This is a story of how two consecutive cover stories in Veterinary Economics conspired to boost my ego… and later burst my bubble.
In case you’ve never heard of this magazine, rest assured your vet has. It’s his or her version of a personal finance magazine. Though it’s geared to helping vets manage their practices, it sagely recognizes that not all vets own them. Consequently, it produces articles and features for both camps.
The last two months’ cover stories included one on helping the fairer sex succeed in the profession, “Are Women Tough Enough?” (June) and, most recently, another on non-owner-vet compensation, “Get a Clue About Associate Compensation” (July).
Both were styled as the kind of “how-to” articles Vet Economics excels at, giving examples and exact figures on how women sometimes sabotage their earnings in the first piece (and how to hedge against this) and helping guide owners and associates on arriving at fair compensation strategies in the second.
I read them both. Problem is, so did my boss. Here’s the story:
In the wake of the first article on building women up, I realized that some of my financial struggles were due in part to my static income. I hadn’t asked for a raise in 10 years!!
Now, this isn’t the stupid vet trick it might appear. I get paid a slice of what I earn for the practice. Example: If I spay your cat for $200 I get paid a percentage of that. And I’ve been slowly building up my caseload over the years so that my income has been growing steadily—that is, until I reached maximum capacity about two years ago. Since then I’ve made no more.
I get no paid vacation time. I get no contributions to a 401K plan. I pay for my own licenses, dues and subscriptions to veterinary journals. I pay my own health insurance in its entirety. In short—I get no benefits, save a standard discount on my own pets’ care. In return, I get a slightly higher percentage than what other associates earn.
And that’s worked well for me—until two years ago when my ability to earn more has been hampered by my ability to see more clients and attend to a larger caseload by the following issues:
1-A dearth of trained techs: If I have fewer trained techs that means I do more of everything, from placing catheters to administering medications to taking X-rays and reading fecals.
2-Lack of space: I have a small amount of room to work in. I can only schedule a certain number of surgeries on a restricted number of days because of limited cage space and only one surgery suite for three doctors. Moreover, only two vets can see patients or do surgery on any given day. The other days I can’t see any new cases (“luckily”, there’s still plenty to do on these “off” days).
3-Limited price increases: Because one of the vets I work for is extra price sensitive on our clients’ behalf, our prices are significantly lower than the area’s norm for higher-end practices.
Don’t get me wrong—I love my job and my workplace….mostly. But I’d like to make myself some more money. No harm in that, right?
That’s why I decided to take the recommendation in article #1, get a little more assertive in my womanliness, buckle down and ask for a raise.
After all, I have thirteen years of solid experience (ten in this hospital), I’ve (almost single-handedly) raised the quantity and quality of the clientele here (partly due to my writing for The Miami Herald), I’ve helped cut costs with my neurotic resource management, I’ve hired and trained techs, I fill in when my bosses can’t make it in, and I take care of my own patients on Sundays and holidays (all this among other atypical associate fare).
You’d think a small percentage-point increase wouldn’t be denied, right?
Wrong. In comes article #2 with its proclamations and percentages for what associates should earn in a “well managed practice” and that’s where things devolved. No raise.
Apparently, anything beyond the percentage I already earn and you can’t really call yourself a “well managed” anything.
And here’s where I get catty with the business management gurus in the veterinary profession with their promiscuous pronouncements on “well managed” practices. This concept should be employed to help practices benchmark for success and build better places to work. Unfortunately, the term gets bandied about with such wild abandon that “well managed” often translates to “applies to the average,” or worse, “imperative.”
Article #2 says nothing about how an associate’s value to the practice deserves different considerations. It lays no groundwork for exceptions. Instead, it sets guidelines in strict percentage point brackets by practice type—as in, “well managed companion animal hospitals should compensate their associates at 19-21%.”
Presumably, 21% is for the stellar associate and 19% is for the bottom of the barrel. Well, what if there’s a special category for associates who are, “crucial”—as in, this hospital wouldn’t be profitable without her…what if…?
No, it’s not my intention to bad-mouth my bosses and build up my self-esteem with Internet postings on my incredible worth as a doctor. But these are the issues that plague the profession and you deserve a look-see…I think.
Even if I don’t get a raise (and it looks like I won’t ever after article #2 was pointed out as Exhibit A) what then? No, I won’t be jumping ship anytime soon. No, not yet. I understand their side of the coin better than you think, prudent benchmarking and financial stress and all that. But sometimes I think rules were made to be broken. And this is one of those times. After all, a happier, healthier associate vet means a better workplace for everyone. IMHO, of course.
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From a (truly, honestly) not-at-all biased point of view here Dr. Khuly, I'd be ponying up the dough, pronto.
I find myself in a similar situation, although in a pet supply store, not a veterinary clinic. I (and my clients) consider my presence a make-or-break part of their patronage. That, in my opinion, warrants me certain perks. Higher salary (which, after three years of NO increase, I finally received), higher discounts (which I receive from my manager - who is aware of my worth - but unbeknownst to the corporation) and the ability to essentially set my own hours.
However, this took a ridiculous number of years, and an obscene amount of blood, sweat, tears and even the death of a corporate boss before it became reality.
Why did/do I stay? I love my job. I love my location, I love my company's philosophy, I love my clientele. With the exception of the location, the other two would jump ship and most likely follow me to my new job, no doubt, but these are the folks that let me walk in on the first day and set things up the way I saw fit to do things. They recognized my know-how from the very beginning and let me run with it, even if their motivation was purely self-serving.
So, here we sit. We still make slightly above squat, with only minor perks, in jobs that we really do love, but at the same time frustrate the hell out of us, we work too hard for far too little...
