p7 25images2.advanstar.com/pixelmags/veteconomics/pdf/2014-05.pdf · to give practicing...
TRANSCRIPT
May 2014 | Volume 55 | Number 5 | dvm360.com
Pain prevention
INCLUDES THE
25 to entice more
WAYS
to your clinic
p10
I’M NOT OK, YOU’RE NOT OK:Why veterinary professionals
cannot be complacent 4
TURN MAD CLIENTSinto happy campers 5
ANTI-THEFT PLANto prevent drugs and other
supplies from walking away 6
CAT CARE IN CRISIS:A road map to coverage of
this Leadership Challenge 9
SOUL-SUCKING COWORKERS:Energy vampires must go 25
CAN’T-MISS ROOMfor your next hospital
p7
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What’s INSIDE
2 | Get in touch
3 | Practice tips
> 2 steps to uncover job applicant lies
> T e cost of complacency–and how
to f ght it
> Flip a frown upside down
6 | What if...
You suspect an employee is stealing?
7 | Hospital design
How to make your hospital special
8 | Click & copy
Help clients get a handle on hot spots
dvm360 Toolkit: Pain prevention
24 | Marketplace
25 | Hot button
Get rid of the energy vampire in
your hospital
Data shows cats aren’t getting the veterinary care they deserve. Find out right
now what you can do to appeal to cats and cat owners.
page 10 By Jessica Goodman Lee, CVPM,
and John Volk
PLUS Your guide to the “cat care in crisis”
content in Veterinary Economics and its sister
publications. page 9
5 HIRING FOULS DVMS MAKEYou want to hire the best, but if you’re guilty of these blunders, you might end
up with duds.
page 15 By Dave Nicol, BVMS
xx
xx
dvm360.com | Veterinary Economics | May 2014 | 1
WHAT’S NEW on
13 tips to increase client compliance
Do you feel like your compliance stats are lacking? Dr. Robin Downing shares 13
ways you can increase return visits to your practice and ensure the best healthcare
for your patients. Visit dvm360.com/complianceprogram for more.
Checklist: 25 ways to increase your feline visits
Keep track of what you do and
what’s left to do when it comes
to attracting cat owners to your
clinic. To download a printable
checklist of tips, head over to
dvm360.com/felinechecklist.
25 to entice more
ATSA
WAYS
to your clinic
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Mission
To give practicing veterinarians the business tools, insights, ideas and inspiration they
need to fuel their passion for practice; run a well-managed, profi table business; enhance
client loyalty and satisfaction; and maximize their patients’ well-being.
2007 2008
2012
Neal Award
Finalist
2011
Neal Award
Finalist
2010
Neal Award
Finalist
2 | May 2014 | Veterinary Economics | dvm360.com
Advanstar Veterinary
Vice President/General Manager | Becky Turner Chapman
Group Content Director | Marnette Falley
Medical Director | Theresa Entriken, DVM
Director, Electronic Communications | Mark Eisler
Director, The CVC Group | Peggy Shandy Lane
Sales Group
Sales Director | David Doherty
Senior Account Managers, Advertising
Chris Larsen | Terry Reilly
Account Manager, Advertising | Angela Paulovcin
Senior Account Manager, Projects | Jed Bean
Sales and Projects Coordinator | Anne Belcher
Books/resource guides Maureen Cannon | (440) 891-2742
List Rental Sales | Renée Schuster
(440) 891-2613 | [email protected]
Chief Executive Offi cer | Joe Loggia
Chief Executive Offi cer Fashion Group, Executive
Vice-President | Tom Florio
Executive Vice-President, Chief Administrative Offi cer &
Chief Financial Offi cer | Tom Ehardt
Executive Vice-President | Georgiann DeCenzo
Executive Vice-President | Chris DeMoulin
Executive Vice-President, Business Systems | Rebecca Evangelou
Executive Vice-President, Human Resources | Julie Molleston
Sr Vice-President | Tracy Harris
Vice President,, Information Technology | Joel Horner
Vice President, Legal | Michael Bernstein
Content Group
Editor/Business Channel Director | Brendan Howard
(913) 871-3823, [email protected]
Financial Editor | Cynthia Wut
chiett, CPA
Practice Management Editor | Ross Clark, DVM
Practice Leadership Editor | Marty Becker, DVM
Special Assignments Editor | John Loffl in
Content Manager | Adrienne Wagner
Senior Content Specialists | Alison Fulton | Heather Biele, DVM
Assistant Content Specialists | Katie James | Victoria Biondi
Medical Editor | Heather Lewellen, DVM
Technical Editor | Jennifer Vossman, RVT
Editor, E-media | Jessica Zemler
Senior Designer/Web Developer | Ryan Kramer
Art Director | Steph Bentz
Multimedia Contributor | Troy Van Horn
Editorial Advisory Board
Our board members provide critical insights into business,
management, and leadership issues. As recognized experts, they
help Veterinary Economics provide content of immediate relevance
and use to all veterinarians in private practice.
Practitioners
Marty Becker, DVM | Ross Clark, DVM
Dennis Cloud, DVM | Shawn Finch, DVM
James Guenther, DVM, CVPM, MBA | Jim Kramer, DVM, CVPM
Fred Metzger, DVM, DABVP | W. Andrew Rollo, DVM
Jeff Rothstein, DVM, MBA | Ernest Ward Jr., DVM
Jeff Werber, DVM | Craig Woloshyn, DVM
National Management Consultants
Bob Levoy | Shawn McVey, MA, MSW
Karl Salzsieder, DVM, JD
Financial Management Consultants
Gary Glassman, CPA | Denise Tumblin, CPA
Cynthia Wutchiett, CPA
Veterinary Architects
Dan Chapel, AIA | E. John Knapp, AIA |
Heather Lewis, AIA | Wayne Usiak, AIA
ES424691_vete0514_002.pgs 04.16.2014 23:00 ADV blackyellowmagentacyan
More than 50 percent of job applicants
lie in their résumés, according to the
Society of Human Resource Managers.
Inaccuracies could be listing volunteer positions
never held, or lying about certifcations never
earned. Here are two tips to help you get the most
from the reference-check process:
1. Include a waiverOne of the ways to avoid hiring those who have
falsifed their résumé is to have applicants sign a
waiver that attests the accuracy of the information
they provide and authorizes you to seek relevant
background information. Reluctance or refusal to
sign should raise a red fag.
2. Ask the right questionsWhen calling past employers, ask yourself such
questions as “Did the person’s title and responsibili-
ties match what was on their résumé?” or “Did they
get along with clients?” Confrm the reason the
person said they left their last job. Ask whether the
previous employer would rehire the person.
With increasing fabrication, background checks
have become a necessity. For more questions to ask
references, visit dvm360.com/applicants.
Veterinary Economics Editorial
Advisory Board member Bob
Levoy is the author of seven
best-selling books.
Practice tips
Padded résumés come from the people you’d least expect. By Bob Levoy
2job aPPlicant liessteps to uncover
©2014 Live Oak Banking Company. All rights reserved. Member FDIC www.liveoakbank.com/vet
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we are fully-equipped to assist you with acquiring a practice.
We make it easy. Contact us to get started.
Travis York – 678.523.0234 Vince Dailey – 404.538.7701
ES425836_vete0514_003.pgs 04.18.2014 23:43 ADV blackyellowmagentacyan
4 | May 2014 | Veterinary economics | dvm360.com
Dr. Jeff Rothstein, MBA, explains how coasting can hurt not only you, but your practice and team as well.
I see complacency as reaching
a point in your professional
or personal life where you’re
OK with the status quo and
what you’ve accomplished. You
lack the motivation, energy or
desire to work any harder to
achieve new goals.
