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Category: Students

Friends or food?

The relationship between vets and animals is an odd one.

When I tell people the course I study, 90% of them ask me if I’m vegetarian; when I say no, all of them ask me why not – and, to be perfectly candid, I never really know what to tell them.

As a professional in practice, my relationship with animals will be as doctor to patient. This affiliation is simple enough. But when I go home, crack open the freezer and fry up a steak with a nice Sauvignon blanc, the line begins to get a little fuzzy.

Keeping a distance

Although the path my career is destined to take is still very much in the works, if I do decide to go into farm work then a certain emotional distance will have to be observed when treating patients. You have to find the perfect balance of respect for the animal and a desire to preserve life, but also the acknowledgement of that fact your patients are, and always intended to be, food.

One of the big things they taught us in the first week of vet school wasn’t scientific or mathematic. They told us, through the course, our attitude towards animals – what it meant to be a vet – was going to change.

I’d be lying if I said my own philosophy surrounding what I want to do with my life, as well as what I put on my plate, hasn’t evolved. It has, it definitely has – In fact, it still is.

Is meat murder?

“My course has forced me to confront the fact I see a beef cow and a golden retriever in very different ways.”

I know everybody has their own opinion on the subject. People tend to get very passionate about their own food choices and go to great lengths to defend them and convert other people to their way of seeing things, especially as the vegan lifestyle grows more popular.

As vets and as medical practitioners we are, of course, entitled to our opinions like everyone else, but when we step behind the examination table or don the metaphorical white coat, the way we conduct ourselves cannot always be driven by our own personal beliefs, but a combination of the welfare of the animal and concerns of the client.

The cute factor

We like things that are cute. Although some people go through life ignoring this fact, my course has forced me to confront the fact I see a beef cow and a golden retriever in very different ways. No matter how hungry I may be, I have never considered eating a dog – and yet I will one day be required to treat both.

I do not believe either is entitled to a higher standard of care and yet, quite obviously, I hold their lives in opposing regards.

Perhaps it’s purely cultural or the way my parents raised me (they’re both big meat eaters), perhaps it’s an intelligence thing – the fact I assume dogs have more cognitive awareness than the average cow – but this line of thinking does threaten to drag you down an ethical rabbit hole of sentience and animal rights.

Valuable lesson

So, perhaps it’s not that complicated, perhaps humans, on an unconscious level, simply love fluffy things.

As a veterinary student you are taught, from the off, to analyse your way of reasoning and question it. I think this might be one of the most valuable things they can ever teach us.

October 2, 2018
The importance of pre-purchase nurse clinics – the missing piece?
It is a renowned fact among the veterinary profession that the number of brachycephalic breeds in rehoming centres is soaring.

As veterinary nurses it needs to be our role to educate owners-to-be on which breed of dog is the most suitable for their circumstances. This allows owners to make informed decisions when opting to either purchase a puppy or rehome a dog.

Statistics

In September 2017, Battersea Dogs and Cats Home published a press release featuring the story of Piccalilli the French bulldog, which also contained information on how the rehoming centre was experiencing an increase in the number of brachycephalic breeds needing homes. In 2017, it took in 29 French bulldogs for rehoming, whereas in 2014 only 8 were taken in.

“The French bulldog had overtaken the Labrador retriever as the UK’s most registered puppy for the first time, with 8,403 French bulldog puppies registered in the first quarter of 2018, compared to 7,409 Labradors.” Image © otsphoto / Adobe Stock

The Kennel Club (KC) also published data stating the amount of registrations for French bulldogs has also increased greatly. In 2007, 692 French bulldogs were registered. Whereas, by 2016, 21,470 were registered – that’s 20,778 more French bulldogs in the space of nine years.

In June 2018, The KC revealed the French bulldog had overtaken the Labrador retriever as the UK’s most registered puppy for the first time, with 8,403 French bulldog puppies registered in the first quarter of 2018, compared to 7,409 Labradors.

All in all, the breed has seen an “astronomical” 2,964% increase in the past 10 years, The KC said.

Why is this happening?

Pugs, French bulldogs and bulldogs – collectively known as “brachycephalic” breeds – are widely deemed as “fashionable” due to the number of celebrities who own and flaunt them on social media platforms.

The influence from celebrities and the media, such as TV adverts, are having a strong impact on the public’s demand and want for these breeds. They are being bred uncontrollably to emphasise the large bulging eyes, tight skin folds and extremely short snouts causing their distinctive “snorting” noise. These features on the pug and French bulldog are all considered as cute by members of the public, and demand is high for them – and where there is demand, there will always be supply.

Unrecognised health issues

The reason why we are seeing the increase of brachycephalic breeds in rehoming centres is due to the health problems owners are unaware of, and the lack of funding to afford the veterinary bills to manage or correct them.

When these dogs are bred irresponsibly (for example, to exaggerate the “flat face” look), they can incur a whole lot of health risks. The most common is brachycephalic obstructive airway syndrome, which occurs in all brachycephalic breeds to a greater or lesser extent.

