Internal Medicine Services
Veterinary Team Training, Tele‑Advice & Ultrasound Interpretation
Empowering veterinary professionals and pet families with the knowledge and support needed to move cases forward, faster.
Clinical Skills Coaching
Practical, case-ready skills can change patient outcomes. This program gives your team focused, hands-on training with a board-certified internist so you can confidently perform procedures in-house and make faster, better informed decisions.
Clinical Skills Coaching is designed for veterinary teams looking to expand procedural capabilities, we offer veterinary skill training in:
Ultrasound basics + POCUS: Image acquisition, FAST scans, and ultrasound-guided FNA/aspiration.
Introductory endoscopy: Scope setup/care, navigation, and biopsy technique.
Glucose monitoring: Continuous glucose monitor placement, site selection, attachment techniques, and data workflows.
Feeding tubes: Nasoesophageal, nasogastric and esophagostomy tube placement, care, and troubleshooting.
Fecal microbiota transplantation (FMT) via enema: Candidate selection, prep, administration, and follow-up.
Proctoscopy: Indications, equipment, and biopsy.
Nasal biopsy: Indications, procurement, landmarks, hemostasis, and aftercare.
Blind BAL (bronchoalveolar lavage): Indications, sampling technique, airway targeting, and post‑procedure care.
Gamification & Math Competitions: making learning fun and slightly competitive!
Additional requests: If it’s within internal medicine scope, we’ll build it in! Just ask!
What To Expect During Your Clinical Coaching Session
Goal setting: Identify target skills, cases you want to keep in-house, and success metrics.
Pre-visit plan: Required equipment, patient selection, safety checklists, and reference protocols.
On-site training: Step-wise demos, hands-on experience, and immediate feedback
Follow-up support: Brief post-training Q&A and optional case shadowing to cement skills and build accountability
Vet Teams Training with Music City Can Gain
Procedural confidence: Team members know the “when, how, and what next.”
Higher standardization: Consistent technique and documentation across shifts.
Expanded services: New offerings without adding major equipment.
Better patient flow: Faster diagnostics and possible interventions or treatments, clearer client communication, improved intermediate case management or even resolution with impactful referral when necessary.
Build Your Agenda
Format
Half-day or full-day; one-on-one or small groups are always welcome!
Location
Your clinic, using your equipment; we advice on affordable add-ons if desired, expanding the options available to your patients.
Tailored Approach
Share your priority skills you want to learn and preferred dates, and we’ll propose a tailored agenda.
How To Get Started
Contact Us
A veterinarian or practice manager visits Music City Pet IM’s website, and submits a coaching request via email or contact form.
Plan Your Session!
Dr. Larson will review and contact you. Together, you’ll design a personalized coaching session and schedule your on-site training date(s)! Choose from available training modules, or request a customized coaching experience tailored to your hospital’s needs.
Start Learning
On the scheduled day, Dr. Larson will arrive to your practice and lead your hands-on veterinary skills training with your team.
Within 7-10 days, you’ll receive a follow-up survey to assess skill implementation, training impact and more!
Tele-Advice
Our Tele-Advice service allows you to connect with Dr. Larson via phone or secure video call. Working together, we will review your pet’s medical history, current concerns, and test results to develop a personalized plan of care.
Serving both Pet Parents and Veterinarians, our Tele-Advice virtual reviews are ideal for supporting a pet's chronic health conditions requiring internal medicine expertise, such as:
Gastrointestinal Disorders, such as suspected inflammatory bowel disease (IBD)
Chronic diarrhea
Chronic vomiting
Unexplained weight loss
Chronic Kidney Disease (CKD)
Liver Conditions, such as chronic hepatitis or gallbladder disease
Endocrine (hormone) system disorders, such as Cushing’s, Addison’s & Thyroid diseases
Respiratory Conditions, such as asthma and chronic bronchitis
Immune Disorders, such as IMHA & ITP
Possible or suspected cancer
Urinary system disorders such as interstitial cystitis or chronic UTI
How Tele-Advice Works
Initial Inquiry
You reach out, and we help confirm your pet is a good candidate for Tele-Advice by discussing a few key questions. This ensures the consultation is appropriate and avoids unnecessary fees.
