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EQUINE VETERINARY EDUCATION / AE / SEPTEMBER 2017
Delegate Corner: Telemedicine, regenerative medicine resolutions approved by AVMA House of Delegates By Stuart Brown II, DVM
The AVMA House of Delegates (HoD) convened for its summer session July 21-22 in Indianapolis, Ind., in conjunction with the AVMA annual convention. Dr. Cynthia MacKenzie and I represented the AAEP at this session, during which two bylaw amendments and eight resolutions concerning issues in veterinary medicine were considered.
Two resolutions of particular note to those of us in equine practice addressed the ever-increasing interest in the area of telemedicine along with regenerative medicine. The HoD passed a resolution to adopt the proposed Policy on Telemedicine that seeks to support the existence of the valid veterinary-client relationship (VCPR) in treatment and care of animal patients while acknowledging the advancement of this area of technology and the potential need for evidence-based research on the impact telemedi- cine may have on access to patient care and safety.
The HoD also passed a resolution to adopt the proposed Policy on Therapeutic Use of Stem Cells and Regenerative Medicine. With continued advancements in this area of interest to equine veterinary medicine coupled with the emerging number of providers of these products used in patient care, this resolution highlights the need of practi- tioners to carefully examine the resources for these products in the marketplace available to veterinarians in compliance with FDA guidelines for autologous type I and II cells, minimal manipulation and the homologous versus non-homologous use of the cell products. These regenera- tive protocols were recommended to be evidence-based with standardized processes in place by providers, in accordance with Good Manufacturing Practices from FDA, to ensure safety and sterility of products to highlight concerns of potential liability.
As always, the AAEP was well represented in the HoD and among the leadership positions throughout the AVMA’s numerous councils and committees, helping guide the AVMA in development of its policy decisions. These volunteer leaders provide the critical insights necessary for our viewpoints in equine practice to be advanced. To that point, this year’s session marked the conclusion of service after 10 years for my esteemed colleague and your AAEP delegate, Dr. Cynthia MacKenzie. Dr. MacKenzie has been an inspiring example of servant leadership and advocacy for the AAEP over this time with her dedication to numerous efforts while in the HoD. I would like to take this opportunity to acknowledge our appreciation for her tremendous work and sacrifice during her tenure on behalf of all of us as members of the AAEP.
Dr. Stuart Brown and Dr. Cynthia MacKenzie, who holds a plaque commemorating her decade of service on behalf of the AAEP in the AVMA House of Delegates.
Congratulations are also due to three of our members who were honored during the AVMA convention with industry awards for their contributions to veterinary medicine: Dr. Andrew Clark, AVMA XII International Veterinary Congress Prize; Dr. Richard DeBowes, AVMA President’s Award; and Dr. Bruce Kaplan, AVMA Meritorious Service Award.
At the next HoD session in winter 2018, Dr. John De Jong will begin his service as AVMA President-Elect and Dr. Rebecca Stinson-Dixon will join me as your new alternate delegate representing the AAEP in the HoD. Dr. Stinson- Dixon is well known to many of you for her active roles on several AAEP committees and as the past AVMA vice president, and I look forward to working with her on behalf of the AAEP membership. Feel free to reach out to us at any time if you have questions or concerns we might address. You can reach us at
sbrown@hagyard.com and
rdixon@berry.edu. As always, we appreciate the opportu- nity to represent you, our distinguished colleagues, on behalf of the AAEP.
Dr. Brown is a partner in Hagyard Equine Medical Institute in Lexington, Ky., a member of the AAEP’s Racing Committee and a former member of the board of directors.
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