What’s your least favourite part of being a vet?

Is it talking about money?

In this episode, we take on one of the most emotionally charged parts of veterinary life: discussing high-cost treatments with clients.

Our guest is Dr. Bing Zhu, a Small Animal Medicine Specialist from SASH, who’s had these conversations more times than she can count, and she shares her hard-earned wisdom on how to approach these conversations with empathy, clarity, and confidence.

Here’s what we unpack:

• The emotional and ethical weight vets carry when finances and medicine collide
• Dr. Zhu’s step-by-step approach to setting expectations and guiding tough decisions
• Why separating your ego from the medical outcome can save your sanity
• The cultural mindset shift the profession needs around money conversations
• How to anchor your boundaries in your core values

Dr. Zhu shares transformative personal stories, communication strategies, and mindset shifts that will help you communicate more clearly, protect your mental health, and better serve your clients and their pets.

Whether you’re still at uni, starting out, or have been in practice for decades, this episode will change the way you handle financial conversations—forever.

Ready to rethink “the money talk”? Hit play now.

Upcoming conferences that I’m excited to attend:

• Vets On Tour snow conferences in Wānaka, NZ (August ’250), and Nozawa Onsen, Japan (Feb ’26)
• ANZCVS Science Week, 24-25 July 2025
• IVECCS 2025, San Diego, September 4-8

Join our community of Vet Vault Nerds to lift your clinical game and get your groove back with our up-to-date, easy-to-consume clinical episodes at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠vvn.supercast.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠.

Get help with your tricky cases in our ⁠⁠⁠⁠⁠⁠⁠⁠Specialist Support Space.⁠⁠⁠⁠⁠⁠⁠⁠

V⁠⁠isit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠thevetvault.com⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠for show notes and resources related to this episode.

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

Episode Topics and Timestamps

01:45 Presenting the Large Estimate: How Does it Make You Feel?

06:04 The Turning Point: It's Not Your Fault

10:46 Practical Advice For Handling High Cost Estimates

31:04 Stop Avoiding Referral Because You Think You're Saving Your Client Money

36:25 Why Competence Makes Talking Money Easier

38:16 The Cultural Shift Vets Should Make

44:55 Setting Boundaries and Work-Life Balance

55:39 Dr Bing's Podcast Recommendations

56:19 The Pass Along Question

Telemedicine.

What’s your gut reaction when you hear that term?Maybe you think it was just a clever COVID workaround, or second-rate substitute for a “real” vet visit.

Or maybe you’re a bit curious about what it’s like to work in telemedicine— but you’re worried it’ll be boring. Or worse: that you’ll spend your days diagnosing lizards over Zoom.

Whatever you think— chances are, you’re wrong. But don’t worry. This episode will change that. We go deep on the real-world pros and cons of telemedicine, from two key angles:

For curious vets:

• What’s it really like to work in telemedicine?
• Is it fulfilling?
• How will I cope with all the tricky questions (and species?!)
• Is the pay good?
• Can you get into trouble for giving remote advice?

• 
  

For clinic owners:

• How do you integrate telemedicine into your practice?
• What are the practical hurdles?
• What’s worked (and what hasn’t) from someone who’s built a global platform from scratch?

Our guest is Dr. Shadi Ireifej, a board-certified surgeon, tech entrepreneur, and co-founder of VetTriage, a global teletriage platform.

This one made me rethink what “good vet work” really means. I think it’ll do the same for you.

Join us on the slopes of New Zealand for our winter CPD adventure with Vets On Tour Wānaka 25.

Lift your clinical game with our RACE approved clinical podcasts at ⁠⁠⁠vvn.supercast.com⁠⁠⁠ for more clinical confidence and better patient outcomes, or check out our Advanced Surgery Podcast at ⁠⁠cutabove.supercast.com⁠⁠.

Get case support from our team of specialists in our ⁠⁠Specialist Support Space⁠⁠.⁠

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

Topics and Time Stamps

01:43 So you think you want to work in telemedicine?

04:20 Common concerns about telehealth work

06:11 Will I get sued for giving the wrong advice?