Other health problems in these breeds include:
- entropion
- luxating patella
- hip dysplasia
- skin disease
- uroliths
- intervertebral disc disease
Owners are not being made aware substantially of these health risks and the seriousness of them – most of the disorders listed require either surgical correction/repair or life-long medication, which, in turn, costs a fair amount of money.

What can VNs do?

I believe nurse clinics are one of the most important aspects of our job.

“In clinics, we are given the opportunity to build up a rapport with clients and, consequently, a trust relationship with them.” Image © Monkey Business / Adobe Stock

In clinics, we are given the opportunity to build up a rapport with clients and, consequently, a trust relationship with them. Often – as opposed to vet consultations – we can spend more time with our clients in a more relaxed setting. These are a great opportunity to educate clients and use tools to demonstrate our knowledge as VNs.

Done incorrectly, the prospect of pre-purchase consultations with nurses could come across to clients as “lecture-like” or monotonous, but they don’t need to be like this. Instead, they could be based on a puppy party structure, but for pre-puppy or dog owners.

Clarification for clients

To begin, prepare a questionnaire for them to fill out in advance, taking details of their home circumstances, then bring together a group of three or four clients to discuss different breeds and their suitability.

Informational leaflets can be designed for prospective owners, explaining how to choose a healthily bred puppy and what to ask breeders; and fact sheets could include details of breed health pre-dispositions, how much food and exercise certain breeds require, as well as information on training and puppy classes. A “pre-parent pack” could be put together containing this information.

If we can educate owners on health problems – not just brachycephalic breeds – it could deter clients from purchasing breeds inappropriate for them or their lifestyles, and provide accurate information on how to purchase responsibly. This could contribute to breaking the “supply and demand” cycle of irresponsibly bred dogs.
July 13, 2018
How to survive your first weeks as a new grad
You’ve done it – five long years of hard work and study have paid off and you’ve graduated as a fully fledged vet. Welcome to the veterinary community.

And it is just that – a community of people who’ve all been there and had a first day as a vet. You’ll find that everyone (meaning more senior vets than you, which is basically any vet) is happy to offer what I consider “well-being” advice, such as “don’t be too hard on yourself, you will make mistakes” or “don’t be afraid to ask if you don’t know”.

Now, while this sort of advice is true, I don’t think it’s practically helpful for getting you through those first few weeks. No matter how much positive encouragement you receive from other vets, you will probably still be terrified for your first day/week/month.

Practical advice

“Familiarise yourself with the drugs in the dispensary. At uni, you learn drug names, now you’re in practice you will have to learn the brands.” Image © JackF / Adobe Stock

Having been there only a year ago, I have some practical tips and tricks to help get you through the day during those first few weeks:

In-practice consultations
- Make sure you know where things are kept in the consult room, so you don’t have to open every drawer in front of the client to find the syringes on your first consult.
- Likewise, familiarise yourself with the drugs in the dispensary. At uni, you learn drug names, now you’re in practice you will have to learn the brands.
- Make a note of the vaccination protocol used at the practice and the most common recommended flea/worm treatments (such as those on the pet health plan, if your practice has one).
- Note down anything you may want to look up quickly, particularly premed doses. Depending on how your practice works, nurses may draw up premeds and have vets check before giving them, which can sometimes just be a waft in the vet’s direction for assertion – don’t panic and agree just because you don’t know what the dose is off the top of your head.
- Keep a health plan or puppy/kitten package leaflet handy for when clients ask about them.
- The stethoscope is one of the most useful tools for allowing yourself time to think without the client bombarding you with questions.
- ALWAYS leave something essential outside of the consult room (a thermometer, fluroscein or tear test strips, for example). This gives you an excuse to leave the room have a flick through a book or ask another vet (don’t do it too many times in one consult).
- If it’s something you want another vet to look at, most owners respond well to getting a second opinion. Alternatively, take photos “for comparison” then go and show another vet (be careful here – you need permission from the owners and check your practice policy regarding GDPR. You may be okay to use a work phone/camera, but not a personal one).
- If you want to remove the animal from the owner – either to get another vet to look or for thinking space – ask if you can go and get a nurse to help restrain.
Being on-call/farm visits
- Open things before your first equine/farm visit (gloves, lube, etc) to avoid awkwardly trying to rip open boxes while the farmer is waiting.
- Save dropped pins on Google maps or your satnav for your main farms or big equine clients. Again, work within GDPR, which may only allow this on work phones.
- Make a cheat sheet for the car detailing drug doses for the most common things you use on farm – to avoid the inevitable mind blank resulting in an inability to do simple mental maths while staring at the bottle of Pen and Strep with the farmer staring at you. I made one for a 300kg/500kg/750kg size horse for quick reference.
- If you need to call a colleague for advice while on farm, make an excuse to go back to the car. I would go to examine the animal first with minimal kit (just a stethoscope, for example) then, if necessary, make a call when I had to go back for a thermometer or relevant meds.
- Make a note of who to contact regarding out-of-hours, door codes and alarm codes – and make sure you have practice keys.
- Be prepared to be tired. It doesn’t last forever, but working as a vet is very tiring to begin with – don’t make too many plans for week nights or weekends for the first couple of weeks to allow you to relax when you get home.
- Plan easy, quick meals so you don’t end up ordering a takeaway every night.
General advice
- Have a pocket-sized notebook and pen at all times, and hold on to that pen for dear life. Pens have a habit of wandering in vet practices.
- Take a look at one of my previous blogs on language (Fake it ’til you make it) for some handy phrases to help assert your ability when you don’t really have a clue what’s going on.
- “Plan easy, quick meals so you don’t end up ordering a takeaway every night.” Image © serguastock / Adobe Stock
  
