DISCUSS: News on Future veterinary schools

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I'm writing a letter to local newspapers that I'll be sending by the end of the week. Several people are already giving me good feedback on the very rough first draft.

I will say Bob Mutaugh did suggest the prerequisite should be a bachelor's in vet technology and not something like animal science (pretty close to his actual words). But as Mixy said, there's nothing in the actual Colorado law that states that. And scope of practice was just defines as "responsible supervision" with no definition as to what that means. He also stated they are purposely vague in what the position would do to avoid the limitations that technicians face.

Basically shady AF.

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I am ambivalent about the whole mid-level thing. I don't really know if it is viable, but I sympathize with small practitioners that cannot accommodate their patient loads at prices which fit the local supply/demand/cost of living profile. I think what makes a whole lot of practitioners nervous is not so much that someone with that level of training will one day do a few cat neuters and the next day go rogue and start performing total hip replacements, but, just like vaccine and pharmacy income, the really basic stuff like hot ears, itchy, allergic pets, loose stools in otherwise happy pets. and (admit it) cat neuters will be siphoned off and DVMs will be expected to do what we always say we want to do: "real doctoring". One appointment after another of vomiting, diarrhea, not eating, not herself, and weight loss with no obvious abnormalities on physical examination, blood work/urinalysis, and radiographs. Fracture repairs. Stifle problems. Subtle abnormalities on imaging. All the stuff we were told to refer while we were in vet school. The few overnight emergency vets I talk to tell me that a good portion of their caseloads are GP stuff on the night shift. A lesser percentage is stabilizing the pet until one specialist or another shows up, and even fewer require immediate heroic action. From what I gather from various veterinary forums the solution to dissatisfaction with veterinary practice is to "pay everyone what they're worth" and "leverage our underutilized technicians". How does one go about doing that when it seems that everything falls on the pet owner and none of it on our training itself? "The curriculum is too full." "Change in academia is like turning around an aircraft carrier." I'm not concerned about the supposed threat of some mid-level practitioner because obviously my training is the best and most varied that veterinary medicine can provide--of that I can be assured.

1. The prices of veterinary care are not going to change because of mid-levels. They will model the human model where you (and your insurance) still pays the same price for an PA or NP as you would to see an MD or DO. You really think Banfield is going to reduce the price of an exam because a mid-level is seeing the pet instead of the DVM? LOL. Not going to happen. This is being significantly boosted by corporate clinics because they want to pay a mid-level a lower salary while still bringing in the same income.

2. Allergies, ears, vaccines, spays, neuters, etc are "real doctoring". Some people went to vet school to be a GP. They want to see those vaccines, the puppy/kitten exams, develop a relationship with clients and watch the pet grow from young age to old age. They want to be there the entire time, doing the "simple" things as well as the more complex. That is the benefit of GP, that you have some more "simple" things sprinkled in throughout the day to break up the more complex cases. GP's don't want all non-stop in-depth, difficult cases. If they did they would go to ER or to into specialty medicine.

3. The way the VPA law reads, they will be doing much more than cat neuters. Heck, there was an entire question/answer session with the main jerk promoting this because it will make him a ton of money if it goes through. He even stated they will be able to do all surgeries: spays, neuters and even splenectomies. These people aren't even going to receive a detailed anatomy course, let alone a detailed anesthesia course. Everyone should be strongly against these people from doing ANY surgery even a "simple" cat neuter.

4. We need to focus on creating a solid explanation on what a veterinary technician is. We need to stop accepting on the job trained high school students as the equivalent of a credentialed vet tech. Creating regulation on what a veterinary technician is similar to how nurses are classified, will increase their status significantly.

5. You should be terrified of this VPA legislature in Colorado. You may be better trained and more experienced, but that doesn't matter in the eyes of 90+% of small animal clinical employers. The vast majority of employment in our field is via corporate entities. They don't give two poops about how credentialed you are. They care about income and if a VPA can do your job (which based on this legislature there is NO limit on what they can do) for less money while they can charge the same cost to the client they are going to jump on that. Veterinarians will become obsolete, it will become significantly more difficult to even find a job at all. They will hire 3-4 of these people with literally a high school level understanding of veterinary medicine post their pathetic 3 semesters of online only instruction and expect you to "supervise" all of them. You will be responsible for every move, decision, surgery, medication prescribed, etc. Every single thing they do. The VPA has zero liability if they make a mistake, instead you will be drug over the coals, fined and potentially lose your license. The corporate clinic won't care though, because there will be a lot of vets waiting to fill your position because it will become difficult for vets to get employed. This should beyond terrify every veterinarian ever. The only ones it does not terrify are those that will benefit from a VPA financially. Those that are high up in corporate practices and will never be required to oversee these minimally trained VPAs.

As veterinarians, if this were to pass, we'd be better off to go get the dang VPA and get hired as and function as a VPA instead of a DVM. You won't have to be liable for anything anymore. You won't have to oversee people who have only a high school level understanding of veterinary medicine. You won't have to worry about a VPA dropping a pedicle and a patient bleeding out. You will have a better chance of getting hired as a VPA than a DVM as once there are enough VPAs out there, clinics will minimally hire DVMs to reduce employee costs.