10:37 Vets on Tour: Upcoming Events

15:55 Income and Work Hours in Telemedicine

18:35 Will I have to give advice for all sorts of weird animals?21:29 Unexpected Joys of Telehealth

23:44 Future of Telehealth and Technology

29:21 Challenges and Lessons in Telehealth for Practice Owners

36:33 What about the technology?

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 form 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.

In this solo episode Hugh tackles a bold idea: if you're not currently using AI in your clinical veterinary work, you may be falling behind. And if/when artificial intelligence gets to the point where it reliably has access to all the most up to date information for managing your patients, will you be negligent if you DON’T use it?

Hubert shares how artificial intelligence is quietly but powerfully reshaping veterinary practice. He paints a vivid picture of an AI-powered clinic, shows you practical tools you can start using immediately, and challenges you to rethink the future of your role as a vet.

What you'll discover:

• A demo showing how to use ChatGPT for clinical reasoning, how to build your own custom AI assistants, and how to set up a personal knowledge library with free tools like Google's NotebookLM.
• How to spot and handle AI hallucinations — and why your human skills like empathy and ethical judgment are still your unique superpowers.
• The business opportunities of AI for your practice, and why clinics that embrace AI may thrive while others struggle.
• How AI could reshape veterinary education and open doors to a more sustainable, fulfilling career.

Hubert doesn’t just speculate — he shows you how AI can work in clinics today, and how you can lead instead of lagging behind.

Tune in if you're ready to future-proof your practice, sharpen your skills, and unlock a better way to be a vet.

Try out our AI Blood Gas Assistant

Join us at Vets on Tour Wānaka, NZ, for the most fun CE event you’ll attend this year.
Join our community of Vet Vault Nerds to lift your clinical game and get your groove back with our up-to-date, easy-to-consume clinical episodes at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠vvn.supercast.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠.

Get help with your tricky cases in our ⁠⁠⁠⁠⁠⁠⁠⁠Specialist Support Space.⁠⁠⁠⁠⁠⁠⁠⁠

V⁠⁠isit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠thevetvault.com⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠for show notes and resources related to this episode.

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

Topics and time stamps

03:08 What could the future of clinical practice look like with AI?

12:48 Can I trust it? What does the data say?

18:22 Where does Ai get its information from?

25:20 How I use it: Using 'general' models for clinical decision making

33:29 Building your own Ai tools

34:06 Google Notebook LM

40:58 MyGPT - your own assistant

54:49 What might the role of the future veterinarian look like?

Join us for the Vet Vault's own conference in the snow: ⁠⁠Vets On Tour Wānaka⁠⁠, New Zealand, 10-15 August 2025!

Have you ever felt pressured, as a vet, to do more 'stuff' - diagnostics, procedures, and sell more, even when you can’t quite see the clinical justification for it?

In this episode we welcome Dr. Brennen McKenzie-veterinarian, researcher, creator of the SkeptVet blog, author of Placebos for Pets? The Truth About Alternative Medicine in Animals, and all-round lover of science-based thinking. And who better to help us draw the line between solid science and revenue-driven decision making than someone who is known for their scepticism? Dr. McKenzie brings real-world wisdom and refreshing honesty to the debate. Together we explore the often-unspoken pressures of profit-driven care, commission-based pay, and what happens when business incentives conflict with good science. Brennen shares lessons from two decades in practice on how to use Spectrum of care reasoning to make clinical decisions that respect science, client resources, and the needs of your employer.

A must-listen for any vet who’s ever questioned the system—and their place in it.

Find out more about Brennen's current work in longevity at loyal.com.

Join our community of Vet Vault Nerds to lift your clinical game and get your groove back with our up-to-date, easy-to-consume clinical episodes at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠vvn.supercast.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠.

