’m grateful for all the effort from the Board, staff,
                                                                                                                                           The next several years will be a time of transition for veterinary   and external partners that has made this possible. I know the
            Better your sales price
                                                                                                                                           medicine. The current increase in business that many clinics are     future is bright and I encourage all of you to consider how your
            Better your employment contract                                                                                               experiencing shows that our clients still value and trust the care   business can evolve to be strategically positioned moving for-
            Better your real estate lease price/terms                                                                                     that we provide. We are fortunate to be in such a position. The      ward. The profession is changing, and many opportunities are
            Understand the varied options available                                                                                       challenge for us now is changing our mindset. We must move           becoming available. Will you be ready?
            Help you choose the right corporate fit for your practice                                                                     from the idea of how do we keep up, to making plans and tak-
                                                                                                                                           ing actions that will shape our future and the profession. It is     Wishing all of you a healthy and memorable summer. See you

                            Call for your FREE consultation!                                                                               time to take ownership of your current situation and make a          at GLVC!

                              Dr. Kurt Liljeberg

                                                                                                                                                                                  Dr. Christian Ast
                   (licensed Veterinarian and Real Estate Broker)
                       Email: kurt@tpsgsales.com
               Office: 440-933-4522 | Fax: 866-813-3639
                          www.tpsgsales.com                                                                                                                                        Christian Ast, DVM, is the MVMA’s 2021 President, and can
                                                                                                                                                                                   be reached at astchris@yahoo.com.

06   SUMMER 2021                                                                                      MVMA | THE MICHIGAN VETERINARIAN   MVMA | THE MICHIGAN VETERINARIAN                                                                                            SUMMER 2021       07
MVMA reveals member-focused and value-driven goals and initiatives for the future - NUMBER 22 SUMMER - Michigan Veterinary Medical Association

                                                                                                                        Practice Ownership...
                                                                                                           Be able to financially provide for your family
                                                                                                                                                                                     THREE LIFE LESSONS I LEARNED FROM THE PANDEMIC
                                                                                                          Have the ability to control your schedule
                                                                                                                                                                                                                                                                                                                                    By Julie Cappel, DVM
                                                                                                          Finances flowing to pay off student debt more quickly
                                                                                                          Control of your medicine & how your practice is operated
                                                                                                          Unlimited income potential versus a limited salary                        I worked through the pandemic, the whole pandemic. Veteri-                                          unhappy with hospital decisions and expressed their opinions.
                                                                                                          Create and live the lifestyle you desire                                  nary hospitals were deemed essential, so we were left to enact                                      I was overwhelmed with emotion, but as a leader, it was my re-
                                                                                                                                                                                     new policies and procedures to keep our teams healthy and                                           sponsibility to keep my team together and safe, to do our work
                                                                                                                                                                                     safe. In the early days, there was so much confusion and painful                                    for our clients and patients. It was one of the most challenging
                                                                                                                                                                                     discussion. I experienced team members crying daily, breaking                                       experiences of my life.
                                                                                                                                                                                     down with panic attacks and anxiety. There was an intense fear
                                                                                                              David McCormick, MS, CVA • Richard Goebel, DVM, AIBA                   of this unknown virus for themselves and their families.                                            Looking back now, as many of us are vaccinated and able to en-
                                             Practice Ownership isn’t for everyone,                        888.746.3717 • Greatlakes@simmonsinc.com• www.simmonsinc.com
                                                                                                                                                                                                                                                                                         joy our freedom again, there are lessons from the pandemic that
                                             but if it is for YOU…                                                                                                                   Are we all going to die? Some were so traumatized that they                                         we need not forget. This considerable life challenge brought us
                                                                                                                                                                                     could not manage to come to work for months. Others were                                            many great life lessons. Here are my top three.
     For future owners: here are a few of our listings in the Great Lakes Region…           IN: Indy-North - well established, one doctor, companion animal hospital. The
                                                                                                practice is housed in a free standing, leased facility that is well maintained
      MI: South East - West of Detroit, Solo, mixed practice of in-home and clinic
          facility treatment. Solid support staff expected to stay. Owner is ready to
                                                                                                and well equipped. (IN914)
                                                                                            IN: Western Central - Practice and real estate for sale!!! Solo, small animal
                                                                                                                                                                                     1. VETERINARY PROFESSIONALS ARE TOUGH AS NAILS
          retire and will help with the transition. (MI925)
                                                                                                practice, well-equipped with healthy revenues and a solid client base (IN826)
      MI: Central - Established, vibrant, small animal hospital with revenues over 1M.                                                                                               As a working veterinarian and veterinary life coach, I have contact with many people working in our profession. I have heard their
                                                                                            IN: Indy-west - Solo, SA practice. Operates in an attractive well-equipped, free
          Well-equipped facility with room for growth! Both the practice and real
          estate are for sale. (MI222)
                                                                                                standing building. Both practice and real estate for sale (IN808)                    stories and continue to work on their struggles. Like me, they have all been through some serious stuff, but I see them as creative,
                                                                                            IN: Northern - Perfect Start-up opportunity!! Near Michigan border. Well
      MI: Southeast - 1-2 doc, companion animal hospital with potential for growth                                                                                                   resilient, and tough individuals. We created a whole new way to deliver our services. We worked through rain, sleet, and snow - while
                                                                                                equipped and busy practice with room to grow! Practice and RE for sale.
          and terrific cash flow. The facility is leased in a great location and is well-
          equipped. The owner will help with transition. (MI208)
                                                                                                (IN805)                                                                              wearing all levels of PPE - to bring our clients and patients our best selves. We didn’t get to do it while sitting on Zoom calls; we had to
      OH: Northeast - Solo, small animal practice with nice balanced work schedule
                                                                                                           To learn more about any of these ownership opportunities,                 make these decisions on the fly. Mental, physical, and emotional toughness will serve us well as we are emerging from this prolonged
          and excellent growth opportunity. This well-equipped practice & the Real
                                                                                                             you can complete the confidentiality agreement on the                   crisis. We need to remember what we have done and that we have proven ourselves to be one tough profession.
          Estate is for sale. (OH905)
                                                                                                                              Simmons website:
      OH: Northern - Solo small animal practice just northeast of Cleveland. Owner is
          ready to retire and both the practice and real estate are for sale (OH710)                                        www.simmonsinc.com
                                                                                                                                                                                     2. VETERINARY TEAMS ARE COLLABORATIVE AND GENEROUS
                                                                                                                                                                                     There are groups of us that continue to work together, creating solutions to support each other
                                                                                                                        Practice Ownership...                                        physically and emotionally. Like many businesses in the United States, the veterinary industry is
                                                                                                       Be able to financially provide for your family                               working at reduced capacity with a drastic rise in demand for services. A recent US poll showed
                                                                                                       Have the ability to control your schedule
                                                                                                       Finances flowing to pay off student debt more quickly                        that 42% of small businesses report that they are struggling to fill job openings and are working
                                                                                                       Control of your medicine & how your practice is operated                     with a diminished team1. In this precarious environment, veterinarians need to work together to
                                                                                                       Unlimited income potential versus a limited salary
                                                                                                     > Create and live the lifestyle you desire
                                                                                                      Payroll                                                                        develop new ideas to get the job done without sacrificing our teams. We need to continue support-