Twenty years out of veteri-
nary school, I still need to fght
complacency. I was always
interested in practice owner-
ship and management and I felt
owning multiple practices would
provide certain economies of
scale that would allow me to run
well-managed practices. For my
frst 15 years I focused on grow-
ing and adding more locations,
but I realized bigger is not al-
ways better. Since then I’ve sold
a number of the practices, and
yes, it’s a lot easier to manage.
Here’s what I now share in
common with many veterinary
practices that have been around
and are well established: We’re
not setting the world on fre,
but we’re doing OK. We don’t
want to put in time and energy
to innovate and push to the
next level. We’ve done it before
and now want to enjoy the
fruits of our labor.
Don’t settle for “OK”Coasting is OK. Work-life balance
is good. Te problem is, like it or
not, we’re in the wrong profes-
sion for complacency. First of,
from the medical and technology
aspect, we can’t aford to be com-
placent—there’s too much change
to bury our heads in the sand and
ignore, if you want to practice top-
tier medicine. You can practice
medicine that just “gets you by,”
but that shortchanges the client
and patient. It’s incumbent on
those in private practice to keep
up with the latest and greatest.
Tis not only means CE, but also
keeping in sync with the manage-
ment side of the practice.
Fighting complacency is a
challenge, but I’m afraid of the
alternative. Practice compla-
cency will lead to practice
decline, and declining practices
can spiral downward.
Start change with youVeterinarian and team com-
placency are often directly
tied to practice complacency.
Te impact is that little change
comes into the medical side of
the practice, and the doctors
and teams don’t dive into CE
and practice expansion because
they aren’t focused on continu-
ing improvement.
It all starts with you. Ask
yourself what your long-term
practice goals are: Do you
want to develop a new skill or
improve those you have or own
a practice? Keep asking yourself
what you want to do and what
it will take to accomplish it.
Take a look at yourself and
your practice to see whether
complacency is causing
problems now or threatening
problems in the future.
Veterinary Economics Editorial Advi-
sory Board Member Dr. Jef Rothstein,
MBA, is
president of the
Progressive Pet
Animal Hospi-
tals and Man-
agement Group
in Michigan.
Practice tips
Jump start your practice Want more tips for
fighting complacency?
Head to dvm360.com/
complacent.
cOmplAcencyTe cost of
–and how to fght it
ES425835_vete0514_004.pgs 04.18.2014 23:43 ADV blackyellowmagentacyan
uPside doWnHow to turn a bad client experience around in 15 minutes or less. By Marty Becker, DVM
dvm360.com | Veterinary economics | May 2014 | 5
Practice with heart
In a way, seeing pet owners in the
exam room is like speed dating.
You have about 15 minutes to get
a new relationship of to a positive
start with a new client or cement
the bond with returning clients. But,
what happens when it seems the pet,
the owner or both are treating you
like you’ve got extreme halitosis?
While you might have done
something of-putting in the open-
ing moments of the encounter, you
probably didn’t. What’s more likely
is that pet owners came into the
hospital already worried:
> “Is my pet frightened?”
> “Will this exam reveal some dread-
ful, previously unknown condition?”
> “How much is this going to cost?”
Or maybe distracted or frustrated pet
owners are troubled about something in
their personal life, and it has nothing to
do with the pet—or you—at all.
Whatever the reason, there will
be days when you step into an exam
room with a smile, fresh from an
emotional high with a kinetic bunch
of kittens, only to be met by apathy,
grumpiness or anger.
As soon as you realize that’s what’s
happening, don’t get distracted by
playing the “What did I do?” game. You
may never know, and you can’t change
the past. Instead, “start with the heart.”
Stop the rehearsed spiel. Stop! Now,
start over, focusing only on the emotions
of your patient and client. Sit on the
foor, get out some treats and start chat-
ting while making friends with the pet.
Do a show-and-tell about diferent
parts of the pet’s anatomy. Or show
the owner the most pleasurable places
to massage a dog or cat.
Better yet, get pet owners talking
and just listen. Ask more questions
and keep listening. Talking about their
pets and your mutual love of animals
turns most exam room fops turn into
positive pet experiences.
While you can’t fx a bad marriage
or solve fnancial woes in 15 minutes,
you can turn a client visit into an
experience that leaves the pet owner
feeling appreciated and the pet pam-
pered. Positive associations turn a trip
to the veterinarian into something to
look forward to rather than dread. Ve
Dr. Marty Becker, Veterinary Eco-
nomics Practice
Leadership Editor,
is the author of 21
books. He practices at
North Idaho Animal
Hospital in Sand-
point, Idaho.
Flip a fr wn
More than a
Million
Reasons to
Celebrate
We did it.
%XW�ZH·UH�QRW�GRQH�\HW�
,W·V�EHHQ����\HDUV�VLQFH
Simmons Educational Fund
(SEF) set out to provide
business education to those in
the veterinary profession.
And here we are, over
$1 million in donations later.
We are proud of the student
awards and sponsorships we
have offered and our
contribution to the business
success of veterinary
professionals.
Congratulations to
Daniel Brown
� 2014 Winner of the $15,000 SEF
Business Aptitude Award
� Senior at Texas A&M College
of Veterinary Medicine
www.s immonsedfund.org
ES425834_vete0514_005.pgs 04.18.2014 23:43 ADV blackyellowmagentacyan
You suspect an employee is
We dream up a practice where a team member may be stealing inventory. By Karen Felsted, dvm, cpa, cvpm, ms, and Jessica Goodman Lee, cvpm
stealing?
what if ...
At the hypothetical
Jameson Animal Hos-
pital, new head techni-
cian Cynthia reports to practice
owner Dr. James J. Jameson that
products are going missing from
the clinic on a regular basis.
While performing the recently
implemented inventory counts,
for a few weeks in a row Cynthia
fnds one to three fewer units
than expected of many products
on the shelves. She’s sure the
quantities received were entered
properly into the computer, and
the newly implemented medi-
cal record audits don’t show
product sent home with clients
or used in no-charge hospital-
ized cases, which leads her to
suspect employee theft.
Dr. Jameson is shocked—he
trusted all his employees. But he
also trusts Cynthia’s judgment.
Where does he start? First, he
schedules a staf meeting to
discuss the missing inventory
items, the investigation and new
controls that will help ensure
inventory items are properly
accounted for and secured.
Te practice will continue
weekly counts of high-volume
products, with the addition of
monthly inventory counts for
all other medications—except
controlled substances, which
will be counted weekly. Other
controls include:
> Security cameras. Tese
cameras will be installed in re-
ception, the pharmacy, the food
room, the break room and the
employee entrance.
> Card-reader security
system to replace keys. Each
employee’s card will get a card
with a unique code. Dr. Jameson
alone will be able to access the
name, time and date of every-
one who enters the building.
> Improved security for
nonurgent inventory. Dr.
Jameson will leave just enough
on the shelves for an average
day’s worth of sales and lock
the rest in a cabinet only he and
Cynthia can open. Because re-
ceptionists need daily access to
the food, however, lead recep-
tionists will have the food room
key and be the only one allowed
to retrieve diets purchased. A
thorough review of controlled-
substance protocols and logs
will ensure the practice is meet-
ing all legal requirements.
> No more self-invoicing.
Staf will run purchases of
services and products through
a doctor, who will confrm the
purchases and enter them on
the employee’s account. Also,
Dr. Jameson will review em-
ployee purchases each month
for unusual items or patterns.
> Inventory audit reviews.
Dr. Jameson will review inven-
tory reports weekly in order
to verify that adjustments are
legitimate and not a way of
disguising theft.
