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Veterinary burnout: what the data says actually changes it
Serious psychological distress among veterinarians rose from 6.4% to 9.7% between the two most recent Merck studies, and among support staff it runs at 18.1% — nearly double. The named driver is not resilience. It is staffing.
- Serious psychological distress among veterinarians rose to 9.7% in the third Merck Wellbeing Study, up from 6.4% two years earlier, measured on the Kessler scale.
- Among veterinary support staff the figure is 18.1% — nearly twice the veterinarian rate — and 49.6% report high burnout against 30.5% of veterinarians.
- The barriers the research names are shortage of qualified staff and unequal access to mental health support between veterinarians and the rest of the team.
- Support staff score lower on wellbeing and higher on burnout than veterinarians, yet wellness provision is usually designed around veterinarians.
- Practice turnover of 29.7% — 35% for technicians, 44% for other staff — is both a cause and a consequence, which is why interventions aimed at individuals rarely hold.
The numbers, and who they belong to
The Merck Animal Health Veterinary Wellbeing Study is the most substantial recurring dataset on this subject. Its third edition, conducted in autumn 2021 and published with a companion support-staff study, reported:[1][2]
| Measure | Veterinarians | Support staff |
|---|---|---|
| Serious psychological distress (Kessler scale) | 9.7% | 18.1% |
| High burnout | 30.5% | 49.6% |
Serious psychological distress among veterinarians rose from 6.4% in the previous study to 9.7%.[1]
The support-staff column is the finding that gets least attention and deserves most. On both measures the non-veterinarian team is worse off — burnout at half of respondents, distress at nearly double the veterinarian rate. Subsequent work published in JAVMA examined the specific factors associated with wellbeing and burnout among nonveterinarian team members, treating them as a population in their own right rather than an afterthought.[3]
Most practice wellness provision is designed the other way round.
What the research names as the cause
The barriers identified are specific, and neither is about individual coping:[1]
- Shortage of qualified staff
- Not all clinic employees having access to the same mental health tools as veterinarians
Both are structural. Both are things a practice controls. Neither is addressed by a resilience module.
This matters because the standard response to burnout data is to fund something aimed at individuals — mindfulness sessions, an employee assistance line, a wellness week. Those are not harmful. But if the named driver is that the practice is two people short, then asking the remaining staff to build resilience is asking them to personally absorb a staffing decision. Teams generally recognise that, which is why such programmes are often received with more cynicism than gratitude.
It is worth noting the trajectory is not uniformly bad. AVMA has since reported the profession moving in a better direction on mental health overall.[4] The support-staff gap, however, has been consistent across studies.
The loop between burnout and turnover
Practice turnover averages 29.7% — 35% for technicians and 44% for other support staff.[5] Set that against a support-staff burnout rate of 49.6% and the relationship is not subtle.
The sequence, which most practices will recognise:
- A support role goes unfilled — technician vacancies average almost 13 months to fill[5]
- The remaining team absorbs the work
- Burnout rises fastest in exactly the group already worst affected
- Someone else leaves
- The practice is now two short, and the search is longer
Each turn of that loop makes the next turn more likely. It is also why interventions aimed at step 3 do not hold: the loop is driven from step 1.
AAHA's retention work points the same way — the reasons people give for leaving are predominantly workload, support and culture rather than pay.[6] Pay matters, and underpaying will lose people. But a raise does not reduce a caseload.
Why "resilience" is the wrong frame
Three reasons, worth being blunt about.
It misattributes cause. If half of your support staff report high burnout, that is a property of the environment, not a coincidence of who you hired. Fifty percent of a population does not simultaneously develop a personal failing.
It transfers responsibility downward. Resilience training tells the person absorbing the problem that solving it is their job. That is demoralising in a specific way: it is not merely unhelpful, it communicates that the structural problem is not going to be addressed.
It is measured on the wrong outcome. Attendance and satisfaction scores for a wellness programme are not turnover, vacancy duration, or overtime hours. Those three are the numbers that would move if anything real had changed.
None of this is an argument against mental health provision. It is an argument for extending it to the whole team — which the research explicitly names as a gap — while fixing the staffing constraint that is generating the demand for it.
