Skip to main content

ORIGINAL RESEARCH article

Front. Vet. Sci., 26 July 2024
Sec. Veterinary Humanities and Social Sciences
This article is part of the Research Topic Animal wellbeing, conservation, research, and education: Supporting people in caring professions View all articles

Career transition plans of veterinarians in clinical practice

  • 1College of Veterinary Medicine and Biomedical Sciences, Colorado State University, Fort Collins, CO, United States
  • 2Veterinary Information Network, Davis, CA, United States

Objective: Gain an understanding of the career transition plans of veterinarians in clinical practice.

Sample: Veterinary members of the Veterinary Information Network (VIN) working as small animal clinicians.

Procedures: An electronic survey distributed via the VIN data collection portal.

Results: A total of 1,256 responses from veterinarians in clinical practice were analyzed, with 61% indicating they plan to decrease their clinical work, and 31% to stop entirely within the next 5 years. The most common reasons for these choices were to have more free time for oneself and/or family/friends (76%), to maintain good health (59%), and feeling burned out (50%). Factors that might entice them to retain their current number of clinical hours included reduced workload or shorter hours (42%), financial incentivization (38%), and improved working conditions (26%). Concerns related to retirement were common with 47% of participants in our study reported feeling concerned about the loss of professional identity, 34% reported concern about reduced social connections, and 28% reported concern as to how they would fill their time.

Conclusions and clinical relevance: The reported desire to reduce/stop one’s clinical work within the next 5 years by 42% of veterinarians ≤44 years of age, with burnout a primary predictor, offers insights into the necessity of change at the organizational, systemic (versus individual) level. The fact that many participants reported concerns related to retirement and 32% reported that they did not have adequate retirement information suggests a need for supportive services to help ensure a successful transition.

Introduction

The current average retirement age for workers in the US is 65 years for men and 62 years for women (1). In 2022, the average age of male veterinarians in the workplace was 50.5 and 41.3 for female veterinarians (2). It is therefore likely that many veterinarians will retire over the two decades. These demographics, as well as the fact that the mean age of graduation has been steadily increasing since 1975 (thereby potentially creating shorter career lengths) has the potential to reduce the number of practicing veterinarians (3).

In addition to retirement, approximately 30% of companion animal veterinarians have indicated they would like to work fewer hours, with top cited reasons involving work-life balance and mental health (e.g., stress, anxiety, and burnout) (4). Veterinarians are at a particularly high risk for burnout due to a myriad of challenges including long work hours, on-call duties, moral distress, ethical dilemmas, poor work-life balance, client expectations, lack of managerial support, and understaffing (59). Work-related stressors and burnout also contribute to the decision to retire (1013).

Other factors that may influence veterinarians’ decisions to reduce their clinical practice hours or retire early include physical and cognitive changes (10, 14). Healthy human brains undergo significant changes with age, often beginning before 60 years old, with reductions in processing speed, executive functioning, and episodic memory (15). To our knowledge, no studies on aging veterinarians’ cognitive and physical changes have been conducted, yet several studies have focused on the need to help support aging physicians experiencing cognitive and/or physical decline (16, 17).

The decision to retire or reduce one’s clinical workload is often difficult and some professionals struggle with potential negative impacts pertaining to finances, a loss of identity, and a reduction in social interactions (18, 19). Despite high levels of burnout, and possible physical or cognitive decline, veterinarians might elect to continue working because of financial concerns. When compared to similar professions, veterinarians make lower wages, yet have similar amounts of debt. For example, the average physician’s annual salary is $239,000 compared to $147,787 for the average veterinarian in all types of veterinary-related work, despite having similar student debt (20, 21). The educational debt of veterinary student graduates averaged $154,451 in 2023 ($185,486 for those with at least some loans), with 33% of veterinary students graduating with a debt of $200,000 or more (20). Even though debt load has declined since 2020, it remains a concern (20, 22). Given that it takes 20 years, on average, for students to repay their student debt (23), many veterinarians might be unable to retire when they want due to financial limitations. To our knowledge, there have been no studies examining the financial factors that impact veterinarians’ decision to retire, however, several studies have found that physicians’ retirement decisions are impacted by finances (19, 24, 25). In addition to financial concerns, veterinarians may be worried about a loss of identity. Similar to physicians, many veterinarians’ identification as a doctor is central to their person (18, 26), creating challenges when making retirement decisions (19, 27, 28).

Despite the growing number of aging veterinarians, little is known about practicing veterinarians’ plans to reduce their clinical hours or retire. Therefore, we sought to better understand the reasons why practicing veterinarians are contemplating a reduction in clinical hours, or retirement, as well as potential incentives that might make them reconsider. We also wanted to assess any perceived changes of cognitive and physical skills, within the past 5 years, related to clinical work. Lastly, for those contemplating retirement, we wanted to better understand their concerns, and where they access their retirement information to determine any unmet retirement-centered needs.

Materials and methods

We created an online survey and distributed a link to the survey via email to members of the Veterinary Information Network, an online community for veterinarians (n ~ 43,000). Participants could anonymously access the survey from March 1, 2024 to March 24, 2024. A follow-up message was sent 2 weeks after the initial invitation. We included data only from respondents who stated they currently worked as veterinarians in clinical practice but excluded those practicing as interns or residents. The study was categorized as exempt by Colorado State University’s Institutional Review Board. The survey was administered directly via the VIN data collection portal, and branching logic was used to display only relevant questions to each participant.

