Could the National Academy of Medicine's National Plan for Health Workforce Well-Being work as a framework to improve the well-being of our US clinical veterinary healthcare teams?

The authors propose using the National Academy of Medicine's (NAM) National Plan for Health Workforce Well-Being as a framework on which the veterinary profession can re-envision patients and clients being cared for by a veterinary workforce that is thriving, where professionals operate in an environment that fosters their occupational well-being and longevity, strives to improve animal and population health, expands and enhances the care experience, and advances animal health equity. Adapting the NAM's National Plan is intended to inspire collective action to improve the well-being of all veterinary professionals and focuses on changes needed across the profession at the organizational and systemic levels. The Plan focuses on 7 priority areas, many of which would require needed changes to the training and practice business models with input from all interested parties-including clients and the diverse communities our professionals serve. This collective approach and process would inevitably be complex; however, the authors believe that the veterinary profession as a community is ready for the challenge to advance the profession.

Latent burnout profiles of veterinarians in Canada: Findings from a cross-sectional study.

BACKGROUND: Although burnout is often discussed as 'present' or 'not-present', the conceptual framework of an engagement-burnout continuum is more accurate and useful. Recognition of individuals' transitional states of burnout also allows for earlier detection of issues and tailored interventions to address the full burnout spectrum. METHODS: Previously reported Maslach Burnout Inventory-Human Services Scale (MBI-HSS) data from a 2017 national survey of 1272 veterinarians across Canada were re-analysed using a latent profile analysis to classify individuals along the engagement-burnout continuum. RESULTS: Four clusters were identified: engaged (10.8%), ineffective (18.9%), overextended (29.6%) and burnout (40.7%). These results indicate that most participants (89.2%) had one, or a combination, of high exhaustion, high depersonalisation and low professional efficacy. LIMITATIONS: This cross-sectional study represents data from one point in time and may be subject to response bias. CONCLUSION: We discuss strategies-particularly long-term, organisational-level interventions-to promote engagement and help address workplace issues contributing to inefficacy, overextension and burnout in the veterinary profession. We also recommend MBI data be analysed via latent profiles to provide a more nuanced view of burnout, allow for earlier recognition of workplace issues and facilitate more meaningful interventions and comparisons across populations.

Preliminary assessment of the subjective effects of electronic-cigarettes in young-adult low-dose electronic-cigarette users: Effects of nicotine dose and e-liquid flavor.

OBJECTIVE: The present study evaluated the effects of nicotine concentration (0-10 mg/ml) and flavor (gummy bear vs unflavored) on the subjective experiences of vaporized nicotine in young adult low-dose nicotine (3 mg/ml) ECIG users. PARTICIPANTS: Eight young adult ECIG users were recruited. METHODS: A single blinded crossover study was used. Participants were instructed to take ten 1.5 second puffs, each separated by 20 seconds. After self-administration, heart rate was recorded, and participants completed the Drug Effects, Direct Effects of Nicotine, and Direct Effects of ECIG questionnaires. RESULTS: ECIG user's standard daily nicotine dose influenced the rewarding and aversive effects of nicotine as the 10 mg/ml dose was found to be aversive in this user group. The combination of flavor and nicotine increased the subjective effects of ECIGs. CONCLUSIONS: Flavored e-liquids contribute to the reinforcing properties of nicotine by enhancing the subjective effects, which may lead to continued ECIG use.