  Have a couple of books handy for quick reference when you need a memory jog. I use 100 Top Consultations in Small Animal General Practice and Gerardo Poli’s The Mini-Vet Guide for small animal, but I hear good things about the “Nerdbook” as well. For equine, I find the Handbook of Equine Emergencies great for quick reference on the go, along with the Saunders Equine Formulary.
- Make lunch in advance to start with. It may be that you always get a lunch break, but sometimes things are manic, so ensure you have food to keep you going.
- Take part in any work social activities and get to know your team – it will make the working day much more fun if you get on with those around you.
- Book a holiday for three months time. You will need it.
Handy resources

Make use of the vast range of apps and websites out there. Here are some I found really helpful:
- BSAVA app for the formulary (it’s quicker to search drugs than flicking through the paper formulary).
- BEVA apps – which features drug doses, certain procedures and joint blocks.
- NOAH Compendium – there isn’t an app (at the moment), but the mobile version of the website works well. Open the NOAH website on your computer before a consulting session starts – practice computers are notoriously slow and I guarantee it will freeze when you’re desperately trying to do a quick search for doses while the client is waiting.
- Norbrook app – for drugs not on NOAH.
- BHA Vaccination Date Calculator for horses saves a lot of time when working out vaccine validity.
- MSD Vet for the Merck manual.
- Vet Calculator for various calculations, particularly the heart rate counter.
While the word “survive” carries negative connotations about veterinary practice (and I have previously discussed how this sort of language can be harmful), I do think you feel like you’re firefighting in those first few weeks.

There’s no doubt it is a steep learning curve, but I’m confident you’ll come out the other side and thrive on the challenges of being a new grad.

Good luck and enjoy finally being able to say you’re a vet.
July 2, 2018
Supporting new grads: are you up to the job?
As I discussed in my previous blog post, if you are a boss, partner or practice manager, it’s important to consider whether your practice is suitable for a new graduate, before taking one on.

Perhaps you’re considering taking on a new grad for the first time, or maybe you’ve employed them before, but are struggling to attract candidates for your job vacancies – or it might be your new grads are leaving you after a short spell of employment.

If any of these apply, or you’re simply looking for inspiration on what you could do to offer support to new grads, I’d like to offer some suggestions from the new grads themselves.

Friendly face of support

Every new graduate looks for “support” in his or her first (or, in my case, second) vet role, but what exactly does that look like?

By far the most important aspect of support is communication – we’re all different, and the key to a great working relationship with a new grad is asking him or her the kind of support wanted or needed, and discussing how you can provide that.

This should also be considered a fluid, flexible conversation that continues through the first few months of employment – the rate at which a new grad gains confidence and experience will vary due to individual personalities, but will also greatly depend on caseload.

Being patient, friendly and answering questions are all important when dealing with a new grad. Image © .shock / Adobe Stock

Never assume

If your practice doesn’t see many cats, your new grad’s first cat spay might not happen for several months, and you can’t just assume having performed a lot of other surgeries, he or she will be fine to just get stuck in, when he or she may never have used a flank approach before.

On the contrary, some new grads can be dangerously over-confident, and that’s where your clinical and character judgement will be vital in ensuring the safety of their patients.

It can be a very delicate balancing act between pushing a new grad to improve, and not letting him or her charge in all guns blazing without the right skills.

Suggestions

The answer is not straightforward – no “one size fits all” new graduate induction plan exists – but a number of areas can be considered to help your new grad settle in.