The body of the survey consisted of demographic questions including age, gender, relationship status (partnered/married or single), number of children under 18 for whom they are responsible, if they are responsible for the care of elderly/disabled family members (yes/no), and if they have any outstanding large debts (yes/no). Participants were asked to indicate the proportion of their clinical work spent with small animals, large animals, horses, exotic animals, and wildlife. They were also asked to describe their work setting (brick-and-mortar private practice, brick-and-mortar corporate practice, mobile, relief, academic, shelter).

Participants were asked to indicate the statement that best reflects their current work/life balance using a 5-point Likert scale with 1 = I feel I work way too much, leaving little to no time for home/personal life and 5 = I feel I would like to work a great deal more, I have too much time for home/personal life. Using an 11-point scale, with 0 = very unsatisfied and 10 = very satisfied, they were asked to rate their current level of job satisfaction with their clinical veterinary work.

Burnout and professional fulfillment were assessed with the Stanford Professional Fulfillment Index (PFI) (29). The PFI is a 16-item survey with three scales: two scales measure burnout in terms of work exhaustion (four questions) and interpersonal disengagement (six questions); and one scale that measures professional fulfillment (six questions). Response options are on a f5-point Likert scale (“not at all true” to “completely true”) for professional fulfillment items and “not at all” to “extremely” for work exhaustion and interpersonal disengagement items. Items are scored 0–4 with each dimension treated as an integer variable. Scale scores are calculated by averaging the item scores of all the items within the corresponding scale. Higher scores on the professional fulfillment scale are viewed more favorably while higher scores on the work exhaustion or interpersonal disengagement scales are less favorable. Dichotomous burnout categories are determined from the average item score of all 10 burnout items (work exhaustion and interpersonal disengagement), using a cut-point of 1.33. Dichotomous professional fulfillment is recommended at an average item score cut-point of ≥3.0 (29).

Participants were asked if they plan to change the amount or type of paid work they do within the next 5 years. For those who indicated they plan a change, they were asked how they plan to change their clinical veterinary work (increase, leave unchanged, decrease, stop entirely). The participants who indicated they plan to decrease or stop their clinical veterinary work were asked to indicate, from a list of 16 factors, those that they feel are reasons for the desired change. Examples of reasons include “Feeling burned out,” “To have more free time for self ± family/friends,” and “personal health problems.” They were then asked to assign a level of importance to each selected reason using a 5-point scale (1 = not very important to 5 = exceptionally important). They were then asked to indicate from a list of eight factors, those factors that might entice them to retain their current number of clinical hours (e.g., “Reduction of on-call or emergency commitments” and “Development opportunities”).

Participants were next asked to compare their current status with that of 5 years ago (greater, about the same, somewhat less, considerably less) on several job-related factors. Examples include “ability to manage a heavy patient load,” “ability to practice veterinary medicine the way you want based on your physical health” and “ability to incorporate new modalities of diagnosis and treatment into your practice.”

Participants were then asked at what age they visualize transitioning away entirely (either to another type of work or retirement) from clinical veterinary work. Participants 50 and older were asked their agreement level, using a 5-point Likert scale, with potential concerns about retirement (e.g., loss of professional identity, reduced social connections). They were also asked where they go for retirement information/guidance (e.g., personal advisor, AVMA or national veterinary association, AARP or national aging association, family/friends). Lastly, they were asked if they feel they have sufficient information about retirement (yes/no).

Descriptive statistics, Chi Square, Analysis of Variance, and binary regression were performed with SPSS, version 28. To determine if personal demographics could predict estimated age for retirement, logistic regression was used to predict estimated age for retirement based on participants’ gender, relationship status, children status, type of employment, debt, job fulfillment, and burnout. Significance level was set at 0.05.

Results

Demographics

We received 1,256 responses from veterinarians in clinical practice, of which 920/1,249 (73.7%) were females, and 329/1,249 (26.3%) were males. Most (973/1,252, 77.7%) were partnered/married, did not have any children under 18 years of age (947/1,256, 75.4%), were not responsible for the care of an elderly or disabled family member (1,035/1,252, 82.7%), but more than half had outstanding large debts (742/1,255, 59.1%). Most (1,153/1,250, 92.2%) reported working with small animals 90% or more of the time, with most working in a brick-and-mortar practice [either private (50.9%) or corporate (32.5%)]. Of the remaining respondents, 43/1,203 (3.6%) worked as mobile veterinarians, 96/1,203 (8.0%) as relief veterinarians, 34/1,203 (2.8%) as academic clinicians, and 27/1,203 (2.2%) as shelter veterinarians.

Wellbeing

Participants rated their current level of job satisfaction with their clinical work using an 11-point scale (0 very low =10 very high) (n = 1,248), with an average rating of 6.75 (SD = 2.30). Age affected clinical job satisfaction (p < 0.001), with participants ≤44 years of age reporting lower satisfaction (M = 5.86, SD = 2.23) than older participants (M = 6.98, SD = 2.26). Participants ≥65 year of age reported higher satisfaction than younger participants (M = 7.79, SD = 2.03). Males reported higher satisfaction (M = 7.18, SD 2.31) than females (M = 6.60, SD = 2.28) (p < 0.001). When asked about their current work/life balance (n = 1,187), the largest number (565, 45.3%) reported feeling they work somewhat too much, followed by 481 (38.3%) who reported feeling they work the right amount. Relatively few participants reported working way too much (175, 13.9%), and very few would like to work more (27, 2.2%). Males were more likely to report working the right amount (159/345, 46.1%) compared to females (353/966, 36.5%) (p = 0.039). Participants ≥65 year of age were more likely to report feeling they work the right amount (123/253, 48.6%) (p = 0.013) compared to younger participants (≤44 years of age: 90/269, 33.5%; 45–54 years of age: 110/324, 34.0%; 55–64 years of age: 190/470, 40.4%).