He recognizes that he has
been naïve to assume his
employees would never steal
from him. He intends to follow
through with safeguards to
ensure the theft stops. VE
Dr. Karen Felsted is president of
PantheraT Veterinary Management
Consulting. Jessica Goodman Lee
joined Brakke Consulting in 2011.
So what?
“what if ...”
explores
practice
problems and
offers online
tools to solve
them. learn
more at
dvm360.com/
whatif.
6 | May 2014 | Veterinary economics | dvm360.com
Scan the QR code
above or visit
dvm360.com/inventoryaudit
to download an
audit checklist and
inventory audit
tracking sheet.
ES424677_vete0514_006.pgs 04.16.2014 22:34 ADV blackyellowmagentacyan
dvm360.com | Veterinary Economics | May 2014 | 7Nicole begley photography
tiM Murphy, foto iMagery ltd.
hospital design
every practice has exam rooms, reception and a treatment area. but what other spaces can you dream up to serve your clients and patients better?
you’d be hard-pressed to fnd a veterinary
hospital today without at least one type of
specialty room. Whether it’s a space de-
voted to radiology or a private consultation room
that doubles as a comfort room, when you’re
remodeling or building new, remember that you
can choose how each square foot of your hospi-
tal caters to your team and your clients.
“Our veterinary clients typically have more on
their wish list than their budgets will allow. Tis
is why we recommend creating the specialty
spaces that are most important to the practice,”
says Heather Lewis, AIA, partner at Animal
Arts in Boulder, Colo.
Woodhaven Veterinary Hospital in Edmonds,
Wash., has a large consultation exam room,
which is equipped and often used for patient re-
habilitation, among other things. Practice owner
Dr. Ann Brudvik says the design plan started
with the need for a comfort room, until she later
realized that this room needed to be utilized for
multiple purposes to be most efective.
“Tis requires our staf to be aware of how
to schedule euthanasias, consultations, surgical
discharge appointments and rehabilitation ap-
pointments so that they do not overlap,” says Dr.
Brudvik. “It can be difcult in the design process
to anticipate all the ways in which a space will be
utilized. We are fortunate to have the fexibility
this multipurpose room provides us.”
Meanwhile, BelaCoop Animal Hospital of
North Park in Gibsonia, Pa., has the luxury of
using its comfort room only for clients going
through a hard time with their pets. Its private
entrance and exit leads outside to a calming pa-
tio with a bench, fountain and decorative statues.
From here, clients can sit, rest and refect or
leave the clinic with privacy.
“Clients really appreciate the fact that it is so
private, but also the fact that we thought to have
this room for their comfort,” says practice owner
Dr. Katti Strahsmeier-Stoller. “No other practice
in our area has a comfort room just like ours, so
this makes us stand out.”
For more images of specialty room design fea-
tures, visit dvm360.com/specialtyrooms.
>>> the comfort room at belacoop animal hospital features a comfortable mini sofa, flowers, artwork and a flip-down exam table. lighting is dimmable to promote a sense of relaxation. “clients have made the specific remark that having this comfort room has made the process of euthanasia easier to handle,” says dr. Strahsmeier-Stoller.
spEcialHow to make your hospital
>>> the multipurpose consultation room at Woodhaven Veterinary hospital, being used here for canine rehabilitation, features a separate entry and exit out to a land-scaped exterior nook with flower boxes that leads clients to the parking lot. this is especially helpful when used as a comfort room, so bereaved clients don’t have to pass back through the hospital to exit.
ES424647_vete0514_007.pgs 04.16.2014 21:54 ADV blackyellowmagentacyan
What is it?A hot spot is a raw, moist sore on a dog’s skin, usually surrounded by matted fur. Te sore occurs when a dog persistently licks, bites, scratches or chews an area on his body, causing signifcant damage to the skin and ultimately, an oozing sore. Since fea allergy is the most common cause of hot spots, these lesions are most commonly found on the rump or near the tail.
What causes it?Most often, these wounds are due to some sort of irritant or allergen in the environment that causes a dog to itch, such as feas, food or treats, or other environmental nuisances, like dust or pollen. Sometimes hot spots can be associated with matted fur or a lack of proper grooming.
What should I do if I see a hot spot?Take your pet to the veterinarian as soon as possible. Hot spots are very uncomfortable and painful for your pet, so medical intervention is warranted. Remember, a hot spot is usually a symptom of a larger problem, so your veterinarian will also want to fnd the underlying cause, if possible.
What should I expect during my pet’s exam?1. Your veterinarian will ask questions to fnd out whether your dog has had any previous skin or ear disease and if so, whether the problem fares up year-round or seasonally.2. He or she will perform a thorough physical exam, inspecting both the hot spot and other areas of your
pet’s body that could show signs of irritation.3. Your veterinarian may also run a fea comb through your dog’s fur, perform a skin scraping to look for mites or sample some of the wound material to look for bacterial contamination.
How will the wound be treated?Te goal of treatment is to clean the wound and keep the pet from further traumatizing the area. Your veterinarian may clip your dog’s fur around the hot spot and remove any fur or crust from the wound. If the hot spot is large, your pet may need to be sedated to minimize discomfort. An injectable drug may be given or a local anesthetic may be applied to the afected area as well. Your veterinarian may also send you home with:
> instructions for cleaning the wound> a special collar to keep your pet from furtherdamaging the area> a topical or oral steroid to manage the itching and
infammation> a fea preventive.
Will the hot spot return?If the underlying cause hasn’t been found and controlled, your pet could experience another hot spot in the future. But before more advanced diagnostics, such as a food trial or allergy testing can be performed, your veterinarian will want to understand the pattern of your pet’s hot spots—when they occur (if recurrent) and how often. Tat’s
why it’s so important to keep in touch with your veterinarian when skin problems arise and bring your pet in for an examination when necessary.
Now what?Find out what’s going on with your dog’s skin lesion and what you can expect from your visit to the veterinarian.
My dog has aHOT SPOT.
Information provided by Dr. Paul Bloom, board-certified veterinary dermatologist
CLICK & copy
8 | May 2014 | Veterinary Economics | dvm360.com
It’s important to warn pet owners that those unsightly wounds often signal an underlying issueÑand getting to the root of the problem is critical.
Hot spots—those raw,
oozing lesions that
seem to crop up over-
night—are no fun for pet own-
ers or the pet. But even though
the clients’ f rst priority is
making the wound go away, it’s
important to warn them that
another, more pressing issue
might be lurking underneath.
“Ninety-nine percent of
hot spots are due to allergies,”
says Dr. Paul Bloom, DACVD,
DABVP, owner of Allergy, Skin
and Ear Clinic for Animals in
Livonia, Mich., and assistant
adjunct professor of dermatol-
ogy at Michigan State Univer-
sity. “And it’s our job to f nd
out what the allergy is.”
Dr. Bloom recommends a
systematic approach to diag-
nosing the underlying cause of
a hot spot, starting with a thor-
ough dermatologic history. It’s
important to f nd out whether
the patient has had skin or
ear disease in the past, and
if so, how it was treated and
whether the patient responded
to therapy. Also important is
identifying a pattern for
the onset of clinical signs,
such as scratching, biting
or licking, to determine
whether the animal is
uncomfortable year-round
or seasonally.
During the physical ex-
amination, it’s also crucial
to look for other mani-
festations of allergies,
paying close attention to
the feet, ears, underside,
lip area and chin, neck,
dorsal trunk and under
the tail. “Because f ea
allergy is the No. 1 cause of hot
spots, the rump area is one of
the most common locations for
these lesions,” Dr. Bloom says.
