May 2016



Phone (908) 823-4607- [email protected]

Telemedicine: From Your Exam Room to Their Living Room

It is the year 2025. You are sitting in your office and your certified veterinary technician (CVT) has just video conferenced you from the living room of a longtime client of yours. The patient in question is Willow, a 7-month-old female spayed Mastiff with an area of alopecia on her head. The CVT completes and shares with you her thorough physical exam and you both determine no other significant findings. She performs a deep skin scraping of the area, examines the slide through the microscope in her truck, and finds Demodex mites. You prescribe Ivermectin for the puppy and, since it is a commonly used pharmaceutical, your technician is able to dispense it from her truck. The client will schedule a video-conference recheck in three weeks. As you hang up from the call, your second technician buzzes in right on time for your next appointment.

Telemedicine in the Human World

The scenario above depicts the future for veterinary medicine general practice. In fact, it is already a current practice in the human medical realm. There is actually an organization called the American Telemedicine Association (ATA) whose members are physicians, academicians, policy makers, and others who promote the safe and effective use of telemedicine to promote the health and well-being of people. They define telemedicine as "the use of medical information exchanged from one site to another via electronic communications to improve a patient's clinical health status."2
The ATA developed practice guidelines for primary and urgent care as part of their mission to establish standards promoting patient safety and quality services provided via telemedicine.6 These guidelines include rationale for the use of telemedicine in a primary care setting, and they have determined that both acute and chronic medical conditions can be managed effectively by video-based telemedicine. These conditions include - but are not limited to - allergies, dermatologic issues, genitourinary conditions, otitis media, upper respiratory infections, congestive heart failure, and diabetes, a list that sounds all too familiar, also being common conditions seen in veterinary medicine general practice. The difference, however, is that with organizations such as the ATA, telemedicine is generally accepted and more developed in human medicine than it is in veterinary medicine.
Recommended Read: Relationship between Self-Esteem, Control, and Authentic Leadership
Recently, Deborah Stone, Ph. D. published a study on the relationships between self-esteem, locus of control, authentic, leadership, and veterinarians in the United States.

This study examined the relationships between self-esteem, locus of control, and authentic leadership among veterinarians in the United States above and beyond the effects of gender, owner's equity, practice type, employment type, tenure, age, ethnicity, and practice management continuing education. Data for this research were collected from the Educational Concepts, LLC's database of veterinarians who subscribe to Educational Concepts' veterinary peer-reviewed journals, Clinician's Brief and Veterinary Team Brief ...

The results of these analyses indicated that self-esteem, locus of control, and authentic leadership were interrelated with self-esteem and internal locus of control being significant predictors of the four scales of authentic leadership.
In This Issue
HR Questions?
Ask Kellie:

Can you force employees to attend staff meetings if they are not scheduled to work that day?
The quick answer is Yes, BUT.....

Time spent at mandatory meetings must be counted as time worked, and therefore paid for all non-exempt employees.  Additionally, employers must pay non-salaried employees overtime, if attending a mandatory meeting results in the non-exempt employee going over 40 hours in a given work week.  Depending on your state law, you may also be required to pay the employee for time traveled as well as time actually spent in the meeting. Exempt employees would not be entitled to additional pay for time spent at mandatory meetings. 
If a meeting is outside normal operating hours, is not mandatory, does not require other work to be performed during the meeting and is not job-related, then the employer is not required to pay employees for attendance.  Ie. a staff Christmas party. 

If you have any questions, or would like to discuss this further, please contact us!

Rabies Awareness Site 

This valuable website provides comprehensive and easy to access information on all things rabies in the continental United States and Puerto Rico. Information at your fingertips include "current, validated State-level laws and regulations on rabies vaccination" as well as a FAQs, and state-by-state surveillance data. The site also includes information regarding all licensed rabies vaccines approved by CDC and detailed instructions for rabies titer testing. No doubt a great resource for all your rabies questions.
Explore the site at:

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2016 - Veterinary Business Advisors, Inc.
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