- Joined
- Feb 17, 2010
- Messages
- 24,118
- Reaction score
- 8,863
Vin users received this letter by e-mail from the co-founder of VIN. I found it to be extremely thorough and well-written, and addresses a number of points that consistently get discussed on this forum. Just really an FYI to pre-vets who aren't yet allowed on VIN!
Dear xxxxxxxxxxxxx
Three years ago, I sent my first VIN community New Year's message. Thanks to all who have written or called with comments, accolades and criticisms in response to the previous letters (2011, 2010, 2009). I look forward to hearing your thoughts on this year's message by phone, email, FAX, carrier pigeon or in this message board discussion. As we enter 2012 and I reflect upon the past few years, the state of the veterinary profession and the challenges facing colleagues, a professional dilemma increasingly consumes my thoughts and time. I hope you can help resolve my inner turmoil.
2011 was the VIN Community's 20th anniversary year. This year the VIN community turns 21. It seems like just yesterday that little VIN was born. Where did the time go?
In that time our (your and all VINners') community has grown from a few dozen to over 47,000 colleagues. On an average weekday, more than 12,000 login. If the sun is up in the Western Hemisphere it is rare for there to be fewer than 800 or 900 colleagues logged in. And the number rarely drops below 100-200 logged in when the sun is shining bright over the Eastern Hemisphere. VIN is truly a global community of colleagues.
Yes, our little baby is growing up. She still has a lot to learn and is far from refined, but there is no denying that we should be proud and feel personal satisfaction when we stand back and gaze upon VIN and the VIN community. I am also happy to report that the commitment to keep VIN and the VIN community independent - never to be sold to anyone who might commercialize it or betray the trust of colleagues - alluded to in my last New Year's letter has, after much ethical and legal discussion, been codified in updated VIN corporate by-laws and shareholder agreements. Barring any last minute concerns, I expect these to be signed and in place before the end of January. I'm not planning on dying anytime soon, but I feel good knowing that if I do, VIN and the VIN Community will not be at risk of being sold as a result of lack of succession and estate planning.
So, you ask, what's the problem, Paul? Why aren't you satisfied? Why do you feel restless and consumed by inner turmoil?
Here is my dilemma. More than any other time in my 32 years in veterinary medicine, I am deeply concerned about the future we are paving for our profession. During the late 1990's and early 2000's it felt like veterinary medicine stood on the cusp of a Golden Age. Specialty medicine and cutting edge technologies were becoming available in most communities. Practice management philosophy promised an era in which veterinarians could practice the highest levels of medicine and raise revenues as never before. Large animal veterinarians were in increasing demand.
Yet, in retrospect it is becoming clear that we ignored the warning signs and misjudged the consequences of our profession's rapid evolution. Our profession has experienced many changes stemming from external and internal forces:
As I've pointed out in past New Year messages, we have a choice -- choose our future or let others choose it for us.
Until recently, I hadn't seen much evidence of colleagues coming together to shape our collective future.
That is not a criticism. I understand the overwhelming demands of veterinary practice - for owners and associates. When you factor in personal and family pressures, the concept of doing anything for the profession beyond maintaining your own practice seems daunting. I understand.
I also understand that if we don't do something now, we will have chosen to let others choose our future and especially the future of those who come after us.
In the best of times, some will not fare well. In the worst of times, some will do very well. But at no time should we sit idly by and accept what I am increasingly seeing and hearing from colleagues:
I love this profession, and I assume that if you are reading this you likely feel the same way. But we must be honest about the situation we face - as well as how the choices we make today will impact all colleagues, including those who will enter our profession in the future.
Individual colleagues, practices, veterinary schools and organizations have understandably responded to these trying times by doing what it takes to ensure their survival. Unfortunately, I don't think much consideration has gone into contemplating the long-term impact of these actions upon the profession, individual practices, or colleagues. I believe we have largely stood back and hoped for the best rather than uniting to develop a rational strategy within our profession. I believe this comes at great cost to all, but especially to the most vulnerable amongst us: our newest colleagues.
However, now, as never before, we have not only the need, but the opportunity, to unite for the good of the profession. I recently attended the AVMA Leadership Conference and Winter Session of the House of Delegates in Chicago, IL where, for the first time, it was clear that AVMA no longer believes there is an overall shortage of veterinarians. I even heard a presenter state with no disagreement from AVMA leadership that, "Another issue that we're going to have to deal with going on is that we definitely have more veterinarians out in the workforce than we have a need for."
