FRIDAY, FEBRUARY 28

COMPANION ANIMAL

8 – 9:30 a.m. (1.5 CE credits)
Feline Transfusion Therapy: Updates for the Busy Clinician
Urs Giger, Dr. med. vet., DACVIM, DECVCM, DECVCP
Transfusion support is also critical for the feline patient, most commonly to correct anemia and less often bleeding.  Nevertheless, blood transfusions are overall still less frequently administered to cats than dogs for a variety of reasons.  The peculiarities of feline blood types, blood collection, and transfusion will be presented with clinical cases.

  • Identify indications for transfusions in cats
  • Understand the major feline AB blood group system
  • Appreciate how to blood type and crossmatch
  • Determine how to select appropriate blood donors
  • Learn on how to collect, separate, and store blood
  • Be able to to safely administer blood and monitor patient.
  • Recognize, manage and prevent transfusion reactions

10 a.m. – 12 p.m. (2 CE credits)
Peculiarities of Feline Anemias: Blood Loss, Hemolysis, Marrow Failure
Urs Giger, Dr. med. vet., DACVIM, DECVCM, DECVCP
Learning objectives for this presentation are:

  • Learn about the major causes of regenerative and non-regenerative anemias in cats
  • Interpret the regular hematological parameters to classify the feline anemias
  • Identify specific tests to further define the cause of the anemia
  • Provide emergency care for anemic cats
  • Appreciate the specific therapeutics for each anemia cause

1:30 – 3 p.m. (1.5 CE credits)
Gotta Go, Gotta Go, Gotta Go Right Now! Tips on Diagnosing and Treating Canine Transitional Cell Carcinoma
Kim Johnson, DVM, DACVIM
Discussion will include review of diagnosis, treatment/management and prognosis for canine and feline transitional cell carcinoma

1:30 – 3 p.m. (1.5 CE credits)
Protein-Losing Enteropathies and Other Difficult GI Problems
Mike Willard, DVM
This is a case-based discussion of GI disease that results in loss of protein.  While these cases have classically been considered to be particularly severe and have a poor prognosis, certain diseases causing protein loss are very treatable and can have an excellent prognosis.

  • Determine whether hypoalbuminemia is due to GI disease.
  • Know when to biopsy and when not to biopsy the GI tract.
  • Know how to diagnose or suspect lymphangiectasia.
  • Know best treatments for lymphangiectasia.
  • Know other causes of protein-losing enteropathy.
  • Know causes of protein-losing enteropathy in the cat.

3:30 – 5:30 p.m. (2 CE credits)
Disorders Causing Regurgitation: Much, Much More Than Megaesophgus
Mike Willard, DVM
This is a case-based discussion of esophageal disease in the dog and cat.  Megaesophagus is not remotely the most common cause of esophageal disease.  You must be aware of the other causes to have a chance of diagnosing and successfully treating them.

  • Know when to suspect and how to diagnose esophagitis, esophageal foreign body, esophageal stricture, and hiatal hernia.
  • Know when to consider lower esophageal achalasia-like syndrome and what can be done about it.
  • Know the common mistakes made in performing esophageal contrast radiographs
  • Know when to recommend endoscopy of the esophagus and when not to waste your time and money

3:30 – 5:30 p.m. (2 CE credits)
Specialty Practice Round Table Discussions
Presenters TBD
The TVMA CE/Conference Committee and the TVMA Specialty Practice Committee are proud to bring you ‘companion animal grand rounds’. The first-hour four specialists will present a 15-minute presentation on a particular topic within their specialty. The second hour each specialist will be seated at rounds of 10. Practitioners will have the opportunity to discuss their hardest cases and present questions to specialists from the Central Texas area. More information on specific topics and specialty topics to come. This session will be limited to the first 40 veterinarians through the door.

7 – 10 p.m. (3 CE credits)
Tapping in on Effusions: Centesis and In-House Fluid Analysis
Kim Buck, DVM, DABVP
The learning objectives for this presentation include:

  • Why you should tap chest and abdomens in general practice instead of referring to a specialty hospital
  • A review of how to tap both chest and abdomens with materials that are in most veterinary hospitals.  It’s easier than it looks!!!
  • What to do with the fluid once you have removed it. 
  • How to perform in-house fluid analysis so that you can narrow the differential diagnosis and give your client a prognosis and start treatment earlier! 

Ticks and Tick-Borne Diseases: A Review of Tick-Borne Diseases with an Update on Emerging Diseases

  • What might be coming to your neck of the woods?  The spread of ticks into new territories will be reviewed. 
  • Which ticks carry which diseases, and can they carry more than one? 
  • A quick review of diagnostics and treatment of common tick diseases.
  • What the future holds:  Emerging tick diseases seen in both man and animals. 

