Vtx_cpd

We educate our community via webinars, online courses, CPD days & membership benefits.

The veterinary thought exchange promotes some of the best and most up to date CPD across the veterinary profession, created by Veterinary Specialists in their fields.

22/01/2025

'Express a**l sacs' are a common consult in practice, but why is this happening in the first instance, and what can we do about managing our patients?

Join us on this webinar where we look at this common problem, discuss some of the reasons a**l sac disease may develop, as well as conditions to consider when it’s not a**l sac disease.

Led by Victoria Robinson (Dermatology Specialist), this webinar is available now: https://bit.ly/3W3UUFQ

20/01/2025

Today is everyone's favourite day, Blue Monday 😨

We all know that veterinary work can be challenging, intense, exhausting, emotional and more, but there are many positives too, but these are sometimes forgotten.

So, on this Blue Monday, let's not think about all the money we spent over the festive period, the weight gained from one too many mince pies, and the failed New Year resolution. It is time to get back on track, find our positivity and move forward with how we want the rest of the year to be for us.

Think about what brings you joy! We spend too much time thinking about all the things that don't quite go to plan, but what really brings you joy? And when you decide what that is - do more of it (A LOT MORE). For me, it is things like the successful caesarean surgery and seeing the bitch and pups go home or placing my first central line to avoid replacing IV lines in our critical patients. It is placing my first faecal catheter in that sick patient in isolation so that they are more comfortable. It is seeing my younger, less experienced colleagues grow into confident veterinary professionals.

What positive or happy moments from your veterinary career keep you going? 💖

16/01/2025

Today, we're taking a closer look at two popular antiemetics, both with their own advantages.

Check out some of Scott's insights above, and let us know your antiemetic of choice below!

14/01/2025

For this week's clinical focus, we're taking a look at the pros and cons of injectable and oral Cobalamin (Vitamin B12).

Do you routinely supplement below 400 ng/L? Which method do you prefer? Let us know in the comments! 👇

10/01/2025

Just because the festive period is over doesn't mean the treats are! 😍

We're offering 10% OFF all courses, live online events, Annual memberships and webinars in January with the code 'HNY2025' (Valid until 31/01/2025).

Courses: https://bit.ly/3DC3QMl
Events: https://bit.ly/3C5nVKv
Memberships: https://bit.ly/3W2mT8K
Webinars: https://bit.ly/3VVqUf5

Keep an eye out for course and webinar announcements throughout the month 👀

09/01/2025

Patient safety is defined by the World Health Organisation as the absence of preventable harm to a patient during the process of healthcare and the reduction of risk of unnecessary harm.

Whilst all veterinary professionals strive to maintain patient safety, to err is human, and therefore, we need to put systems and processes in place to prevent error from occurring wherever possible. In the busy world we work and live in it can sometimes be difficult to know where to begin and challenging to find the time to implement strategies.

In this webinar, we'll:
🟣 Discover what patient safety is and explore the tools proven to enhance patient care.
🟣 Guide you through a typical patient journey considering patient safety tools such as briefing, checklists, communication tools and handovers.
🟣 Conclude with tips on how to implement these tools successfully to optimise the wellbeing of our teams and patients.

To get involved, visit: https://bit.ly/4iXJJIx

08/01/2025

A little later than some, but felt I had to share nonetheless! This image, for me, sums up 2024 and the essence of veterinary medicine. It’s messy; messy for so many reasons. It’s challenging, emotional, and stressful. But it can also be joyful, rewarding, and full of connection.

Veterinary medicine isn’t perfect. There’s nothing about this profession that is, and that’s okay. It’s okay for things to feel hard, to be imperfect, and to not always go as planned.

This year, I’ve found joy in the clinical work I’ve done and, in the opportunity, to connect with so many incredible people. I’m deeply grateful for the support shown to VTX and for the community we’ve built together.

As Harry Baker, one of my favorite poets, so beautifully puts it:

"When it all feels too much and there’s little you can do
May you see the best in people, and the people include you.
May one thing match the gravity of all you’ve ever done
This wonderful reality: the best is yet to come."

Here’s to embracing the messiness, celebrating the joyful moments, and finding hope as we step into 2025. Thank you all for being part of this journey.

07/01/2025

And we're back! 👋

Refreshed and raring to go, we've got some very exciting courses this month!