This shift in position, combined with the naming of the members of the newly formed AVMA Veterinary Economics Strategy Committee to investigate, study, and make recommendations to address the economic challenges facing the profession, is something I believe we should all support.
I know some will be thinking, "another committee to make another report to gather dust on the shelf." I honestly feared this when I heard about the committee. And, although I recognize that there are no quick fixes for our current situation, after hearing the remarks at the AVMA leadership conference and learning the composition of the committee, chaired by Link Welborn, DVM, DABVP, I have great optimism and urge all colleagues to do whatever they can to assist. No pressure, Link.
"We must, indeed, all hang together, or most assuredly we shall all hang separately."
- Benjamin Franklin speaking to the Continental Congress just before signing the Declaration of Independence, 1776.
Ours is a wonderful profession - some describe it as a calling. As much as each of us desires to believe that our choice to be a veterinarian was driven by logic, I believe the choice to pursue a veterinary career is often driven more by passion. This passion is reinforced in students by trust in veterinary mentors, trust that those who pave the way for them to join the profession will act in their best interest.
Although those who make the choice to pursue veterinary education are chronologically adults, I hope none of us are insensitive to the burden of debt current students shoulder in order to pursue a veterinary career. We need to attract the best and the brightest to join our profession. But we also must commit to doing all we can to maintain the value of the degree they choose to pursue.
I'm no longer in academia. My livelihood does not depend upon a flow of patients into a private practice. So, why do I care? Why are these issues my problem? And why are they your problem?
If the recent world-wide economic collapse has taught us nothing else, it has illustrated the interdependence of a system. In her remarks at the Plenary Session of the AVMA House of Delegates, AVMA President, Dr. Rene Carlson discussed the meaning of leadership particularly within the AVMA and the profession. She talked about making decisions based on what is best for the profession, "despite individual agendas." I agree.
We can no longer afford to view ourselves as individual veterinarians with no connection to any area of the profession beyond our own sphere. Veterinary medicine is a system. The success or failure of any of us relates directly to one thing: the value of the veterinary degree. And if that degree is devalued for any of us, it is devalued for all.
New graduates in 2010 left school with an average debt of $142,000. More than 41% of these veterinarians owed more than $150,000. Only 10% of new veterinarians graduated with no educational debt. Many attending the more expensive schools are amassing debts approaching $300,000. (JAVMA 239(7):953-7, 2011)
Since 1990, we have added about 1,900 net veterinarians/year. With recent accreditation and class size changes, that figure is expected to increase. In the small animal market alone, we have added about 1200 colleagues/year since 1990. However, in 1991 dollars, the net production by each small animal practitioner has decreased over 35% -- from $325K to $191K.
This crisis was predicted. We knew this was coming, and, as a profession, we did nothing.
In 1985 - Karl Wise and John Kushman published in JAVMA a Synopsis of US Veterinary Medical Manpower Study: Demand and Supply from 1980 to 2000. JAVMA, Vol I87, No. 4, August 15, 1985. This study concluded:
In 1997, Malcolm Getz, an economist at Vanderbilt University stumbled upon the veterinary profession as a case study for his research. He published a book entitled: Veterinary Medicine in Economic Transition. The final sentence on page 178 of his in-depth analysis of the economic state of the profession states:
"As long as the excess supply continues, however, a number of persons trained to be veterinarians seem likely to be disappointed in their economic circumstance."
In 1999, the KPMG Mega Study, The Current and Future Market for Veterinarians and Veterinary Medical Services in the United States. Executive Summary, May, 1999, John P. Brown, PhD, and Jon D. Silverman, PhD, KPMG LLP Economic Consulting Services --- JAVMA, Vol 215, No. 2, July 15, 1999, was published. According to Getz (who currently serves on the National Academy of Science veterinary workforce commission), the KPMG Mega Study was commissioned to prove his book wrong. However, the study confirmed Getz' conclusions.
Quoting from the executive summary of the KPMG Mega Study regarding the supply of veterinarians:
We have seen this crisis coming for over two decades, yet no action has been taken to curb the disaster. Instead, most of the actions taken have had the dual and catastrophic effects of drastically inflating the cost of a veterinary degree while simultaneously devaluing that same degree through a continuing increase in the supply of veterinarians in the face of diminishing consumer demand.
