After a year and a half of efforts, on March 13, 2013, Gov. Scott Walker signed a new law that exempts Wisconsin veterinarians from the state’s Prescription Drug Monitoring Program (PDMP).

“This is a huge feat for our members,” says Kim Brown Pokorny, WVMA Executive Director. “This law would have cost veterinary clinics in Wisconsin over $7 million annually.”

The PDMP is designed to curb human abuse of highly addictive prescription medications. However,

the requirements surrounding the data collection and submission were created for human medicine and were not compatible with veterinary medicine. Ultimately, including veterinarians in this program would have hindered the effectiveness of this public policy.

Prior to achieving the exemption, WVMA leadership and staff, led by our legislative counsel, worked tirelessly with the DSPS, the Pharmacy Examining Board and the Wisconsin State Legislature to make modifications to the PDMP rules. Several important amendments to the PDMP were adopted, but the program was still very problematic for veterinarians. Accordingly, WVMA sought legislator leaders to pursue a statutory exemption from the PDMP for veterinarians.

“It was always our goal to go after an exemption for our members,” Brown Pokorny explains. “As their professional association, we watch for legislation and rules that have a substantial negative impact on veterinary medicine and small businesses. Both are important to our members and are important to the WVMA.”

One of the goals of the WVMA is to connect our members with the Wisconsin State Legislature and critical state agencies so that those who regulate our businesses, also understand our businesses.

“Membership dues paid by our members allow us to be effective on these issues. The WVMA is working on issues even before they hit the radars of our members,” she says.

Another key to success is member activity at the grassroots level.

“As seen with PDMP, member contacts to legislators are key,” she says. “That personal connection is crucial. When we ask our members to contact their legislators and help them understand veterinary medicine, it is a huge benefit to the entire Association. The multi-prong approach of the WVMA and personal member contacts help make our efforts successful.”

Mandatory Drug Reporting Exemption Saves Wisconsin Veterinary Small Businesses Over $7 MillionGovernor Walker Signs Veterinary Exemption From PDMP

In This Issue

2 From the President April Showers

3 From the Executive Director Congratulations and

Thank You!

4 Legal Briefs The Need for Employee

Handbooks

5 See You in October!

6 In the News AVMA Update Euthanasia Guidelines

7 Partners for Healthy Pets

8 WVMA Inducts Pets into Pet Hall of Fame

11 Standards of Care in Wisconsin Veterinary Medicine - Part 1

12-15 Classifieds

WVMAVOICE APRIL 2013

1

2 April 2013

President K.C. Brooks, DVM, DABVP

President-Elect Chris Booth, DVM

Past President Robert Klostermann, DVM

District 1 Peter Gaveras, DVM

District 2 Zachary Janssen, DVM

District 3 Ann Sosalla, DVM

District 4 James Ziegler, DVM

District 5 Jane Clark, DVM

District 6 Alan Holter, DVM

District 7 Kimberly Kratt, DVM

District 8 Michael Wolf, DVM

District 9 Robert Zukowski, DVM

Student Rep. Marsha Bush, PhD

Ex-OFFICIO MEMBERSTreasurer Thomas H. Howard, DVMAVMA Delegate Ann Sherwood Zieser, DVMDean, UW-SVM Mark Markel, DVM, PhDState Veterinarian WVDL Director Tom McKenna, DVM, PhDStudent Rep. Matt Slentz

STAFFExecutive Director Kim Brown PokornyExecutive Assistant Torrie KennedyMarketing and Development Manager Sarah Young Communications and Project Specialist Bailey Quam

2013 WVMA BOARD

By the time this column reaches all of you, spring should be in its full glory. “My” bluebirds should have returned from the south, daylight should extend past my work hours (or at least some days) and April showers should be warming the soil and setting the stage for green growth to occur. March Madness will be a thing of the past and the sounds of spring will fill the air. About the only down side to April is that maple sap collecting season is over for me, the tax deadline looms and April showers will temporarily disrupt some of my outdoor days.

I see life in a veterinary practice much like I view spring in my personal life. Most small businesses actually have a seasonal feel to them based on the circumstances in the business, not the position of the earth in relation to the sun. Personally, spring is my favorite season at work and away. Let me explain. A recent lecture I attended convincingly made the case that all practices go through a logical “seasonal” progression of planting (spring), growing/cultivating (summer), harvest (fall) and rejuvenation/re-evaluation (winter).

This article will focus on spring. New practices and organizations deciding to embrace regular change often start the process with a spring season. Key components to this season include team development and strategic planning.

In “Good to Great”, author Jim Collins asserts that exceptional organizations actually start this season in that specific order. While many businesses would start by setting new vision and strategy and then getting people committed and aligned behind that direction, Collins found that great businesses actually first got the right people on the bus, and the wrong people off the bus, and then figured out where to drive the bus! He refers this concept as “First who… then what”.

Just like spring in Wisconsin, this business season is full of excitement, anticipation and disappointment. In Wisconsin we may experience beautiful sunny days bringing warm soil and green grass one day only to wake up to six inches of wet snow which sets back our expectations the next day. In our businesses, hiring and team development efforts may sail along smoothly as we fill seats on the bus with talented teammates of exceptional character. However,

we may find out one or more employees do not like their seat on the bus or do not belong on the bus. This discovery may set back our expectations or even temporarily send the bus into a ditch.

At last month’s WVMA Winter Retreat, Jessica Goodman Lee led an interesting and informative discussion entitled “Creating a Culture of Accountability Makes Good Cents”. Her lecture material was based on Patrick Lencioni’s book “The Five Dysfunctions of a Team” and was all about the “spring” activity of being sure your bus is filled with the right people, in the right seats and the environment on the bus is conducive to producing an effective, functional team. Lack of trust, fear of conflict, lack of commitment, avoidance of accountability and inattention to results are common dysfunctions of many teams.

