1. AAVPT BIENNIAL SYMPOSIUM: “A VETERINARY PRACTITIONER’S VIEW OF COMPOUNDING.” Dennis A. Feinberg, DVM AAVPT 14 th Biennial Symposium, May 16-17, 2005, Rockville, MD Pg. 231-252 (Slide#1-22)

2. Dennis Feinberg, DVM President, American Animal Hospital Association & Owner, Charles Towne Veterinary Clinic 850 Savannah Hwy Charleston, South Carolina, 29407-7216 Telephone: (843) 571-4291 E-mail: CTVC@aol.com

3. DISCLAIMER: DOES NOT REPRESENT THE VIEWS OF THE AMERICAN ANIMAL HOSPITAL ASSOCIATION

5. My Educational Story— How I Got Started

6. RESOURCES Dr.Gigi Davidson, RPh, DICVP, Director of Clinical Pharmacy Services North Carolina State College of Veterinary Medicine Dr. Dawn Boothe, Diplomate, American College of Veterinary Internal Medicine, American College of Veterinary Clinical Pharmacology

7. Dr. Neal Bataller, ME, DVM, Veterinary Medical Officer FDA/Center for Veterinary Medicine Dr. Lauren Trepanier, Diplomate, American College of Veterinary Internal Medicine, American College of Veterinary Clinical Pharmacology Dr. Elizabeth Curry-Galvin, Assistant Director, Scientific Activities Division American Veterinary Medical Association Resources

8. Dr. Doug Kemp, RPh, PharmD, University of Georgia School of Veterinary Medicine Dr. Steve Marks, Diplomate, American College of Veterinary Internal Medicine Dr. Katrina Mealey, Diplomate, American College of Veterinary Internal Medicine, American College of Veterinary Clinical Pharmacology Resources

11. Quality Veterinary Medicine Balancing Technology and Therapeutics DVM’s Decision: Best Patient Treatment Legend Drugs in Therapeutic Form and Dose Media Drug Scrutiny USA Today March 2005 Primetime April 2005 ISSUES

12. PROBLEMS Piracy Veterinarians Pharmacy Quantitative Assessment of Compounded Drugs Research

13. Evidence Based Medicine Manufacturer Incentive for New Drug Production FDA (CVM) FDA Lawsuit BET Pharm Litigation (Kentucky) Midland Compounding Litigation PROBLEMS CONTINUED

14. SOLUTIONS Ban Piracy Veterinary Education Groups that need education AVMA Website: www.avma.org/compoundingwww.avma.org/compounding Animal Health Institute’s Veterinary Compounding Brochure AAEP Compounding Guidelines

15. Solutions Continued Pharmacists and Pharmacies Raise the Bar Voluntary site accreditation process Board certification in veterinary pharmacotherapy Continuing education in veterinary pharmacy Education of veterinary and pharmacy students.

16. Solutions FDA (CVM) New CPG Sensitized to needs of profession Negative list vs. Positive List

17. Wish List Legend drugs in form & dose Quality control: safety & efficacy Compounding pharmacies serving as invaluable resource Checks & balances: accountability Advocate for “best care” & “Standards” Continued incentive for R & D: manufactures

18. Closing Comments Knowledge base of Practicing DVM Messenger to “Potential Change Makers” “Vacuum” mentality Coalitions creating an educational wave

19. Coalitions “The future is about us; the present and the future and how we navigate through the opportunities and challenges.”

20. “You can’t solve tomorrow’s problems with today’s solutions” - John Maxwell

21. “You can do what I can’t do. I can do what you can’t do. Together we can do wonderful things.” Mother Teresa