Should Eye Medicine be Vertically Integrated?

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Commando303

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I'm interested to hear how opticians, optometrists, and ophthalmologists feel about the idea of vertical integration of the field of eye-care. As it is, it seems a fair amount of bickering goes on about who should be permitted to do what — O.D.s throw a fit hearing opticians may be allowed to refract, as O.M.D.s are annoyed to learn optometrists wish to perform any sort of what can be called surgery. The structure through which education within the three fields is gained is wholly disjointed. Historically, I believe this can be understood, but, practically as well as idealistically, I wonder if people feel the strong separation between the professions would or would not be better to be dissolved.

Currently, an optician who's worked at an optical for a number of years, and has decided he'd like to "do what the doctor does," must jump through those exact hoops as the recipient of a fresh B.A. or B.S.; I feel it's unfortunate and illogical he or she should have to. Rather, it seems reasonable to me programs should exist that conduct an examination of his ability as an optician, then offer an altered and abbreviated route to the O.D., forgoing the bowels of optics and omitting the too-basic aspects of clinicianry.

Likewise, O.D.s who, after four years of class-room and clinical training, wish to expand how they may treat the eye — wish to handle cases that require surgery — must, as their only options, be content with what they do, else endeavor to bear the financial and personal burdens of M.D. or D.O. education.

O.M.D.s can be seen as at the highest rung of the ladder, and thus less moved toward any sort of vertical integration, but, in their case, too, several would rather avoid some of the more general, lengthy aspects of medicince, should they be sure, early on, they wish to target eye health.

I feel it's altogether silly and harmful, and I fail to see what benefits the current system offers. How, if at all, do others feel about the matter?
 
I'm interested to hear how opticians, optometrists, and ophthalmologists feel about the idea of vertical integration of the field of eye-care. As it is, it seems a fair amount of bickering goes on about who should be permitted to do what — O.D.s throw a fit hearing opticians may be allowed to refract, as O.M.D.s are annoyed to learn optometrists wish to perform any sort of what can be called surgery. The structure through which education within the three fields is gained is wholly disjointed. Historically, I believe this can be understood, but, practically as well as idealistically, I wonder if people feel the strong separation between the professions would or would not be better to be dissolved.

Currently, an optician who's worked at an optical for a number of years, and has decided he'd like to "do what the doctor does," must jump through those exact hoops as the recipient of a fresh B.A. or B.S.; I feel it's unfortunate and illogical he or she should have to. Rather, it seems reasonable to me programs should exist that conduct an examination of his ability as an optician, then offer an altered and abbreviated route to the O.D., forgoing the bowels of optics and omitting the too-basic aspects of clinicianry.

Likewise, O.D.s who, after four years of class-room and clinical training, wish to expand how they may treat the eye — wish to handle cases that require surgery — must, as their only options, be content with what they do, else endeavor to bear the financial and personal burdens of M.D. or D.O. education.

O.M.D.s can be seen as at the highest rung of the ladder, and thus less moved toward any sort of vertical integration, but, in their case, too, several would rather avoid some of the more general, lengthy aspects of medicince, should they be sure, early on, they wish to target eye health.

I feel it's altogether silly and harmful, and I fail to see what benefits the current system offers. How, if at all, do others feel about the matter?

Zennioptical/Eyeglasses.com will decrease the demand for opticians (or even eliminate them). From 2007 to 2009, 300% increase in eyeglass sales online. Costalcontacts grossed 40mil this past quarter.

Is there a need to integrate opticians?
 
Is there a need to integrate opticians?

If an optician wishes to earn an O.D., she could — with this sort of integration — be examined for knowledge of optics, then, upon passing, skip that course material, in an abbreviated curriculum.
 
If an optician wishes to earn an O.D., she could — with this sort of integration — be examined for knowledge of optics, then, upon passing, skip that course material, in an abbreviated curriculum.

There probably doesn't need to be a formal pathway for this type of thing. It would be too difficult to standardize and there isn't any need for it anyways.

When I was in school, one of our classmates had been an optician in the school's clinic for 8 years. They did not make him rotate through dispensing clinic when the time came. lol.

We also had a woman who had a PhD in biochemistry. She was not required to take the first year biochemistry sequence.

Both of these situations were casual and handled on a course by course basis rather than a year by year basis.

I think that at the end of the day we should all probably acknowledge that the systems in place to produce optometrists,ophthalmologists or opticians are more than adequate and while yes, some of it may be needless for that 0.01% of optometrists who wish to become ophthalmologists, there's no use in coming up a standardized formalized process for that 0.01%.
 
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