Source: FARM CALL VET, PLLC submitted to NRP
SHORTAGE SITUATION OKLAHOMA 201: EQUIPMENT AND REGISTERED VETERINARY TECHNICIAN SALARY TO INCREASE FOOD ANIMAL SERVICES
Sponsoring Institution
National Institute of Food and Agriculture
Project Status
COMPLETE
Funding Source
Reporting Frequency
Annual
Accession No.
1023631
Grant No.
2020-70024-32340
Cumulative Award Amt.
$125,000.00
Proposal No.
2020-03981
Multistate No.
(N/A)
Project Start Date
Sep 1, 2020
Project End Date
Aug 31, 2023
Grant Year
2020
Program Code
[VSGPR]- Veterinary Services Grant Program Rural Practice Enhancement Grants
Recipient Organization
FARM CALL VET, PLLC
2300 W PEAK BLVD
MUSKOGEE,OK 744018271
Performing Department
(N/A)
Non Technical Summary
Because of practice debt load and small animal patient load of my practice in Shortage Situation OK201, food animal equipment purchases tend to receive a lower priority. I have difficulty increasing my presence on the farms due to the time intensive nature of ambulatory practice. Due to lack of equipment designed for food animal applications, many procedures are currently more time intensive and dangerous than they need to be, which further reduces the volume of service that can be provided.Goals are to increase access to veterinary services and increase producer awareness of services and knowledge of benefits of services to animal health and operation profitability. Objectives are to increase efficiency of food animal operations, determine producer needs, add and enhance food animal services, market services to producers, and increase producer knowledge about the benefits of services.Activities include surveying producers to determine needs and gather program input and purchasing a hydraulic squeeze chute, large animal portable ultrasound, 15" x-ray plate, and livestock scales. A 50% FTE food animal technician will be hired to increase capacity, and producer education events will be held. Services will be marketed through print and digital media.The project aligns with the VSGP goals by increasing the type and number of services offered in the shortage situation and increasing clients and animals served. Outreach and producer education will increase use of food animal veterinary services, thereby improving herd health. Thus, the project will significantly increase herd health and food safety in the shortage area.
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
3153399106060%
3153510106010%
3153820106010%
3153610106010%
3153410106010%
Goals / Objectives
The overarching aim is to increase food animal individual and herd health throughout the shortage area by increasing clients and animals served.Goal 1: Increase availability of and access to veterinary services. Objective 1.1: Increase efficiency of food animal operations to maximize clients served. Year 1:Proposed equipment will decrease time required and increase effectiveness and safety of food animal procedures. Year 2: addition of a 50% FTE food animal RVT will allow more procedures by decreasing veterinarian time required for each case and allow for indirect supervision of some food animal procedures in clinic while I am off site. Objective 1.2: Determine producer needs and gaps in service. Year 1: survey producers to determine barriers to accessing veterinary services. Objective 1.3: Add new and enhance existing food animal services offered. Year 1: proposed equipment will enable safer and more effective bovine hoof trims, pregnancy checks, and dystocia procedures. It will allow for new small ruminant services including goat chest radiographs to diagnose and determine best treatment procedures and enhanced pregnancy checks and more effective dystocia procedures on goats and pigs.Goal 2: Increase producer awareness of services and knowledge of benefits of veterinary care to animal health and operation profitability. Objective 2.1: Market services to producers throughout the current practice area. Years 1-3: Use online, social media, print, and word of mouth marketing to inform producers about availability of new and enhanced services and expanded food animal capacity. Objective 2.2: Increase producer knowledge about the benefits of veterinary care to animal health and operation profitability in each county of the practice area. Years 1-3: hold producer seminars.
