Do you enjoy tackling complex cases and getting to the bottom of what’s really going on? Do you thrive on patients where the diagnosis isn’t immediately obvious and clinical reasoning truly matters? And do chronic gastrointestinal, urinary, hematologic, or endocrine cases spark your interest?
If so, you’re not alone! These types of cases make up a large proportion of what we see in first-line practice. This program is specifically designed for veterinarians who want to feel confident and well-equipped when approaching internal medicine cases, and who are looking to build a solid, practical foundation that they can apply directly in their daily work.
Over the course of one year, you will be immersed in the fascinating world of internal medicine, with a strong focus on the types of cases you encounter in daily practice. Through clinically relevant scenarios and grounded in the latest literature, this program provides practical tools to help you approach cases in a structured and confident way.
Within this program, the following key disciplines of internal medicine are covered: endocrinology, gastroenterology, uro-nephrology, hematology and cytology, and hepatology/pancreatic disease.
This program is fully self-paced and entirely online, allowing you to complete it at your own pace and according to your own schedule. Despite this independent format, the learning experience is designed to feel highly engaging and interactive. Short, focused video lectures are alternated with a variety of learning materials, including protocols, step-by-step plans, recommended reading, and self-assessment quizzes.
The program consists of 6 modules and includes at least 50 hours of educational content, primarily delivered through online webinars. The modules are released sequentially, and you will have two months to complete each module before progressing to the next. Each module features clinical cases that you will work through independently, followed by in-depth video discussions highlighting the clinical reasoning and key take-home messages. This case-based approach ensures that the content remains practical, relevant, and directly applicable to your daily work. Please note that the 50 hours refers to the webinar content alone. To complete the full program, including learning materials, clinical cases, and quizzes, you should expect to spend approximately 10–12 hours per module. This ensures a thorough and comprehensive learning experience.
For veterinarians with a particular interest in other areas of internal medicine, we also offer a complementary program: Internal Medicine II, focusing on infectious diseases, respiratory medicine, immune-mediated disorders, and emergency and critical care. Both programs cover entirely different topics and can be followed independently or alongside each other. Participants who enroll in both programs receive a 10% discount on each trajectory.
This program is designed for veterinarians working in first-line practice or in a hospital setting who regularly encounter internal medicine cases and want to approach them with greater confidence and structure. It is ideal for those who enjoy clinical reasoning, especially in cases where the diagnosis is not immediately clear and a systematic approach is essential.
Whether you are early in your career or already experienced but looking to strengthen your foundation, this trajectory will support you in building a solid, practical understanding of internal medicine. Core principles are thoroughly covered, while at the same time the program is continuously aligned with the latest literature and current insights. This makes it equally valuable for veterinarians who already have a good foundation but want to ensure they are fully up to date with the most recent developments in the field.
This one-year program offers a comprehensive and structured approach to small animal internal medicine, focused on the types of cases you encounter in daily practice. Within this program, the following core areas of internal medicine are covered: endocrinology, gastroenterology, uro-nephrology, hematology and cytology, and hepatology/pancreatic disease.
The program is fully self-paced and entirely online, allowing you to learn at your own pace and according to your own schedule. Despite the online format, the course is specifically designed to feel highly engaging and interactive, through a continuous alternation of different learning methods.
You will learn through a combination of:
The program consists of 6 modules and includes at least 50 hours of educational content. Modules are released sequentially, and you will have two months to complete each module, allowing ample time to integrate the material into your daily practice. Please note that the 50 hours refers to the webinar content alone. To complete the full program, including learning materials, clinical cases, and quizzes, you should expect to spend approximately 10–12 hours per module. This ensures a thorough and comprehensive learning experience.
This case-based and varied learning format ensures that the content remains practical, clinically relevant, and directly applicable, while keeping the learning experience dynamic and engaging throughout the entire program.
This trajectory is designed to give you more than just knowledge. It aims to build a solid foundation in internal medicine and the confidence to apply it in your daily clinical work. By combining theory with case-based learning, you will develop a structured approach to even the most complex cases, allowing you to make well-reasoned decisions with greater certainty.
Beyond the clinical benefits, the program is also accredited by RACE for 50 continuing education credits, ensuring that your learning is formally recognized.
However, the most valuable outcome of this trajectory is the confidence and clarity you will gain when approaching internal medicine cases. You will finish the program feeling better equipped, more structured in your thinking, and more confident in your clinical decision-making.
