“is there really a shortage of food animal veterinarians?” education/2008/fall... · factors...
TRANSCRIPT
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“Is there really a shortage of foodanimal veterinarians?”
Murray Jelinski DVM, MScJohn Campbell DVM, DVSc
Funded by the Beef Cattle Research Council
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“What is the biggest problem facing theveterinary profession today? Is the question Iwas most frequently asked during my mostrecent trip across Canada.”
“The answer is, of course, the shortage of “The answer is, of course, the shortage ofveterinarians”.
George C. Fisher
President, CVMACVJ 1960
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“The shortage of veterinarians is a world-wide problem…The rapidgrowth of this country has extended the veterinary profession todangerous limits.”
T. Lloyd Jones
CVJ 1966
“There is not much doubt that there is a shortage of new graduateswilling to work in food animal practice.”willing to work in food animal practice.”
Terry L. Church
CVJ 1986
• “The survey shows significant shortages of veterinarians andveterinary services in all sectors but especially rural areas.”
Duane LandalsAVMA, Registrar 2005
but…
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• “There is no shortage of food animal veterinarians perse, but there is a shortage of veterinarians satisfied witha traditional food animal career… In the real world, anyshortage that is truly “demand driven” will be quickly
dealt with.” G. Kee Jim
CVJ 1989CVJ 1989
• Oversupply of veterinarians in Canada could lead tosignificant drop in incomes: Demographic analysis ofthe veterinary profession in Canada commissioned bythe CVMA. CVJ 1998
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Have we critically assessed boththe supply and demand forveterinarians?
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North American Studies PEW Report,1988
CVMA Task Force “Veterinary Medicine inCanada: Opportunity for Renewal”,1998
KPMG (“Mega-Study), Brown and Silverman,19991999
Brakke Consulting Report, 1998
CVMA Task Force (Prescott) – “Education,Licensing, and the Expanding Scope ofVeterinary Practice”, 2002
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Studies continued Demographic Survey Forecast (Osborne),
2002
Diamant Marketing Group – Veterinary HumanResources Planning for Western Canada, 2003
Emergency Needs in Veterinary HumanResources, AAVMC Task Force, 2003
Food Supply Veterinary Medicine (FSVM)Study, 2006
AAVMC - An Assessment of Current andFuture Workforce Needs in VeterinaryMedicine, 2007
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KPMG (“Mega-Study”, 1999):
“…there is an excess of veterinarians… resultin stagnant veterinary incomes over the next10 years.”
1.7% decline in FTE veterinarians servicing theLA practice segment.LA practice segment.
Consolidation in the beef, dairy and swineproducing sectors will result in a flat demandfor veterinarians.
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CVMA – Task Force Report on theFuture of the Veterinary Profession
Currently there is an oversupply ofveterinarians in Canada (1998).
By 2016 the oversupply will result nationally in By 2016 the oversupply will result nationally ina 9% decline in veterinary income.
Veterinarians in Saskatchewan and the Atlanticprovinces will experience a 30% decline inincome.
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Food Supply Veterinary Medicine Study(Prince Study)
FSVM study forecasted a mean overallshortage of FSVM veterinarians of 4% per year(96 vets for every 100 vacancies).
Conclusions based upon opinions of ~20 Conclusions based upon opinions of ~20veterinarians in each sector. For the “Mixed”practitioner sector, 7/20 respondents wereCanadians and only two were activelypracticing.
Veterinary profession is at a crossroads.
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Diamant Study (2003) – Western Canada Small animal sector needs 73 FTEs
Mixed animal sector needs 142 FTEs
Large animal sector needs 4 FTEs– Total shortage = 219 FTEs
– Also need 400 AHTs (FTE)
Methodology– Not a random sampling
– Only surveyed those (1,623/2,589) having an email address.
– 327 respondents (12.6%)
32 food animal
127 mixed
123 small animal
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Research (Jelinski and Campbell)
Student WCVM Class of 2006
Canadian graduates - 2007
Practitioner survey Practitioner survey
Clinic survey
Mentorship survey
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“It is not from the benevolence of thebutcher, the brewer, or the baker thatwe expect our dinner, but from the regardfor their own interest.”
Adam Smith“Wealth of Nations” (1776)
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Supply – Demand – Equilibrium
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Supply and Demand as it relates tothe western Canadian Veterinary
Profession
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0 50 100 150 200 250
61+
56-60
51-55
46-50
41-45
36-40
31-35
26-30
Females
Number of Veterinarians
050100150200250
Males
All Veterinarians
61+
56-60
51-55
46-50
41-45
Males Females
Companion Animal
0 20 40 60 80 100 120 140
41-45
36-40
31-35
26-30
Number of Veterinarians
020406080100120140
0 20 40 60 80 100
61+
56-60
51-55
46-50
41-45
36-40
31-35
26-30
Females
Number of Veterinarians
020406080100
Males
Food Animal
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Number of Veterinarians by Province
600
800
1000
1200N
um
ber
of
Pra
ctitioners
0
200
400
1982 1987 1992 1997 2002 2006
Year
AB BC MB SK
Num
ber
of
Pra
ctitioners
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Ratio of the number of practitioners/100,000people, by province, and by year.