Project Methods
Proposed Specific Activities. 1. Survey clients and other area producers to determine needs and prioritize services as described above January 2021. 2. Order hydraulic tilt squeeze chute January 2021. The proposed chute is described in the budget narrative and will increase efficiency and safety and decrease producer cost for someprocedures and will increase veterinary capacity. 3. Order large animal scales January 2021. The primary benefits of this equipment are to the producer. The ability to determine exact weights will allow precise dosing of medications that are administered according to weight, increasing profitability for the producer. It will aid producers in tracking gains and losses and thus better manage their operations. 4. Purchase and receive training in use of large animal ultrasound machine January 2021. 5. Purchase large animal radiograph plate to enable goat, sheep, and pig chest and abdominal radiographs January 2021. 6. Begin providing ultrasound and radiographs for cattle, goats, sheep, and pigs, February 2021. 7. Hold a producer outreach event to inform producers of new capabilities in ultrasound and radiograph and demonstrate the equipment February 2021.8. Delivery and installation and of squeeze chute and scales February 2021. 9. Market new and enhanced services February 2021-December 2023. Presentations to producer associations and social media, email, and mail marketing to current clients will spur adoption of new procedures and result in word of mouth marketing, which is one of the most effective marketing methods for the target population. 10. Begin using new squeeze chute to provide greater quantity and quality of cattle procedures March 2021. 11. Begin tracking numbers of clients served, numbers of animals treated March 2021. 12. Hire a new RVT with 50% FTE food animal allocation May 2021. This will provide capability to perform food animal procedures in clinic when I am on farm calls through indirect supervision, increasing food animal capacity. 13. Hold semi-annual producer education events to increase knowledge of herd health management, new and enhanced procedures, and benefits of those procedures as well as collect feedback on activities. Events will be held in rotating counties every six months beginning in June 2021 and continuing beyond the program period. 14. Interview clients for feedback and input on implementation and ongoing planning (June 2021 and continuing).Expected Results. As a result of the equipment purchased and increased food animal capacity,I anticipate the following outcomes. I will add 44 new food animal clients per year in years 1-3 for a 10% increase each year and a 30% total increase. With Based on an average herd size of 35 head, this will increase the number of animals served by 10% (1,540 head) each year or 30% overall. As a result of the equipment purchased and staff hired, I will increase my average farm calls per month by 30% (from 19 to 25)over the life of the grant. I will present 7 community outreach events for producers. It is estimated that 40 producers will attend each event for a total of 280.Data Collection, Evaluation, and Communication of Results. Data will be collected through analysis of internal records of clients and livestock served and procedures performed as well as analysis of the revenue from those procedures. Attendance at producer education events will be tracked. Results will be communicated to USDA through required reports, to producer stakeholders at producer educational events, and to the public through social media posts. The public will be informed about new capabilities resulting from equipment purchases as described in Specific Activities above.

