Company Description:Â Rev360 is the eye care software and business services company that serves practices centered on RevolutionEHR. Rev360 delivers the RevolutionEHR software platform and a growing suite of optional business services to RevolutionEHR users.
Author:Â Â Kelly Kerksick, OD, Rev360 Director of Professional Relations
Along with the excitement of going into business for yourself, there’s often a bit of apprehension. Sound guidance and tips from someone who’s already successfully traveled the journey of business start-up and ownership can be an invaluable resource. In this brief article, I share my own experience to answer some of the most common questions asked by doctors just starting out in practice. I hope you find this information helpful and I wish you the best in your new endeavor!
1. How much space will I need?
I recommend starting with a smaller amount of space. It doesn’t make sense to pay for a bunch of space that you aren’t using or haven’t grown into. I opted to start small with my practice (900 sq ft) and then, four years later, I bought a building that provided 3600 sq ft of space. As a result of starting small, I was able to get out of the red faster and set aside some money. My small nest egg quickly grew and gave me 20% cash to put down on my new building.
2. Where should I open a new practice?
Open a practice in a community that you want to be a part of. The second point of consideration should be whether or not there is a good business opportunity in the community. If you can answer yes to both of those factors, you have a winner!
3. What equipment do I need?
Start out with one or maybe two pieces of equipment such as a visual field analyzer and a retinal camera. As the practice grows, it is wise to reinvest any profits back into the practice by purchasing more equipment. Each year, consider adding one new instrument from profits.
4. What, if any, insurance plans should I take?
Early on, it can be advantageous to take a large variety of insurance plans. These plans, even if less desirable due to lower reimbursements, etc., can be very beneficial in growing the practice. This is a great way to attract new patients to the practice and establish a rapport with them. As you become busier, it makes sense to drop those lower paying plans.
5. How do I get credentialed?
Credentialing can be tricky. It can take months getting appropriately credentialed which is why I recommend outsourcing this. My advice is to hire a company to do this piece for you that knows what questions to ask.
6. How do I hire and train employees?
I always preferred to hire for attitude and train for skill rather than hire someone highly skilled that didn’t have a great personality. Early in your practice, you will have the time to devote to training and teaching new employees how to do various tasks within the practice. Some of my best employees were those who came to the table with no experience. While it can be time consuming to train these kinds of individuals, you also have the ability to train them correctly.
7. How do I market my new practice?
Get heavily involved in your community. Volunteer and participate in local civic organizations. This shows your commitment to the community and is a way that you can give back. These opportunities always pay themselves off in dividends. I found limited success with advertising. My best marketing came from me. Giving the community the opportunity to see my commitment to the community and its people was such an important part of my practice’s growth early on.
8. How do I learn billing and coding?
Many times, the software within your electronic health record can assist you with billing and coding. If it doesn’t, I would recommend that you attend classes to help to bring you up to speed. Always remember, just because you get paid by the insurance company does not mean what you filed was correct. I’ve seen too many practitioners code and bill incorrectly and while unintentional, it can be a very costly mistake as most insurance companies will demand recoupment of claims filed incorrectly.
9. Should I start off with an EHR and Practice Management software program right away?
Absolutely! One of the best advantages you have as a new start up practice is the ability to start from day 1 with an electronic health record system. Often you can begin implementation and training while you are building out your practice so you are ready to go the first day you open your doors. Also, if chosen wisely, the system can also provide you with much more than just a way to schedule patients and document eye exams. Often times, your EHR will serve as an indispensable employee.
10. What advice do you have regarding choosing the best vendors for my new practice?
Choose a partner rather than a vendor. Choose the company that wants to work with you and help your practice grow rather than choose a company solely on their product offering. You want the whole package.
This blog is part of the ASCO corporate contributor blog series. For more information about the blog series, please contact Christine Armstrong, Director of Development at carmstrong@opted.org.
Interest in a health professions career such as optometry can spring from a variety of motivations, but a desire to help people is a common inspiration. Sight is such a precious human sense, the care optometrists provide is of immense value to the patients they serve. As shown in the international Barometer of Global Eye Health survey, most people would rather lose a limb or 10 years of their life than lose their vision. The care optometrists provide can be life-changing, and the following stories are just a few examples of how. The stories highlight some of the many different areas in which optometrists can specialize, the expertise available at private practices as well as in the eyecare centers of schools and colleges of optometry, and the dedication optometrists apply to delivering the solutions their patients need.
As a student working toward her Doctor of Optometry degree, Brittney Schieber looked forward to the time when she could start applying everything she had been learning to real-world patient care. In August 2017, during her third year at the University of Missouri-St. Louis College of Optometry, she began her rotations through different types of eyecare clinics, seeing patients alongside supervising optometrists. Her very first contact lens case turned out to be, pardon the pun, an eye-opener.
The patient was a 23-year-old male who had been diagnosed with an eye condition called keratoconus in 2011. Keratoconus is characterized by thinning and bulging of the cornea and therefore blurry, distorted vision. It can progress to the point that cornea transplant surgery is required to restore usable vision. This patient had come to the University Eye Center after being told by other doctors that a transplant was likely necessary for him.
