16 Simple Stress Hacks for VeterinariansAugust 10, 2015Originally published in the August 2015 issue of Veterinary Practice News. Loved this article? Then subscribe today! Let me begin with a disclaimer: I’m no expert on the subject of maintaining any sane sort of work-life balance. In fact, most of my attempts might read more like Grimm-style cautionary tales than models for successful veterinary living. That’s probably because, like most of you, I consider myself a semi-slave to this glorious profession. Indeed, there’s a reason why the twin maxims “living to work” and “working to live” seem synonymous to me. I like to call it “career-life dysmorphia syndrome,” a disease of the mind that centers on an inability to accurately perceive the boundary between the dual bodies that define our lives. Despite my disorder (or is it a character flaw?), I remain an indefatigable seeker of this aforementioned equilibrium. Who wouldn’t want to feel perfectly poised between a profession that provides stimulation and sustenance and a private existence that’s both meaningful and restorative? I do. Especially after the week I’ve had. Two back-to-back IMTPs, a mysterious jaw fracture (long story) and …
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5 Tips to Boost Efficiency in Your Veterinary PracticeJuly 29, 2015As a former practice owner, I can remember asking myself the same questions over and over. “Do I really have control over anything?” “Why can’t I work smarter instead of harder?” “What can I do to make us more efficient?” “Does anybody else feel this way?” I remember one day in particular that burst out of nowhere like a perfect storm. It was one of the most overwhelming days of my career. And it occurred while I was still working solo in my (at the time) mixed-animal practice. Without going into details about the day, in the midst of it all, here’s the thing that made it so memorable: One of my vet techs stopped me and said, “Dr. Pearson, look at your ring!” My gold wedding band had developed a distinct green tint all around. No, we had not used any chemicals other than what we’d use on any other day. I had not treated any cows for foot rot. And, that’s the first and last time it’s ever happened. I’ve never tried to research this, but I’ve always believed it had to do with an over-the-top level of stress. The real cause for the stress: I had not …
Do We Cater to Unconventional Clients?July 20, 2015Originally published in the July 2015 issue of Veterinary Practice News. Loved this article and want to see more like it? Then subscribe today! Last month I wrote a column for my local paper on the subject of animal hoarding. As usual, I pushed the limits of my typical reader’s comfort zone by concluding with the question, “Could you be a hoarder?” Though you might think it an excessively combative approach for a weekly ask-the-vet column, aggressively confronting mental health concerns has served me well in the past. And as it turned out, it proved fruitful here, too. The day after the column ran, one of our clients openly disclosed that the column had impressed her. “I guess I’m a hoarder,” she acknowledged to our receptionist (and to everyone else within earshot, too). Which is something the rest of us already suspected. I mean, 19 cats and 900 square feet do not add up. Nor can the single income of the average American begin to address the myriad demands a household of 20 mammals (of any denomination) makes. In case you’re wondering, our receptionist responded pretty much the same way most of …
How to Schedule More Follow-Up CareJuly 7, 2015Originally published in the July 2015 issue of Veterinary Practice News. Loved it? Then subscribe today! Through blood-shot eyes, Mrs. Jones explains her sleepless night of listening to her dog scratch his left ear. You diagnose an ear infection and ask your technician to show her how to clean the dog’s ears and apply ointment. You tell Mrs. Jones that you will need to see Duke again in two weeks. She nods in agreement and goes to the front desk to check out. The receptionist asks, “Do you want to make an appointment for Duke’s recheck?” Mrs. Jones replies, “I need to check my schedule and will call you tomorrow.” Mrs. Jones forgets to call. Patient care and practice health may suffer from the lack of follow-up care. Only 4 percent of practices always schedule medical progress exams at checkout, 35 percent do so often and 49 percent sometimes do.1 Every healthcare team member influences clients’ decisions to schedule follow-up care. Here are strategies to ensure that your staff takes a consistent approach: Change your terminology. The term “recheck” sounds optional while “medical progress exam” communicates that follow-up care is urgent and …
Is the Golden Age of Veterinary Medicine Over?July 6, 2015The subject of “Golden Age” has come up before… Back in 2001, American Animal Hospital Association (AHHA) Executive Director, Dr. John W. Albers believed the profession was entering "the golden age of veterinary medicine." Many of the points Dr. Albers made in his speech to the AAHA meeting in 2001 remain opportunities today. For example, he stated that veterinarians are their own worst enemies by setting low fees for services. He then reminded the 2,400 people in attendance of the obvious opportunity our profession has to fill our role in the deepening affection people have for their pets. Later, Dr. Dennis McCurnin wrote in a lengthy article in April 2010, that we were entering the “Golden Age” of veterinary medicine. Reading what he had to say then is still relevant today and well worth your time. He tackles many issues like student debt to salary ratio, the effects of corporate practices on private practices and finding ways to achieve a balanced lifestyle. His overall advice to overcome these challenges is to increase efficiency in delivering quality services. Be …
