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Dr. Coates is a veterinarian based in the other “Sunshine State” – that's Colorado to the rest of you – where she lives and plays with a varied range of animals. She shares her professional and personal experiences, Monday through Friday, here on petMD's blog, the Fully Vetted. Log in for your daily dose of her insight and wisdom.

 

When great techs leave, this vet ponders the mysteries of the animal hospital business

February 19, 2007 / (7) comments


Two weeks from today my favorite veterinary technician will begin her new life—in an oral surgeon’s office as a medical assistant. Her starting salary will be 25% higher than her current pay (after eight years on the job) and her workload and hours will be considerably reduced.

You might think I’d be feeling a little resentful or somehow betrayed, but I have so far limited my negative emotions to a dull despondency. It’s obvious to me that she needs to move on. And she’d be crazy not to take the offer and run screaming from a place that can’t or won’t pay her what she’s worth.

Too often this is the case in small animal practice. Technicians have historically been relegated to a remote second place status within the average hospital. But now, with the advent of accredited technician training programs and growth in the veterinary service sector, things have finally started to turn around for techs.

Modern, well-managed hospitals (read: fiscally responsible and bottom-line driven) have determined that the efficient hospital needs eight to nine employees per vet to maximize its service offerings. And more service offerings means more income and more profits.

But more service offerings also means your employees better be trained to take on the work vets used to do themselves (and which no self-respecting human doc has done for years). For example: IV catheter placement, blood draws, X-rays, dental cleanings, cytology, physical therapy, anesthesia induction and monitoring, bandaging, return phone calls and discharge instructions all fell under the vet’s job description. Now, not so much.

Once the value of excellent, abundant help became the established credo among the ambitious vet set, the rest of the industry came to look and see how it was done. Some hospitals figured it out quickly and adapted well.

Others, like mine, feared the loss of the personal touch and, anyhow, it would never have been my colleagues’ style to stop doing all the little things. In their day it was considered malpractice to let someone else administer IV injections. The idea of letting someone anesthetize their case? It’s beyond anathema to their personal veterinary culture. It would never fly in our hospital.

But this is how it happens that techs at our place can’t get paid what they deserve. All those new economic changes that everyone else takes for granted? Nope. They haven’t happened at our hospital. So our costs are higher and our revenues lower. In business they call that the big squeeze.

So Maria will have to find a new home with a new set of matching-scrub friends and maybe then she’ll be able to go to the gym or get home in time to put her son to bed at a decent hour.

I’m hating the prospect of losing her. But I can’t afford to keep techs like her as long as the “personal touch” extends to everything I do that she could be doing (and that she can do as well as I do—or better).

I don’t begrudge my colleagues the professional standards that reign supreme in the hospital they own, but I’m starting to feel a bit beleaguered on the staff thing. My own income is one thing…my favorite tech’s presence, I’m thinking, is more than I can handle today.

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COMMENTS (7)
1
by on 06/30/2008 05:16pm

I can only wonder - reading this post months later - if Maria had originally trained in tech school to become aveterinary technician or if she was trained on the job. If it was the latter then it's no wonder that she left to pursue other things as she was never really committed to being a veterinary technician. If she was school trained then I can only think that she was truly ready for a change or was not fulfilled in her position as a technician.

2
by on 05/07/2007 02:00pm

I understand the point about having techs do more of the routine procedures and get better pay for it. I also understand that this would increase profits by among other things allowing vets to see more clients. More profits can lead to better pay for all. However, as a client let me say that I definitely prefer that personal touch. There's a clinic that's about 5 minutes from my house that I tried once because it was so convenient and I had heard good things about the vet. I took two of my cats there for their annual exams. They were weighed by a tech. Their stool and blood samples were taken by the tech. Their ears and eyes were checked by the tech. The tech felt their abdomens and listened to their hearts. By the time the vet came in I was wondering why the heck I needed him. He looked at their charts, told me the felines were a bit overweight, talked to me about some of the pet food they had available in the clinic and then asked me what shots I wanted for them. When I told him he left and a tech came in to administer the shots. That was the last time I ever went to that vet. Techs may be terrific but when I take my pet to the vet I want the VET to see him/her. I want to spend more than a couple of minutes with the vet. I want that vet to be the one to check ears and eyes and adbomen and heart. I also feel much more comfortable when the vet is the one who draws blood or administers shots. With human medicine it's become prohibitively expensive for a doctor to do some of the routine work with patients. Vet medicine is probably heading in that direction but for now let me say that I appreciate the personal touch.

