It's interesting--I would never have thought I would be in favor of limited licensure before I became a vet student. In my mind, part of the nobility of being a veterinarian is/was that of caring for all species. I've been toying with the philosophy for about a year now, and it's only in the past 3-4 weeks that I've really found myself settling on one side of the debate.
sumstorm, of course I understand why logistically this would be extremely difficult--and yes, especially for catering to the entire applicant base. Believe me, I hear you about relocating as a "mature" student--and I plan on doing it at least twice more for an internship and *knock on wood* residency. It's a pain and it sucks. Perhaps further education could include online/distance education/training for taking the licensing exam, instead of having to set foot back in vet school. Perhaps it would be a set number of contact hours with an approved clinician. Of course many doctors wouldn't WANT to do this--but plenty of them would. Perhaps there could be some sort of incentive or reimbursement program or something. As I said, there are many details that would need to be worked out (and I'm certainly not the one to do it!
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Of course I am painfully aware--after over a decade in referral practice, where every case we see is previously managed by another veterinarian--that there is some bad, bad medicine out there. However, if we started with limited licensure, I think that fewER people would be practicing archaic medicine.
As I said before, limited licensure can have many different manifestations. To those who want to change their minds uup through fourth year--okay, why not? Sure, you're able to change your mind--but you'll still go through an exam that's more rigorous than NAVLE section X on subject X, and you'll ONLY have to study for/take the section X. However, you'll know X in much more detail than required by the NAVLE. You might not be as good at Y, but that's okay--unless sometime down the road you change your mind again, or get hurt, or whatever and then are held to the same standards as new graduates entering into field Y. You'll have read study materials for the Y exam, perhaps taken a couple of online classes, shadowed at a local Y practice or at the vet school if it's close enough, and take the exam when you feel prepared. Whether that's two weeks or two months or whatever later is up to you.
Here's just an example for you. This week, we had three exams: virology, radiology, and cardiology. Now, the cardiology section is the ONLY cardiology we get before fourth year. (Of course small amounts of it are present in classes like pharmacology, etc, but actually identifying, diagnosing and treating cardiac disease in small animal patients--this was it.) How much time did we have? 15 lectures. 15 hours TOTAL of cardiology. One hour on arrythmias. One hour on ECGs. Two hours on heart failure (one on pathophysiology and one on actually doing something about it). Three hundred pages of notes for the three-week cardio section, and we were held responsible for exam material on all of it.
Which is fine, but I also had to cram 30+ pig viruses in my head for my virology exam three days prior. Same amount of time on pig viruses as small animal cardiology.
Pig viruses are very important, they're interesting, and they're extremely relevant. As a scientist, I--like all of you--have an almost insatiable curiosity about all things medical/animal. I found it very interesting.
However, would my time have been better used by hearing 15 more hours of lectures on small animal cardiology, when I'm never going to touch a pig that's not on a fork or in a bun for the rest of my life? Are the future swine practitioners well-served by shoving all the stuff about pig viruses to the side so they can cram in 300 pages of small animal cardiology?
Therre's simply TOO MUCH INFORMATION out there now. Fifty years ago, in all honesty, people didn't know a whole lot. There were no molecular diagnostics to develop or interpret. Hell, there were barely any antibiotics.
The amount of knowledge has increased oh, I don't know, maybe ten times? And that's a conservative estimate. Yet the length of our education remains the same.
That seems like a problem to me. How else to fix it? make vet school five years, and incur even more astronomical debt?