Career aspiration in UK veterinary students: the influences of gender, self-esteem and year of study.

It is widely reported that the veterinary profession is becoming increasingly female-dominated, but there are concerns that this is not represented in positions of leadership. Although there are well-documented data describing the under-representation of women in various senior veterinary positions (academic deans, practice owners, positions on professional councils and corporate boards), it is less clear why this occurs. Although likely multifactorial, the relative contributions from a gender divide in intent to pursue leadership positions, women being dissuaded from considering senior roles, or differences in success rate (e.g. in leadership appointments), are unknown. This study was performed to investigate whether there is a gender divide among veterinary students in intent to pursue a leadership role and also to explore other influencing factors in career aspiration in veterinary students. Students from five UK veterinary schools were surveyed using an electronically distributed questionnaire. Career aspiration and leadership ambition were identified as being influenced by gender, with a greater proportion of male students (83 per cent) than female students (73 per cent) indicating they aspired to owning a practice. Career aspiration was also positively influenced by self-esteem, confidence and previously holding a position in the students' union or other club or society; however, all of these were also more apparent in male students than female students. Career aspiration also appeared to be influenced by year of study, with a decline seen at each increasing student year group, and this was unrelated to gender or self-esteem.

What is the veterinary professional identity? Preliminary findings from web-based continuing professional development in veterinary professionalism.

Professionalism and professional skills are increasingly being incorporated into veterinary curricula; however, lack of clarity in defining veterinary professionalism presents a potential challenge for directing course outcomes that are of benefit to the veterinary professional. An online continuing education course in veterinary professionalism was designed to address a deficit in postgraduate support in this area; as part of this course, delegates of varying practice backgrounds participated in online discussions reflecting on the implications of professional skills for their clinical practice. The discussions surrounding the role of the veterinary professional and reflecting on strengths and weaknesses in professional skills were analysed using narrative methodology, which provided an understanding of the defining skills and attributes of the veterinary professional, from the perspectives of those involved (i.e. how vets understood their own career identity). The veterinary surgeon was understood to be an interprofessional team member, who makes clinical decisions in the face of competing stakeholder needs and works in a complex environment comprising multiple and diverse challenges (stress, high emotions, financial issues, work-life balance). It was identified that strategies for accepting fallibility, and those necessary for establishing reasonable expectations of professional behaviour and clinical ability, are poorly developed.

The immunopathology of sepsis: pathogen recognition, systemic inflammation, the compensatory anti-inflammatory response, and regulatory T cells.

Sepsis, the systemic inflammatory response to infection, represents the major cause of death in critically ill veterinary patients. Whereas important advances in our understanding of the pathophysiology of this syndrome have been made, much remains to be elucidated. There is general agreement on the key interaction between pathogen-associated molecular patterns and cells of the innate immune system, and the amplification of the host response generated by pro-inflammatory cytokines. More recently, the concept of immunoparalysis in sepsis has also been advanced, together with an increasing recognition of the interplay between regulatory T cells and the innate immune response. However, the heterogeneous nature of this syndrome and the difficulty of modeling it in vitro or in vivo has both frustrated the advancement of new therapies and emphasized the continuing importance of patient-based clinical research in this area of human and veterinary medicine.