PIVOT · TRIAGE™ Leadership
Seats & Value
PIVOT Vet Strategies

You already triage
patients.
Now triage your people.

TRIAGE™ Leadership: the leadership operating system for veterinary teams. Because leadership isn't instinct. It's structure.

◆ RACE-approved CE · 15 hours · vets & nurses/techs
The real problem

It's not a people problem.
It's a system problem.

Clinicians get promoted into leadership because they're excellent at medicine, then handed responsibility with no leadership training. That gap is what quietly drives good people out the door.

"A bad system will beat a good person every time."

TRIAGE · Module 5

Why it matters

The cost of leaving it to instinct

<25%
of veterinary staff say their hospital has a positive working culture
~30%
of veterinary professionals plan to leave their current job this year
9 in 10
who leave practice entirely never come back
~$2B
annual cost of burnout to U.S. veterinary medicine

Sources: veterinary workforce & culture research cited in PIVOT's published work; burnout cost est. for U.S. vet med. Figures directional; see notes.

The number that should move budget
~$100K

is what a peer-reviewed study put on replacing a single veterinarian. With today's higher per-DVM production, a prolonged vacancy pushes that well past $150,000.

Replacing one credentialed nurse or tech runs roughly $20K to $60K. Turnover sits at 25 to 35% a year.

Neill, Hansen & Salois, Frontiers in Veterinary Science (2022); credentialed-tech replacement (peer-reviewed & iVET360, 2025).

The program

The name is the syllabus

TTackling Toxicity   stabilize culture at the control points
RRole Clarity & Responsibility   if everyone owns it, no one owns it
IIntentional Leadership   influence built before it's needed
AAccountability Without Burnout   clarity is kind, not cruel
GGrowth Through Systems   frameworks, not heroics
EEmotional Intelligence & Execution   regulate first, execute second

6 modules · 35 lessons · built from real clinical environments, not adapted from generic business training.

What each seat includes

Async, self-paced,
built for the floor

◆ RACE Program #20-1366025 · 15 CE hrs
  • ›Video lessons and simulation labsBranching scenarios you work through, not just watch
  • ›Four-page field guidesDo and don't lists, micro-scripts, escalation paths, a Day-One action
  • ›Module exams and certificationEarn full TRIAGE Leadership Certification
  • ›15 hours of RACE-approved CECounts for vets and nurses/techs alike
  • ›Fully async deliveryFits around roster and workload
Seats & pricing · USD

One rate card. The more you train, the less per seat.

1 seat
$1,200
per seat
Individual leader
3 to 5 seats
$900
per seat
Small leadership group
6 to 15 seats
$750
per seat
Whole-team rollout
Best value
16+ seats
$650
per seat
Organization / multi-site

Team payment terms available: spread over quarterly installments to fit your budget cycle.

For teams & organizations · 16+ seats

When the organization holds the seats

At 16+, you're not buying a course. You're installing one leadership operating system across your whole bench.

  • ›Lowest per-seat rate$650 per seat at 16+
  • ›One program, two credentialsRACE CE for your vets and your nurses/techs, 15 hours each
  • ›One shared languageThe same frameworks and standards across every shift and site
  • ›The seat belongs to the organizationManage enrollment centrally, and if a leader moves on, reassign the seat to their replacement, no repurchase
  • ›A retention leverThe move you control when raising pay isn't on the table
The math

Train 20 leaders for less than
you'd spend replacing one

20 seats @ $650$13,000
Per leader trained$650
RACE CE hours delivered300 hrs
$13,000 total

One lost veterinarian costs ~$100K+ to replace. The whole program is a rounding error against a single departure.

What leaders say

Built for vet med, because it's from vet med

"The toxicity module was highly relatable and has given me more confidence in addressing difficult team dynamics. I especially appreciate the field guides, which provide clear steps and practical phrases I can use when navigating challenging conversations."

Gracyn LibbyER Nurse Lead, ARC Vets

"So much of my stress was coming from broken systems, not difficult people. Now my team knows what's expected, and I'm not carrying it all anymore."

Dr. David ToomeyMedical Director

"I'm making all of our leadership do it. It's phenomenal."

Dr. Meghan SmallcombEmergency Veterinarian
Next step

Design the system.
Protect the people.
Let the medicine follow.

See the program → pivotvet.com/triage

Enrolling a team? Let's talk seats and terms → info@pivotvet.com

◆ RACE-approved · 15 CE hrs · vets & nurses/techs · US & Canada
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