An invited perspective on the shortage of veterinarians in food supply veterinary medicine

Life, Death, and Humanity in Veterinary Medicine: Is it Time to Embrace the Humanities in Veterinary Education?

Medical humanities is a multidisciplinary, interdisciplinary field of study that has experienced explosive growth in the United States since the 1960s. Two key components of medical humanities include first, the use of literature, poetry, and visual arts in the education of medical students, and second, the representation or examination of medical culture by scholars in the humanities, arts, and social sciences such as literary and film creators, sociologists, and anthropologists. The American Association of Medical Colleges recently reported that as of 2018, approximately 94% of medical schools had core or elective humanities offerings in their curricula. The examination of the medical milieu by scholars across the humanities has resulted in the emergence of important specialty fields such as end-of-life care, disability studies, and health disparities research. Veterinary medicine has been slow to embrace the humanities as relevant to our profession and to the education of our students. Only sporadic, isolated attempts to document the value of the arts and humanities can be found in the veterinary literature, and valuable observations on our profession made by scholars in diverse disciplines of the humanities are largely buried in publications not often accessed by veterinarians. Here a case is made that the time is right for the emergence of a more cohesive field of veterinary humanities. Embracing the observations of humanities scholars who engage with our profession, and appreciating the ways in which the humanities themselves are effective tools in the education of veterinary professionals, will bring many benefits to our evolving profession.

Factors affecting use of veterinarians by small-scale food animal operations

OBJECTIVE

To identify factors associated with use of a veterinarian by small-scale food animal operations.

DESIGN

Cross-sectional descriptive survey.

SAMPLE

16,000 small-scale farm or ranch operations in all 50 states.

PROCEDURES

Surveys were conducted via mail or telephone during 2011 for small-scale operations (gross annual agricultural sales between $10,000 and $499,999) in which an animal or animal product comprised the highest percentage of annual sales.

RESULTS

8,186 (51.2%) operations responded to the survey; 7,849 surveys met the inclusion criteria. For 6,511 (83.0%) operations, beef cattle were the primary animal species. An estimated 82.1% of operations (95% confidence interval [CI], 81.1% to 83.0%) had a veterinarian available ≤ 29 miles away; 1.4% (95% CI, 1.2% to 1.7%) did not have a veterinarian available within 100 miles of the operation. Operations for which the nearest veterinarian was ≥ 100 miles away or for which a veterinarian was not available were located in 40 US states. Overall, 61.7% of operations (95% CI, 60.6% to 62.9%) had used a veterinarian during the 12 months prior to the survey. Producers with college degrees were significantly more likely to use a veterinarian (675%) versus those who did not complete high school (52.9%).

CONCLUSIONS AND CLINICAL RELEVANCE

Results of this study indicated most small-scale operations had adequate access to veterinarians during 2011, but there seemed to be localized shortages of veterinarians in many states.

The motivations and practice-area interests of first-year French veterinary students (2005-2008)

Concerns about new trends in the veterinary profession in several industrialized countries have received significant attention recently. We conducted an online survey among first-year veterinary students enrolled between 2005 and 2008 in France's four National Veterinary Schools (Ecoles Nationales Vétérinaires [ENV]) to inquire into what determined future graduates' practice-area interests and how they built a concept of their future work. A total of 1,080 students-or 70% of first-year students-responded to the survey. These students were predominantly of middle and higher social classes and most of them lived in urban areas. About 96% of the respondents had made the ENV their first choice when taking the entrance examination. In total, 39.7% declared "vocation" as the leading factor influencing their career choice. Together, the three leading practice types (wild animals, pets, and mixed) contemplated by students after graduating amount to 64.7% of the points awarded. Practice types that are not directly related to animal health were disregarded in this analysis. The results convey both how early and how firmly the choice of the veterinary career is made. They highlight the preponderance of the image of the veterinarian as an "animal doctor," the gap between the respective proportions of practice areas in the current employment pattern of veterinarians, and the aspirations of students upon admission to the ENV. A longitudinal study after one year is needed to test whether or not these career choices change during the five years of the ENV program under the influence of teaching and extramural studies.

