The Vet Vault: Fall In Love With Veterinary Science – Details, episodes & analysis

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If you’ve ever wondered about starting your own veterinary practice, then this episode is for you. We speak to Dr Amber Christie and Brooke Goodwin, a vet and vet nurse team who are the owners of a brand new clinic, about the highs, the challenges the lessons learnt from building their new practice. 

Dr Amber is on new practice number four, and she tells us what they're doing differently this time around - from the practicalities of setting up the practice, like practice design, business structure, and finance, to how they’re thinking about things like boundaries, values, and growth. Brooke shares her perspective from a first time business owner’s point of view, and tells us how they are making the vet nurse/business owner structure work for them and for their clients. Finance specialist Caroline Willemse from Credabl took care of the money side of practice ownership for Amber and Brooke, and she joins us to answer common questions and bust some myths about business finance. 

Topics and Time Stamps

05:21 Balancing Personal and Professional Life as a Practice Owner

10:49 The Importance of Flexibility 

16:15 Designing the Perfect Vet Clinic

19:51 Financial Planning and Support for New Practices

30:22 Misconceptions and Realities Starting a Vet Practice: 

31:17 Choosing Your Path: Independent vs. Group Practice

31:38 The Joy of Building from Scratch

32:58 Financial Considerations for New Practices

34:48 Renting vs. Buying: Pros and Cons

36:18 Fixed vs. Variable Borrowing

38:51 The Unique Partnership: Vet and Nurse Co-Ownership

46:00 Picking Your Values and Goals

54:33 The One Question

We love to hear from you. If you have a question for us or you’d like to give us some feedback please get in touch via our contact from at thevetvault.com, or catch up with us on Instagram.

And if you like what you hear, please share the love by clicking on the share button wherever you’re listening and sending a link to someone who you think should hear this. 

You’ll hear a lot of complaining and blaming of leaders for everything that’s wrong with veterinary science. But the reality is that leading people is a very hard job, especially in a profession as complicated and nuanced as veterinary science. So this episode is for our leaders. We hope that it helps make your job of making our profession better just a little bit easier.

David Liss is the Director of West Coast Operations for Veterinary Emergency Group (VEG), and in this episode he’ll tell you about the three essential ingredients of great veterinary teams, and what this has to do with The Avengers and how they defeated Thanos! David also shares his strategies for giving hard-to-hear feedback, and tells us why goal setting is so important for building a great team and how to get the team excited for these goals. But we start with what might be the most important question: how do you, as a leader, stay motivated to keep motivating others?!

This episode was recorded live at IVECCS 2023, the conference of the Veterinary Emergency and Critical Care Society. Join me at IVECCS 2024 for MUCH more content like this, and more ECC clinical content than you could ever wish for. 

Get access to our highlights and key takeaways sessions, plus the show notes, from all of the conferences we’ve attended this year by joining our Vet Vault Nerds at vvn.supercast.com for more than 500 short sharp and practical podcasts in Small Animal Medicine, Surgery and Emergency and Critical Care. 

If you need expert help with those tricky cases that you can’t refer - we have a team of specialists on standby to provide you with some extra brains. Contact them here. 

Topics and time stamps

02:54 Motivation and Inspiration in Leadership

11:14 Back to the Avengers: Team Dynamics

15:43 Setting Goals and Achieving Buy-In

19:19 Profit: It's not a dirty word!

21:26 Handling Difficult Conversations

29:30 Carrot or Stick? Motivators

What if I told you that your clients never have to worry about when they inject their diabetic cats with insulin, and still maintain beautiful glucose control? And timing insulin with meal times: forget about it!

Those are just some of the things you’ll learn about in this episode about using basal insulin in veterinary diabetic patients. We also discuss:

• Why you don't need fancy diets for good glucose control.

• How traditional glucose curves not necessary for monitoring diabetic cats on basal insulin.
• Great tips for using continuous glucose monitoring devices.

Dr Linda Fleeman is an internationally renowned veterinary expert on the treatment of diabetes, and is regularly invited to write textbook chapters and speak on this topic at international forums. Linda has worked in both university referral practice and general small animal practice, with her primary focus for more than 20 years being all aspects of diabetes in dogs and cats. She completed a Residency in Small Animal Medicine, followed by a PhD on the clinical management of diabetes mellitus in dogs.  She’s held positions as Lecturer in Small Animal Medicine at the University of Queensland and Senior Lecturer in Small Animal Medicine at the University of Sydney before deciding to return to private clinical practice back in 2010. She currently does her work through Animal Diabetes Australia, the only diabetes-specific veterinary clinical service in the world, where she and her team pioneer ground-breaking diabetes treatments and management strategies and help practitioners better manage their patients through her consulting service.

Join our Specialist Support Space for case support for your tricky from our team of specialists, including diabetes case help from Dr Linda.

Subscribe to our RACE approved clinical continuing education podcasts for the show notes for this episode, a follow up session on managing diabetic dogs with basal insulin, plus hours of diabetes content with veterinary endocrinology guru Prof David Church, and over 450 other episodes in Medicine, Surgery and Emergency and Critical Care.