Regular soft contact lenses are usually ineffective for patients with keratoconus, but a different type, gas permeable contact lenses (GPs), can enable satisfactory vision, sometimes for years. The patient had tried GPs in 2012, one year after his diagnosis, but they were of no help. They were also uncomfortable because they moved around on his eye. He opted to wear glasses instead, which weren’t much better. In the intervening five years or so, even while wearing glasses, he couldn’t see well enough to drive or to comfortably read. He also suffered from headaches, possibly because he was always squinting, and simply didn’t do many of the things a young man would normally do.
Brittney spoke with the patient to obtain his medical and ocular history and was surprised to hear he was still struggling even though he had just gotten a new pair of glasses two weeks ago. Going through the routine tests of an eye exam, she determined that his vision was correctable. This was curious as well because it meant properly prescribed glasses or properly fit GP contact lenses, or perhaps a third option of scleral contact lenses, should be helpful. Scleral contact lenses are larger than standard GPs, extending to the white part (sclera) of the eye, and tend to be more stable. They’re custom fit to the individual eye based on sophisticated imaging and measurements.
Brittney and the supervising optometrist ran the tests necessary to prescribe scleral contact lenses and placed a trial pair in the patient’s eyes. Brittney describes what happened next: “As soon as the lenses were in, his eyes got really wide, not squinty, and he started looking around at everything in the room. He scrolled through messages on his cell phone without needing to have it right up to his face. He was looking at his hands, too, and saying how he hadn’t seen them so clearly in years. His mom was in the exam room and he told her how clearly he could see the details of her face, which he hadn’t noticed in quite a while.” With his vision much improved, the patient went back to driving and was thrilled to be able to read and play video games without straining and headaches. With functional vision restored with the scleral lenses, a corneal transplant wouldn’t be necessary right now. In addition, it was explained to the patient that if his keratoconus continues to worsen, he may be a candidate for a new non-surgical treatment called corneal crosslinking, approved by the FDA in 2016, which can stabilize or slow progression of the disease.
While it was a great day for this patient, Brittney says it was also quite amazing for her. While she was knowledgeable about keratoconus in a textbook sense, this was the first time she saw for herself the effects it could have on someone’s life. Better yet, she says, “I have to admit I actually got goosebumps realizing how frustrated they were when they came in and how apprehensive they were about surgery and how what we did helped so much. It made me feel really good about my decision to become an optometrist.”
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Diabetes can take a toll on the entire body, including the eyes. “Joyce,” who has type 1 diabetes, the type that manifests at an early age, knows this all too well. Now 34, she has experienced many diabetes-related ocular complications and undergone multiple types of treatments, all of which have reduced her vision over the years. It was a more sudden worsening of her eyesight over several months, however, that led her to the William Feinbloom Vision Rehabilitation Center at Salus University. Patients come to the Feinbloom Center to learn how to live with decreased vision and to be prescribed and taught to use devices for what’s known as low vision: poor eyesight that is no longer correctable with glasses, contact lenses, medicine or surgery.
Joyce conveyed the problems she was having to Erin Kenny, OD, FAAO, chief of the Feinbloom Center and assistant professor at Salus University Pennsylvania College of Optometry. While she felt comfortable in her own home because every room was so familiar, Joyce avoided going out at night and into new environments because she was having so much trouble seeing. Moving around felt unsafe in those situations. Stairs and curbs posed big dangers. She frequently bumped into things. Even her ability to do the crucial task of reading her insulin pump could no longer be taken for granted. Joyce was forced to drop out of graduate school, just two semesters short of earning her degree. Her biggest concern was how her vision made it difficult to care for her 1-year-old daughter. Reading food labels was impossible, and spotting the little girl as she crawled around the house was problematic. She worried what the future would bring.
With Dr. Kenny and the rest of the rehabilitation team, Joyce was in good hands. Dr. Kenny prescribed several low vision devices designed to make Joyce’s remaining vision more functional. For example, telescope-like devices, both handheld and mounted on a glasses frame, enable her to see far away, and different types of magnifiers allow her to read labels and her class materials. She did, by the way, return to school. With orientation and mobility training, Joyce also learned techniques for getting around safely and confidently. And she was able to take advantage of aids around the house such as special stickers to make the numbers and buttons on the stove identifiable by touch. She was happy to be referred to a state agency that could assist her in an employment search when she was ready.
Joyce moved to another state a few years ago, but she sticks in Dr. Kenny’s mind. One of the things she likes about providing low vision care is the relationships that are formed with patients. They’re seen at multiple visits over time as they tackle new goals along the way. “Joyce was very motivated. She worked hard and did very well,” Dr. Kenny says. “She was also very appreciative of what we were able to do for her.” The appreciation goes both ways. “I love my job,” Dr. Kenny says. “I love coming to work. Joyce is an example of what we’re able to do as optometrists. How we can change somebody’s life for the better by helping them to live more independently.”
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Babies aren’t born with fully developed vision. Their eyes and eyesight, working very closely with the brain, continue to mature for several years. This being the case, infants and toddlers are particularly sensitive to a number of eye conditions that can potentially emerge and interfere with this process. If not properly addressed by an eyecare professional, such conditions can negatively affect not only the child’s vision, into adulthood, but also his or her overall development.