Registrations are now open, and an early bird discount is available for early registrations:
The program officially starts on November 15 and runs over a period of one year.
Participants who register before November 15 will gain access to the program on the official start date (November 15), after which they will have one year to complete the trajectory.
After November 15, it remains possible to enroll at any time. From that moment on, you can start immediately upon registration, and your one-year access period will begin from your personal start date.
For example:
A complete blood work-up and urinalysis are tests we perform on a daily basis in practice. They can provide a wealth of valuable information. In this module, we will use clinical cases to systematically explore how to interpret these tests and what information they can offer.
The following topics are covered:
Hematology
Blood smear
Clinical biochemistry, with an in-depth discussion of:
Coagulation disorders
Including an overview of the physiology of the coagulation system, available coagulation tests, and how to distinguish between primary and secondary hemostatic disorders based on both diagnostic testing and clinical presentation.
In addition, this module places a strong focus on cytology, providing you with the tools to independently evaluate cytological samples. Using images of cytology preparations, we will discuss how to recognize different types of abnormalities (inflammation versus neoplasia) and how to distinguish between them. We will also explore how to differentiate benign from malignant processes.
Furthermore, we will cover a structured approach to patients with effusions (thoracic or abdominal), using cytology in combination with additional diagnostic tests to guide your work-up.
The module consists of a varied learning format, combining engaging reading materials and practical documents (such as step-by-step approaches and protocols) with online webinars. Multiple clinical cases are discussed throughout the module, and you will also have the opportunity to work through two clinical cases independently online.
At the end of the module, there is a knowledge assessment. This is also a learning opportunity, as detailed explanations are provided for each answer, clarifying why a particular option is correct or incorrect.
I find the Internal Medicine course to be an incredibly interesting continuing education program, offering real in-depth study within various subjects of internal medicine. It provides you with the tools to work up more difficult internal medicine patients.
Compliments on the amount of extra information we receive via the website as self-study; I understand that a lot of work really goes into this. As far as I am concerned, there could be more face-to-face sessions, because for me personally, this works better than doing a lot online. This way, you can also cover multiple topics per organ system. Part of it online is certainly not a problem, but I often learn more when meeting in a group. When you see each other face-to-face, it is also easier to ask questions and hold discussions.
It was nice that at certain moments we could also indicate which topics we wanted covered in more detail.
Paulien
The topics I liked: the gastroenterology day included really relevant topics (patients you see often who are sometimes a bit more difficult to treat). As for endocrinology, the overview of diagnostic tests for Cushing’s (with the advantages and limitations) was useful. The day on diabetes was also helpful, as these are sometimes more challenging patients. In uro-nephrology, I found the section on urethral obstruction slightly less interesting, because these are patients I see more often and am reasonably comfortable with. I certainly found the topic of glomerulopathy useful.
Sabine
Geert is a lively speaker with extensive knowledge. She covers every topic very thoroughly, comprehensively, and with scientific backing. However, her teaching is also highly clinically applicable, and you can put it into practice with your patients the very next day. Highly recommended!
Illona
I have been attending lectures and receiving instruction from Geert Paes for some time now. Geert has a calm and clear way of explaining things, making her easy to follow. Her lectures are well up-to-date with the latest literature, and the course material is practically applicable for every veterinarian, whether in a primary care or referral setting. Due to her open teaching style, there is always ample opportunity to ask questions, or these are addressed at a later time (via email, for example). I have been able to further develop myself as a veterinarian within the practice, certainly thanks to Geert’s teaching.
Suzanne
I have been regularly receiving lessons from Geert for over two years for my Internal Medicine differentiation track. Geert provides very pleasant and clear explanations of various facets in the field of internal medicine, which helps you understand the material (no matter how difficult it may sometimes be) much better. She answers all your questions in detail; nothing is too much trouble. The presentations are clearly described and contain all the information of importance. Geert’s passion for the subject shines through, and as a result, you receive a substantial upgrade to your internal medicine knowledge at a high level. I therefore find Geert’s lessons to be very enjoyable!
Sanne
Geert is an incredibly enthusiastic speaker with a huge amount of knowledge.
The presentations are very well prepared and easy to follow. She shares a lot of practical insights,
and the level of the lectures feels just right: accessible to start with, but still challenging enough
to keep you thinking afterwards.
Jessica
Join now and take the next step towards confident clinical decision-making.