Emergent Disorders: What You Don’t Want to Miss

  • A review of common emergencies that should be easy to diagnose.
  • Common presentations for common emergencies: If you see these symptoms and signalment then you need to perform these tests to rule out life threatening conditions.
  • Once you have the diagnosis, you can give your client a prognosis and start treatment! 
  • Case studies to test your knowledge.

 

LARGE ANIMAL

8 – 9:30 a.m. (1.5 CE credits)
TAHC BVD and VSV Outbreak Update
Andy Schwartz, DVM
This presentation will outline BVD, its impact on production and proposed rules to address this issue. Dr. Schwartz will also cover the status and impact of the 2019 VSV outbreak.

8 – 9:30 a.m. (1.5 CE credits)
To Buy or Not to Buy: Understanding Cashflow and Its Role in Equipment Purchases
Joe Pluhar, DVM, MBA
This session will review various cashflow states in order to learn how to determine the viability of equipment purchases.

10 a.m. – 12 p.m. (2 CE credits)
Shhhhhhhh….Marketing Isn’t Advertising
Joe Pluhar, DVM, MBA
Deep dive into strategy and its role in defining an equine practice and its marketing.

1:30 – 3 p.m. (1.5 CE credits)
Equine Asthma: A New Name for an Old Problem
Kara Lascola, DVM, DACVIM, CVA
This presentation designed to help attendees become more familiar with the different classifications of equine asthma, the risk factors for development of asthma, useful tools for the diagnosis of asthma, and new developments for systemic and aerosolized therapies used in treatment of asthma.

Choosing Antimicrobials Wisely
Dr. Lascola will review the importance of antimicrobial stewardship in veterinary medicine as well as the basic pharmacokinetic principles of some commonly used antimicrobials in horses and discuss how this information can be applied to evidence-based treatment of common infectious conditions.

3:30 – 5:30 p.m. (2 CE credits)
Anesthesia and Analgesia for Standing Surgical Procedures in Horses
Stuart Clark-Price, DVM, DACVIM, DACVAA, CVA

This session will discuss techniques for providing sedation, local and regional anesthesia, and pain management in horses during standing surgical procedures. Learning objectives include:

  • Gain an understanding of option for sedation during standing surgical procedures in horses.
  • Gain an understanding of useful local and regional anesthetic techniques for surgical approached to various anatomical locations of the equine patient.
  • Gain an understanding of analgesia options for equine patients that have had standing surgical procedures.

 

LVT/CVA/HOSPITAL STAFF
8 – 9:30 a.m. (1.5 CE credits)
Bad Veins: How to Gain Venous Access on ‘Naughty’ Veins and What to Use
Amy Newfield, CVT, VTS (ECC)
Attendees will be taught a variety of different techniques of IV catheter placement on “naughty” veins.  Catheter selection and vein selection will be discussed.  A variety of trouble shooting methods will be reviewed of how to get catheters in difficult veins.  Videos and step-by-step pictures will be shown to help participants conquer “naughty” veins.

10 a.m. – 12 p.m. (2 CE credits)
Urinary Catheters Made Easy
Amy Newfield, CVT, VTS (ECC)
Female and male urinary catheters can be tricky to place.  This lecture reviews techniques how to place urinary catheters in both female and male dogs and cats.  Videos will be shown so participants leave with a better understanding of how to perform this skill.

1:30 – 3 p.m. (1.5 CE credits)
Triage for Front Office Staff: How to Handle the Surprise Visit
Amy Newfield, CVT, VTS (ECC)
Even in general practice unexpected patients arrive.  It is important that the front office staff is able to perform quick and effective telephone triage and to be able to quickly identify what are true emergencies once they arrive.  Lecture focuses on telephone triage, dealing with the upset client and reviews some of the most common emergencies seen (GDV, heatstroke, UO, etc)

1:30 – 3 p.m. (1.5 CE credits)
Teaching Diabetic Management to the Pet Owner: Get Those Owners into the Game!
Rachel Poulin, RVT, VTS (SAIM)
Diabetes is a complicated stressful and challenging disease that calls on pet owners to in some respect become medical assistants in their own homes. Blood acquisition, insulin injections, proper nutrition and being able to identify potential complications early on so they don’t quickly develop into an emergency. This is a huge undertaking for a client, even if they have some degree of medical background. The majority however, do not. It is our responsibility to ensure they are set up for success and have been given the proper tools, guidance and education to take care of their diabetic pet at home. This course will discuss how to teach this information and offer tools and tips to set up our diabetic pet parents for success.
Learning objectives include:

  • Upon completion, participants will be able to create diabetic handouts and provide support and education to diabetic pet owners
  • Upon completion, participants will be able to explain and teach diabetic essential knowledge as well as provide instruction and support to the pet owner as they learn
  • Upon completion, participants will be ready and eager to help clients better understand this disease and set the patient up for success

3:30 – 5:30 p.m. (2 CE credits)
Navigating Diabetes A-Z: The Basics, Frustrations, Tips and Truths
Rachel Poulin, RVT, VTS (SAIM)
A journey back in time with some of our favorite games but with a diabetic twist. This will be a two-part interactive session focusing on technician empowerment, education, and solutions through games, conversation, and more! Learning objectives include:

  • Participants will gain an understanding of the diabetic basics of diagnostics and treatment.
  • Participants will be able to brainstorm ideas to counteract common diabetic myths and frustrations such as: Diabetic Nutrition Combating Dr. Google When Good Clients Go Rogue, the Truth about Feline Remission and more.
  • Participants will be able to provide better care and support for our diabetic cats and dogs.

3:30 – 5:30 p.m. (2 CE credits)
Gathering a Health History: Understanding the Client Perspective
Lori Kogan, PhD
Effectively gathering a patient’s health history is vital for creating a positive relationship between the client and the veterinarian and veterinary support staff. The key components include establishing a trusting relationship while successfully gathering and sharing pertinent information. This presentation offers suggestions on how to best use this critical time. Opportunities to practice these skills and receive feedback will be provided. Learning objectives include the ability to demonstrate new skills related to:

  • Greeting the client and establishing rapport
  • Inviting the client to share his/her story
  • Establishing the agenda for the appointment
  • Expanding and clarifying the client’s story; generating and testing diagnosis hypotheses
  • Creating a shared understanding of the problem
  • Negotiating a plan (including further evaluation, treatment and client education)

7 – 10 p.m. (3 CE credits)
Inventory: It All Counts
Nicole Clausen
This session will provide attendees a comprehensive overview of inventory and creating a strategic, profitable inventory system. It will help veterinary inventory managers understand and calculate demand and order quantities and how to use their practice management and purchasing systems as a key tool in creating a systematic inventory system. It will also explore methods for keeping track of stock levels, best practices for aligning staff to inventory tracking systems put in place, and a detailed action plan for implementing an inventory system within your hospital.

 

PRACTICE MANAGEMENT

8 – 9:30 a.m. (1.5 CE credits)
When the Owner is the Problem: Legal Issues Related to Pet Ownership
John Owens, Esq.
What happens when a client becomes incapacitated or, even worse, dies while their pet is in your care? Who makes decisions about that pet? What are your responsibilities? Who is going to pay the bill? Is the next-door neighbor who brings in a sick animal responsible for payment, or should the owner pay? These, and other, issues concerning the ownership of pets arise regularly in veterinary practices. This session will discuss methods of preventing loss, or litigation, for your practice when dealing with these and other pet owner related issues. Learning objectives include:

  • Identify describe the legal status of companion animals.
  • Identify and describe the legal rights of pet owners.
  • Identify common legal issues related to ownership of companion animals and their impact on veterinary clinics.
  • Develop strategies to assist in creating policies and procedures to limit exposure to pet ownership related issues.

10 p.m. – 12 p.m. (2 CE credits)
Saying Sorry Safely: Avoiding Malpractice Litigation through Disclosure
John Owens, Esq.
Apologies are powerful tools for repairing damage relationships. However, many veterinarians are reluctant to issue apologies when their patients suffered an injury; and with good cause, a poorly constructed and delivered apology can have severe legal ramifications. On the other hand, a well-constructed, well delivered apology may reduce the likelihood of a licensed complaint or lawsuit and even strengthen your relationship with your client. By understanding the legal implications and the aspects of apologies that mitigate potential litigation, veterinary practices can develop strategies and practices that allow them to issue apologies safely and effectively. Learning objectives include:

  • Identify how and where apologies can be indicators of liability or misconduct.<
  • Identify how apologies can be mitigators of liability.
  • Describe methods for utilizing apologies in veterinary practice safely.

