Course Overview

The Certified TCVM Palliative and End-of-Life Practitioner (CTPEP) Course introduces palliative and end-of-life care as a recognized field of veterinary medicine. The integration of palliative and end-of-life care with TCVM will give the veterinary professional more options to treat the clinical signs of disease and preserve a longer and better quality of life in pets struggling with aging, chronic and life limiting illnesses.

Upon completion of the class, students will be able to:

  • Define and describe the philosophy of palliative and end-of-life care and how to utilize the philosophy to make sure no part of caring for pets with chronic or life-limiting illness is overlooked. 
  • Define and describe how to assess emotional and spiritual Qi of animals.  
  • Evaluate the benefits and criteria of TCVM including acupuncture, herbal medicine and Tui-na, for patients to enter into  palliative and end-of-life care.
  • Utilize and describe the nursing care methods and life-saving techniques to relieve suffering and distress in palliative care patients and provide relief for dying patients. 
  • Utilize and describe the special methods to help clinicians spiritually and mentally improve the comfort of both doctors, their patients and caregivers.   
Course Features
  • Five (5) months online access for a "go at your own pace" experience
  • World renown faculty led by Dr. Huisheng Xie, “the leading authority in animal acupuncture” quoted from CBS News
  • Discover the benefits and criteria of TCVM including acupuncture, herbal medicine and Tui-na, for patients to enter into palliative and end-of-life care
  • Experience a TCVM and integrative care approach to multiple common end of life conditions
  • Learn with real life case studies 
  • Gain skills to improve the quality of life for your palliative patients 
  • Learn how to support yourself as a veterinarian, and caretakers involved with hospice and palliative care
  • Lifetime free case consultation with TCVM experts
  • 45 RACE approved CE hours

  Tami Shearer, DVM, CVA, CTPEP 

Dr. Tamara Shearer graduated from the Ohio State University with her Doctor of Veterinary Medicine Degree in 1986. She is certified in veterinary acupuncture, Chinese veterinary herbal medicine, veterinary Tui-na and veterinary food therapy through the Chi Institute. Dr. Shearer is internationally renowned for her work in animal hospice and palliative care. She is one of the leading veterinarians in the world who helped develop and specializes in hospice, palliative care and pain management.


   Huisheng Xie, DVM, PhD, CVA        

Dr. Huisheng Xie (pronounced “Shay”) founded the Chi Institute in 1998, to train veterinarians in Chinese acupuncture, herbal medicine, food therapy and Tui-na. He’s an experienced professional with extensive academic accomplishments. Before coming to America, Dr. Xie received his Bachelor of Science Degree in Veterinary Medicine (equivalent to DVM), from the Sichuan College of Animal Science and Veterinary Medicine in 1983. He then received a Master of Science in Veterinary Acupuncture from Beijing Agricultural University in 1988, where he also served as an associate professor until July, 1994. He went on to receive advanced training in human acupuncture at the Beijing College of Traditional Chinese Medicine and the National Academy of Traditional Chinese Medicine. In August, 1994, he moved to America to pursue his doctoral studies, and in 1999, he received his PhD from the University of Florida for his investigation of the mechanisms of pain control in horses using acupuncture.

Dr. Xie has received achievement awards from several major institutions including the China Ministry of Agriculture, the National Science and Technology Committee, the Beijing Agricultural University, the Chinese Veterinary Medicine Association, Chinese Association of Traditional Veterinary Science, World Association of TCVM, and the American Holistic Veterinary Medical Association. He has lectured around the world, speaking in the U.S., Canada, Japan, Thailand, Indonesia, South Korea, Australia, Mexico, Brazil, Europe and South Africa. These teaching activities at 14 different international veterinary organizations and 20 universities have helped veterinary students, clinicians, and faculty not only learn and practice TCVM, but also to start research within the field. In addition, he’s been interviewed by CBS News, the Discovery Channel and PBS. In 2005, CBS News referred to him as “a leading authority in animal acupuncture.” Dr. Xie has authored more than 20 books and has had over 100 papers published in peer-reviewed veterinary medical journals. His textbooks, including Xie’s Veterinary HerbologyXie’s Veterinary Acupuncture and Traditional Chinese Veterinary Medicine: Fundamental Principles, have been used for TCVM training programs around the world.


  Beth Marchitelli, DVM, CVA      

Dr. Marchitelli received her degree from Cornell University’s College of Veterinary Medicine in 2001. Shortly after graduating from veterinary school, she practiced small animal medicine in Huntington, New York for ten years. She currently practices small animal medicine with a focus in veterinary hospice and palliative care in Asheville, North Carolina as and has done so for the last six years. She is currently pursuing a Masters of Science in Palliative Care in human medicine to advance her knowledge and training in the areas of veterinary hospice, palliative care and euthanasia. She is especially interested in providing high quality compassionate care for pets during the end of their lives as well as the families who care for them.                


   Karlene Stange, DVM, CVFT

Dr. Karlene Stange graduated from Fort Lewis College in Durango, Colorado in 1981 and continued into veterinary school at Colorado State University, graduating in 1985 as a Doctor of Veterinary Medicine. In 1996, she attended the International Veterinary Acupuncture Society certification course, and from there, she continued the study of Traditional Chinese Veterinary Medicine with Dr. Huisheng Xie. She traveled to China in 2000 with him for advanced study, and completed the Chi-Institute modules on Chinese herbal medicine, Tui-na, and Food Therapy. She also wrote a text book chapter for Dr. Xie’s book, Practical Guide to Traditional Chinese Veterinary Medicine: Emergencies and Five Element Syndromes, (2014).

  Jade Tenberg, DVM                           

Dr. Jade Tenberg completed her DVM at Louisiana State University and spent the first five years of her career in Las Vegas as a general practice veterinarian. She pursued additional training in veterinary acupuncture at the Chi Institute of Traditional Chinese Veterinary Medicine and went on to be an international guest speaker on palliative and end-of-life care. In 2016, Dr. Tenberg relocated to the Tampa Bay area and started working as a house call hospice veterinarian. Within the first two years, she helped over 1500 families navigate the end-of-life journeys of their animals and has also helped train dozens of veterinarians for a nationwide veterinary hospice practice. In her free time, Dr. Tenberg trains partner acrobatics and hand balancing in St. Petersburg.


  Elizabeth Fernandez, DVM, CVAM CVTP, CVCH, CVFT, CTCVHP, CTPEP

Dr. Liz Fernandez has been practicing Small Animal and Emergency Veterinary Medicine since 1982. She is a graduate of UC Davis School of Veterinary Medicine. In 2000, she experienced the power of Chinese Medicine first-hand. Emerging from a serious injury totally healed, she vowed to share this profound ancient wisdom with her clients and patients. She has completed over 600 hours of instruction in Chinese Veterinary Medicine through the Chi Institute. She believes that, as animal companion guardians, we are the primary healthcare providers. Her commitment is to share the Ancient Wisdom of Chinese Medicine to enable each of us to be as effective as possible in this role. She has given workshops locally over the past several years and has also had the opportunity to share these concepts internationally including China. She understands that every being is a sacred expression of love. This love is the essence of all healing. She is passionate about sharing how the power of Chinese Medicine can help us open our hearts to this truth and heal our pets, ourselves, and our planet.

Certification Requirements

Become a Certified TCVM Palliative and End-of-Life Practitioner (CTPEP) by completely the following requirements:

  • Complete the online course lectures
  • Pass one online open book exam with score above 75%
  • Submit one case report to be approved


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Lodging and Accommodations

For information about accommodations, travel, and what to pack, please visit our lodging and accommodations page.