Veterinary Medicine - January 2009 - (Page 14) Letters Our profession’s identity crisis We consider ourselves members of the medical profession, comparing our wages and starting salary with those of teeth cleanings from my dentist. Why do we continue to think that we must offer the equivalent services to the animalowning public? There is no question that people increasingly have work schedules that discussed that the newer generations of veterinarians place an increased value on personal and family time. Meanwhile, the ever-increasing debt of new graduates is another great cause of concern. Many dread the effect these combined factors will have on the future of the profession. While there is no single solution to the problems of the profession, I think the search for answers must start by asking what we want our profession to be. Do you want to be a member of the medical community, valued for your skills and knowledge, or are you content to be in after-hours retail sales? Personally, I vote for being medical professionals. Drew L. Allen, DVM Brickyard Animal Hospital 1213 E. 3300 South Salt Lake City, Utah As I look for direction for my practice, should I be looking to the Mayo Clinic or Wal-Mart? physicians and dentists. Our training and skill levels are on par with these other professionals, and we like to think of ourselves as equals. However, I recently attended a continuing-education seminar given by a well-known and well-respected member of our profession who was speaking to us on management issues. Partway through the evening, the speaker made a statement that we are really in the retail business and went on to say that the key to success is keeping our clinics open seven days a week and extending our hours far beyond traditional office times. In addition, others of the same mindset encourage the one-stop shopping concept of medical care, boarding, grooming, and retail all under one roof. So now I am confused. As I look for a direction for my practice, should I be looking to the Mayo Clinic or Wal-Mart? I think that we, as a profession, need to decide what we want to be. Are we medical professionals, worthy of respect and comfortable wages? Or are we highvolume retail salespeople, available any time of day or night, to make a buck? It is my opinion that if we want to be seen as medical professionals, we need to act like ones. I do not get my hair cut at the ER, look for a hospital to stay in while on vacation (I really hope to avoid that as much as possible), or seek out midnight make it difficult to do business between 9 a.m. and 5 p.m. But over the years, we have also seen the human-animal bond grow stronger. I see more and more of my clients willing to take time off from work to care for a sick pet or spend a few days at home as it recovers from surgery. When I first entered practice in 1996, our hospital had extended hours one night a week. We rotated emergency duty with neighboring clinics, despite close-by emergency hospitals. Until about five years ago, as often as our schedules allowed, we had two of the three doctors present on Saturdays. No longer. We now close at 6 p.m. Monday through Friday. All after-hours emergencies are sent to the emergency clinic. Only one doctor works on Saturdays, and we close an hour earlier. I know a number of practices that are closed completely on Saturdays. And you know what? Life is good. Our practice continues to grow. Our compensation is good. Our staff is not burned out by long hours, and we all enjoy the time away from work. Too many veterinarians burn out on the profession, and high-quality support staff is hard to find. It is also often A medical history and physical exam resource It was with great interest that I read “Leading Off: Why the physical exam is still really necessary” by colleague David Robbins in the October 2008 issue of Veterinary Medicine. I fully agree with his views and recommend our colleagues worldwide get the book Medical History and Physical Examination in Companion Animals.1 It will help colleagues who feel uncertain about this topic. Mark Deurinck, DVM, Dr.med.vet. Toxicology/Safety Pharmacology, Preclinical Safety, Novartis Institutes for Biomedical Research Novartis Pharma AG Basel, Switzerland REFERENCE 1. Rijnberk A, van Sluijs FJ. Medical history and physical examination in companion animals. 2nd ed. Philadelphia, Pa: Saunders, 2008. Do you have something to say? We want to hear it! E-mail your questions, comments, and suggestions to vm@advanstar.com; write us at Veterinary Medicine, 8033 Flint, Lenexa, KS 66214; or fax us at 913-871-3808. 14 January 2009 VETERINARY MEDICINE