I’m not suggesting you action all of them, or even that they’d all be suitable for every new grad or practice – they’re just ideas to think about.
- Provide a booklet with practice protocols – for example:
  - vaccine protocol
  - neutering advice (ages)
  - treatment protocols for common ailments (as a starting point)
  - what should be included in estimates for operations
- Order uniform or name badges and have them ready for the first day. It may seem trivial, but it symbolises being part of the team. Being asked 10 times a day who you are, or “are you new here?” gradually chips away at what little confidence you have as a new grad.
  Ordering a name badge for your new grad can help him or her feel part of the team. Image © kegfire / Adobe Stock
- Have him or her spend a morning on reception to learn how to book appointments and other tasks, to get used to the computer system.
- Put a nurse or receptionist in consults with the new grad to help him or her navigate charging for consults, saving notes, making up estimates and so on.
- Have the new grad observe some consults or accompany other vets on call-outs to help him or her grasp how the practice runs and to introduce some of your regular clients.
- Allow the new grad to pick up consults from a general list at his or her own pace.
- Book out double appointments for the new grad initially, then shorten these as he or she gets more confident – and, therefore, faster.
- Always have a more experienced vet available (in the prep room, perhaps) to answer those quick questions while the new grad is consulting. He or she need not be twiddling his or her thumbs, but, if performing procedures, ensure your new grad knows he or she can pop in and ask without feeling like an inconvenience.
- Decide on a maximum length of time for a consulting block and allow breaks for the new grad to catch up or have five minutes to gather his or her thoughts.
- Assign a formal buddy or mentor within the practice (not the boss) for him or her to go to as a first port of call for any problems – clinical or non-clinical.
- Provide regular constructive feedback – we don’t know if we’re doing okay unless you tell us!
- Have formal scheduled progress review meetings to let the new grad discuss any issues in a fair manner (the boss informally asking “how are you doing?” in front of half the staff will not always elicit an honest response).
- Have a working list of procedures or cases your new grad wants to gain experience in so all staff know to try to involve him or her if they get one in. Similarly, have a list of procedures he or she is happy to do alone (and an expected timescale) so reception staff don’t book in three bitch spays on day one.
- Supervision for operations – ask your new grad whether he or she wants someone scrubbed in, either in the same room or just within shouting distance, for different procedures.
- Have goals for the new grad to work towards without pressurising him or her.
- Show the new grad respect. Don’t undermine him or her in front of clients, even if he or she is in the wrong – better ways of addressing it exist without shattering the new grad’s confidence and credibility.
  Assigning your new grad a buddy or mentor can help as a first port of call for any problems he or she may encounter. Image © michaeljung / Adobe Stock
- Take on board any suggestions the new grad may have in practice discussions – he or she will have the most up-to-date knowledge, and it can be a huge confidence boost to have your ideas taken up.
- Try not to put your new grad to the bottom of the pile for holidays. In fact, some bosses almost force new grads to book a holiday after two months because they know they’ll need it.
- Give the new grad a Christmas at home (or at least the choice of doing so). Nobody wants to work at Christmas, but is it advisable to have a stressed out new grad – who will likely still need backup in December – on call for the busiest “my dog’s eaten the Christmas pud” poisoning fest of the year? He or she will have likely moved a long way from home and will be particularly lonely at this time of year.
- Have formal second on-call in place for as long as the new grad needs. Don’t assume he or she will be fine after six months – this will vary greatly depending on caseload.
Making a difference

From discussing our varying inductions and levels of support with my university friends, by far the most important thing is just being patient and friendly – even when it’s crazily busy.

Taking 30 seconds to answer a question will make a huge difference for the new grad, rather than letting us spend ages unable to find the answer in an ancient textbook.

If you take an interest in your new grad’s learning and development, rather than just employing us for cheap labour, you’re already heading in the right direction and your efforts to welcome us into the profession will be greatly appreciated.
February 27, 2018
Should you employ a new grad?
This weekend, I helped out with a talk at SPVS-VMG Congress on employing new graduates.

It gave delegates – vets, VNs, employers and new grads themselves – the opportunity to reflect on how wildly different each new grad’s experience can be, and appreciate the challenges employers face when hiring new grads.

The fact those in attendance had chosen to come to a talk on ensuring practice is right for new grads suggested most of our audience were forward-thinking employers who wanted to provide their new grads with a good start to their career.

The others

However, and sadly, not all employers have that at the top of their priority list. I would like to think such employers – who, as a result, are maybe not treating their new grads well – aren’t doing it maliciously, but rather just don’t have the time to teach and mentor properly, but also don’t have a choice but to take on new grads, given the employment crisis the profession faces.

However, that is still no excuse. I should also mention, of course, the minority of employers that will hire a new grad simply for cheap labour – meaning there is little to no interest in them at all. If you cannot provide adequate support for a new grad, don’t employ one – it isn’t fair on anyone.

My generation

Lazy? Or valuing non-work time? Image © Free Photos / Pixabay

Many of the challenges of employing a new graduate stem from the difference in attitudes between different generations. The new grads moving through the system now are of the “millennial” generation often stereotyped as lazy, entitled and needy.

Being a millennial myself, I inherently disagree with these generalisations – they just need looking at differently:
- We are not lazy, we just don’t want to work horrendous hours. We are more than happy to work strange shifts (evenings/nights), but that doesn’t mean working the traditional expectation of five long days, a full weekend on call and a further five days.
- We are not entitled, we just cannot justify the negatives of the profession long-term. The “love of veterinary medicine“ is very idyllic, but just isn’t sustainable in the real world. We could work less hours, be paid more, take holidays when we want and be paid reasonable sick pay in many other sectors, so why wouldn’t we? It’s not about the money, here – it’s about the injustice.
- We are not needy, we just crave feedback. How do we know we’re doing okay unless you tell us? How do we know how to improve if you don’t guide us?
Wake-up call

Some vets of the older generations still have the attitude of “we had to go through it, so you have to get on with it too” – as though the horror of being left to your own devices, being unable to contact anyone in the middle of the night when you are out of your depth, and the sleep deprivation of internships are just a “rite of passage” of being a new grad. It may be news to these bosses, but the new grads of today just won’t put up with that crap.

