As someone who is changing careers and entering the field of vet medicine, I am really scared to ask, but what do you mean by soul crushing? how much of that is actually out there? is that a typical experience for vets?
Sorry for the delay in responding.... I just now saw this.
I'm currently on my 5th job (have been there for six months) and it is absolutely amazing. My first four jobs, though, can be summed up as follows...
Job #1: Great staff, but the owner was absolutely psycho. Temper tantrums, constantly criticizing my approaches instead of offering mentoring/guidance (this was a clinic in a low-income area and I was used to doing things the ivory tower vet-school way... so I definitely could have used some tips, but instead of offering productive feedback she constantly went behind my back), and a lot of questionable medicine (dental extractions done with the saw blade on a dremmel because we didn't have an appropriate drill). Talked about me behind my back, yelled and me and the support staff regularly. Stayed there for six months. Only lasted that long because the owner's husband (also a vet) was a supernice guy and did provide a lot of encouragement.... when I left, he called me on his cell phone one evening to say that I was a great vet and not to take her treament of me personally because she had a lot of issues. They have since divorced, which is good because he's a nice guy and she's absolutely crazy
Job #2: Great fellow associate docs, but another mentally unstable boss (he knew the first boss - she was former employee of his - and told me when I came to work for him that he knew she was mentally unstable.... apparently it takes one to know one!!) and a very unhealthy clinic dynamic. I was there for almost three years. Just a few random examples, though this list is by no means exhaustive:
- I (along with several other employees) witnessed a vet assistant being really rough with a puppy. When the puppy refused to walk on a leash and laid down on the floor (not yet leash-trained), the assistant dragged it across the clinic by its slip lead (the dog just laying limp at the end of the leash) instead of just picking it up. When I said something to him about it, he bent over, picked the puppy up very roughly/harshly, and then threw it down when he got to where he was going. When a fellow associate and I went to our boss about this, he defended the tech and told us we needed to mind our own business.
- Boss practiced poor medicine and misled his clients. Lots of shotgun therapy without diagnostics, and any case that stumped him was diagnosed with 'cancer' and he recommended euthanasia instead of referral.
- Insubordinate head tech. I once asked her to read a fecal while I typed up a record and dispensed some meds for a pet. Her response (from the stool where she was sitting, not doing anything) was "you d*mn lazy doctors need to learn to read your own d*mn fecals." Again, went to boss and she was defended - I was told I was too uptight and needed to recognize a joke. Ummm... if it was a joke, wouldn't she have said it AS she went to read the fecal?
- Boss's favorite quotes were "zoom, zoom!" and "get em in, get em out." We saw scheduled appts plus a heavy load of walk ins. Some days were okay, but others were insanely busy. We had to see patients in order of arrival and weren't show preference for appts, so clients were constantly angry that they were having to wait 1-2 hours past their scheduled appt time. Very stressful environment.
- Boss had definite mental illness. Accused me once of not working hard enough one morning.... when I then showed him that I had seen 8 or 9 patients in a 1.5 hour period, he didn't believe me and went back to check each chart behind me. He later came to me and said "the devil was telling him to fire me" but he had "decided to let me live." Needless to say, I started sending out resumes that night.
Job #3: Actually a really nice/caring/friendly boss, although we practiced VERY different styles of medicine. Really sweet, albeit poorly trained, vet assistants. The clinic was operated as a low-cost/high-volume clinic, and I was expected to see anywhere from 4-8 patients per hour. Clients rarely had money for workup, so we performed a lot of potentially-unnecessary euthanasias. Also, our euthanasia price was low so we had a lot of pets brought in who had never been to a vet before and the client just wanted to drop them off for euthanasia - I wasn't allowed to say no to these. That really started to wear on me over time, and the clinic also started to struggle financially so my pay was cut. That led to me changing jobs after just over a year.
Job #4: Corporate hell at a chain of clinics that is located inside a major pet store. Not so terrible when I started, because our Medical Director recognized the corporate BS for what it was and mainly stayed out of our way and let us do our own thing (also protecting us from our money-hungry Field Director), but things became worse when they replaced him with someone who believed in doing things more 'by the book.' Examples:
- Constant emphasis on Average Patient Charge (how much $$ is spent per visit... and when, for example, rechecks are done at no charge for most patients, it would seem to me that having a low APC on rechecks would be a GOOD thing because it means your treatments are working! Instead, you were criticized for not finding other things to 'sell' at that visit or finding additional tests/treatments to recommend.)
- Other BS metrics like "Dental Penetration" (what percentage of pets over a given age you did dental cleanings on), "Heartworm Penetration" (percent of clients that leave their visits with you with HW prevention, regardless of whether they may already have it at home or be getting it elsewhere), "Wellness Plan Penetration" (what % of clients you were able to enroll on their wellness plans - which are a compete ripoff for the client)
- Push to recommend unnecessary procedures, ie "all dogs over one year old should receive an annual dental cleaning." Sure, SOME 1 year old dogs probably need annual dentals, but I don't think you can make that a blanket recommendation. Also, lots of "required" testing if bloodwork parameters were slightly off.... it's normal for a small percent of healthy patients to have slight bloodwork abnormalities, but if a value was even one point out of the normal range there were a lot of expensive tests that we were required to recommend).
- Not allowed to turn away any walk ins, even if they walk in right at closing. (Lots of non-emergency things would come in because their regular vet was closed and they knew we couldn't turn them away, like a dog that has had an ear infection for weeks.) Also, the emphasis on keeping the schedule full (appts every 15 min) and not turning away walk-ins made for some ridiculously busy days. Not only stressful for the whole team (especially given how few staff members you're allowed to have working per doctor), but also results in an inability to provide quality care.
- Ridiculous, indefensible overcharging. Our surgical estimates were consistently higher than our local specialty hospital.... so most of my patients who needed surgeries either had it done there or at other high-quality local clinics that I recommended. Surely I would have been 'punished' for this, but I guess the boss never found out. It was depressing, though, to have to turn away all of the interesting cases.
- Poorly trained staff with high turnover.
- Long hours (technically 9am-7pm with a 1-hr lunch but more often 9am-8/9pm with no lunch, and only closed 2 days/year).
There's more, but it's making my blood boil just thinking about it so I think I'll quit
So, here I am, 7 years out and on job #5.... but I've finally found someplace that I'm enjoying. Amazing bosses, great clients, fabulous staff, good work-life balance, and fair pay. Good jobs do exist, but they are definitely few and far between!! (As evidenced by all of the envious comments I get from vet school classmates whenever I post anything about my job!!)