                                                                                                     > QuickBooks Support
                                                                                                                                                                                     ing each other and creating new ways of providing service while protecting our people. We are
                                                                                                                                                                                     one collaborative profession, not competing individuals.
                                                                                                   > Tax Planning
                                                                                                   > Bookkeeping                                                                     3. FAMILY AND FRIENDS ARE LIFE’S BIGGEST BLESSINGS
                                                                                                     > Bank David McCormick, MS, CVA • Richard Goebel, DVM, AIBA
                                                                                                            Reconciliations                                                          Early in the pandemic, one of my closest friends spent over eight weeks in ICU, two rounds on
                                             Practice Ownership isn’t for everyone,                        888.746.3717 • Greatlakes@simmonsinc.com• www.simmonsinc.com
                                                                                                     > Acquisitions                                                                  a ventilator. We almost lost her, but by some miracle, she survived, and I am forever grateful to
                                             but if it is for YOU…
                                                                                                                                                                                     God and her caregivers for saving her. Many of you have your own stories of family and friends

     For future owners: here are a few of our listings in the Great Lakes Region…                   Schultz & Associates, PLC
                                                                                            IN: Indy-North - well established, one doctor, companion animal hospital. The
                                                                                                practice is housed in a free standing, leased facility that is well maintained
                                                                                                                                                                                     affected by the virus. The pandemic’s biggest and most important lesson is that we must protect
                                                                                                                                                                                     time with family and friends. We need to remember that life is short and the reason we work is
      MI: South East - West of Detroit, Solo, mixed practice of in-home and clinic                  Certified
                                                                                                and well  equipped.Public
                                                                                                                     (IN914) Accountants
          facility treatment. Solid support staff expected to stay. Owner is ready to                                                                                                to help our communities and create better lives for ourselves and our families. Take time to enjoy
                                                                                            IN: Western Central - Practice and real estate for sale!!! Solo, small animal
          retire and will help with the transition. (MI925)
                                                                                                practice, well-equipped with healthy revenues and a solid client base (IN826)        your family and friends. Allow your team to do the same. There will always be more work, but
      MI: Central - Established, vibrant, small animal hospital with revenues over 1M.               Personalized Bookkeeping and Tax Services
                                                                                            IN: Indy-west - Solo, SA practice. Operates in an attractive well-equipped, free
          Well-equipped facility with room for growth! Both the practice and real
                                                                                                standing  building.  Both practice and bookkeeping,
                                                                                                                                        real estate for sale (IN808)
                                                                                                                                                                                     there may never be more time to spend with your family. You can be a great veterinarian without
          estate are for sale. (MI222)                                                               Schultz   has been    providing
      MI: Southeast - 1-2 doc, companion animal hospital with potential for growth
                                                                                            IN: Northern
                                                                                                     payroll- Perfect
                                                                                                               and taxStart-up
                                                                                                                         servicesopportunity!!
                                                                                                                                   for 25+ years. Near Michigan border. Well         sacrificing everything for your work. Be tough, be supportive, be proud. Remember to love your
                                                                                                equipped and busy practice with room to grow! Practice and RE for sale.
          and terrific cash flow. The facility is leased in a great location and is well-            From bank reconciliations to payroll,
                                                                                                (IN805)                                                                              profession, your family, and yourself. Finally, have a beautiful, healthy summer.
          equipped. The owner will help with transition. (MI208)
                                                                                                     we help to organize the numbers to
      OH: Northeast - Solo, small animal practice with nice balanced work schedule
                                                                                                     provideTo learn more about
                                                                                                                accurate         any of
                                                                                                                           monthly      these and
                                                                                                                                      profit  ownership opportunities,               Julie Cappel, DVM, is the director of Warren Woods Veterinary Hospital and a certified life coach. Dr. Cappel
          and excellent growth opportunity. This well-equipped practice & the Real
                                                                                                              you can complete the confidentiality agreement on the
          Estate is for sale. (OH905)                                                                loss statements.
      OH: Northern - Solo small animal practice just northeast of Cleveland. Owner is
                                                                                                                                Simmons website:                                     can be reached at jacappeldvm@gmail.com or 586.751.3350. Also, join Dr. Cappel weekly on her podcast,
          ready to retire and both the practice and real estate are for sale (OH710)                                                                                                 "The Veterinary Life Coach Podcast", available on iTunes and Spotify.
                                                                                                    WWW.SCHULTZ-CPA.COM    | www.simmonsinc.com
                                                                                                                             P. 734-354-2380 EXT 104 |   JSCHULTZ@SCHULTZ-CPA.COM

                                                                                                                                                                                     1
                                                                                                                                                                                      https://www.cnbc.com/2021/05/06/small-businesses-struggle-to-find-workers-as-pandemic-eases.html

