{"id":11158,"date":"2021-12-01T00:00:34","date_gmt":"2021-12-01T00:00:34","guid":{"rendered":"https:\/\/todaysveterinarybusiness.com\/?p=11158"},"modified":"2022-06-15T17:48:13","modified_gmt":"2022-06-15T17:48:13","slug":"veterinary-workforce-crisis","status":"publish","type":"post","link":"https:\/\/navc.sitepreview.app\/todaysveterinarybusiness.com\/veterinary-workforce-crisis\/","title":{"rendered":"Up, Up and Away!"},"content":{"rendered":"<p>Pet numbers are up, pet lifespans are up, pet spending is up, the family-pet bond is up, veterinary fees are up, compensation is up, student debt is up, barriers to care are up, applications to veterinary school are up, efficiency through technology utilization is up, team-based health care delivery is up, and new models of care are up.<\/p>\n<p>What\u2019s not up? The number of veterinary professionals. We have a fundamental supply-and-demand mismatch in which the need for our services outpaces our ability to attract, select, develop and retain an adequate supply of great team members. We\u2019re in a workforce crisis.<\/p>\n<p>We all can share stories of having to delay needed pet care for days and sometimes weeks. Of clinics that reluctantly cut hours or closed due to a lack of staff or doctors. Of saying \u201cno\u201d to pets in need. It\u2019s all so hard and goes against our oath. The consequences of the workforce crisis include the risk of losing business to nonveterinary professionals, not delivering necessary care and overworking our teams. Ultimately, we risk our health and that of the pets we swear to care for. More veterinary professionals are needed.<\/p>\n<p>While we have much to celebrate, we must acknowledge the rocks under our roller skates. The biggest of these are:<\/p>\n<ul>\n<li>The well-being of our colleagues.<\/li>\n<li>The lack of <a href=\"https:\/\/todaysveterinarybusiness.com\/column\/diversity-toolbox\/\">diversity, equity\u00a0and belonging<\/a>.<\/li>\n<li>The ever-increasing cost of a university education.<\/li>\n<li>The growing barriers to pet care.<\/li>\n<li>The workforce crisis.<\/li>\n<\/ul>\n<p>But good news! Solutions exist. Today, let\u2019s talk about fixing the workforce crisis.<\/p>\n<h3>The Power of AND<\/h3>\n<p>I see four roads for overcoming the workforce crisis. Each is marginally effective, but together they can move us to an even stronger profession, one in which pets get their needed care and we get home on time. The roads are better team-based health care delivery AND embrace technology AND graduate more veterinarians AND, most important, prioritize the wellness of the entire team ahead of pets and clients. The power of AND will get us there. Let\u2019s dig a little deeper into each of the four.<\/p>\n<h3>Well-Being<\/h3>\n<p>First, we must take care of ourselves and our team members. Our employees deserve to be respected, listened to, compensated appropriately and empowered. We can create safe workplace cultures in which asking for help is not just OK but also encouraged. A place where well-being tools are readily available, where time away is abundant and supported, and where relief help provides relief to team members. A place where compensation and benefits are fair and provide for a good living, where flexible schedules are the norm, where lifelong learning is promoted and where life comes before work. We\u2019ve got to take care of ourselves and our teams today so that they can be here tomorrow.<\/p>\n<h3>Team-Based Health Care Delivery<\/h3>\n<p>Second, we can\u2019t work any harder, but we can work better together. Other health care professions have experienced the power of team-based health care delivery. Look at the ratio of doctors to licensed support staff in other professions and the number of midlevel providers. Your physician averages about five empowered and well-compensated licensed professionals, and your dentist about three. For every veterinarian, on average, is one veterinary technician\/nurse and few roles between the two-year technician and the eight-year DVM\/VMD. That\u2019s silly.<\/p>\n<p>Think back to your last physician or dentist appointment. How much time did you spend with the doctor? Did you see a midlevel provider? Was your care appropriate? Mine was. Why doesn\u2019t veterinary medicine have midlevel providers? They\u2019re coming.<\/p>\n<p>Doctors, trust your team members. Delegate, appreciate and compensate them. The retention of everyone is important, especially the <a href=\"https:\/\/todaysveterinarynurse.com\">veterinary technicians\/nurses<\/a>. Challenge them and watch them grow.<\/p>\n<h3>Technology<\/h3>\n<p>Third on my list are texting, cloud-based practice management software systems, telemedicine, teletriage, artificial intelligence, e-commerce, client communication apps, bots and clinical decision-making support. Our dominant workforce and consumer are Gen Zers and millennials. They insist that our profession move into the 21st century. Technology can help us maintain and improve the deep client-doctor relationships for which our profession is known. Technology is an opportunity, not a threat. It\u2019s another tool that will improve access to care. And \u2014 heads up! \u2014 a virtual VCPR is inevitable. Embrace it.