Goldilocks and the Veterinary ProfessionJune 15, 2015Originally published in the June 2015 issue of Veterinary Practice News Do you recall “The Story of the Three Bears”? In it, Goldilocks tested the bears’ bowls of porridge; one was too hot, one too cold and one just right. This is much like the state of veterinary practice today as we debate whether we have too many, too few or just the right number of veterinarians. I facilitated a panel discussion on concerns about the future of our profession during the CVC East convention in Washington, D.C. in April. The event was supported by The VIN Foundation with the Society for Veterinary Medical Ethics (www.svme.org). Participating in the day-long program were Dr. Dennis McCurnin; Mark Cushing, J.D., of Animal Advocacy Group; Dr. Paul Pion, co-founder of Veterinary Information Network (VIN); and Dr. Tony Bartels, MBA, who with his veterinarian wife have about $450,000.00 of student debt. Dr. McCurnin began by describing how our profession crept into its situation with statistics that show veterinary medical education is in a potential bubble. He pointed out that two new veterinary schools are operational this year and two more are planned in the near future, and noted that more foreign schools are being …
How to Earn Repeat Business by Forward Booking Patients' Next VisitJune 15, 2015Originally published in the June 2015 issue of Veterinary Practice News Think about your last visit to the dentist. Before you left, the receptionist scheduled your next hygiene appointment. This scheduling technique serves dual purposes of safeguarding patients' preventive care and the practice's financial health. The patient strategy ensures timely visits for professional care as well as to diagnose oral problems early. The hygienist also sends you home with toothpaste, floss and a toothbrush to reinforce preventive oral care at home. As a business strategy for dentists, scheduling the next visit today will keep the hygiene schedule full and productive. When the hygiene schedule is not full, a domino affect will occur. Patient suffers without timely hygiene appointments, and the dentist will see openings in the treatment schedule in the future. At least 80 percent of dental problems — root canals, crowns and restorations — come from hygiene appointments. Dentists refer to their system as "recare appointments." When patients leave today's hygiene appointment without a future one scheduled, a dental practice's profits will decrease at least 50 percent.2 Dentists have shifted patients' perceptions from only going to the dentist for a toothache to routine preventive care. Savvy veterinarians should follow dentists' lead. …
It's Time to Have the Pet Food DiscussionJune 12, 2015Originally published in the June 2015 issue of Veterinary Practice News. Like this article? Then subscribe today! I wrote a blog post several weeks ago on the subject of veterinary nutrition for pets. Not one to mince words, I made clear that I’ve become disillusioned by the state of veterinary science and education in the U.S. Citing our profession’s lack of independence from corporate influence as our foremost downfall, I argued that “Big Pet Food” has surpassed all other industry subcategories in this regard. It has effectively usurped our role as the scientific font on the subject in ways no pharmaceutical empire has ever achieved. But here’s the thing: The pet food industry hasn’t been content to simply take over the way others have done, appealing to our rapacious thirst for retail sales. Instead, it has done so in ways no pharmaceutical empire has ever achieved — from the inside out … one endowed chair at a time. What’s more, this Achilles’ heel is becoming increasingly apparent to stakeholders outside our profession, too. We may know lots about nutrition at the theoretical level, they say, but when it comes right down to it, most veterinarians don’t know …
The reality behind fake and counterfeit medicinesJune 12, 2015The matter of “fake” medicines has been gaining much media attention of late.1 This publicity followed the release of a special issue of the American Journal of Tropical Medicine and Hygiene dated April 20, 2015, which included 17 articles describing the damage that falsified and substandard medicines are doing around the world.
9 Stupid Things I Did as a Veterinary Practice OwnerJune 10, 2015Much has been written and said about how everyone should view failure as a best friend. That can be true if we take the perspective of people like Michael Jordan and Thomas Edison. I’ve failed over and over again in my life and that is why I succeed. — Michael Jordan “I have not failed. I've just found 10,000 ways that won't work.” ― Thomas A. Edison As a practice owner for 30 years, I experienced plenty of “failures,” so I guess you could say I had lots of “best friends,” too. In retrospect, I sometimes took advantage of what I learned from mistakes; sometimes I didn’t. Hopefully, as a current practice owner, you can adopt some “new friends” from a few of my mistakes. The following is a partial list along with a short explanation about each one. I did not think big enough. The initial sign in front of my practice may have looked professional, but it was far too easy for people on the highway to overlook. I didn’t purchase the lot next to my practice when it was sold at auction. My fees were too low in the early years because I …