I hate to rehash this argument and sound like an alarmist, but this a valid concern for anyone considering this field. Certainly, this 'turf battle' is not unique to ophthalmology. I love the field, but as EyeMDs, we should be very concerned.
1. The public does not know of the difference between optometrists and ophthalmologists (ask your patients if you do not believe me). This puts general ophthalmologists (and even some subspecialty ophthalmologists) in direct competition with optometrists - particularly in saturated regions. Why? Because the patient doesn't know the difference in training between the two. In other sub-specialties, it is clear when the provider is not an MD (CRNA, NP).
2. Optometrists outnumber ophthalmologists by at least 2-3 to 1. This means more support (more $$) for their political action committees (PAC). If you think $$ has no influence in politics, you are very wrong. Unless we support our PACs more, it is only a matter of time until we lose the legislative battles going on in most states. Unfortunately, some EyeMDs are hesitant to fight the fight because they solely rely on OD referrals.
3. It does not matter if only 1 or 2% of optometrists desire surgical privileges. Once the legislation passes, many more will want to do surgery. When that happens, there will always be a willing EyeMD to teach them.
4. Optometry continues to expand schools while the number of residency spots remains stable. This means more OD graduates. See #2.
5. Evolving technology like femto laser cataract surgery will put even more surgery (laser) into the possible scope of optometrists. If they can do YAGs and PIs, what stops them from doing femto laser cataracts (as least the initial parts). Some form of femto-laser will probably be the standard cataract procedure within 10-15 years (see Alcon's purchase of LenSX). Think of the feeding frenzy from 2-3M cataract surgeries per year- it will be a bloodbath.
here's a little more fuel
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1. So what? The public doesn't know that non-ophtho MDs (PCP's, pedes, etc) get relatively little training with regard to the eye. Yet they flock to their PCP or just get those "steroid drops" called in over the phone. ODs are infinitely more qualified then these folks, but I don't hear you crying about a PCPs "lack of qualifications, training, or experience". Nahhhhh, that's not a double standard
🙄🙄 Hell even NP's and PAs have greater license to diagnose and tx eye disease then ODs. That's a frickin joke. If I hear another doctor saying that I can't follow the patient for diabetic eye disease, or manage their glaucoma, I'm going to start filing slander suits in my neck of the woods. Be forewarned you arrogant loudmouths.
2. I would add that optometry is CONSTANTLY on the defensive, if there weren't some money in the coffers, ODs would be limited to refraction. Organized medicine basically thinks ODs are "sight testers". You guys ever going to get your head out of the clouds? Frankly, I find this policy to be unethical, immoral, etc. You guys are a bunch of liars.
3. Nope, market is too small.
4. yes, this is a problem, but I think this may be part of the education bubble that is going to burst. I believe a number of osteopathic schools have just opened up optometry programs, and why not? They just want to make more money, its called capitalism. I don't like it, but the powers that be cry "anti-trust" when it comes to controlling OD numbers.
5. can't answer to that, but again doubtful, limited market (save maybe under served rural fantasyland). If there is ophtho to do these procedures then its a no brainer, they do them, end of discussion.
I think prospective ophtho's need to look in the mirror. The oversupply is in ophtho as well. ODs have saturated the routine exam market, and many have supplemented with some low to middle level medical management of the eye. Ophtho has flat out saturated the surgical market, ODs have NOTHING to do with your dwindling volume, or salaries. And please don't give me this nonsense about "baby boomers", that ship set sail awhile ago. Lastly it seems ophtho, in an effort to bolster their practices have added opticals en masse, and are booked out several months seeing borderline diabetics without retinopathy. Why? oh that's right because the ODs can't do that stuff (turn on your sarcasm sonar folks, because I am pinging away here). Pretty transparent, self-serving tripe, imo.
all flames welcome here