Source: ALPINE VETERINARY HOSPITAL, P.C. submitted to NRP
CO231_ALPINE VETERINARY HOSPITAL: HIGH QUALITY VETERINARY CARE IN A HIGH MOUNTAIN VALLEY
Sponsoring Institution
National Institute of Food and Agriculture
Project Status
ACTIVE
Funding Source
Reporting Frequency
Annual
Accession No.
1031052
Grant No.
2023-70024-40670
Cumulative Award Amt.
$125,000.00
Proposal No.
2023-04293
Multistate No.
(N/A)
Project Start Date
Sep 1, 2023
Project End Date
Aug 31, 2026
Grant Year
2023
Program Code
[VSGPR]- Veterinary Services Grant Program Rural Practice Enhancement Grants
Recipient Organization
ALPINE VETERINARY HOSPITAL, P.C.
2835 SHERMAN AVE
MONTE VISTA,CO 81144
Performing Department
(N/A)
Non Technical Summary
As we have been generously awarded the VSGP/ RPE grant for $125,000, Alpine Veterinary Hospital will now be definitively positioned to develop, implement, and sustain high quality food and large animal veterinary services in our rural, shortage area in south central Colorado. The key problems that the grant will help us address, as they pertain to the shortage nomination form, are the following: more availability for federally regulated herd work and CVIs for food animal transport, access to all emergency services in an area larger than Rhode Island, education and specialization for veterinarians, assistants, and producers, and better equipment and technology. Our objectives are to address each one of these concerns. Our approach to attaining these objectives will involve making equipment purchases such as a hydraulic tilt chute, calf/ small ruminant stalls (such as hyperbaric O2 and heating boxes), small ruminant stanchions, bovine ultrasound and technology, chute-side diagnostics, a dart gun system, and lastly, expansion and improvement upon our current student internship and externship programs, as well as producer education and extension. These objectives match the relevance of the VPSG perfectly in two ways- improving the lives and productivity of the livestock in our area, as well as educating and training producers and students for the future of this essential aspect of the USA's food safety and animal husbandry. The equipment requested will improve every aspect of our food animal care and offerings. The educational aspect will be an investment back into the future of both the food animal veterinary profession, as well as the livestock industry
Animal Health Component
(N/A)
Research Effort Categories
Basic
(N/A)
Applied
(N/A)
Developmental
(N/A)
Classification

Knowledge Area (KA)Subject of Investigation (SOI)Field of Science (FOS)Percent
3113310116050%
3113510116010%
3113610116010%
3113820116010%
3113410116010%
3113299116010%
Goals / Objectives
The RPE grant will be a gamechanger for our rural, mixed animal practice. We have two goals that we could never achieve without this grant: to improve the quality of herd health care, medicine, and surgery to the cattle, small ruminant, poultry and swine in the designated shortage area, as well as to better educate producers, staff, and students to enhance the lives and production of these animals. These are the objectives:1-Improved equipment for medical, obstetrical, orthopedic, in patient, diagnostic, and surgical care : Treatment and herd health equipment: Hydraulic tilt chute (1), Small ruminant stanchions (2), Calf/ small ruminant stalls, hot boxes, hyperbaric O2 chambers (2 sets), Winch for c-sections (1), Henderson castration tool (2), Vaccine gun box for sub-zero weather (2), IV pump (2), Dart gun system for distance medication/ sedation (1);Diagnostics: Phase contrast microscope with heated stage, and slide warmer for fertility testing, cytologies chute side (2), Whisper stethoscopes for working up Bovine Respiratory Disease (2), Automatic heart monitors (2), EasiScan Go ultrasound for bovine/ SR pregnancy testing (1)2-Improved capabilities of veterinarian and technician availability, training, and performance: Continuing education courses for DVMs and veterinary technicians and assistants: AABP short courses, CVMA Food Animal wet labs, Online courses and certificationsTechnological support for on farm CVI's, diagnostics, data entry, invoicing: Laptops and notebooks, Remote Wifi and hot spots3-Improved educational & outreach opportunities for producers, students, externs/interns Meeting equipment and incentives: Bluetooth projector, Tables and chairs, Prizes/ drawingsPaid internships: For 11th and 12th grade students- summer or school breaks, after school hoursTraining tools for students: Display boards for career fairs, printed photos, Training pamphletsTimeline: Year 1: Purchase of all equipment (trainings then utilization to begin immediately)Year 2: Implementation of DVM and staff training through CE's and meetings; implementation of paid student and mentorship programs; planning of 1-2 producer meetingsYear 3:Further education for DVM's and staff in more specialized skill setsLong Term Impact: The continuation of highest quality of care for all livestock species; improved in-house and on-farm treatments and diagnostics; elevated knowledge of all staff, producers, and students; encouraged and motivated students who will also go into rural, mixed animal veterinary practice; overall improved health and production of our livestock.
Project Methods
Efforts toutilize this grant:Year 1: Purchase of all equipment listed on the grant; All technical trainings for DVM's and staff; Full utilization of equipment to begin immediately; Assess taxes/profits closelyYear 2: Implementation of DVM and staff training through CE's and meetings; application of paid student and mentorship programs; planning and execution of 1-2 producer meetings.DVM's and staff to choose livestock and food animal CE's to attend (i.e. Small Ruminant Laprascopic AI, AABP annual conference, CVMA food animal wet labs, AABP New Practitioner classes, etc).Plan producer meetings- utilize projector, laptops, tables, and chairs; Small Ruminant meeting.Create and invest in paid internship programs for 11th and 12th grade students from across the SLV; utilize funding to pay each student minimum wage for any hours worked, as well as create pamphlets, display boards, instructional videos, etc.Help in housing/living costs for externs that come from every college of vet medicine in the USYear 3: Further education for DVM's and staff in more specialized skill sets (small ruminant lap AI, etc.); continued use of equipment; increased attendance for producer meetings; solid participation in internship and externship programs.Methods used to collect, analyze, and interpret evaluation/impact data;Equipment: The easiest way to collect data on which equipment is used will be to have a Google sheet that all DVMs have access to in which they can log usage of said equipment. One column will be to say whether this treatment or diagnostic would have been possible without the equipment. These results will be easy to interpret.Education: Our DVM and staff continuing ed will be easy to plan and track. Each person will be expected to give a "debriefing" of their learning experience at our monthly staff meetings. The collection and interpretation on data from student outreach will be to enumerate each student that participates in a HS lecture, career fair, volunteer, paid internship or externship opportunity, and then to see if any of them go on to pursue careers within the veterinary or livestock professions.Outreach: A survey would be the surest way to collect data on the success, or otherwise, from our Ag Fair lectures, producer meetings, board and committee memberships in our partnership building and education of producers. This may be accomplished and handed out at the annual ag fair.

