Program Overview

The University of Tennessee offers the online Osteoarthritis Case Manager Certificate Program, along with other programs of benefit to patients and practices.

The Osteoarthritis Case Manager Certificate Program covers the entire spectrum of OA Case Management from maximizing the effectiveness of business practices, correct utilization of the veterinary technician in case management applications, to exploration and application of the most common treatment modalities using the multimodal approach.

Developed by Dr. Darryl Millis, University of Tennessee – Knoxville and other adjunct faculty, the purpose of the University of Tennessee Arthritis Case Manager Program is to improve the quality of life of dogs with osteoarthritis. Osteoarthritis is a common and significant condition, with approximately 20% of adult dogs afflicted with osteoarthritis. This program is designed to help identify dogs with this debilitating disease earlier to allow treatment designed to improve clinical function and quality of life. This program embraces the multimodal treatment of arthritis and provides an evidence-based approach to treatment options. Further, this program embraces the team approach to osteoarthritis, recognizing the valuable roles of the veterinarian, veterinary technician, and pet owner in managing each case.

In particular, veterinary technicians play a major role in managing these chronic patients for their lifetime. They interact with veterinarians and pet owners to be certain that patients are receiving optimal treatment and that pet owners are informed and educated about the treatment options and receive appropriate follow-up care. Treatment compliance and appropriate care of patients are most effective when clients receive appropriate education and regular communication. Veterinary technicians will be uniquely equipped to perform these functions upon successful completion of this course.

This program offers the following advantages:


  • Emphasis on evidence-based medicine and best practices
  • Access to the latest clinical and laboratory research results presented by an instructor who has performed research directly applicable to OA case management
  • Demonstration of numerous treatment modalities and evaluation of their effectiveness, based upon research and experience at the world renown University of Tennessee Veterinary Science Department
  • Commitment to presenting a comprehensive curriculum to provide information, training, and support to the veterinarian and the vet tech. This program provides a solid foundation upon which to build an OA treatment practice
  • Upon completion of this course, your clinic will receive a certificate indicating your clinic’s achievement in the University of Tennessee Osteoarthritis Case Management Program

Enrollment in either the individual or clinical option includes a copy of the textbook Multimodal Management of Canine Osteoarthitis by Steven M. Fox, MS, DVM, MBA PhD and Darryl Millis DVM, PC, DACVS.

5% Enrollment Discount Through VetMedTeam:
VetMedTeam offers members who enroll in the University of Tennessee"s OA Case Manager Certificate Program through the VetMedTeam shopping cart a 5% discount off either the individual or the clinical enrollment options. More information regarding the discount is located in the pricing section of this page. Visit the program's website at OA Case Manager but come back to VetMedTeam to enroll to take advantage of the discount.

Free Introductory Offering:
VetMedTeam provides members interested in learning more about the University of Tennessee's Osteoarthritis Case Manager Certificate Program may be interested in a free, RACE approved, overview course. To learn more about the free course or to enroll in it use this link Free Course.


Continuing Education Credits

Course meets the requirements for 20 RACE hours of continuing education credit for veterinary technicians and veterinarians in jurisdictions which recognize AAVSB's RACE approval. However, participants should be aware that some boards have limitations on the number of hours accepted in certain categories and/or restrictions on certain methods of delivery.


RACE Provider

The RACE provider is Northeast Seminars, Inc. and the certificate of completion will be provided by NES.


Program Content

The full OA Case Manager Certificate Program consists of 7 modules:

Module I: This module addresses the basics of osteoarthritis. In order to appreciate the pathophysiology of osteoarthritis we need to understand the importance of normal cartilage structure and function as well as looking at the joint as an organ. We are not going to treat just the articular cartilage; we are going to treat the entire joint. Having a thorough comprehension of the pathophysiology of osteoarthritis will help you understand the efficacy of the different treatments options.
Module II: Early identification of osteoarthritis is key to providing the best long-term care for patients in order to modify the progression of the disease. Unfortunately, the vast majority of patients are not properly identified until they have end-stage osteoarthritis. In this module you will expand your knowledge on how to assess and diagnose arthritis. You will receive tips on how to take patient histories. You will also identify clues that indicate a patient is suffering from this disease, including how to perform a thorough gait evaluation. We will also discuss how to determine if a treatment is having a beneficial effect by identifying and measuring outcomes.

Module III: Nonsteroidal osteoarthritic agents are still the mainstay of treatment. This module will explain how these agents work to modify pain, and we will thoroughly discuss the efficacy of each NSAID. We will also address other medications that can help manage pain, disease-modifying osteoarthritic agents, and steroids.

Module IV: This module covers the nutritional management of osteoarthritis, not only weight control in the obese patient, but also the role of omega-3 fatty acids and the evidence surrounding them. We will also discuss other nutritional supplements and their efficacy.

Module V: This module will focus on how to use exercises and manual therapy to treat osteorarthritis. Manual therapy techniques are used to improve tissue extensability and range of motion, promote relaxation, modulate pain, and reduce inflammation.

Module VI: As far as physical agents go, there are many tools at our disposal to treat the osteoarthritis, including: cryotherapy, low level lasers, extracorporeal shockwave treatment, transcutaneous electrical nerve stimulation, therapeutic ultrasound, pulsed electromagnetic fields, and static medical magnets. In this module we will discuss the use and efficacy of each one so you can determine how best to treat your patients.

Module VII: In the final module of the course, we will be discussing additional treatments for osteoarthritis that may not fit in the categories already discussed. We will cover surgical treatments, other medical treatments, stem-cell therapy, and acupuncture. We will also look ahead at potential treatments that may prove to be effective in the future.

Modules are instructed by Darryl Millis, M.S., D.V.M., Diplomate American College of Veterinary Surgeons, C.C.R.P. and Michelle Tilghman, D.V.M., C.V.A., C.C.R.P. co-instructs Module VII.

Participants are able to access the modules for a full year with the option to update access after that for a nominal fee. The course emulates the classroom environment. The instructor appears on one side of the screen in full motion video, on the opposite site of the computer screen, the instructor’s slides and other visual aids are synchronized to the instructors presentation. Demonstrations and visual examples are delivered to participants in the comfort of the office, home or wherever one can connect to the internet.


Enrollment Process

Upon submission of the initial enrollment via VetmedTeam, the participant will be sent an email with the information needed to complete the final step in the enrollment process. The email will contain a code and a link to the University of Tennessee's form which will collect the data needed to create the participant's profile and provide access. The code provided by VetMedTeam will be needed during this final step.



Price: $1,187.50

Two enrollment options are available:

Individual subscription regular price (one participant) @ $1,250.00

Clinical subscription regular price (1 veterinarian and 2 team members) @ $2,500.00.

The enrollment discount through VetMedTeam is 5% off the regular price. Individual subscription is $1,187.50 and clinical is $2,375.00.

To enroll as an individual at $1,187.50 please use the register button on this page.

To enroll under the clinicial option at $2,375.00 for a veterinarian and 2 team members, please use this link Clinical Enrollment.

Upon completion of the enrollment transaction an email will be sent containing a code and a link to the University of Tennessee's form which will collect the data needed to create the student's profile and provide access. The code provided by VetMedTeam will be needed during this final step. No additonal funds will be required after submitting payment via VetMedTeam.



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