08   SUMMER 2021                                                                                                                      MVMA | THE MICHIGAN VETERINARIAN              MVMA | THE MICHIGAN VETERINARIAN                                                                                                                       SUMMER 2021      09
MVMA reveals member-focused and value-driven goals and initiatives for the future - NUMBER 22 SUMMER - Michigan Veterinary Medical Association
PEOPLE, PETS AND PRACTICE:
                                                                                                                                                           (3) Evidence of consent for medical advice and treatment must be main-          icine to qualified individuals as long as two conditions are met.
                                                                                                                                                           tained in the animal patient’s medical record.                                  These are:
                                                                                                                                                           (4) A veterinarian providing a telehealth service may prescribe a drug if       (2) Before delegating an act, task, or function that falls within the
                                                                                                                                                           the veterinarian is a prescriber acting within the scope of his or her prac-    practice of veterinary medicine, the veterinarian shall first examine the
                                                    YOUR VETERINARY QUESTIONS ANSWERED                                                                     tice and in compliance with section 16285 of the code, MCL 333.16285.           animal patient on which the delegated act, task, or function is to be per-
                                                                                                                                                                                                                                           formed and determine the appropriate treatment for the animal patient.
                                                                                                        By Nancy Frank, DVM, MPH, DACVPM                   This rule, being so new, is generating questions. The most com-                 (3) The delegating veterinarian shall observe, monitor, and supervise
                                                                                                                                                           mon question from MVMA members so far relates to assuring                       the delegatee’s performance to the extent necessary to ensure that the
                                                                                                                                                           technology and equipment comply with all current privacy-pro-                   delegatee’s performance is within the scope of the delegation given and
                                                                                                                                                           tection laws. Just how are veterinarians supposed to determine                  being performed with the skill expected by the delegating veterinarian.
                                                                                                                                                           this? We are seeking legal guidance on this issue. For now, ap-
                                                                                                                                                           preciate that this relates to both cybersecurity and confidentiali-             Medical records (Rule 21): Telehealth is now specifically men-
                                                                                                                                                           ty of personal and medical record information. AVMA has basic                   tioned in the rules so be sure to keep the same records you do for
     A TIMELY TOPIC – REVISED LARA BOARD OF VETERINARY MEDICINE GENERAL RULES                                                                              information in their document, AVMA guidelines for the use of tele-             telehealth services that you do for in person services. Also, there
                                                                                                                                                           health in veterinary practice - Implementing connected care, to help            are two new subparts to Rule 21. These are:
     The coronavirus pandemic has been front and center for over a          R 338.4901a Telehealth services.                                               you get started when considering what platform you will use for                 R 338.4921 (5) Medical records are confidential and must not be re-
     year, taking significant time and energy from you each day no          Rule 1a. (1) A veterinarian providing a telehealth service shall do all        telehealth services.                                                            leased without the consent of the client or as required to protect public
     matter what field of veterinary medicine you are in. Veterinari-       of the following:                                                                                                                                              health or by law.
     ans still, though, need to be aware of other important issues. A       (a) Ensure that the client knows the identity and contact information          Supervision and delegation (Rules 10 and 11): The updated                       (6) Copies of medical records must be provided upon written request
     new topic specific to how you engage in your everyday work is          of the veterinarian providing the telehealth service. Upon request, the        rules have a specific section on supervision and delegation. Rule               from the client.
     updated rules for the practice of veterinary medicine in Michi-        veterinarian shall provide his or her licensure information including          10 in the section covers supervision of veterinary students and
     gan. This article will review highlights of the updated veterinary     the name of the state where he or she is licensed and his or her license       limited licensees and “requires that degree of close physical proxim-           Continuing education (Rule 33): Instead of requiring 10 hours of
     medicine general rules.                                                number.                                                                        ity necessary for the supervising veterinarian to directly observe and          live and in person CE, the new rule is:
                                                                            (b) Ensure that the technology method and equipment used to provide            monitor the performance of the veterinary student or limited licensee           Rule 33 338.4933 (g) A minimum of 12 hours of continuing education
     If you are a veterinarian licensed to practice in Michigan, the        telehealth services complies with all current privacy-protection laws.         to ensure that the student’s or limited licensee’s performance is within        must be completed by satisfying one of the following:
     newly updated Board of Veterinary Medicine – General Rules             (c) Employ sound professional judgment to determine whether using              the scope of the order, assignment, or prescription of the veterinarian         (i) Earning 12 hours of continuing education in an activity attended
     are a must read. These specific “rules of the road” that augment       telehealth is an appropriate method for delivering medical advice or           and being performed with the skill expected by the supervising veteri-          live and in person.
     Michigan Public Health Code laws governing our profession be-          treatment to the animal patient.                                               narian.”                                                                        (ii) Earning not less than six hours of continuing education in an ac-
     came effective on April 15, 2021. When reading the new rules,          (d) Have sufficient knowledge of the animal patient to render telehealth                                                                                       tivity attended live and in person and earning the remainder of the 12
     you will find that veterinarians now have “animal patients”            services demonstrated by satisfying 1 of the following:                        While not addressed in the rule, do not forget that veterinary                  required hours of continuing education by completing an activity that
     rather than “patients”; that there are four types of limited licens-   (i) Have recently examined the animal patient in person or have ob-            technicians must be supervised, too. This supervision is defined                requires or permits synchronous, live interaction with the presenter,
     es; and that USDA Veterinary Accreditation training modules            tained current knowledge of the animal patient through the use of in-          in the Public Health Code MCL 333.18802 (4) as "Supervision"                    other participants, or both during the activity.
     now count as approved CE. You will also find a new rule on             strumentation and diagnostic equipment through which images and                includes that degree of close physical proximity necessary for the su-
     telehealth services; clarification on supervision and delegation;      medical records may be transmitted electronically.                             pervising veterinarian to observe and monitor the performance of a vet-         MVMA is developing FAQs related to the new rules. These will
     new language related to medical records; and updates on live           (ii) Have conducted medically appropriate and timely visits to the             erinary technician.” As a reminder, the Public Health Code also                 be housed on the MVMA website. The Michigan Department of
     and in person CE requirements. There is more, too, but these           premises where the group of animal patients is kept.                           states in Sec. 18805 (1), "Practice as a veterinary technician" means           Licensing and Regulatory Affairs (LARA) invites you to direct
     are especially important parts you will use every day. Here are        (e) Act within the scope of his or her practice.                               the practice of veterinary medicine based on less comprehensive knowl-          questions to them at BPLHELP@michigan.gov.
     more specifics:                                                        (f) Exercise the same standard of care applicable to a traditional, in-per-    edge and skill than that required of a veterinarian and performed under
                                                                            son veterinary care service.                                                   supervision of a veterinarian.”                                                 A summary chart of the updated rules can
     Telehealth services (Rule 1a): Based on what we hear in the            (g) Make himself or herself readily available to the animal patient for                                                                                        be found at www.michvma.org/UVR or by
     MVMA office, some practices are finding great success with             follow up veterinary services or ensure there is another suitable provid-      Rule 11 covers delegation. Veterinarians may delegate some acts,                scanning the QR in this article.
     adding telehealth services to their practice, and others are still     er available for follow up care.                                               tasks, or functions that fall within the practice of veterinary med-
     evaluating its usefulness. Standards for how to practice in Mich-      (2) Consent for medical advice and treatment shall be obtained before
     igan using telehealth services have not been specific. The updat-      providing a telehealth service pursuant to section 16284 of the code,
     ed veterinary rules now provide clarity and guidance. Here is          MCL 333.16284.                                                                                        Sources used for this article can also be found at www.michvma.org/PeoplePetsandPractice
     the rule on telehealth services:
                                                                                                                                                                      Nancy Frank, DVM, MPH, DACVPM, is MVMA’s Staff Veterinarian, and can be reached at frank@michvma.org or 517.347.4710.
                                                                                                                                                                 Dr. Nancy Frank is a current member of the Board of Veterinary Medicine. Her viewpoints do not necessarily represent the viewpoints of the Board.