Remind me again why I was convincing us to stay??
kim July 19th, 2008 08:11:00 PM
Just curiosity, what is the median for a vet these days?
I tried to figure out what my vet makes by doing an internet search. From what I found I was shocked how low what I was finding stated. Don't vets do just as much school as medical doctors?
Kelly July 20th, 2008 12:07:00 AM
There is a shortage of veterinarians all over the country. I have seen a local vet office go into meltdown after looking for an vet associate for over three years without success. The head veterinarian (owner) finally burned completely out, sold the practice and retired. I just in the last few days had an email from a firm in Jacksonville looking to hire three vets plus other staff.
A practice can only be well managed if it has adequate staff, including vets, and if they are happy with their firm. I understand that the percentage may not be a good point to negotiate at the moment - but what about benefits. Ask for a paid vacation or contribution to expense of health insurance. After 10 years it's about time.
Mary July 20th, 2008 12:12:00 AM
No offense doc, but you need to be more assertive in your assertiveness if you want that raise!
You can't be compared to ordinary associates, you high profile extra-curricular activities bring in a lot of business.
Do the math for your bosses. If you give me an extra 5% a year it costs you $x. Alternatively if I switch practices 75% of my clients are going to follow me, and cost you $y. (and I would be willing to bet y is a lot more than x).
Another way would be to go sell yourself to another practice and see what they offer. I bet it would be more than what you're getting now.
Now you have the ammunition to demand a raise, not just ask for one.
Larry July 20th, 2008 02:05:00 PM
You face the same problem that others face in different professions. What it should boil down to are two basic questions.
First, how badly do you need the raise? Is it a nice-to-have, or is it a necessity in order to support your family? Second, how much do you enjoy working at your current employer's practice?
If you don't absolutely need the money, and if you are happier working for your employer than you would be elsewhere, then stay where you are and keep trying to convince them to increase your pay. If you need the money and/ or would be happier elsewhere, that's when you should consider looking for another job.
Good luck!
Posey July 20th, 2008 04:31:00 PM
Hey Patty come work for me! (pd vacation, SEP, full medical /dental insurance). It sounds like maybe your practice in general has reached a plateau, plus your individual part as well. Sounds to me like it may be time to talk about ownership or expanding the facility or services to generate more income for you and the boss. If the boss is unwilling/unable, ask yourself the tough questions. The SEP and insurance plan are benefits an employer can offer that also benefit the boss as well (tax advantages, availability of insurance group plan et). Can you research the details of such things and approach your boss with these?
Hobson July 21st, 2008 10:50:00 AM
ahhh well are you marketable? I hear that thier are plenty of vet kobs out there YPu only get paid what your boss thinks you worth nay othe reason is bull find a way to demonsrtate your worth more or find out wheter your getiing paod appropriatly for your area and if not, go looking
james July 21st, 2008 01:13:00 PM
Dr. K---I more than sympathize. I've posted before on my own "salary woes" with the USPS. As of April 26th of this year, an extra day has been added to my work schedule every other week , for an additional 26 days/yr. to maintain my previous year salary. This has not been my first pay loss in 20+ years. Nationwide, a huge paycut was implemented at the average of 6-7k year in 2001 and again $2-3k in 2002---and as a whole, most never recovered the loss for 6 more years.
A declining economy is imminent, and I am concerned that people will be without jobs.
Barbara A. Albright/New Hampshire July 22nd, 2008 04:07:00 AM
Hobson: Ownership...sounds like a nightmare if it means I'll have to do double-duty on the transition and management for a couple of years (my 10 year old son, my blog, etc). And even if I do want it (and I've thought about it a lot) I know I don't have the equity in my house yet for a solid downpayment in collateral--at least I don't think so. It would have to be a very creative arrangement. My best option for ownership? Buying in with a young group.
Dr. Patty Khuly July 22nd, 2008 07:49:00 AM
Ownership done wrong is indeed a nightmare, done right it can be quite fulfilling. Imagine a whole practice culture that reflects you and all of your beliefs. Things are done the way you think they should be. It can be scary too, no safety net underneath. You have to be willing to let the buck stop with you each time. I have been fortunate to be able to surround myself with people that have allowed me to do this. I think that is the key.
Hobson July 22nd, 2008 04:53:00 PM
Just HAD to comment because your plight sounds similar to mine. We have 1.5 techs working at our 2 doctor practice where our income is based on a percentage of production. I will never pay for myself adequately when I do my own tech work as well (and the scheduling, and help with marketing, and staff training). It's a circular argument, as they will never pay for more staff because we don't have the money. We gross over a million a year. The docs are exhausted, the 1 full time tech is exhausted, and it's really time to call it all quits. But the clients are lovely. I've decided to keep plugging away until I can find a better solution elsewhere. Loved the blog!
Sarah December 12th, 2008 01:25:19 PM
Well-managed practices have adequate numbers of well-trained lay staff to enable the veterinarians to do only those tasks that require a DVM degree - diagnosing, treating, and surgery. That does not include taking radiographs or placing catheters. Well-trained staff free up the doctor's time and allow him/her to see or treat more patients. Conversely, a practice with a high staff:doctor ratio should pay its associates a lower percentage of their gross production because more staff allow them to be more productive. The total costs of employment for an associate should run around 23-25% of their total production, according to the "management gurus". If you have no vacation time and no benefits, then perhaps this would be a more appropriate percentage. Hope this information helps.
Williams, DVM December 20th, 2008 06:44:01 PM
How about offer you boss a deal...You'll take a CUT in your percentage, in exchage for hiring two Registered Vet Techs as your personal assistants. You become phenomenally efficient (or "well-managed") and you actually earn more money in the end, even though have have a lower percentage.
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