Compassion Fatigue in Veterinary Medicine: A Playbook from Dr. Charles Hurty
Most veterinary teams talk about burnout and compassion fatigue as if they were the same condition with the same fix: take a vacation. Try a meditation app. Ride it out. That framing has been failing the profession for years, and the data backs it up. Dr. Charles Hurty, DVM, a 24-year practitioner and well-being lead at his hospital, points to studies placing veterinary burnout at 50% to 80% depending on the year and the role measured. That sits far above the general workforce. Compassion fatigue, the caregiver-specific cousin to burnout, can hit in a single shift.
Compassion fatigue is no longer a personal coping issue, it’s a clinic systems issue.
In our latest episode of Veterinary Best Practices, our host Dana Panduro dove into this topic with Dr. Hurty, and we think the full conversation is worth a listen for any leader out there. Don’t have the time to listen to the entire episode? The playbook below will give you a good starting point to becoming a strong, compassionate leader, whether or not you work in a vet clinic.
Compassion fatigue is not burnout…and the difference matters
Burnout is a workplace condition. It can occur in any profession and is rooted in the systems around a person rather than the person themselves. By the time burnout sets in, Dr. Hurty explains, “we’ve lost our purpose and we’ve lost our sense of self.” That state takes weeks or months of unrelieved exposure to build.
Compassion fatigue is different. It is specific to caregiving roles, where high emotion is the substrate of every shift. A veterinarian or technician walks into rapid swings between joy and grief, often with no buffer between them. “When we’re exposed to high emotion repeatedly,” Dr. Hurty says, “and we’re not having some kind of outlet to recover and recharge, we’re going to potentially experience compassion fatigue.” It can show up at the end of a single bad day.
Treat them as one condition and you miss the right intervention. Burnout calls for structural change. Compassion fatigue calls for fast, in-the-moment recovery. Most veterinary teams need both.
The signs are in the room (if you know how to listen)
Dr. Hurty shared the indicator he watches first: laughter. “If I’m in the doc box and I hear laughter, or I hear people really having a good time, that’s a good sign.” When laughter dries up, when the back-of-house tone turns cynical, when a normally easy team member goes quiet or short-tempered, something is off.
Dana Panduro described her own version of the same instinct from her time in practice: a candy jar in the exam rooms that she watched as a stress gauge. On most days, the level dropped roughly a fifth. On hard days it dropped much faster, and that was her cue to walk the floor and check in on her team. Different metric, same idea. Caregiving teams telegraph their state in small, observable ways. Leaders who tune into those signals catch trouble early.
- Less laughter and fewer side conversations, longer stretches of silence in the back
- A normally upbeat team member going short or withdrawn for more than a single shift
- Mid-day spikes in candy, coffee, or other quick-fix consumption
- Cynicism creeping into shorthand (“we’re in the trenches today”)
- Comments from clients about the vibe in the practice, in either direction
Have the check-in conversation, without the cringe
Spotting the signs is half the work..the other half is starting the conversation, and most leaders avoid it because it feels intrusive or uncomfortable. Dr. Hurty’s approach takes the heat out of the moment.
First, ensure to do it privately. Pull the team member aside, or text them if a public conversation would feel too exposed. Second, name your observation, not your verdict. Lead with curiosity: “I just want to check in. This isn’t a judgment. I noticed XYZ and I want to make sure you’re okay.”
Dr. Hurty’s clinic teaches the team a phrase that doubles as a flare: “I’m in the trenches.” When anyone uses it, it means they need support, fast. “You have to listen to that,” he says, “and don’t shine it on.” A shared vocabulary takes the courage tax out of asking for help.
The point is not to solve someone’s life in a fifteen-minute pull-aside. It is to validate, to hear them, and to make the next move easier.
TABI: The Take A Break Initiative
The fastest structural lever for compassion fatigue is the one most veterinary teams shortcut: breaks. Dr. Hurty’s clinic runs a program they call TABI, the Take A Break Initiative. The mechanics are simple; a 10-15 minute break within the first 2 hours of arrival, plus a protected one-hour lunch that people actually take. The cultural piece is harder, as its success relies on the team explicitly calling out the social patterns that could erode this initiative.
The clinical research on micro-breaks is consistent. A short pause in the first half of the day measurably improves how a person finishes the day, especially in high-emotion work. Lunch, taken away from the building when possible, is where the nervous system actually resets between euthanasias and emergencies.