Other diagnostic steps may
include running a f ea comb
through the patient’s fur, col-
lecting samples for cytology or
performing a skin scraping for
mites, specif cally Demodex.
And once a pattern of allergic
f are-ups is identif ed, further
advanced diagnostics, such as
a food trial or allergy testing,
may be warranted.
But the most important thing
to remember, says Dr. Bloom,
is that the reason for the pet’s
itching must be identif ed. “If
we only treat the symptom, it’s
like we’re playing the arcade
game Whac-A-Mole,” he says.
“You have to get serious about
f nding the underlying cause
to of er the patient the best
chance for lasting relief.”
To download an information-
al client handout on hot spots,
head over to dvm360.com/
hotspots.
Help CLIENTS get a handle on
HOT SPOTS
ES424651_vete0514_008.pgs 04.16.2014 22:07 ADV blackyellowmagentacyan
Leadership challenge
dvm360.com | Veterinary economics | May 2014 | 9
Veterinarians have heard a lot about
cats and the veterinary profession
lately, with decreased patient visits,
parasite non-compliance and more. But we
wanted to take it a step further.
In this second of four leadership challenges,
we took a long look at the state of feline
healthcare for “Cat care in crisis,” supported
by an educational grant from Zoetis. Tis is
a cross-publication investigation that spans
dvm360, Veterinary Economics, Veterinary
Medicine and Firstline. It delves into not only
cats, but their owners as well. Why don’t cli-
ents bring their cats in for regular exams? And
what can veterinarians do to change that?
To the right you’ll see a sneak peek of
what’s covered in Veterinary Economics’
sister magazines, and on the following pages
we give you 25 ways you can grow your feline
business. Visit dvm360.com/catcare for all
the content located in one place.
C is for cost. dvm360 looks at how cat
owners are far more price-sensitive than dog
owners and how to break down the bias.
What cat owners want. Veterinary Medicine
shows how cat owners vary greatly from
dog owners—and why.
Make the first visit count. Firstline gives
tips for conducting the perfect first visit for
a new cat owner—from the front desk to
treatment area.
Supported by an educational
grant from:
The challengein cat care
Web excLusiVeshoW cat-friendLy is your practice? Take our BizQuiz on these 25 ways to entice
more cats to your clinic to see how you
stack up against the tips provided. Head to
dvm360.com/catquiz to begin.
taLking to your practice’s “mission-driVen” cLients By Julie Scheidegger
It can be a delicate balance to guide passion-
ate community cat caregivers into providing
basic standard care. Read our experts’ advice
at dvm360.com/missiondriven.
ES425126_vete0514_009.pgs 04.17.2014 22:47 ADV blackyellowmagentacyan
10 | May 2014 | Veterinary economics | dvm360.com
Leadership challenge
Data show cats aren’t getting the veterinary care they deserve. Right now fi nd out what you can do to appeal to cats and cat owners. By Jessica Goodman Lee, cvpm, and John Volk.
T ere’s opportunity in cats.Fewer than half of the cats owned in
the United States visited a veterinar-
ian in the last year, according to the
most recent Bayer Veterinary Care
Usage Study. And only 37 percent of
owners take their cat in for routine
wellness exams.
While these statistics are discourag-
ing, the study also found that owners
were interested in providing good
healthcare for their cats. In many
cases, they simply didn’t know what
“good healthcare” was or there were
other obstacles in the way. Addressing
those issues provides a tremendous
opportunity for practices to attract
and bond with more feline owners.
Here are recommendations and
ideas based on the study results to help
get you started on improving the feline
experience in your practice. Which
ones are you doing? Which ones could
you do? And why wouldn’t you?
1Educate on cat carriers.
When cat owners call to sched-
ule appointments, off er advice
on getting the cat into the carrier. More
than 70 percent of cat owners said
their veterinary practice gave them no
recommendations for transportation or
acclimating their cat to the carrier. Yet
the Bayer studies—conducted by Bayer
Healthcare Animal Health with Brakke
Consulting and the American Associa-
feLine facts and foLkLore
25 to entice more
ATSA
WaYS
to your clinic
The iconic image of Marlon Brando stroking a cat in The
Godfather was accidental. A stray cat wandered onto the
set, Brando picked it up, and the rest is movie history.
(selamectin)
®
Topical Parasiticide For Dogs and CatsBRIEF SUMMARY: See package insert for full prescribing information.
CAUTION: US Federal law restricts this drug to use by or on the order of a licensed veterinarian.
INDICATIONS: Revolution is recommended for use in dogs six weeks of age or older and cats eight weeks of age and older for the following parasites and indications:
Dogs:Revolution kills adult fleas and prevents flea eggs from hatching for one month and is indicated for the prevention and control of flea infestations (Cteno cephalides felis), prevention of heartworm disease caused by Dirofilaria immitis, and the treatment and control of ear mite (Otodectes cynotis) infestations. Revolution also is indicated for the treatment and control of sarcoptic mange (Sarcoptes scabiei) and for the control of tick infestations due to Derma centor variabilis.
Cats:Revolution kills adult fleas and prevents flea eggs from hatching for one month and is indicated for the preven tion and control of flea infestations (Ctenocephalides felis), prevention of heartworm disease caused by Diro filaria immitis, and the treatment and control of ear mite (Otodectes cynotis) infestations. Revolution is also indicated for the treatment and control of roundworm (Toxocara cati) and intestinal hookworm (Ancylostoma tubaeforme) infections in cats.
WARNINGS: Not for human use. Keep out of the reach of children.In humans, Revolution may be irritating to skin and eyes. Reactions such as hives, itching and skin redness have been reported in humans in rare instances. Individuals with known hypersensitivity to Revolution should use the product with caution or consult a health care professional. Revolution contains isopropyl alcohol and the preservative butylated hydroxytoluene (BHT). Wash hands after use and wash off any product in contact with the skin immediately with soap and water. If contact with eyes occurs, then flush eyes copiously with water. In case of ingestion by a human, contact a physician immediately. The material safety data sheet (MSDS) provides more detailed occupational safety information. For a copy of the MSDS or to report adverse reactions attributable to exposure to this product, call 1-888-963-8471.
Flammable - Keep away from heat, sparks, open flames or other sources of ignition.
Do not use in sick, debilitated or underweight animals (see SAFETY).
PRECAUTIONS:Prior to administration of Revolution, dogs should be tested for existing heartworm infections. At the discretion of the veterinarian, infected dogs should be treated to remove adult heartworms. Revolution is not effective against adult D. immitis and, while the number of circulating microfilariae may decrease following treatment, Revolution is not effective for micro-filariae clearance.
Hypersensitivity reactions have not been observed in dogs with patent heartworm infections administered three times the recommended dose of Revolution. Higher doses were not tested.
ADVERSE REACTIONS: Pre-approval clinical trials: Following treatment with Revolution, transient localized alopecia with or without inflammation at or near the site of application was observed in approximately 1% of 691 treated cats. Other signs observed rarely ()0.5% of 1743 treated cats and dogs) included vomiting, loose stool or diarrhea with or without blood, anorexia, lethargy, salivation, tachypnea, and muscle tremors.Post-approval experience: In addition to the aforementioned clinical signs that were reported in pre-approval clinical trials, there have been reports of pruritus, urticaria, erythema, ataxia, fever, and rare reports of death. There have also been rare reports of seizures in dogs (see WARNINGS).