Scheduling
We will coordinate with you to find a convenient time for a phone or video consultation.
Assessment
You and Dr. Larson will discuss your pet’s history, current condition, and any recommendations.
Planning
A written summary is then provided to you, outlining any recommendations such as diagnostics or treatments, or, in some cases, specialized procedures like endoscopy.
What's Included in a Tele-Advice Review?
While this service is often confused with telemedicine, it’s important to note that Music City Pet Internal Medicine’s Tele-Advice is not a telemedicine service and does not establish a veterinary-client-patient relationship (VCPR).
In accordance with Tennessee law, Tele-Advice is limited to non-diagnostic, non-prescriptive guidance and cannot replace in-person veterinary care.
Here’s what Tele-Advice can offer:
Review of your pet’s current medications and dosing: including collaborative discussion of side effects, timing, and long-term use
Follow-up support for chronic or previously diagnosed conditions: helping you understand next steps and monitor progress
Interpretation of lab results and imaging: offering clarity on tests performed by a veterinarian
Nutrition and wellness planning: tailored to your pet’s medical history and lifestyle needs
Guidance on at-home monitoring: including behavioral observations, symptom tracking, and comfort care strategies
Client education focused on preventive health and chronic conditions: empowering you with knowledge to support your pet’s well-being between visits
Our goal is to complement, not replace, the care your veterinarian provides, ensuring your pet receives a seamless & team-based approach to treatment.
Ultrasound Interpretation
Remote ultrasound interpretation is a consultative service for veterinary clinics: you acquire the abdominal or *thoracic ultrasound at your clinic, and Dr. Larson, DACVIM provides a timely, structured read with differential diagnoses and next-step recommendations.
We review stills and cine loops, correlate with the clinical history and lab data you provide, and deliver a clear, action-oriented report you can share with your client. This service supports general practice looking to enhance case accuracy, expedite decision-making, and maintain care in-house while collaborating closely with a board-certified internist.
*Available for cardiac POCUS; excluding echocardiograms
Ideal when you need specialist-level input on cases such as:
Chronic gastrointestinal signs: Chronic vomiting, persistent diarrhea (with or without blood/mucus), weight loss, suspected IBD/IBS
Hepatobiliary and pancreatic disease: Elevated liver enzymes, suspected hepatitis, cholestasis, pancreatitis
Renal and urinary tract concerns: Chronic kidney disease, recurrent UTIs, dysuria/stranguria, bladder wall lesions, urolithiasis
Endocrine and immune-mediated disease: Cushing’s, Addison’s, thyroid disease, IMHA/ITP with suspected organ involvement
Lymphadenopathy and neoplasia (cancer): Enlarged lymph nodes, masses, tumors, suspected cancer, staging and monitoring
How To Get An Ultrasound Read by Music City Pet IM
Request an Invite
Reach out to request an invitation to our dedicated software and set up your account. This 1-time setup allows you to submit cases anytime.
Case Submission
You perform the study (abdominal and/or thoracic) and export representative stills plus cine loops and complete the brief history form (signalment, problem list, lab test results, medications, specific questions).
Interpretation
Dr. Larson reviews images in context, detailing organ-by-organ findings, differentials, and clinical relevance.
Report
You receive a written report with prioritized recommendations (additional imaging views, point-of-care tests, lab work, medical therapy trials, or biopsy/aspirate when indicated).
Ultrasound Report Turn Around Time
Music City Pet IM’s turnaround is typically same-day for cases received by early afternoon; end-of-day or next-business-day reporting for late submissions.
Turnaround time is usually less than 24 business hours.
An add-on stat or rush fee can be applied upon request.
Friday afternoon submissions may be the same day or early next day (Saturday). Weekend submissions are read the first following business day.
Continued Support With Music City
After your report is delivered, Dr. Larson remains available for brief follow-up consultations to clarify findings, guide next steps, or coordinate mobile advanced procedures when needed. For practices seeking hands-on skill development, focused ultrasound coaching for individuals or small teams is also available by appointment. These optional services are designed to enhance clinical confidence, streamline case management, and support your recommendations with expert insight.