The second spring activity in our businesses is strategy development and planning. Ms. Lee defined strategy as: “The generation and application of business insights on a continual basis to achieve competitive advantage.” She asserted that strategic organizations recognize five key facts about strategy. They are:

1) What works today may not work tomorrow2) An organization is only as good as what it knows3) You must continually redesign your business4) “Learning and course correction” are both a mindset and an

operating practice5) Cultural norms must be reversed

As with team development, strategic planning can be exhilarating and frustrating, “It is much like an April weather forecast in Wisconsin knowing intermittent rain in average amounts is expected, welcomed and indeed needed for the seeds we plant to germinate and grow. On the other hand, repeated heavy showers may delay planting or even worse wash out established plantings. Likewise, strategic development in your practice must account for and actually embrace intermittent “showers” and importantly must be able to adapt to unexpected downpours.

I hope this column finds you all enjoying a beautiful April with just enough April showers to bring plenty of May flowers. – K.C.

April Showers

FROM THE PRESIDENT

K.C. Brooks, DVM, DABVP

3

Congratulations – you did it! Our WVMA membership was successful in securing a legislative exemption from the Prescription Drug Monitoring Program (PDMP).

Our success is an example of how working together, with a united voice, we can make a difference in the day-to-day operations of our clinics and the lives of our doctors and their staff.

Many thanks and credits need to be given.

The thank you’s are as follows:

• To all the members that contacted their legislators when the WVMA office sent out the “action required alert”. Wisconsin legislators received over 560 contacts within a 24-hour period, asking them to co-sponsor and vote in favor of the exemption bill. This made a huge impact on our efforts!

• To the clinics that helped compile data for the economic impact analysis. Thank you!

• For the members I called and requested additional outreach from, thank you! Answering my calls and taking the time to make an additional contact is greatly appreciated.

• To Drs. Brooks, Kratt, Ziegler and Klostermann – thank you for re-arranging your work schedules to testify before of the Assembly Agriculture Committee.

• To Drs. Wolf and Hodkiewicz – thank you for re-arranging your schedules to testify in front of the Senate Agriculture, Small Business and Tourism Committee.

• To all our members – thank you for being a member and understanding the value of organized veterinary medicine. Your dues allow the WVMA to hire the very best legal and legislative counsel in the state to work on issues important to small businesses and veterinary medicine.

• To Jordan Lamb and Ron Kuehn, our legal and legislative counsel – I understand you pulled off the impossible for us. We are proud you are on our team and working for the WVMA membership. Thank you!

• To the WVMA staff team – it’s been a challenging year and a half, but your steadfast commitment to working on this issue and answering the countless requests from members for clarification and help on this issue is appreciated.

There are more issues coming, just as challenging as PDMP. Your WVMA staff team and elected leadership remain committed to working daily on these issues. Many of you won’t ever hear about these, as our goal is to address them before they are introduced as a legislative bill.

Some you will hear about these issues as we reach out and ask for your help at a grassroots level. When we do, please take a few minutes to help us. The PDMP is a powerful example of how your help makes a big difference for the entire profession.

If there are doctors in your practice that are not WVMA members, please ask them to become a member. It is through dues we can have a voice for each of you at the Capitol. It is a small investment for the returns and protection you receive.

Again, congratulations on your success! This exemption saves clinics in Wisconsin over $7 million dollars a year in human resource time.

FROM THE ExECUTIVE DIRECTOR

Congratulations and Thank You!

WVMA VOICEThe WVMA Voice is published on the 15th day of each month by the Wisconsin Veterinary Medical Association, 2801 Crossroads Dr., Ste. 1200, Madison, WI 53718; (608) 257-3665; toll-free (888) 254-5202; fax (608) 257-8989; e-mail: wvma@wvma.org; website: www.wvma.org. It is sent free of charge to all WVMA members. Office hours:

8 a.m.–5 p.m., Monday-Friday.

CLASSIFIED/RELIEF VETERINARY ADVERTISINg: Member: First 30 words $10;

each additional word $1.50.

Non-member: First 30 words $50; each additional word $1.50.

Additional $10 fee for blind box ads.

Classified ads run for two months and must be renewed for additional months. Classified ads are to be received by the first working day of the month. Display advertising is available at the editors’ discretion. Call (608) 257-3665 for more information. The deadline for receipt of all material submitted for publication is the first working day of the month, to insure consideration for the next month’s newsletter.

Subscriptions are available for $36 annually. (Non-member, in-state veterinarians not eligible.)

ADVERTISINg AND PUBLICATION DEADLINES ISSUE ADS DUE PUBLISHEDJanuary December 1 December 15February January 1 January 15March February 1 February 15April March 1 March 15May April 1 April 15June May 1 May 15July June 1 June 15August July 1 July 15September August 1 August 15October September 1 September 15November October 1 October 15December November 1 November 15

Kim Brown Pokorny

4 April 2013

The Need for Employee HandbooksSteve DiTullio, DeWitt Ross & Stevens S.C.

LEgAL BRIEFS

There are numerous reasons for a veterinary practice to develop an employee handbook: (1) good communication tool; (2) helpful human resources management tool; (3) can provide legal defenses; and (4) can assist with legal defenses. If a business has at least 15 employees, then an employee handbook becomes even more necessary due to certain federal laws that apply. It is imperative that if a veterinary practice chooses to use an employee handbook, that it is carefully prepared. This article will review four important handbook issues. Later, this year we will present a second article addressing certain specific policies that should be considered for including in your veterinary practice’s employee handbook.

A. POLICIES CAN BE CONSTRuED AS CONTRACTSEmployment policies and handbooks must be written with great care. Wisconsin courts have held that under certain circumstances, policies contained in an employee handbook can give rise to a contract between the employer and the employee. Such a contract may be expressed by the specific terms of the policy, or it may be implied by the circumstances surrounding the declaration and distribution of the policy.

If a policy limits the circumstances under which an employee can be terminated or a policy uses language distinguishing between “probationary” and “permanent” employees, the policy may alter the employment-at-will relationship. Likewise, grievance procedures and seniority provisions can also give rise to possible contract claims.