The whole thing is a terrible idea. It has ruined human medicine and if you spend any time in human medicine forums, they will all resoundingly tell you to fight this with every ounce of strength you possibly can, because they didn't and it has screwed them over.
 
Veterinarians will become obsolete, it will become significantly more difficult to even find a job at all. They will hire 3-4 of these people with literally a high school level understanding of veterinary medicine post their pathetic 3 semesters of online only instruction and expect you to "supervise" all of them.
This is what I envision happening. I can totally see this becoming a thing where a single DVM acts as a medical director for several corporate hospitals within a city/region that are staffed by only VPAs. This is already a booming business model in human 'clinics' that offer certain types of pseudo-medical (or sometimes actual medical) services. Some of the people that operate these clinics have no significant medical training at all, but are dispensing meds/giving treatments that are 'prescribed' by an MD/DO medical director that was never even in the building, has never seen the patient, doesn't even know the patient is there seeking services. They just plug and chug through an algorithm. $$$$$ in with less overhead (Edit: And the 'medical director' rakes in the cash too).

We need to focus on creating a solid explanation on what a veterinary technician is. We need to stop accepting on the job trained high school students as the equivalent of a credentialed vet tech. Creating regulation on what a veterinary technician is similar to how nurses are classified, will increase their status significantly.
100%. I still support the 'veterinary nurse' movement, honestly.
 
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4. We need to focus on creating a solid explanation on what a veterinary technician is. We need to stop accepting on the job trained high school students as the equivalent of a credentialed vet tech. Creating regulation on what a veterinary technician is similar to how nurses are classified, will increase their status significantly.
Aaaaaaand give them title protection! People should not call themselves a technician if they are not, in fact, credentialed. If we can get THAT push going then hopefully we can fight for title protection and retain the credentialed technicians. I understand that practice acts don't all title protect, but isn't that the POINT of making the change and not identifying as a tech when you aren't educated and trained to be one? The change has to start somewhere, and it starts with a willingness to identify the issue and each of us change the behavior to get to our desired goal (doctors having adequate support staff of all levels AND keeping them long term).

This is a major soapbox for me, apologies. Back to our regularly scheduled criticism of the VPA role.
 
Aaaaaaand give them title protection! People should not call themselves a technician if they are not, in fact, credentialed.
I don't necessarily disagree with you. At the risk of derailing though, I wonder how many 'techs' this would affect in states where credentials are not required to be a 'tech.'
 
I don't necessarily disagree with you. At the risk of derailing though, I wonder how many 'techs' this would affect in states where credentials are not required to be a 'tech.'
I think that's the point, though. I was one of those people for years, and then I took the VTNE through an OJT pathway just after COVID. I passed boards without a degree, but I passed the same exam as everyone else. I think OJT people need to be grandfathered in to help avert the shortage, quite a few states have or have had those pathways in the past (CA coming to mind as the biggest numerically) where we can't transfer our credentials from state to state. It has to start somewhere, and some population of people won't like it, but I don't see another alternative to moving along title protection (and subsequently better pay and more advancement opportunities for credentialed staff).
 
This is on the first page, but can go here too lol. It's really silly (derogatory) that it really does all come back to money. Well, money for everyone except the Doctors, Techs, Assistants, Owners, ya know the people with a real stake in it.



Spongebob Squarepants Money GIF
 

Letter from a previous shelter vet at the major shelter pushing this initiative. I'm glad to see there are some shelter vets out there that don't agree with this.

As an aside, the Denver Dumb Friends League spent $1 million on this. How many animals would this have saved?
 

Letter from a previous shelter vet at the major shelter pushing this initiative. I'm glad to see there are some shelter vets out there that don't agree with this.

As an aside, the Denver Dumb Friends League spent $1 million on this. How many animals would this have saved?
Past shelter tech, future shelter vet and I 100% disagree with this.
Edit: disagree with the midlevel position
 
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Would you be willing to share more information about your take on this? What part do you disagree with ?
1. Creating a mid level position has worked out terribly for human medicine. Corporations benefit because they can see more patients and spend less money yet multiple studies show that patient care has drastically declined.
2. The argument I see for shelter medicine is that there would be more people to perform spay neuter surgeries. The problem isn’t that there is a lack of vets to perform these procedures it’s about distribution to rural areas. We have people drive to UF for us to s/n shelter animals from rural counties because they don’t have a vet there. But here there are many willing vets/residents/intern students to do it. Performing surgery requires a deep understanding of the anatomy and proper surgical technique. If I’m going to be honest I wouldn’t even say a 4 year education at a vet school as it is now is enough to graduate people completely confident at these surgeries. Adding a mid level position that requires half of the time to complete is not going to create someone competent enough to perform major abdominal surgery IMO. Not every spay is routine, especially in shelter medicine when you have little to no history or diagnostics. Neuters are not without complications either I have seen urethral ligation before. The solution to animal overpopulation is ethical breeding and regulation not this.
3. As many people have pointed out - we do not utilize veterinary technicians to their greatest capacity in most instances.
Creating this position as usual benefits large money hungry corporations and harms staff and pets.
 
