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Program Overview

​The Certified Veterinary Medical Manipulation Practitioner (CVMMP) equine track is a 108 CE-hour program (approved by AAVSB RACE) that trains and certifies veterinarians in Equine Veterinary Medical Manipulation (EVMM), or equine chiropractic. This program is offered exclusively to veterinarians or veterinary school students, providing them with the opportunity to learn EVMM more efficiently and effectively, while taking their skills and knowledge to a deeper level. This program is split up into five sessions. Two sessions take place online while three sessions take place on-site at the state-of-the-art IVMI campus in Reddick, Florida. 

32 hours of this program are set aside for intensive, hands-on wet lab learning in small groups with horses. The lab groups are small with 4 -6 students per group to ensure that each student receives the maximum amount of individual attention and hands-on experience to practice EVMM on horses. This structure ensures that students will be confident to start clinical practice after the first 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 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 patients. In 2011, Dr. Pasteur established the Pasteur Equine Learning Institute and began offering the Certified Veterinary Medical Manipulation Practitioner (CVMMP) program exclusively to veterinarians and veterinary students, emphasizing 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) program 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 program 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.

Program Features

  • Veterinarian and veterinary student exclusive program.
  • Limited seats available to ensure 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 results.
  • Students learn to diagnose and treat real cases during the wet labs.
  • Free case consultations with 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)

Veterinary Medical Manipulation Practitioner Certification

Students of this program 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 this program
  • Pass 4 online homework assignments with scores of 75% or above
  • Pass final written exam* with a score of 75% or above
  • Pass final practical exam* with a score of 75% or above
  • Submit one Veterinary Medical Manipulation case report to be approved
*All exams are conducted in English only