Progress 09/01/20 to 08/31/23

Outputs
Target Audience:The target audience reached during the grant period includes cattle and small ruminant producers including current and new clients in the shortage situation. No social or economic data is gathered from our clients. Changes/Problems:A significant delay in year 1 project activities resulted from the squeeze chute being delivered six months behind the anticipated schedule due to COVID supply chain issues. Additionally, it took significantly longer than expected to move the squeeze chute into the building and modify the facility to accommodate its larger size. This resulted in significantly less increase in bovine services than originally proposed for year 1. The proposed hiring of the 50% food animal RVT did not take place as planned, as not enough increase in service demand had been realized to justify the expansion. Additionally, it has been determined to be prohibitive to recruit and hire an RVT from this area with the requisite skills and experience to perform large animal work under indirect supervision. An unforeseen outcome was the addition of Okmulgee Sale Barn Starting in April 2021. This impacted 402 head of cattle and an estimated 100 producers through pregnancy checks and health inspections during year 1. The Okmulgee Livestock Auction ceased cattle sales in September 2021. In November 2021, a second sale barn contract at Checotah Livestock Market was added, continuing beyond the end of the grant period. This impacted 13,741 head of cattle and an estimated 350 producers through pregnancy checks, breeding soundness exams, and health inspections during the grant period. The barn serves Muskogee, Okmulgee, Hughes, Haskell and Pittsburg counties, so the majority of these cattle and producers can be assumed to be located within the shortage situation.Another unforeseen development was the sale of Stigler Livestock Auction in January 2022. With the new ownership, sale numbers have increased dramatically, resulting in greater numbers of livestock and producers served through this sale barn. Of special note in year 2 was the catastrophic flood event referenced above that occurred May 4-5 resulting in complete clinic closure for two weeks, and half day operating hours for three months. Flood recovery efforts meant that Dr. Walkup, practice owner and food animal veterinarian divided his time between medicine and construction activities from May to December 2022. This significantly decreased progress on goals under the funded program. Due to the flood, a budget modification allowed funds previously allocated to RVT staffing that proved infeasible to be reallocated to replacement of equipment and supplies as well as salary for the existing food animal assistant. This enabled food animal services to continue at decreased hours through the last three months of year 2 and the first three months of year 3. This decrease in doctor time to provide services resulting from flood recovery efforts and reduced clinic hours has resulted in lower than projected numbers of new clients and patients served in years 2 and 3. Also following the flood, former practice owner and high-volume small animal associate Dr. Tim Synar retired and has not been replaced. As a result, Dr. Walkup has had to dedicate significant time to small animal work in year 3, reducing available time for food animal medicine. A deviation from anticipated project outcomes was a decrease rather than an increase in number of farm calls during year 1. This can be attributed to decreased client income and use of services due to COVID related job loss or furloughs. Additionally, it should be noted, the original baseline of 19 farm calls per month was significantly overestimated. For years 2 and 3, the baseline for comparison was 7 per month with a target increase to 10 per month. While this targeted increase is lower than the originally proposed increase, several factors affect this number. First, the addition of sale barn contracts at Okmulgee Livestock Auction for part of 2021 and Checotah Livestock Market in 2021 through present reduces the veterinarian's time available for producer farm calls by one or more days per week, as it is not uncommon to spend an extra day or half day at CLM prior to sale day when large consignments are delivered early. In year 2, farm calls decreased slightly over year 2 as the new squeeze chute shifted a number of appointments from farm calls to in-clinic visits due to the increased capabilities and safety offered by the chute. In 2023, farm call numbers returned to year 1 levels. A producer survey was not conducted due to the logistical difficulties of surveying food animal producers. While online surveys are the current best practice for data collection, the target population tends to be technology averse. Thus, mailed or in person surveys would be indicated. However, anticipated response rate to mailed surveys is low, and due to COVID in person surveys are not a viable option. Other changes from the proposed workplan include the inability to host more than 1 producer education event resulting from COVID, and the flood disaster. With the loss of the practice manager during year 3, social media marketing was discontinued due to inadequate staff resources. What opportunities for training and professional development has the project provided? Nothing Reported How have the results been disseminated to communities of interest? Nothing Reported What do you plan to do during the next reporting period to accomplish the goals?While this is the final report for the three-year grant, plans for years three and four include continuing to increase the number of food animal patients,clients and farm calls. A former veterinary assistant in the practice will graduate vet school in 2025 and plans to join the practice as a small animal practitioner. This will relieve Dr. Walkup of small animal duties, enabling him to focus solely on food animal work.