Progress 09/01/23 to 08/31/24

Outputs
Target Audience: The target audience for this project during the previous reporting period, September 1, 2023 - August 31, 2024, included the clients we served, the students we helped educate, and the stakeholders in our success. There are five stakeholder groups that we are most closely engaged with and those are the local Colorado Cattleman's Association, FFA organizations at several schools, our 4H groups and the local SLV Fair, the committee for our annual Ag Fair, and the CVMA. During the reporting period, we successfully interacted with each one. Our efforts were as follows: • One of our DVMs attended and spoke at the winter Colorado Cattleman's meeting regarding veterinary shortages in rural areas • We served as the local veterinarian for our weeklong 4H multi-county fair, as well as our local PRCA rodeo Sky Hi Stampede and two amateur rodeo series in South Fork and Creede. • We aided the Alamosa FFA team in preparation for their veterinary competitions this April. • One of our DVMs gave a producer lecture on Calving at our Ag Fair in February which was attended by around 100 ranchers, and gave a separate talk offered two weeks later to our staff and producers, which had nineteen attendees. • Two of our DVMs who serve on the executive board of the CVMA (CO Veterinary Medical Association) testified at the state legislature four times over the legislative session in February and March on two separate policies impacting Colorado veterinarians. On average, we spent a few hours every week with students (junior high through graduate college level) in-hospital, six to seven hours with producers in meetings or lectures, 12 hours at two career fairs (one for Sanford Elementary and one for Adams State University), three school lectures (Alamosa HS), three to eight hours per month served on boards/ committees. Totaled together, we as a group likely spent upwards of 50 hours in education and extension per month in the previous reporting period to reach our intended audience. Changes/Problems:We have had to adjust our plan only minimally due to changes or problems. Almost everything has gone according to our plan, timeline and goals. Of course, we had mild to moderate differences in prices from the estimated cost of equipment, which prevented us from purchasing every item on our "wish list". Two purchases have not been as worthwhile as previously determined: the dart gun (used only twice) and the Henderson castrating tools (used only once). We believe with further experience and time with both tools, our comfort level will rise and we will use them both with more frequency. We also had no DVM attendees at any large food animal conferences, but have plans to attend more this next year. What opportunities for training and professional development has the project provided?The grant award allowed our practice to purchase a Bluetooth projector and screen, as well as laptops for two of our veterinarians and tablets for two of our senior technicians. The four of them worked together to offer six in-practice, dinner lectures for our staff and any producers/ family members to attend. We had approximately 80% staff attendance, including DVMs, techinicans, and CSR's at each event. The lecture topics were: Calving: What to Know (with some info on lambing/ kidding as well) Interpreting The CBC and Chemistry CPR and Rescue Drugs (for small animals, and neonates including livestock) Surgical Instrumentation Anesthesia: In House and In The Field Large Animal Vaccine Protocols and Products For the next year, we are hoping to have one or more DVMs or technicians attend AABP or other food animal CE events for professional development. How have the results been disseminated to communities of interest?The information regarding our grant award and the opportunities it has allowed has been explained to our clients/ producers and community through the following ways: Using the new equipment on a daily basis, and having our CSRs explain to callers that we've got new offerings, such as the tilt chute for orthopedic procedures. Meetings and lectures for clients, staff, and students. School career fairs and school lectures, which allow for DVM/ RVT interaction with students of all ages. We speak about the career and its role in agriculture, as well as the opportunities we now offer because of the grant (i.e. paid internship). Shared links and updates on our Facebook and website pages. What do you plan to do during the next reporting period to accomplish the goals?Our Year 2 plan, as laid out in our Timeline in the grant application states: Implementation of DVM and staff training through CE's and meetings; implementation of paid student and mentorship programs; planning of 1-2 producer meetings. We plan to accomplish this by doing two things we've not yet accomplished: Encouraging our DVMs to attend conferences over the next 12 months that will expand our knowledge and expertise in the world of food animal medicine. Planning a producer meeting/ steak dinner this fall in collaboration with Merck to go over nutrition in beef cow/ calf production. Setting up our 11th and 12th grader paid internship. We have two students, who are both 10th graders, interested in participating and should be able to start them next year as well. Finish purchasing what equipment we can still afford with the grant! Whisper stethoscope, IV pump, one additional small ruminant stall.

