Search Results

You are looking at 1 - 8 of 8 items for

  • Author or Editor: Samantha L. Morello x
  • Refine by Access: All Content x
Clear All Modify Search

Abstract

Salaries apportioned to veterinary interns and residents have been historically low. The impact of this financial strain on the lives and career choices of young veterinarians has recently been evaluated. Subsequent effects of low remuneration are not limited to simple personal finances; rather, the implications may be more far-reaching, including playing a role in mental and physical wellness, affecting diversity in various segments of the profession, influencing career paths, creating barriers to educational and professional opportunities, and shaping decisions regarding family. We evaluated progress made in salaries offered for positions listed in the Veterinary Internship and Residency Matching Program between the previous analysis in 2021 and at present for the 2023 match. In addition to considering financial improvements, we discuss potential drivers contributing to change, including recent documentation of living wage requirements relative to salaries, labor market forces, and the increasingly competitive salaries offered through other career paths. We also consider implications for increasing intern and resident compensation; besides well-being, diversity, career path, and family factors, we discuss the potential relationship of postgraduate educational programs to hospital revenues and implications for how educational program structure may be affected. While compensation is far from the only element that drives career selection or satisfaction, understanding the effects of a fiscal overhaul to this educational experience can play a critical role in solving components of the workforce issues in our profession.

Full access
in Journal of the American Veterinary Medical Association

Abstract

OBJECTIVE

To compare resident and intern salaries with current regional living wages as a quantitative estimate of financial strain.

SAMPLE

152 residency programs and 141 internship programs listed with the Veterinary Internship and Residency Matching Program for the 2021–2022 training year.

PROCEDURES

Data were collected for program annual salary and location. Regional living wage for each location was determined with the Massachusetts Institute of Technology Living Wage Calculator, and annual salary was compared with living wage to estimate income surplus before and after taxes. Results for programs in academia and private practice were compared. Spearman correlation was used to determine whether program annual salary was significantly associated with regional living wage.

RESULTS

Mean ± SD income surplus before taxes was $7,786 ± 9,426 for clinical residency programs, $16,672 ± 5,105 for laboratory animal programs, and $5,829 ± 8,119 for internships. Academic residencies and internships offered salaries significantly lower than those offered in private practice, and income surpluses before and after taxes were significantly lower for academic programs than for private practice programs. There were weak and moderate, respectively, correlations between program annual salary and regional living wage for residency (r = 0.369) and internship (r = 0.570) programs.

CLINICAL RELEVANCE

Postgraduate training prolongs financial instability, and annual salaries generally do not meet the minimum income standard of a living wage. Financial stress has implications for mental health and diversity, and these findings invite deeper consideration of current remuneration practices for veterinary residents and interns.

Open access
in Journal of the American Veterinary Medical Association

Abstract

OBJECTIVE

To examine patterns of collaborative research behavior by gender among veterinary academic faculty to determine whether differences exist in how men and women access resources as a contributing factor to the advancement gap.

SAMPLE

710 faculty from 23 veterinary medical colleges.

PROCEDURES

An online questionnaire was sent through listservs at participating institutions and data were collected anonymously. Responses related to professional demographics, resources, collaboration, and elements of environmental culture were analyzed to identify associations among variables. Proportional odds logistic regression was utilized to examine the effect of gender on academic rank.

RESULTS

Male and female faculty reported participating in collaborations at equal rates. Men were more likely to engage in research collaborations with other men. These collaborations were more common than collaborations between women or between women and men. Men had 47% higher odds of more advanced academic rank compared with women and controlling for relevant factors. While there was no difference in the value of startup packages listed by men and women, women were more likely to report gender as a disadvantage in accessing resources and opportunities.

CLINICAL RELEVANCE

Research productivity is a main factor driving academic promotion. To improve gender equity in career advancement and to support scholarship among all faculty, the creation of institutional development programs focused on facilitating collaborations and resource sharing may be a strategic area for veterinary academic leaders to consider.