BC AB SK MB
1992 15.32 16.78 16.26 16.821992 15.32 16.78 16.26 16.82
1997 18.43 18.81 19.94 17.79
2002 20.92 22.81 24.08 18.62
2005 21.27 25.00 23.11 18.14
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The “mythical” food animal practitioner
Myth #1 – mixed animal practice issynonymous with food animal practice
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What is your definition of a “rural”Mixed Animal Practitioner?
58% of private practitioners spend 100% of theirtime on Companion animals; 2.9% spend 100%on Food animals.
68% spend >90% on Companion animals; 5.5%spend >90% on Food animals.
Only 18.6% spend >50% on Food animals.
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Division of labour in western Canada(“Clinic Survey” data: 706/1100 clinics, 1872/2227 practitioners)
Percentage of time (hours) spent on each species13%
3%
0%10% 0%
2%
0%
72%
10%
Beef
Dairy
Swine
Other
Poultry
SA
Equine
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Breakdown (%) of time spent, by species, of 60 Alberta MixedAnimal practices (157 practitioners)
Beef
31%
Dairy
5%
Swine
0%
Other
1%
SA
52%
Equine
11%
Poultry
0%
Beef
Dairy
Swine
Other
Poultry
SA
Equine
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The “mythical” food animal practitioner
Myth #1 – mixed animal practice issynonymous with food animal practice
Myth #2 – new graduates are not interested in Myth #2 – new graduates are not interested inmixed or food animal practice
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Class of 2007: What type of job do theyanticipate in 6 months from grad?Jelinski, Campbell, Lissemore, Miller CVJ (in press)
AVC(n = 25)
OVC(n =
85)
WCVM(n = 56)
Total(n =166)85) 166)
Exclusively small animal 28.0 57.6 26.8 42.8Exclusively equine 4.0 7.1 5.4 6.0Exclusively food animal 4.0 4.7 5.4 4.8Mixed animal 36.0 17.6 37.5 27.1Internship 24.0 10.6 10.7 12.7Graduate studies 4.0 2.4 10.7 5.4
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SA FA MIXED EQ OTHER
Pre-Vet 17 21 45 10 4
Grad’n 25 16 48 8 3
Summary of Veterinary Career PathChoices (Western Canadian Veterinarians)
Grad’n 25 16 48 8 3
2-yr 38 16 34 7 4
Now 50 13 22 7 8
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Current Type of Employment – Percentage (number)Survey of Western Canadian Veterinarians
Pre-veterinary Small Mixed Food Equine Other Total
Small Animal 85.5(59)
8.7(6)
0(0)
0(0)
5.8(4)
100(69)
Mixed Animal 46.0 32.3 12.2 3.7 5.8 100Mixed Animal 46.0(87)
32.3(61)
12.2(23)
3.7(7)
5.8(11)
100(189)
Food Animal 36.7(33)
15.6(14)
33.3(30)
6.7(6)
7.8(7)
100(90)
Equine 47.5(19)
10.0(4)
2.5(1)
37.5(15)
2.5(1)
100(40)
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The “mythical” food animal practitioner
Myth #1 – mixed animal practice issynonymous with food animal practice
Myth #2 – new graduates are not interested in Myth #2 – new graduates are not interested inmixed or food animal practice
Myth # 3 – veterinary colleges don’t select the“right” candidates
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AVC OVC WCVM Total
Gender (n=165a):
Female 21 (84.0%) 77 (91.7%) 49 (87.5%) 147(89.1%)
Male 4 (16.0%) 7 (8.3%) 7 (12.5%) 18(10.9%)
Upbringing (n=166):Upbringing (n=166):
Urban 10 (40.0%) 58 (68.2%) 36 (64.3%) 104(62.7%)
Rural 15 (60.0%) 27 (31.8%) 20 (35.7%) 62(37.3%)
Size of center raised in(n=166):
Small (≤10 000) 12 (48%) 22 (25.9%) 25 (44.6%) 59 (35.5%)
Large (>10 000) 13 (52%) 63 (74.1%) 31 (55.3%) 107(64.5%)
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What type of students are we selecting?Class of 2007 (70% response rate)(Jelinski, Campbell, Lissemore, Miller CVJ 2009 in press)
Male: Female Ratio
– AVC: 16% Male, 84% Female
OVC: 8% Male, 92% Female– OVC: 8% Male, 92% Female
– WCVM 13% Male, 87% Female
Rural Upbringing
– AVC 60%
– OVC 32%
– WCVM 36%
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What type of students are we selecting?Class of 2007 (70% response rate)(Jelinski, Campbell, Lissemore, Miller CVJ 2009 in press)
Size of center of employment (<10,000)
– AVC (22%)
OVC (30%)– OVC (30%)
– WCVM (40%)
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Factors associated with choosing acareer in Mixed or Food Animal Practice(Jelinski, Campbell, Lissemore, Miller CVJ 2009 in press)
Being raised in a small centre (<10,000)
Being male
– Note this was not significant in previous WCVMsurveys of graduates
Having a good to excellent knowledge ofagriculture at the time of entry to veterinarycollege
– Determined by self assessment
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Exodus of male and female veterinarians from
food animal related practice (72 males, 56 females)
60
70
80
90
100
0
10
20
30
40
50
0 5 10 15 20 25
Years in Practice
Male
Female