SAFETY: Revolution has been tested safe in over 100 different pure and mixed breeds of healthy dogs and over 15 different pure and mixed breeds of healthy cats, including pregnant and lactating females, breeding males and females, puppies six weeks of age and older, kittens eight weeks of age and older, and avermectin-sensitive collies. A kitten, estimated to be 5–6 weeks old (0.3 kg), died 8 1∕2 hours after receiving a single treatment of Revolution at the recommended dosage. The kitten displayed clinical signs which included muscle spasms, salivation and neurological signs. The kitten was a stray with an unknown history and was malnourished and underweight (see WARNINGS).
DOGS: In safety studies, Revolution was administered at 1, 3, 5, and 10 times the recommended dose to six-week-old puppies, and no adverse reactions were observed. The safety of Revolution administered orally also was tested in case of accidental oral ingestion. Oral administration of Revolution at the recommended topical dose in 5- to 8-month-old beagles did not cause any adverse reactions. In a pre-clinical study selamectin was dosed orally to ivermectin-sensitive collies. Oral administration of 2.5, 10, and 15 mg/kg in this dose escalating study did not cause any adverse reactions; how-ever, eight hours after receiving 5 mg/kg orally, one avermectin-sensitive collie became ataxic for several hours, but did not show any other adverse reactions after receiving subsequent doses of 10 and 15 mg/kg orally. In a topical safety study conducted with avermectin-sensitive collies at 1, 3 and 5 times the recommended dose of Revolution, salivation was observed in all treatment groups, including the vehicle control. Revolution also was administered at 3 times the recommended dose to heartworm infected dogs, and no adverse effects were observed.
CATS: In safety studies, Revolution was applied at 1, 3, 5, and 10 times the recommended dose to six-week-old kittens. No adverse reactions were observed. The safety of Revolution administered orally also was tested in case of accidental oral ingestion. Oral administration of the recommended topical dose of Revolution to cats caused salivation and intermittent vomiting. Revolution also was applied at 4 times the recommended dose to patent heartworm infected cats, and no adverse reactions were observed.
In well-controlled clinical studies, Revolution was used safely in animals receiving other frequently used veterinary products such as vaccines, anthelmintics, antiparasitics, antibiotics, steroids, collars, shampoos and dips.
STORAGE CONDITIONS: Store below 30°C (86°F).
HOW SUPPLIED: Available in eight separate dose strengths for dogs and cats of different weights (see DOSAGE). Revolution for puppies and kittens is available in cartons containing 3 single dose tubes. Revolution for cats and dogs is available in cartons containing 3 or 6 single dose tubes.
NADA 141-152, Approved by FDA
Distributed by:Zoetis Inc.Kalamazoo, MI 49007
www.revolutionpet.com
10309504
ES425125_vete0514_010.pgs 04.17.2014 22:47 ADV blackyellowmagentacyan
feline PROTECTION
the number
CHOICE INONEFROm fleas
1
HEARTWORMS
feline PROTECTION FROM
the number
CHOICE IN
ONE1
All trademarks are the property of Zoetis Inc., its affiliates and/or its licensors. ©2014 Zoetis Inc. All rights reserved. May 2014. REV0314023
Questions? Contact us at 1-888-ZOETIS1 (963-8471).
REVOLUTION® (selamectin) is fi rst in fl eas.
First in heartworms.1 First on your list.
You may know that REVOLUTION is the veterinarian’s #1 choice in feline heartworm
disease prevention, but did you also know that it is the #1 choice in feline flea
control? Your patients deserve proven protection, and you can provide it to
them by recommending REVOLUTION —the leader in feline parasite protection
against fleas, heartworms, roundworms,* hookworms and ear mites.
IMPORTANT SAFETY INFORMATION:
Do not use on sick, weak, or underweight cats. Use only on cats 8 weeks and older. Side effects may include digestive upset and
temporary hair loss at application site with possible inflammation. In people, REVOLUTION may be irritating to skin and eyes. Wash
hands after use. For more safety information, please see Brief Summary of full Prescribing Information on page
1VetInsite™ Analytics 2013. Zoetis Data on File. *Toxocara cati. Ancylostoma tubaeforme.
10.
ES426008_VETE0514_011_FP.pgs 04.21.2014 18:37 ADV blackyellowmagentacyan
12 | May 2014 | Veterinary economics | dvm360.com
tion of Feline Practitioners (AAFP)—have shown
that cat resistance to carriers is one of the biggest
obstacles to veterinary care.
2 Train everyone on cats. Every team
member should practice eff ective cat
handling and restraint methods. Dem-
onstrating a high level of comfort when handling
cats speaks volumes to clients. Plus, cats are often
calmer when they don’t sense fear or nervousness
in those handling them.
3Decorate well. Put up cat-oriented pic-
tures and reading material in reception and
exam rooms. Update your website images
to give equal screen time to dogs and cats.
4Provide separate areas in reception
for dogs and cats. Cats often like to be
elevated, so provide shelves or benches for
cat carriers. Almost 60 percent of cat owners were
not fully satisf ed with their veterinarian’s reception
area, according to the Bayer Feline Health Study.
5Plan ahead for cat visits. Ensure that an
exam room is available as soon as possible.
Because cats sometimes need up to 20
minutes to acclimate to their surroundings, the best
way to make them as comfortable as possible is to
accommodate them immediately without having
them spend a long time in reception.
6 Reserve a feline-only exam room.
Ideally, choose the one furthest from the
hubbub of the hospital.
7Block off appointment time for cats.
Off er specif c days or times of day solely
for cat appointments. Many owners f nd
the decreased exposure to noise and dogs reduces
stress, both for them and their cats.
8Build a multi-level cat condo in an
exam room. Cats are comfortable when
they can perch on elevated surfaces, and
they’re still within easy reach when it’s time for
the examination.
Leadership challenge
Cats hear even better than dogs—up to 100,000 Hz;
dogs hear at a top range of 35,000 to 40,000 Hz.
(People’s top range? 20,000 Hz).
Topside, cats have about 60,000
hairs per square inch. That doubles
to 120,000 on their bellies.
“We need to orchestrate the process of
moving a cat from living room to exam
room. Moderate food before the visit so
we can offer treats as rewards. ask owners
to give ‘chill pills’ to calm cats and their
stomachs. lend compression garments.”
—MaRTY BecKeR, DVM
“all staff members are trained, but some are considered
‘cat whisperers.’ We call on them when cats or their
owners seem nervous. cat owners remember these staff
members and request them, and we note that so when
they call for an appointment, we can check that the staff
member they prefer is on duty.”
—KaRl SalZSIeDeR, DVM, JD
“It used to be common to see dedicated
cat and dog waiting spaces. Today, prac-
tices use alcoves so clients can separate
when needed. adding artwork and a feline
product display next to an alcove can help
clients choose the ‘cat place’ in reception.”
—heaTheR leWIS, aIa
“We decorated our feline rooms with cat
wallpaper and borders. It probably doesn’t
do much for the cat, but owners like it.”
—PhIlIP VanVRanKen, DVM
ES425122_vete0514_012.pgs 04.17.2014 22:47 ADV blackyellowmagentacyan
dvm360.com | Veterinary Economics | May 2014 | 13
LEADERSHIP challenge
9Use feline-friendly pheromones. Place
a towel sprayed with pheromones on the
exam table. Plug in a pheromone dispenser
in every exam room used for cats.
10 Stop shaking or “pouring” cats
out of carriers. Neither the cats
nor their owners like this practice,
and owners get the impression you don’t like or
aren’t comfortable around their felines. When pos-
sible, allow the cat to leave the carrier on its own
and explore the exam room.
11 Start cat visits with questions.
Use pre-examination questionnaires
with behavioral and environmental
assessments. T is gives owners a chance to think
about changes they’ve observed in their cat they
may not have considered important or relevant.