What changes it
Structural, in rough order of effect.
1. Close the vacancies. This is the intervention with the most direct line to the named cause. It is also the hardest, which is why it gets displaced by easier things. A practice that is fully staffed has a different burnout profile from one that is not, regardless of what else it does.
2. Use credentialed technicians at their scope. Over half report being underutilized, and lack of utilization is the top reason they give for leaving. Correcting it improves their experience and removes work from veterinarians — the only lever on this list that helps both groups at once.
3. Extend mental health provision to everyone. The research names unequal access explicitly. If the veterinarians have an EAP and the technicians do not, the group with 18.1% serious distress is the group without support.
4. Protect time in a way that is actually protected. Administrative time that is the first thing sacrificed when the day runs over is not protected time; it is a scheduling fiction. Either it survives a busy day or it does not exist.
5. Cover rota gaps with relief rather than with your own staff. An uncovered shift is absorbed by people already at capacity, which is step 2 of the loop. Relief cover is cheap against the cost of the resignation it prevents.
6. Measure the right things. Vacancy duration by role, overtime hours by person, turnover by role calculated annually, and time from resignation to replacement. If you cannot state your technician turnover rate from memory, that is the first thing to fix.
Filling the gap is the intervention — Job orders on PayRecruiter go to Talent Partners who have worked in veterinary practice, and several work a role in parallel rather than one recruiter's queue. When the named driver of burnout is a staffing shortage, closing the vacancy is the wellbeing programme.
The six-question review
Quarterly, and it takes twenty minutes.
- What is our turnover rate by role — and specifically for technicians?
- How many roles are currently unfilled, and for how long?
- How many overtime hours did each person work last quarter?
- Does everyone have access to the same mental health provision, or only the veterinarians?
- Are credentialed technicians working at their scope, and how do we know?
- In the last three exit conversations, what reason was given — and did we act on it?
The one-line version
The research names a staffing shortage as the driver and support staff as the worst affected. Those two facts together mean the most effective wellbeing intervention available to most practices is filling the vacancy — and extending to the whole team the support the veterinarians already have.
If you are struggling personally, this is a difficult subject and worth talking to someone about. Support exists specifically for the veterinary profession, and we can help you find it if that would be useful.
Common questions
How common is burnout in veterinary medicine?
In the third Merck Wellbeing Study, 30.5% of veterinarians and 49.6% of support staff reported high levels of burnout. Serious psychological distress, measured on the Kessler scale, was 9.7% among veterinarians and 18.1% among support staff.
Is veterinary mental health getting worse?
Serious psychological distress among veterinarians rose from 6.4% to 9.7% between the second and third studies, a period spanning the pandemic. AVMA has since reported the profession moving in a better direction on mental health, so the trajectory is not uniformly downward — but support staff remain materially worse off than veterinarians.
Which group in a practice is worst affected?
Support staff, consistently. They score lower on wellbeing and higher on burnout than veterinarians, and their rate of serious psychological distress is nearly double. Most practice wellness provision is nonetheless designed around veterinarians.
What does the research name as the main driver?
Shortage of qualified staff. The second named barrier is that not everyone in a practice has access to the same mental health resources as the veterinarians do.
Do wellness programs work?
Not on their own, and not when the underlying constraint is staffing. A resilience workshop delivered to a team that is two people short is asking individuals to absorb a structural problem — which tends to increase resentment rather than wellbeing.
What actually reduces it?
The levers with evidence behind them are structural: adequate staffing, credentialed technicians used at their scope, protected time that is genuinely protected, and extending mental health provision to the whole team rather than the veterinarians alone.
- Merck Animal Health — third Veterinarian Wellbeing Study
- PubMed — executive summary of the Merck Animal Health Veterinarian Wellbeing Study III and Veterinary Support Staff Study
- JAVMA — Merck Animal Health Veterinary Team study, factors associated with wellbeing, burnout and mental health among nonveterinarian practice team members
- AVMA — veterinary profession heading in right direction with mental health
- AAHA — does your practice have a turnover problem
- AAHA — staff retention survey