A survey of reasons why veterinarians enter rural veterinary practice in the United States

OBJECTIVE

To identify factors associated with interest in or choosing a career in rural veterinary practice (RVP).

DESIGN

Cross-sectional descriptive study.

SAMPLE POPULATION

Veterinarians and veterinary students in the United States.

PROCEDURES

Veterinary students and veterinarians in any area of practice were solicited to participate in an online survey through invitation letters sent to various veterinary associations. Proportions of respondents assigning high importance to various factors were analyzed for differences among gender, age, and background groups.

RESULTS

1,216 responses were received. In general, survey respondents indicated that RVP could be characterized as the practice of veterinary medicine in any community where agriculture represented a significant part of the local economy. Responses also indicated that RVP should not be confused with large animal or food animal exclusive practice. Most respondents (38.9%) developed an interest in RVP early in life (before 8th grade), with 13.0% reportedly developing their interest in RVP during veterinary school. The most highly ranked factors with regard to influence on developing an interest in RVP were having relatives with a farm background, having a veterinarian in RVP as a mentor, and exposure to RVP during veterinary school. Gender, generational category, background (rural vs urban), and livestock experience were significantly associated with when respondents developed an interest in RVP and with factors important in developing that interest.

CONCLUSIONS AND CLINICAL RELEVANCE

Results of the present study suggested that various factors are associated with interest in and choosing a career in RVP. These factors should be considered when strategies for increasing interest and encouraging careers in RVP are planned.

Veterinary student and veterinarian attitudes toward veterinary public health and epidemiology

OBJECTIVE

To identify predictors of veterinary students and veterinarians having an interest in veterinary public health and epidemiology (PH&E).

DESIGN

Cross-sectional study.

SAMPLE POPULATION

Veterinary students enrolled in the College of Veterinary Medicine and Biomedical Sciences at Texas A&M University and veterinarians with membership in a Texas veterinary professional organization.

PROCEDURES

2 questionnaires were designed and administered to investigate hypothesized predictors of PH&E interests among veterinary students and veterinarians. Descriptive statistics were calculated for all variables from both questionnaires. Prevalence ratios, 95% confidence intervals, and chi(2) tests were used to evaluate bivariate associations between variables and an interest in PH&E. Multivariable logistic regression was used to adjust for the effects of multiple variables on the outcome.

RESULTS

70% (215/305) of students believed that a course in PH&E was necessary, and 46% (140/304) believed that more courses in PH&E would improve the veterinary curriculum. Ninety-nine percent (299/303) of veterinarians believed that a course in PH&E was necessary in the curriculum. Ninety-two percent (272/297) of veterinarians agreed that knowledge related to PH&E was important to perform the functions of their job. History of raising animals and membership in 4-H or Future Farmers of America were significant predictors of veterinary students having an interest in PH&E. Being male and growing up in a rural environment were not significant predictors.

CONCLUSIONS AND CLINICAL RELEVANCE

Most veterinary students and veterinarians agreed that knowledge of PH&E is important. Variables identified as associated with an interest in PH&E may be useful for designing mitigation strategies to increase the number of veterinarians entering public health careers.

Factors associated with practice decisions of Nebraska veterinarians regarding type of practice and community size

Nebraska veterinary practitioners were surveyed to collect data about background characteristics and other factors related to veterinarians' decision to include or not include food animals in their practices and to practice in rural versus urban communities. Background characteristics that were significantly (p < or = 0.05) associated with choosing food-animal practice included growing up on a working farm or ranch; having parents who owned livestock; growing up in a town with a population of less than 10,000; majoring in animal science at university; being male; and having a primary interest, at the time of entering veterinary college, in food animal-exclusive or mixed-animal veterinary practice. The primary factor for choosing the community in which to practice was rural/urban lifestyle for rural veterinarians, while this factor was second for urban veterinarians. For all groups of veterinarians, the primary consideration in selecting their current practice was the species orientation of the practice. The primary reason for not choosing food-animal practice was better working conditions and lifestyle in companion-animal practice, followed by greater interest elsewhere.