12 Talk during feline exams. Con-
duct physical exams in the room
with the client, unless otherwise
requested. Explain what you’re doing, why you’re
doing it and what you’re f nding.
13 Separate hospitalized cats and
dogs. While this may be dif cult
depending on the layout of your
practice, separation can greatly lower hospitalized
cats’ stress and owners’ fears of leaving them alone
at your clinic for treatment.
14 Give cat report cards follow-
ing every visit. According to pet
owners surveyed for the Bayer
Veterinary Care Usage Study, exam reports and
care instructions are some of the most highly
valued services. .
15 Ask about other pets at every
visit. Many owners routinely bring
in their dogs, but not cats. Make
sure to spend time to educate them on the impor-
tance of feline preventive care.
Half of domestic cats are right-pawed,
10 percent are ambidextrous and the
remaining 40 percent favor their left paws.
In 2012, a 9-year-old Maine Coon named
Hank ran for Senate in Virginia on the
independent ticket. He got 7,000 votes.
“Set the carrier on the fl oor facing the
wall. Many cats are punished at home for
jumping on the counter, so if you elevate
them, they may think they’re in trouble.”
—MARTY BECKER, DVM
“We encourage this with all our hospital design
clients. Ideally, the cat ward is sound-insulated
to further reduce stress.”
—HEATHER LEWIS, AIA
“We ask about other pets in the house at
when clients book appointments, when
clients and pets come in for exams and
during checkout.”
—JEFF ROTHSTEIN, DVM, MBA
“Our air exchange is so high that we need
plenty of dispensers to build up higher
concentrations. We spray smocks and other
uniforms before work and let them sit for 30
minutes, if possible, so alcohol dissipates.”
—MARTY BECKER, DVM
“We give exam and dental report cards to
all feline parents. We include a summary of the
yearly cat care we recommend along with
a checklist of recommended services. When
we fi ll these out, we go over the fi ndings with
the owner.”
—JEFF ROTHSTEIN, DVM, MBA
ES426782_vete0514_013.pgs 04.22.2014 19:16 ADV blackyellowmagentacyan
14 | May 2014 | Veterinary economics | dvm360.com
Leadership challenge
16 Schedule the next exam
before the cat leaves. T is
increases the likelihood that the
owner will bring the pet back when scheduled.
17 Put cats in your social media.
Create social media content specif -
cally targeted towards the interests
of cat owners. Check out dvm360.com/post-
now for cat-friendly tweets and Facebook posts.
18 Send newsletters to cat
owners. Cover feline behavior
and health several times per year.
Make it worth their while. For example, ask them
to watch an educational video on the importance
of blood tests for feline preventive care, and at the
end of the video off er a specif c reward code.
19 Offer incentives. Cat owners
surveyed for the Bayer Veterinary
Care Usage Study said discounts
and promotions would motivate them to bring
their cat to the veterinarian more often.
20 Offer monthly-paid wellness
plans. Forty percent of cat own-
ers in the Bayer study said that if
their veterinarian off ered monthly payment plans,
they’d be more likely to bring in their cat. Consider
making these plans available to cat owners.
21 Help clients reach your cat
advocate. Provide owners the work
phone number and email address of
a staff member they can contact with questions.
22 Teach classes for cat owners.
Hold educational seminars for cat
owners on topics such as diabetes,
urinary tract conditions and kidney disease.
23 Make housecalls for feline
exams. Many cat owners want to
provide cats with preventive care,
but due to the perceived diffi culty, they opt not to
bring them in unless they become ill (and since
cats hide symptoms, it often means that a disease
has already progressed past the initial stages).
24 Work with a feline rescue
group. Off er the organization
discounted care. In return, new
adopters receive information on your practice and
a free exam within the f rst few days of ownership.
25 Become an AAFP-certifi ed Cat
Friendly Practice. T is program
provides guidelines to insure your
practice is a go-to destination for cat owners.
John Volk and Jessica Goodman Lee work
with Brakke Consulting. T anks to Drs. Marty
Becker, Jeff Rothstein, Karl Salzsieder and Philip
VanVranken as well as architect Heather Lewis
for their advice in this article.
In January 2012, a British cat named Gemma went under the knife when
a tumor the “size of two cricket balls” prevented her from eating. But it
wasn’t a tumor. It was a fi ve-inch-wide hairball that weighed 7.5 ounces.
Cats have about 200
million odor-sensitive cells
vs. 5 million in people.
“Our clients love home visits and are usually
willing to pay extra to minimize stress on
their cat.” —KaRl SalZSIeDeR, DVM, JD
“We’ve offered wellness plans for cats
for years, but they’re less successful
compared to dogs. We need to teach
clients that cats need more than just
minimal care. cat owners—especially with
indoor cats—don’t always see the need.”
—JeFF ROThSTeIn, DVM, MBa
ES425124_vete0514_014.pgs 04.17.2014 22:47 ADV blackyellowmagentacyan
dvm360.com | Veterinary Economics | May 2014 | 15
You want to hire the best, but if you’re guilty of these blunders, you might end up with duds. By Dave Nicol, BVMS
I’ve recruited hundreds of
people in veterinary hospi-
tals, and now I spend a lot
of time helping others do just
the same. Unfortunately, I see
a lot of the same recruitment
mistakes over and over again—
and the cost of these mistakes is
unbelievably high.
To avoid making them, it’s
important to recognize them.
Here are fve mistakes most
veterinarians make when hiring
a new recruit:
Foul: Poor preparation.
Planning your recruitment
process is a step that begins
with writing clear objectives
for every role in your practice.
Without these descriptions,
you’re just going to make a
lucky guess—and more likely a
terrible mistake.
Fix: Plan ahead. Develop
detailed specifcations that
defne the attributes and skills
your new hire must possess to
do the job well.
Foul: Blending in. Te
purpose of a job ad is to get the
attention of the right people.
Using the same language as
everyone else (e.g., “We’re a
progressive practice”) fails to
achieve this.
Fix: Write the right ad.
Your job advertisement should
refect the personality and cul-
ture of your practice—who you
are, what your practice is really
like and what the job will entail.
Foul: Superficial hiring.
Te résumé and interview are
two of the least reliable ways to
gauge someone’s suitability for
the job—and neither represents
what the workplace reality is
going to be for either party.
Fix: Use online tests.
Recreate tasks your employees
will have to undertake. I send
out tests for technicians on
anesthesia and other every-
day responsibilites. Tis alone
objectively rules out about 80
percent of job candidates.
Foul: Think you’re done.
Once the recruitment process
is complete, many DVMs move
on to more pressing issues, leav-
ing the new hire to drown, com-
pletely unaware of the practice’s
objectives and expectations.
Fix: Profile prospects. Tis
helps determine if a candidate
is a good ft for the job and your
team. Language and Behavior
(LAB) and DISC profles are
two reliable tools.
Foul: Avoid your mistakes.
When it comes to recruiting,
it’s no surprise that the super-
human you saw in the interview
turns out to be a “problem”
employee. Instead of admitting
the error and dealing with it,
most DVMs do nothing.
Fix: Be there. Make sure
new hires know what’s required
to perform the job well. Set reg-
ular review meetings to provide
feedback. And most important,
if you make a recruitment mis-
take and your new hire turns
out to be a dud, quickly move
on and start over.
pErsonnEl solutions
Dr. Dave Nicol is
the owner of Dr.
Dave’s Vets and
Pets in New South
Wales, Australia,
and co-founder of
Recruit Right for
Vets. Tis origi-
nally appeared
in CareCredit’s
Power Up Your
Practice.