B. PRESERVINg THE AT-WILL RELATIONSHIPIn order to preserve the at-will relationship, policies and handbooks

must be carefully written with clear disclaimers indicating that employment is at-will and that the employer reserves the right to alter, modify, amend, or eliminate any policy or handbook provision at any time, with or without notice. It is important that policies do not state that the employer is bound by the policy, because an employer’s assertion that it is bound by a policy or a handbook could be sufficient in certain circumstances to alter the at-will relationship.

C. PROgRESSIVE DISCIPLINEIf an employer wishes to implement a progressive discipline procedure, the employer should be careful not to limit its options. The policy should state that a violation of employment rules or guidelines may result in disciplinary action, up to and including warnings, suspension, and termination. The policy should also specifically reserve the right, at the employer’s discretion, to bypass warnings and suspensions and proceed directly with termination.

D. ACkNOWLEDgMENT FORMSEmployers who choose to disseminate policies through an employee handbook are well-advised to have each employee sign an acknowledgment form indicating that the employee has received and read the handbook and that the employee recognizes the at-will nature of employment. The acknowledgment should also state that the employee has been given the opportunity to ask questions about the employee handbook’s policies.

4 April 2013

5

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The 5th Annual “Swing into Summer Seminar” is a free, half-day educational workshop with customized tracks for veterinarians, technicians, administrators, and receptionists.

Saturday, April 20, 2013 Radisson Milwaukee North Shore 7065 N. Port Washington Road • Milwaukee

12:00pm – 7:15pm* Earn CE credits • Network with peers • Meet industry reps • And more!

RSVP by April 12 required. *Lunch and dinner included.

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See You in October!Mark your calendar for the 2013 WVMA Annual Convention – WVMA 500 Rev it Up! – being held October 10-13 at the Alliant Energy Center in Madison, Wis.

As in past it will be held in conjunction with the Wisconsin Veterinary Technician Association and Wisconsin Practice Managers Association conventions. There will be an immense lineup of nationally acclaimed speakers and trade show vendors.

Large animal tracks will include bovine, organic medicine, equine, zoonotics, disaster planning on farms, salmonella and backyard chicken flocks. Sports medicine, toxicology, respiratory medicine, anesthesia and urinary/renal will be featured in small animal tracks.

The WMVA is proud to announce keynote speaker, Tim Gard. Over the last decade Tim has delivered presentations nationally and internationally. Tim specializes in addressing how to use humor in stressful situations. The methods and techniques he shares are effective ways to deal with defuse and to avoid stressful situations that happen in everyday life.

To view the complete convention schedule, visit www.wvma.org.

October 10-13, 2013Alliant Energy Center

Madison, Wisconsin

6 April 2013

The American Veterinary Medical Association (AVMA) published the 2013 edition of the AVMA Guidelines for the Euthanasia of Animals. Led by a 13-member panel, more than 60 experts—including veterinarians, animal scientists, behaviorists, physiologists, psychologists and an ethicist—deliberated more than three years to create the 2013 Guidelines.

Since the first Panel on Euthanasia was convened 50 years ago, the AVMA Guidelines have helped veterinarians protect the welfare of animals by setting criteria for euthanasia and specifying appropriate methods and agents. As the Guidelines have become increasingly influential (and in some cases recognized as a legal standard), their specificity and scope have increased.

Specifically, the 2013 Guidelines acknowledge euthanasia as a process that involves more than just what happens to an animal at the time of its death. In addition to providing more information about techniques used for euthanasia across a broader range of species, this edition includes attention to ethical decision-making, provides detailed information about animals’ physiologic and behavioral responses to euthanasia, considers euthanasia’s effects on those performing and observing it, and takes into account the practicality and environmental impacts of various euthanasia approaches.

“As we learn more about animals—their physiology and psychology—it’s important to update and sometimes change our approaches to euthanasia to ensure we continue to protect their welfare as best as possible,” explained Dr. Steven Leary, chair of the AVMA Panel on Euthanasia. “This was the most professionally diverse panel on the

euthanasia of animals ever assembled. As a result, the latest update of our euthanasia guidelines offers much more depth and breadth of expertise in the affected species and the environments in which euthanasia is performed. Panel members take their responsibility extremely seriously because we recognize the AVMA Guidelines are used by everyone from veterinarians in private practice, to caretakers on farms and researchers in biomedical facilities, to law enforcement, to governmental regulators.”

The first edition of the AVMA’s highly respected, authoritative euthanasia guidelines was issued in 1963. With each update, the guidelines have reflected knowledge gained through advancements in research and practical experience. New in the 2013 edition are:

• Euthanasia methods for invertebrates and other lower-order species;

• Advice on humane handling of animals before and during euthanasia;

• Information on collection of animals for scientific investigations, handling injured wild animals, and removal of animals causing property damage or threatening human safety;

• Additional information about confirmation of death and disposal of animal remains; and

• Flowcharts, illustrations, tables and appendices that clarify recommendations.

For a full listing of the guidelines, visit https://www.avma.org/KB/Policies/Documents/euthanasia.pdf.

David Edinger DVM, DACVS

edingersurgicaloptions.com 608 845.0002

Orthopedic, Soft Tissue, Oncologic & Neurologic Surgery

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AVMA updates Euthanasia guidelines

IN THE NEWS

7

AN uNPRECEDENTED EFFORT The second year of Partners for Healthy Pets saw many accomplishments. First and foremost

among them was the continuing growth and support for what has become a coalition of professional associations and animal health industry partners that is truly unprecedented in the history of the profession. We enter 2013 with all 20 founding members renewing their commitment of financial and other resources, and pledging their ongoing support for increasing the preventive healthcare services delivered to the nation’s pets.

Just as impressively, 45 Associate Members, including 34 state veterinary associations, have pledged support for the mission and vision of the organization and have committed to providing in-kind contributions. Based on requests from other sectors, Associate Member categories have been established for Colleges of Veterinary Medicine, International Associations, and the media.

We are truly and uniquely positioned to make a positive and significant impact on pet health!

TOOLS THAT MATTER An entire suite of web based practice tools and resources were unveiled during the AVMA Convention in August. The tools – free and widely available to the profession – focus on addressing those things that research told us were needed to reduce the barriers to pet owners obtaining preventive healthcare. These include implementing preventive healthcare guidelines, communicating the value of an annual exam, reaching pet owners through internet marketing and social media, developing and implementing preventive healthcare

payment plans, and developing feline friendly practices.