10      SUMMER 2021                                                                                               MVMA | THE MICHIGAN VETERINARIAN        MVMA | THE MICHIGAN VETERINARIAN                                                                                                             SUMMER 2021      11
MVMA reveals member-focused and value-driven goals and initiatives for the future - NUMBER 22 SUMMER - Michigan Veterinary Medical Association
Member Spotlight
                                                                                                               Alexander Strauch, DVM
                                                                               NOVI OFFICE                     Herbruck's Poultry Ranch
                                                                               (Monday - Friday)
                                                                               24360 Novi Road, Suite A
                                                                               Novi, MI 48375                   EDUCATION: Michigan State University College of Veterinary Medicine
                                                                               248.946.4322
                                                                                                                CAREER: Associate Veterinarian | Poultry Medicine | Practicing 4+ Years

                                                                               ROCHESTER OFFICE
                                                                               (Monday, Tuesday & Thursday)
                   Willam A. Brown            Joanne L. DeSana                                                  As an inspired young man, Dr. Alexan-          an employee I’ve worked with applying            “I find that when I exercise, it is a great
                                                                               265 E. 2nd Street
                   DVM, DACVIM (Cardiology)   DVM, DACVIM (Cardiology)                                          der Strauch developed an adoration for         what we’ve talked about. Though I am             stress reliever and that I am able to men-
                                                                               Rochester, MI 48307
                                                                               248.402.4322                     animals as a result of experiences he had      not a formal educator, I believe it is one of    tally perform better at work,” said Dr.

                   VETERINARY CARDIOLOGY                                       ANN ARBOR OFFICE
                                                                                                                while watching famed zoologist “The
                                                                                                                Crocodile Hunter,” Steve Irwin. As Dr.
                                                                                                                                                               the most important jobs. Seeing someone
                                                                                                                                                               flourish in their career and professional
                                                                                                                                                                                                                Strauch. “I also stick to a healthy diet that
                                                                                                                                                                                                                does not include sugar or sweets.

                   CONSULTANTS
                                                                               (Wednesday)                      Strauch’s mother saw this interest grow,       understanding because the information
                                                                               2150 W. Liberty
                                                                                                                she would encourage and support young          you provided is particularly fulfilling.”        Looking toward the next 5-10 years, Dr.
                                                                               Ann Arbor, MI 48103
                                                                                                                Alexander by introducing opportunities                                                          Strauch was asked how he has defined and
                   Committed to healing hearts and improving lives...          248.946.4322
                                                                                                                during his academic years that were fo-        Working as a poultry veterinarian, Dr.           celebrated success so far and what is next
                                                                                                                cused on animals in general. Dr. Strauch       Strauch communicates with employees              professionally. “I measure my success as
                                                                                                                credits his mother as being his biggest fan    who speak Spanish and English. So, in            progress over time in the spirit of continu-
                                                                 vetcardiologyconsultants.com                   and supporter during his journey to be-        order to best serve his patients, he has         ous improvement. For me it is a little less
                                                                                                                coming a veterinarian and other various        worked diligently over these past four           of a finish line and more of a continuum,”
                                                                                                                personal and professional accomplish-          years to improve his Spanish vocabu-             said Dr. Strauch. “As an advocate of life-
                                                                                                                ments. “I knew I wanted to be a veterinar-     lary, adding to his 15+ years of Spanish         long learning, I have applied and been
                                                                                                                ian at a very young age,” he said. “But it     speaking. Dr. Strauch took this language         accepted to Central Michigan University’s
                                                                                                                wasn’t until I found a niche in veterinary     obstacle as an opportunity to improve his        Master of Business Administration pro-
                                                                                                                medicine during my collegiate education        communication skills. “Dealing directly          gram. This educational goal will benefit
                                                                                                                at Michigan State University that it be-       with the caretakers required me to share         the company I work for and assist me on a
                                                                                                                came so much clearer.”                         important information I had, and I want-         personal development level.”
                                                                                                                                                               ed to make sure I could communicate it
                                                                                                                Dr. Strauch received his DVM from Michi-       effectively,” said Dr. Strauch. “They have       Dr. Strauch is currently a member of the
                                                                                                                gan State University College of Veterinary     information for me about the barns and I         American Association of Avian Patholo-
                                                                                                                Medicine in 2017. “Since I have graduat-       have information to share about the pro-         gists (AAAP) and the Michigan Veterinary
                                                                                                                ed, I have been very fortunate to have the     cess. Being able to clearly communicate is       Medical Association. In addition, he is an
                                                                                                                same job since graduation,” he said. “I’m a    vital to doing my job well and providing         alumnus of MVMA’s Power of Ten Lead-
                                                                                                                staff veterinarian and biosecurity manager     optimal care for the birds.”                     ership Academy. “My time with the Pow-
                                                                                                                for a laying hen company that is responsi-                                                      er of Ten was beneficial because it taught
                                                                                                                ble for nine million hens across Michigan      With a profession that faces long hours          me many important lessons that I’ve ap-
                                                                                                                and Indiana. I feel honored to have these      and heavy workloads, veterinary profes-          plied personally and professionally,” said
                                                                                                                responsibilities. This is big medicine and     sionals can find themselves overwhelmed          Dr. Strauch. “I also value the profession-
                                                                                                                what I wanted to do in my career.”             physically, mentally, and emotionally.           al connections and alumni network that
                                                                                                                                                               To relieve these stressors, healthy hab-         I’m now a part of. My recommendation
                                                                                                                One facet of his career that Dr. Strauch       its are essential. In Dr. Strauch’s case, he     for anyone considering the program is
                                                                                                                finds very rewarding is the ability to share   has joined an amateur rugby team and             that you should do it because there are no
                                                                                                                his knowledge with fellow staff members.       maintains a regimented diet and exercise         drawbacks, only benefits that are intended
                                                                                                                “I find it most rewarding when I get to see    schedule.                                        to help you grow.”