Get help with your tricky cases in our ⁠⁠⁠⁠⁠⁠⁠⁠⁠Specialist Support Space.⁠⁠⁠⁠⁠⁠⁠⁠⁠

V⁠⁠isit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠thevetvault.com⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠for show notes and resources related to this episode.⁠

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

Episode Topics and Timestamps

08:11 The Shift to Profit Driven Veterinary Practice

09:46 A Guide to Evidence-Based Decision Making

12:00 Client Communication and Financial Constraints

17:31 Spectrum of Care: A New Approach

32:15 Overdiagnosis and Screening: A Critical Look

39:09 Cognitive Psychology in Veterinary Decision Making

42:45 The Power of Checklists in Medical Practice

43:18 Balancing Autonomy and Systematic Decision Making

45:52 Clinical Audits: Improving Practice Through Data

48:36 Intuitive vs. Algorithmic Thinking in Veterinary Medicine

51:37 The Pitfalls of Anecdotal Evidence in Veterinary Practice

01:07:40 Communicating with Clients About Unproven Therapies

01:18:17 Pass Along Question and The One Bit of Advice

Veterinary practice can be unpredictable, exhausting, and full of interruptions - not that conducive to getting things done, right? But what if you could handle it all with mind-like-water calm?

In this episode I pick the brain of productivity legend David Allen, creator of Getting Things Done (GTD), to show you exactly how. This isn’t about squeezing more into your day — it’s about cutting mental clutter, regaining focus, and feeling in control, even when it all hits the fan.You'll learn simple, actionable GTD strategies that busy vets can use today:

Master the 5 GTD steps for veterinary practice:

• Capture: Never lose track of to-dos in a busy clinic again
• Clarify: Break down complex patient tasks into clear next steps
• Organise: Build bulletproof systems your whole team can trust
• Reflect: Create powerful review routines for team rounds and personal clarity
• Engage: Focus on what matters, when it matters

Beat interruptions without losing your mind

• Why task-switching drains your brain — and what to do instead.
• The simple tools that keep you sane and focused.
• How to ‘park’ distractions and re-engage fast.

Transform team rounds and communication

• The secret to closing open loops (and reducing anxiety for everyone)
• How structured reflection makes complex caseloads manageable
• Balancing roles and flexibility for smooth team dynamics

Join us for Vets On Tour Wānaka, New Zealand, 10-15 August 2025. Limited Early Bird Tickets on sale now.

Join our community of Vet Vault Nerds to lift your clinical game and get your groove back with our up-to-date, easy-to-consume clinical episodes at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠vvn.supercast.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠.

Get help with your tricky cases in our ⁠⁠⁠⁠⁠⁠⁠⁠Specialist Support Space.⁠⁠⁠⁠⁠⁠⁠⁠

V⁠⁠isit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠thevetvault.com⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠for show notes and resources related to this episode.⁠

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

Topics and Timestamps

03:09 Mind Like Water: The Key to Clarity

05:15 Challenges in Veterinary Productivity

20:33 Practical Tips for Capturing Tasks

28:58 Managing Multiple Projects and Tasks

29:26 The Importance of Knowing the Next Step

30:14 Dealing with Task Shifting and Interruptions

32:25 Organizing Physical and Mental Spaces

35:43 Team Dynamics and Productivity

38:02 Effective Rounds42:20 Balancing Defined Roles and Flexibility

47:35 Book recommendations

48:49 Pass along question

“Did you know the AVMA doesn’t actually require a residency to become a specialist?”

Yeah, neither did we—until Dr. Matt Booth dropped that fact-bomb.

And it’s bigger than just an interesting fact - it’s a mindset shift that cracks the door wide open to alternative routes to specialisation—for veterinarrians who want to grow their careers, but can’t jump through the hoops of the traditional residency pathway.

So, if you are:
- Ambitious, but feeling a bit stuck

- Limited by the realities of life outside the clinic

- Or just curious about your options in veterinary medicine

This one’s for you.

Join us for part 2 of our conversation with Dr. Matt Booth—former ER practice owner and ER practice development lead at Ethos Veterinary Health—as we rethink what’s possible in the future of specialisation.

Topics and Time Stamps

02:04 Alternative Specialisation Routes

03:17 Challenges and Benefits of Non-Traditional Paths

09:17 Exploring the Hybrid Credentialing Path

19:31 Podcast Recommendations

21:54 Pass along question

Join our community of Vet Vault Nerds to lift your clinical game and get your groove back with our up-to-date, easy-to-consume clinical episodes at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠vvn.supercast.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠.

Get help with your tricky cases in our ⁠⁠⁠⁠⁠⁠⁠⁠Specialist Support Space.⁠⁠⁠⁠⁠⁠⁠⁠

V⁠⁠isit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠thevetvault.com⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠for show notes and resources related to this episode.