Job burnout was assessed by averaging the 10 items related to burnout (work exhaustion and interpersonal disengagement) on the Stanford Professional Fulfillment Index (PFI) (29). Using the suggested dichotomous burnout cut off score of 1.33, a total of 426/1,252 (34.0%) of respondents fell above the cutoff for burnout. There were no differences based on gender (p = 0.274), relationship status (p = 0.195), children status (p = 0.442), or responsibility for elderly/disabled family member (p = 0.087). Younger participants, however, had burnout scores more frequently than older participants (p < 0.001, R2 = 0.070).

Job fulfillment was assessed by averaging the six questions of the PFI, using the cut off score of >3.0. The number of participants who scored higher than the cut off score was 503/1,252 (40.2%). There were no differences based on gender (p = 0.373), relationship status (p = 0.072), or parent status (p = 0.312). However, participants responsible for an elderly/disabled family reported lower fulfillment (p = 0.010, R2 = 0.003), as did younger participants (p < 0.001, R2 = 0.075).

Future career plans

Participants were asked if, and how, they plan to change their amount of clinical work over the next 5 years. The majority (547/898, 60.9%) reported they plan to decrease their clinical work, 275/898 (30.6%) reported they plan to stop entirely, 41/898 (4.6%) reported planning no change, and 35/898 (3.9%) reported a plan to increase clinical work. When analyzed by age brackets, older participants were more likely to report the intention to stop or decease their clinical veterinary work (p < 0.001) (Table 1).

Table 1
www.frontiersin.org

Table 1. Participants’ plans to change the amount of clinical work they perform over the next 5 years by age.

Binary regression was conducted to determine predictors of planned changes (stop/reduce and maintain/increase) in the amount of their clinical work over the next 5 years. The potential predictors included burnout, fulfillment, children (yes/no), gender (male/female), relationship status (partnered/single), responsible for care of elderly or disabled family members (yes/no), outstanding large debt (yes/no) and age (44 and younger, 45–54, 55–64, 65 and older). Significant predictors included burnout (higher levels of burnout more likely to stop/reduce; B = −0.501; CI: 0.489–0.750; p < 0.001), fulfillment (higher levels of fulfillment less likely to stop/reduce; B = 0.333; CI: 1.155–1.686; p < 0.001), children (those with children less likely to stop/reduce; B = 0.365; CI: 1.044–1.988; p = 0.026), relationship status (single less likely to stop/reduce; B = 0.450; CI: 1.134–1.518; p = 0.006), outstanding debt (those with debt less likely to stop/reduce; B = 0.493; CI: 1.230–2.180; p < 0.001) and age [44 and younger years of age (p = 0.002)], 45–54 years of age (p < 0.001), and 55–64 years of age (p > 0.001) were all less likely to report they plan to stop/decrease their clinical work when compared to participants 65 years and older (Table 2).

Table 2
www.frontiersin.org

Table 2. Results of binary regression predicting plans to stop/decrease or remain same/increase clinical work within next 5 years based on burnout, fulfillment, child status, gender, relationship status, responsible for care of elderly or disabled family members, outstanding large debt, and age.

Those who reported they plan to decrease or stop their clinical work (n = 822) were asked to indicate, from a list of 16 factors, the reasons for the desired change. The most commonly cited reasons were “to have more free time for self ± family/friends” (628, 76.4%), “to maintain good health” (482, 58.6%) and “feeling burned out” (414, 50.4%) (Table 3).

Table 3
www.frontiersin.org

Table 3. Reasons given by veterinarians in clinical practice to decease or stop clinical work within the next 5 years (n = 822).

Participants were then asked to indicate from a list of eight factors, the factors that might entice them to retain their current number of clinical hours (n = 822). The factors identified as enticing by the largest number of respondents included a reduced workload or shorter hours per shift (348, 42.3%), financial incentivization (311, 37.8%), and improved working conditions other than hours (215, 26.2%) (Table 4).

Table 4
www.frontiersin.org

Table 4. Possible incentives to make veterinarians in clinical practice retain their current number of clinical hours (n = 822).

Participants 50 years of age and older were next asked to compare their current status with that of 5 years ago (greater, about the same, somewhat less, considerably less, not applicable) on several job-related factors. The factors with the greatest number of participants noting a decline included ability to recover from a night shift, (182/241, 75.5%), ability to recover from a long shift (528/822, 64.3%), and ability to deal with difficult personalities at work (372/849, 43.9%) (Table 5). Reported changes based on age brackets (50–54, 55–64, and 65 and older) are reported in Table 6. Significant differences were found for ability to manage a heavy patient load (p = 0.005), ability to perform common procedures (p = 0.006), ability to manage complicated clinical problems (p = 0.016), handle the stresses of veterinary medicine (p < 0.001), empathize with clients (p < 0.001), and level of emotional exhaustion (p = 0.023). In each of these, older participants, when compared to younger participants, were either more likely to report their current status was less than it was 5 years ago or less likely to report their ability was greater than it was 5 years ago. Participants were also asked to rate their current physical health (n = 915). The majority rated their health as good (221, 24.2%), very good (349, 38.1%) or excellent (216, 23.6%). There was no difference in health rating based on age.

