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The same is true when large animal patients are secondary. My current mixed animal practice in southeast Idaho faced the same challenge before I came aboard as a partner. The two seasoned, predominately large animal veterinarians had little interest in small animal medicine, so their attitudes reflected the protocols, level of care and client experience. Over time, as the doctors aged, the hospital swung from large animal predominant to small animal predominant as new associate veterinarians preferred the lifestyle, production and schedule of pet care.

What was once a vibrant mixed animal hospital had become more of a small animal business. We hired a large animal predominant veterinarian to complement our mixed animal veterinarians and upgraded the equipment and facilities. The lesson? Instead, whether your preference as a mixed animal practice owner is small or large animal medicine, you owe it to your community to assess the opportunity. Then, if the results are favorable, invest in the people and resources to grow your business, unencumbered by your preference or mindset for how much a client should spend on a dog, cat, horse or cow.

My old Nebraska hospital was in the county with the highest number of people on welfare in the entire state. But guess what? Will the hospital expand to five or six full-time veterinarians and gross millions upon millions of dollars in the near future? Probably not. The two DVM owners shared that when they moved back to the area, they decided that not every client was right for their mission.

They focused on consistently offering and delivering the highest quality of care in the area. That helped them build a thriving, rural mixed animal practice. Then, focus your time, team and medical philosophy on your targeted clientele. Prepare two profit and loss statements. Schedule strategically. Many traditional mixed animal practices want a veterinarian to split the day into small and large animal appointments — maybe cat and dog surgeries in the morning and on the farm in the afternoon.

Many of you probably heard from a large producer who suddenly decided he wanted you at the ranch the next morning. This approach gives veterinarians the variety they want as mixed animal practitioners and allows a hospital to minimize the shuffling of schedules. Efficiencies in scheduling and staffing also emerge when a doctor and the team can dedicate days to small or large animals. Then we blocked a couple of hours at the tail end of the day and into the early evening for farm calls.

In addition, Friday was a large animal day. The considerations, strategies and resources I mentioned can refine the viability of mixed and small animal practices. Success — as defined by financial stability, life in and out of the hospital, the ability to serve your community and the opportunity to build something sustainable — is within reach of every aspiring and existing practice owner. That means switching from one daily schedule column per doctor to two or three columns.

For those unfamiliar with staggered appointments, which are not the same as double-booking , the first minute appointment might start at a. The key to making everything work and not compromising client relationships or the quality of care is having an appropriate number of exam rooms and team members. A veterinarian can serve more patients when a hospital has the optimum physical plant and doctor-to-staff ratio. A doctor can rotate between two exam rooms while being supported by a technical team of three or four people.

Unlike straight match odds for which there are just three possible outcomes — home, draw or away — there are many more possible scores. Unsurprisingly, the odds for correct score betting are considerably longer than the match odds because each possible score has a much lower chance of happening than just a straight home, draw or away result.

Betting on correct scores: Summing up Many bettors love the appeal of a big win offered by correct score betting, and can be easily fooled by success. However, those attracted by the much longer odds available must recognise that not only will they have a far smaller chance of winning, but also the way the bookmakers manipulate their odds ensures that they will potentially be facing a far larger expected disadvantage.

True, there is more opportunity for bookmakers to make bigger errors, but that is one of the reasons why they make the higher correct score odds so unfair.

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