Initially requiring AVMA or AAHA membership for access, the entire collection of tools and resources are now broadly available, requiring only registration and identification of affiliation with an organization involved with Partners for Healthy Pets.

WHAT’S NExT? A key goal has always been to carry out a consumer awareness campaign, to drive pet owners to seek regular veterinary preventive healthcare. We are pleased to report that we are on schedule for this phase of our plans, and expect to launch a robust $5+ million campaign in mid-2013.

Schafer Condon Carter, a Chicago agency with significant purpose-based advertising experience, has been selected by the Board of Directors to develop and carry out the campaign. As this is written, planning is underway.

PARTNERS FOR HEALTHY PETS uPDATE WINTER, 2013 While the amount of resources available for the campaign is very impressive, the campaign’s success will depend on leveraging the resources of our Associate Members as well as all veterinary practices.

The use of creative materials created for the campaign by both Associate Members and practices is one of the ways the campaign messages can reach a wider audience.

More details of the campaign, and opportunities for Associate Members to contribute with in-kind resources, will be available in our spring update.

AVMA updates Euthanasia guidelines Partners for Healthy Pets

Save the Date!2013 WVMA

Annual Convention!

October 10-13, 2013Alliant Energy Center

Madison, Wisconsin

7

8 April 2013

Wisconsin Veterinary Medical Association Inducts Pets into Pet Hall of FameThe Wisconsin Veterinary Medical Association is proud to honor three inductees for the 2013 Wisconsin Pet Hall of Fame.

In its 19th year, the Wisconsin Pet Hall of Fame celebrates pets that exemplify the affection, loyalty, and value of the human-animal bond. Each year the WVMA honors this special relationship in three categories: professional, companion and hero. The 2013 inductees have contributed immensely to the lives of their owners and their communities.

These three extraordinary canines were honored during a noon luncheon ceremony held on March 2 at the Glacier Canyon Lodge in the Wisconsin Dells. The event was sponsored by Abaxis, Hill’s Pet Nutrition and Boehringer Ingelheim.

PROFESSIONAL – ALVINSir Chip of Munk “Alvin” Simonick, a 4-year-old English Labrador from Stevens Point, has taken his job to the next level. Alvin holds a very important role in his owner’s life as a service dog and companion.

His owner, Ron Simonick, has a medical condition which limits his mobility significantly. Alvin’s “job duties” include: retrieving dropped objects, turning light switches on/off, bringing tools and other items and of course being his constant companion.

“But this is not the most remarkable thing about Alvin,” says Alvin’s veterinarian Dr. Diane Scott of Oakview Veterinary Medical Center.

When Ron was struck by a vehicle, Alvin stayed by his side despite the confusion and emergency vehicles. Even in the hospital, Alvin waited patiently until he could be reunited with his owner.

All service dogs are invaluable, but Alvin’s characteristics are priceless and one of a kind.

“Training can teach a service dog to walk next to a power chair,” continues Scott, “but only love can make him stay unwavering by Ron’s side after his power chair was struck by a car in a busy intersection.”

Alvin has a commitment to Ron that no training could ever teach and that makes him an excellent inductee for the Wisconsin Pet Hall of Fame.

COMPANION – SCHOEPSchoep is a 19-year old German Shepard mix and is best friends with his owner John Unger. No one could have

anticipated the movement this one friendship could have created.

John brought Schoep into see Dr. Erik Haukaas at the Bay Area Animal Hospital to discuss what could be done to make him more comfortable in his advancing years. After discovering Schoep had degenerative arthritis and discussing treatment options, John left with two weeks’ worth of pain medication and a re-evaluation check with Dr. Haukaas.

John would take Schoep swimming in Lake Superior as a way of helping with the arthritis pain and for relaxation. Due to the fact that John didn’t know how much longer he had with Schoep, he had a picture taken of the two swimming.

“That photograph made them famous,” says Dr. Haukaas, who nominated Schoep.

A few days after posting the picture onto Facebook, the Bay Area Animal Hospital began receiving

PET HALL OF FAME

9

phone calls from around the world from people wanting to donate money to help Schoep and John.

“After months of receiving donations we realized we had more than enough funds to take care of Schoep for the rest of his life,” continues Haukaas.

As a result of Schoep’s success, the Schoep Legacy Foundation was founded as a non-profit organization dedicated to celebrating the human-animal bond and supporting efforts to improve animal welfare.

Unfortunately, John and Schoep we unable to make it to the presentation due to Schoep not feeling well that day. In Schoep’s honor, his veterinarian Dr. Haukaas and his wife, accepted the award and talked on their behalf.

HERO – MILITARY WORkINg DOgSOrganized use of dogs for military purposes began before World War I, when dogs were used as messengers, sentry and patrol as well as for other tasks. During World War II, the U.S. Military utilized dogs in both the Pacific and Europe. Military Working Dogs were used heavily in the Vietnam War and continue with important duties today, with emphasis on sentry/guard duty and anti-terrorist explosives detection.

In Iraq and Afghanistan, several hundred Military Working Dogs perform their duties in heat and sandstorms, just like their handlers and other soldiers. Heat exhaustion is a major concern and frequent breaks and ample water are needed to cope with it.

These dogs, along with their handlers from every military service, are deployed worldwide to support the war on terror, helping to safeguard military bases and secure our freedoms.

A video from Brigadier General John L. Poppe, Chief United States Army Veterinary Corps, was shown. This video was a special message from the Pentagon to the WVMA on how valuable Military Working Dogs are.

Accepting on behalf of the Military Working Dogs was Captain Cynthia Abraham, who received her DVM degree from Iowa State University and previously practiced at the Eau Claire Animal Hospital before joining the Army. Captain Abraham is a member of the 718th Medical Detachment Veterinary Services, reserve in Fort Lauderdale, Fla.