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Upbringing of "switchers" (n=125)
60
70
80
90
100
Farm
0
10
20
30
40
50
0 5 10 15 20 25
Years in Practice
Farm
Acreage
Town/City
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The “mythical” food animal practitioner
Myth #1 – mixed animal practice issynonymous with food animal practice
Myth #2 – new graduates are not interested in Myth #2 – new graduates are not interested inmixed or food animal practice
Myth # 3 – veterinary colleges don’t know howto select the “right” candidates
Myth # 4 – new graduates are “all about themoney”
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Why the profession cannot retain food animalpractitioners
Long hours and too many nights on-call
LONG HOURS AND TOO MANY NIGHTS ON-CALL
LONG HOURS AND TOO MANY NIGHTS ON-CALL
LONG HOURS AND TOO MANYNIGHT ON-CALLNIGHT ON-CALL
LONG HOURS ANDTOO MANY NIGHTSON-CALL
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Why the profession cannot retain foodanimal practitioners
Long hours and too many nights on-call
Lack of mentorship and support
Noncompetitive salaries Noncompetitive salaries
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Wages and work load ofVeterinary Employees
CA = $79,130 FA = $75,000 MA = $72,600
CA = 47 hr/wk FA = 59.8 hr/wk MA = 53.1 hr/wk
CA = 11.6 d/mo FA = 15.9 d/mo MA = 11.6 d/mo
CA = $36.28/hr FA = $27.17/hr MA = $29.24/hr
New graduates earn ~ $65,000/annum
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Conclusions from wage data:
1. The veterinary profession is not governedby the universal laws of supply anddemand.demand.
2. The shortage of food animal practitionersis more of a myth than reality.
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Other points to ponder
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50
60
70
Percentage of multi-person practices by province%
ofC
linic
s
0
10
20
30
40
BC AB SK MB
1
2
3
4+
%o
fC
linic
s
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61+
56-60
51-55
46-50
Western Canadian Cow-Calf Operators by Gender and
Age (Stats Canada 2006)
060001200018000
Male
0 6000 12000 18000
46-50
41-45
36-40
31-35
26-30
<26Female
Number of Producers
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Year-end price of Alberta A1-A2 Steers, actual and adjusted forinflation (mean=2.69%/annum)
80
100
120
0
20
40
60
1986
1988
1990
1992
1994
1996
1998
2000
2002
2004
2006
Actual
Adjusted
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Average Wait time for Veterinary Services (Telephone survey of50 Mixed and 49 Small Animal Clinics)
MIXED
Cat Neuter = 7.0 d (1-35 d)
Dog Neuter = 7.6 d (1-35 d)
Dental = 7.3 d (0-21 d)
SMALL ANIMAL
Cat Neuter = 6.6 d (1-21 d)
Dog Neuter = 8.5 d (1-28 d)
Dental = 10.2 d (1-28)Dental = 7.3 d (0-21 d)
Vaccination = 2.5 (0-35 d)
Medical Case = 0.4 d (0-2 d)
Pregnancy checks = 6.2 d (1-21 d)
Bull Evaluation = 6.7 d (1-7 d)
Medical case = 0.8 d (1-4 d)
Calving = 0.9 hr (0-4 h)
C. Section = 0.8 hr (1-2 h)
Prolapsed uterus = 0.7 h (1-2)
Dental = 10.2 d (1-28)
Vaccination = 4.3 d (1-28 d)
Medical Case = 0.6 d (0-5 d)
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Critical Control Points of Mentorship
1st meaningful interaction with a veterinarian =12.4 y
Average age at time of decision to become a Average age at time of decision to become aveterinarian = 15.2 y, 60% decided by 18 y ofage
18% of veterinarians had a family member orfriend who was a veterinarian
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Mentorship survey - conclusions
24.4% ♂/42.5% ♀ indicated that poor mentorshipwas the #1 reason for leaving a place ofemployment
36.6% ♂/54.5% ♀ endorsed a 1 y internship inpractice before being fully licensed
65.9% ♂ and 76.1% ♀ think mentorship should beadded to the veterinary curriculum
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Summary (2001 data)
SK – 96% of centres are non-viable and theyrepresent 22.2% of the population.
AB – 86% of centres are non-viable and they AB – 86% of centres are non-viable and theyrepresent 7.4% of the population
MB – 93% of centres are non-viable and theyrepresent 11.1% of the population
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Summary
Veterinarians migrate to areas of greatest demand
Mixed practice is becoming small animal practice
Fewer farms, larger operations, translates into fewer
veterinarians (poultry, swine, dairy, feedlot)
We don’t have a shortage of veterinarians but an We don’t have a shortage of veterinarians but an
oversupply of veterinary clinics (Darren Osborne)
Employee recruitment/retention is an HR issue not a
money issue
Need to address the role of technicians in delivering food
animal services – “cost-driven pricing” versus “price-driven
costing” (Peter Drucker)
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