“The definition of insanity is doing the same thing over and over again, but expecting a different result” is a quotation often attributed to Einstein. Whether he ever actually said it is questionable, but it has applications in many walks of life. When these old-style partners still expect their new grads to be on call for 17 nights in a row, is it any wonder there is an employment crisis?

If you want to attract any staff, not just new grads, you’ve got to adapt to the present. Veterinary is changing and the modern new grad doesn’t want – and won’t settle – for the same things they did 50 years ago.

Let’s talk

Support… it’s all we need. Image © 135pixels / Adobe Stock

So, what do new grads want? Well, how long is a piece of string? The simple fact is: we are all different. The key to having a successful working relationship with a new grad is communication and flexibility.

The one thing all new grads want is support, but what that support actually looks like can vary wildly. For example, sometimes the new grad themselves will underestimate or overestimate how much support they need, which is why it is important for the learning process to be continual, with frequent check-ins.

It’s all very well saying I’ll only need second on-call backup for two months, but if, after that time, I still haven’t done a caesarean or calving, how can I be expected to be able to handle it alone?

Of course, this works both ways – new grads need to be upfront and honest about what kind of support they think they need, and practices likewise need to be honest about what they can provide.

If either party are overselling themselves to secure a job/vet, the arrangement will not work out long-term and both of you will be on the hunt again much quicker than you would like.

What we can do

So, why should you bother employing a new grad if you have to put lots of extra effort and time into it compared with employing an experienced vet? We new grads have a lot to offer:
1. We are tech-savvy (usually much more than our older counterparts).
2. We have lots of new ideas and experiences from a variety of placements in different practices.
3. We have up-to-date knowledge since we are fresh out of universities undertaking research into the newest techniques and treatments.
4. We are enthusiastic – despite refusing to put up with the poor working environments of the past, we are yet to become cynical about the veterinary profession.
What we lack is experience – and that is what we ask of you. Sure, the harsh truth may be that you don’t really have a choice in the employment climate as it stands, but if you get it right – and your new grad stays with you for years to come – it will be a true investment.
January 31, 2018
New year, new me

January brings with it an onslaught of well-intentioned gym memberships, diets and resolutions that often get forgotten fairly rapidly.

For me, my “happy new year” was tainted with uncertainty, as I had made the scary decision to leave my first job as a new graduate vet – quite literally forcing the “new year, new start” cliché on myself.

This decision was not made lightly. In fact, if I had listened to my gut feeling that things weren’t right, I probably would have left much earlier, but I stuck it out for five months. I had to be sensible – I had rent to pay. But, similarly, I was not going to stay any longer at the cost of my sanity.

Time to take action

Many of my new graduate friends also struggled at their respective workplaces to begin with, so I couldn’t help but think maybe it was just supposed to be hard. But as they all settled, and I seemed to just get more wound up with my situation, I began to accept it wasn’t right.

So, what were my options?

Address my employment concerns

Despite being advertised as a truly mixed practice, I found myself working as a TB tester virtually every day, which became unrewarding and a huge hindrance to my personal development as a vet.

I tried to address the situation, but was met with non-committal responses, such as: “Well, we are very busy with TB at the minute.” No offers of sharing it out were made, considering myself and another new graduate were carrying out all the testing. In fact, I ended up organising the whole practice’s TB equipment, paperwork and bookings.

The other issues I had were also met in a similarly non-helpful manner.

Go above the powers that be

One of the (few) advantages of working for a corporate group is you can go above the powers that be.

Although this provided a friendly listener on the end of the telephone, it didn’t actually achieve much after helping me explore the options of transferring to another practice within the group. As I was still looking for a mixed role, it came to a dead end pretty swiftly.

Hand in my notice

I was very aware my notice period tripled after I had worked at the practice for six months, so I had the choice of leaving before the six months were up or being stuck for at least nine months.

I did try addressing my employment concerns and going above the powers that be first, but I think I knew all along that, in the end, I was going to leave; it was just a question of when – before or after six months, considering the notice period, and before or after I had found another job?

Choice made for me

In the end, some timely external circumstances forced my decision – my landlord informed me he was selling his house, so I would only have a few months left of the lease anyway.

Once I came to the realisation I needed to leave, I felt relieved. This was ultimately short lived as I then faced the question of what to do afterwards – I even started to consider whether I actually wanted to look for another vet job.

But I didn’t have to look far to find some inspiration – my university friends were very supportive of my decision to leave my practice, but their stories of their own experiences were reassuring. The key was finding the right practice and being able to enjoy being a vet rather than seeing it as the stressful, unfriendly job with long hours it’s often portrayed as.

