In episode 141, I shared my take on where AI fits into veterinary medicine - and where it might take us next.

But I’m no expert.

So I brought one in.

In this episode, I sit down with Rohan Relan , Silicon Valley software engineer and founder of ScribbleVet ,an AI tool built for vets. We unpack the promise and pitfalls of AI in clinical practice and try to figure out how you can use it without losing sleep (or your license).

What we cover:

• Why AI is not just a "smarter Google”- and why that matters
• The risky shortcuts vets are already taking (and how to avoid them)
• How to increase trust and accuracy when using AI
• Where innovation collides with privacy, data, and consent
• DIY AI vs purpose-built tools

If you're curious about AI but not sure what’s hype and what’s helpful, this one’s for you.

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Topics and Timestamps

04:39 What I got wrong about AI

08:19 How models “know” things — next‐word prediction & reasoning

15:00 Grounding AI responses using external tools / search

19:19 Scribble Vet features

38:12 Privacy, ownership, and AI liability

51:00 Rohan’s podcast and AI tool recommendations

54:00 Key misconceptions & Caveats

Today’s bonus IVECCS live session wasn’t your average ‘clinical 101’. I had the absolute privilege of getting two brilliant minds on the yellow couch, and … wow.

Apparently 1 + 1 = 🤯 !!

Clinical pathogist Dr Cynthia Lucidi joined me to unpack her talk on Diagnosing Ineffective Hematopoiesis. If you’re a bit lost with that title - don’t worry, so was I! So I brought backup: ECC legend Dr Claire Sharp joined me to ask the smart questions, and together, they cracked open a topic every GP and ECC vet needs to understand: PIMA – Precursor-Targeted Immune-Mediated Anaemia. (If you’ve ever managed an anaemia case that almost looked like IMHA but just didn’t quite fit, or just an anaemia that didn’t want to fit into ANY of the boxes, it was probably this!)

This one started out GP-friendly, but with two minds like these-it escalated fast. Expect specialist-level gold. You’ll want to give this one your full attention. But I promise - it’s worth it!

What we cover:

• Defining ineffective haematopoiesis and how it differs from hypoplasia
• Diagnostic criteria and differentials for PIMA vs. IMHA
• Importance of timing and interpretation in persistent non-regenerative anaemia
• Why bone marrow aspiration is underused and how to perform it effectively
• Pathologist tips on identifying spherocytes and phagocytosis artefacts
• Challenges of diagnosing IMHA and PIMA in cats
• Role of transfusions and crossmatching in long-term PIMA management
• Timeframes for response and remission in PIMA treatment
• When to consider splenectomy for refractory cases
• Clinical significance of myelofibrosis in dogs with PIMA
• Educating clients and general practitioners on prognosis and referral timing

Click here⁠⁠ to access all of our clinical content at IVECCS special rates.

Ever had a case where you just knew what was wrong before you even touched the patient - but if someone asked you HOW you know, you couldn’t explain it?

That almost mystical “sixth sense” we develop in practice - that’s exactly what this episode is about.

Our guest is Dr Annie Wayne - a criticalist, educator, and learning strategist—who’s been exploring naturalistic decision making: the cognitive model that explains how experts think in real-time, and how to pass that intuition on.

We talk about what separates expert intuition from novice reasoning, how to break down unconscious diagnostic processes, and how the right kind of mentorship can accelerate the path to expertise. Annie also shares her research on parenting and vet careers, challenging the stigma around pregnancy and parenthood during training.

Here’s what you’ll learn:

• What “naturalistic decision making” really means (and why it feels like a sixth sense)
• How experienced vets spot subtle signs that others miss
• How to externalise your gut feeling so younger vets can learn from it
• Real-world strategies for mentorship and better clinical teaching
• How to avoid the traps of lazy “shortcut” thinking
• How this framework builds confidence and reduces stress in new grads
• Annie’s personal take on parenting through training—and how to smash the stigma around pregnancy in vet careers

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This isn’t just about clinical decision-making - it’s about how we teach, how we lead, and how we support each other in a demanding profession.

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.

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Join us in person for our epic adventure CE events at ⁠⁠⁠Vets On Tour⁠⁠⁠. (Next up: Japan snow conference!)

Topics and Time Stamps

04:53 What is Naturalistic Decision-Making?

08:36 Expert vs Novice Thinking: Why Mentorship Matters

15:55 Risks of Shortcut Thinking and Balancing with Algorithms

19:11 Speeding Up Expertise: Can We Teach "Sixth Sense" Thinking?

22:47 Mentorship Models: Building Skills and Confidence

34:45 Can AI Help Naturalistic Thinking?

37:20 Parenthood and Veterinary Careers: Breaking Stigma and Building Support