                                                                                                                     Alexander Strauch, DVM, is an associate veterinarian for Herbruck's Poultry Ranch and can be reached at alex.strauch.dvm@gmail.com.

12   SUMMER 2021                                                            MVMA | THE MICHIGAN VETERINARIAN   MVMA | THE MICHIGAN VETERINARIAN                                                                                             SUMMER 2021         13
MVMA reveals member-focused and value-driven goals and initiatives for the future - NUMBER 22 SUMMER - Michigan Veterinary Medical Association
2 0 21

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                                                                                               Aug. 22-24, 2021 for expert speakers, delicious food, entertainment, and some much-needed relaxation. The 2021 Great Lakes Veterinary
                                                                                               Conference (GLVC) has something for everyone. Bring your friends, colleagues, and family, all are welcome and will enjoy the many
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                                                                                                                           Eric D. Garcia                                                       Bryden Stanley, BVMS, MVETSC, MACVSC, DACVS
                                                                                                                           IT Expert and Digital Marketer                                       Professor Emeritus | Small Animal Clinical Sciences
                                                                                                S                          Simply Done Tech Solutions                                           Michigan State University College of Veterinary Medicine

                                                                                                P                          PRACTICE M ANAG EM ENT / M ARK ETING                                                    SU RGERY

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14   SUMMER 2021                                           MVMA | THE MICHIGAN VETERINARIAN   MVMA | THE MICHIGAN VETERINARIAN                                                                                                                             SUMMER 2021   15
MVMA reveals member-focused and value-driven goals and initiatives for the future - NUMBER 22 SUMMER - Michigan Veterinary Medical Association
A FEW REMINDERS FROM THE
                                                                                                                                                AWARENESS OF ANIMAL IDENTIFICATION REQUIREMENTS
                                                                                                                                                A new interactive map is now available on the MDARD website (www.mi.gov/animalim-
                                                                                                                                                port) to help your livestock clientele find local retailers and auction markets that sell 840

     STATE VETERINARIAN’S OFFICE                                                                  By Nora Wineland, DVM, MS, DACVPM
                                                                                                                                                radio frequency identification (RFID) tags. These 840 RFID tags may be applied to bison,
                                                                                                                                                cattle, privately-owned cervids, and swine.

                                                                                                                                                Please also note that, for Category II accredited veterinarians, it is necessary for livestock to be of-
     As the summer months begin, the State Veterinarian’s Office would like to offer a few reminders.                                           ficially identified when performing accredited work such as official tests, vaccinations, and inspections
                                                                                                                                                for interstate movement. In cases when an animal has more than one official identification number, be
     DOUBLE CHECK EIA TESTS                                                                                                                     sure to document all the numbers for that animal on official forms.

     For Equine Infectious Anemia (EIA) tests, please note that only US Department of Agriculture Category II accredited veterinarians
                                                                                                                                                Also, bison, cattle, privately-owned cervids, sheep, and goats require official identification
     should complete these tests; and whether using a paper form (which should have “VS 10-11, FEB2018” in the lower left-hand corner)
                                                                                                                                                to leave a Michigan premises; and therefore, official identification must be documented on
     or an online form accessed through Global Vet Link or Veterinary Services Process Streamlining (VSPS), only these current, approved
                                                                                                                                                interstate certificates of veterinary inspection (CVIs) even when the receiving state does
     forms should be used.
                                                                                                                                                not require it.

     It is also important for these forms to be completely filled out. If a field is not applicable, write “None” in that space. Some of the
                                                                                                                                                For more information on Michigan’s animal identification and movement require-
     most common fields that are left blank include tube number, tattoo, and microchip/breed registration. Forms should also include a
                                                                                                                                                ments, please visit www.mi.gov/animalimport.
     National Accreditation Number, a complete description of the animal, and the animal’s location, which is its home premises.

     Also, every year, the Animal Industry Division receives multiple samples at        MDARD                                                   PRACTICE BIOSECURITY TO PREVENT RABBIT HEMORRHAGIC DISEASE VIRUS 2
     our downtown Lansing office, samples that were meant to be shipped to the          Animal Disease Testing Laboratory                       With more cases of rabbit hemorrhagic disease virus type 2 (RHDV2) being discovered in the western
     Michigan Department of Agriculture and Rural Development’s Geagley Lab             1615 S. Harrison Rd.                                    United States, Michigan veterinarians are encouraged not only to be aware of this disease, but also to
     in East Lansing. This can lead to a delay in testing and potentially the need to   East Lansing, MI 48823                                  enhance biosecurity measures in their clinics and to stress these precautions to their clients who own
     redraw. Please be sure to double check the address before shipping:                                                                        rabbits.

     In addition, samples can also be sent to the Michigan State University Veterinary Diagnostic Laboratory (MSU VDL):                         Even though RHDV2 has not been found in Michigan, the high mortality rates seen with this disease
                                                                   SUBMITTALS VIA ALL OTHER CARRIERS                                            could have serious impacts on the state’s wild and domestic rabbits and hares if the disease enters
       SUBMITTALS VIA US POSTAL SERVICE
                                                                                                                                                the state. While RHDV2 does not affect people or other animal species, most rabbits that contract the
                                                                                                                                                disease will die.

                                                                         MSU VDL
         MSU VDL                                                                                                                                Disease onset is rapid. Often, the only sign of RHDV2 is the sudden death of a rabbit. However, other
                                                                         4125 Beaumont Rd.
         PO Box 30076                                                                                                                           signs can include fever, reduced appetite, lack of coordination, respiratory problems, diarrhea or con-
                                                                         Lansing, MI 48910
         Lansing, MI 48909                                                                                                                      stipation, and a bloody, foamy discharge from the nose.

