Hi,
I'm interested in becoming an optometrist, but many people keep telling me that optometry is a dying profession, and that within my lifetime and the near future, people will go straight to eye surgery. So, optometrists will no longer be needed. I am entering my second year in undergraduate college. Has anyone else heard this rumor and what do you think? Is optometry a dying profession with increasing technology?
Well, I wish I would have known about this forum before I applied to optometry school. The fact is, refractive surgery will not kill optometry although it has the potential to make it harder for us in some ways. Most patients don't know it when they come in asking for LASIK, but the truth is, almost everyone who gets refractive surgery will still have to rely on glasses at some point (unless they get monovision done). When presbyopia sets in, everyone needs help, whether you've had lasik or not. Accommodating implants could some day sidestep that problem, but that will not be any time soon since the expense would be enormous and it would be 50+ years before that becomes a "common" option for the general population. So - historically, ODs have made most of their income from selling glasses and contacts - that's a fact and anyone who says otherwise is kidding themselves. ODs don't make much on the health side of things, although that's obviously an important part of what we do.
The real problem with optometry's future is two fold:
1) Commercial optometry is influencing private practice optometry and it's never good. Most people who go to optometry school do so with the dream of owning their own practice one day (at least in my class). Commercial optometry is driving that dream out of existence for many people. Anyone can say otherwise, but it simply is the truth. When I graduated, there was basically no hope of getting a PP job other than fill-in work or maybe 1 or 2 days/wk if I was lucky. A FT position with benefits was out of the question with anything other than Luxottica or Walmart/Sams. Like many of my classmates, I gave up and started working commercial as an independent contractor. The pay was ok, but I never thought I'd be forced into working at Target and Walmart after I graduated. I thought I'd have my pick of jobs since that's what I was told OVER AND OVER by optometry school officials. I was told "Don't go commercial, don't sell out, commercial is the evil empire!!" Then I graduated and had no other option, except commercial. Commercial optometry is expanding faster than ever and PP docs are not so it doesn't take a math wizard to see what's happening, unfortunately. I have my own practice and I do pretty well, but I can't tell you how frustrating it is when my patients take my Rx and go 2 blocks down the street to Lenscrafters to get their glasses or go online to 1800 contacts to get their SCLs. You can be the best OD on the planet, but if all your patients start buying their corrective lenses from commercial/retail chains, you'll be out of business in no time.
2) There are simply WAAAAAY too many ODs out there. All of the blame here falls on the people who continue to open private OD schools, cranking out more and more ODs into a job market which doesn't need them. At last count, there were 3 new schools opening at a time when we should be closing programs, not opening them. Ever wonder why private programs are often double or triple the size of state supported ones? Private OD schools make a fortune for themselves and have no regard for what effect the glut is having on the profession. This is where problem #2 affects problem #1. Since there are too many ODs, a huge portion of new grads are forced into going commercial after graduation, which only feeds the problem.
Please understand, I'm not dumping on optometry here. As ODs, we have a tremendous amount of knowledge and an ability to treat patients with a wide range of eye diseases/disorders. We are the main providers of primary eye care in the US. Few people know that there are areas of clinical care that ODs are actually BETTER at than ophthalmologists. That's why it's frustrating to see optometry being gutted by companies who essentially have no concern for people's eye health - they just want to sell glasses. It's getting harder and harder for me to see what's happening to my profession. Unfortunately, I don't think there is any way to correct the problem without limiting the number of ODs who enter the profession every year and also somehow combating the commercial issue. Neither of those things will happen since private schools want the money and commercial chains want even more than money, they want the profession.
I'm not going to tell you not to go to optometry school. I'm not even going to say that you won't be able to be happy as an OD. It's just likely that your goals and dreams as an OD will have to be adjusted. I don't hate what I do. I like my job more or less, but it's not at all what I expected when I was in school. The sad truth is, you can make a good living as an OD for Lenscrafters or Pearle Vision and the fact that it is so tempting, especially for new grads, is hurting the profession. You won't ever be rich and you won't have your autonomy, but it's a decent paycheck. I don't know about you, but when I signed up for school, I never dreamed I'd have that as part of my future, but it was. That being said, there are still some people who make it happen, but you have to be willing to maybe set up shop in a place that doesn't have a lot of ODs or MDs - that usually means rural. If you're willing to live far away from a major city, you probably could do pretty well. Commercials usually don't want to go there and I know of some fairly large, successful rural practices in places like Alaska and Texas. Just know that while there are many successful private practices out there right now, it's getting harder and harder for new guys to start up. 20 years from now, optometry will be very different from what it is today, and most likely not in a good way.
If I could do it all over, I'd look at professions that are not heavily influenced by practitioner gluts and/or commercial enterprises. If you can deal with feet or mouths, I'd go podiatry or dental. Neither has any commercial influences (yet) and as far as I know, there aren't any excess practitioners in either field. Both also pay roughly twice what optometry pays, not that that is the primary factor, but it's real and should be considered, particularly when you leave school with 150K to 200K in debt.
Sorry to be such a downer, but I saw your post and it made me think about what might have happened differently if I had some of the knowledge that I just shared with you. I think I would definitely have looked at some other paths. Please know that the school officials who court you during the application process will probably be blowing sunshine where it doesn't belong for your whole first year. If I could have a "sit-down" with my school's president who basically lied through his teeth during our 1st year welcome speech, I'd have a few words for him. If you're really set on optometry, then go for it, just understand exactly what you're getting into before you sign on the dotted line. Good luck....
Dr. L