It’s usually not a concern if shortly after birth a baby’s eyes occasionally seem to not be working together. For example, one eye may sometimes point more inward or outward. However, when little Finn was about 18 months old, his mom noticed something more than that. She noticed that both of his eyes were tending to drift outward frequently. Wisely, she brought him to see pediatric vision specialists Elizabeth Knighton, OD, FAAO, and Nathan Bonilla-Warford, OD, FAAO, FCOVD, who have two offices in Florida, one dedicated to family vision care and one just for kids. With a thorough initial exam, Dr. Knighton (“Dr. Beth” to her patients) determined that Finn had exotropia ― an outward drifting of the eyes. She also found that he had significant hyperopia (farsightedness) as well as astigmatism. All three cause blurry vision, a definite threat to proper vision development.
The solution Finn needed was a pair of glasses. His glasses are designed to provide the clearest vision to each of his eyes so that his brain finds it easier to keep them aligned and provide good depth perception. Finn needs to wear his glasses as much as possible, and will likely need glasses or contact lenses for the rest of his life, but his prognosis is excellent. Dr. Bonilla-Warford describes the little guy’s progress: “He has gotten much more visually responsive. His spatial awareness is better, and because he can see the world around him better, he is more active. Because he can see his mother and others better, he is more interactive and expressive.”
Finn’s mom has been excited about how far he’s come. She shares in an online video how giving Finn glasses “gave him … a whole new him!” It goes to show, says Dr. Bonilla-Warford, “just how much a single pair of glasses can benefit a person.”
Prism eyeglass lenses were the logical treatment option to try first. They’re based on optical science, i.e., how the prism shape added to a lens bends light. The effect is to “move” the image in a patient’s view to the spot where the brain thinks the eyes are working together. But fitting them is also somewhat of an art. “It’s challenging to find just the right amount, the right power, of prism to incorporate into the lenses,” Dr. Williams explains. “It’s all about what is comfortable for the patient, and you rarely end up prescribing the amount your tests have measured.”
As a Los Angeles-area optometrist who works in a private practice and serves as an adjunct faculty member with the Southern California College of Optometry at Marshall B. Ketchum University, Brett Nagatani, OD, treats all types of patients. He finds that providing care for those with low vision ― poor eyesight due to ocular disease or injury that can’t be corrected with glasses, contact lenses, medicine or surgery ― can be especially rewarding. “Many people feel that without perfect vision they can’t do anything,” he says. “However, in reality, they can still work, travel, date, use the computer, and do most things sighted people do. Low vision optometrists and the devices they prescribe open up that world of possibilities.”
By the time Dr. Nagatani met Mr. Garcia at the University Eye Center, it had been 19 years since Mr. Garcia suffered a traumatic head injury from falling off a bike. The injury permanently damaged his optic nerve, making him legally blind. Despite having to give up his construction job as well as the sports and marathons he had loved so much, he had been getting along OK. The more time that passed, however, the more he realized there were quite a few things that used to be simple that now he really missed. He became increasingly frustrated with not being able to comfortably read small print, walk around in unfamiliar areas (especially at night), use the computer, or watch television. Finally, he decided to seek help and called the University Eye Center to schedule a low vision evaluation.
Dr. Nagatani and the low vision team demonstrated for Mr. Garcia various devices, such as telescopes and magnifiers with LED lights, that could make his distance and near vision more functional. He was able to find several that addressed his needs and fit his lifestyle. He was particularly excited about an electronic video magnifier that enlarges reading material up to 100 times yet still enables the user to move through the lines and pages efficiently. In addition, the team referred Mr. Garcia to the California Department of Rehabilitation, which could connect him with other services related to independent living and potentially help with job placement. According to Dr. Nagatani, Mr. Garcia’s time with the low vision team gave him new motivation, and he was “looking forward to all of the possibilities his low vision devices would provide.”
Interest in a health professions career such as optometry can spring from a variety of motivations, but a desire to help people is a common inspiration. Sight is such a precious human sense, the care optometrists provide is of immense value to the patients they serve. As shown in the international Barometer of Global Eye Health survey, most people would rather lose a limb or 10 years of their life than lose their vision. The care optometrists provide can be life-changing, and the following stories are just a few examples of how. The stories highlight some of the many different areas in which optometrists can specialize, the expertise available at private practices as well as in the eyecare centers of schools and colleges of optometry, and the dedication optometrists apply to delivering the solutions their patients need.
Read Part 1 below, and stay tuned to this space for Part 2.
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One of several people at the local homeless shelter who agreed to a free eye exam, “Joe” didn’t really have any symptoms to report. He sat down with The Ohio State University College of Optometry faculty member Joan Nerderman, RN, OD, and a student extern who were at the shelter as part of the college’s ongoing community outreach program. He asked for a pair of sunglasses, explaining that he was a little sensitive to light, which wasn’t an uncommon request. He answered the questions he was asked, revealing that he was unemployed, abused alcohol, and had a “dispute” with his wife, who had kicked him out of the house where they had lived with their young daughter.
Given Joe’s lack of eyesight-related complaints, Dr. Nerderman figured all he might need would be a new pair of bifocals. His were clearly old and worn out. But, as the exam proceeded she noted that his vision wasn’t correcting to 20/20. To investigate why that might be, Dr. Nerderman ordered a test in which an instrument called a perimeter measures peripheral vision. The test revealed some loss of peripheral vision in both eyes. Knowing that the particular pattern of deficit the test was showing is associated with a pituitary tumor in the brain, Dr. Nerderman referred Joe to a neuro-ophthalmologist who confirmed it. Surgery was scheduled to remove the tumor. While it’s rare for pituitary tumors to metastasize, they can grow and expand into others parts of the brain.