3
by on 02/25/2007 03:29pm

You spoke of techs doing "cleanings, cytology, physical therapy, anesthesia induction and monitoring, bandaging, return phone calls and discharge instructions all fell under the vet’s job description."

Be careful. Things like anesthesia induction are regulated at the state level and, in my opinion, should only be performed by technicians whose skill has been certified through licensure.

It is precisely the problem of allowing unlicensed technicians to do these things that cost my cat his brain, in my opinion. The vet's son, an "unlicensed technician" (or "assistant" depending on which page of the records you are reading), was left alone to care for medical boards. He used a tuberculin syringe instead of an insulin syringe to give my cat his insulin. My cat became severely hypoglycemic and received no treatment for this until 24 hours after the shot in question. He barely survived and was brain damaged.

I am now very adamant that ONLY LICENSED TECHS should be permitted to perform duties requiring medical skill -- including administering meds, doing ANYTHING related to anesthesia, etc. My opinion notwithstanding, there are state regulations restricting anesthetic induction and monitoring to licensed techs -- and it seems to be an operating standard of the veterinary profession to disregard these regulations, as unlicensed staff are allowed to do things they should not be doing.

I realize that the technician you are losing was probably very well trained. But i have learned the hard way that i don't know which vets i can trust and which i can't. Therefore, i can't assume they've adequately trained their technicians. i want to see a certificate. I want to see a license.

having said all of the above, I agree with you that LICENSED technicians should be doing all of those things, and should be paid very well for doing them. It baffles me, considering the amount of money i routinely shell out at the vet ($400 for the last 1/2 hour visit with bloodwork) that somehow the practice can't manage to part with more of my money to give to their technicians. it's shameful. Practice owners are, according to statistics I recently read, making over $200 a year now on average. Can't they figure out how to pay their techs $35K?

Stefani

4
by on 02/20/2007 02:06pm

Heck, our vet clinic had the techs doing everything you described- catheters, xrays, dental cleanings (the vet was only there to look in the mouth and pull bad teeth)- and yet, our pay? Around $8.00 an hour. All for running around, doing everything that needed to be done, aching feet, aching back, and the emotional ups and downs of working at a vet hospital (it can be a rollercoaster from day to day).

WOO HOO! And they wondered why I went to a place where I could sit on my butt, answer phones, and make $13.00 per hour? Come on!

You have to pay your support staff decent wages, otherwise, you're going to find yourself short of support staff.

5
by on 02/20/2007 11:53am

I also wonder if it doesn't have to do with female- vs. male-dominated professions.

One of my brothers is a teacher; the other, a firefighter. Both public-service jobs, both very much needed.

Wanna guess which brother makes more than twice as much as the other? Wanna guess which brother works twice as hard as the other?

6
by on 02/20/2007 12:01am

Nancy - that's the same attitude the world has to teachers like myself - well, K-14 (community college) teachers. Professors at universities get the big bucks, and get TAs to do their grading for them. Perhaps the students miss the more personal touch, perhaps it allows the faculty to put more time and effort into the teaching (or at least research), but who knows.

7
by on 02/19/2007 10:13pm

What doesn't help is the client attitude of "you are supposed to be doing this because you love animals, not for the money and you're a disgusting evil person if you are!"

Unfortunately, love doesn't put food on my table, a roof over my head, clothes on my back, etc.

I'm a vet tech, not a nun, I didn't take a vow of poverty.

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About fully vetted

Patty Khuly, VMD, MBA

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Dr. Khuly is a former petMD blogger and small animal veterinarian in Miami, Florida, where she practices medicine at Sunset Animal Clinic and serves on the board of the South Florida Veterinary Medical Association. She is a graduate of Wellesley College, the University of Pennsylvania School of Veterinary Medicine, and The Wharton School of Business.

As a significant sideline, she writes...a lot. She authors pet health columns for USA Today, The Miami Herald and Vetstreet. She also writes a popular monthly column for Veterinary Practice News and serves as regular contributor to Veterinary Economics, The Bark, and the Veterinary News Network.

Dr. Khuly lives in South Miami with her brood of hens, goats, dogs, cats...and humans.

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