Dr. Sheena Warman and Dr. Kristin Jankowski sit down with Dr. Andy Roark to confront a growing challenge in vet med. We are graduating veterinarians who can recite the gold standard, but many feel unprepared for the realities of practice where finances, time, and access shape what care is possible. If you have ever struggled to balance what the textbook recommends with what your client can actually do, this episode hits home. Andy digs into why Spectrum of Care is changing how vet schools teach clinical reasoning, how students can build confidence without leaning on specialists or high tech solutions, and why golden outcomes matter more than gold standards. Gang, let’s get into this episode!

Spectrum of Care Initiative: AAVMC Spectrum of Care Initiative - AAVMC

Bristol Veterinary School IG: https://www.instagram.com/bristol_veterinary_school/?hl=en

Sheena Warman on LinkedIn: https://www.linkedin.com/in/sheena-warman-36a47a34

Open Door Veterinary Collective: https://opendoorconsults.org

RCVS Knowledge Contextualized Care Resources: https://knowledge.rcvs.org.uk

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Kristin Jankowski, VMD, CCRP, is the Director of Veterinary Services at Open Door Veterinary Collective and an affiliate of the UC Davis One Health Institute. Passionate about veterinary education, she advocates for the Spectrum of Care (SOC) curriculum in institutions across North America, the UK, and Europe, aiming to inspire future veterinarians. From 2020 to 2023, she served as an Assistant Clinical Professor of Small Animal Primary Care at the UC Davis Veterinary Medical Teaching Hospital and was also an Access to Veterinary Care clinician. Additionally, she directed the Knights Landing One Health Clinic during this period. A graduate of the University of Pennsylvania School of Veterinary Medicine in 1994, Dr. Jankowski has primarily dedicated her career to general practice, while also gaining experience in rehabilitation settings and founding One Health Delaware. She holds a certification in canine rehabilitation from the University of Tennessee (2014) and completed Purdue University's Certificate Program for Diversity and Inclusion in Veterinary Medicine (2021). Since 2023, she has actively participated in the AAVMC’s Spectrum of Care Initiative. Her research focuses on developing SOC training for veterinary students and practitioners, enhancing educational experiences and professional readiness. Dr. Jankowski has presented internationally on the importance of SOC training, emphasizing compassionate and contextualized care for all pets and their families.

Sheena is Professor of Veterinary Education and Deputy Head of School at Bristol Veterinary School in the UK. She has extensive clinical and educational experience across a range of primary care, referral and academic settings. Sheena co-leads the AAVMC Spectrum of Care Initiative, and is passionate about ensuring our veterinary students are effectively prepared for their future professional careers.

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