Operationalizing it usually falls to the practice manager. In Dr. Hurty’s clinic, that has meant deliberate floating of staff in and out so coverage never breaks, plus a leadership norm that protects breaks even when the schedule is full. The schedule is the message. If breaks are the first thing cut, the team learns that breaks are optional. If breaks are the last thing cut, the team learns that recovery is part of the job.
Use your EAP, and help walk people through it
Most clinics have an Employee Assistance Program, but almost no team uses it. Industry usage rates sit at roughly 2% to 5%, even though most EAPs cover mental health, financial counseling, elder care, legal questions, and more.
The fix is two-part. Cover the EAP in onboarding in real detail, not as a benefits-doc footnote. Then, when a team member is struggling, do the call together. “One of the best things that a leader can do is hold a team member’s hand while they navigate that process,” Dr. Hurty says. The hardest step is dialing the number. If the leader makes that step easier, the rest of the system works.
Dana Panduro suggested a quiet test for any practice manager listening: call your own EAP, walk through the intake, and find out what your team would experience. The conversation lands differently when you can describe it from your own experience.
Upstream fixes will help overall culture
Mid-stream fixes (clinic culture, EAP literacy, protected breaks) only carry the team so far. The bigger lever is what happens before someone walks into a vet hospital for their first day.
Dr. Hurty argues for moving compassion-fatigue education into vet schools and technician programs the same way physical-safety training already lives there. Also on his list for in-school education would be mental-health literacy, boundary vocabulary, self-assessment tools, and plain language about the occupational risk profile of caregiving work.
Onboarding (and re-onboarding for tenured staff) is where the same content lands at the practice level. New team members deserve to know that compassion fatigue is a known, manageable feature of the work, not a personal failing. Re-onboarding catches the colleagues who joined before the conversation existed.
Where AI fits in (and where it does not)
The tactical question Dr. Hurty kept returning to was simple: where in the day can a clinic find time to check in on their staff or delegate breaks? Time is the universal solvent for compassion fatigue. A protected break, fifteen minutes of decompression after a hard euthanasia, an actual lunch. Nothing else works without that headroom.
This is where AI tools earn their place, and only here. Tails AI Dictation, Digitail’s AI scribe, takes one of the most repetitive labor-time sinks in the day, SOAP notes and chart catch-up, and gives back hours per veterinarian per week. “It’s given me personally, I think hours in a day,” Dr. Hurty said of his own use. The bigger question is how can vets utilize that extra time they’ve just gained back?
The argument cuts both ways. If AI time savings are pushed straight back into more appointments, the lever does nothing for compassion fatigue. However, if they fund recovery, the lever works. That is a leadership decision before it is a tooling decision.
Frequently asked questions
How is compassion fatigue different from burnout?
Burnout is a long-arc workplace condition rooted in systems and the loss of purpose over weeks or months. Compassion fatigue is caregiver-specific and can show up in a single shift after repeated high-emotion exposure without recovery. They overlap, but they call for different interventions.
What are early signs of compassion fatigue on a veterinary team?
Less laughter and side conversation, longer silences in the back, normally upbeat team members going short or withdrawn, cynicism in the team’s shorthand, and (sometimes) a noticeable spike in quick-fix consumption like candy or coffee. Client comments on the clinic’s vibe are a useful outside-in signal.
How should a leader start a check-in conversation?
Privately, with curiosity rather than verdict. Name what you observed, not what you concluded. Make clear it is not a punishment or an evaluation. Establish a shared vocabulary like “I’m in the trenches” so team members can flag when they need support without writing a paragraph.
Does AI actually help with compassion fatigue?
Indirectly, yes. Scribes like Tails AI Dictation reduce the most repetitive administrative load (SOAP notes, chart catch-up) and return time to the caregiver. That time only matters for compassion fatigue if it is reinvested in recovery (breaks, earlier home time, decompression after hard cases) rather than in more appointments.
Listen to the full episode
The full Veterinary Best Practices conversation with Dr. Charles Hurty goes deeper into early-career risk, the science of appreciation, leadership boundaries, and a karaoke-as-vulnerability tangent that is worth the listen on its own.
If your team is ready to look at where the time is going, and where it could go instead, book a Digitail demo and see how Tails AI fits the rhythm of a real day.