Table 5
www.frontiersin.org

Table 5. Reported change by participants 50 years of age and older in current status compared to 5 years ago for 12 factors related to clinical practice.

Table 6
www.frontiersin.org

Table 6. Reported change by participants 50–54, 55–64, and 65 and older years of age in current status compared to 5 years ago for 12 factors related to clinical practice.

Retirement

The mean age at which participants visualized transitioning away entirely (either to another type of non-veterinary work or retirement) from clinical veterinary work was 64 (SD = 9.34, median = 65). However, 23.4% reported an intended retirement age of >70 years, and several reported not ever intending to retire (Figure 1). When participants ages 45 and older were asked indicate their agreement to the statement ‘my current financial preparations for retirement are adequate’, most either agreed (298/913, 32.6%) or strongly agreed (324/913, 35.5%). Males were more likely to report agreeing that their current financial preparations for retirement are adequate (213/277, 76.9%) compared to females (408/633, 64.5%) (p < 0.001).

Figure 1
www.frontiersin.org

Figure 1. Reported age participants’ visualize transitioning away from veterinary work.

Participants were asked to indicate their thoughts about several possible concerns related to retirement. Almost half (426/912, 46.7%) reported concern about the loss of professional identity, and a third (311/912, 34.1%) reported concern about reduced social connections. Fewer (255/913, 27.9%) reported concern about how they would fill their time, or 121/708 (17.1%) about changes in their relationship with their partner/spouse. Females were more likely to report being concerned about the loss of professional identity (314/633, 49.6%) compared to males (111/276, 40.2%) (p = 0.033). No other gender differences were found (social connections: p = 0.220; fill time: p = 0.132; relationship with partner/spouse: p = 0.787).

Participants were asked where they access retirement information and guidance. Two thirds of participants reported using a personal financial advisor (705/1,055, 66.8%), a third used friends/family (367/1,055, 34.8%). Few used VIN (138/1,055, 13.1%) or AARP (national aging organization) resources (113/1,055, 10.7%). A fifth of participants (210/1,055, 19.9%) reported not seeking retirement guidance. Participants aged 45–54 (79/326, 24.2%) and 65 and older (54/256, 21.1%) were more likely to report currently seeking retirement information than participants ages 55–64 (77/473, 16.3%) (p = 0.019). Almost a third of respondents (339/1,052, 32.2%) reported that they did not have adequate information about retirement. Males were more likely to report feeling that they have adequate information about retirement (231/307, 75.2%) compared to females (481/743, 64.7%) (p < 0.001). Participants were asked to share what additional retirement resources would be useful. Response themes included financial planning and investment advice, understanding retirement accounts (401k, IRAs, social security), estimating retirement expenses and income needs, retirement calculators and checklists, information on healthcare options (Medicare, insurance), guidance on selling/closing a veterinary practice, and connecting with other retired veterinarians for advice and experiences.

Discussion

Our study focused on factors surrounding veterinarians’ decisions to reduce their clinical hours or retire. Although substantial attention has been directed toward veterinarian numbers and supply, there has been relatively little research examining retirement or pre-retirement clinical activity. The participants in our study visualized transitioning away from veterinary work at a mean age of 64, similar to the average retirement age of workers in the US (1). When asked if, and how, they plan to change their amount of clinical work over the next 5 years, 61% reported they plan to decrease their clinical work, and 31% reported they plan to stop veterinary work entirely. Notably, 35% of veterinarians ≤44 years of age reported they plan to decrease their clinical hours and 7% indicated they plan to stop entirely. These figures reflect other studies suggesting that 29–49% of health care professionals, and 27% of veterinarians, would like to reduce their work hours or work part-time (20, 30).

While it is typical, and often desired, for medical providers to reduce their activity level in the years immediately preceding retirement (31), our study suggests that the desire to reduce one’s clinical work is felt by over a third of younger veterinarians. A reduction in workload can impact the perceived number of currently practicing veterinarians and lead to overestimating the number of active veterinarians (31).

When the participants who indicated they plan to stop/reduce the amount of their clinical work over the next 5 years were asked to identify the reasons for their decision, the most common reasons were to have more free time for oneself and/or family/friends, maintain good health, and because of burnout. When assessing predictors of the decision to stop/reduce the amount of their clinical work over the next 5 years, we found that, after age, burnout was the largest predictor. Additional predictors included job fulfillment, debt load, children, and relationship status. Those more likely to indicate they plan to stop/reduce the amount of their clinical work over the next 5 years had high levels of burnout, low levels of job fulfillment, and were married/partnered with no children and no outstanding high debt.

These results support earlier work by Nolen who found the main reasons for early retirement relate to work-life balance and mental health (32). Instead of being separate entities, burnout and health are intertwined, with burnout identified as a known risk factor for poorer physical health, impaired regulation of thought, action, and emotion, increased risk for early onset of age-related diseases, and premature death (33). Burnout has been identified as a predictor in physician’s decisions to leave a practice (34). In our study, we found that 34% of participants scored above the cut off for burnout, with younger veterinarians reporting higher levels of burnout than older veterinarians.