                                                                                                                                                Currently, there is no vaccine licensed for use in the United States. Foreign vaccines are currently only
                                                                                                                                                allowed to be imported for use in states with confirmed cases. Those who treat, handle, and/or care
                                                                                                                                                for rabbits are encouraged to follow good biosecurity measures to help prevent the virus from being
     As MSU VDL continues to see delays in receiving packages from the US Postal Service, they rec-
                                                                                                                                                introduced to Michigan’s rabbit population.
     ommend using overnight delivery to ensure that specimen quality is not compromised in transit.
                                                                                                               517-284-5800                     Also, RHDV2 is considered a foreign animal disease and is reportable to state and federal authorities.
     CHANGE IN THE SUPPLY LINE NUMBER                                                                                                           To report a suspicion of RHDV2 in domestic rabbits, please contact MDARD at 800-292-3939.
     On April 2, 2021, the old MDARD-AID supply line phone number was retired. Please be sure
     to call 517-284-5800 for supplies.
                                                                                                                                                REACH OUT TO PROGRAM CONTACTS
     Supplies can also be ordered through email by completing the Supply Order Form and send-                                                   If there are ever any questions, please feel free to reach out those in the Animal Industry Division for assistance.
     ing it to MDARD-AIDForms@Michigan.gov.                                                                                                     This information can be accessed at www.michvma.org/MDARDAnimalIndustryDivisionInfo or by scanning
                                                                                                                                                the QR code in this article.
     Additionally, whether ordering by phone or online, please be sure to allow one to three busi-
     ness days for the supply request to be processed and three to five business days for shipping.                                             Nora Wineland, DVM, MS, DACVPM is the State Veterinarian and the Michigan Department of Agriculture and Rural Development’s Animal
                                                                                                                                                Industry Division Director and can be reached at WinelandN@Michigan.gov or 517.284.5689.

16      SUMMER 2021                                                                                        MVMA | THE MICHIGAN VETERINARIAN    MVMA | THE MICHIGAN VETERINARIAN                                                                                        SUMMER 2021   17
MVMA reveals member-focused and value-driven goals and initiatives for the future - NUMBER 22 SUMMER - Michigan Veterinary Medical Association
DEMAND FOR VETERINARY CARE
                                                                                                                                               A CLOSER LOOK AT CASELOAD
     EQUALS DEMAND FOR DIAGNOSTICS                                                                                                             The MSU VDL has a wide, diverse caseload and serves small and large animal veterinary practitioners, wildlife agencies, zoos and
                                                                                                                                               aquariums, and animal agriculture agencies and producers. In 2020, the Laboratory received samples from more than 11,000 clients
     2020 HIGHLIGHTS AT THE MSU VETERINARY DIAGNOSTIC LABORATORY                                                                               across Michigan, all 50 states, Washington DC, U.S. territories, and 26 foreign countries.
                                                                                                            By Dr. James Averill, DVM, PhD
                                                                                                                                               Supporting Michigan’s animal agriculture industry remains a vital part of VDL’s mission. More than half of Michigan samples
     While submissions at the Michigan State University Veterinary Diagnostic Laboratory dropped approximately 45 percent in April             tested were from farmed animals.
     2020 due to restrictions on veterinary services in Michigan and around the country, submissions returned to normal in May. June’s
     caseload of 19,000 submissions set a record for the most submissions ever recorded at the Laboratory in one month. Submissions for
     the second half of 2020 continued to outpace 2019, and from July through December, cases were up 11%.                                                                                                                                        52.7%
                                                                              2020 TOTAL CASES: 205,757 | TOTAL TESTS: 941,659

     MAINTAINING CRITICAL REGULATORY TESTING
                                                                                                                                                        FARMED ANIMALS                                            34.3%
     While veterinary services were restricted in Michigan, regulatory testing continued. Surveillance and/or annual testing is needed
     before animals or products are shipped and ensures individual animals or herds are free from diseases of importance. These tests
     performed at the MSU VDL help to protect poultry, cattle, swine, farmed deer, sheep, and bees critical for pollinating plant crops. In
                                                                                                                                                                                                                    36.4%
     addition, dogs and horses are tested prior to interstate and international transport or sale.

     Many animal diseases must be reported to the United States Department of Agriculture and/or state departments of agriculture for              COMPANION ANIMALS                                                                                  56.0%
     tracking and epidemiological purposes. This testing is also regulated but is primarily performed on animals with clinical disease
     and/or as part of disease outbreak investigations. Examples of reportable disease testing in 2020 include brucellosis, eastern equine
     encephalitis, leptospirosis, West Nile virus, and avian, canine, equine, and swine influenza.                                                                % OF MICHIGAN CASELOAD                                                           % OF TOTAL CASELOAD

     In Michigan, one disease of high consequence has received significant attention over the last several years—chronic wasting disease       Canines are the most submitted species overall (more than 140,000) while bovines are the most submitted species for Michigan cases
     (CWD). The MSU VDL is one of only 10 laboratories nationwide authorized by the USDA to use both approved test methods for                 (more than 50,000).
     CWD. The Laboratory provides surveillance testing for both farmed and hunter-harvested cervids. In response to changes in testing                                                                                          TOTAL CASELOAD: 307,339 ANIMALS/SAMPLES TESTED
     and surveillance announced by the Michigan Department of Natural Resources for the 2020 hunting season, the VDL developed a                                                                                           MICHIGAN CASELOAD: 139,972 ANIMALS/SAMPLES TESTED
     system to allow hunters to submit samples directly to the Laboratory. The MSU VDL continues to support Michigan hunters and
     MDNR in efforts to identify CWD positive animals and contain the spread of this fatal, contagious disease across the state.               Note: The MSU VDL serves as a referral laboratory for other national veterinary diagnostic laboratories (outside of Michigan). Those laboratories
                                                                                                                                               are the client of record for those cases. Distribution of animals from Michigan does not include Michigan animal cases that were referred to the
                                                         Regulatory and Reportable Disease Tests Performed in 2020: 155,025                    VDL from another laboratory.

     A COMMITMENT TO CANCER DIAGNOSTICS                                                                                                        CURRENT STATE AND FORECASTING THE FUTURE
     According to the American Veterinary Medical Association, about one in four dogs will develop neoplasia and almost half of dogs           The Lab did not see the decline in submissions over the winter months in early 2021 which is typical for that season. Then came March.
     over the age of 10 will develop cancer. To diagnose tumors, veterinarians across the United States and beyond routinely turn to the       Remember the record-setting submissions in June 2020? That 19,000-submission record only lasted until March 2021 when the Lab re-
     MSU VDL’s biopsy service due to its reputation for excellence among general practitioners and veterinary oncologists. The expertise       ceived nearly 23,000 submissions.
     of the Laboratory’s pathologists and advanced diagnostics assist in the diagnosis and prognosis of cancer in pets which enables refer-
     ring veterinarians to help pet owners ensure quality of life for their animals. In 2020, new tests for mammary tumors, assessment of      The MSU VDL remains dedicated to accurate and timely diagnostic results for every case submitted. Staffing and processes are in place
     lymph node metastasis, and to predict success of specific therapeutics were added, further demonstrating the MSU VDL’s commit-            to ensure we deliver the quality service our clients have come to expect, and that they deserve. We are ready for whatever the rest of 2021
     ment to continued advancement in cancer diagnostics.                                                                                      has in store.

