The first and second years in many schools with revised curriculum integrated systemic AND eye care. I'm no expert, but I have several close MD friends and they tell me they got very little eye-related training.
I will come to understand the current system if someone can tell my why 4 years of med school better prepares someone for an ophthalmology residency than 4 years of OD school. The system is screwed up.
Don't also forget that much of the OMD process exclusively centers on surgery and spends very little time on primary care matters.
I won't drivel on, this issue will persist forever. I'm leaving it that OMD should stick to surgery--what they know, just as ODs should stick to full scope primary eye care unless more in-depth residencies are developed.
You are focusing on OMD training and general "eye care" training. Since you've never been to medical school, what you fail to realize is that an MD or DO gives you a comprehensive, not a specialized, understanding of medicine: pharm, pathophys, pathology, dx, tx, etc. It's four years of intense training that gives physicians a comprehensive understanding of systemic medicine. AFTER graduation, a physician refines his/her knowledge by a general internship and then a specialized residency.
Even though I'm a psychiatrist, I understand systemic disease states, cardiology, neurology, endocrinology, ophthalmology, etc. I'm sure you know WAY more about primary ocular care than me, since I don't pratice in that area, but I know your knowledge of CVM, neuro, endo, etc. is not anywhere near that of most MDs or DOs. No way, no how. Do you understand the significance of hyper/hypokalemia? You might understand hypertensive retinopathy or DR, but do you know how manage and control it systemically while taking into account possible related anemia, CHF, DCM, etc.?
So, while it's true, in medical school, we don't spend a great deal of time learning JUST ocular phys and path because we are also learning systemic medicine. You spend four whole years learning the eye and related non-systemic medicine. Yes, you learn neuroanatomy and phys, but you don't learn comprehensive neurology. Yes, you might have taken gross anatomy I and II, but not systemic pathophys, histo, physical assessment, comprehensive dx and tx., etc.
Practicing medicine is not always about specialities. All MDs and DOs are physicians first, then specialists/surgeons second. We share that comprehensive medical training that is not taught in optometry school, pharmacy school, dental school, PT school, chiro school, grad school, etc.
Dentistry, optometry, psychology, and other doctoral fields do not provide one with the type of knowledge you possess. I'm not an expert, but an OD learns a great deal in school, but uses how much of it later in pratice? Saem with dentistry and other fields. Your education and training, even with a residency (one year) do not compare to systemic medical training and education even internists and GPs receive.
I'm NOT attacking optometry, but I'm trying to put this in perspective for you. You are an OD who thinks he is entitled to be an MD. Why? YOU made the choice to attend OD school. I'm sure you could have gone to medical school.
Unlike OMDs, I am not saying your OD is inferior, but rather, I am saying it's different. That difference is crucial in the type of service and care you provide. You're an optometrist, not a physician. Just like a dentist is a dentist, not a physician. No one is saying you're inferior, just different. Also, while most OMDs are surgeons, there are some primary care OMDs out there and I'm quite sure they do just fine in providing refraction, general eye care, etc. After all, they have FOUR years of medical training, and 3-4 years of post graduate training in EYE CARE.
Four years of OD training + 1 year of a "residency" is hardly equivalent training. I'm sorry, but you never had to rotate through peds, cardio, emergency, psych, neuro, and ob-gyn. You never had one year of intense internship. You never did a focused specialty residency, being on-call, for 3-4 years. I'm not insulting your knowledge, but an ODs training in systemic comprehensive medicine pales in comparison to osteo/allopathic training. So, when you really compare your education to an OMDs, the OMD has four years of medical school with comprehensive systemic medical training, you do not. An MD has one of rotating clerkships in med school, you do not. An MD has one year of an intense internship in cross specialties, you do not. An OMD has 3-4 years of a specialized ocular surgical and non-surgical residency, you do not.
And, btw, the OMDs who do non-surg care do it just as well if not better than most ODs. They do refraction and have no problems doing that. For many years, I went to an OMD for my general eye care. The glasses and contacts I received were no different than the ones I received from my optometrist now.
End of story.