Dr Guy Davies, Veterinary Clinical Pathologist

Can you tell us about your average working day?

Typically, my day consists of reviewing cytology cases submitted from veterinary surgeons from around the country and beyond. These could be a mix of needle aspirate biopsies from skin lumps or internal organs, fluid samples, or urine. Additionally, I review more complex haematology cases combining the examination of blood films and haematology data. A portion of my time is dedicated to interpreting clinical biochemistry results and other diagnostic tests. I also frequently discuss test results with other vets and provide advice on submitting samples or for how to proceed with further diagnostics.

What do you enjoy most about your job and specialty?

I have an investigative nature, so the role suits me well. Assisting vets in finding a diagnosis in challenging cases is an area I really enjoy about the job. Discussing cases with vets is also enjoyable as it’s always good to get a different point of view and assist in how best to handle a patient’s management.

Why did you choose this specialty?

I’ve always had a keen interest in pathology and the study of disease, particularly how diseases affect our patients. During my time studying at the Royal Veterinary College in London I took an intercalated degree in veterinary pathology which allowed me to investigate the topic further and set me up for the career path I am now embarking upon. Although I am interested in all aspect of pathology, spending a few years in general practice allowed me to develop and understand the necessity for clinical pathology.

How does it differ from the other specialties in veterinary pathology?

Clinical pathology allows us to see a wide variety of samples ranging from blood from a gecko through to urine samples from elephants (yes, I’ve had some of these). Due to the differing type of samples it allows a mix of microscope work and data interpretation. This differs from anatomic pathology where the case load leans more toward the microscope work. Also because of the nature of the samples being submitted, which may be from urgent cases, or multiple repeat samples for monitoring disease, clinical pathologists often have a much closer working relationship with the practicing clinicians directly involved in patient care.

What are the most challenging aspects about your job?

It’s hard to really single out just one thing I would consider challenging about my job, every day is a challenge, but it is so rewarding once you can overcome those difficulties. Time restrictions can present a challenge as clients often require their case reports urgently. Samples are often time sensitive and sometimes additional tests are required to come to a complete diagnosis, which can slow down the process leading to frustration for all involved.

What advice would you give to students looking to enter your field?

I’d recommend getting as much exposure to clinical pathology as possible. Try to arrange visits to labs to experience the type of work first-hand. Spending time in clinical practice at the start of your career, particularly in general practice, is highly valuable as this enables you to not only practice what you have learnt in your veterinary degree and become more comfortable with those concepts, but it also allows you to get an idea of what your colleagues are experiencing at the other end of the sample chain and the challenges they face.

What are the key skills/characteristics someone in veterinary clinical pathology needs?

An inquisitive and curious mind, a desire to get to the end of the riddle and diagnose what is wrong with your patient. Good organisational skills are also a must, along with patience, as answers are not always possible. Team skills are also useful as you will commonly find yourself working with peers. Conversely, independence is important and confidence is key as much of the training process is often working and studying independently, with decreasing levels of case supervision throughout the process.