Burnout, characterized as a syndrome resulting from chronic workplace stress, is prominent in veterinary medicine (5, 35, 36), with veterinarian burnout scores found to be approximately 40% higher than physicians (37). Women veterinarians, associates, and those with less experience, exhibit higher burnout rates than men, practice owners, or those with more experience (36, 38, 39).

The economic impacts of burnout are significant and often measured through turnover and a reduction in hours (40). A reduction in working hours, or even the intention to reduce one’s hours because of burnout, can lead to lost revenue due to an increase in medical errors and poorer patient outcomes (35, 40, 41). Much has been written about burnout, including the need to address it at an organizational level, versus an individual level (35). While individual self-care to combat burnout can be helpful, it has been suggested that hospitals carry the primary responsibility to reduce and prevent burnout, including the provision of good organizational leadership (35, 4246). Effective leadership can reduce burnout and stress and have a positive impact on burnout (35, 44). Facets of leadership that have been shown to positively impact burnout include keeping people informed, encouraging feedback from employees, and providing recognition of quality job performance (44). Future work on burnout should focus on organizational interventions that are tailored to each individual practice, but focus on quality leadership, improved workflow, and increased utilization of support staff (35). Veterinary organizations could play a key role in these efforts.

When participants who reported plans to stop/reduce the amount of their clinical work over the next 5 years were asked what might entice them to retain their current number of clinical hours, the most commonly endorsed factors included reduced workload or shorter hours, financial incentivization, and improved working conditions.

Studies suggest that the baby-boomer generation’s work ethic that mandates long days and little work life balance is not what current health providers endorse (14). Expectations for high weekly work hours can lead to conflicts between personal/professional responsibilities and are one of the greatest predictors of physician burnout, and intent to reduce clinical work hours or leave the field (47). Instead of the 80 h work week, the majority of current physicians prefer to work part-time, with younger physicians in particular seeing part time work as the way to meet their work life balance needs and decrease burnout (30). In our study, 60% of respondents noted that they feel they work too much, sentiments reflected in recent veterinarian studies (14, 48).

Previous research suggests that interventions which focus on reducing job demands and the number of working hours can improve health providers’ well-being and help with retention (30). In addition to a reduction in overall hours, this could also entail a shifting of duties to include more non-clinical duties such as teaching and mentorship, thereby helping both those feeling burned out as well as younger professionals.

Related to future career plans, we asked participants ≥50 years of age to compare their current status with that of 5 years ago on several job-related factors. The factors noted by the largest number of participants to have declined include the ability to recover from a night shift or a long shift, and the ability to deal with difficult personalities at work. Although participants ≥65 were more likely to report declined abilities in several areas, it is important to note that participants 50–54 years of age reported decreased abilities in several factors critical to clinical work. For example, 39% of participants 50–54 years of age noted a decreased ability to practice veterinary medicine the way they want based on their physical health, 43% noted deceased ability to manage a heavy patient load, 25% noted a decrease in the ability to perform common procedures, and 47% noted a decrease in the ability to handle the stresses of veterinary medicine. While, to our knowledge, no studies have reported self-perceived cognitive and physical age-related declined abilities among veterinarians, physician studies have found that they are able to self-identify cognitive or physical declines as they age, and take these factors into consideration when deciding when to retire (19). Future research exploring the impact of veterinarians’ perception of their cognitive and physical declines on decisions to reduce or stop clinical work is needed. Results from our study suggest that intervention and support for practicing veterinarians to help them stay in the field is needed well before typical retirement age. Caution should be taken that this information be used to help support veterinarians rather than, even inadvertently, discriminate when hiring or reviewing performance. Competing with a desire to retire are concerns about associated potential negative changes, including loss of identity or social connections, how one structures one’s time, and changes in one’s relationship with partner/spouse. We found that nearly half of our participants reported feeling concerned about the loss of professional identity and a third reported concern about reduced social connections or how they would fill their time. Supporting veterinarians as they retire is critically important, not only with regards to finances and logistics, but also with the associated personal and emotional aspects involved. It would be useful for veterinary associations to take on this effort by providing webinars, trainings, and a system to help connect people contemplating retirement with retired veterinarians for advice and guidance. This could not only help support those leaving the field but could help those already retired remain active and give back to younger generations.

There are several limitations to our study. Our sample consisted of a small percentage of VIN members, so caution is suggested when generalizing to other veterinarians since we cannot be certain that our sample represents the overall veterinary population. Moreover, because VIN membership is a paid subscription, the financial status of our sample might not represent the overall veterinary population. Potential response bias is another limitation. It is possible that individuals who have been thinking about reducing their hours or retiring may have been more likely to respond. Additionally, some participants might have been more likely to indicate they plan to decrease or stop clinical veterinary work for administrative work if a more detailed explanation or examples of veterinary related administrative work was provided. Yet, the percentages of participants who reported wanting to reduce their hours or retire resemble other national health provider surveys (30, 38).