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10 April 2013

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The aim of the WVMA Grievance Committee is to mediate solutions to conflicts between animal owners and member veterinarians before they reach the level of regulatory action or lawsuits. To help WVMA members better understand the role and benefits of the committee, the committee will periodically report on cases that have gone before the committee or provide additional beneficial information.

The WVMA’s grievance committee would like to introduce a conversation about Wisconsin veterinary standards of care to help our members avoid having their own practice of veterinary medicine called into question. The WVMA wants to encourage all of our members to meet or exceed standards set by our state’s best clinics, hospitals, and mobile practices. It is up to each Wisconsin practice owner and each individual veterinarian to seek knowledge of ways to improve their standards. Attending CE events and visiting the many outstanding practices around the state will help greatly in creating consistent standards.

WHAT ARE THE BASIC STANDARDS OF CARE FOR A WISCONSIN VETERINARY PRACTICE? This is a difficult question to answer. How are the standards determined? Are the standards determined nationally? Statewide? Locally? Will a governing board pick and choose through an exhaustive list of standards to determine a minimum number that must be met and apply them to Wisconsin practices? For example, will a governing board utilize all or part of the 900 American Animal Hospital Association standards to judge whether a Wisconsin practice is up to standards? This is not for the WVMA to decide, but we can take a closer look at why we need standards.

In cases of dispute, legal experts must review the legal history and current standards and provide advice on whether standards are being met. From the Michigan State University College of Law, Animal Legal

and Historical Center website: “While jurisdictions may have some variation in words or phrases, a general statement of the legal standard for veterinary practice is: ’the exercise of the care and diligence as is ordinarily exercised by skilled veterinarians.’” Lawyers and judges will do their best to interpret the legal standards when necessary in and out of the courtroom.

In an effort to prevent grievances from occurring, we would like patient outcomes to continually improve, we would like the paying public to be satisfied that their standards are being met, and we would like the veterinary work environment to be positive, with practice owners, staff and doctors seeing eye to eye on hospital setup and patient care.

We want the general public to seek excellent care from their veterinarian by asking tough questions. The tough questions will either get satisfactory answers and the clinic gets the business or the potential client goes elsewhere seeking answers. The clinic losing the business either seeks improvement or continues to lose business.

HOW DO WE ENCOuRAgE STANDARDS TO BE ExCELLENT ACROSS THE SPECTRuM OF VETERINARY PRACTICES IN OuR gREAT STATE?We encourage you to seek an appropriate balance between financial soundness of the practice and upgrading the practice as you learn what you can do better.

In upcoming articles, we will explore what could be considered the basics standards of care in different types of practices.

Information provided by the WVMA is intended to be general in nature. The WVMA cannot provide legal advice or formal recommendations. You should always consider consulting with your attorney or other professional advisors regarding the specifics of your situation.

Standards of Care in Wisconsin Veterinary Medicine, Part 1Dr. David Edinger, Chair, WVMA Grievance Committee

Save the Date!2013 WVMA

Annual Convention!

October 10-13, 2013Alliant Energy Center

Madison, Wisconsin

12 April 2013

CLASSIFIED AD CHANgESThe WVMA has made changes to the classified ad fee structure beginning with new ads submitted for the May 2011 issue.

All classified ads including veterinary relief ads will be published at the following rate:

Members: First 30 words, $10. Every additional word after 30 is $1.50 per word.

Non-members: First 30 words, $50. Every additional word is $1.50 per word.

Ads will run 2 consecutive months, and then be removed, unless the WVMA is notified you would like to continue your ad for another 2 month run. You will be invoiced at the end of the first month during a 2 month period.

Ads are placed online at the beginning of the month they are featured in the newsletter. Immediate placement of ads is an additional $25 fee. Additional $10 fee for blind box ads.

SMALL ANIMALShelter from the Storm’s non-profit Spay Me! Clinic is seeking a PT veterinarian looking for an opportunity to make a difference with rescues, shelters and people with a financial hardship working in our high quality, high volume, low cost spay/neuter and wellness clinic, focusing on the wellness program. You must be able to work in a high paced environment and have strong leadership skills. You will be working in a well-equipped clinic with digital X-ray, ultrasound, in house blood machines, and with a strong support staff. The right candidate will be detailed oriented, have good communication skills, be self-motivated and well organized. Please send resumes to wis_animalrescue@yahoo.com.

Seeking EXPERIENCED vet 2-3 days/wk. with room for growth in established full service practice. Join us in providing exceptional care in a friendly team based atmosphere with superb support staff. We work hard and have fun! Strong focus on client education, preventive and dental care, surgery, and respect of clients and their pets.

Resume: Bay View Vet Clinic, 890 Main St., Mukwonago, WI 53149, or email bayviewvet@wi.rr.com. No Calls.

A.M.Vet Service is looking for a FT/PT SA veterinarian and a CVT. We are a fast-paced, growing country practice. Please contact Dr. Hines at amvs@maqs.net.

Emergency Veterinarian needed for our fully equipped, 10,000 sq. ft. emergency/critical care and specialty hospital in Milwaukee. We have Critical Care specialists, a boarded surgeon, board certified internal medicine specialist, board certified dentist, behaviorist, rehabilitation therapy and an excellent technical and support staff that provides the highest quality care to our patients, pet owners, and referring vets. The ideal candidate will be emergency trained, possess strong communication skills, and enjoy working in a stimulating and challenging environment. We offer an excellent salary and benefits package. Please e-mail your resume to Marla Lichtenberger, marlavet@aol.com or call (414) 543-7387 for more information.