With three to choose from, these online courses will cover neurology, anaesthesia, and nursing skills, offering in-depth knowledge and practical techniques from our talented roster of speakers.

To find out more about these courses and to book your place, visit 👉
https://bit.ly/3DC3QMl

31/12/2024

No matter how you choose to bring in the New Year, we wanted to give you a little treat to help you put your best foot forward 💪

Get 10% off the cost of ALL Courses, Online Events and (Annual) Membership plans in January 2025 using code 'HNY2025' (Valid until 31/01/2025 at midnight).

Wishing everyone a Happy New Year from the VTX team.

Courses: https://bit.ly/3DC3QMl
Memberships: https://bit.ly/3W2mT8K
Webinars: https://bit.ly/3VVqUf5

30/12/2024

As quickly as Halloween and Bonfire night have passed, the merriment of the New Year approaches, and with that comes the dreaded FIREWORKS!! 🎇

There have been huge advances in prohibiting the sale of fireworks and organising more official events. However, this time of year can cause all sorts of issues for those patients and owners who have a real fear of loud noises and bright flashes coming in through the windows.

So, what are you doing in practice to help support your owners and patients? We would love for you to share your hints and tips in the comments to keep our patients safe.

29/12/2024

We've been enjoying adventures on both sides of the Atlantic this year ✈️

It's been fantastic to meet and reconnect with so many of you throughout the year while learning from so many talented individuals. Here are just a few of our favourites from 2024 ☝️

Got any pictures from last year? Share below, or tell us where you'd like to see us next year!

25/12/2024

Wishing everyone a massive Merry Christmas 🎅

We hope that you get to enjoy some time with friends and family. For those that are working this Christmas, we hope that the Christmas angels are kind to you with the cases that present to your clinics 🥰

We are looking forward to seeing as many of you as possible in 2025!

20/12/2024

What have been my highlights of 2024!

Well, there have been a couple of stand-out moments for me this year.

Firstly, I really enjoyed attending IVECCS in St. Louis. It was a great experience and a great chance to catch up with some great friends and colleagues. But more importantly, it was a great opportunity to look at the veterinary nurse profession in other countries and the challenges they face compared to the UK. It was also fascinating to look at how neurodiversity has become so integral in the veterinary workplace and how we need to ensure our teaching methods cater to the learning preferences of our veterinary learners.

The lecture 'Don't be a jerk' was a particular favourite!!

My second highlight of 2024 was the organising and planning of our live practical wet lab days in Northumberland. This was a huge piece of work and I was just really happy that each day went really well; the feedback was truly amazing, and delegates felt that we had made a difference in how they would approach their cases when they returned to practice. So, that was a huge success for the whole vtx team.

Share in the comments what your highlights have been this year; we would love to share them with you!!

19/12/2024

We loved hosting our live wet lab sessions in October, and wouldn't you know it - the reviews are in! 🤩

It's been hugely heartening to know that our guests had as much fun as we did during these sessions - We really wanted them to be as practical as possible and allow delegates to change how they approach their cases in practice.

Where should we host our next next wet lab? 🤔 And what do you want to learn more about? 🔍

Thank you to everyone that joined us at one of the sessions and we hope that you are still enjoying all the amazing merchandise!!

18/12/2024

Our is here! 💝

You pressed play on our podcast over 1000 times this year, so thank you to all those who have continued to listen, and thank you to all our guests for their passion and fascinating insights - you are all a constant source of inspiration! 🎙️

Listeners, let us know your favourite episodes below and who you'd like to see on the pod next year! ⬇️

11/12/2024

What does it mean to truly disconnect from the job? 🔌

For vets more than most, our profession is far more than just 'work' to us. As much as this is the case, it is important that we know how and when to switch off (although this can often be easier said than done!).

It is important to make the most of our downtime; for ourselves, for our loved ones, and for our working life too. The break from work allows us to go back recharged and refreshed to take on the challenges that will come our way.

With the increase in mental health and well-being, we all know how important being able to dis-connect is. Although some of us are better at this than others. So, whether it is going for a walk, cuddling with our pets, speaking to a friend, taking a trip with friends and family or even starting that new hobby that you have always wanted to do but never had the time. MAKE THE TIME, you will be GLAD that you did!! I dis-connect by taking time to play with making pottery!