Impacts
What was accomplished under these goals? In a few sentences, what is the issue or problem that your project addresses (i.e.; what are you trying to help solve, fix, mitigate, improve?) Our application for this grant was an obvious one: our rural, frontier community, which is home to 40,000 food animals, has great need of accessible, quality veterinary care. Our practice has served the area for close to 80 years, but many of our instruments and equipment needed extreme upgrades in order for us to offer the best medicine possible. Our producers and community need quality education, consultation, and mentorship delivered to them in as effective manner as possible. Who or what will be most immediately helped by your work, and how? (Hint: What audience did you originally intend for your work to impact?) Our rancher/ producer clients, our students (who are future agricultural partisans and rural mixed animal veterinarians), our community (which benefits from healthy food animals), and our staff of technicians, DVMs and receptionists. For each major goal listed in your project initiation form (shown at the top of the screen), describe for this reporting period: Major activities completed: Teaching: One of our DVMs gave a producer lecture on Calving at our Ag Fair in February which was attended by around 100 ranchers, and gave a separate talk offered two weeks later to our staff and producers, which had nineteen attendees. Mentoring: We have a robust student shadow/ volunteer/ internship program that begins as early as 14 years old, and continues through veterinary school. We currently have 16 students who come in regularly for high school or FFA work study, college internship credits, 4H veterinary science, or personal volunteering. We also host 3-6 externs from veterinary schools across the world each year. We currently also have our first veterinary intern, a first year graduate interested in mixed animal practice who needed more large animal experience and mentorship. Education: Our head technician started organizing quarterly CE (continuing education) lectures for our technicians and DVMs, as well as any of our externs, students, or interns. These get pre-approved through the CO Veterinary Technician Association for credit hours for our registered vet techs. Our practice supplies dinner and the laptop, projector, and screen (all purchased by this grant) while one of our DVMs lectures. The topics this year included: Interpreting The CBC and Chemistry CPR and Rescue Drugs (for small animals, and neonates including livestock) Instrumentation Anesthesia: In House and In The Field Large Animal Vaccine Protocols and Products Consulting: We provide free of charge consulting on all herd health programs, including vaccines and timing, parasiticides, nutrition, genetics, and more to all of our producers. Rural Mixed Animal Veterinary Medicine: Not to state the obvious, but our 7 doctor, 2 location practice services a "frontier" area of Colorado the size of Rhode Island. The grant and the equipment we've purchased through it, have made this service even more accessible and up to date. Data collected The total gross income our practice has earned over the last 12 months directly and indirectly (i.e. mileage to ranches for the farm call)from use of the new equipment purchased with money funded through the grant is as follows: $88,961 Summary statistics and discussion of results. To summarize our previous 12 months over this reporting period, we've been extremely successful in both the goal of improving quality livestock care we offer and in providing great outreach to our target audience. Describe the key outcomes or other accomplishments realized: This year has proven that we are well on our way to successfully accomplishing each goal we have laid out for this grant award. To improve the quality of herd health care, medicine, and surgery to the cattle, small ruminant, poultry and swinein the designated shortage area: Our equipment alone has helped us offer better diagnostics (ultrasounds and microscopes), exams and procedures (stanchions, chute, and stalls), and treatments. We are hoping to use more funding for food animal CEs this next year for our DVMs. To better educate producers, staff, and students to enhance the lives and production of these animals: The purchase of laptops, tablets, projector and screen has helped with our educational outreach to our staff, students, and clients immensely! We hope to plan another large producer meeting as well as implement our 11th and 12th grader intern program this next year.

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