Now, however, as a profession, we have the opportunity to come together, and to do something. With the AVMA's recent actions in appointing the Economic Task Force and in scheduling a meeting with the veterinary school deans at the upcoming North American Veterinary Conference to address how choices the schools make impact the profession overall, the doors are opening for the profession to work together to manage these challenges.
So, what can we do? How do we fix our profession? How do we restore the value of the veterinary degree? How do we restore the faith of a public who increasingly view veterinarians as profit-oriented or opportunistic? How do we help our schools focus on accepting and training the best and brightest students rather than continue to increase class sizes and dilute the pool of qualified candidates when they need the added tuition revenue to make up for their lost state funding? How do we bridge the chasm between student debt and veterinary salaries and help to ensure that the future of our profession is economically healthy?
I don't know. I have spent the past few years researching these problems, talking with leaders of universities and of our professional organizations, and listening - listening to students, to practitioners, listening to YOU. I have studied. I have talked. I have listened. And I still don't have an answer. But, I'm not willing to give up. I can't. WE can't.
I've never been one to shy away from tilting at windmills. And maybe this is an insoluble problem. I've already admitted that I don't have an answer. And maybe you don't have an answer either. But, maybe that IS the answer.
The VIN community is comprised of colleagues from many countries, cultures, backgrounds, and disciplines, but we have one thing that unites us - the veterinary degree. The VIN community shows daily how bringing together tens of thousands of colleagues can facilitate solutions to clinical, practice and life issues through sharing of knowledge and experience.
There is no denying that the challenges facing our profession are more complex than the day to day issues VINners routinely help each other overcome. It is likely that no individual or organization can resolve this crisis alone. Any solution to the problems confronting veterinary medicine will have to come from and impact multiple areas of the profession: schools, private practices, industry, and professional associations. And, so, here are my questions and how you can help me resolve my inner turmoil.
I want...I need to know:
At this point, you might be asking yourself what can I do?
I think the first step is becoming aware of the issues on a broad scale while contributing your personal and local observations and insights to the conversation - on and off VIN.
I also ask you to consider how you are affected by these issues and how your actions impact these issues.
Perhaps most important is that we all pause to consider how these issues and our actions impact all colleagues within our profession - those with careers similar to ours and those on different paths.
I recognize that this letter has largely focused upon data and discussions from the U.S./North America. That is not a reflection of my lack of concern for our profession in other regions. I speak to colleagues in other regions about these issues often. We are all in this together. We need to share insights and solutions and learn from each other's successes and mistakes.
I have started a message board discussion for your feedback to this letter.
Other recent discussions that I encourage you to read and add comments to:
Also, in the next few weeks you will be receiving a link to a short survey on these issues. I would very much appreciate your taking a moment to respond to it.
And finally, I and all your VIN family wish you and yours a happy, healthy and prosperous 2012.
Thanks!
>>>Paul<<<
Paul D. Pion, DVM, DipACVIM (Cardiology)
co-founder, VIN
[email protected]
530-757-6881 (anywhere/anytime)
FAX: 530-504-6450
Dear xxxxxxxxxxxxx
Three years ago, I sent my first VIN community New Year's message. Thanks to all who have written or called with comments, accolades and criticisms in response to the previous letters (2011, 2010, 2009). I look forward to hearing your thoughts on this year's message by phone, email, FAX, carrier pigeon or in this message board discussion. As we enter 2012 and I reflect upon the past few years, the state of the veterinary profession and the challenges facing colleagues, a professional dilemma increasingly consumes my thoughts and time. I hope you can help resolve my inner turmoil.
2011 was the VIN Community's 20th anniversary year. This year the VIN community turns 21. It seems like just yesterday that little VIN was born. Where did the time go?
In that time our (your and all VINners') community has grown from a few dozen to over 47,000 colleagues. On an average weekday, more than 12,000 login. If the sun is up in the Western Hemisphere it is rare for there to be fewer than 800 or 900 colleagues logged in. And the number rarely drops below 100-200 logged in when the sun is shining bright over the Eastern Hemisphere. VIN is truly a global community of colleagues.