We'd love to know your thoughts on this - what was your 'lightbulb moment' for switching off? 💡
Share in the comments what you do to dis-connect?

09/12/2024

International Day of Veterinary Medicine

We could not let today go by without acknowledging all the hard work that veterinary professionals (Veterinary Surgeons, Veterinary Nurses, Animal Care Assistants & Receptionists) do on a daily basis to care for sick and injured pets across the World and their owners.

The world of veterinary medicine has been a roller coaster for the last year or two, with many facing uncertainty over jobs, shortages of medicines and tighter financial controls being implemented. We have also seen an increase in 'vet bashing' through social media and other media avenues, which is often unfair, unbalanced and has huge impacts to all involved.

So, today, let's be thankful for all the veterinary teams out there that make the world a better and more caring place for pet owners and their pets. Take a second today to tell your veterinary team, that they do an excellent job in the care that they provide, often under some difficult circumstances.

And remember to BE KIND! We are all doing the BEST WE CAN!

06/12/2024

You've heard of elf on a shelf, but have you heard of...oh never mind!

December is a time when we can expect a higher level of accidentally swallowed toys and gifts than any other time of year, so remind your patients to pay extra attention, for your own sake!

While we hope you've never had to deal with a situation as extreme as this, feel free to share your unexpected swallowed items with us in the comments below 😬 Extra points for those who post images!!

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Videos

We're back with another packed episode of the vtx podcast 🎙️ 🎙️ In this episode, we’re thrilled to welcome the brilliant Dr. Jess Moore-Jones, a vet with an unconventional career path and a passion for transforming veterinary practice cultures. Jess is the founder of Unleashed Coaching and Consulting, where she helps vet clinics build resilient teams and thriving workplaces. In addition to her personal career journey, we cover topics such as imposter syndrome and the concept of the equal and opposite truth, explaining how embracing the complexity of decision-making can lead to better outcomes. In a fascinating conversation, she talks about choosing your suffering, explaining how we can control how we experience difficult situations by shifting our mindset. 🎙️ Next, we have a fantastic veterinary clinical CPD chat with Lucy Hyams and Katie Sherratt from Protexin. Lucy, a veterinary surgeon and Veterinary Technical Advisor, and Katie, a Territory Manager, discuss how to handle behavioural concerns in small animal patients. This segment is packed with practical advice on navigating tricky conversations with clients and recognising signs of anxiety in pets. Don’t forget to rate, review, and subscribe to our podcast for more inspiring conversations with veterinary professionals. #VTX #VTXCPD #VeterinaryCPD #VeterinaryCourses #MedVetLife #VetClinic #VeterinarySurgery #VeterinaryHospital #VetTechStudent #VetMedicine #VeterinaryMedicine #VetMed #VeterinaryLife #VeterinaryClinic #VeterinaryTechnician #VetTechLife

Not long to go until this year's London Vet Show! I'm very excited to see faces new and familiar, and am looking forward to hearing from the multitude of fantastic speakers at this year's event. I'll be bringing my session 'Ditching the script: Investigation & management of acute diarrhoea' to you on the 14th (13:40-14:40) and 15th (10:10-11:10) of November in Gallery Suite 13. Will we be seeing you? 👀 Comment below! For more details, and to book your place, visit: https://rfg.circdata.com/publish/LVS24/?source=___&utm_source=&utm_medium=%20&utm_campaign=&tracesourcecode= #VTX #VTXCPD #VeterinaryCPD #VeterinaryCourses #MedVetLife #VetClinic #VeterinarySurgery #VeterinaryHospital #VetTechStudent #VetMedicine #VeterinaryMedicine #VetMed #VeterinaryLife #VeterinaryClinic #VeterinaryTechnician #VetTechLife

🐾 Let's Talk Prazosin in Cats 🐾 Today, we’re diving into a hot topic: Prazosin and its use in managing urethral obstruction in cats. Many of you are familiar with Prazosin as an alpha-adrenergic receptor antagonist, often used to reduce urethral spasms in cats with this challenging condition. But, the big question is—how effective is it really? 🤔 There’s ongoing debate and varying evidence on its efficacy, with some studies even suggesting a potential increase in re-obstruction rates. So, let’s not take the data at face value. We need to dig deeper into the studies, understand different case populations, dosages, and course durations before drawing conclusions. I’d love to hear your experiences and thoughts on using Prazosin in your feline patients. Do you find it beneficial, or do you share the skepticism? Let’s unpack this together! 🐱💬 #VTX #VTXCPD #VeterinaryCPD #VeterinaryCourses #MedVetLife #VetClinic #VeterinarySurgery #VeterinaryHospital #VetTechStudent #VetMedicine #VeterinaryMedicine #VetMed #VeterinaryLife #VeterinaryClinic #VeterinaryTechnician #VetTechLife

