Angell Internships – Then and Now
Douglas Brum, DVM (Intern Class of ʼ86)
Joel Kaye, DVM (Intern Class of ’91)
Angell Alumni Co-Directors
When we think back to our Angell internships, the differences between our program 35 years ago (give or take) and today’s program are staggering.
It seems unbelievable by today’s standards, but during our internships, Angell was the only emergency animal hospital in Boston. As interns, we were 25 years old, had just graduated from vet school, and were “the veterinarians” on call for the city. We had to be prepared for everything and relied heavily on the seasoned nurses to help us at 2:00am. There was no one to call for help. Surprisingly, we were able to stabilize most patients and just had to wait until 8:00am rounds to get the help we needed. Sometimes, the help was discussing future treatments and formulating a plan for the day, and other times, it was letting us know just what we should have done differently.
Needless to say, we grew up quickly and saw an incredible volume of cases. The sheer number of cases we saw quickly translated into invaluable experience in just a short time. Those first few months of the internship were terrifying. We had one overnight and one late night shift a week — for the entire year (aside from a month of surgery and two weeks of pathology). For the overnights and late nights, we would come in by noon, check on our patients, go on rounds at 1:00pm, then take care “of all the stuff,” and start our clinic shift at 5:00pm. Thankfully, there would usually be a few lingering staff clinicians in the hospital until 10:00pm or so, but after that, it was just us.
When and if things slowed down in the ER, the late-night person could leave around 11:00pm. Then, you were on your own until 8:00am the following day. If something came in that needed emergency surgery, we did it. There was no surgeon to call. We did anything from corneal lacerations to gastric torsions. The only thing we could call a surgeon in for was an animal needing emergency spinal surgery.
After rounds, we stayed and cared for all our cases until they were all set. Sometimes, we left at 6:00pm, but many times, we were still in the hospital until 9:00pm or 10:00pm. Obviously, this type of work schedule was not in the best interests of the patients (or the doctors), but there was this feeling that if others had done it before us, we could too. It was like a badge of honor.
Over the years, many more emergency and specialty hospitals opened, and standards of care dramatically improved. The Angell intern program continues to be very challenging, and interns still work very hard, but things have changed. Cases are far more complex — one case now could take as much time and effort as five cases 35 years ago. It would not be uncommon for us to have well over 10 cases in the hospital, and somehow, we could actually take care of them all. Now, that would simply be impossible. The caseload of the hospital has increased significantly, as has the staff. We had a total of nine interns and about six residents for the entire hospital. Now, we are going on 18 interns and dozens of residents.
Interns today also have much more support, especially in their first few months. There are residents to help on the overnights and surgeons to call for procedures. No one does 30-hour shifts. Interns get elective rotations. There is much more to know now and more to expect from veterinary care. Every year, the intern program changes a bit to improve the learning experience. Changes may sometimes be small, but they add up to huge differences over the years.
Yet, even with all the changes, there are still some similarities: a substantial caseload, having primary case responsibility, getting an incredible amount of experience in a single year, bonding with your fellow interns, learning how to deal with difficult clients, sleep deprivation, and the fact that the year is probably going to be the most challenging one of your life. It certainly was for us.
It is a much different and better program now, but when the new interns graduate, they will always wear that “Angell badge of honor” — and we will always be proud of them.