Don’t blow it, doc! Watch Dr. nicol’s top 10
ways to really mess up
the hiring process by
visiting dvm360.com/top10hiringmistakes.
DVMs make5hiring fouls
ES424667_vete0514_015.pgs 04.16.2014 22:15 ADV blackyellowmagentacyan
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ES425807_vete0514_021_CL.pgs 04.18.2014 23:12 ADV blackyellowmagentacyan
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22 | May 2014 | Veterinary Economics | dvm360.com
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VETERINARY POSITIONS AVAILABLE
GeorGia MichiGan
Webb Animal Clinic of Rincon, GA is seeking a full-time veterinarian to join our incredible team. New graduates welcome. Rincon is a rapidly growing suburb located only twenty five minutes from historic Savannah and a few minutes further are the coastal beaches of Georgia and South Carolina. Our practice consists of a well trained staff that strive to provide superb customer service and compassionate patient care. Webb Animal Clinic is housed in a well equipped, 8,000 sq foot facility offering an in house lab station with chemistry, CBC, and electrolyte capabilities; 7 exam rooms; consultation/euthanasia room; digital radiology; dentalair 3 unit; cryopen; continuous glucose monitoring system; endoscopy unit; and the new LOGIQe ultrasound machine with color flow and continual wave technology; state-of-the-art surgery suite with Engler positive pressure anesthesia delivery systems; pulse ox; ECG; BP monitor; and IV pumps. Many case opportunities in advanced internal medicine, soft tissue, and orthopedic surgeries. Benefits include paid licensing fees, organizational dues, health insurance, CE, paid vacation, and competitive salary with bonus system. Candidate must be self motivated, have excellent communication skills, and be a team player. Please email Dr. Joe Mckenzie at [email protected], Call Shay Williams, Practice Manager at 912-429-1192, or email [email protected].
Looking for a veterinarian needing to practice high quality medicine. Must have a personable bed-side manner, finely developed communication skills and be able to promote health care services in the best interest of the patient and their families at all times. Will receive flexible scheduling, generous benefits, family friendly atmosphere and a rewarding career at a small animal, avian and exotic AAHA accredited hospital. Please send resume to Warren Woods Veterinary Hospital, 29157 Schoenherr, Warren, MI 48088, or e-mail Dr. Cappel at jacappel@wwvhcares.
Emergency Vet Wanted. NE Georgia, lake community. Competitive salary and benefits. Call Robert Hall, DVM at 678-772-8144.
Associate veterinarian needed full time for well established small animal practice in Northern, VA. Equipment includes full in-house laboratory, ultrasound, x-ray, dental equipment and Storz Endoscope. Reproduction experience a plus. New graduates are welcome to apply. Position includes sharing after hours reproduction emergency calls. Competitive salary. Please fax resume to 703-754-0533 or email [email protected].
Busy S.A practice, central NM, Main St. location in town center, newly remodeled, gross over 650k, Great cash flow, real-estate optional. Great Opportunity, owner wants to Retire. Call Mr. Kano 505-249-0805 for more details.
VirGinia
new Mexico
Seeking associate veterinarian to join us in a multi-doctor, companion animal practice in the South Carolina low country. Located between Charleston and Summerville, in the progressive town of Ladson. College Park Road Veterinary Clinic is seeking an experienced team player dedicated to quality medicine and surgery in a caring, service oriented environment. Our facility is well equipped and supported by a dedicated, competent staff. Benefits include paid vacation; CE allowance; national, state and local association dues; and health insurance. Salary based on experience and ability. Please call Dr. Joe Mckenzie at 912-232-5700, 912-660-3384, or email [email protected].
South carolina
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ES425803_vete0514_022_CL.pgs 04.18.2014 23:12 ADV blackyellowmagentacyan
dvm360.com | MARKETPLACE
dvm360.com | Veterinary Economics | May 2014 | 23
PRACTICES FOR SALE OR LEASE
national
ToTal PracTiceSoluTionS GrouP
Veterinary Practice Sales & Appraisals
www.tpsgsales.com
ScottDaniels
JohnBryk
BillCrank
RichardAlker
LenJones
KarlSalzsieder
GeorgeSikora
DaveDavenport
KurtLiljeberg
RebeccaRobinson
Selling or Buying a Veterinary Practice?Dr. Len Jones – 334.727.2067 – [email protected]
TX, NM, LA, MS, AL, GA, TN, FL
Dr. Richard Alker – 850.814.9962 – [email protected]
Scott Daniels – 877-778-2020 – [email protected] CA
Dr. Karl Salzsieder – 360-577-8115 – [email protected] WA, ID, OR, AK, UT, NV, AZ, HI
Dr. Dave Davenport – 816.331.9449 – [email protected], WY, CO, ND, SD, NE, KS, OK, IA, MO, AR
Dr. Kurt Liljeberg – 800.380.6872 – [email protected], WI, MI, IN, OH, NY, PA
Dr. George Sikora – 419.945.2408 – [email protected], IL, KY, MD, OH, NC, SC, VA, WV
Dr. John Bryk – 419.945.2408 – [email protected] DC, IL, KY, MD, OH, NC, SC, VA, WV
Dr. Bill Crank – 419.945.2408 – [email protected] CT, MA, ME, NH, RI, VT, DE ,NJ, NY, PA
Rebecca Robinson – 912.230.3389 – [email protected], NM, LA, MS, AL, GA, TN, FL
national national
VA, Central: 3,900sf w/RE.
ME, York County: 3,500sf w/RE.
ME, York County: 2,000sf w/RE.
TX, Jackson County: 2,500sf w/RE.
WV, Cabell County: 3-exam rooms w/RE.
OK, Oklahoma County: 4,500sf w/3-lots.
NC, Winston Salem: 5,500sf w/RE.
NY, Onondaga County:
Emergency w/3-exam rooms.
NV, Clark County: 2,400sf w/RE.
MI, Bay County: 2,500sf w/RE.
ID, Ada County: 2,000sf w/3-exam rooms.
FL, Charlotte County: 2,100sf w/RE.
FL, Dixie County: 3,500sf w/RE.
FL, St. Lucie County: 2,200sf w/RE.
FL, S. Palm Beach County: 3,600sf, prime area.
800-636-4740
PSBROKER.COM
georgia
Lake Lanier Area – Small animal practice grossing $610K+. Quality lifestyle in high trafficked location. Seasoned / experienced staff. Excellent opportunity. Call Mike Nelson, Nelson & Associates, 770-475-7559.
Central GA – Small animal practice grossing $550K+. Great opportunity in rapidly growing community. High tech practice – very well equipped. Call Mike Nelson, Nelson & Associates, 770-475-7559.