Negative into a positive

I began the job search slightly before handing my notice in – I think as a safety net, as I was still very apprehensive about being caught out with no work. I was also very concerned about how not having spent very long in my first practice would look to potential employers – would they think I couldn’t hack the pressure and gave up too easily?

My first interview this time around, however, was a massive confidence boost – my worries were ill-placed as my decision to leave my practice was only viewed as a positive move; that I was being proactive in my career development and not putting up with an environment in which I wasn’t progressing.

When more interviews and then job offers started emerging, I found the confidence to not only hand in my notice, but also to turn down offers that weren’t right for me.

Disguised desperation

We regularly hear about the shortage of vets in the veterinary press, on Facebook, through word of mouth and, for those working in understaffed practices, via first-hand experience. But nothing confirmed the veterinary employment crisis more than the poorly-disguised desperation some practices exhibited when I enquired about vacancies.

Yes, I was a little more desirable than a new graduate fresh out of university because I had worked for a few months, but I was still virtually a new graduate. If anything, I felt my skills had regressed since graduation because my confidence had been knocked so severely in my first role.

But I did know how to consult, interact with clients, break bad news, and offer and carry out euthanasia with the client in the room. These are the things you don’t really learn until you qualify; the small things that make a difference between being a startled- looking graduate in your first week being asked “is it your first day?” by a client, and a recent graduate who can give a calm impression of confidence and knowledge (even when you’re a little unsure).

It took me a while to convince myself I’d be employable enough to be picky, but with a few offers under my belt, I entered the new year jobless, but knowing so many practices out there were looking for vets.

It did, however, still take a considerable amount of moral fibre to swallow my pride and go to the job centre to sign up for jobseeker’s allowance. This was not without an added push from my ever-knowledgeable other half, who bluntly said: “You’ll be paying into it for the rest of your life, so you may as well claim it while you can.”

Daunting, but rewarding

Although it was daunting to quit one job without having something else lined up, it was the right thing to do and, inevitably, things worked out in the end. With a bit of patience and perseverance, I have now found what I think is the right job.

Although I can’t quite squash the niggling feeling it could all go wrong like the previous one, I like to think I’ve learned something from that disastrous experience, and am feeling much more optimistic.

After much reflection, I think I was just very unfortunate with my first role and a number of factors occurred that I could never have foreseen.

Take advantage

For many people, despite the new year clichés, January becomes a time of reflection. I’m not too sure about “new year, new me” but I’ve certainly ended up with “new year, new job”.

If you aren’t happy in your job, don’t be afraid to take the leap – especially if you’re a new graduate. It is so important your first job is right for you, otherwise it could scar you, and ultimately ruin your entire veterinary career.

It isn’t worth the stress of staying where you are unhappy – so many jobs are out there. It is, as they say, an “employee’s market” at the minute – take advantage of it.

January 16, 2018
Breaking away from a vet’s diet of fast food

A while ago, I wrote about anorexia in vets… the stripped down, bare meaning being the clinical sign of “not eating”. As a student, I witnessed vets on placements routinely forgoing lunch or existing on a diet consisting entirely of Pot Noodles or fast food – one vet I shadowed had either a McDonalds or KFC on four of the five days.

Then, I could appreciate the lack of time and energy for cooking, but still couldn’t imagine being able to stomach so much junk food. I could not understand how you could work effectively and remain healthy while pouring so much crap into your body – and, of course, you can’t!

Isn’t it ironic that part of our job is to advise on diet and nutrition for clients’ four-legged friends, yet we don’t take our own advice?

Realisation dawns

Image © miketea88 / Adobe Stock.

As a student, there would be rare occasions I wouldn’t get lunch until 4pm or would just order a pizza through tiredness (or, more likely, from being hungover). But, on the whole, I had a pretty good diet. I exercised a lot and was organised enough to make lunch 90% of the time, so I was never stuck without food.

Yet now, as a new grad, I totally get the unhealthiness; it’s not really a matter of choice, but more a matter of pure exhaustion.

I found myself going without lunch on numerous occasions, mostly due to being stuck on farm all day TB testing, but sometimes due to being swamped with surgeries. Having not been able to stop for food all day, my first exploratory laparotomy was done after inhaling a cupcake – not the most nutritious of lunches.

24/7 shopping

There have been weeks I have consumed more takeaways or McMuffins than I am proud of, purely down to a lack of time and effort. I’m too tired to shop for food, or cook it, and I don’t want to spend all weekend meal-prepping for the week ahead, which is what my more organised, student self would have done.

It also doesn’t help that shops close early on a Sunday in England. I was definitely spoilt in Scotland, where 24-hour opening actually means 24 hours, 7 days a week.

If I cooked like I did when I was a student, my day would literally be work, cook, eat, sleep. But, to be honest, it’s not much better anyway – more like work, pick up takeaway, eat, sleep.

