Dr. Downing is Hospital Director of The Downing Center for Animal Pain Management, LLC. She has received many regional, national, and international awards, including the Excellence in Veterinary Medicine Award in 2001 from the World Small Animal Veterinary Association. Dr. Downing is a Diplomate of the American College of Veterinary Sports Medicine and Rehabilitation, a Certified Veterinary Pain Practitioner, and she was the third veterinarian in the world to earn the Diplomate credential in the American Academy of Pain Management (a human pain management organization). Dr. Downing is an internationally sought-after speaker on a wide variety of topics including pain management, physical rehabilitation, physical medicine, hospice/end-of-life care, anaesthesia related topics, and overcoming compliance obstacles/issues in veterinary medicine. In 2016 she completed her Master of Science degree in Clinical Bioethics from the Icahn School of Medicine at Mount Sinai in NYC and Union Graduate College with the intention of translating the principles and practices of clinical bioethics for application in veterinary medicine.