FT veterinarian needed at Advanced Veterinary Care Clinic. Please send your resume to 8052 North 76 St., Milwaukee, WI, 53223 or e-mail to advancedvet@gmail.com. Phone: (414) 365-5200.*

Seeking an enthusiastic team player with a must for strong communication, surgery, and internal medicine skills. Team up with doctors with competencies in ultrasound, orthopedics, critical care, laser surgery and laser therapy. Great support staff. Serve 2 state-of-the-art, paperless hospitals in North Central Wisconsin. Prefer experienced DVM. Please send resume & cover letter to North Country Vet Clinic. Attn: Lyn Ludwig, DVM, W6880 Hilly Haven Ln., Phillips, WI 54555. Email: lynludwig@hotmail.com. Website: www.northcountryvetclinic.com. Phone: (715) 339-6777.*

Associate Veterinarian with ownership track if desired. Strong preventive, medical & dentistry focus. AAHA team accredited. Salary commensurate with experience (1 yr or more preferred). Position available in February would be PT leading to FT in late spring/summer. Health insurance, flexible hours CE and other benefits. Please send or deliver cover letter and resume to Westside Family Pet Clinic, Attn: Dr. Ken Lambrecht, 643 Struck St., Madison, WI 53719. Email: klambdvm@westsidefamilypet.com.*

PT or FT associate needed at AAHA accredited practice in Eden, WI. More information can be found at our website at www.countryhillspets.com. Email resumes to doctors@countryhillspets.com.*

PT Vet needed for SA practice in Sherwood, WI just south of the Fox Cities. Solo DVM in need of help 1-2 days per week, with opportunity for more hours as we continue to grow. Experience preferred and excellent client communication a must. Send resume to Laura at sherwoodah@tds.net or call (920) 989-3200.*

Franksville Veterinary Clinic seeks a PT SA Veterinarian. Under new ownership, this hospital is growing rapidly, while still focusing on service to our patients. Recent upgrades in the facility, computers, blood chemistry, x-ray and dentistry makes this an ideal place to learn, grow, and experience the best of veterinary medicine. Situated just northwest of Racine, we are conveniently located near I-94, Milwaukee, and Kenosha. We believe that family and medicine can coexist. If you would like to learn more about our opportunities, send your resume to Dr. Edward Susmilch at dred@prairiesidevet.com or call (262) 694-0402.*

Seeking veterinarian for new 2 Dr. AAHA clinic on Madison’s west side. At least 1 year experience, strong client focus as well as both canine & feline wellness orientation desired. Well-equipped clinic and strong cohesive team. Preventive care, dentistry and integrative care offered. 25 to 35 hrs per week, health insurance, CE and other benefits. Start date Feb or early March. Please send cover letter and resume to Blind Box 13SA01, c/o WVMA, 2801 Crossroads Dr. Ste. 1200, Madison, WI 53718.*

The Wisconsin Veterinary Referral Center (WVRC) is a growing multi-location emergency and referral practice in the greater Milwaukee area. We currently have an opening for a FT veterinarian in our expanding emergency department including our newly acquired Racine location, as well as our Grafton and Waukesha clinics. A PT weekend position is also available for the right candidate. Qualified applicants will have a background in emergency medicine, internship training or equivalent practice experience, strong organizational skills, good leadership qualities, and an ability to work well within a team. Please contact Dr. Kari Severson, Director of Emergency Services, at kseverson@wvrc.com.*

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LARgE ANIMALFT LA practitioner wanted to join our 4 person practice in the driftless region of west central Wisconsin. The practice emphasizes on dairy, with some beef and equine work mixed in. Interest in ultrasound and production medicine is desirable. On-call time is split equally between all veterinarians. Enjoy small town living, with the conveniences of La Crosse only 30 miles away. Send resume to the Cashton Veterinary Clinic, 406 South St., Cashton WI 54619, or to johnlweber@gmail.com.

PT/FT 100% LA veterinarian position working with equine, dairy, beef, and some small ruminants. 100% ambulatory. The majority of calls could be based on preference but must be willing to do all. Contact: Edward Metcalf DVM, 9592W Moose Lake Rd., Hayward, WI 54843. Phone: (715) 462-4662. Email: elmetcalf@centurytel.net.*

MIxED ANIMALFT/PT MA Veterinarian wanted for expanding clinic located in Reedsburg, WI. One hour NW of Madison. All equipment provided. Opening SA clinic this summer with new equipment. On call shared for LA, no on call for SA. Experience preferred, but new graduate considered. Full benefit package. City of 10K, with lots of rural flavor. Come work with us, not just for the boss! Contact us at svsdvm@rucls.net or (608) 768-2697.

Well established, mixed (predominately dairy) practice seeking new or experienced associate to join our mentoring-orientated team. Stable, 4 Doctor/3 CVT practice in outstanding dairy/small town environment offers excellent support staff, truck and equipment, competitive salary and generous benefits package. On-call duties are shared equally and compensated. We can be very flexible in accommodating all of your personal and professional practice needs, including affordable partnership opportunity. Interest in companion animal/equine is a plus. Contact Dr. Elroy Roedel at PO Box 158, Loyal, WI 54446; Phone: (715) 255-8888 days, (715) 255-8889 evening; FAX: (715) 255-9542 or e-mail: loyalvet@frontier.com.

Position available for friendly, energetic SA (90%)/dairy (10%) associate veterinarian to join our quality health

care practice in Verona, WI. Well-equipped clinic offers competitive salary, benefits and potential future buy-in opportunity. It’s a great time to join our friendly, hardworking, fun and experienced staff. Verona is rapidly growing but retains a small town essence, 10 minutes from Madison. Please send resume to: Attn: Bob - Verona Veterinary Medical Service, S.C., 655 Half Mile Road, Verona, WI 53593; Fax to (608) 848-5906; or email to veronavetmed@tds.net.

SA & equine practice in Milton, WI is seeking a PT associate veterinarian. Ideal candidate is an enthusiastic team-player and is proficient in diagnostics and surgery. Our practice focuses on providing compassionate patient care and comprehensive client education. We have an excellent facility and friendly support staff. Send resume to Dr. Dean Peterson at drpeterson@janesvillevet.com.*

DAIRYRepresent ANIMART as the wet calf expert (dairy, veal, and dairy beef calves) through consulting, education, and problem solving. It is our goal to help our producers reach the full genetic potential of their herds. Practice experience critical to perform duties. Highly competitive salary based on experience with full benefit package. Travel required throughout Wisconsin and surrounding states. DVM, Licensed in WI, other states desirable. Contact: Karen Hunt at (920) 319-4324 or email karenh@animart.com.