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1. Creating a mid level position has worked out terribly for human medicine. Corporations benefit because they can see more patients and spend less money yet multiple studies show that patient care has drastically declined.
2. The argument I see for shelter medicine is that there would be more people to perform spay neuter surgeries. The problem isn’t that there is a lack of vets to perform these procedures it’s about distribution to rural areas. We have people drive to UF for us to s/n shelter animals from rural counties because they don’t have a vet there. But here there are many willing vets/residents/intern students to do it. Performing surgery requires a deep understanding of the anatomy and proper surgical technique. If I’m going to be honest I wouldn’t even say a 4 year education at a vet school as it is now is enough to graduate people completely confident at these surgeries. Adding a mid level position that requires half of the time to complete is not going to create someone competent enough to perform major abdominal surgery IMO. Not every spay is routine, especially in shelter medicine when you have little to no history or diagnostics. Neuters are not without complications either I have seen urethral ligation before. The solution to animal overpopulation is ethical breeding and regulation not this.
3. As many people have pointed out - we do not utilize veterinary technicians to their greatest capacity in most instances.
Creating this position as usual benefits large money hungry corporations and harms staff and pets.
Thank you! I originally misunderstood and thought you were pro creating the midlevel. You make a lot of great points about shelter med that I hadn’t even considered though so I really appreciate the perspective
 
Thank you! I originally misunderstood and thought you were pro creating the midlevel. You make a lot of great points about shelter med that I hadn’t even considered though so I really appreciate the perspective
Hahah I thought about how I wasn’t really clear in my original comment and went back and edited it! Thank you, I’m very passionate about ethical animal sheltering and I believe a midlevel position would be detrimental to it.
 
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Honestly curious has anyone encountered anyone in their real life that is PRO creating the midlevel? Like how has this proposition even made it this far I haven’t been able to meet a single person who wants it?
 
Honestly curious has anyone encountered anyone in their real life that is PRO creating the midlevel? Like how has this proposition even made it this far I haven’t been able to meet a single person who wants it?
Oh they’re out there. Check out the comments.
 
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Honestly curious has anyone encountered anyone in their real life that is PRO creating the midlevel? Like how has this proposition even made it this far I haven’t been able to meet a single person who wants it?
My understanding is they couldn’t get it passed through usual regulatory/vet channels, which is why they’ve made it a ballot initiative. They’re banking on uneducated laypeople seeing it on a ballot and thinking “well that sounds nice” to get it passed and forcing it through that way, when nearly everyone I’ve talked to actually in the industry is opposed.
 
My understanding is they couldn’t get it passed through usual regulatory/vet channels, which is why they’ve made it a ballot initiative. They’re banking on uneducated laypeople seeing it on a ballot and thinking “well that sounds nice” to get it passed and forcing it through that way, when nearly everyone I’ve talked to actually in the industry is opposed.
This is exactly it. Particularly with how we have an actual veterinarian in our congress
 
Honestly curious has anyone encountered anyone in their real life that is PRO creating the midlevel? Like how has this proposition even made it this far I haven’t been able to meet a single person who wants it?
I know people who are pro the mid-level position, I am in support of VTS being the first population to have access to this type of role, but not at the current time and not without taking proper steps to recognize, protect, and utilized credentialed technicians first. Most of the people, myself included, feel that this is a ~10+ year plan and we need to correct the current deficiencies in the field first before we introduce another factor that will exponentially negatively impact the profession. It's possible that if we elevated credentialed staff, and also elevate VTS to both work at the top of their scope of practice and knowledge / skill level, we may not need a mid-level role at all.
 
Honestly curious has anyone encountered anyone in their real life that is PRO creating the midlevel? Like how has this proposition even made it this far I haven’t been able to meet a single person who wants it?
Yes I do know some in academia/shelter world/corporate and even some private veterinary clinic owners who are pro-this. Typically people who are not associates who are in the trenches doing the work. They tend to be admin role people who cannot see the problems that are so clearly obvious to the worker bee veterinarians. There are some clinic owners who are solo docs who have not been able to hire for years, who feel like they would love to have a mid level person who takes their WellCare and skin/ears/diarrhea type cases, while they do more involved things.
 
Yes I do know some in academia/shelter world/corporate and even some private veterinary clinic owners who are pro-this. Typically people who are not associates who are in the trenches doing the work. They tend to be admin role people who cannot see the problems that are so clearly obvious to the worker bee veterinarians. There are some clinic owners who are solo docs who have not been able to hire for years, who feel like they would love to have a mid level person who takes their WellCare and skin/ears/diarrhea type cases, while they do more involved things.
I saw a Facebook page where someone brought this up. And the great counterpoint I saw was, "If you're paying them 100k, might as well hire a doctor."
 
I saw a Facebook page where someone brought this up. And the great counterpoint I saw was, "If you're paying them 100k, might as well hire a doctor."
Honestly, doubtful any of these people will actually be hired for $100k as vets become saturated. I suspect vet salaries will become depressed. And once vets are easily hired with lower salaries, there really won’t be much need to hire mid levels when what the clinic really needs are technicians. Supply and demand is a thing.
 
The unfortunate news that Colorado passed Prop 129 is hurting my heart for our profession
Does anyone know the true implications of this passing? like how fast will these programs pop up? is it still possible to stop it?
 