Joe’s family came back together to support him during surgery, which was a success. Afterwards, assuming it was the tumor that had caused his previous undesirable and violent behavior, the family eagerly gave Joe a second chance. Dr. Nerderman thinks it’s unlikely that the tumor was affecting behavior because it was small and only located in the pituitary gland. “No matter,” she says, “let’s give him the benefit of the doubt and say there’s a potential for that.”
After surgery, Joe regained full peripheral vision, which isn’t always the case with a pituitary tumor, Dr. Nerderman says. He also moved back in with his wife and daughter. He got a job and was no longer abusing alcohol. “Sometimes patients we see at the shelter haven’t had any medical care for a long time,” Dr. Nerderman points out. “Sadly, that means their problems have often advanced to the point where they’re not fixable. It wasn’t too late for Joe. He got everything back.”
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Not much, it seemed, was able to keep little “Tate” from being his bright and active 6-year-old self. Not Goldenhar syndrome, the rare condition that leads to underdeveloped structures like the nose, lips, soft palate, jaw and ears. And not Duane’s retraction syndrome or the palsy that make it difficult for him to close his right eye or move either eye outward normally. Despite all of this, with the help of cochlear implants for hearing, Tate was communicating well and going about his life. By the time he was 7, however, some vision-related issues began to threaten his well-being. His difficulty with eye movement as well as some farsightedness were making it difficult to see up close and holding him back in his ability to read. Tate needed glasses to correct the farsightedness, but he doesn’t have ears to hold them up.
Carolyn Carman, OD, clinical professor and director of the Center for Sight Enhancement at the University of Houston’s University Eye Institute, had just the solution. She prescribed Tate glasses and fit him with a specially adapted frame from Nebraska-based company Spokiz. The frame, first designed by Spokiz as a way to keep glasses from slipping off, is also a great fit for Tate’s special need. Rather than the typical arms, Tate’s glasses frame has one band that goes around the back of the head and another band that fits over the top of the head and connects to the lower band on each side. “He was excited to be able to pick the frame he wanted and has been happy to wear the glasses,” Dr. Carman says. “His personality is shining even brighter as he continues to learn, keep up with his classmates, and have fun.”
In addition to the specially designed glasses, Tate received vision rehabilitation therapy at the Center for Sight Enhancement. During his sessions he learned strategies for reading and using his eyes as effectively as possible and for keeping his right eye moist, comfortable and protected. “He’s now in third grade and doing very well,” Dr. Carman notes. “His improved vision with the adapted eyewear, dry eye therapy and vision rehabilitation therapy has made a big difference in allowing him to see better, do well in school, and be a happy student.” As for Dr. Carman, “Helping people like Tate see better never gets old,” she says. “I still look forward to clinic and feel blessed to have found a career that allows me to make a positive impact on the lives of people of all ages.”
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For her first visit to the University Eye Center of the State University of New York College of Optometry (SUNY), “Jane” wasn’t able to come alone. She had to be accompanied by her daughter. She couldn’t be in the room with more than a few people at a time. The lights had to be off. “She was clearly extremely uncomfortable,” says Katherine Lai, OD, a resident and assistant clinical instructor at SUNY, who is part of the team that has been working with Jane. As Dr. Lai explains, Jane, a 56-year-old artist, had been diagnosed with a traumatic brain injury after she took a disastrous fall down an open sidewalk grate and down some stairs while walking in the city. As part of her medical care, she was referred to SUNY for neuro-optometric rehabilitation. During her initial visits, Jane told the SUNY optometrists how she was struggling to do just about everything every day. Her problems included having trouble reading, feeling overwhelmed in crowded environments and feeling unsteady on her feet.
The symptoms Jane was experiencing are common among the patients who receive neuro-optometric rehabilitation therapy at SUNY. In their sessions, patients work on stabilizing eye movements and ensuring the eyes are working together adequately. They also progress through therapy procedures designed to stabilize their visual vestibular system and enhance visual-motor coordination to make efficient eye movements.
When Jane was at SUNY this fall for a therapy session, she was feeling like a new person. “She never thought she would get to the place she is now,” Dr. Lai says. Jane can do just about anything she wants again. She can walk around on her own and no longer feels overwhelmed in crowded environments. She has gotten back into some art projects and is gaining confidence that soon she’ll be able to drive and resume painting the large murals in restaurants and on city walls that were her livelihood. “She’s so much happier and very, very thankful,” Dr. Lai says. “I see these types of cases every week, and often the patients are still symptomatic after having worked with vestibular therapy or occupational therapy. Practitioners in other fields sometimes don’t know that many symptoms are vision-related. What we do in neuro-optometric rehabilitation is unique and is even different than traditional vision therapy. For me, this is a case that really reinforces how appreciative patients are of how we can help them.”
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When people hear Jacob Green tell the story of his long, arduous journey of recovery from a traumatic brain injury (TBI), they feel inspired. Jacob, too, has drawn hope and optimism from his experience, in particular when he thinks about the optometrists and researchers who helped him get his life back. At the Eye Care Institute at Western University of Health Sciences, Valerie Quan, OD, FAAO, used her expertise in vision and neuroscience, along with persistence, to solve a problem Jacob had suffered with for a long time.