In conclusion, our study found a significant number of veterinarians hope to reduce or stop clinical work within the next 5 years, often citing burnout as a factor in their decision. With the current shortage of veterinarians, plans by a significant number of practitioners to decrease their hours or leave the field will likely only exacerbate the problem by increasing the workload of others and increasing burnout rates. However, we also found that many of those contemplating a reduction in hours or retirement could be incentivized to stay if properly motivated. It is critically important, not only those contemplating leaving the field, but the colleagues they will leave behind, to proactively work with these individuals to address their needs through systemic organizational changes and personal support. For those who do make the decision to retire, it is suggested that we repay them for their service by providing support to ensure a successful transition and opportunities to stay involved in the field.

Data availability statement

The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.

Ethics statement

The studies involving humans were approved by the Internal Review Board – Colorado State University. The studies were conducted in accordance with the local legislation and institutional requirements. The Ethics Committee/Institutional Review Board waived the requirement of written informed consent for participation from the participants or the participants’ legal guardians/next of kin because the study was determined to be exempt by the Internal Review Board of Colorado State University.

Author contributions

LK: Conceptualization, Formal analysis, Investigation, Methodology, Writing – original draft, Writing – review & editing. MR: Conceptualization, Data curation, Formal analysis, Methodology, Writing – review & editing.

Funding

The author(s) declare that no financial support was received for the research, authorship, and/or publication of this article.

Acknowledgments

The authors wish to thank Emma Brown for her help with literature review.

Conflict of interest

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Publisher’s note

All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.

Supplementary material

The Supplementary material for this article can be found online at: https://www.frontiersin.org/articles/10.3389/fvets.2024.1433891/full#supplementary-material

References

1. Center for Retirement Research. The national retirement risk index: version 2.0. (2023). Available at: https://crr.bc.edu/the-national-retirement-risk-index-version-2-0/

Google Scholar

2. DataUSA. Veterinarians | Data USA. (2022). Available at: https://datausa.io/profile/soc/veterinarians

Google Scholar

3. AVMA. Census of veterinarians finds trends with shortages, practice ownership | American Veterinary Medical Association. (2019). Available at: https://www.avma.org/javma-news/2019-07-15/census-veterinarians-finds-trends-shortages-practice-ownership

Google Scholar

4. AVMA. U.S. veterinarian numbers | American Veterinary Medical Association. (2023). Available at: https://www.avma.org/resources-tools/reports-statistics/market-research-statistics-us-veterinarians

Google Scholar

5. Andela, M. Burnout, somatic complaints, and suicidal ideations among veterinarians: development and validation of the veterinarians stressors inventory. J Vet Behav. (2020) 37:48–55. doi: 10.1016/j.jveb.2020.02.003

Crossref Full Text | Google Scholar

6. Kogan, LR, and Rishniw, M. Veterinarians and moral distress. J Am Vet Med Assoc. (2023) 261:1–7. doi: 10.2460/javma.22.12.0598

PubMed Abstract | Crossref Full Text | Google Scholar

7. Kogan, L, Schoenfeld-Tacher, R, Carney, P, Hellyer, P, and Rishniw, M. On-call duties: the perceived impact on veterinarians’ job satisfaction, well-being and personal relationships. Front Vet Sci. (2021) 8:740852. doi: 10.3389/fvets.2021.740852

PubMed Abstract | Crossref Full Text | Google Scholar

8. Mastenbroek, NJJM, Jaarsma, ADC, Demerouti, E, Muijtjens, AMM, Scherpbier, AJJA, and van Beukelen, P. Burnout and engagement, and its predictors in young veterinary professionals: the influence of gender. Vet Rec. (2014) 174:144–4. doi: 10.1136/vr.101762

PubMed Abstract | Crossref Full Text | Google Scholar

9. Pohl, R, Botscharow, J, Böckelmann, I, and Thielmann, B. Stress and strain among veterinarians: a scoping review. Ir Vet J. (2022) 75:15. doi: 10.1186/s13620-022-00220-x

PubMed Abstract | Crossref Full Text | Google Scholar

10. Arbe Montoya, AI, Hazel, SJ, Matthew, SM, and McArthur, ML. Why do veterinarians leave clinical practice? A qualitative study using thematic analysis. Vet Rec. (2021) 188:e2. doi: 10.1002/vetr.2

PubMed Abstract | Crossref Full Text | Google Scholar

11. Hayes, GM, LaLonde-Paul, DF, Perret, JL, Steele, A, McConkey, M, Lane, WG, et al. Investigation of burnout syndrome and job-related risk factors in veterinary technicians in specialty teaching hospitals: a multicenter cross-sectional study. J Vet Emerg Crit Care. (2020) 30:18–27. doi: 10.1111/vec.12916

PubMed Abstract | Crossref Full Text | Google Scholar

12. Heath, TJ. Longitudinal study of veterinary students and veterinarians: the first 20 years. Aust Vet J. (2007) 85:281–9. doi: 10.1111/j.1751-0813.2007.00172.x

PubMed Abstract | Crossref Full Text | Google Scholar

13. IES. The 2019 survey of the veterinary profession A report for the Royal College of Veterinary Surgeons. (2019). Available at: https://www.rcvs.org.uk/news-and-views/publications/the-2019-survey-of-the-veterinary-profession/1the-2019-survey-of-the-veterinary-profession-report-final.pdf

Google Scholar

14. Hagen, JR, Weller, R, Mair, TS, and Kinnison, T. Investigation of factors affecting recruitment and retention in the UK veterinary profession. Vet Rec. (2020) 187:354–4. doi: 10.1136/vr.106044