Does anyone know the true implications of this passing? like how fast will these programs pop up? is it still possible to stop it?
Coupled with what will happen in DC, no. This is bad, like real real bad.
 
Does anyone know the true implications of this passing? like how fast will these programs pop up? is it still possible to stop it?
There's ALOT to still flesh out. It's illegal for them to prescribe and is in direct conflict with the practice act so tbd. Honestly the job market for this position is abysmal
 
Going to work on regulating it to the point of being non-functional now
 
Many regulatory agencies are about to be completely gutted by the incoming administration. Regulations aren't about to be worth the paper they're printed on.
oh yes of course. I did not know if they also had a proposition like CO. I am truly scared for the field and hate that I have even considered taking a different path because this feels like my calling :/ it is all so disheartening to see
 
oh yes of course. I did not know if they also had a proposition like CO. I am truly scared for the field and hate that I have even considered taking a different path because this feels like my calling :/ it is all so disheartening to see
Yah, me too friend. I can't even understand what's about to go down.
 
oh yes of course. I did not know if they also had a proposition like CO. I am truly scared for the field and hate that I have even considered taking a different path because this feels like my calling :/ it is all so disheartening to see
Right there with you too. I am in a dark place right now.
 
Okay so this is a 10000% doomer post, but I want to put it out there.

Pitch to me why I should care about practicing in the US at this point. With the pending oversaturation, mid-level position, and whatever the heck the next admin will bring, I'm not seeing reasons to want to stay here. Obviously not everyone can move abroad, but at this rate why not at least entertain the idea of not staying.
 
Okay so this is a 10000% doomer post, but I want to put it out there.

Pitch to me why I should care about practicing in the US at this point.
I’m right there with you. I don’t think it’s pessimistic, I think it’s just being realistic. My parents are already moving out of the country in a few years when they retire, and one of my siblings has left the country, too, so there’s not a lot keeping me here.

I’m leaning toward Canada after I finish my rotating internship next year, but I also know Canada is severely reducing immigration numbers over the next few years, so who knows if that will be a viable option.
 
I have response in the affirmative, but need to wait until after family time at trivia.
 
How will these schools be staffed??? From the sound of it, most schools as is are experiencing a shortage of staffing. I’m assuming a lot of poaching will occur from universities and specialty hospitals, but I’m concerned that we can’t even support the classes already in existence let alone 10+ more within 3 years
 
This makes me physically ill
Can we as veterinary professionals just agree to not hire these people? Like sure you can go get this degree since the state allowed it, but that doesn’t mean anywhere is required to hire you as that title and allow you to perform those duties.
 
Can we as veterinary professionals just agree to not hire these people? Like sure you can go get this degree since the state allowed it, but that doesn’t mean anywhere is required to hire you as that title and allow you to perform those duties.
I will personally refuse to work anywhere that entertains this.
 
Can we as veterinary professionals just agree to not hire these people? Like sure you can go get this degree since the state allowed it, but that doesn’t mean anywhere is required to hire you as that title and allow you to perform those duties.
I think that it will be mainly corporate hospitals, such as Banfield, that will hire these VPAs.
 
I think that it will be mainly corporate hospitals, such as Banfield, that will hire these VPAs.
They may be hired but they still require a willing veterinarian to work under, and I doubt any self-respecting veterinarian would risk their license (and reputation) to hire someone in this position to perform these procedures.
I know BluePearl at least has internal medical directors, usually board certified doctors, who who would not allow this to occur under their license, even if the company decided to hire these individuals
 
They may be hired but they still require a willing veterinarian to work under, and I doubt any self-respecting veterinarian would risk their license (and reputation) to hire someone in this position to perform these procedures.
I know BluePearl at least has internal medical directors, usually board certified doctors, who who would not allow this to occur under their license, even if the company decided to hire these individuals.
It's got nothing to do with self-respect and all to do with how the field runs now, and how it will run in the future. If I didn't want my license to be at risk by someone else's actions, I wouldn't be able to work in small animal medicine as it is now. We do already take this risk on a daily basis just by having techs, assistants, etc. work under us (it was actually a huge point of contention for some of us at BP, but this is where the benefit of corporate legal support comes in). Many vets have gone through lawsuits and board complaints over the actions of support staff already. I still don't support a mid-level and do think the risk with this position may be greater/different, but raise your hand if you've been sued and/or taken to the board over a mistake, bad judgement, negligence, etc. on the part of a tech or assistant :hello: People don't understand this until they are a DVM and receive their first board complaint or legal paperwork, and support staff often don't fully realize the gravity of it until they've made a mistake and their doctor gets all the heat for it.

MDs/DOs are in this position with PAs, nurses, etc. and it's become a fact of life for them (although PAs and nurses can actually held liable on their own, and should/do have their own malpractice insurance as well). As we run techs out of the field, and if/when DVM jobs start to become more scarce, vets may have no choice but to work with a midlevel if the position expands. The added risk and responsibility on our parts will just become a fact of life for us as well.

Edit: And if we want to be honest here, there is a good chance that a future midlevel position would be more regulated than the 'technician' position is in the state of FL currently (and whatever other states are similar to FL in that regard). Just something to think about.
 
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Okay, didn't show up with my thoughts last night. But I have general thoughts and specific thoughts with quotes.