Maintaining a work-food balance

I do manage to get out on the bike at weekends, but not during the week, and as a former gym frequenter at uni, it gets to me sometimes that I’m becoming seriously unfit. Perhaps the answer is to get up early and go to the gym before work, but that’s not in my nature… I tried early running once, and all it did was make the day feel really long by 9am.

Mental health and well-being are constantly in the veterinary media at the moment, and, while I can empathise with my colleagues who lead the lifestyle of fast food, I’m not condoning it. This is no way to carry on. We need to try to achieve an acceptable work-life balance and, at the very least, a good work-food balance, which is something I am apparently not very good at yet.

I’m told it gets easier. Whether that means you get over being so tired all the time or just get used to it and somehow manage to power through, I’m not sure, but I hope it does – and I hope I find the energy to improve my diet.

December 1, 2017
Social media – a blessing or a curse?

An experienced vet warned me to stay off social media as a new graduate, because comparing yourself to others “drains your confidence”. I’m not sure I agree.

As with anything, there are pros and cons to the new age of communication, advertising and sharing information that is social media. Not just in veterinary, but in all walks of life, people are very good at publishing only the positive things, which gives others a very warped perception of their lives.

Bricking it

“Started a new job” or “excited for the future” have been common themes since graduation. But what you don’t see is “absolutely bricking my first day”, “maybe veterinary isn’t for me” or “I’ve moved to the middle of nowhere with no friends nearby and am seriously regretting my decision.”

Social media can fuel the feeling of isolation as a new grad because everything you see is through rose-tinted glasses – everyone else seems to be doing great and achieving so much. Now, the various platforms are not entirely to blame because it can be easy to feel that way just talking to other people in person as well.

While it is a lot easier to gather a more accurate idea of someone else’s experiences in person, you still get a certain level of one-upmanship, which does no one any favours. It’s great to meet up with uni friends to help you realise you’re not alone, provided you understand everyone progresses at different rates and in different environments.

Understanding what works for you

To begin with, I would envy the workplaces of my friends, thinking I’d somehow drawn the short straw, but having thought long and hard about it, would I want to be in their shoes? They may be thriving in their own respective environments, but I know I wouldn’t in some of their situations.

The key is understanding what works for someone else won’t necessarily work for you – and once you come to terms with that, you can use social media without having a sinking feeling every time someone posts about the latest great surgery they’ve done.

What about on a wider level? I have joined a couple of Facebook groups for qualified vets and been surprised by a number of aspects of these.

Can’t we all just get along?

Jordan has been “mortified” by the way some vets speak to their peers in certain online groups and forums. IMAGE: terovesalainen – adobe.stock.com

The motives behind these groups are genuine, offering a forum to share ideas and offer support to other members of the profession. And, on the whole, that’s what happens.

However, I have been mortified by the backlash some members have received for certain comments.

We, as a profession, are continually slated in the media for being money-grabbing insensitive con artists (which, of course, the vast majority of vets are absolutely not) and yet, in a private forum, vets are using very similar vindictive language against each other.

Some of it is barely short of cyber bullying, which is really quite sad. We get enough stick from the public, can we not try to be a little kinder to each other?

I know individual vets will disagree with others, but this can be expressed in a constructive way, not the emotive, anger infused rants we regularly encounter from the public. In this respect, I do think social media has gone sour.

Online awareness

For individual practices, it seems, at the moment, social media really can be make or break. Do not underestimate the power of social media – word travels fast: only too often do practices lose clients based on bad Facebook reviews.

But, equally, practices can try to maximise the interaction with clients through social media by posting facts, photos and offers to help educate and encourage responsible pet ownership, among other things.

While we don’t want to get too hung up on bad comments, which need to be addressed professionally and appropriately, it is important to be aware of our online presence – after all, we need to be proactive and advance with technology to keep in touch with our clients.

But how closely in touch with clients should you be?

Client friend requests

At some point in everyone’s career, the inevitable client Facebook friend request will happen. This can be tough and I have heard conflicting advice with how to respond. Some would recommend a blanket ban on client Facebook friends, which is all well and good unless you work in your home town, where a lot of your friends or family friends will be clients.

Others would recommend creating a bland profile to accept clients that doesn’t have any personal information or embarrassing photos. There’s also the option of changing your online name slightly to make it difficult for clients to find you in the first place – this is what I opted for.

Making sure your privacy settings are strict also helps non-friends see very little. I guess you just have to do what suits you without making a rod for your own back – if any client does try to message you out of hours, be strict and either ignore or refer them to the OOH number.

I think it’s safe to say social media is great in moderation, but too much of it could really get you down. We, as vets, should use it to our advantage, but try not to take it too seriously.

November 22, 2017
What to do when on call

When you’re on call during the week, by the time you’ve got home (if you get straight home without being called), eaten and vegged out in front of the TV, you do not have much time to be bored before heading to bed.

However, weekends on call have a lot more time to fill between carvings and telling the third client in a row we outsource small animal out-of-hours work.

