378 - Everything Is Gross and They're Doing It Wrong

Dr. Sarah Boston, DVM, DVSc, DACVS, boarded surgical oncologist, author, podcaster, and stand up comedian, joins Dr. Andy Roark for a candid, funny, and slightly unhinged conversation that started with a text message and turned into a full blown existential check on veterinary medicine. Ever feel like the system is just a little… off? From commission based pay and buried service fees to corporate pressures and the emotional tax of modern practice, Andy and Sarah dig into why so many vets feel icky about how medicine is monetized right now. You will hear honest reflections on compensation models, professional values, burnout, and what happens when productivity becomes the only thing that counts. Expect laughs, deep truth, and that comforting feeling of realizing you are not the only one thinking, “Wait… are we doing this wrong?” Gang, let’s get into this episode! Dr. Sarah Boston IG: Comedicine Podcast: Dr. Andy Roark Exam Room Communication Tool Box Team Training Course: Dr. Know-It-All Card Game Dr. Andy Roark Charming the Angry Client Team Training Course Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark Dr. Sarah Boston is a veterinary surgical oncologist who is an ACVS board certified small animal surgeon and an ACVS Founding Fellow of both Surgical Oncology and Oral & Maxillofacial Surgery. She practices with VCA Canada in the Toronto area. Up until recently, she has spent most of her career in academia as a tenured faculty member at both the University of Guelph and the University of Florida. Dr Boston is also a best-selling author of the book, Lucky Dog: How Being a Veterinarian Saved my Life and one of the creators of The Cageliner, a satirical online newspaper for veterinary professionals that she is currently woefully neglecting. She is also a stand up comedian and in spring 2023, she graduated from the Humber College Comedy Performance and Writing Program. She is the host of the podcast Comedicine, where she interview healthcare professionals who are also comedians. She is a nerd. She believes that we all need to laugh more. Mentioned in this episode: Office Hours w/ Dr. Andy Roark Inside the Uncharted Veterinary Community, Dr. Andy Roark hosts Office Hours where veterinary leaders can bring real-world challenges and get practical guidance from someone who understands the realities of practice life. These sessions give veterinarians, practice managers, and team leaders a chance to ask questions, workshop difficult situations, and gain perspective on issues like team dynamics, communication, burnout, and clinic operations. Instead of navigating leadership challenges alone, members get direct access to Andy’s insight along with the support of a community of veterinary professionals working through many of the same challenges. Register for Office Hours here! Register for the Dont Get Sued course!

You can listen to 378 - Everything Is Gross and They're Doing It Wrong online on Radio and Podcast. Open the player on this page to stream the available audio.

378 - Everything Is Gross and They're Doing It Wrong is an episode from The Cone of Shame Veterinary Podcast by Dr. Andy Roark.

This episode is 22:13 long.

This episode was published on Jan 29, 2026.

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