RELIEFExperienced SA relief veterinarian available. Versatile. Great with staff, clients and pets. Willing to travel. Dr. Lori Zimmerman, (608) 592-7779 or doclori@hotmail.com.

SA relief Veternarian for central Wisconsin. Experienced. Versatile. Call Dr. Gary, (715) 652-2065 home, (715) 305-7014 cell.

Quality relief care since 1992. Special interests include surgery and dermatology. Personable, reliable service. Please call Robert Patyk, DVM, at (262) 567-2832. Or email: robert.patyk@att.net.

Providing you with reliable veterinary relief service has been my business for the past 13 years. I’m proficient with medicine cases, soft tissue surgeries and have great client communication skills. Leave message Dr. Barb Korte, (608) 269-3357, email: beachcomber1957@gmail.com.

Experienced SA veterinarian licensed and accredited in WI offering competent, caring, reliable relief work in SE WI. Dr. Shahid Chughtai at (414) 861-1114 or email at gooddoc796@aol.com.

AAHA veterinarian with 20+ years experience available for relief work in NW WI. Excellent diagnostic, surgical, and communication skills, Contact: David Wiltrout, DVM, (715) 462-9475, or email: dvmweepaws@aol.com.

Quality SA relief services available covering SE WI. Over 20 years experience in this SA and emergency medical care. Dr. Pete Gaveras, (414) 476-9390.

Experienced SA relief veterinarian available for work in eastern/central Wisconsin. Please contact Karla Dietrich, DVM at kjddvm83@gmail.com, (920) 210-5991.

Experienced SA veterinarian available for relief work, 15 years relief experience, WI licensed and accredited. Please call/email Mark Clemons, DVM (262) 862-1121, macdjc4209@aol.com.

Dependable, 20+ years experience. Med/Surg serving Northern/Central Wisconsin. Contact Rich Piwoni, at (715) 627-0957, rapiwoni@hotmail.com.

Experienced SA clinician/diagnostician available for relief work in the Fox Valley/East Central area. Excel at adaptability and client communication/education. Melissa L. Knoll, DVM, email: mknolldr@gmail.com or (920) 896-0034.

SA relief vet since 1995. Thorough, reliable, easy going. Will travel to Green Bay, Kenosha, Janesville, Wisconsin Dells and areas in between. Julie Lakin DVM, (920) 269-7264.

Experienced SA clinician available for work in central and western Wisconsin. Excellent communication skills; enjoy working with clients and staff. Nancy Leverance, D.V.M. Email: nleverance@network2010.net or call (608) 617-9408 or (608) 429-9408.

14 April 2013

Wi/Mich licensed DVM for relief. 30 years’ experience in dairy-beef/equine/small ruminants. Pete Drehmann, DVM, pcddvm@gmail.com, (616) 403-1577.*

Caring and compassionate relief veterinarian available. 25+ years of AAHA experience. Competent medical and soft tissue surgery skills. Emphasis on quality and integrity. Paul Danhaus, DVM. (715) 571-8091 or paul.danhaus@gmail.com.

Experience in GP and Emergency, confident in medicine and surgery. Would love to provide quality medicine to your clients in your absence. Willing to travel and can provide references. (541) 602-3966, ehrose33@aol.com.

SA and equine relief work. 21 years experience. Proficient in SA soft tissue surgery and equine ultrasound and

power floating. Will travel. Call Sabine Hartmann, DVM (715) 267-7443 or twinoaks@tds.net.

Experienced, enthusiastic SA veterinarian looking for relief work in South Central WI. 30+ years of experience. Competent in medicine and soft tissue surgery. You can walk out when I walk in! WI licensed and accredited. Please call/email to Deborah Schroeder, DVM (608) 242-8766, drdebs001@aol.com.

Communicative, productive SA veterinarian available for relief work in western WI, surrounding areas. Licensed in MN/WI. Experienced in surgery, medicine, dentistry, staff management. Outstanding customer service, client-building skills. Victori Ribeiro, MS, DVM, (651) 503-0482; neyx0003@umn.edu.

SA veterinarian for relief work. Reliable - Compassionate -Thorough - Adaptable. Experienced and accredited. Goal: permanent member of progressive practice with emphasis on client education. Angela Patchett, ampatchett@dr.com, or (920) 960-2461.

Do you need a Sat off? Past SA hospital owner would like to work a few days a month! SW Milwaukee area. E-mail: ulbrichtkathy@yahoo.com.

POSITION WANTEDBoard-certified internist offers mobile SA medicine consultations, ultrasound, and endoscopy in your practice in SE WI. Please call Anne Mattson, DVM, DACVIM, (262) 241-3987.

RELIEF NEEDEDSolo SA practitioner needs vacation with family! Dates needed are 7/25-7/26, 8/30, 8/12-8/16 and 8/19-8/23. Please email drg@northwoodsvetcenter.com.

TECH/STAFFFT Veterinary Technician needed for our 4 doctor Veterinary practice located in the Fox River Valley area. Competitive salary and benefits offered. Experience and Wisconsin certified a plus. Please send resume to Country View Animal Hospital 425 N.

Tullar Rd., Neenah, WI 54956, Attn: Cathy, or submit to info@cvah.info.

Great Lakes Veterinary Clinic is seeking a FT CVT for our 4 doctor SA clinic in the Fox Cities. Responsibilities include: anesthesia, dentistry, radiography, lab skills, patient care, exam room histories, assistance to our doctors, and client education. We offer competitive benefits and salary is commensurate with experience. Please see our website at www.greatlakesvetclinic and view our video of the clinic. For more information contact Tamera Hagner, Practice Manager at (920) 727-1570, tamerahagner@glvcvet.com, or 2845 County Road JJ, Neenah, WI 54956.

Seeking FT/PT CVT(s) to join our practice near Madison. We practice high quality medicine where you will have ample opportunity to utilize your training plus develop new skills. We are computerized, have in-house lab, and utilize digital radiology including dental. Email cover letter/resume to waunakeevetclinic@gmail.com, Attn: Dr. Arnett.

FT Position: Enthusiastic person with great communication skills and proficiency with computers. Customer Service Representative must have the personality to work in a fast-paced environment. Send resume to: valerinej@ymail.com.