General thoughts:
1. There's a lot going on politically obviously, and a lot of it was surprising coming out of the election. There's a lot of soul searching that has to happen in both major political parties (federally and locally) over the next few months as things get set up and post-mortems are conducted. I have a great list of political podcasts that I listen to daily to give some wider context to a lot going on, particularly in regards in how demographics have shifted. I'll list them if anyone is interested. Not for nothing, the next set of midterms are in two years and there can be complete change once again. I'm not going to start any political threads. Not sure we would be able to keep a politics thread open in pre-vet without it getting moved to SPF anyways, and there's already a thread for everything there anyways. Suffice it to say, I view things as "what's done is done" and "a lot of people changed their minds compared to the last elections". That's all I got to say about that (I would insert a Forrest Gump gif, but I don't know how....)

2. I firmly believe that if the US could go through the decades from 1855 to 1965 without our representative democracy dissolving, then we as a nation can get through the next 2-4+ years too. In that time we had the Civil War, WWI, the Great Depression, WWII, and the Civil Rights Movement with a lot of other things happening as sub-topics to pretty much all of those big events. During that time, we did a lot of terrible things to innocent people in the name of the greater good; some of those moves were the right thing to do, some were not. During that time, we did a lot of amazing things in the name of the greater good; some of those moves were the right thing to do, some maybe were not.

Even though most of my votes were for naught (I reeeeaaaaaalllllllllllllly wanted ranked choice voting 🙁 ), I still feel that we as a society will get through this. We're just going to have a bad time about it.

3. Not for nothing, there's a lot of positives about living in the US compared to even our peer nations. For anyone considering moving to another nation, I would consider the fact that the world over has had a similar political shift as we have with weaker constitutional mandates, less stable nation-neighbors, and their own idiosyncratic issues with sexism, racism, xenophobia, etc. On a macro-level, the thing we suck most at is healthcare (including public health initiatives). There's a big benefit to having two big oceans on either side of you, a super friendly neighbor to the north, and a militarily weaker semi-friendly neighbor to the south. I personally would only consider moving somewhere like Australia right now; husband already looked into it because (I **** you not) we love Bluey so damn much. Spoiler alert, it's really hard to move to Australia. So here I am in the middle of the US.

Now, specific thoughts:

The unfortunate news that Colorado passed Prop 129 is hurting my heart for our profession
Super unfortunate. CPR is showing that the proposition passed pretty handily too, unfortunately. 52.3% to 47.6%, which is pretty significant. As a Coloradoan, I will say there was not much of a ground game on either side in my area: I heard 1 radio ad against the prop, no yard signs anywhere, a handful of op-eds for and against. I did have about a dozen friends contact me to see how I felt and they spread the word for me. My grandpa drives uber as a retired dude and spread the word to literally every single person he drove.

I did see ads against it on Instagram with a lot of people stating they were going to vote for it. Obviously hard to take that seriously since, ya know, social media is fake as hell. But it was apparently real enough.

Everywhere else, the state VMAs and AVMA are really going to have to clarify the ballot measure wording and get a solid ground game out there. I strongly encourage everyone from pre-vet to million year old doctors to contact their state VMAs to head this off and volunteer if you can when it comes to your state.
Does anyone know the true implications of this passing? like how fast will these programs pop up? is it still possible to stop it?
There is only 1 program in the country that currently accepts students (at LMU I believe) and CSU has a tentative program set up. Apparently other schools are considering, but haven't pulled the trigger. So just from a program perspective, this is a ways out (probs a minimum of 2-3 years). From the perspective of setting this up, @MixedAnimals77 is 100% correct that this will also take a while to set up from a regulatory perspective. And while @VeggieTrex mentioned that regulatory agencies may be cut on the federal level, states get to have stricter rules than the federal government, and this is absolutely a states issue thing. So even if every federal agency is cratered into a Libertarian waste land, states will not necessarily follow that pattern.

With that in mind, I will be contacting local Congressional leaders of any kind in my state to encourage them to basically regulate the VPA position into a non-functional state. As was mentioned, the VPA cannot prescribe drugs; then why the hell are they there? Even if they're trained to do spays, it's not like they can even legally prescribe/use the propofol, dexmed, hydro, or cefazolin I would use for that surgery. So a vet will have to literally hold their hand every step of the way in that regard. So if we make it that the overseeing veterinarian also has to do their own PE in order to prescribe the drugs the VPA thinks is necessary, then it makes them an expensive redundancy.

If this actually comes to fruition, I will take the following steps:
1. Never, ever write a positive letter of recommendation for someone seeking acceptance to a VPA program. Ever.
2. I will have in my contracts that I will never lead or oversee a VPA.
3. I will leave this job I love (if I can) to go join the private practices in the area that opposed the VPA position or go into academia.
- 3a. If I go into academia, I will actively steer students away from the VPA position.
Okay so this is a 10000% doomer post, but I want to put it out there.

Pitch to me why I should care about practicing in the US at this point. With the pending oversaturation, mid-level position, and whatever the heck the next admin will bring, I'm not seeing reasons to want to stay here. Obviously not everyone can move abroad, but at this rate why not at least entertain the idea of not staying.
For general politics stuff, see my points above.

