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Why wellness? Nearly 10 percent of veterinarians characterize themselves as experiencing severe psychological distress.

Why wellness? Nearly 17 percent of veterinarians have contemplated suicide since graduation.

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Improving practice culture, improving practice profitability: topics easy to talk about, often challenging to implement, often overwhelming for veterinary practices. How do we best implement change? One bite at a time! Break it down and simplify – keep it simple, keep it simple, keep it simple!

The AVMA Practice Profitability Workshop breaks the opportunity into four simple, easily understood baskets: finance, operations, strategy, and economics. Keep it simple, break it down.

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How many professional organizations do you belong to? How many professional organizations COULD you belong to? Today's complex society offers endless opportunities to belong, to be a member, to volunteer time. How is time best spent? Where is greatest value realized?

Previously, I've argued our profession's practice level fragmentation; large capital investment duplicated in veterinary facilities in close proximity to one another; significantly limits veterinary practice profitability. Can the same argument be made for the profession's organizations? Does fragmentation hinder our ability to maximize membership value?

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The AVMA Veterinary Economic Strategy Committee and the Economics Division hosted the 4th annual Economic Summit in Schaumburg on October 24 – 25. A few dozen participants attended the first Summit in 2013, over 200 representatives of private practice, academia, allied organizations and industry participated in this year's event, legitimizing the AVMA Executive Board's 2009 vision to develop strategies addressing the profession's economic issues.

I'm most gratified, as an inaugural committee member and recent committee chair, to report the progress made in understanding our profession's finance and economics is nothing short of amazing. Twenty-four presentations on wide varieties of financial and economic topics place this meeting at the top of the attendance list for veterinarians seriously interested in fine tuning their practice's financial performance.

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At one point, people truly believed the world was flat. We all know this core belief was dramatically disrupted. Countless industries experience disruptive business model changes – the music industry transformed from vinyl disks to streaming music; newspapers from print to being available free online; travel from booking through travel agencies to a plethora of instant-booking, travel-related websites. Is disruptive change coming to veterinary medicine?

Basic veterinary practice business models have changed little in decades. The profession's educational process approximates eight years to receive the DVM degree. Most practices are open traditional business hours, five or six days a week. The profession is fragmented, with large capital investments in buildings and equipment duplicated in veterinary facilities in very close proximity to one another. Animal health suppliers experiencing extreme consolidation. Is disruptive change coming to veterinary medicine?

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