Impacts
What was accomplished under these goals? Goal 1: Increase availability of and access to veterinary services. Objective 1.1: Increase efficiency of food animal operations to maximize clients served. All the proposed equipment was purchased, installed and put into service in year 1. The equipment includes hydraulic tilt squeeze chute and food animal scales, food animal x-ray plate, and portable food animal ultrasound machine. The new equipment enabled expansion of services including ultrasound, radiography and bovine hoof procedures. Due to COVID supply chain issues and challenges with facility modification, the squeeze chute installation occurred significantly later than anticipated (completed mid-August 2021). In year 2, it was determined the proposed addition of a food animal RVT would not result in significant benefit to the practice in terms of numbers of clients and patients served. Therefore, this action was not taken. Objective 1.2: Determine producer needs and gaps in service. Due to the rural nature of the practice and associated connectivity issues as well as the cost and proven ineffectiveness of direct mail returns, formal producer surveys were not implemented to determine gaps in service. Instead, we employed informal one on one interviews during service visits to assess producer needs. This has revealed that the one of the largest service gaps in the area was for bovine hoof trims as most area veterinarians do not have tilt-capable squeeze chutes to facilitate the work. This conclusion is further borne out by the large number of bovine hoof trims procedures we do using the new squeeze chute. Objective 1.3: Add new and enhance existing food animal services offered. Immediately after the installation of the squeeze chute in mid-August 2021, bovine hoof trims commenced. Additionally, the squeeze chute has increased the safety and comfort of all other bovine procedures. Additionally, the scales under the squeeze chute allow for more accurate dosing of medications, resulting in decreased producer cost and increased efficacy of medications. New ultrasound and radiography services were added for cattle and small ruminants. Goal 2: Increase producer awareness of services and knowledge of benefits of veterinary care to animal health and operation profitability. Objective 2.1: Market services to producers throughout the current practice area. Food animal focused educational and informational content was posted to Facebook periodically during years 1 and 2 for a total of 28 posts. Due to the practice-wide focus on flood recovery during May - December 2023, social media marketing was discontinued and not resumed in year 3 due to the loss of the practice manager responsible for this task. New equipment and capabilities were effectively marketed through word of mouth to clients and area producers. Objective 2.2: Increase producer knowledge about the benefits of veterinary care to animal health and operation profitability in each county of the practice area. One producer seminar was presented in year 1. Due to COVID, attendance was low at only 7 individuals. In year two we initiated an educational partnership with Oklahoma State University Cooperative Extension Service to increase producer awareness of BSE evaluations in herds. We had planned to hold a series of breeding soundness exam clinics with the first one scheduled for May 5. Unfortunately, the night of May 4, the clinic flooded catastrophically, resulting in the cancellation of this clinic. Recovery efforts since then have precluded holding any educational clinics since that time. Since flood recovery was completed, OSU Extension has had challenges with staffing and facilities and has been unable to partner with us in Year 3. Key Outcomes Year 1 One community outreach event was presented during year 1 with seven in attendance. Number of food animal farm calls during year 1 was 61. 50 new food animal clients were added. This includes 34 new bovine clients and an estimated 1,190 new bovine patients (based on average herd size of 35 head). Other species represented are caprine (8 clients), ovine (1 client), and porcine (7 clients). Year 2 Number of food animal farm calls during year 2 was 53. 35 new food animal clients were added. This includes 18 new bovine clients and an estimated 630 new bovine patients (based on average herd size of 35 head). Other species represented are caprine (14 clients), ovine (2 clients), and camelid (1 client). Year 3 62 food animal farm calls were made in year 3. It is significant that with the addition of the squeeze chute, a greater number of bovine patients were seen in the clinic, while at the same time, food animal farm calls did not decline from year 1 prior to installation of the new squeeze chute. This indicates an overall increase in the number of calls, as there was a definite shift from farm calls to in clinic appointments for certain procedures. 59 new clients were added. This includes 32 new bovine clients and an estimated 1,120 new bovine patients (based on average herd size of 35 head). Other species represented are caprine (13 clients), Ovine (4 clients), porcine (1 client, 7 head), and poultry (3 clients). In year 3, 227 head of cattle passed through the new squeeze chute, and zero onsite injuries to DVM, staff or patients were incurred. 47 hoof trims were completed in year 3 compared to 2-3 per year prior to chute acquisition. Three-year outcomes totals are as follows. 1 community outreach event was held. 176 food animal farm calls were made. 144 new food animal clients were added: 84 new bovine clients and an estimated 2,940 bovine patients. Other species represented are caprine (35 clients), Ovine (7 clients), porcine (8 clients), and poultry (3 clients). One new weekly cattle sale barn, Checotah Livestock Market, was added in November 2021 impacting 5,023 head and an estimated 250 producers in year 2 and 8,718 head and an estimated 300 producers in year 3. As the sale barn is situated at the center of the shortage situation and serves Muskogee, Mcintosh, Okmulgee, Pittsburg, and Haskell Counties, it can be inferred that the majority of these cattle and producers are located within the shortage situation. A challenge is the difficulty in determining herd size for non-bovine food animal producers. There is not a published average herd size for our area as producers are reluctant to share the size of their herds. Because small ruminant and porcine producers do not commonly use veterinary services on a whole herd basis, it is impossible to collect accurate data on client herd size for these producers.

