I think what everyone said is correct. I am currently practicing as a clinical director for a high volume Lasik Group. I get paid p/ patient for their pre and post-op care. Since this oph. practice is extremely busy and high netting that my share has been incredibly generous.
However on a side note, most of my colleagues tend to be scared to go into a more demanding practice stating that they need few more years to develop professionally. I disagree with that and perhaps that is why I ended up working with this particular group.
Overall, I think the salary ranges... Many of them are happy earning 75000 at a private practice, in a more relaxed/comfortable--> somewhat similar to their primary care setting in their college but I was not. I needed to be somewhere more challenging and demanding.
Again, I will state that the earning level varies.. Ex. one fellow from my graduating class started a private practice cold with bank loan (on top of his educ. loan--> crazy dude) in San Antonio, TX and in 2 years, he is doing extremely well, better than I. (I think he told me that his practice netted around 400000 with good 40% net profit. Wow 😀
Finally, one of our Ocular disease professor who is fairly young ~40s who is famous for having a successful multi-location practice was giving us a lecture and said...
"We need to change how we think and practice... My practice (overall) used to gross $1.2 million 2 years ago but now we have introduced a surgical center in my office and we are doing the same amount in 3 months... 😀" All I could say was WOW.... Holy Sh$$t
His formula?? He works very closely with Oph. group and he has an ophthalmologist coming into his office 2x/month to perform various surgeries and he receives surgical center fees from insurance companies.
You may be wondering "this must be some serious rural area" Actually, no.. This is in Memphis, TN and since there is a school here 'SCO', the city is saturated with ODs.
I think we all need to open our eyes and realize that although we come into this profession to provide eye care, we also would like to have a fantastic living doing what we love to do... We just need to be smart about it and consider different options and markets.
We have to stop thinking like the typical office setting (small dispensary, 1 lab, 1 or 2 exam lanes ==> 1500sq/feet) Yes, you will be earning $100000 for the rest of your life (Not to say that is a bad thing, I just would not be satisfied with it)
I am sorry for taking over this thread.. I just wanted to share that I believe there are more exciting opportunities here in US (although some claim oversaturation of ODs) and if you ever decide to take a chance with an american school paying higher fees, at least you will have a higher chance that you will make that up quickly compared to a canadian optometrist. IMHO 😍