Today, we’re focusing on Omeprazole—a proton pump inhibitor often used to reduce stomach acidity in our patients. Before prescribing Omeprazole, consider these two critical questions: 💬 What is Omeprazole actually doing? 💬 Why is it needed in this specific case? Omeprazole works by lowering stomach acidity and raising pH levels. However, evidence strongly supports its use mainly for conditions like gastrointestinal ulceration and reflux esophagitis. Using it for kidney disease, pancreatitis, liver disease, or vomiting without clear signs of gastroesophageal issues may not be warranted. Diarrhoea is a common adverse effect in dogs, though not reported in cats. Additionally, abrupt discontinuation after prolonged use may cause mild changes in the gut microbiota. While serious side effects are rare, the potential for intestinal dysbiosis exists, leading to complications like bacterial pneumonia or issues related to NSAID use. Has your omeprazole prescribing practices changed? What are your thoughts on the use of omeprazole in small animal practice? 🔗 More information here: The use of metronidazole in acute diarrhea in dogs: a narrative review - PubMed (nih.gov) #VTX #VTXCPD #VeterinaryCPD #VeterinaryCourses #MedVetLife #VetClinic #VeterinarySurgery #VeterinaryHospital #VetTechStudent #VetMedicine #VeterinaryMedicine #VetMed #VeterinaryLife #VeterinaryClinic #VeterinaryTechnician #VetTechLife

🚨 Metronidazole: Are We Overusing It? 🚨 Today, we're thinking about metronidazole. 🐶🐱 Metronidazole has long been a go-to antibiotic for treating both acute and chronic diarrhoea in dogs and cats. But as we learn more, evidence suggests it might not be as necessary as we once thought. In fact, using it when it's not truly needed could have some harmful effects. 📉 Studies show that metronidazole often doesn't make a significant difference in well patients with acute diarrhoea, even if it's haemorrhagic. So, we're asking: Are we overusing this medication in clinical practice? 🤔 We'd love to hear your thoughts! How are you using (or not using) metronidazole in your practice? Let’s start a conversation! 💬 For more details, check out the studies linked here: https://pubmed.ncbi.nlm.nih.gov/37884173/ #VTX #VTXCPD #VeterinaryCPD #VeterinaryCourses #MedVetLife #VetClinic #VeterinarySurgery #VeterinaryHospital #VetTechStudent #VetMedicine #VeterinaryMedicine #VetMed #VeterinaryLife #VeterinaryClinic #VeterinaryTechnician #VetTechLife

We're putting our members on the map! 🌍 It's such a delight (and very humbling!) to find veterinarians joining our community from all over the world. We're so glad to have you with us, and we want to know: Why vtx? What are you most enjoying and what would you like to see more of? If you see your country listed, tag with the flag below 👇 #VTX #VTXCPD #VeterinaryCPD #VeterinaryCourses #MedVetLife #VetClinic #VeterinarySurgery #VeterinaryHospital #VetTechStudent #VetMedicine #VeterinaryMedicine #VetMed #VeterinaryLife #VeterinaryClinic #VeterinaryTechnician #VetTechLife

Good news! We are delighted to be able to introduce to you our new practical wet lab days that will be starting in October 2024 🎉 These practical days have been specifically created to supplement many of the online courses that we already offer and are suited to both veterinary surgeons and veterinary nurses. The practical days will be held at the new wet lab facility at Coquet Vets in Northumberland, and we are very excited to offer these days. Due to the nature of the wet lab days, places are limited to 12 people per intake, so sign up fast [via the link in our bio] to avoid disappointment. #VTX #VeterinaryCPD #VetSchool #FinalYearJacket #VeterinaryMedicine #VetMed #VeterinaryLife #RoyalDickSchool #VetSchoolGraduation #VetStudent #VetTech #VeterinaryProfession Practical veterinary surgeon sessions: 09.10.2024 - Hands-On Internal Medicine: A Day of Practical Techniques BOOK YOUR PLACE: https://bit.ly/4ch8ZFX 10.10.2024 - Emergency Medicine Immersion… A practical day of emergency techniques BOOK YOUR PLACE: https://bit.ly/4bd4nPS 11.10.2024 - Emergency Surgery Essentials: A practical workshop for small animal veterinarians BOOK YOUR PLACE: https://bit.ly/4ewj97n Practical veterinary nurse sessions: 08.10.2024 - Emergency Medicine in Action: Practical Techniques for Veterinary Nurses BOOK YOUR PLACE: https://bit.ly/3KZvfbu

