169: Exceptional Vet, Mediocre Pay: If I'm So Busy, Why Can't I Earn More? With Dr Andy Roark

169: Exceptional Vet, Mediocre Pay: If I'm So Busy, Why Can't I Earn More? With Dr Andy Roark

Why does a vet who's flat out every single day still hit a pay ceiling? Dr Andy Roark explains the hidden economics of veterinary practice, and an uncomfortable truth: the thing that makes us good vets might be the same thing holding our pay down.


Andy is a practising vet, the founder of the Uncharted Veterinary Conference and podcast, host of The Cone of Shame podcast, and one of the best-known voices on the business side of vet medicine. He works with thousands of practice owners and managers, and he's still in the consult room too, trying to figure out how to find solutions for a client with $150 to her name - like you. In this conversation, he picks apart the sum every employed vet has done on the back of a lab result printout: why is there such a big mismatch between what I’m treating and the number on my pay slip?


In this episode, he explains:

■ The Mediocre Industry Problem: Why it's better to be mediocre in an exceptional industry than exceptional in a mediocre one, and where vet medicine sits on that scale.

■ The Inherent Tension: Why veterinary profession is one of the only jobs where we beg customers not to leave, and how our drive to keep care affordable puts the ceiling on what we earn.

■ Where Every Dollar Goes: The three buckets that eat 85 to 90 cents of every dollar a practice brings in, and the one number that puts everything in perspective.

■ The Invisible Stress of Ownership: Why practice owners often feel real shame when pay comes up, and how much of the finances they should share with their team.

■ Resentment as a Metric: How to tell when resentment is warning you about something, and how to choose what to do about it.

■ Corporate vs Independent: What a US survey found about who earns more and who finds more meaning in their work, and why comparing salaries is so often the thief of joy.

■ The Retail Model Mistake: The one thing Andy would change if he could rebuild the profession from scratch.

Mentioned in this episode


Come skiing with us (while you learn)

Vets On Tour is heading to the Dolomites. It's a week of CPD in Canazei, Italy, from 16 to 23 January 2027, with a Dolomiti Superski pass covering 1,200 km of runs. The learning is excellent, the snow is better, and the après is non-negotiable. Book your spot here.























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168: You're Doing Feedback Wrong. With Dr Olivia Oginska

168: You're Doing Feedback Wrong. With Dr Olivia Oginska

Ask most vets what feedback means, and they'll think of a meeting. Once a year - maybe someone explaining that you're not billing enough.Dr Liv Oginska reckons that meeting is barely feedback at all.B...

17 Syys 51min

167: Space Plus People Equals Place: 5 Common Practice Design Mistakes to Avoid. With Jerry Kennard

167: Space Plus People Equals Place: 5 Common Practice Design Mistakes to Avoid. With Jerry Kennard

What if the thing making your working day harder isn’t the workload?What if it's the building?In this episode we're joined by Jerry Kennard from ⁠Evoke Projects⁠, someone who designs veterinary spaces...

2 Syys 45min

166: It's Not Burnout. It's Fear. Dr Sarah Golding on vet burnout, imposter syndrome and getting your confidence back

166: It's Not Burnout. It's Fear. Dr Sarah Golding on vet burnout, imposter syndrome and getting your confidence back

Everyone says burnout. But Dr Sarah Golding thinks a lot of us are misdiagnosing ourselves.When vets come to her ready to walk away from the profession, they arrive with a vocabulary: burnt out, overw...

26 Elo 1h 10min

165: Making Sense of IDEXX Cancer Dx - Canine Lymphoma Screening. With Dr Sandra Nguyen

165: Making Sense of IDEXX Cancer Dx - Canine Lymphoma Screening. With Dr Sandra Nguyen

I love any new tool that can make my life as a veterinarian easier and get better outcomes for my patients, so when I first heard about IDEXX's new CancerDx test I was excited, but I had questions! Li...

10 Elo 26min

164: The Planes That Never Came Home: Inclusion, Retention and the Hidden Curriculum, with Dr Alex Harrison

164: The Planes That Never Came Home: Inclusion, Retention and the Hidden Curriculum, with Dr Alex Harrison

Most conversations about how to survive a veterinary career is a conversation with the survivors. We interview the vets who are still standing. The vets and nurses who left? Nobody interviews them. In...

30 Heinä 1h

163: Tech Tools for Vets 5: The Fix for Missed Billing, with SmartCapture

163: Tech Tools for Vets 5: The Fix for Missed Billing, with SmartCapture

Think about the last thing you did at work and forgot to charge for. A nail clip. A blood test. A “quick” ultrasound that never made it onto the invoice.One missed charge feels insignificant. Across a...

15 Heinä 48min

162: Street Dogs, Brave Vetting, and the Double Life of Dr Janey Lowes

162: Street Dogs, Brave Vetting, and the Double Life of Dr Janey Lowes

Twelve years ago, Dr Janey Lowes went to Sri Lanka on a holiday, and never really came home. Today she runs WECare Worldwide, a hospital that treats the island’s three million street dogs to a standar...

3 Heinä 1h 1min

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