Sleepless nights

I barely slept the first few times I was on call. Even without being called, I would toss and turn, worrying about what could be on the end of the telephone. When I eventually fell asleep, I’d wake up several times in a panic thinking I’d missed the call. I’m not a fantastic sleeper anyway, but always having half an ear open to the telephone makes things so much worse.

Jordan’s new-found feline friends have kept her company while on call.

I had been “on call” throughout university or while on externship EMS, but someone else was always there to do the triage and tell me what to do. Being the person on call is a totally different ball game. Even with backup, being the first one to speak to a panicked owner or farmer is still daunting.

The first weekend I was on call, I was paired with another vet, but fell asleep on the sofa after a morning of small animal consults, and an afternoon spent drenching and injecting sick cows.

Trapped

Since I live almost as far from my practice as is acceptable for being on call, I was scared to leave the house, not wanting to be any further away. I felt trapped, not able to go anywhere and not wanting to start doing anything constructive in case I had to drop it for a call-out.

I couldn’t go for a cycle ride or run unless I essentially stayed within a five-minute radius of home, which would be pretty boring.

I still hadn’t got round to sorting out a gym membership, so couldn’t plonk myself on a treadmill and leave when duty called. Despite having a knack for baking and cooking, I didn’t want to start anything I’d have to leave unfinished and ruin the perfect dinner or cake.

I had, however, gained some on call buddies in the form of kittens, so they provided moral support while I essentially dithered, not achieving anything while waiting for the telephone to ring.

My next weekend on call pretty much consisted of binge watching Grey’s Anatomy (yes, I know, I’m late to that game) and having a catch-up with a couple of friends, who came over to my house with the knowledge I may have to leave at any time to attend to a potential disaster. I was lucky we were not disturbed, but I still had my eye on the telephone and was half-expecting it to buzz at any moment.

Carving out pastimes

To while away the hours, Jordan combined her love of Game of Thrones with a bit of pumpkin carving and produced the House Targaryen coat of arms.

This weekend, however, I thought of something a bit more fun to do while waiting for the telephone to ring.

After a reasonable Saturday surgery and seeing to a horse’s wound, I went shopping (still within a reasonable distance) and found a pair of perfectly sized pumpkins to carve. If the telephone rang, I could stop mid-pumpkin and come back to it later – ideal.

Up for the challenge, my better half and I spent an obscenely long time on our masterpieces. I think they turned out pretty well – mine following on from a line of Game of Thrones-themed pumpkins in previous years, his reflecting the excitement for the new series of Blue Planet in the form of an angler fish.

Last resort

Someone once told me in a lecture weekends on call were good for cleaning and catching up on laundry. I have, so far, managed to avoid resorting to this, but that may well be the plan for the next one.

Before long, I expect I’ll be spending my on call weekend decorating a yet-to-be-found Christmas tree (now that’s a scary thought – how is it already that time of year?).

I’m still looking for inspiration on how to enjoy being housebound. What do you do with your weekends on call?

October 30, 2017
Aggressive patients

I’ve discussed before the massive emotional shift that seems to occur in the transition from a student to a new graduate – namely due to the responsibility – but the transition to being an actual vet also means being on the front line when it comes to aggressive patients.

As a student, you are often given the “nice” patients to practise blood sampling or catheterising – or even just examining. If a pooch utters a slight growl, the muzzle will be on, with a confident RVN holding for you at worst, but, in most cases, the vet would just take over to keep you out of harm’s way.

As such, when I started out as a “real vet”, this meant I had very little experience in dealing with the more difficult patients.

Exposure

At vet school, we were shown how to make a bandage muzzle if all else failed and practised stuffing a cuddly toy cat into a cat bag, but, again, we were rarely involved with any real-life angry cats or dogs.

Obviously, this was in the interests of our safety, and I’m not suggesting they put us in dangerous situations deliberately, but in the real vet world, we are now the ones who ultimately need to gain that blood sample, despite flailing paws and teeth.

Safe handling of aggressive, or often just scared or nervous, patients who lash out from fear is something that can only be gained from experience – which, as a new grad, is fairly limited at this point. Drawing on ideas from your colleagues and nurses is probably the best way to learn – especially for behaviour-related things that aren’t necessarily taught very well at university.

Near misses

Dealing with difficult patients on the front line is “quite a scary place to be”. IMAGE: jonnysek / fotolia.

Nearly being bitten by a little dog with severe dental disease (who could blame it for not wanting me to touch its mouth), that then seemed immune to sedation and therefore needed a general anaesthetic to even examine its mouth, was my first taste of having to make a call based on my own safety, but also the need to make an accurate assessment.

I’ve also had a few near misses with horses – in particular, one that really did not fancy a nerve block and decided to fling its front legs at mine and the other vet’s head height instead.

Support each other

Being a vet can be a dangerous job, since we work with unpredictable living creatures better equipped with natural defences than us, and often a lot bigger and heavier. We just need to help each other work as safely as possible around them. But, if you’re on your own with bared teeth, it’s still quite a scary place to be.

Just another thing to add to the list of “things they don’t teach you at vet school”.

October 16, 2017