1:30 – 3 p.m. (1.5 CE credits)
Your Practice Can’t Survive Without Collaboration: How to Get the Most Independent Team Members to Join the Conversation
Debbie Stoewen, DVM, MSW, RSW, PhD
Success can be measured in many ways – achieving optimal patient and client outcomes; being part of an engaged practice team; reaching financial imperatives; and experiencing ongoing practice growth. Whichever way it is measured, outside of a viable business model, “the single most important factor in organizational success” is workplace culture. Culture can be understood as the “fingerprint” or “personality” of an organization. It shapes behaviour, language, and social interaction, informing us as to what is acceptable and unacceptable, and how we should view, value, treat, talk to, and interact with one another. A collaborative (vs. controlling) culture is associated with the keys to workplace happiness, and workplace happiness – associated with lower rates of turnover, higher client loyalty, higher productivity, and higher profitability – leads to business success. Although culture is socialized through relationships, relationships are based on conversations. Conversations, therefore, are what create, reveal, sustain, and change organizational culture. This session explores the art of co-creating mutually beneficial conversations that will build a collaborative workplace culture – and enable anyone to connect with anyone and make great things happen. (Improv version). Learning objectives include:

  • To more deeply understand what workplace culture is, and how it relates to workplace happiness and success – based on the research!
  • Learn how the conversations we have (our communication) create culture, and understand from firsthand experience (through Improv) the communication principles and practices that enable a collaborative workplace culture, the kind of culture that contributes to a happy, healthy, and high-performing workplace.
  • To assume personal leadership to build such a culture, one conversation at a time.

3:30 – 5:30 p.m. (2 CE credits)
Dimensions of Wellness: Change Your Habits, Change Your Life, Part 1 & 2
Debbie Stoewen, DVM, MSW, RSW, PhD
Wellness is an active, self-directed, and evolving process through which one becomes aware of, and makes choices toward, a more successful existence. It is the route to achieving fullest potential, the pathway to optimal living, and the way to good health and wellbeing. For health care providers, such as ourselves, it’s an ethical obligation. Without attending to wellness, we cannot ensure high quality services and may inadvertently cause harm to those entrusted in our care. Wellness necessitates that we think of ourselves first and engage in a healthy lifestyle with good habits. Habits, in fact, are key for wellness. They affect what we do, how we feel, how we work, how we care for ourselves, and how we relate to the world around us. Since not all habits are good, we have to consciously work to establish and maintain the good habits that contribute to our wellness. This session will not only explore the eight dimensions of wellness, but also a practical, analytical framework of how habits can be changed. Simply learning about wellness doesn’t create change. It’s changing our habits, because if we change our habits, we change our lives. Learning objectives include:

  • To critically reflect on personal wellness through the dimensions of wellness model.
  • To better understand oneself and how habits can be changed.
  • To become motivated to change one’s habits to better sustain health and wellbeing, and in this way, preserve the ability to provide high quality veterinary services.

1:30 – 3 p.m. (1.5 CE credits)
Learn How to Get Your Brand Right in Practice
Stacee Santi, DVM (Vet2Pet, Durango, CO)
Veterinary practices need help in building their brand to thrive in today’s socially connected world. The landscape of brand loyalty is changing. Things like excellent quality of medicine are becoming more standard. As a profession, we have to evolve to engage our clients on new levels so we can stand out from Dr. Google and big box retailers. By focusing on what makes the veterinary practice special, you can ensure your position as a vital necessity in pet healthcare in your community.

• How do you set yourself apart?
• What factors do clients consider when choosing a veterinarian?
• What factors cause clients to stay with a practice?          

This session will help you and your clinic develop strategies and methods to deliver the
ultimate client experience which builds brand loyalty.

3:30 – 5:30 p.m. (2 CE credits)
Loyalty Programs that Work
Stacee Santi, DVM (Vet2Pet, Durango, CO)
Loyalty programs are powerful because they are one of the easiest marketing tools to address client retention. You don’t have to look very far to find a business with a loyalty program. Coffee shops were among the first to discover the value of a loyalty program for client retention but now all sorts of businesses have jumped on the band wagon, including online retailers, airlines, and even human healthcare. And the question arises, should you be offering a loyalty program in your veterinary practice? This session will give insight on how to select a loyalty program that’s right for you and your clients.

7 – 10 p.m.
Best Practices in Medical Record-Keeping, How to Stay Out of Hot Water with the State Board
This session is designed to equip practitioners with information and the skills to keep better records and communicate better with clients to prevent problems that lead to disciplinary action by the State Board. Dr. Kimberlin will cover what is required by the State Board for record-keeping, easier and faster methods of record-keeping and client communication tips. This session is open to anyone on the hospital staff who is tasked with maintaining and updating medical records. Please note: Dr. Kimberlin’s presentation has been approved by the State Board to satisfy the 3-hour CE requirement for practitioners ordered to take a medical record-keeping course.