PubMed Abstract | Crossref Full Text | Google Scholar

15. Bhatt, NR, Morris, M, O’Neil, A, Gillis, A, and Ridgway, PF. When should surgeons retire? Br J Surg. (2016) 103:35–42. doi: 10.1002/bjs.9925

Crossref Full Text | Google Scholar

16. Dellinger, EP, Pellegrini, CA, and Gallagher, TH. The aging physician and the medical profession: a review. JAMA Surg. (2017) 152:967–71. doi: 10.1001/jamasurg.2017.2342

Crossref Full Text | Google Scholar

17. Devi, G, Gitelman, DR, Press, D, and Daffner, KR. Cognitive impairment in aging physicians. Neurol Clin Pract. (2021) 11:167–74. doi: 10.1212/CPJ.0000000000000829

PubMed Abstract | Crossref Full Text | Google Scholar

18. Armitage-Chan, E, and May, SA. Identity, environment and mental wellbeing in the veterinary profession. Vet Rec. (2018) 183:68–8. doi: 10.1136/vr.104724

PubMed Abstract | Crossref Full Text | Google Scholar

19. Goldberg, R, Thomas, H, and Penner, L. Issues of concern to emergency physicians in pre-retirement years: a survey. J Emerg Med. (2011) 40:706–13. doi: 10.1016/j.jemermed.2009.08.020

Crossref Full Text | Google Scholar

20. AVMA. AVMA economic state of the veterinary profession. Schaumburg, IL: AVMA (2024).

Google Scholar

21. Bureau of Labor Statistics. Physicians and surgeons: occupational outlook handbook: U.S. Bureau of Labor Statistics. Bureau of Labor Statistics. (2023). Available at: https://www.bls.gov/ooh/healthcare/physicians-and-surgeons.htm

Google Scholar

22. Bain, B, and Lefebvre, SL. Associations between career choice and educational debt for fourth-year students of US veterinary schools and colleges, 2001–2021. J Am Vet Med Assoc. (2022) 260:1063–8. doi: 10.2460/javma.21.12.0533

PubMed Abstract | Crossref Full Text | Google Scholar

23. Hanson, M. Average time to pay off student loans [2023]: Data analysis. Education data initiative. (2023). Available at: https://educationdata.org/average-time-to-repay-student-loans

Google Scholar

24. Silver, MP, Hamilton, AD, Biswas, A, and Warrick, NI. A systematic review of physician retirement planning. Hum Resour Health. (2016) 14:67. doi: 10.1186/s12960-016-0166-z

PubMed Abstract | Crossref Full Text | Google Scholar

25. Wang, M, Henkens, K, and van Solinge, H. Retirement adjustment: a review of theoretical and empirical advancements. Am Psychol. (2011) 66:204–13. doi: 10.1037/a0022414

Crossref Full Text | Google Scholar

26. Wijeratne, C, Peisah, C, Earl, J, and Luscombe, G. Occupational determinants of successful aging in older physicians. Am J Geriatr Psychiatry. (2018) 26:200–8. doi: 10.1016/j.jagp.2017.07.008

PubMed Abstract | Crossref Full Text | Google Scholar

27. Dickie, GL. Should older family physicians retire?: NO. Can Fam Physician. (2012) 58:23–4.

PubMed Abstract | Google Scholar

28. Silver, MP, Pang, NC, and Williams, SA. “Why give up something that works so well?”: retirement expectations among academic physicians. Educ Gerontol. (2015) 41:333–47. doi: 10.1080/03601277.2014.970419

Crossref Full Text | Google Scholar

29. Trockel, M, Boham, B, Lesure, E, Hamidi, M, Welle, D, Roberts, L, et al. A brief instrument to assess both burnout and professional fulfillment in physicians: reliability and validity, including correlation with self-reported medical errors, in a sample of resident and practicing physicians. Acad Psychiatry. (2018) 42:11–24. doi: 10.1007/s40596-017-0849-3

Crossref Full Text | Google Scholar

30. Jung, F, Bodendieck, E, Bleckwenn, M, Hussenoeder, F, Luppa, M, and Riedel-Heller, S. Burnout, work engagement and work hours – how physicians’ decision to work less is associated with work-related factors. BMC Health Serv Res. (2023) 23:157. doi: 10.1186/s12913-023-09161-9

PubMed Abstract | Crossref Full Text | Google Scholar

31. Hedden, L, Lavergne, MR, McGrail, KM, Law, MR, Cheng, L, Ahuja, MA, et al. Patterns of physician retirement and pre-retirement activity: a population based cohort study. CMAJ. (2017) 189:E1517–23. doi: 10.1503/cmaj.170231

PubMed Abstract | Crossref Full Text | Google Scholar

32. Nolen, R. Practice inefficiencies compound veterinary stress | American Veterinary Medical Association. (2021). Available at: https://www.avma.org/javma-news/2021-12-01/practice-inefficiencies-compound-veterinary-stress

Google Scholar

33. Arnsten, AFT, and Shanafelt, T. Physician distress and burnout: the neurobiological perspective. Mayo Clin Proc. (2021) 96:763–9. doi: 10.1016/j.mayocp.2020.12.027