Office manager needed 16-20 hours/week. Duties include staff training, inventory, customer service and marketing. Minimum one year management experience. One hour from Madison. Send resume to mkvcwaupun@yahoo.com.

Irongate Equine Clinic, a full-service, three veterinarian equine ambulatory practice located in Madison, Wisconsin, has an opening for a PT veterinary technician. Qualified candidates should possess excellent technical and horse-handling skills, strong communication abilities, and, preferably, a background in horses. Duties include assisting veterinarians in a wide variety of procedures on-the-farm and at our central breeding facility. Other responsibilities will include some routine laboratory work and processing of Coggins tests. Flexibility in scheduling, a strong work ethic, and a positive attitude with co-workers and clients is a must. To apply, please email your cover letter, resume and references to sarah@irongateequine.com.

Exceptional Care for Animals is a comprehensive, 24 hour emergency and critical care facility, providing compassionate care to companion animals. ECA is seeking experienced FT/PT CVT’s, to join our busy hospital.

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Solutions for your practice

Workers’ Compensation • Business Property/ Liability • Flood Coverage • Umbrella Liability • Commercial Auto • Employment Practices Liability

Solutions for your livelihood

Professional Liability • Veterinary License Defense • Professional Extension (Animal Bailee) • Safety and Risk Management Resources

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Call 855.228.PLIT (7548) today for an evaluation of your insurance portfolio and a free premium quotation.

Trust Broker and Administrator: HUB International Midwest Limited

Stabilitysince 1962

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1+ year working as a CVT in a hospital setting is preferred. Applicants must be skilled in: animal restraint, venipuncture, IV catheter placement, lab sample collection and processing, surgery monitoring, anesthesia induction, radiography, pharmacy, client education and communication, reception/front desk work. Applicants must also be reliable and flexible to work weekends and holidays. ECA offers competitive compensation along with a comprehensive benefits package, including medical/dental, 401K, and paid vacation. If you share our commitment to deliver the highest quality of patient care with “Exceptional” client services, please e-mail your resume with cover letter to Susan Abel, at susana@ecamadison.com.

PT/FT Experienced technician. Must be reliable, self-motivated, team worker and get along well with others. Available immediately. Located in the Hartland area. Email resume to mertonvet@wi.rr.com, or preferred; stop in at N68 W29626 Sussex Rd., Hartland, WI. Phone: (262) 538-1280.*

Veterinary hospital with excellent reputation, clientele, and staff, seeking a motivated, compassionate and skilled CVT or experienced assistant. We are a fast paced full service hospital in which you can use your skills to their fullest. We are looking for dedicated, dependable and hardworking individual who is interested in helping us provide compassionate care to our clients companions. Must be available for Sat. a.m.’s and one evening. E-mail letter of interest and resume to info@muskegoanimalhospital.com or fax to Jackie (262) 679-3115.*

FT CVT to assist with surgery/anesthesia/dentals/doctors in rooms, client communication, x-rays, labwork, restraint, emergency procedures and on call rotation. Email resume/cover letter to bbean@lacrossevet.com.*

WANTED TO BuYLooking for X-ray processor Konica SRX 101A, less than 5-10 years old; also non digital dental X-ray machine. Contact: dreric@hudsonpethospital.com.*

FOR SALE2004 Chevy Silverado. 146000 2WD 8ft box, reg. cab. 1988 Bowie America. Both in working order. Will sell together for $5000 or $3750 for truck and $1250 for box.

We have pictures if interested. Contact us at (262) 859-2560 for easiest and fastest response.

TTA Instruments & Implants-Full set including all instruments, cages, plates, forks and screws in implant cases. Purchased in 2008 for approximately $10,000 and used on less than 10 cases. Email: rbbrewer@aol.com for more information.

PRACTICE FOR SALESA practice for sale in central WI on northern border. Gross $1.2M and very well equipped. Contact Total Practice Solutions Group, Dr. Kurt Liljeberg, (800) 380-6872, or kurt@tpsgsales.com.

SA Practice for Sale. Aprox 50 miles from Madison. In town of 9,000. $30,000 buys equipment, inventory and practice. Lease building or $110,000 buys everything. Owner financing available. Blind Box 13PFS01, c/o WVMA, 2801 Crossroads Dr., Ste. 1200, Madison, WI 53718.

Under Contract! SA practice for sale western Milwaukee suburb. Gross revenue $650,000 with beautiful free standing building. Real estate appraised at $600K. Purchase practice and real estate for $900,000. Contact Total Practice Solutions Group, Dr. Kurt Liljeberg, (800) 380-6872, or kurt@tpsgsales.com.

West-Central Wisconsin. Solo practice in rural area. Presently 100% SA. Surgical laser equipped. Building has 2 apartments on 2nd floor. Motivated seller would like to retire soon. Send inquiry of interest to Blind Box 13PFS03, c/o WVMA, 2801 Crossroads Dr. Ste. 1200, Madison, WI 53718.

SA practice for sale in Wausau area. Revenue $900,000/year. Hospital is beautiful and nicely equipped. Excellent cash flow! Buy practice and RE for $805,000. Contact Total Practice Solutions Group, Dr. Kurt Liljeberg, (800) 380-6872, or kurt@tpsgsales.com.

When buying or selling a veterinary practice, count on the experience of Total Practice Solutions Group. See our display ad this issue. Contact Dr. Kurt Liljeberg of Total Practice Solutions Group for a free consultation, (800) 380-6872, or kurt@tpsgsales.com.

East-Central Wisconsin. Solo, 95% SA practice. Clinic, attached house on 1.9 acres along state highway. Loyal client base. Owner to retire. Serious inquiries to Blind Box 13PFS02, c/o WVMA, 2801 Crossroads Dr., Ste. 1200, Madison, WI 53718.*

Wisconsin Veterinary Medical Association

2801 Crossroads Dr., Ste. 1200

Madison, WI 53718

Save the Date!2013 WVMA

Annual Convention! October 10-13, 2013Alliant Energy Center

Madison, Wisconsin

WVMAVOICE April 2013