Decision-Making in Veterinary Practice

Decision-Making in Veterinary Practice The first-ever guide to rational decision-making in veterinary practice The practice of veterinary medicine entails crucial decisions about patient care on a daily basis. Whether to admit patients displaying symptoms, whether to pursue diagnoses or prioritize therapeutic trials, whether to advise overnight stays after routine surgery, whether to refer patients; the answers to questions like these can significantly influence patient outcomes and standards of care. However, veterinary clinicians are seldom trained to analyze their patterns of decision-making, relying instead on the existing culture of a practice to dictate their behaviors. This can lead to irrational decisions, institutional inertia, reluctance to comply with evidence-based medicine, and failure to optimize patient outcomes. Decision-Making in Veterinary Practice provides the first-ever dedicated guide to rational principles for decision-making in veterinary practice. Rooted in the study of normative ethics, it seeks to pose important questions and develop processes by which they can be answered. The book promises to transform the clinical performance of clinicians and practices that utilize it. Decision-Making in Veterinary Practice readers will also find: Discussions of key issues based on extensive clinical experience and evidence Detailed discussion of important decision determinants like time of day, patient weight, criteria for stopping treatment, and more Essential insights on clinical decision-making and clinical reasoning Decision-Making in Veterinary Practice is ideal for all veterinary practitioners, veterinary students, and clinical skills instructors. Decision Making in Veterinary Practice offers expert medical knowledge and an ethical sensibility to illuminate everyday veterinary issues like animal euthanasia, treatment of elderly patients, and moral stress. The result is an unparalleled practical road map to fulfilling the patient advocacy role of the veterinarian. I wish I had the benefit of Dr. Kipperman's wisdom when I was a young veterinarian. All veterinarians should read this terrific bookveterinary students, new graduates, and seasoned professionals. Simon Coghlan, PhD, BVSc University of Melbourne Victoria, Australia Decision Making in Veterinary Practice is a detailed and thoughtful discussion of many key aspects of veterinary clinical decision making. Drawing from decades of personal experience as an internal medicine specialist and practice owner, Dr. Kipperman provides numerous realistic case examples to illustrate both the challenges facing clinicians and many potentially helpful strategies for improving decision- making and optimizing patient outcomes. Brennen McKenzie, MA, MSc, VMD Adobe Animal Hospital Los Altos, CA Decision Making in Veterinary Practice is a helpful resource focused on how decisions are made, and how decision-making can be improved in the interests of veterinary patients. It contains many excellent case examples documenting positive and negative outcomes of decisions. A unique aspect of this book is its disclosures of Dr. Kippermans experiences as an internist including humble accounts of lessons learned and insights into the moral distress experienced by veterinary specialists. Anne Quain, BVSc, MVetStud Sydney School of Veterinary Science Sydney, Australia