cpw said:
which is funny coming from the school with the most inflated class size.
Some of this is to do with OD size, and some of corporate vs private practice.
Exactly, what they really need to do is reduce all class sizes at all schools by 10-15%. Its already scarey, when I'm seeing twice as many new doctors entering states than number of doctors retiring every year. Then they always want to add another school in NC or California. Enjoy the times while they're still half decent, because we'll be even more over-saturated in numbers by 2015. I'm just glad I have my student loans at a low rate and hope to have them paid off in 10 years. After going through as much school as I did, i wouldn't recommend optometry as a profession to others. I love Optometry, but it just seems like we're all killing ourselves slowly with higher volume of practicing OD's, its tougher and tougher to get on medical plans, political wars against us to hurt us even more. Then many OD's undervalue their fees, and have been nice guys way to long.
I'm just glad I practice in a good pricing area (population 400,000), where the cheapest exam is actually probably mine, and I'm thinking of even going higher (right now its $70 for a spec exam). I charge for red eye visits (even one day after a CL fit, if they scratch their eyes), punctal plugs, CL teaching (not included in a CL fit, its extra time for me to do it), Visual fields (FDT). Another refraction if the patient is a CL abuser causing corneal edema. patients who fail to show up for a CL check, I charge at the next visit. There's always a debate with being a nice guy vs hard a** in giving away services. I work in a corporate setting for the time being, and going to open my own business in another year or two. I live at home right now with parents, trying to save as much as i can to open.
If you are considering corporate my advise would be to practice in a two door state. It really helps keep the corporate people out of your practice, and them influencing your way you want to practice. Although they can make suggestions at how they want you to run things, you can accept or decline. But they can always pull your lease, most of the time with a thirty day notice. So some things are a compromise, but I wouldn't say I hate corporate at all. Its helping me save up a good front payment for a business, more experience refracting on someone's else lab costs, and its easier to work everyday of the week. Yeah i work everyday.
Good luck in your pursuit in chosing, just try to get perspectives on all modes of practice.