Standing up for the veterinary profession
08 Aug 2024
20 Jan 2021 | Ruth Cawston
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Ruth Cawston, co-founder of British Veterinary Chronic Illness Support (BVCIS), outlines some of the barriers to career progression faced by vets suffering with chronic illness and how these could be overcome.
Ill-health is sometimes thought of as something personal and private. Something to be acknowledged, perhaps when first diagnosed, but the details only to be shared with a few close friends.
Some of us do choose to manage our health in this way; others prefer to share their experience more widely. Either way, the effects of chronic ill-health are not confined to our private lives. Its influence spreads though every area including our professional lives.
If you develop a long-term health conditions and youre one of the lucky ones, youll be able to continue in the profession. But many of us dont just want to continue we want to progress. We want to improve, we want to diversify, we want to excel. And here, we find a new set of hurdles.泭泭
The bars to professional success can start before we even qualify. The RCVS offers to universities on admitting students with disabilities, but leaves it up to them to make specific decisions. The degree of flexibility that they offer is, in our experience, very variable.
To register for a vet degree, students must have the potential to fulfil the .泭泭 Omni-potential is an admirable aim for a vet course, but sadly it closes doors to students who might become gifted clinicians, but cannot, say, tip a sheep or remove a horses shoe. Being able to perform basic surgery is also required to graduate, but not for many vet roles, including some specialisms, public health or industry jobs.
If you develop a health condition that bars you from performing these types of activities after you graduate, the RCVS does not expel you, but expects you to use your judgement in what tasks you should and should not perform. It would be helpful if some of this flexibility could be extended to students.泭
The offers a unique opportunity for us to remove some of those barriers and make the profession more accessible. Please consider responding with this in mind.
If you manage to qualify despite your health condition, or only develop one after you qualify, then sadly this doesnt mean youve avoided these barriers. 泭
We know from the 蹤獲弝け discrimination report that vets with disabilities are subject to discrimination, both when being hired and at the end of employment. Indeed, disability discrimination is seen disproportionately here, compared with other forms of discrimination.
Employees with chronic health issues are often viewed as problems. Employers understanding of their responsibilities (and their employees rights) can be lacking, flexibility can be in short supply, and inappropriate disciplinary proceedings are not uncommon. Vets have been driven to leave not because they cannot physically do their job, but because their practice is unwilling to make the necessary (and often minor) adjustments to allow to them to continue.
Much of this is not down to malice or prejudice, but a lack of understanding can be just as difficult to overcome in these situations. Fortunately, this is also something that can be improved. If youre managing a team with staff who have chronic health conditions, my previous blog gives you a starting framework to help you support them.
If you manage to make it into the profession, sadly the struggle doesnt end there. If we want to progress, we can find yet more hurdles.
Most managerial roles are full-time only, as if a practice cant survive if the most senior person isnt constantly available. However, most practices operate some sort of shift pattern, and 4-day weeks seem increasingly common. A practice that is wholly reliant on one person to operate is unlikely to be a resilient one. But when recruiting for these positions, those who work part time, or who do full-time but cant do extra, are often side-lined. If you think someone with a chronic health condition cant do that kind of role, think again .
What about clinical advancement? CPD budgets (both time and money) are often proportionate to hours worked, disadvantaging those whose health forces them to work part-time. Employers may be reluctant to given anything extra to those problem employees and overlook the true value in doing so. Many of us whose practices have made the effort to accommodate us have become long-term, loyal employees, making us a very worthwhile investment.
When I asked our members what professional barriers theyd encountered, the most common response was being unable to do a residency.泭
I have so far found it impossible to obtain any data on the rates of disability or chronic illness amongst specialists. Anecdotally, many of the European Colleges I contacted did not know of any disabled specialists; one could name one.
Residencies are intense and can be challenging even for healthy individuals. Part-time training options are available, but often via the Alternative Route, which is usually unstructured and unfunded; not a straightforward option for anyone, but especially those managing ill-health. Several people were keen to point out that its theoretically possible to do a standard residency program part-time, but no-one offered me any examples*. Contrast this with the NHS, where you can do consultant training from , and (under currently being rolled out) you dont even have to have ill-health or caring responsibilities to be eligible for this.泭
These barriers that our profession is raising, intentionally or not, are limiting our collective potential. If the playing field is not equal, then we are not getting the best possible students, vets or specialists.
The outlines how workplaces can better support their teams. Through improved workplace cultures and a greater focus flexibility, we can make life better for everyone in our profession. There are pools of talent out there that we could take better advantage of, and we are likely to be a better profession for it.
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* If anyone reading this can offer more information or personal experience on this subject, Id love to hear from you you can contact me via the .
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