But let’s back up a bit. Jacob’s TBI occurred when he was a college freshman. Witnessing a man attacking two subway agents, he selflessly intervened. He tried to distract the assailant, who then hit Jacob repeatedly in the head. The resulting brain injury caused an overwhelming number of issues, including extreme sensitivity to noise and light, memory problems, vision impairment, spatial processing deficits, frequent vomiting and debilitating headaches.
Jacob first sought help at the Western University Eye Care Institute after two and a half years of full-time rehabilitation, all types of therapy with all types of professionals. After so much time and hard work, he was able to return to school, earn two degrees and hold down a job, part-time at first. With a longstanding interest in public service, eventually he became assistant city manager of Ontario, Calif. Unfortunately he was still suffering with up to five migraine headaches every week, which were caused by the fluorescent lighting in the office building. As he recounts when he shares his story, the pain was making it hard to work and to be an attentive father and husband, and “Every single night I was incapacitated. I was at the ER a lot.”
At the Eye Care Institute, one of the remedies Dr. Quan and Jacob tried were tinted lenses, which are a potential solution for the light sensitivity that was causing his migraines, but they didn’t help. Not willing to stop there, Dr. Quan kept an open mind about potential next steps. She knew that another researcher at the university, Chris Chase, PhD, FAAO, had an instrument called a colorimeter in his lab, and she had read an article about its use elsewhere in TBI. She enlisted Dr. Chase and another expert at the university, Chunming Liu, OD, MD, PhD, to help with Jacob’s case.
The team used the colorimeter to take Jacob through what’s called colored light preference testing. Working through the color spectrum, the instrument adjusts hue, saturation and brightness until the patient experiences comfortable vision. According to Dr. Quan, when Jacob’s preferences were mapped, “His relief was immediate and it was pretty amazing to watch.” But how to make this relief an everyday reality for Jacob? The color preferences would need to be incorporated precisely into lenses for a glasses frame, an uncommon capability. Dr. Quan searched and found a company in England that could get the job done with the required accuracy.
Interviewed for an article in the university’s View magazine, Jacob says: “These glasses have absolutely changed my life. They’ve allowed me to work in the office longer hours and more effectively, not having to use so much of my energy on just compensating through the pain. I can be a lot more present as a husband and father.” Jacob has moved on to a new job as the assistant city manager in San Juan Capistrano, Calif., and he also works as a motivational speaker. He still feels that at the Eye Care Institute “I have this incredible team in my corner.”
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Many optometrists positively influence lives beyond the walls of their own practices. Naureen M. Haroon, OD, FAAO, an assistant professor at Midwestern University Chicago College of Optometry, has been instrumental in helping a group of people halfway around the world. Last year, while she was visiting a rural town in the Kashmir valley of India, a peaceful political protest turned deadly when local police and military forces indiscriminately fired pellet guns into the crowd. The incident was one of many during a 2016-2017 period of unrest in the area. Hundreds of people who survived had injuries that resulted in loss of vision in one or both eyes. Dr. Haroon, feeling compelled to help, returned to the United States and began to figure out how. She identified a nonprofit organization that does work in India and submitted a proposal for assistance. The organization accepted the proposal, and Project Noor (Noor means light in Arabic) was born.
Through Project Noor, 21 people who had lost vision in both eyes were identified. (They have what’s known as low vision: a decrease in sight caused by injury or disease that isn’t correctable with glasses, contact lenses, medication or surgery.) Dr. Haroon went back to India to be part of a workshop that provided low vision devices and care for the group. (Low vision care teaches patients how to use adaptive strategies and devices to make the most of their remaining vision in order to function successfully in daily life.) Patients were supplied with low vision devices and other tools such as talking calculators. They learned how to use features on their cell phones designed to aid in vision impairment by magnifying the screen, reading what’s on the screen, etc. “In this rural area, people don’t know about low vision care. They basically thought their lives were over because of their vision loss,” Dr. Haroon says. Project Noor organized and funded a second workshop as well.
The workshops were important steps toward the patients’ ability to lead productive lives despite their vision loss, and Project Noor will continue to help them. A project manager is available to provide ongoing communication with them. In addition, home visits were conducted with each of the 21 patients using a questionnaire created by Dr. Haroon to determine what kinds of struggles they are facing, including behavioral and financial, due to their vision loss. Personalized training programs can then be initiated to help them achieve goals. As Dr. Haroon explains, “Many of the patients are teens so they want to go back to school. Others want to return to work.” The hope for the future is to identify more people with low vision (from any cause, not just pellet-gun injuries) and provide assessments, assistance and training for them as well. According to Dr. Haroon, “The long-term support provided through Project Noor sets it apart from many other charitable programs in the region.”
Company Description:Â Rev360 is the eye care software and business services company that serves practices centered on RevolutionEHR. Rev360 delivers the RevolutionEHR software platform and a growing suite of optional business services to RevolutionEHR users.
Author:Â Dr. Amber G. Dunn, O.D
Opening a practice cold or buying a practice is a very challenging, yet rewarding adventure. There are many ways to go about this business opportunity, however you must have two key elements to succeed: a good mentor and an excellent support system. With these two things, along with the proper research and drive, you WILL succeed.