As far as the pending oversaturation and VPA, you got me there to a certain extent. Anyone graduating in the 3-5 years will likely be okay. I would not want to be the class of 2030 onwards though. We won't know a lot until we know:
1. What the AVMA COE is going to do in regards to all these new schools trying to open and all these old schools increasing seats.
2. What the federal government is going to do with the Dept of Education and student loans.

And then a ton of that can change in 2 years with the midterms too. So we're kinda in a hang out and see situation. I'm personally not going to change my basic recommendation to pre-vets of:
1. Go to the cheapest school. There is no such thing as a "dream school" in this profession with the debt-to-income ratio the way it is now and how it will likely worsen. Unfortunately, this also goes for any student that is not a white middle-class suburban female (aka the average pre-vet matriculant); the decision that minorities will have to make will be deeply personal in whether 350k+ in tuition is worth a 90k salary or less to go to what they individually perceive as a safer school to go to. My personal limit was 300k when I started school; now that I'm on the other side 3.5 years out, I'm absolutely lucky I got my sister's life insurance policy, which paid for half my schooling. As it stands, if I had had the 282k I was originally supposed to graduate with, I would be ****ed. Straight up, this profession is not worth 300k from an objective perspective. If I take out all the emotion (how I wanted to be a vet since I was little, how much I like my job, etc.), I cannot encourage students to join this profession with the cost of education as it is now for OOS students.
2. Apply smart. Schools are only going to become more competitive with NAVLE scores as poor as they have been. Don't donate an application fee to a school you have nominal chances of being accepted at.
How will these schools be staffed??? From the sound of it, most schools as is are experiencing a shortage of staffing. I’m assuming a lot of poaching will occur from universities and specialty hospitals, but I’m concerned that we can’t even support the classes already in existence let alone 10+ more within 3 years
Great question! Not a single one of my friends who have been recently boarded are joining academia. And poaching will be difficult from private practice when folks are making the money they are there. Academia certainly cannot support the load of 10-13 new schools. Not for nothing, a silver lining of the Dept of Ed being cut will be that universities will be less motivated to add either vet schools or VPA programs cause they won't be able to afford to.
I think that it will be mainly corporate hospitals, such as Banfield, that will hire these VPAs.
Not so fast. The biggest supporter of the VPA position from within Colorado was the Denver Dumb Friends League, the oldest shelter in the Denver Metro Area. They put forward 1 million dollars towards promoting the proposition (out of their 32 million dollar budget). I have never personally liked the DDFL (family reasons), but now I will actively never promote their adoption programs ever again. The only thing I will do is support the CSU Spur program, where CSU and the DDFL have joined together for community veterinary care.
but raise your hand if you've been sued and/or taken to the board over a mistake, bad judgement, negligence, etc. on the part of a tech or assistant :hello:
Close friend at my old clinic was taken to the board 2 years out from graduation because his overnight tech administered 12 hours of lidocaine in about 12 minutes. Dog survived without issues ultimately, but this was before technician title protection in Colorado. So even though she was the one who set up the pump incorrectly, it all fell on him.
 
Okay, didn't show up with my thoughts last night. But I have general thoughts and specific thoughts with quotes.

General thoughts:
1. There's a lot going on politically obviously, and a lot of it was surprising coming out of the election. There's a lot of soul searching that has to happen in both major political parties (federally and locally) over the next few months as things get set up and post-mortems are conducted. I have a great list of political podcasts that I listen to daily to give some wider context to a lot going on, particularly in regards in how demographics have shifted. I'll list them if anyone is interested. Not for nothing, the next set of midterms are in two years and there can be complete change once again. I'm not going to start any political threads. Not sure we would be able to keep a politics thread open in pre-vet without it getting moved to SPF anyways, and there's already a thread for everything there anyways. Suffice it to say, I view things as "what's done is done" and "a lot of people changed their minds compared to the last elections". That's all I got to say about that (I would insert a Forrest Gump gif, but I don't know how....)

2. I firmly believe that if the US could go through the decades from 1855 to 1965 without our representative democracy dissolving, then we as a nation can get through the next 2-4+ years too. In that time we had the Civil War, WWI, the Great Depression, WWII, and the Civil Rights Movement with a lot of other things happening as sub-topics to pretty much all of those big events. During that time, we did a lot of terrible things to innocent people in the name of the greater good; some of those moves were the right thing to do, some were not. During that time, we did a lot of amazing things in the name of the greater good; some of those moves were the right thing to do, some maybe were not.

Even though most of my votes were for naught (I reeeeaaaaaalllllllllllllly wanted ranked choice voting 🙁 ), I still feel that we as a society will get through this. We're just going to have a bad time about it.

3. Not for nothing, there's a lot of positives about living in the US compared to even our peer nations. For anyone considering moving to another nation, I would consider the fact that the world over has had a similar political shift as we have with weaker constitutional mandates, less stable nation-neighbors, and their own idiosyncratic issues with sexism, racism, xenophobia, etc. On a macro-level, the thing we suck most at is healthcare (including public health initiatives). There's a big benefit to having two big oceans on either side of you, a super friendly neighbor to the north, and a militarily weaker semi-friendly neighbor to the south. I personally would only consider moving somewhere like Australia right now; husband already looked into it because (I **** you not) we love Bluey so damn much. Spoiler alert, it's really hard to move to Australia. So here I am in the middle of the US.