We are thrilled to be announced as the main sponsor for students at the Royal (Dick) School of Veterinary Studies. The final year jackets are a rite of passage for all vet students as they progress into their final clinical year of vet school. VTX was created with the idea of supporting and teaching students as they take on the challenging transition period from vet school to a career as young veterinary professionals. We want to cultivate a supportive and nurturing environment where they can continue to learn and make mistakes as they grow in confidence. Learn more about the benefits of a VTX membership here: #VTX #VeterinaryCPD #VetSchool #FinalYearJacket #VeterinaryMedicine #VetMed #VeterinaryLife #RoyalDickSchool #VetSchoolGraduation #VetStudent #VetTech #VeterinaryProfession

🔔 New podcast alert 🔔 Episode 65: Painful Paradoxes: https://bit.ly/3RWsDz6 🎙️ In this week's episode, we have an important conversation with the amazing Dr. Sarah Keir, a small animal vet with an impressive and varied clinical career in veterinary medicine, and is a true testament to someone who has had a very varied career and has found something that works for her. Sarah is a true testament expect discussions that range from the unexpected twists and turns in a veterinary career, to discussions on baking blogs and female explorers! 🎙️ We're also fortunate enough to have Sophie Duguid from Zoetis UK on the show this week. Sophie talks about the responsible use of artificial intelligence (AI) in veterinary medicine, with a focus on dermatology. She explains the fundamentals of AI, neural networks, and deep learning, and how these technologies can enhance veterinary care, particularly through the concept of the virtual laboratory. Having known her since my time in vet school, it's wonderful to chat with her and follow her amazing career. What unexpected directions has your veterinary career taken? Let us know your thoughts on the episode below 👇 #VTX #VTXCPD #VeterinaryCPD #VeterinaryCourses #MedVetLife #VetClinic #VeterinarySurgery #VeterinaryHospital #VetTechStudent #VetMedicine #VeterinaryMedicine #VetMed #VeterinaryLife #VeterinaryClinic #VeterinaryTechnician #VetTechLife

If you can’t get enough of vtx, check out Scott’s guest appearance on the RCVS Knowledge podcast! Joining host and RCVS Clinical Lead Sally Everitt, the pair dive into a number of topics, including researching as a practicing vet and its benefits, as well as discussions on Scott’s study on cobalamin supplementation in dogs. Thanks to all those who have listened so far, over 300 downloads and counting! Listen here: https://bit.ly/3VJPCy9 #VTX #VeterinaryCPD #VetSchool #FinalYearJacket #VeterinaryMedicine #VetMed #VeterinaryLife #RoyalDickSchool #VetSchoolGraduation #VetStudent #VetTech #VeterinaryProfession

🔔 New episode alert 🔔 Episode 64 - 'When I grow up I want to be happy': https://bit.ly/4e9nsVX "This podcast episode was particularly special for me. I remember being inspired as a teenager watching Emma Milne and her colleagues on television becoming vets and fulfilling the dream that I had always had. She is definitely one of the reasons that I went on to study veterinary medicine. The very landscape may have changed over the last 20 years, but what has not changed is the heart and soul of the people that are part of this profession. We need people like Emma in our profession and on our side, and I'm inspired by her today as I was all those years ago." 🎙️Join us for an engaging discussion with Emma Milne, a qualified veterinarian from Bristol University and a familiar face from BBC1's "Vets in Practice". 🎙️ Having campaigned on various issues from hunting with dogs to pedigree animal health, her drive to improve animal welfare shines through as she discusses the impact of changes in animal breeding and the importance of veterinary intervention. 🎙️ In our veterinary clinical CPD segment, Jonny Lambert, National Veterinary Manager at Zoetis UK, delves into the topic of therapeutics in canine allergic cases. Jonny covers the importance of effective diagnosis on the choice of therapy in allergic dogs. 🎙️ During our chat, we also discuss strategies for managing chronic allergic cases, including identification and approach to flare-ups. Jonny also emphasizes the significance of responsible use of therapeutics and the long-term considerations for managing canine allergies. #VTX #VTXCPD #VeterinaryCPD #VeterinaryCourses #MedVetLife #VetClinic #VeterinarySurgery #VeterinaryHospital #VetTechStudent #VetMedicine #VeterinaryMedicine #VetMed #VeterinaryLife #VeterinaryClinic #VeterinaryTechnician #VetTechLife