Why open a new practice? I decided to open my own practice for the freedom to choose how and when I spend time with my husband and children. When you work for someone else, you are at the mercy of their schedule. I enjoy taking my younger son to gymnastics once a week and volunteering at my older son’s school a few times a month. Sure, this means I might need to work on things from home or work a few late hours, but to me, that’s worth being present for my family. Opening a practice cold requires determination that is often fueled by personal, family or community goals that go beyond being a professional.
Start with a Business Plan. Do you want to open cold or do you want to purchase an existing practice? Whichever you choose, the first, and most crucial task is putting together a well thought out business plan. A business plan outline is the foundation for everything you are going to do. For starters, a business plan is necessary to secure the financing you will need to start cold OR purchase an existing practice. If you put together an excellent business plan, the rest will fall into place.
Do Your Homework. A business plan starts with a lot of research. Have you heard the term: “work smarter, not harder”? This is very important to consider when writing your business plan. There is an endless supply of resources that can make your job easier. Don’t get me wrong, there is nothing “easy” about writing a business plan. I made my share of mistakes as I wrote my business plan, but I have learned from those mistakes and hope you can do that as well. For instance, utilizing businesses or associations that are meant to help, will take a lot of stress off your shoulders!
Following are thekey components of a business plan. Remember this is not a comprehensive list, but something to get you started.
Location. Do you have a specific place in mind? Do you know where the need is? Or do you want to open a place because you already live there?
Consulting group. There are several that can even help you with writing your business plan. I didn’t start with one, but I am glad I ended up engaging one because it was very beneficial.
Mission Statement/Company Goals. This is the foundation of your practice. Spend a lot of time on this and ask many people to look at it.
Equipment. TEST EQUIPMENT AT MEETINGS. Don’t just go off of what someone else told you. Equipment is expensive and something you will have for many years. Consider refurbished equipment too, as long as it is from a reputable company.
Establish an LLC. You need to make sure your company name is not already in use. I would also recommend searching on various search engines to see what other things come up.
Malpractice Insurance. The American Optometric Association offers a great deal on Malpractice insurance as a member benefit.
Establish a website. There are companies that specialize in optometry practice websites or you can look into other companies also.
Doctor groups. There are many to choose from.
Attorney, Accountant, Banker/Merchant Service Group and Insurance Agent. You need all of this expertise for your business plan and you need to start building relationships with these professionals early. They will be the ones giving their professional expertise and making sure you succeed.
Professional advisory board. This is something that will not only help you in your professional life, but it can also help you in your personal life. It’s best to include a wide variety of individuals and perspectives. My Professional Advisory board consists of a chemical engineer, a safety engineer, a medical doctor, an optometrist, a rancher, a stay at home mom, a kindergarten teacher and a real estate agent.
Logo. There are a ton of companies out there that can design a logo for you, or you can certainly do it by yourself. I used crowdSpring to come up with my logo and am very happy with the results.
Supplemental Income. You must show the bank how you are going to make money. This is not as important if you are taking over an existing practice, but when opening cold, the bank needs to know how you are going to make money while the practice grows.
Now that you have a starting point to the business plan components, where do you go from here? Once you find a location and are given the lease agreement, you must negotiate it. This is where your attorney comes into play. A landlord is going to write the lease in terms that are best for THEM- you need to ensure that it is also best for you.
Once you move into the space, spend time making it your own. Post on social media the changes you are making or ask people in the community to come help. People really love doing that! And speaking of community-become a part of it! Join your local Lions Club, volunteer at retirement homes or schools, host lectures in the office while you are working on building it. These are great ways to “give back” while at the same time marketing yourself and your business.
AHH- what about credentialing??? This is such a difficult and time-consuming task that you can actually hire a company to do it for you. Just remember the more you do yourself, the more money you save and the more knowledgeable you are about how your business runs. One huge mistake I made was not doing this soon enough. Being faculty at Pacific, I was already credentialed with nearly every medical plan and health panel so I assumed it would be easy. Turns out, it’s not about the provider themselves being credentialed, it’s about the location. So there are even some panels I am STILL not a provider for at my private practice but am with the University.
Beyond the business plan, there are a few other elements to consider that are an important part of this journey. Finding the proper EHR is critical. Use trade shows and meetings to your advantage so you can check them out in the exhibit hall. You also need to spend a lot of time finding dependable employees to represent your business. Your staff will be the first contact that is made with your patients.
By no means is this a complete narrative of opening a practice. Opening a practice can sometimes seem like a maze that never ends, but if you have your eye on the prize, with determination, you WILL make it! Remind yourself daily that many have done it before you (like me!) and if you give more that 100%, you can do it too! Make mistakes and learn from them. Never settle, and always strive for ways to be better.
This blog is part of the ASCO corporate contributor blog series. For more information about the blog series, please contact Christine Armstrong, Director of Development at carmstrong@opted.org.
Courtney Park, U.S. Navy Ensign, Health Professions Scholarship Recipient for Optometry Class of 2021
Just little over a year ago I realized becoming a part of the U.S. Navy could be my reality. This reality was never fathomed or appreciated before I learned of the Health Professions Scholarship Program (HPSP).