Now, specific thoughts:


Super unfortunate. CPR is showing that the proposition passed pretty handily too, unfortunately. 52.3% to 47.6%, which is pretty significant. As a Coloradoan, I will say there was not much of a ground game on either side in my area: I heard 1 radio ad against the prop, no yard signs anywhere, a handful of op-eds for and against. I did have about a dozen friends contact me to see how I felt and they spread the word for me. My grandpa drives uber as a retired dude and spread the word to literally every single person he drove.

I did see ads against it on Instagram with a lot of people stating they were going to vote for it. Obviously hard to take that seriously since, ya know, social media is fake as hell. But it was apparently real enough.

Everywhere else, the state VMAs and AVMA are really going to have to clarify the ballot measure wording and get a solid ground game out there. I strongly encourage everyone from pre-vet to million year old doctors to contact their state VMAs to head this off and volunteer if you can when it comes to your state.

There is only 1 program in the country that currently accepts students (at LMU I believe) and CSU has a tentative program set up. Apparently other schools are considering, but haven't pulled the trigger. So just from a program perspective, this is a ways out (probs a minimum of 2-3 years). From the perspective of setting this up, @MixedAnimals77 is 100% correct that this will also take a while to set up from a regulatory perspective. And while @VeggieTrex mentioned that regulatory agencies may be cut on the federal level, states get to have stricter rules than the federal government, and this is absolutely a states issue thing. So even if every federal agency is cratered into a Libertarian waste land, states will not necessarily follow that pattern.

With that in mind, I will be contacting local Congressional leaders of any kind in my state to encourage them to basically regulate the VPA position into a non-functional state. As was mentioned, the VPA cannot prescribe drugs; then why the hell are they there? Even if they're trained to do spays, it's not like they can even legally prescribe/use the propofol, dexmed, hydro, or cefazolin I would use for that surgery. So a vet will have to literally hold their hand every step of the way in that regard. So if we make it that the overseeing veterinarian also has to do their own PE in order to prescribe the drugs the VPA thinks is necessary, then it makes them an expensive redundancy.

If this actually comes to fruition, I will take the following steps:
1. Never, ever write a positive letter of recommendation for someone seeking acceptance to a VPA program. Ever.
2. I will have in my contracts that I will never lead or oversee a VPA.
3. I will leave this job I love (if I can) to go join the private practices in the area that opposed the VPA position or go into academia.
- 3a. If I go into academia, I will actively steer students away from the VPA position.

For general politics stuff, see my points above.

As far as the pending oversaturation and VPA, you got me there to a certain extent. Anyone graduating in the 3-5 years will likely be okay. I would not want to be the class of 2030 onwards though. We won't know a lot until we know:
1. What the AVMA COE is going to do in regards to all these new schools trying to open and all these old schools increasing seats.
2. What the federal government is going to do with the Dept of Education and student loans.

And then a ton of that can change in 2 years with the midterms too. So we're kinda in a hang out and see situation. I'm personally not going to change my basic recommendation to pre-vets of:
1. Go to the cheapest school. There is no such thing as a "dream school" in this profession with the debt-to-income ratio the way it is now and how it will likely worsen. Unfortunately, this also goes for any student that is not a white middle-class suburban female (aka the average pre-vet matriculant); the decision that minorities will have to make will be deeply personal in whether 350k+ in tuition is worth a 90k salary or less to go to what they individually perceive as a safer school to go to. My personal limit was 300k when I started school; now that I'm on the other side 3.5 years out, I'm absolutely lucky I got my sister's life insurance policy, which paid for half my schooling. As it stands, if I had had the 282k I was originally supposed to graduate with, I would be ****ed. Straight up, this profession is not worth 300k from an objective perspective. If I take out all the emotion (how I wanted to be a vet since I was little, how much I like my job, etc.), I cannot encourage students to join this profession with the cost of education as it is now for OOS students.
2. Apply smart. Schools are only going to become more competitive with NAVLE scores as poor as they have been. Don't donate an application fee to a school you have nominal chances of being accepted at.

Great question! Not a single one of my friends who have been recently boarded are joining academia. And poaching will be difficult from private practice when folks are making the money they are there. Academia certainly cannot support the load of 10-13 new schools. Not for nothing, a silver lining of the Dept of Ed being cut will be that universities will be less motivated to add either vet schools or VPA programs cause they won't be able to afford to.

Not so fast. The biggest supporter of the VPA position from within Colorado was the Denver Dumb Friends League, the oldest shelter in the Denver Metro Area. They put forward 1 million dollars towards promoting the proposition (out of their 32 million dollar budget). I have never personally liked the DDFL (family reasons), but now I will actively never promote their adoption programs ever again. The only thing I will do is support the CSU Spur program, where CSU and the DDFL have joined together for community veterinary care.

Close friend at my old clinic was taken to the board 2 years out from graduation because his overnight tech administered 12 hours of lidocaine in about 12 minutes. Dog survived without issues ultimately, but this was before technician title protection in Colorado. So even though she was the one who set up the pump incorrectly, it all fell on him.
I appreciate this thorough response you have definitely planted seeds and shifted my perspective on this issue. It’s so hard not to exist in a vacuum sometimes 😅
 
Bats coming in with such an amazing post!