Full access
in Journal of the American Veterinary Medical Association

Abstract

OBJECTIVE

To characterize elements of employment, professional success, and personal life for American College of Veterinary Surgeons (ACVS) diplomates and identify elements of practice that may serve as barriers to work-life balance or affect men and women differently.

SAMPLE

836 ACVS diplomates.

PROCEDURES

An 81-item questionnaire was sent to 1,450 ACVS diplomates in 2015 via email and conducted by means of an online platform. Responses were analyzed to identify associations among selected variables.

RESULTS

The survey response rate was 58% (836/1,450). The median age category among respondents was 41 to 45 years. The ratio of male to female diplomates was equivalent among those < 40 years old. Respondents in small animal private practice worked the fewest number of hours; those in equine or large animal private practice worked the most and had the most on-call responsibility. Women were more likely than men to be employed in academia. In both private practice and academia, respondents in small animal practice earned more than did those in equine or large animal practice, and women earned less than did men, even after adjustment for relevant covariates. Women were less likely than men to be practice owners or to hold a prestigious academic title and rank. Perceptions about the effect of gender in the workplace differed between men and women.

CONCLUSIONS AND CLINICAL RELEVANCE

Findings suggested that the veterinary surgical profession is demanding for both genders, although increased flexibility in certain areas may improve work-life balance.

Full access
in Journal of the American Veterinary Medical Association

Abstract

OBJECTIVE

To characterize objective and subjective elements of the personal lives of American College of Veterinary Surgeons (ACVS) diplomates and identify elements of personal life associated with professional life or career success.

SAMPLE

836 ACVS diplomates.

PROCEDURES

An 81-item questionnaire was sent to 1,450 diplomates in 2015 via email and conducted by means of an online platform. Responses were analyzed to summarize trends and identify associations among selected variables.

RESULTS

Men were more likely than women to be married or in a domestic partnership (88% vs 68%, respectively) and to have children (77% vs 47%). Among women but not men, respondents in large animal practice were less likely than were those in small animal practice to be represented in these categories. Women had children later in their career than did men and indicated that their stage of training played an important role in family planning. Respondents with children worked significantly fewer hours than did those without children, with a greater reduction in hours for women versus men (6.0 vs 3.1 hours, respectively). Women were more likely to require external childcare services than were men. Women were more likely to report that having children had negatively impacted their professional lives. No negative associations between measures of professional success (eg, advancement or personal income) and parenthood were identified.

CONCLUSIONS AND CLINICAL RELEVANCE

Family demographics differed between male and female ACVS diplomates, yet no objective impact on career success was identified. Work-life balance may play an important role in recruitment, retention, and job satisfaction of veterinary surgeons.

Full access
in Journal of the American Veterinary Medical Association

Abstract

Objective—To determine the phase and quantitate the electromyographic (EMG) activity of the genioglossus, geniohyoideus, hyoepiglotticus, omohyoideus, sternohyoideus, sternothyroideus, and thyrohyoideus muscles of clinically normal horses during strenuous exercise.

Animals—7 clinically normal adult horses (2 Thoroughbreds and 5 Standardbreds).

Procedures—Bipolar electrodes were surgically implanted in the aforementioned muscles, and horses were subjected to an incremental exercise test on a high-speed treadmill. The EMG, heart rate, respiratory rate, and static pharyngeal airway pressures were measured during exercise. The EMG was measured as mean electrical activity (MEA). The MEA values for maximal exercise intensity (13 or 14 m/s) were expressed as a percentage of the MEA measured at an exercise intensity of 6 m/s.

Results—MEA was detected during expiration in the genioglossus, geniohyoideus, sternohyoideus, and thyrohyoideus muscles and during inspiration in the hyoepiglotticus and sternothyroideus muscles. Intensity of the MEA increased significantly with exercise intensity in the genioglossus, geniohyoideus, and hyoepiglotticus muscles. Intensity of the MEA increased significantly in relation to expiratory pharyngeal pressure in the geniohyoideus and hyoepiglotticus muscles.