Even when I first learned of this scholarship, it seemed too good to be true, and so I discounted the application process as I simply did not see myself in the military. Well, I was obviously wrong and thank goodness.
Considering much of the buzz you hear about HPSP recipients being mostly students pursuing medicine and dentistry, I’d like to classify myself a unique candidate for HPSP. Not a lot of people talk about optometry, and perhaps it is a niche profession, but it is one worth mentioning especially when discussing the value of HPSP.
If you are like me and have always had some kind of fascination with the complexity of eyes and the visual system, you may be considering optometry. Maybe you are taking more concrete steps towards obtaining your goals to become an optometrist and soon you may be thinking about applying for optometry school. What a daunting, yet exciting task! And maybe like my past self, you’ve done a lot to show optometry programs that you’re a competitive applicant, but you have no idea how you’ll ever pay for school sans taking out loan after loan and paying off these loans until you’re well within your career.
Perhaps you can’t visualize your future other than knowing you’d like to become an optometrist, but you have no real plan after you graduate. This is all OK, but I’d like to offer those seeking optometric options some advice!
If you are dedicated to the optometry field, as a small handful of people truly are, apply for HPSP. Just do it, you won’t regret it. Worst case scenario, you won’t receive a scholarship, but there are other options and financial aid to help with school. Best case scenario, you will receive not only a full-ride scholarship, but limitless career opportunities throughout the duration of your participation in HPSP. You have nothing to lose!
So, what is this whole process like?
I’m not going to lie, the application process can be a little bit of a headache (at least in my experience as I had several hurdles to overcome before being selected for the scholarship). If you can persevere through, every step towards receiving HPSP is worth it.
To start the application process, get in touch with a recruiter.
I was fortunate because my recruiter initially contacted me. I was president of the pre-optometry club at my undergraduate university and a U.S. Navy Health Professions recruiter contacted me to see if he could set up a time to meet with my club to discuss scholarship and career opportunities through the Navy. I wasn’t particularly interested, but agreed to his presentation to benefit other members of the club. However, I am so glad I arranged his presentation, as it was truly eye-opening to me.
Not only would the Navy pay tuition in full, but they would provide a monthly stipend, reimbursement for school equipment, and provide you with a job straight out of school.
What was the catch? For every year you participate in HPSP (e.g. four years during optometry school), you must serve at least the same number of years active duty in the military. Although, this really isn’t a catch at all, in fact it’s a safeguard for your career. Four years of receiving HPSP during school means four years of working in the profession I love as I gain experience and develop as an excellent doctor of optometry.
My recruiter’s presentation didn’t completely sell me on the idea though, until I met an OD who participated in HPSP through the Navy. She said it was the best decision she ever made and encouraged me to do the same. This is when I decided I would contact my recruiter and get the ball rolling on the application process. Let me tell you, that ball was rolling for almost an entire year before I found out I was selected for HPSP.
The application is similar to any other scholarship application in a way:
– Motivational statement must be written
– Several letters of recommendation are required (I had five, two from professors that could attest to my character and academic ability, two from practicing optometrists, one of whom which was my employer, and a final letter from a school health professions advisor).
– Submit documents regarding your extracurricular activities
– Send transcripts, etc. What is arguably the most difficult component of the application process (if you are academically competitive and show strong involvement in school, extracurriculars and leadership roles) is obtaining medical clearance
– Go through a physical and medical screening before they are considered for selection. My advice would be to talk through every medical issue you have or ever have had with your recruiter to see if anything may be a disqualifier. Believe it or not, without a medical waiver I had to wait to receive even after I was initially supposed to be cleared for a physical, I would have been disqualified. Thankfully, my recruiter and I eventually got all our ducks (and paperwork) in a row and I eventually was medically cleared and fit to serve in the military. My recruiter informed me that some physicians are pickier than others depending on MEPS location, and overcoming medical is usually the hardest part for most applicants.
After my recruiter and I rejoiced over my medical clearance, we had another moment to rejoice over my acceptance to optometry school! My ultimate choice being the Southern California College of Optometry at Marshall B. Ketchum University.
Acceptance to professional school is obviously a crucial component for HPSP selection, and the sooner you apply, interview, and are accepted into optometry school the better. Throughout the HPSP application process, there are several Board meetings held to decide who receives the scholarship. Initially my recruiter and I thought I needed to have my application complete by December 2016 (I began applying in June 2016 – typically the application process will start about a year before you begin professional school). The Board meeting deciding on the optometry scholarship however, did not meet and select applicants until April 2017. Thus, I did not find out about my selection until much later than I originally anticipated. However, the wait was well worth it.
After selection, you learn much more about HPSP and what is required of you. An excellent resource to find out details and requirements of this scholarship (Navy HPSP) are through the following website:Â http://www.med.navy.mil/Accessions/Pages/default.aspx. This Website is my go-to as I am still new to all the benefits I am about to receive through my participation in HPSP!
If you feel apprehensive at all about joining the military, maybe I can give you some peace of mind (at least if you’re becoming a Naval Optometrist like myself). As a Naval optometrist, once I’m on active duty, I will serve on bases, I will never be stationed on a ship and I will never have to hold a gun or do anything other than my job as an optometrist. There may be other requirements as far as deployment in other branches or health professions, but I can attest to my own specialty.
