why does it have to be a one-upmanship though? I've never heard people say doctors are better than vets, and even if some do, surely smugly saying 'we know so much more' makes you just as bad? Can't we accept that they are both very demanding, difficult jobs in their own ways? There are so many differences I think it's hard to even compare them.
Mk, I told you I wasn’t going to discuss this anymore unless you came off anon, but I think this is important because I know I have a few medblr followers and a lot of not-medical-at-all followers.
This is not one-upsmanship. “Real doctors treat more than one species” is a joke - in response to being treated like we’re not as good as MD’s. You can literally buy T-shirts and bumper stickers with that on them. As I stated when I responded to your original ask, all of us in the veterinary profession have respect for doctors. Another common saying in the field is “I’m in vet med because humans are gross.” But somebody has to treat them, and we’re glad it’s not us. Many of us would prefer that animals come in sans owners. During the rest of this post, keep in mind that I (and the vast majority of vets) respect MD’s because we need them just as much as they need us. But that doesn’t make us any less than them.
You say it’s hard to compare them - you must be on the human medical side. Want to know some similarities?- We go to school for the same amount of time.- The prerequisite courses for getting into school are nearly identical.- We accumulate approximately the same amount of debt from our schooling.- We learn much of the same material. Anatomy, histology, general/systemic pathology, clinical pathology, physiology, neurology, pharmacology, immunology, toxicology, bacteriology, virology, radiology, theriogenology (aka veterinary gynecology), ethics, business, medicine/treatment, surgery, public health, nutrition, epidemiology… except we learn it for every species, not just one. More on that later.- Vets have to learn about humans too, because we have to know how animals can infect humans. For example, we have to know how every single veterinary parasite in our 3-credit, semester-long parasitology class can potentially affect/not affect humans. Med students spend one or two lectures on parasites.
But you’re right, there’s a lot of differences.- Vet schools are 3-4x harder to get into than medical schools.- Vet school is harder, full stop. Not only are we learning the same things as med students, we have to learn it for every animal species plus some human stuff, and we have to be prepared to actually practice after four years of education without an internship or residency to catch us after school is over. Yes, some students will choose to go the internship/residency route, but the majority will not. Another common joke in vet school, which my professors have literally said to my entire class more than once, is “if you wanted it to be easy you should have gone to medical school.”- An MD is unlikely to be injured by their patients on an average day. A vet is.- When I graduate, I will have performed upwards of 50 surgeries on at least 4 species of animals, despite the fact that I have no intention of specializing in surgery. A human medical doctor has to wait until their residency to do even one surgery, and that’s only if they’re specializing in a field that requires surgery on a routine basis.- Upon graduation, for any given patient I may have to be a general practitioner, gastroenterologist, dermatologist, cardiologist, pediatrician, emergency doctor, radiologist, orthopedist, oncologist, behaviorist, endocrinologist, surgeon, dentist, neurologist, internist, pathologist, pharmacologist, pulmonologist, anesthesiologist, OB/GYN, physical therapist, opthalmologist, and more during their lifetime. Medical doctors have to specialize in a single one of these things. Lucky me, I don’t have to choose. Poor me, I have to know every single one of these specialties for every single animal. Hence, knowing more and doing more than MD’s.- Show me a human general practice clinic (or even hospital) where I can come in with a bellyache, vaginal discharge, and diarrhea and have an exam, bloodwork, x-rays, ultrasound, and emergency hysterectomy all in the same department, within 2-3 hours of arrival, and go home the same day if absolutely necessary or at least the next day. Yeah, not gonna happen.- Vets have to pay for equipment/supplies, building expenses/upkeep, and staff salaries in addition to their own salaries, and this is incorporated in the cost of vet care. Human clinics are subsidized so they don’t have to worry about this…- … and still charge upwards of 5-10x as much for the same procedure that a vet does. Here’s a total hip replacement comparison, for example.- Because of the two above points, if a client stiffs a doctor, it’s not a big deal - the government and the practice insurance will cover it. The lights will not go off. If a client stiffs a vet… well that one client might not make the lights go off, but now the vet isn’t going to be able to offer clinic-based payment plans because they simply can’t afford to be stiffed anymore. Some practices won’t even send a bill and instead require payment up front, because collections cost more than the bill is worth (that’s how low veterinary bills tend to be, comparatively), and these clinics will still get slammed on Facebook/Yelp/Google for “only caring about money and forcing me to pay upfront when my puppy was dying.”- Humans are required to have insurance, but pets are not. This leads to a lot of emotionally demanding decisions for both the vet and owner (I can’t afford his care - do I put him down? surrender him to the clinic if they’re able to take him? bring him home and let him die? toss him to a shelter and let him suffer?) and a lot of emotionally demanding owners ( “If you really loved animals you would treat him for free” - well yes Becky, but I have to eat and pay my student loans/mortgage too…)- Despite our similar educational debt load, my average salary will be less than half of an MD’s. And people still think we charge too much and make too much and try to guilt us into performing services or giving items at a discount or for free.- Vets can put patients down. While this is usually a blessing, it does mean that patients we’ve treated since they were babies are now dying because we can’t do anything to save them, whether due to owner finances or inability to cure a terminal illness. That’s hard enough as it is, but then you get clients who are moving, had a baby, don’t want the pet for whatever reason, and demand you put the animal down instead of doing something else to try to rehome it - “convenience euthanasias.” Both types take an emotional toll on vets, and euthanasias happen every day, usually multiple times.- A vet’s work-life balance is notoriously terrible. Non-ER MD’s can turn away people who walk in at 4:55 when the practice closes at 5. Vets often can’t (or don’t). Because our patient care is so much more involved, it’s rare for vets or vet staff to be able to leave on time even from general practice, and that says nothing for emergency care or the many vets who are on call nights, weekends, holidays… At the first practice I worked at, staff members got to choose one (1) holiday PER YEAR to get off, and were expected to work every weekend.- Due to the previous 5 points, suicide and mental illness in the veterinary field is at an all-time high. Vets are twice as likely to commit suicide than an MD. It’s alarming, and the field is working to change it, but not much can be done on a national scale.
In fact, maybe you’re right. Maybe there really is no comparison. If you read all that, I think you’ll understand that vets have earned a little bit of wiggle room to poke some harmless fun at their “real doctor” colleagues.
Oh, and not to mention the biggest difference between MD’s and DVM’s, but…