Yes, our little baby is growing up. She still has a lot to learn and is far from refined, but there is no denying that we should be proud and feel personal satisfaction when we stand back and gaze upon VIN and the VIN community. I am also happy to report that the commitment to keep VIN and the VIN community independent - never to be sold to anyone who might commercialize it or betray the trust of colleagues - alluded to in my last New Year's letter has, after much ethical and legal discussion, been codified in updated VIN corporate by-laws and shareholder agreements. Barring any last minute concerns, I expect these to be signed and in place before the end of January. I'm not planning on dying anytime soon, but I feel good knowing that if I do, VIN and the VIN Community will not be at risk of being sold as a result of lack of succession and estate planning.
So, you ask, what's the problem, Paul? Why aren't you satisfied? Why do you feel restless and consumed by inner turmoil?
Here is my dilemma. More than any other time in my 32 years in veterinary medicine, I am deeply concerned about the future we are paving for our profession. During the late 1990's and early 2000's it felt like veterinary medicine stood on the cusp of a Golden Age. Specialty medicine and cutting edge technologies were becoming available in most communities. Practice management philosophy promised an era in which veterinarians could practice the highest levels of medicine and raise revenues as never before. Large animal veterinarians were in increasing demand.
Yet, in retrospect it is becoming clear that we ignored the warning signs and misjudged the consequences of our profession's rapid evolution. Our profession has experienced many changes stemming from external and internal forces:
- A global economic rollercoaster
- Consolidation and corporatization of veterinary practice ownership
- Consolidation and vertical integration of veterinary product and service suppliers
- Over-dependence upon, and subsequent loss of pharmacy income
- Reduced client visits
- Gender shift (I'm not saying that's a bad thing )
- Changes to work-life balance expectations
- Increased numbers of specialists and specialty practices
- Mismatch between demand for veterinary services and supply of veterinary graduates
- Reduced state and federal funding for higher education
- Rising cost of education resulting in an unprecedented debt to salary ratio for our young colleagues
As I've pointed out in past New Year messages, we have a choice -- choose our future or let others choose it for us.
Until recently, I hadn't seen much evidence of colleagues coming together to shape our collective future.
That is not a criticism. I understand the overwhelming demands of veterinary practice - for owners and associates. When you factor in personal and family pressures, the concept of doing anything for the profession beyond maintaining your own practice seems daunting. I understand.
I also understand that if we don't do something now, we will have chosen to let others choose our future and especially the future of those who come after us.
In the best of times, some will not fare well. In the worst of times, some will do very well. But at no time should we sit idly by and accept what I am increasingly seeing and hearing from colleagues:
- Personal and practice bankruptcies
- A shortage of jobs to the extent that:
- Recent graduates are concerned about finding jobs with more choosing to pursue internships because they are afraid regular practice jobs will be in such short supply
- Practice owners reporting experienced colleagues frequently showing up and asking for jobs at clinics that are not advertising positions
- Practice owners reporting 50 or more respondents to a single job posting
- Schools increasing class size and new schools opening despite clear evidence of an oversupply of veterinarians
- Widespread concern about nonprofit clinics competing with the surrounding veterinary community
- Practices closing rather than being transferred to colleagues
- New grads and not so new grads
- Academia (the ivory tower) and private practice (the trenches)
- Associates and owners
- Colleagues competing within the same market
- Veterinarians and product/service suppliers
I love this profession, and I assume that if you are reading this you likely feel the same way. But we must be honest about the situation we face - as well as how the choices we make today will impact all colleagues, including those who will enter our profession in the future.
Individual colleagues, practices, veterinary schools and organizations have understandably responded to these trying times by doing what it takes to ensure their survival. Unfortunately, I don't think much consideration has gone into contemplating the long-term impact of these actions upon the profession, individual practices, or colleagues. I believe we have largely stood back and hoped for the best rather than uniting to develop a rational strategy within our profession. I believe this comes at great cost to all, but especially to the most vulnerable amongst us: our newest colleagues.
However, now, as never before, we have not only the need, but the opportunity, to unite for the good of the profession. I recently attended the AVMA Leadership Conference and Winter Session of the House of Delegates in Chicago, IL where, for the first time, it was clear that AVMA no longer believes there is an overall shortage of veterinarians. I even heard a presenter state with no disagreement from AVMA leadership that, "Another issue that we're going to have to deal with going on is that we definitely have more veterinarians out in the workforce than we have a need for."
This shift in position, combined with the naming of the members of the newly formed AVMA Veterinary Economics Strategy Committee to investigate, study, and make recommendations to address the economic challenges facing the profession, is something I believe we should all support.
