- Have a life- If your sent home early- go! On your days off, do what regenerates you and nothing more.
- Select elective rotations that you will love. It’s the only down time you have. Select rotations early, as some popular ones (Humane Societies, Zoos) can fill up a year in advance.
- Let family and friends know it’s another year away, but when it’s over you’ll be back in their lives.
- Have a mantra. My mantra was “It’s only a year!”
- Sleep whenever possible. You may not be a napper now, but you will be soon.
- Talk to your friends in practice. They are overwhelmed and working long hours too. (They are just getting paid more).
- DO NOT CALCULATE YOUR HOURLY RATE- UNDER ANY CIRCUMSTANCES. What’s the point, you have committed, so perform gracefully.
- Use every opportunity to learn- this is your year!
- It’s never too early to start deciding about residencies and internships (remember match comes up quick in the fall).
- Remember where you started, where you have been, and where you are going! Take it one day at a time.
- If you are considering a residency program, I would strongly consider an academic internship over a private practice. That being said, some private practice internships have good residency placement percentages, just be sure to inquire diligently. Speak with current and past interns and ask the internship director about residency placement rates.
- In order to obtain a residency, it is highly advised that you publish a paper or two during your internship year. In order to accomplish this task during an already busy year, you will need a supportive environment with research-oriented clinicians. This is very typical and can be easier to find at a university. In addition, this task is not always possible in a private practice situation due to the volume of the case load. Some of the specialists likely entered private practice to focus on clinical work versus research-based work, so not everyone at a private practice will be interested in conducting a great research project that will make for a great publication.
- What is the day-to-day difference?
- Academia: lower case load, less individual case management/responsibility, building contacts (aka recommendation letters) in academia, typically more rounds, and journal presentations than private practice.
- Private Practice: higher caseload, more individual case responsibility (typically from the start), less educational rounds (this will vary greatly by hospital), some have less time for elective rotations.
Note: In a private practice internship, it can be trickier to defer your student loan payment. It can be accomplished but may require more research and paperwork, then if you complete an internship with a university. Contact your loan provider or student financial aid office for more information, as these policies change.
Finally, one my biggest projects for my website and blog has been completed. I hope this will be a great information source for 3rd and 4th year veterinary students considering an internship. Since the post is long, I will post it in 10 separate weekly blog entries. If you need any advice sooner, please contact me or post a comment. Without further aideu, I bring you:
How to Choose the Right Internship Program- Step One:
So you have reviewed Part One and decided that you do want to pursue a veterinary internship. Fantastic! So how do you go about selecting one from the large pool of internships? Here is my top 10 item list that should help you select the program that is right for you.
1. Decide VIRMP vs. a program not included in VIRMP match program.
- VIRMP aka Veterinary Internship and Residency Matching Program aka the match is the formal program for internships and residencies. It does have requirements in order for hospitals to be listed in the program, including specialist rotations, educational rounds, etc. The organization, however, does not rank the programs or conduct inspections of the programs to my knowledge. They do have good descriptions of past programs and a checklist of a variety of program components, such as case load, # surgeons, etc.
- Get familiar with this site asap. http://virmp.org/
- There are programs, some very reputable, that are not in the match system. Some clinics have had bad luck with how the ranking system works and have chosen to have internships, outside of the match. Make sure you either know someone who completed the program, or have a chance to visit, since there are no minimum requirements for these internships.
- Note: If you are doing an internship to obtain a residency I would stay within the VIRMP.
An aside: How does “the match” aspect of VIRMP work?
Many current veterinary students have to face the looming question of whether or not to pursue an internship after graduation. Wait a second I have my DVM degree, can’t I just start practicing? Indeed you can, but internships have become more popular for clinics and students. For the graduating new veterinarian an internship has pros and cons that need to be weighed before making this major decision. In this post, I will break the answer down from simplest to most complicated situation. In a follow-up post, I will discuss what an internship is like, based upon my actual experience.
Scenario 1: If as a student you know for certain that you want to specialize and embark on the journey to become a veterinary surgeon or oncologist, etc. this is your only option. There is no need to read any further.
Scenario 2: If you think you may want to specialize, but you are not 100% sure, you should probably complete an internship. Once you practice full-time, regressing to an intern salary will prove more difficult, as will being a student vs. practitioner. Some internships, many in fact, allow you to be your own practitioner with guidance as needed. However, there is always some hazing/unfairness in being an intern and not an associate. Completing an internship may also provide the information you need to make your next career move. Many internships rotate through the specialities and have elective time. These opportunities would give you a chance to decide if you want to specialize. These opportunities may also provide good references and potential mentorship opportunities for your future specialization. It may even open a door to a specialization internship- the new wave in the long road to a veterinary specialty.
Scenario 3: I want to go to into emergency medicine. The simple answer used to be: complete a small animal internship. This is the path that I chose. I chose this path because I exclusively wanted to work in emergency and most of the larger small animal emergency hospitals n major metropolitan areas only hire internship-trained veterinarians, and occasionally will hire seasoned general practitioners. I was not taking any chances. I also have toyed with the idea of doing a critical care residency (see scenario 2). My experience was difficult, but worthwhile. When it came time to apply for a job in a new state, I was a very competitive candidiate because of my internship experience.
The flip side to this story is that at least 3 of my classmates found positions with good mentoring in emergency clinics as their first or second job. They also have now received more surgical experience then I have. The risk you take is the question of good mentorship, I am not a risk taker, but if you are and are willing to weigh your options, completing an internship is not a requirement for a position in small animal emergency. It does provide a competitive advantage in a tight job market. You must also consider I made a 1/3rd of my current salary during my internship year, so there is an opportunity cost.
Scenario 4: I want more mentorship and experience prior to becoming an associate. This is where the question becomes harder and will be different for every person. For many graduating students, jumping into practice is scary and they do not feel they are ready. You are more ready than you think, however the first 3-6 months is tough with or without an internship.
The cons of doing an internship in this situation are:
- opportunity cost, less earning potential your first year
- There is little evidence to support you will make more money as an associate after completing an internship, but depending on your field and the job market you may have a competitive advantage.
- spending time doing emergency medicine if you don’t like it- this can be brutal
- longer hours
- more learning/research based, especially if you are at a university
- less surgical experience
- One more year at the bottom of the veterinary food chain- ego’s can take a beating
- Depending on your field and the job market you may have a competitive advantage upon completion. Some practice owners prefer non-internship trained students, so they can be modled. Others prefer internship trained and find the associates more seasoned, stronger medically, and more efficient.
- Keeps the door open for a specialty.
- Guaranteed mentorship, although this will differ in style by program.
- The first few months may be tougher, but you will edge up the learning curve faster than your peers. This is important to some people but in no way a requirement.
- More time to explore specialized interests in veterinary medicine.