Subscribe to our ⁠weekly newsletter⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠ for Hubert's favourite clinical and non-clinical learnings from the week. 

Our guest for today Is Dr Ivan Zakharenkov, or Ivan Zak as he’s better known. Ivan is a veterinarian and an entrepreneur committed to creating products that empower healthcare teams to live their passion.

If you haven’t heard of Ivan then there’s a fair chance that you have heard of, or possibly use his brainchild on a daily basis in your hospital: Ivan was the founder of the now-ubiquitous veterinary software Smartflow. It was Ivan’s personal journey as a practicing veterinarian for 12 years that led to the development of Smartflow, and eventually to his current mission.

Early in his career, Ivan experienced severe burnout, and it was that experience that has led him to explore the psychological triggers of burnout and business methodologies that veterinary organizations can apply to work against them. Researching this topic, Ivan obtained an MBA degree in International Healthcare Management and wrote a dissertation “Implementation of lean thinking to improve employee experience.” Today Ivan is leading Veterinary Integration Solutions, a technology company helping veterinary groups implement an operating framework for sustainable integration of practices with a special focus on burnout prevention.

Our conversation covers some of the highlights of the findings of the burnout study and his thinking about solutions to burnout. What I love about Ivan’s thinking that has flowed from the study is that the focus is not on how we as individuals can get better at preventing burnout - instead it focuses on the causes of burnout at a management and leadership level, and on practical solutions.

Ivan talks openly about his experience with burnout and how to identify it, we discuss the 6 triggers of burnout and strategies to mitigate it, Ivan gives us an inside perspective on how corporate veterinary practice works that might surprise you, and we talk about money and it’s role in job satisfaction and burnout, and much more.

https://vetintegrations.com/

Go to https://thevetvault.com/podcasts/  for the show notes, to get your hands on the answers to ‘the one question’ from our first 20 guests, and to check out our guests’ favourite books, podcasts, and everything else we talk about in the show.

If you want to lift your clinical game, subscribe to our clinical podcast series at https://vvn.supercast.tech for weekly short and sharp high-value clinical updates that you can consume on the go.

We love to hear from you. If you have a question for us or you’d like to give us some feedback please leave us a voice message by going to our episode page on the anchor app (https://anchor.fm) and hitting the record button, via email at [email protected], or just catch up with us on Instagram. (https://www.instagram.com/thevetvault/)

And iff you like what you heard then please share the love by clicking on the share button wherever you’re listening and sending a link to someone who you know will enjoy listening.

We’re back today with another full-length vet interview, and it’s a corker!  We’re exploring the ins and outs, the ups and downs and the and the joys and struggles of a career in emergency practice, with Dr Lorna O’Dowd.

You’ll pick where Lorna cut her teeth in mixed practice from her lovely Irish accent. Since her early career in Ireland, Lorna did stints of smallies locum work interspersed with volunteering in all sorts of exotic locations around the world. She finally put down her roots here in Australia, where she followed a path that saw her working and teaching in the emergency department at the University of Melbourne for the past decade.

At the time of recording this episode, she’d just started a new ECC job in a private specialist clinic, which leads us straight into a great conversation about change, dealing with new jobs and teams and the associated stresses, how to pick a team that fits with your values, and how to add value to your team. We talk about imposter syndrome, burnout, being a good mentee, and... death - when our patients die, with or without our help - a very important topic that we haven’t really touched on before on the podcast. And of course, we couldn’t talk to a fellow ECC geek without asking her for her best tips on how to survive a career in emergency practice with shift work and high-stress situations.

Enjoy!

This episdoe is a bit of a hybrid between our standard performance episodes and a clinical one. We speak to Dr Randolph Baral, who owns and works in a feline-only practice in Sydney, Australia. But Randolph doesn’t just like staying up to date with what’s new for his patients - he prefers to stay at the forefront by doing his own research. This has led to him gaining his memberships feline medicine, a pHD in clinical pathology, being a regular contributor on VIN, and authoring a string of publications and articles on all things clin path. We talk to Randolph about the benefits of niche practice and about being a researcher while also being a clinician and practice owner, but the bulk of our conversation is around Randolph’s insights around his pet topic: variation in blood results, how we interpret our blood results, and more specifically BETTER ways of thinking about our results. Now, a quick word of warning - some of the things Randolph talks about might hurt your brain a bit when you first hear them, but I guarantee that once they click into place you’ll wonder how it is that you never thought about things in this way. This episode is supported by Heska Australia. https://www.heska.com.au Heska is the most exciting new player in the in-house lab equipment market in Australia. They offer top of the line machines and proven reliable results, but with significantly reduced spend on consumables, with savings of 30% or more compared to other dry-slide analysers. Pay less, get more, no tricks. Go to https://thevetvault.com/podcasts/ for the show notes, to get your hands on the answers to ‘the one question’ from our first 20 guests, and to check out our guests’ favourite books, podcasts and everything else we talk about in the show. If you want to lift your clinical game, subscribe to our clinical podcast series at https://vvn.supercast.tech for weekly short and sharp high value clinical updates that you can consume on the go. We love to hear from you. If you have a question for us or you’d like to give us some feedback please leave us a voice message by going to our episode page on the anchor app (https://anchor.fm) and hitting the record button, via email at [email protected], or just catch up with us on instagram. (https://www.instagram.com/thevetvault/) If you like what you heard then please share the love by clicking on the share button wherever you’re listening and sending a link to someone who you know will enjoy listening.