I know some will be thinking, "another committee to make another report to gather dust on the shelf." I honestly feared this when I heard about the committee. And, although I recognize that there are no quick fixes for our current situation, after hearing the remarks at the AVMA leadership conference and learning the composition of the committee, chaired by Link Welborn, DVM, DABVP, I have great optimism and urge all colleagues to do whatever they can to assist. No pressure, Link.
"We must, indeed, all hang together, or most assuredly we shall all hang separately."
- Benjamin Franklin speaking to the Continental Congress just before signing the Declaration of Independence, 1776.
Ours is a wonderful profession - some describe it as a calling. As much as each of us desires to believe that our choice to be a veterinarian was driven by logic, I believe the choice to pursue a veterinary career is often driven more by passion. This passion is reinforced in students by trust in veterinary mentors, trust that those who pave the way for them to join the profession will act in their best interest.
Although those who make the choice to pursue veterinary education are chronologically adults, I hope none of us are insensitive to the burden of debt current students shoulder in order to pursue a veterinary career. We need to attract the best and the brightest to join our profession. But we also must commit to doing all we can to maintain the value of the degree they choose to pursue.
I'm no longer in academia. My livelihood does not depend upon a flow of patients into a private practice. So, why do I care? Why are these issues my problem? And why are they your problem?
If the recent world-wide economic collapse has taught us nothing else, it has illustrated the interdependence of a system. In her remarks at the Plenary Session of the AVMA House of Delegates, AVMA President, Dr. Rene Carlson discussed the meaning of leadership particularly within the AVMA and the profession. She talked about making decisions based on what is best for the profession, "despite individual agendas." I agree.
We can no longer afford to view ourselves as individual veterinarians with no connection to any area of the profession beyond our own sphere. Veterinary medicine is a system. The success or failure of any of us relates directly to one thing: the value of the veterinary degree. And if that degree is devalued for any of us, it is devalued for all.
New graduates in 2010 left school with an average debt of $142,000. More than 41% of these veterinarians owed more than $150,000. Only 10% of new veterinarians graduated with no educational debt. Many attending the more expensive schools are amassing debts approaching $300,000. (JAVMA 239(7):953-7, 2011)
Since 1990, we have added about 1,900 net veterinarians/year. With recent accreditation and class size changes, that figure is expected to increase. In the small animal market alone, we have added about 1200 colleagues/year since 1990. However, in 1991 dollars, the net production by each small animal practitioner has decreased over 35% -- from $325K to $191K.
This crisis was predicted. We knew this was coming, and, as a profession, we did nothing.
In 1985 - Karl Wise and John Kushman published in JAVMA a Synopsis of US Veterinary Medical Manpower Study: Demand and Supply from 1980 to 2000. JAVMA, Vol I87, No. 4, August 15, 1985. This study concluded:
- The base-line projection of the balance of veterinary manpower demand and supply indicates a continuing surplus of private practitioners on a national level to the year 2000.
- Private practice veterinary service demands that are moderately higher than the baseline would have little impact on the surplus.
- Projected non-private practice demands above the baseline would have moderate impact on the surplus.
- Moderate decreases in numbers of US veterinary medical college graduates would have little impact on the surplus by the year 2000.
- Increases in Veterinary Livestock Units (VLU) and visits per veterinarian that are 5% higher than the base line in 1990 and 10% higher than the base line in 2000 are combined with:
- high non-private practice employment growth, and
- 20% decrease in the number of US veterinary medical college graduates.
In 1997, Malcolm Getz, an economist at Vanderbilt University stumbled upon the veterinary profession as a case study for his research. He published a book entitled: Veterinary Medicine in Economic Transition. The final sentence on page 178 of his in-depth analysis of the economic state of the profession states:
"As long as the excess supply continues, however, a number of persons trained to be veterinarians seem likely to be disappointed in their economic circumstance."
In 1999, the KPMG Mega Study, The Current and Future Market for Veterinarians and Veterinary Medical Services in the United States. Executive Summary, May, 1999, John P. Brown, PhD, and Jon D. Silverman, PhD, KPMG LLP Economic Consulting Services --- JAVMA, Vol 215, No. 2, July 15, 1999, was published. According to Getz (who currently serves on the National Academy of Science veterinary workforce commission), the KPMG Mega Study was commissioned to prove his book wrong. However, the study confirmed Getz' conclusions.
