#141: From FOMO to Pro: How I Use AI in the Clinic (And How You Can Too). With Dr Hubert Hiemstra

In this solo episode Hugh tackles a bold idea: if you're not currently using AI in your clinical veterinary work, you may be falling behind. And if/when artificial intelligence gets to the point where it reliably has access to all the most up to date information for managing your patients, will you be negligent if you DON’T use it?
Hubert shares how artificial intelligence is quietly but powerfully reshaping veterinary practice. He paints a vivid picture of an AI-powered clinic, shows you practical tools you can start using immediately, and challenges you to rethink the future of your role as a vet.
What you'll discover:
- A demo showing how to use ChatGPT for clinical reasoning, how to build your own custom AI assistants, and how to set up a personal knowledge library with free tools like Google's NotebookLM.
- How to spot and handle AI hallucinations — and why your human skills like empathy and ethical judgment are still your unique superpowers.
- The business opportunities of AI for your practice, and why clinics that embrace AI may thrive while others struggle.
- How AI could reshape veterinary education and open doors to a more sustainable, fulfilling career.
Hubert doesn’t just speculate — he shows you how AI can work in clinics today, and how you can lead instead of lagging behind.
Tune in if you're ready to future-proof your practice, sharpen your skills, and unlock a better way to be a vet.
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Topics and time stamps
03:08 What could the future of clinical practice look like with AI?
12:48 Can I trust it? What does the data say?
18:22 Where does Ai get its information from?
25:20 How I use it: Using 'general' models for clinical decision making
33:29 Building your own Ai tools
34:06 Google Notebook LM
40:58 MyGPT - your own assistant
54:49 What might the role of the future veterinarian look like?
How AI Will Reshape the Future of Veterinary Clinics
- Imagine a client arriving at a comfortable clinic lounge and being greeted by a front-of-house team member who offers them a coffee and a tablet. Alternatively, a scanner could recognise the pet's microchip, bringing up their records and prompting an AI-driven chat on the client's phone or the provided tablet.
- A polite AI avatar, potentially even with the vet's face and voice, could interact with the client. This AI could verify client details, similar to how a human client care representative (CCR) would, but without the risk of forgetting.
- The AI could collect a perfect and comprehensive history, remembering to ask about diet, toxins, deworming status, tick preventatives, and other important details that human vets might sometimes overlook. It could also access and utilise information already stored in the practice management software (PIMS), such as vaccination and medical history.
- This AI could summarise the collected history, highlighting relevant past events for the vet or triage nurse/tech to review before the appointment. It could even incorporate knowledge of the patient's entire history from every clinic they've visited if integrated with a larger database.
- Furthermore, the AI could access the most up-to-date clinical knowledge, including recent studies, providing the vet with key pointers and considerations before the consultation even begins.
- After the consultation, and AI assistant would generate notes, discharge forms, referral letters and any other necessary documents.
- Discharge sheets could include a 24/7 Ai service follow-up questions. For serious concerns, AI could connect the owner with the clinic team or schedule an appointment.
- AI could analyse patient records and test results, highlighting points of concern and creating to-do lists for the veterinary team.
- With access to current clinical knowledge, AI could provide insights and suggestions for diagnosis and treatment plans, even considering subtle abnormalities in previous results.
- AI can assist with calculations, such as converting units of measure and determining drug dosages, acting as a double-check for critical medications.
- AI can aid in interpreting complex test results, suggesting next steps.
- AI can summarise long patient histories, making it easier and faster to identify relevant information, past treatments, and responses. This is particularly useful in emergency situations with extensive prior records.
- By automating tasks like history taking and note generation, AI can free up valuable time for veterinarians and other staff.
- AI-powered tools could streamline administrative tasks and improve overall practice efficiency.
- Building custom AI assistants using platforms like Google Notebook LM or MyGPT could allow clinics to create task-specific tools using their own protocols, standard operating procedures, and preferred resources. This could be used for onboarding new staff, accessing equipment manuals, or understanding practice policies.
- While AI can handle information gathering and processing, the veterinarian's role will likely shift towards being a curator of information, providing context, and making ethical decisions.
- Empathy, reassurance, and trust-building will remain uniquely human skills and become even more critical. Veterinarians with strong human skills and comfort in using AI will excel.
- Veterinarians will still need a strong foundational knowledge to ask the right questions of AI and to critically evaluate its suggestions.
- Manual skills will likely remain important, at least for the near future.
- AI could lead to increased efficiency and productivity, potentially impacting the business model of veterinary practices, with possibilities for increased wages, profits, or more affordable care. However, there's also a possibility of losing revenue from simple cases as pet owners might initially consult AI.
- AI will make research more accessible, potentially accelerating progress in veterinary science.