Bats mentioned this but another thing I’ll reiterate as advice to prospective students is to really consider the debt and absolutely go to the cheapest school. Even before the election we were facing uncertainty in regards to loan repayment and loan forgiveness…we’re already dealing with drama relating to the SAVE plan after people were forced to move to SAVE after being on PAYE/REPAYE then it being blocked. I believe IBR was formed through Congress so hopefully it won’t be taken away like some of the newer plans have been removed, but many, many vets can only survive with our debt loads because of income driven repayment. The standard 10 yr payment for 300,000 loans is like $3,500/mo and even using the standard 25 year plan it’s over $2,100. Up that to 400k at some of those really expensive schools and you’re looking at $4700 and $3000, respectively. I hope there’s some form of income based repayment available forever and I do believe there’ll be something because these plans are so necessary and popular even outside of vet med, but without being too ‘doom-and-gloom’, I’d keep worst case scenario in mind until we see how things play out. I’m not saying to abandon the dream of being a vet, but be aware of what you may be facing before you take on those crazy loans that are as much as or more than a mortgage. If ever there was a time to go to the cheapest school, it’s now.

And with all the talk about leaving the country, also remember that vet salaries in other countries seem to be significantly lower than those in the US. Perhaps the right decision for some is to leave, but for those considering leaving after graduation, it may be even harder to pay the loans on lower non-US vet salaries. Just food for thought on how the debt can be restrictive.
 
And with all the talk about leaving the country, also remember that vet salaries in other countries seem to be significantly lower than those in the US. Perhaps the right decision for some is to leave, but for those considering leaving after graduation, it may be even harder to pay the loans on lower non-US vet salaries. Just food for thought on how the debt can be restrictive.
Came here to mention exactly this. In a lot of other countries it is not a doctoral degree. It’s a bachelors degree. You do not get doctor- level pay for our doctor-level loans. You get bachelors degree-level pay. In the UK the average new grad salary is about $45k. Even Canada is significantly lower than the US for starting vet salaries too.
 
Came here to mention exactly this. In a lot of other countries it is not a doctoral degree. It’s a bachelors degree. You do not get doctor- level pay for our doctor-level loans. You get bachelors degree-level pay. In the UK the average new grad salary is about $45k. Even Canada is significantly lower than the US for starting vet salaries too.
And in addition, there is a much higher tax rate at much lower income levels due to the extensive safety nets of those countries. You're not taking home that 45k. And if your loans are 2k/month, that's 24k of your 45k right there.
 
And in addition, there is a much higher tax rate at much lower income levels due to the extensive safety nets of those countries. You're not taking home that 45k. And if your loans are 2k/month, that's 24k of your 45k right there.
And in addition, there is a much higher tax rate at much lower income levels due to the extensive safety nets of those countries. You're not taking home that 45k. And if your loans are 2k/month, that's 24k of your 45k right there.
On top of those points - if you think the housing affordability crisis is bad in the US...

Not for nothing, there's a lot of positives about living in the US compared to even our peer nations. For anyone considering moving to another nation, I would consider the fact that the world over has had a similar political shift as we have with weaker constitutional mandates, less stable nation-neighbors, and their own idiosyncratic issues with sexism, racism, xenophobia, etc. On a macro-level, the thing we suck most at is healthcare (including public health initiatives). There's a big benefit to having two big oceans on either side of you, a super friendly neighbor to the north, and a militarily weaker semi-friendly neighbor to the south. I personally would only consider moving somewhere like Australia right now; husband already looked into it because (I **** you not) we love Bluey so damn much. Spoiler alert, it's really hard to move to Australia. So here I am in the middle of the US.
Echoing this. There are a lot of people on social media, vets or not, talking about moving to Australia, Canada, New Zealand, etc. Those countries are not necessarily some mythical paradise right now. Both Australia and Canada are cracking down (or will be, at least) on immigration numbers as well, and that potentially includes students.

I’m leaning toward Canada after I finish my rotating internship next year, but I also know Canada is severely reducing immigration numbers over the next few years, so who knows if that will be a viable option.
People always say 'I'm going to move to Canada' when something happens in the US. Canada is most likely about to get a really conservative government in their next election. Their healthcare system (which is a commonly cited reason for wanting to move there) can be great, but also also screws a lot of people over...to the point where there are avoidable/unnecessary deaths, lost wages, lost jobs, etc. in the context of free healthcare for all. It's also not '100% free healthcare across the board' like the average person thinks, and private insurance is often still needed to bridge the gap despite the taxes paid. If you have any type of chronic health issue, I highly recommend doing legitimate research on their healthcare system before you go to school or move to Canada (or any country with a similar set up).

I'd say a lot more on Canada in particular, but it might destroy the few shreds of anonymity I have left lol.
 
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Does anyone know what happens if fafsa is axed? Like if DT actually eliminates the department of education and fafsa doesn’t exist how would we get our loans? Through only private loan service providers like Sally Mae? What would this do to interest rates ?😅😅 I know it’s not happening immediately but this would be the difference of me being able to finish school or not so if anyone has any insight lmk
 
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