Publications


    Progress 09/01/21 to 08/31/22

    Outputs
    Target Audience: Nothing Reported Changes/Problems:Of special note is the catastrophic flood event referenced above that occurred May 4-5 resulting in complete clinic closure for two weeks, and half day operating hours for three months. Flood recovery efforts have meant that Dr. Walkup, practice owner and food animal veterinarian has divided his time between medicine and construction activities for the last three months of the reporting period. This has significantly decreased progress on goals under the funded program. Due to the flood, a budget modification allowed funds previously allocated to RVT staffing that proved infeasible to be reallocated to replacement of equipment and supplies as well as salary for the existing food animal assistant. This enabled food animal services to continue at decreased hours through the last three months of the reporting period. This decrease in doctor time to provide services resulting from flood recovery efforts and reduced clinic hours has resulted in lower than projected numbers of new clients and patients served during the reporting period.? What opportunities for training and professional development has the project provided? Nothing Reported How have the results been disseminated to communities of interest? Nothing Reported What do you plan to do during the next reporting period to accomplish the goals?During the next reporting period, we will resume working with OSU extension and pharmacy representatives to present the planned producer education events. We will also continue word of mouth outreach about our services to continue reaching new clients and patients.

    Impacts
    What was accomplished under these goals? Goal 1: Increase availability of and access to veterinary services. Objective 1.1: Increase efficiency of food animal operations to maximize clients served. In year 2, it was determined the proposed addition of a food animal RVT would not result in significant benefit to the practice in terms of numbers of clients and patients served. Therefore, this action was not taken. Objective 1.2: Determine producer needs and gaps in service. Due to the rural nature of the practice and associated connectivity issues as well as the cost and proven ineffectiveness of direct mail returns, formal producer surveys were not implemented to determine gaps in service. Instead, we have employed informal one on one interviews during service visits to assess producer needs. This has revealed that the one of the largest service gaps in the area was for bovine hoof trims as most area veterinarians do not have tilt-capable squeeze chutes to facilitate the work.This conclusion is further borne out by the large number of bovine hoof trims procedures we do using the new squeeze chute. Goal 2: Increase producer awareness of services and knowledge of benefits of veterinary care to animal health and operation profitability. Objective 2.1: Market services to producers throughout the current practice area. Food animal focused educational and informational content was posted to Facebook periodically during year 2 for a total of 10 Facebook posts. New equipment and capabilities were marketed through word of mouth. Objective 2.2: Increase producer knowledge about the benefits of veterinary care to animal health and operation profitability in each county of the practice area. In year two we initiated an educational partnership with Oklahoma State University Cooperative Extension Service to increase producer awareness of BSE evaluations in herds. We had planned to hold a series ofbreeding soundness exam clinics with the first one scheduled for May 5. Unfortunately, the night of May 4, the clinic flooded catastrophically, resulting in the cancellation of this clinic. Recovery efforts since then have precluded holding any educational clinics since that time. We plan to resume this course of effort in year three after flood recovery is complete. 35 new food animal clients were added. This includes 18 new bovine clients and an estimated 630 new bovine patients (based on average herd size of 35 head). Other species represented are caprine (14 clients), ovine (2 clients), and camelid (1 client). A challenge is the difficulty in determining herd size for non-bovine food animal producers. There is not a published average herd size for our area as producers are reluctant to share the size of their herds. Because small ruminant and porcine producers do not commonly use veterinary services on a whole herd basis, it is impossible to collect accurate data on client herd size for these producers.?