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

Most vets believe it’s inevitable—on average, they leave Emergency and Critical Care (ECC) after just 3-5 years. The obvious culprit? Shift work, right?

But what if that’s just scratching the surface?

In this episode, I sit down with Dr. Matt Booth, ER Practice Development Lead at Ethos Veterinary Health, to break down surprising findings from his survey of 3,500 emergency veterinarians. Together, we explore the Five Buckets of Retention—the REAL factors that determine whether your career in emergency medicine thrives or fizzles out. Spoiler: It’s not all about night shifts and burnout.

We dig into leadership challenges, the keys to professional growth, and how these insights apply beyond ECC to every role in veterinary medicine.

You’ll also catch highlights from my previous chat with Dr. Matt at IVECCS 2023, where we shared actionable strategies for improving recruitment and building sustainable veterinary careers.

Whether you’re an ER vet looking for longevity or a practice leader aiming to attract and retain top talent, this episode is your guide to rethinking retention and career sustainability in veterinary medicine.

Topics and Timestamps:

00:40 Meet Dr. Matt Booth and the Five Buckets03:47 Recruitment Insights from 202307:36 Survey Findings and Retention Strategies12:07 The Five Buckets of Retention27:07 The Burden of Being a Giver28:23 Creative Solutions for Employee Retention29:04 Leadership and Gender Representation39:59 The Role of paid time off in Retention43:40 Creating a Positive Work Environment46:37 Professional Educational Growth

Join me at JAVECCS Tokyo on 15 and 16 March, and at IVECCS 2025 in San Diego on 4-8 Septembet.

Join our community of Vet Vault Nerds to lift your clinical game and get your groove back with our up-to-date, easy-to-consume clinical episodes, library of show notes and access to our veterinary practice AI Toolbox at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠vvn.supercast.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠.

Get help with your tricky cases in our ⁠⁠⁠⁠⁠⁠⁠⁠Specialist Support Space.⁠⁠⁠⁠⁠⁠⁠⁠

V⁠⁠isit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠thevetvault.com⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠for show notes and resources related to this episode.

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

Try our AI Blood Gas Assistant here

Are you wasting hours on outdated study methods like cramming and re-reading—only to forget everything by exam day? You might be studying wrong—and Dr. Matt Hollindale is here to help you fix that so you can learn smarter, not harder.

When preparing for his ECC Membership exams, Dr. Matt became obsessed with the science of study. The result? He achieved the top marks of the 2023 cohort. Now, he’s applying the same methods to his residency training and sharing them with you.

In this episode, we dive into science-backed strategies that transform how you study. Say goodbye to endless highlighting, reading and re-reading, and hello to techniques that actually makes things stick.

Whether you’re a veterinary student building good habits early or preparing for specialist exams, this episode will save you many hours. (And possibly even some tears!)

Here’s what we cover:

• The biggest study mistakes you didn’t know you’re making.
• How active recall and spaced repetition turbocharge your memory.
• The best AI and tech tools to revolutionise your study game.
• Why prioritising your well-being is as critical as your study hours.

Links & Resources
Lift your clinical game with our RACE-approved clinical podcasts at ⁠⁠vvn.supercast.com⁠⁠ for more clinical confidence and better patient outcomes, or check out our Advanced Surgery Podcast at ⁠⁠cutabove.supercast.com⁠⁠.

Get case support from our team of specialists in our ⁠⁠Specialist Support Space⁠⁠.

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

Topics and Time Stamps

04:33 Common Study Mistakes
08:58 Study Techniques That Actually Work
18:11 Making It Practical
20:56 Using Spaced Repetition for Better Long-Term Memory
29:08 Tech and AI Study Tools
31:39 Google Notebook LMS
34:38 Advanced Strategies
38:54 The Importance of Self-Care in Studying

We’d love to hear from you! Email us at ⁠⁠⁠info@thevetvault.com⁠⁠⁠ or reach out via our ⁠⁠⁠contact form⁠⁠⁠.

If you enjoyed this episode, share it with someone who you think could benefit from these game-changing study strategies!