                              Biopsies and Molecular Tests for Cancer Diagnosis and Prognosis Performed in 2020: 22,621                        Dr. James Averill, DVM, PhD, is MSU VDL’s Interim Director, and can be reached at averillj@msu.edu or calling 517.353.1683.

18     SUMMER 2021                                                                                         MVMA | THE MICHIGAN VETERINARIAN   MVMA | THE MICHIGAN VETERINARIAN                                                                                                 SUMMER 2021         19
have come to rely heavily on those in leadership who are both educated and devoted to protecting and pro-
                                                                                                                                                                    moting our profession. As a member of the MVMA, I’m so very proud to be part of an association that places
                                                                                                                                                                    value in every facet of its membership, especially now.

                                                                                                                                                                    In the final moments before COVID-19 impacted the United States, the MVMA Board of Directors held a Stra-
                                                                                                                                                                    tegic Planning Summit. Strategic Planning, what now? For explanation, Merriam-Webster defines a Strategic
                                                                                                                                                                    Plan as “a careful plan or method for achieving a particular goal usually over a long period of time; the skill
                                                                                                                                                                    of making or carrying out plans to achieve a goal.” The purpose of that Summit was to foster discussion on
                                                                                                                                                                    where we are as a profession, have been – and more importantly, where we want to go and how do we get
                                                                                                                                                                    there. By the end of the Summit, the MVMA Board identified four critical goals to work on over the next three
                                                                                                                                                                    years (at a minimum) and beyond.

                                                                                                                                                                    Enhancing public relations to achieve greater public credibility, emergency preparedness, and social respon-
                                                                                                                                                                    sibility will be attained by increasing diversity within the MVMA and our profession. A better understanding
                                                                                                                                                                    of our profession’s demographics is paramount. Through the creation of a Diversity, Equity, and Inclusion
                                                                                                                                                                    committee, work has already begun to assist the MVMA in creating better balances and bridging gaps be-
                                                                                                                                                                    tween those veterinary professionals not equally represented and underserved in Michigan. Identifying those
                                                                                                                                                                    gaps and building bridges to connect us is not a goal that can be achieved easily, or without controversy.
                                                                                                                                                                    However, the mission of the MVMA is to promote the advocacy, education, and networking for the health
                                                                                                                                                                    and well-being of Michigan and its veterinary community – thus, we will work tirelessly to ensure this goal
                                                                                                                                                                    is exceeded and maintained.

                                                                                                                                                                    Over the last several years, the MVMA has made great strides in broadening its connections and visibility
                                                                                                                                                                    within the Michigan legislature. Identifying the importance of connection to government allows the MVMA
                                                                                                                                                                    to continue its pursuit of legislative advocacy as it relates to veterinary medicine. Donations to the MVMA
                                                                                                                                                                    PAC fund, no matter how small, help to keep the MVMA front and center in the political arena. Grassroots
                                                                                                                                                                    infrastructure development is also an avenue the MVMA will follow to further enhance legislative support.
                                                                                                                                                                    The MVMA Board also did a deep dive examination of itself. By streamlining the way the Board operates,
                                                                                                                                                                    we can become more intentional and strategic and can therefore work more efficiently and effectively for our
                                                                                                                                                                    membership. Strengthening communication and development with local VMA chapters, other organizations,
                                                                                                                                                                    and the membership in its entirety will allow us to extend our reach with important continuing education
                                                                                                                                                                    opportunities, real-time updates in disease surveillance, and much more.

                                                                                                                                                                    The last critical goal identified during Strategic Planning involves creating and maintaining an emotional
                                                                                                                                                                    connection with our membership. The MVMA exists to serve its membership, and I daresay one cannot sur-
                                                                                                                                                                    vive without the other. Our veterinary community in Michigan is rich in experiences, knowledge, opinions,
                                                                                                                                                                    and ideas. Developing relationships with our membership enables us to advocate and support them in the
                                                                                                                                                                    best way possible. The MVMA will continue the expansion of leadership roles, strengthen self-awareness
                                             May 2009 – I MADE IT. This childhood dream of mine is finally coming true! I’ve survived                               and mental health support, and develop student involvement at a minimum to preserve and nurture this
                                           (and somehow thrived) during these past nine years of life that it took to navigate an under-                            emotional link.
                                        graduate degree and grad school to become a veterinarian. I’ve been elated, devastated, over-
                                    joyed, and sorrowful. I’ve been energized and exhausted. I’ve had times where I’ve been physically                              Over the years, I’ve discovered just how important connection within our profession can be. We help one an-
                                drained and injured but mentally euphoric. I’ve met friends that have the same sarcastic sense of humor                             other remain steady during uncertainty and provide support when one of us falls. I’m lucky to finally under-
                             that I do and who are passionate to change the world like I want to do. We made it.                                                    stand how hard all those moving pieces within the MVMA work to help ensure the success of our veterinary
                                                                                                                                                                    community. We can do amazing things when we support one another and work together effectively. A quote
                     May 2021 – This is a different place than my world was in 2009. We are immersed in continued societal change (good                             from the 2020 Disney movie Mulan summarizes us perfectly: “When employed correctly, four ounces can
                  and bad), strife, unrest, unease, and endure through the first worldwide pandemic that I’ve been alive to witness. We                             move a thousand pounds.”
          may struggle more now to do our jobs with that fiery passion and change the world mentality. How can you do that today when
     you may fear for your safety based on the color of your skin or on your ancestry? How do you keep up an exhausting pace of patient                                                                         Be well. – Dr. Howard
     care that has only become busier without the risk of physical and/or mental harm to yourself? How can you comfortably interact with
     the public at large knowing a looming invisible threat exists that could impact your family? In order to stay grounded, I personally                                Erin Howard, DVM, is the MVMA’s 2021 Vice President, and can be reached at erin.khowarddvm@gmail.com.