    Publications


      Progress 09/01/20 to 08/31/21

      Outputs
      Target Audience:The target audience reached during this reporting period includes cattle and small ruminant producers including current and new clients in the shortage situation. No social or economic data is gathered from our clients. Changes/Problems:A significant delay in project activities resulted from the squeeze chute being delivered six months behind the anticipated schedule due to COVID supply chain issues. Additionally, it took significantly longer than expected to move the squeeze chute into the building and modify the facility to accommodate its larger size. This resulted in significantly less increase in bovine services than originally proposed for year 1. The proposed hiring of the 50% food animal RVT did not take place as planned, as not enough increase in service demand had been realized to justify the expansion. Additionally, it has been determined to be prohibitive to recruit and hire an RVT from this area with the requisite skills and experience to perform large animal work under indirect supervision. For this reason, I will request a modification to the work plan and budget to reallocate part or all of these funds. An unforeseen outcome was the addition of Okmulgee Sale Barn starting in April 2021. This impacted 402 head of cattle and an estimated 100 producers through pregnancy checks and health inspections during year 1. The Okmulgee Livestock Auction ceased cattle sales in September 2021. A deviation from anticipated project outcomes was a decrease rather than an increase in number of farm calls during year 1. This can be attributed to decreased client income and use of services due to COVID related job loss or furloughs. Additionally, it should be noted, the original baseline of 19 farm calls per month was significantly overestimated. Going forward, the baseline for comparison will be the 7 per month with a target increase to 10 per month. While this targeted increase is lower than the originally proposed increase, several factors affect this number. First, the addition of a new sale barn contract in November 2021 reduces the veterinarian's time available for producer farm calls by one day per week, while increasing the veterinarian's time spent on food safety efforts and increases networking with farmers andranchers in the shortage situation. Additionally, the new squeeze chute increases the difference in safety for livestock, owner, and veterinarian between procedures done in clinic and procedures done in the field. This has resulted in more haul-ins, thereby reducing the number of farm calls. A producer survey was not conducted due to the logistical difficulties of surveying food animal producers. While online surveys are the current best practice for data collection, the target population tends to be technology averse. Thus, mailed or in person surveys would be indicated. However, anticipated response rate to mailed surveys is low, and due to COVID in person surveys are not a viable option. What opportunities for training and professional development has the project provided?One producer seminar was held with seven producers in attendance. How have the results been disseminated to communities of interest?Grant activities and new equipment have been publicized via word of mouth to clients and community. What do you plan to do during the next reporting period to accomplish the goals?During the next reporting period, activities will be undertaken according to the approved application. Additionally, as planned for year 1, a producer outreach event will be held to inform producers of new capabilities in ultrasound and radiograph and demonstrate the equipment.

      Impacts
      What was accomplished under these goals? Goal 1: Increase availability of and access to veterinary services. Objective 1.1: Increase efficiency of food animal operations to maximize clients served. All the proposed equipment was purchased, installed and put into service. The equipment includes hydraulic tilt squeeze chute and food animal scales, food animal x-ray plate, and portable food animal ultrasound machine. The new equipment enabled expansion of services including ultrasound, radiography and bovine hoof procedures. Due to COVID supply chain issues and challenges with facility modification, the squeeze chute installation occurred significantly later than anticipated (completed mid-August 2021). Objective 1.2: Determine producer needs and gaps in service. No producer surveys were completed in year 1. Producer surveys are planned for the first half of year 2. Objective 1.3: Add new and enhance existing food animal services offered. Immediately after the installation of the squeeze chute in mid-August, bovine hoof trims commenced. Additionally, the squeeze chute has increased the safety and comfort of all other bovine procedures. Additionally, the scales under the squeeze chute allow for more accurate dosing of medications, resulting in decreased producer cost and increased efficacy of medications. Goal 2: Increase producer awareness of services and knowledge of benefits of veterinary care to animal health and operation profitability. Objective 2.1: Market services to producers throughout the current practice area. Food animal focused educational and informational content was posted to Facebook periodically throughout year 1 for a total of 18 posts Objective 2.2: Increase producer knowledge about the benefits of veterinary care to animal health and operation profitability in each county of the practice area. One producer seminar was presented. Due to COVID, attendance was low at sevenindividuals. Key Outcomes for Year 1 One community outreach event was presented during year 1 with seven in attendance. Number of food animal farm calls during year 1 was 61. 50 new food animal clients were added. This includes 34 new bovine clients and an estimated 1,190 new bovine patients (based on average herd size of 35 head). Other species represented are caprine (8 clients), ovine (1 client), and porcine (7 clients). A challenge is the difficulty in determining herd size for non-bovine food animal producers. There is not a published average herd size for our area as producers are reluctant to share the size of their herds. Because small ruminant and porcine producers do not commonly use veterinary services on a whole herd basis, it is impossible to collect accurate data on client herd size for these producers. Under Goal 2: New equipment and capabilities were marketed through social media and word of mouth. Due to COVID, only one producer seminar was able to be held, and attendance was significantly lower than projected.

      Publications