🔔 New episode alert 🔔 Episode 63 - 'Finding the best solution with the best of intentions': https://bit.ly/4e3gS3b 🎙️Join us for an engaging discussion with Edwina Gildea, Veterinary Lead at Zoetis UK, as she illuminates the unique and rewarding career path of a veterinarian in the pharmaceutical industry. 🎙️ In our clinical CPD segment, we are joined by Louise Longstaff, National Veterinary Manager at Zoetis UK, who will delve into the responsible use of parasiticides in dermatology. 🎙️ This is a great episode for veterinary professions who are considering alternative career paths from the traditional careers in clinical practice - another great example of the amazing opportunities your veterinary qualification/passport can give you! 🎙️ One key takeaway is beautifully captured in Maya Angelou's powerful quote: “Do the best you can until you know better. Then when you know better, do better.” This quote strikes a chord with all of us, emphasizing the importance of continuous learning and growth in our professional journeys. Very keen to hear your thoughts on this one - let us know your highlights below 👇 #VTX #VTXCPD #VeterinaryCPD #VeterinaryCourses #MedVetLife #VetClinic #VeterinarySurgery #VeterinaryHospital #VetTechStudent #VetMedicine #VeterinaryMedicine #VetMed #VeterinaryLife #VeterinaryClinic #VeterinaryTechnician #VetTechLife

Shortcuts

veterinary thought exchange ‘vtx’...

The vision for vtx is to provide high-quality friendly veterinary CPD that both educates and inspires our colleagues, and that is delivered in a professional and compassionate manner. We aim to offer engaging CPD events in distinct environments that delivers a memorable experience, in addition to offering personalised consultations for our members.

vtx takes an active interest in both the education and well-being of our members and colleagues working within the veterinary industry. We want to inspire, improve and support you as both a veterinary professional and as a person.

Veterinary

vtx provides small animal CPD for both clinical and non-clinical colleagues within the veterinary sector. We offer online webinars that can be accessed at any time and watched at your convenience (as we understand how busy life can be, both in and out of work). vtx will add new webinars monthly and encourage members to tell us what topics are of interest to them and we will endeavour to cover these topics.

Our online membership offers access to all webinars in our library, in addition to sneak previews of up and coming content. In addition, to this, Scott and Liz will also actively participate in member discussion forums from their day to day working in practice and we would like you to participate in working through some of these potentially challenging cases.

Most exciting of all… we will be organising CPD Day Events where we can meet face to face and chat about cases you may have encountered amongst other topical issues that you may face in your daily role in veterinary practice. We have taken care to ensure that these CPD days are as fun and fulfilling as possible.

Thought

vtx realise and understand that your mental health and well-being is just as important as your academic health in your daily role. For that reason, we want to support you in fulfilling both of these equally from both our online content and our Day CPD events. We aim to provide some thought-provoking content and ideas that will get you thinking about the way that you work, how others connect with you, understanding the cues for when others might need that additional support.

vtx aims to bring a variety of leaders from both within and outside of the veterinary sector to stimulate conversation, while empowering you to make connections with other members of our veterinary community to bring you fulfilment and value-worth in your day to day life.

Exchange

Now for the best part…. Here at vtx we want to provide you with an ‘exchange’. Not only are we providing you with online webinar and CPD Day Events where we aim to educate and provide support to our members and community. But we are also offering personalised consultations with a boarded specialist to our members with regards to an on-going case under your care.

vtx want to help support and educate you at all levels of your career and this includes when you are confronted with the cases that leave you feeling confused or unsure as to what the next best step might be. vtx aim to remove the barrier and support you as you progress throughout your career to whatever level you wish to pursue.