20     SUMMER 2021                                                                                       MVMA | THE MICHIGAN VETERINARIAN   MVMA | THE MICHIGAN VETERINARIAN                                                                                        SUMMER 2021       21
ENSURING EVERY MVMA MEMBER IS                                                                                                                      Dr. Lauren Walker, DVM - Like Dr. Lloyd, I’m excited for the work         allows participants to track growth and development both as a

     WE LCOM E D, I N C LUD ED AND VA LUED
                                                                                                                                                         ahead and what positive results will mean to our profession. MV-          group and individually. This assessment will help us all develop a
                                                                                                                                                         MA’s DEI Committee is committed to enacting change in veterinary          further understanding of DEI in and outside of veterinary medicine.
                                                                                                                                                         medicine and celebrating the rich diversity that already exists in our
                                                      By James Lloyd, DVM and Lauren Walker, DVM                                                         membership.                                                               Each participant will take the IDI self-assessment. Group and in-
                                                                                                                                                                                                                                   dividual discussions of the results will be facilitated by our DEI
     When the MVMA Board of Directors met for a strategic planning retreat in March of 2020, they had no idea the turmoil the next year would            The MVMA DEI Committee and its work is important to me on sev-            consultants. Based on the assessment results, educational plans and
     bring. A global pandemic, a growing political divide in the country, increasing racial unrest and so much more. What a critical time in our         eral levels. In the broad sense, the work will help us to better under-   goals will be developed.
     history to have effective leadership. The MVMA Board of Directors understands that to move forward and thrive as a profession, we must em-          stand our colleagues and clients. People are complex. We often come
     brace, enhance, and celebrate diversity, equity and inclusion. As the co-chairs of the newly formed DEI Committee at MVMA, we are excited           together based on our commonalities, but it is extremely important        On a personal level, I am racial minority. My identity as a Black
     about these opportunities and challenges and hope you will join us on this journey.                                                                 to recognize our differences and individuality. Veterinary medicine       woman is essential to who I am and how I move through life. Thank-
                                                                                                                                                         brings us together, but we differ in the type of medicine we practice,    fully, I can only recall a few experiences of racism and discrimi-
     James Lloyd, DVM - I have been very fortunate to be involved with         regard to DEI. Within that context, we will have our own strategic        where we practice, and in some cases, even how we practice. There         nation throughout my education and career. These experiences, I
     MVMA for decades. As a Past President and member of the Board             plan, complete with a mission, vision, objectives and a roadmap.          are generational, geographical, and family status differences. This       believe, help me to be more aware and empathetic toward others.
     of Directors, I can tell you that DEI work has long been a goal of this   Our Committee is currently working with two excellent consultants         all influences our day-to-day experience. Each sub-group faces dif-       They also show that there is still work to be done to make veterinary
     organization. We first started working on a DEI initiative in 2008,       and has two initial goals in mind, leader education (DEI Committee,       ferent challenges, and they must be recognized. For all of us to be       medicine more inclusive.
     when the MVMA Board had a half-day diversity training session             MVMA Staff and MVMA’s Executive Committee), and communi-                  successful, there must be support and strategic planning to move us
     which led to the formation of a joint Executive Task Force on diver-      cations with both the MVMA Board and the membership at large.             forward. One of the committee goals is to make sure that space is         Becoming a veterinarian was a dream from the age of five. I was
     sity between MVMA and MSU. From that effort emerged several                                                                                         provided for all members to have community, support, resources,           fortunate to have only positive and encouraging influences through-
     joint activities, including a statement on the importance of diversity.   This work is important to me because the future viability and suc-        and advocacy within the MVMA.                                             out my education. Studies and conversations within my community
     It was a start, but we knew more had to be done.                          cess of our profession hinges on DEI. Without question, our society                                                                                 show this in not the case for many minorities. Exposure, support,
                                                                               is becoming increasingly diverse – at local, state, regional, national,   To help achieve those goals, education will be key. The MVMA DEI          and opportunity are so important in making any field more diverse.
     In the fall of 2009, the Board engaged in strategic planning and iden-    and global levels. This diversity has many critical dimensions, from      Committee, Executive Committee and staff will utilize the Intercul-       While attending Michigan State University, I participated in and
     tified diversity as one of nine important issues. Diversity continued     race and ethnicity, to gender identity and sexual orientation, to age,    tural Development Inventory (IDI) as a foundational educational           later worked for the Vetward Bound Program. The goal of the Vet-
     to show up in later strategic plans for the organization, but it wasn’t   ability, and religion….and more. Achieving diversity, equity, and         tool. The Intercultural Development Inventory offers customized           ward Bound program was to foster and support minorities and un-
     until 2020 that we really began to actively engage in this important      inclusion will be vital for the veterinary medical profession *if* we     assessment services for the purpose of building intercultural com-        der-represented students’ interest in STEM, particularly veterinary
     work and make it a top priority. One of MVMA’s priority goals is to       expect to effectively understand and address the increasingly di-         petence. It is utilized by organizations worldwide. The purpose is        medicine. This program and the support of my pre-veterinary advi-
     “create a stronger voice” in the profession. And one of those ways        verse needs of this increasingly diverse society. We are currently the    to strengthen relationships and enhance the human condition by            sor helped make me a competitive candidate for veterinary school.
     is to increase inclusion and diversity to help create a better balance    least diverse of any US healthcare profession. If we don’t become         improving intercultural competence and efforts at bridging cultural       Providing similar opportunities through working with the MVMA
     of demographics in the profession. So how do we start to work on          more inclusive and diverse – in an equitable manner – our very rele-      differences. The IDI is theory-based and validated across cultures. It    DEI Committee is a personal goal. Every member of MVMA should
     that goal and make progress? It starts with knowing who we are,           vance is at risk. Our future strength will be rooted in DEI. I’m ready    provides practical and actionable results. The IDI also                   feel welcomed, included and valued. The DEI Committee will con-
     where we are, and where we want to go. We began with two key              to get to work to strengthen both MVMA and the veterinary medical                                                                                   tinue to work to ensure that’s the case.
     actions; a DEI member survey and the formation of the DEI Com-            profession.
     mittee. The DEI Committee exists to do the work of the Board with                                                                                                                                                             James Lloyd, DVM, and Lauren Walker, DVM, are Co-chairs for
                                                                                                                                                                                                                                   MVMA’s Diversity, Equity and Inclusion Committee, and can be reached
                                                                                                                                                                                                                                   at james.w.lloyd56@gmail.com and l_e_walker@att.net.

22      SUMMER 2021                                                                                            MVMA | THE MICHIGAN VETERINARIAN            MVMA | THE MICHIGAN VETERINARIAN                                                                                               SUMMER 2021      23
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