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 · US & Canada
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
US veterinary workforce & culture research cited in PIVOT's published work; figures directional, see notes.
The cost of the status quo
You're already paying for turnover.
Just not on a line called turnover.
Do the math on your own hospital. Without a system that changes it, the number repeats every year.
30 FTE clinical teambaseline
× 30% annual turnover~9 people
× ~$100K per departurepeer-reviewed
≈ $900K / year
Illustrative at 30 FTE. Replacement cost: Neill, Hansen & Salois, Frontiers in Vet Science (2022). TRIAGE is the lever that moves the turnover rate.
Who built this
Built by someone who ran the floor, not a consultant
Kaelyn Petras, DVM, is a current Emergency Medical Director whose work centers on patient and psychological safety, the systems that hold a team together when the floor is at its worst. She built her approach inside real high-stakes clinical environments, not a classroom. TRIAGE is those systems, codified.
One vet who once cried in her car now calls after every solo surgery she's proud of.
The difference wasn't talent. It was a leader with a system.
The systems work
Real numbers. Real teams. One system.
92%
employee NPS under Kaelyn's leadership
75%
reduction in service pauses from a system she designed
0
staff attrition for 2+ years, after she solved an ER staffing crisis in three months
Kaelyn's operating track record, proof the systems TRIAGE teaches work in a real hospital. A TRIAGE-client result is in progress with the current cohort.
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 generic leadership theory.
What each seat includes
Async, self-paced,
built for the floor
◆ RACE #20-1366025 · 15 CE hrs · US & Canada
- ›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, toward license renewal
- ›The TRIAGE community forum, for lifeYour leaders keep access after certification, so the cohort does not end when the modules do
- ›Fully async deliveryFits around roster and workload
If you run multiple sites
Your culture shouldn't depend on who's on shift
Across a group, clinical culture lives or dies by whoever happens to be in charge that day. That's the risk no one is managing.
See how a group rollout runs →
- ›The problem you knowInconsistent leadership site to site, no shared language, every location led by someone promoted without training
- ›One operating system, every siteThe same frameworks and standards, so quality doesn't reset with each new lead
- ›The standard travels, not just the peopleFrom 16 seats up, seats are org-owned: reassign them as leaders move or get promoted
- ›Culture becomes governableA shared language leadership can actually measure and hold across the group
How rollout works
- Wk 1Enrollment setupSeats assigned to your leaders, access delivered
- Wk 2Leaders beginAsync lessons on each person's own schedule, around shifts
- ~Wk 9Full cohort certifiedOne module a week; certification earned and RACE CE claimed
- ›Org-held seats from 16 upAt 16 seats and above the licenses are the hospital's: if a leader moves on, reassign their seat to their replacement, no repurchase
How you'll know it worked
Most leadership training can't tell you
whether anything changed
The hospital
Stability Audit25 questions, before you start
→
TRIAGE cohortyour leaders go through it
→
Stability Auditsame instrument, re-run after
Each leader
Leadership Auditscored on the six TRIAGE domains
→
Targeted modulesweakest two domains map to the modules that fix them
→
Leadership Auditsame six domains, scored again
Both audits are free and built into the rollout. The same instrument runs at both ends, so what you get back is a delta, not a sentiment survey.
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 value16+ seats
$650
per seat
Organization / multi-site
Team payment terms available: spread over quarterly installments to fit your budget cycle.
What leaders say
Built for vet med, because it's from vet med
"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, VEG
"I'm making all of our leadership do it. It's phenomenal."
Dr. Meghan SmallcombEmergency Veterinarian, VEG
"Each module flows from one to the next and is all so valuable. I have absolutely learnt a lot about myself as a team leader and a human being."
Layla ClementsLead Surgery Nurse, ARC Vets