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Course Overview

​The Certified Veterinary Medical Manipulation Practitioner (CVMMP) course (Equine Track) is a 119 CE hour course (approved by AAVSB RACE) that trains and certifies  veterinarians in Equine Veterinary Medical Manipulation (EVMM). This course is offered exclusively to veterinarians or veterinary school students and provides the veterinarians with the opportunity to learn EVMM more efficiently and effectively, while taking their skills and knowledge to a deeper level. This course is split up into 5 sessions. 2 sessions take place online while 3 sessions take place on-site at the state-of-the-art IVMI campus in Reddick, Florida. 

32 hours of the CVMMP course are set aside for intensive, hands-on wet lab learning in small groups with horses. The lab group size is limited to 4 students per horse to ensure that each student receives the maximum amount of individual attention and hands-on experience to practice EVMM (or chiropractic) on horses. This structure ensures that students will be confident to start clinical practicing after the 1st on-site session.

Main Instructor - Carla Pasteur, DVM, CVA, CVSMT, CERP, MSTCVM

Dr. Pasteur received her DVM from the University of Wisconsin in 1991. She went on to become certified as a CVA by the International Veterinary Acupuncture Society in 1997 and completed training at the International School of Equine Osteopathy. She is a certified veterinary spinal manipulation therapist by the Healing Oasis Wellness Center and is a member of the College of Animal Chiropractors. She started her advanced TCVM training at the Chi Institute in 2004 and has been a faculty at the Chi Institute since 2005. In 2017, she received her Master's Degree of Science in TCVM from the Chi Institute. Combining her conventional equine practice with her study in integrative approaches, Dr. Pasteur has developed a unique philosophy and technique that generates exceptional results for her clinical clients. In 2011, Dr. Pasteur established the Pasteur Equine Learning Institute and began offering the Certified Veterinary Medical Manipulation Practitioner (CVMMP) course to veterinarians exclusively on how to combine conventional and alternative methods in treating horses (now at IVMI). In 2019, Dr. Pasteur developed and started offering the Certified Equine Rehab & Performance Medicine (CERPM) course at IVMI. Dr. Pasteur has lectured around the world on medical manipulation techniques and acupuncture in equine treatment. She is an assistant editor of the American Journal of Traditional Chinese Veterinary Medicine and a member of the International Society of Equine Locomotor Pathology.  

Major Topics

Some of the main topics that this course covers include:

  • Gait Patterns
  • TMJ Function and Manipulation
  • The Back in Motion
  • Lumbar Function and Manipulation
  • Rehab Tools
  • Motion palpation
  • Equine biomechanics
  • Discipline Specific: Jumping, Speed, Dressage and Barrels 
  • The interaction between the nervous system and the musculoskeletal system


Dr. Pasteur demonstrating Equine Veterinary Medical Manipulation techniques.



Wet lab groups never have more have more than 4 students per horse.


Gain a deeper understanding with hands-on wet labs.



Students deepen their understanding of biomechanics and anatomy in the wet labs.

Course Features

  • Veterinarian exclusive course.
  • Limited seats, small lab groups (4 students per group) in wet labs.
  • World renowned faculty demonstrate how to use the most advanced diagnostic and treatment techniques to maximize the results in your patients.
  • Tai-ji is offered every morning to help participants center and focus themselves before class begins.
  • Students learn to diagnose and treat real cases during the wet labs.
  • Free case consultations with the faculty through email and online discussion.
  • Class handouts and notes as a digital file

Suggested Reading

Anatomy of the Horse: an Illustrated Guide - Budras and Sack
Color Atlas of Veterinary Anatomy: The Horse - Ashdown and Done
Equine Back Pathology - Henson (editor)
Equine Locomotion - Back and Clayton
Foundations of Chiropractic - Gatterman (this is a human text)

Equine Veterinary Medical Manipulation Practitioner Certification

Students of the EVMM course are eligible for the Certified Veterinary Medical Manipulation Practitioner (CVMMP) certification, endorsed by the Integrative Veterinary Medical Institute.

The certification requirements are as follows: 

  • Complete all 5 sessions of the course
  • Pass 3 online quizzes with scores above 75%
  • Pass Final Written Exam* with a score above 75%
  • Pass Final Practical Exam* with a score above 75%
  • Submit one Veterinary Medical Manipulation case report to be approved
*All exams are conducted in English only