Quoting from the executive summary of the KPMG Mega Study regarding the supply of veterinarians:
There is evidence that in purely economic terms, there is an excess of veterinarians, which is a cause of downward price pressure and is projected to result in stagnant veterinary incomes over the next 10 years. More important, the characteristics of the supply may not closely match the demand, and there is evidence that modifications in the education of veterinarians will enable the profession to capitalize on emerging markets and to create new services.
We are in a difficult state of affairs. We might delay facing reality for a time, believing it is someone else's problem. But unless something unforeseen interrupts the current cascade and reverses what I view to be an unsustainable course, denying reality isn't going to make the situation better. Nor will the situation be resolved if each of us passes the buck, blaming the crisis on some other branch of the profession, organization, or group.
We have seen this crisis coming for over two decades, yet no action has been taken to curb the disaster. Instead, most of the actions taken have had the dual and catastrophic effects of drastically inflating the cost of a veterinary degree while simultaneously devaluing that same degree through a continuing increase in the supply of veterinarians in the face of diminishing consumer demand.
Now, however, as a profession, we have the opportunity to come together, and to do something. With the AVMA's recent actions in appointing the Economic Task Force and in scheduling a meeting with the veterinary school deans at the upcoming North American Veterinary Conference to address how choices the schools make impact the profession overall, the doors are opening for the profession to work together to manage these challenges.
So, what can we do? How do we fix our profession? How do we restore the value of the veterinary degree? How do we restore the faith of a public who increasingly view veterinarians as profit-oriented or opportunistic? How do we help our schools focus on accepting and training the best and brightest students rather than continue to increase class sizes and dilute the pool of qualified candidates when they need the added tuition revenue to make up for their lost state funding? How do we bridge the chasm between student debt and veterinary salaries and help to ensure that the future of our profession is economically healthy?
I don't know. I have spent the past few years researching these problems, talking with leaders of universities and of our professional organizations, and listening - listening to students, to practitioners, listening to YOU. I have studied. I have talked. I have listened. And I still don't have an answer. But, I'm not willing to give up. I can't. WE can't.
I've never been one to shy away from tilting at windmills. And maybe this is an insoluble problem. I've already admitted that I don't have an answer. And maybe you don't have an answer either. But, maybe that IS the answer.
The VIN community is comprised of colleagues from many countries, cultures, backgrounds, and disciplines, but we have one thing that unites us - the veterinary degree. The VIN community shows daily how bringing together tens of thousands of colleagues can facilitate solutions to clinical, practice and life issues through sharing of knowledge and experience.
There is no denying that the challenges facing our profession are more complex than the day to day issues VINners routinely help each other overcome. It is likely that no individual or organization can resolve this crisis alone. Any solution to the problems confronting veterinary medicine will have to come from and impact multiple areas of the profession: schools, private practices, industry, and professional associations. And, so, here are my questions and how you can help me resolve my inner turmoil.
I want...I need to know:
- Do you think we have a problem?
- What do you view as the greatest challenge you or your clinic faces within the profession?
- What do you view as the greatest challenge facing the profession as a whole?
- Do you have solutions to suggest for these challenges?
- Do you believe colleagues can effectively work to address these issues?
- Do you want to work with colleagues on solutions?
- Do you think the VIN Community should work with the universities and the AVMA to address these issues?
At this point, you might be asking yourself what can I do?
I think the first step is becoming aware of the issues on a broad scale while contributing your personal and local observations and insights to the conversation - on and off VIN.
I also ask you to consider how you are affected by these issues and how your actions impact these issues.
Perhaps most important is that we all pause to consider how these issues and our actions impact all colleagues within our profession - those with careers similar to ours and those on different paths.
I recognize that this letter has largely focused upon data and discussions from the U.S./North America. That is not a reflection of my lack of concern for our profession in other regions. I speak to colleagues in other regions about these issues often. We are all in this together. We need to share insights and solutions and learn from each other's successes and mistakes.
I have started a message board discussion for your feedback to this letter.
Other recent discussions that I encourage you to read and add comments to:
- Veterinary supply and demand
- Student debt relief options
- Hiring new graduates a profitable pleasure, veterinarians attest
And finally, I and all your VIN family wish you and yours a happy, healthy and prosperous 2012.
Thanks!
>>>Paul<<<
Paul D. Pion, DVM, DipACVIM (Cardiology)
co-founder, VIN
[email protected]
530-757-6881 (anywhere/anytime)
FAX: 530-504-6450