PubMed Abstract | Crossref Full Text | Google Scholar

34. Shanafelt, TD, Raymond, M, Kosty, M, Satele, D, Horn, L, Pippen, J, et al. Satisfaction with work-life balance and the career and retirement plans of US oncologists. J Clin Oncol. (2014) 32:1127–35. doi: 10.1200/JCO.2013.53.4560

PubMed Abstract | Crossref Full Text | Google Scholar

35. Neill, CL, Hansen, CR, and Salois, M. The economic cost of burnout in veterinary medicine. Front Vet Sci. (2022) 9:814104. doi: 10.3389/fvets.2022.814104

PubMed Abstract | Crossref Full Text | Google Scholar

36. Ouedraogo, FB, Lefebvre, SL, Hansen, CR, and Brorsen, BW. Compassion satisfaction, burnout, and secondary traumatic stress among full-time veterinarians in the United States (2016–2018). J Am Vet Med Assoc. (2021) 258:1259–70. doi: 10.2460/javma.258.11.1259

Crossref Full Text | Google Scholar

37. Volk, JO, Schimmack, U, Strand, EB, Vasconcelos, J, and Siren, CW. Executive summary of the Merck animal health veterinarian wellbeing study II. J Am Vet Med Assoc. (2020) 256:1237–44. doi: 10.2460/javma.256.11.1237

PubMed Abstract | Crossref Full Text | Google Scholar

38. Bain, B., Hansen, C., Ouedraogo, F. B., Radich, R., and Salois, M. 2021 AVMA report on economic state of the veterinary profession. (2021). Available at: https://hdl.handle.net/1813/114202

Google Scholar

39. Perret, JL, Best, CO, Coe, JB, Greer, AL, Khosa, DK, and Jones-Bitton, A. Prevalence of mental health outcomes among Canadian veterinarians. J Am Vet Med Assoc. (2020) 256:365–75. doi: 10.2460/javma.256.3.365

PubMed Abstract | Crossref Full Text | Google Scholar

40. Han, S, Shanafelt, TD, Sinsky, CA, Awad, KM, Dyrbye, LN, Fiscus, LC, et al. Estimating the attributable cost of physician burnout in the United States. Ann Intern Med. (2019) 170:784–90. doi: 10.7326/M18-1422

PubMed Abstract | Crossref Full Text | Google Scholar

41. Shanafelt, TD, Balch, CM, Bechamps, G, Russell, T, Dyrbye, L, Satele, D, et al. Burnout and medical errors among American surgeons. Ann Surg. (2010) 251:995–1000. doi: 10.1097/SLA.0b013e3181bfdab3

PubMed Abstract | Crossref Full Text | Google Scholar

42. Kogan, LR, Booth, M, and Rishniw, M. Factors that impact recruitment and retention of veterinarians in emergency practice. J Am Vet Med Assoc. (2022) 260:1986–92. doi: 10.2460/javma.22.07.0306

PubMed Abstract | Crossref Full Text | Google Scholar

43. Kogan, LR, Wallace, JE, Schoenfeld-Tacher, R, Hellyer, PW, and Richards, M. Veterinary technicians and occupational burnout. Front Vet Sci. (2020) 7:328. doi: 10.3389/fvets.2020.00328

PubMed Abstract | Crossref Full Text | Google Scholar

44. Shanafelt, TD, Gorringe, G, Menaker, R, Storz, KA, Reeves, D, Buskirk, SJ, et al. Impact of organizational leadership on physician burnout and satisfaction. Mayo Clin Proc. (2015) 90:432–40. doi: 10.1016/j.mayocp.2015.01.012

Crossref Full Text | Google Scholar

45. Shanafelt, TD, Larson, D, Bohman, B, Roberts, R, Trockel, M, Weinlander, E, et al. Organization-wide approaches to Foster effective unit-level efforts to improve clinician well-being. Mayo Clin Proc. (2023) 98:163–80. doi: 10.1016/j.mayocp.2022.10.031

Crossref Full Text | Google Scholar

46. Shanafelt, TD, West, CP, Sinsky, C, Trockel, M, Tutty, M, Satele, DV, et al. Changes in burnout and satisfaction with work-life integration in physicians and the general US working population between 2011 and 2017. Mayo Clin Proc. (2019) 94:1681–94. doi: 10.1016/j.mayocp.2018.10.023

PubMed Abstract | Crossref Full Text | Google Scholar

47. Dyrbye, LN, Freischlag, J, Kaups, KL, Oreskovich, MR, Satele, DV, Hanks, JB, et al. Work-home conflicts have a substantial impact on career decisions that affect the adequacy of the surgical workforce. Arch Surg. (2012) 147:933–9. doi: 10.1001/archsurg.2012.835

Crossref Full Text | Google Scholar

Keywords: retirement, burnout, job fulfillment, workplace stressors, career

Citation: Kogan LR and Rishniw M (2024) Career transition plans of veterinarians in clinical practice. Front. Vet. Sci. 11:1433891. doi: 10.3389/fvets.2024.1433891

Received: 04 June 2024; Accepted: 15 July 2024;
Published: 26 July 2024.

Edited by:

Sally Thompson Iritani, University of Washington, United States

Reviewed by:

Stacy Pritt, Texas A&M University System, United States
Christina Tran, Hanover College, United States

Copyright © 2024 Kogan and Rishniw. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

*Correspondence: Lori R. Kogan, lori.kogan@colostate.edu

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.