Table of Contents Feed for the Digital Edition of Veterinary Medicine - January 2009 Veterinary Medicine - January 2009 Contents Leading Off Letters Research Updates Idea Exchange A Modified Subconjunctival Enucleation Technique in Dogs and Cats Local and Regional Anesthesia Techniques Author Guidelines Product Preview CE Form/Advertiser Index Marketplace/Classifieds Mind Over Miller Veterinary Medicine - January 2009 Veterinary Medicine - January 2009 - (Page Intro) Veterinary Medicine - January 2009 - Veterinary Medicine - January 2009 (Page Cover1) Veterinary Medicine - January 2009 - Veterinary Medicine - January 2009 (Page Cover2) Veterinary Medicine - January 2009 - Veterinary Medicine - January 2009 (Page 3) Veterinary Medicine - January 2009 - Veterinary Medicine - January 2009 (Page 4) Veterinary Medicine - January 2009 - Veterinary Medicine - January 2009 (Page 5) Veterinary Medicine - January 2009 - Veterinary Medicine - January 2009 (Page 6) Veterinary Medicine - January 2009 - Contents (Page 7) Veterinary Medicine - January 2009 - Contents (Page 8) Veterinary Medicine - January 2009 - Contents (Page 9) Veterinary Medicine - January 2009 - Contents (Page 10) Veterinary Medicine - January 2009 - Contents (Page 11) Veterinary Medicine - January 2009 - Contents (Page 12) Veterinary Medicine - January 2009 - Leading Off (Page 13) Veterinary Medicine - January 2009 - Letters (Page 14) Veterinary Medicine - January 2009 - Letters (Page 15) Veterinary Medicine - January 2009 - Research Updates (Page 16) Veterinary Medicine - January 2009 - Research Updates (Page 17) Veterinary Medicine - January 2009 - Research Updates (Page 18) Veterinary Medicine - January 2009 - Research Updates (Page 18a) Veterinary Medicine - January 2009 - Research Updates (Page 18b) Veterinary Medicine - January 2009 - Research Updates (Page 18c) Veterinary Medicine - January 2009 - Research Updates (Page 18d) Veterinary Medicine - January 2009 - Idea Exchange (Page 19) Veterinary Medicine - January 2009 - A Modified Subconjunctival Enucleation Technique in Dogs and Cats (Page 20) Veterinary Medicine - January 2009 - A Modified Subconjunctival Enucleation Technique in Dogs and Cats (Page 21) Veterinary Medicine - January 2009 - A Modified Subconjunctival Enucleation Technique in Dogs and Cats (Page 22) Veterinary Medicine - January 2009 - A Modified Subconjunctival Enucleation Technique in Dogs and Cats (Page 23) Veterinary Medicine - January 2009 - Local and Regional Anesthesia Techniques (Page 24) Veterinary Medicine - January 2009 - Local and Regional Anesthesia Techniques (Page 25) Veterinary Medicine - January 2009 - Local and Regional Anesthesia Techniques (Page 26) Veterinary Medicine - January 2009 - Local and Regional Anesthesia Techniques (Page 27) Veterinary Medicine - January 2009 - Local and Regional Anesthesia Techniques (Page 28) Veterinary Medicine - January 2009 - Local and Regional Anesthesia Techniques (Page 29) Veterinary Medicine - January 2009 - Local and Regional Anesthesia Techniques (Page 30) Veterinary Medicine - January 2009 - Local and Regional Anesthesia Techniques (Page 31) Veterinary Medicine - January 2009 - Local and Regional Anesthesia Techniques (Page 32) Veterinary Medicine - January 2009 - Local and Regional Anesthesia Techniques (Page 33) Veterinary Medicine - January 2009 - Local and Regional Anesthesia Techniques (Page 34) Veterinary Medicine - January 2009 - Local and Regional Anesthesia Techniques (Page 34a) Veterinary Medicine - January 2009 - Local and Regional Anesthesia Techniques (Page 34b) Veterinary Medicine - January 2009 - Local and Regional Anesthesia Techniques (Page 35) Veterinary Medicine - January 2009 - Local and Regional Anesthesia Techniques (Page 36) Veterinary Medicine - January 2009 - Local and Regional Anesthesia Techniques (Page 37) Veterinary Medicine - January 2009 - Local and Regional Anesthesia Techniques (Page 38) Veterinary Medicine - January 2009 - Local and Regional Anesthesia Techniques (Page 39) Veterinary Medicine - January 2009 - Local and Regional Anesthesia Techniques (Page 40) Veterinary Medicine - January 2009 - Author Guidelines (Page 41) Veterinary Medicine - January 2009 - Product Preview (Page 42) Veterinary Medicine - January 2009 - Product Preview (Page 43) Veterinary Medicine - January 2009 - Product Preview (Page 44) Veterinary Medicine - January 2009 - Product Preview (Page 45) Veterinary Medicine - January 2009 - CE Form/Advertiser Index (Page 46) Veterinary Medicine - January 2009 - Marketplace/Classifieds (Page 47) Veterinary Medicine - January 2009 - Marketplace/Classifieds (Page 48) Veterinary Medicine - January 2009 - Marketplace/Classifieds (Page 49) Veterinary Medicine - January 2009 - Mind Over Miller (Page 50) Veterinary Medicine - January 2009 - Mind Over Miller (Page Cover3) Veterinary Medicine - January 2009 - Mind Over Miller (Page Cover4)
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