Start-Up and Support
How will I get general practices to partner with me as a MOVES surgeon?
Responsibility for building a base of partner general practices will be equally shared between the corporate marketing team, the veterinary practice liaison, and the surgeon. The corporate marketing team will develop the list of target general practices to partner with and will develop a multi-faceted outreach program to include direct mail, email, and continuing education events. The practice liaison will work to identify desirable general practice clients, schedule appointments with the key decision-makers, introduce the surgeon, and explain the benefits of adding mobile surgery to the practice. The surgeon will also need to develop relationships at the local level and be available as a resource and as an extension to the partnering practices.
We encourage MOVES surgeons to participate in an integrative surgical solution approach to all general practice clients. The MOVES marketing and leadership team is there to help achieve success.
Are there specific types of general practices we'll be targeting?
Each general practice is unique. MOVES encourages partnership with those practices that promote safe anesthesia monitoring and recording as described by the American Animal Hospital Association. This includes tracheal intubation, gas anesthesia, intravenous catheter placement, IV fluids administration and injectable perioperative medication administration. A well-trained veterinary technician or assistant from the practice must be available for monitoring and assisting the surgery. If the general practice is not equipped for surgery, the surgery may be scheduled at another network hospital, if needed.
Ultimately, the surgeon reserves the right to decline to perform procedures if the general practice does not practice a standard level of care expected for advanced surgical procedures.
How will I get equipment and supplies?
The MOVES team wants to ensure the success of each surgeon and recognizes the value of the appropriate equipment in the hands of a skilled surgeon. Each MOVES surgeon is allowed a customizable package for ordering equipment and supplies that fits their training and skill set.
Preferred vendors are available for most start-up supplies and equipment. Purchases should be based on the most commonly needed items and mentorship and guidance is provided by the MOVES veterinary leadership team. Additional vendors and specialized equipment can be utilized depending on the surgeon’s practice and need.
Inventory and organization of equipment and consumable products is the responsibility of the surgeon. You will have access to online portals to replace consumable orders as needed.
How will my instruments be cleaned, sterilized and stored?
An autoclave will be on the first initial equipment purchase order. It is the responsibility of the surgeon (or that of an assistant) to clean and sterilize your instruments. In the majority of cases, instruments can be scrubbed and cleaned post-operatively at the general practice. From there, sterilization and packaging occur at your home office. Guidelines for use of the autoclave and sterile packing can be discussed in detail with a MOVES mentor surgeon or chief medical officer (CMO). Manufacturer guidelines for sterilization and quality control are required.
What if I need an assistant or a technician?
A surgical team can be designed based the surgeon’s needs and preferences. In most circumstances, a MOVES surgeon may not initially require an assistant or technician. As caseload increases, it may be strategic to have an assistant travel with you.
The duties of the assistant will be assigned by the MOVES surgeon but can include patient care assistance, operating room set-up and assistance, cleaning, packaging, and sterilizing equipment, or managing the work phone/email for scheduling and follow-up purposes. The MOVES surgeon can be the hiring manager for the assistant as the corporate support team handles the rest of the details.
How are surgeries scheduled?
It is important to build relationships between surgery team and general practices within your target market location. Developing these relationships will be a shared responsibility between the surgeon, practice liaison, and the corporate marketing team.
When general practices request surgical services, the referring DVM, practice manager, or technician will call, email, or text the surgeon with details for the patient and case. The dialogue between surgeon and general practice begins. From there, each surgeon will use their own freedom and flexibility for scheduling each case within a reasonable time frame. A general target is to secure 8-12 surgeries per week to meet most production goals. Initially, flow of cases and scheduling may be slow but caseload is expected to increase as popularity of a surgeon within a marketplace grows.
What if the initial case load is slow?
General practice owners love to have the option to keep additional revenue in their clinic, but building a client base of partner general practices does not happen overnight. With a good communication strategy and strategic work from the practice liaison and MOVES surgeon, caseload is expected to increase quickly. If the acquisition of new clients appears to stall, the practice liaison will take over the marketing strategy to help generate interest in the surgeon. In the meantime, preparation of continuing education lectures, an introductory letter, and personal emails to general practices can really help strengthen a growing network. Again, the MOVES team is here to help pave the way to success.