Conclusions and Clinical Relevance—Once exercise intensity reached 6 m/s, no quantifiable additional increase in muscular activity was detected in the omohyoideus, sternohyoideus, sternothyroideus, and thyrohyoideus muscles. However, muscles that may affect the diameter of the oropharynx (genioglossus and geniohyoideus muscles) or rima glottis (hyoepiglotticus muscle) had activity correlated with the intensity of exercise or expiratory pharyngeal pressures. Activity of the muscles affecting the geometry of the oropharynx may be important in the pathophysiologic processes associated with nasopharyngeal patency.

Full access
in American Journal of Veterinary Research

Abstract

OBJECTIVE To evaluate the biomechanical properties of 4 methods for fusion of the centrodistal and tarsometatarsal joints in horses and compare them among each other and with control tarsi.

SAMPLE 24 sets of paired tarsi without substantial signs of osteoarthritis harvested from equine cadavers.

PROCEDURES Test constructs (n = 6/type) were prepared from 1 tarsus from each pair to represent surgical drilling; 2 medially to laterally placed kerf-cut cylinders (MLKCs); a single large, dorsally applied kerf-cut cylinder (DKC); and a dorsomedially applied locking compression plate (DMLCP). Constructs and their contralateral control tarsi were evaluated in 4-point bending in the dorsoplantar, lateromedial, and mediolateral directions; internal and external rotation; and axial compression. Bending, torsional, and axial stiffness values were calculated.

RESULTS Mean stiffness values were consistently lower for surgical drilling constructs than for contralateral control tarsi. Over all biomechanical testing, surgical drilling significantly reduced joint stability. The MLKC constructs had superior biomechanical properties to those of control tarsi for 4-point bending but inferior properties for external and internal rotation. The DMLCP and DKC constructs were superior to control tarsi in dorsoplantar, rotational, and axial compression directions only; DMLCP constructs had no superior stiffness in lateromedial or mediolateral directions. Only the DKC constructs had greater stiffness in the mediolateral direction than did control tarsi. Over all biomechanical testing, DMLCP and DKC constructs were superior to the other constructs.

CONCLUSIONS AND CLINICAL RELEVANCE These biomechanical results suggested that a surgical drilling approach to joint fusion may reduce tarsal stability in horses without clinical osteoarthritis, compared with stability with no intervention, whereas the DMLCP and DKC approaches may significantly enhance stability.

Full access
in American Journal of Veterinary Research

Abstract

OBJECTIVE

Collaboration between primary care veterinarians (pcVets) and veterinary oncologists is common for dogs diagnosed with cancer, but no data exist that explore dog owner utilization and perceptions of collaborative care. The objectives were to describe dog owner perceptions of the value of collaborative veterinary cancer care and identify drivers of a positive collaborative care experience between the pcVet and oncologic specialists.

SAMPLE

890 US dog owners who had pets diagnosed with cancer in the past 3 years.

PROCEDURES

Online contextual survey. Data were analyzed using group comparisons and multiple regression analysis. Significance was set at P < .05.

RESULTS

76% of clients sought specialty care following cancer diagnosis in their dog. Seventy percent of owners across all income brackets indicated that referral to a specialist was a very good value based on money spent and outcomes. Delayed referral resulted in lower client satisfaction scores for pcVets. Top predictors of client satisfaction with pcVets were as follows: responsiveness to questions, staying involved with their dog’s care, and willingness to work with other veterinarians and specialists. For specialists, top predictors were as follows: providing accurate cost estimates, cancer knowledge, and effectiveness of care. Client perceptions of pcVets were 6 times more likely to improve following referral to a specialist. All were significant predictors of owner advocacy (P < .0001).

CLINICAL RELEVANCE

Dog owners perceived early collaboration between pcVets and specialists favorably, fostering client satisfaction and positive perceptions of the value for service provided for dogs diagnosed with cancer.

Open access
in Journal of the American Veterinary Medical Association