massachusetts
Established solo small animal practice includes one building with 2400 sf hospital and 1400 sf residence and 8 acres. Stable client base and experienced staff. Quality of life in small town north of Boston, near ocean and mountains. Contact [email protected]
michigan
30+yr. Practice for sale, $375,000, full turnkey operation including excellent RE, inventory and equipment on 1+ acre in Southwest Michigan. Dr Joseph Ertel DVM CBI 863-646-9044 WWW.BROKERDOC.COM
Find it all here
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ES425848_vete0514_023_CL.pgs 04.19.2014 00:33 ADV blackyellowmagentacyan
PRODUCTS
Veterinary Economics (Print ISSN: 0042-4862, Digital ISSN: 2150-7392) is published monthly by Advanstar Communications Inc., 131 West First St., Duluth, MN 55802-2065. Subscription rates: one year $43, two years $66, three years $100 in the United States and Possessions; $60 for one year, $117 for two years, $162 for three years in Canada and Mexico; all other countries $85 for one year, $159 for two years, $229 for three years. Single copies (prepaid only) $18 in the United States; $22 in Canada, Mexico and $24 in all other countries. Periodicals postage paid at Duluth, MN 55806 and additional mailing off ces. POSTMASTER: Please send address changes to Veterinary Economics, P.O. Box 6086, Duluth, MN 55806-6086. Canadian G.S.T. number: R-124213133RT001. Publications Mail Agreement Number 40612608. Return Undeliverable Canadian Addresses to: IMEX Global Solutions, P. O. Box 25542, London, ON N6C 6B2, CANADA. Printed in the U.S.A. © 2014 Advanstar Communications Inc. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical including by photocopy, recording, or information storage and retrieval without permission in writing from the publisher. Authorization to photocopy items for internal/educational or personal use, or the internal/educational or personal use of specif c clients is granted by Advanstar Communications Inc. for libraries and other users registered with the Copyright Clearance Center, 222 Rosewood Dr. Danvers, MA 01923, 978-750-8400 fax 978-646-8700 or visit http://www.copyright.com online. For uses beyond those listed above, please direct your written request to Permission Dept. fax 440-756-5255 or email: [email protected]. Advanstar Communications provides certain customer contact data (such as customers’ names, addresses, phone numbers, and e-mail addresses) to third parties who wish to promote relevant products, services, and other opportunities which may be of interest to you. If you do not want Advanstar Communications to make your contact information available to third parties for marketing purposes, simply call toll-free (866) 529-2922 between the hours of 7:30 a.m. and 5 p.m. CST and a customer service representative will assist you in removing your name from Advanstar’s lists. Outside the United States, please call (218) 740-6477. Veterinary Economics does not verify any claims or other information appearing in any of the advertisements contained in the publication, and cannot take responsibility for any losses or other damages incurred by readers in reliance on such content. Veterinary Economics cannot be held responsible for the safekeeping or return of unsolicited articles, manuscripts, photographs, illustrations, or other materials. Address correspondence to Veterinary Economics, 8033 Flint, Lenexa, KS 66214; (913) 871-3800; e-mail [email protected]. To subscribe, call 888-527-7008. Outside the U.S. call 218-740-6477.
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IDEXX Laboratories
DiagnosticsiPhone app
IDEXX Laboratories has released
the VetConnect Plus app for
iPhone. T e new app notif es
veterinarians the moment
diagnostic results are ready and
displays those results immediately,
whether generated from IDEXX
in-house analyzers or IDEXX
Reference Laboratories. T e
app allows veterinarians to f lter
results so they see only the cases they’re monitoring
at any given time. Practitioners get a view of both
quantitative and qualitative results, including reference
intervals and comments.
For fastest response visit idexx.com/vetconnectplus.com
DoveLewis Emergency Animal Hospital
Training website
DoveLewis Emergency Animal Hospital,
a nonprof t 24-hour emergency and
intensive care animal hospital in Portland,
Ore., has launched On the Floor @
Dove, an on-demand training website for
veterinary professionals. On the Floor @
Dove provides 24/7 online access to the
knowledge of DoveLewis professional staf
and features educational content such as
high-quality video of real-time procedures, informational articles and blogs. T e training
platform is designed to help veterinary practices improve patient care, save time and money,
and enhance team training and ef ciency.
For fastest response visit atdove.org
iM3
Dentalradiography unit
iM3 has introduced a
veterinary-specif c dental
radiography system, the
Revolution 4DC. Of ering a
0.4mm focal spot and operating
with DC technology, the unit
is designed to produce high-
resolution images consistently
and ef ortlessly. T e spherical mount ensures f exibility
during positioning and eliminates movement. Touch
sensitive areas on the tube head allow the head to be
locked into place with precision. T e wireless controller
of ers portability and a range of exposure scenarios and
technique settings.
For fastest response visit im3vet.com or call 800-664-6348
24 | May 2014 | Veterinary Economics | dvm360.com
ES425054_vete0514_024.pgs 04.17.2014 22:06 ADV blackyellowmagentacyan
dvm360.com | Veterinary Economics | May 2014 | 25
Get rid of theENERGY VAMPIRE in your hospitalNegativity can suck the life out of you and your team. Learn to let that person go.
Energy vampires. T at’s
an awesome term, isn’t
it? I had never heard it
until I read the management
book T e Energy Bus by Jon
Gordon. He describes energy
vampires as the people who
are gifted at being miserable
and seemingly trying their
hardest to make those around
them miserable too.
I bet you can name an
energy vampire or two in your
hospital right now. Who do
you think about after you leave
work? “If only she would…” or
“Why does he…?”
Energy vampires will suck the
life out of you and the rest of
your team if you let them. T ey
can’t help themselves. You’ve
probably talked to them many
times about their bad attitude
and failure as a “team player.”
You come into work the next
day after a long talk with them
hoping they’ve changed, but
odds are they’re still negative
and pessimistic.
T e problem, though, is that
even though most of you like to
f x things and make things bet-
ter (or you probably wouldn’t
be in veterinary medicine), you
can’t f x energy vampires. Some
people just like to be miser-
able, and it’s not our job to f x
people—only animals. T e
people need to f x themselves.
Recently, I was talking with
a supervising technician, and
she told me that a doctor at
her practice had printed out
a previous blog I wrote about
“crazy” being hard to see when
you’re living in it. (Read it now
at dvm360.com/crazy.) After
seeing it, she knew she had to
let one of her technicians go.
T is technician was a huge
drain on the supervising techni-
cian as well as the rest of the
team. T e supervisor f nally
realized that trying to f x this
person was never going to work
and she wouldn’t let this energy
vampire destroy the morale of
the rest of her team any longer.
I had never been so happy
to hear about someone losing
a job. I knew that the team
would be much happier with-
out this miserable person, even
if it meant the practice would
be short staf ed for a while. It’s
better to be tired from a long
day at work than to be emo-
tionally drained from working
with a toxic person.
T e energy vampires must
leave your hospital. It’s time to
“free” them to f nd a better f t
elsewhere—and let them go far
away from you and your team.
If they get angry, just tell them I
made you do it!
HOT button
This blog originally ap-peared on the dvm360 community. Dr. Rebecca Tudor, DACVS, resides in North Carolina. She is the founder of Catalyst-VETS.com.
The right fi re Need to let someone go
but aren’t sure how to do
so? Visit dvm360.com/termination for advice.
ES424958_vete0514_025.pgs 04.17.2014 03:37 ADV blackyellowmagentacyan
PurinaVeterinarians and veterinary technicians, please join us for the...
To register for this FREE symposium visitwww.PurinaVeterinaryDiets.com/NPVS2014
Dates & LocationsSun., May 18 . . . . . . . . . . . . . . . Houston, TX
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7:00 – 8:00 AM
Registration/Continental Breakfast
8:00 – 9:20 AM
Felix Duerr, DVM, MS, Dr. med. vet.,
CCRT, DACVS-SA, DECVS, DACVSMR
The seven most common reasons Fido
might limp into your clinic
9:20 – 9:35 AM Beverage Break
9:35 – 10:55 AM
Deborah Greco, DVM, PhD, DACVIM
Sweet success: Managing the
dif cult diabetic patient
10:55 – 11:10 AM Beverage Break
11:10 AM – 12:30 PM
David Williams, MA, VetMB, PhD,
DACVIM, DECVIM-CA
Skinny old cats: Why some senior cats lose
weight. What’s going on?
Featured Speakers
Veterinarians and veterinary technicians, earn 4 hours of CE for attending
ES426010_VETE0514_CV4_FP.pgs 04.21.2014 18:37 ADV blackyellowmagentacyan