I recently had the privilege to be interviewed by my podcast/business coach, James Whittaker. James is an author, film producer, entrepreneur, all-round great guy and host of the Win The Day podcast. We thought we'd share it with you here on the Vet Vault, because 

A - If you're a podcaster and you get handed a well-executed pre-edited bit of audio then you'd be a fool not to use it.

B - We discuss a few things in the conversation that we think could be of value to some of you.

C - Maybe it's time you got to know us a bit better!

Enjoy. Hugh

Check out James' podcast at https://jameswhitt.com/podcast/

If you have a podcast or a digital business, or you're considering starting one...this is where I learnt a lot of what I know:

https://wearepodcast.com/events 

Highly recommended. As a member of the tribe, I get a 20% discount code to share with friends: use the code VET for your discount. 

You know that virus that the entire world hates at the moment? Yes - the C-word. Well, us vets have hated it for a long time, because it’s been killing our feline patients relentlessly in it’s mutated form of Feline Infectious Peritonitis long before the rest of the world ever heard the name 'corona'. Well, that might be about to change... 

In this episode, we share some highlights of a recording we recently released on the Vet Vault Clinical small animal medicine podcast with our resident medicine specialist, Dr Dave Collins. Join in to find out all the details about some new treatments that are showing very high cure rates for FIP. It's simply too important not to share. We hope you find it as enlightening as we did, and please remember to share it with your colleagues so we can get the word out there. 

Dr Dave also gave us access to some detailed notes on everything we know about Remdesivir, one of the drugs we talk about, including a comprehensive treatment protocol. If you want to get your hands on these go to www.thevetvault.com and subscribe to our mailing list, and we'll send them to you. 

In the full episode, we also cover the ins and outs of diagnosing FIP, which you'll know can be a challenge in itself. Go and check it out at vvn.supercast.tech. 

Dr Sarah Heath is an RCVS and European Veterinary Specialist in Behavioural Medicine and was made a Fellow of the Royal College of Veterinary Surgeons in 2018. She is an External Lecturer in small animal behavioural medicine on the veterinary undergraduate course at Liverpool University. In 2019 she gained her Postgraduate Certificate in Veterinary Education and became a Fellow of the Higher Education Authority. She is a Certified Clinical Animal Behaviourist under the ASAB accreditation scheme and registered as a Veterinary Behaviourist with the Animal Behaviour and Training Council. 

She sees clinical cases across North West England and has a special interest in the interplay between emotional and physical illness in dogs and cats and particularly in the role of pain. She promotes the recognition of emotional health issues in companion animals and the role of the veterinary profession in safeguarding the welfare of animals in this context. Sarah lectures extensively, at home and abroad, on behavioural medicine and is an author, co-author and editor of several books.  

Basically - when it comes to anything behaviour related - she REALLY knows her stuff. And you don’t get this good at assessing behaviour without learning a few other things - about people, clients, our profession, and yourself. Join us in this far-reaching conversation with a Sarah about career longevity, connecting with clients and with the greater animal care community, Sarah’s self-care challenges, behaviour medicine as a career and much, much more. 

Go to https://thevetvault.com/podcasts/ for the show notes, to get your hands on the answers to ‘the one question’ from our first 20 guests, and to check out our guests’ favourite books, podcasts and everything else we talk about in the show. 

We love to hear from you. If you have a question for us or you’d like to give us some feedback please leave us a voice message by going to our episode page on the anchor app (https://anchor.fm) and hitting the record button, via email at [email protected], or just catch up with us on Instagram. (https://www.instagram.com/thevetvault/) 

f you like what you heard please share the love by clicking on the share button wherever you’re listening to this and sending it to someone who you know will enjoy listening to this.

We wanted to share one of the episodes from our clinical series of podcasts to give you an idea what they are about. This one is from a series we did on brachycephalic obstructed airway syndrome (BOAS) with specialist surgeon Dr Bronwyn Fullagar and Dr Mark Tenenbaum, a GP vet who works in a practice that has a strong focus on brachycephalics. Regardless how you feel about bulldogs and all their flat faced friends - the reality is that you WILL have to deal with them. This episode is from our surgery series, but don’t be put off if you’re not the surgeon who’ll be doing upper airway surgery. There’s a lot of value here for any vet around a general approach to dealing with the brachys in hospital: from safe handling and sedating, all the way to waking them up and managing them post-op for any surgical procedure, not just airway surgery. If you want to hear part 1, 3 and 4 of the BOAS series to learn more about the pathophys of BOAS, how to decide which ones need surgery, how to assess them for surgery, what can go wrong, how to actually DO the surgery, and much much more, and if you want access to summarised show notes that you can refer back to later, then we’d love you to check out the vet vault clinical at https://vvn.supercast.tech. Enjoy!