<\/p>\n<h3>More Veterinarians<\/h3>\n<p>Lastly, and as obvious as this might sound, we need more veterinarians. The U.S. Bureau of Labor Statistics, the investment community, analysts, the American Pet Products Association and other observers are unanimous in forecasting the growing need for veterinary services. Morgan Stanley predicts the pet space to nearly triple, to $275 billion a year, by 2030, with veterinary care the fastest-growing segment. Triple? Wow!<\/p>\n<h3>Calling Out the AVMA<\/h3>\n<p>I was disappointed to read a Journal of the American Veterinary Medical Association article (\u201cAre We in a Veterinary Workforce Crisis?\u201d) that demonstrated my trade association is challenging the crisis. As a decades-long member, volunteer and admirer of the AVMA, I\u2019m confused. I struggle to understand certain stances taken by the AVMA on issues of critical importance to our changing and growing profession and society. An association that works in support of our profession and whose vision includes \u201cmeeting the needs of society\u201d believes that \u201cadding veterinarians to the companion animal sector is unlikely to address the profession\u2019s current workforce issues\u201d and that \u201ctemporary cyclical economic factors are influencing demand.\u201d Really?<\/p>\n<p>Filling an open veterinary position takes 10 months on average. Two out of three postings don\u2019t get an applicant. There are north of 18 open doctor positions for every applicant. A few minutes at a clinic\u2019s front desk will confirm a client\u2019s difficulty in scheduling an appointment. The evidence of a workforce crisis seems overwhelming. How does questioning it serve the needs of society and our profession?<\/p>\n<p>Further, the AVMA claims to believe in team-based health care delivery but denies membership to all veterinary professionals except DVMs\/VMDs. It believes in telehealth but doesn\u2019t trust its members to determine when and how to establish a VCPR. It challenges the need for trialing a midlevel provider. I struggle to understand how limiting membership, the failure to trust members\u2019 judgment and a reluctance to acknowledge the existence of a crisis help our profession. I remain a committed member, but I\u2019m confused and disappointed.<\/p>\n<p>So, how do we graduate more veterinarians? Fortunately, applicant numbers are setting records. Let\u2019s look at increasing incoming class sizes, doubling cohorts to two classes a year, reducing the time to graduation \u2014 check out <a href=\"https:\/\/todaysveterinarybusiness.com\/university-of-arizona-dvm-program\/\">three-year programs<\/a> like the University of Arizona\u2019s \u2014 embracing virtual teaching modalities and adopting hybrid distributed clinical-year models. All will allow us to accommodate more students without sacrificing educational quality.<\/p>\n<p>Scaling up class sizes and embracing the efficiencies of virtual modalities can lead to a tuition reduction. Simply put, more students, lower tuition. A win-win. More graduates to meet the growing demand for veterinary care, graduates with less debt, and improvements in well-being for future graduates.<\/p>\n<h3>Let\u2019s Get to Work<\/h3>\n<p>By embracing all those solutions, we can help more pets and can get home on time. I know it\u2019s a lot, but much is underway. We can do it. We must do it.<\/p>\n<p>Seeing what\u2019s wrong in our profession is easy and seeing what\u2019s right is harder. Let\u2019s not lose sight of what\u2019s right. Our profession has never been needed more. Can we deal with success? Yes, we can.<\/p>\n<p>Now is the time to lobby for more graduates, embrace team-based health care, fully utilize technology and put our wellness first. There\u2019s never been a better time to be a veterinary professional. We are on the way up. Way up!<\/p>\n<hr \/>\n<h3><span style=\"color: #008000\">DID YOU KNOW?<\/span><\/h3>\n<p>One selling point of the University of Arizona College of Veterinary Medicine, which enrolled its first class in August 2020, is the speed at which students earn their DVM degree. \u201cOur three-year, nine-semester, continuous program provides the necessary structure and breaks to help increase graduation rates and enable students to earn salaries sooner than their peers,\u201d the college website states. \u201cStudents will receive the same amount of didactic teaching but in a more condensed strategic model.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The consequences of the workforce crisis include the risk of losing business to non\u2013veterinary professionals, not delivering necessary care and overworking our teams.<\/p>\n","protected":false},"author":7,"featured_media":11159,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"iawp_total_views":0,"footnotes":""},"categories":[312],"tags":[],"class_list":["post-11158","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-december-2021-january-2022","column-creative-disruption","clinical_topics-personal-professional-development"],"acf":{"hide_sidebar":false,"hide_sidebar_ad":false,"hide_all_ads":false},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.7 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Up, Up and Away! | Today&#039;s Veterinary Business<\/title>\n<meta name=\"description\" content=\"We can solve our profession\u2019s workforce crisis and other challenges despite what the skeptics say. 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