Production, Pay and Benefits
How does the company car program work?
Outside of equipment, a support vehicle will be one of the most important tools for success. We will support your travels by providing a brand new vehicle for you to drive. A sport-utility vehicle (SUV) or van is recommended so that equipment and personnel can be easily transported. The corporate team will work with you to pick out a vehicle that best suits you and deliver it to your door. All gas, maintenance, and insurance will be paid for by MOVES.
How many vacation days will I get?
The advantage that comes with joining MOVES is the freedom to set your own schedule and arrange your life the way you want. The corporate leadership team at MOVES encourages a work-life balance. As long as production goals are met, there will be no limitations placed on personal time off and vacation days.
What types of surgeries are expected to be performed in general practice facilities?
Each general practice is unique and the variety of cases conquered in a general practice will depend on the scope of medicine practiced at the facility, whether or not the practice is open 24 hours, or has emergency/ICU staff and personnel.
The majority of cases in general practice will be orthopedic procedures in otherwise healthy patients. This includes (but is not limited to):
• Surgery for repair of CCLR (TPLO, CBLO, TTA, Extracapsular techniques)
• Patellar luxation repair
• Various fracture repairs
• Osteotomies/ostectomies for angular limb abnormalities, joint incongruence, or salvage procedures
• Joint exploration
• Implant removal
Soft tissue surgeries requested will vary depending on the clinic, patient health status, and post-operative monitoring. This includes (but is not limited to):
• Gastrointestinal surgery
• Anal Sacculectomy
• Perineal urethrostomy
• TECA-LBO, VBO
• Maxillofacial reconstruction
These are examples and recommended guidelines. Markets and practices will have exposure to different aspects of veterinary medicine and various surgical needs (i.e. high volume 24-hour ER facilities or ICU may have access to ventilators for cardiothoracic surgery). Advanced surgical procedures that have an expected prognosis and recovery are prioritized in the general practice setting. Transfer of critical care cases for overnight monitoring and care is recommended, if needed. In addition, surgeon preferences and experience may also dictate comfort with various procedures.
Who is responsible for the post-operative patient?
We encourage MOVES surgeons to participate as an integrative surgical solution approach to all general practice clients. This approach promotes teamwork between the general practice and surgery team. At the time of consent for surgery, a MOVES surgeon is expected to call the pet’s owner before and after surgery. These discussions should be brief, but include an introduction, confirmation of procedure, brief list of complications, and expected outcome/recovery.
After surgery, the patient is under the care of the general practice and attending veterinarian. Many times, the decision to send a pet home or to stay at the general practice post-operatively depends on the type of procedure, expected discomfort level, willingness of owner to care for pet, and recovery of pet. It is the general practice’s duty to inform pet owners on the practice policy of anesthesia and overnight care. We strongly recommend overnight monitoring at a nearby 24-hour ER for general practices not equipped for surgical procedures or for cases requiring critical care monitoring post-operatively.
As a MOVES team member within a general practice, we encourage open dialogue with colleagues on patient re-checks and any questions/concerns they may have.
Are after-hours cases or emergencies sometimes required?
No. As a MOVES surgeon, emergency or after-hours case load is not a requirement. Some surgeons may want to work an additional day for production, while other surgeons may reach their goals working 4-5 days a week. In addition, work-life balances may require individual surgeons to pursue cases after hours by partnering with local emergency clinics. The MOVES leadership team welcomes the best fit for the MOVES surgeon. While emergencies are not required, networking with all practices will be strongly encouraged. From there, the MOVES surgeon can dictate how he/she may practice.
What if I have a non-compete restriction that will keep me from working where I want to work?
Our intent is to partner with board-certified small animal surgeons who will not be violating a restrictive covenant. Relocation incentives will be offered to interested surgeons and our team can help identify networks in need of a MOVES surgeon.
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