You begin the HPSP journey at the rank of an officer which is truly an honor. There are also so many opportunities working in the military that go above and beyond being an optometrist. I’ve spoken with Naval Optometrists who’ve become honorably high in rank and participate in other career areas, even having the chance to go back to school or participate in service trips. HPSP opens a door for your future that no other scholarship or full ride could offer.
A couple more remarks to add: I chose the Navy simply because I met several members of the branch who encouraged me to apply to the Navy specifically, and I was comfortable in doing so. The Air Force and Army also offer the scholarship to optometry students, but I decided to stay the route of the Navy, and I am thoroughly happy with my decision. If you are interested at all in HPSP though, it doesn’t hurt being in contact with different recruiters to see what requirements look like through the different branches.
Don’t hesitate to talk with a recruiter about this amazing scholarship opportunity that many people don’t take advantage of. Seriously, HPSP could be a life changing process for you (as it certainly has been for me!) and can help you achieve your dreams in becoming a successful health care professional. Especially if you are interested in optometry, I encourage you to apply for this scholarship, because there is no other scholarship like it that will give you as much financial freedom and as many career opportunities straight out of optometry school. HPSP will allow you to pursue optometry in the most intelligent, inspiring way. Talk to a recruiter before you start optometry school, your future will thank you!
If this isn’t your first time reading ASCO’s Eye on Optometry blog, you know about the variety and versatility a career in optometry has to offer. The list of potential positions and practice settings is quite long. In just one of the possible settings, academia, which is the focus of this post, a future optometrist has multiple roles to aspire to. For example, faculty members at schools and colleges of optometry include basic science and clinical science professors or instructors. Optometrists teaching in any of these positions may also conduct research or supervise optometry students or residents as they see patients as part of their Doctor of Optometry degree program or residency. Some optometrists work part-time as clinical faculty members while working in another practice setting outside academia. Optometrists may also teach in departments of ophthalmology at medical schools or work with departments of ophthalmology in a hospital setting. In addition, some U.S. Veterans Health Administration hospitals are affiliated with academic institutions, which allows optometrists who are employed there to maintain faculty appointments. Leadership roles, which are often part of a school, college or university administration, are also available to optometrists in academia. Types of positions in this category include Dean of Students, Director of Admissions, Vice President for Student, Alumni and College Development, Vice President for Research, Dean of Academic Affairs, and Director of Internship Programs.
If You’re Interested in an Academic Optometry Career, Completing a Residency is a Smart Move
Most academic institutions require optometrists to have a minimum number of years of experience (often five years) or to have completed a residency or earned a master’s or doctoral degree in addition to the optometry degree in order to qualify for a faculty position. Completing a residency can also be a preview of academia that can help you decide whether an academic career is right for you. During residency, new ODs have opportunities to lecture as well as oversee students in clinics and labs. “I can’t emphasize this enough: Students who want to pursue an academic career should do a residency,” says Robert Chun, OD, FAAO, Assistant Professor of Ophthalmology at the Wilmer Eye Institute of Johns Hopkins University. Dr. Chun continues, “If you’re going to recognize a drive and excitement for all of the factors associated with working in an academic institution, the best way to experience this is through a residency.”
It was during her residency that Vinita Allee Henry, OD, FAAO, Clinical Professor and Director of Clinical Operations at the University of Missouri-St. Louis College of Optometry, realized how much she enjoys working in clinic and labs with students. “I discovered I had a passion for the variety of academia, be it teaching, research, writing, speaking or patient care,” she says. Dr. Henry, a co-author of several contact lens-related books, has also held several administrative/leadership roles, including her current one, which she credits to having “some natural leadership characteristics and organizational skills, which made me a good fit.” Dr. Chun had a similar experience, realizing during his low vision residency and research fellowship (with the Pangere Center for Inherited Retinal Diseases) that he wanted to pursue a career in academia. As he explains, “I liked the fact that I could take advantage of all the resources of an academic institution, such as high-quality imaging tools, research funding and the opportunity to collaborate with other experts. In addition, I was very excited by the idea of producing research that could potentially change the way care was delivered in my field. Ultimately, it was the variety of opportunities available and the potential to directly impact the lives of my patients that convinced me to continue on the academic path.”
Do You Picture Yourself in the Field of Optometric Education?
While residency is a time when a career in academic optometry begins to appeal to many future faculty members, others take different routes to the same endpoint. As a seventh-grader, Iris R. Cabello, OD, Assistant Professor and Dean of Students at Inter American University of Puerto Rico School of Optometry, began tutoring another girl in English and knew right away that she loved teaching. In college, she was known to organize tutoring sessions for some of the classes she was taking. When she finished optometry school, she entered private practice, but also served as a part-time clinical faculty member. She changed course when she realized she would rather spend all of her time teaching optometry. “I felt it was extremely rewarding for me to be able to practice my profession but at the same time see students develop into professionals knowing that somehow I contributed to that,” she says. Subsequently, prior to stepping into her current position as Dean for Student Affairs, Dr. Cabello was offered the position of Director of Patient Care. “I accepted because I thought it would be a great opportunity to try to make improvements and be part of positive change,” she says.
How will you know if you’re cut out to be an academic optometrist? Drs. Cabello and Henry suggest it may help to ask yourself:
Do I see myself as a teacher?
Do others see me as someone who can help them understand concepts or lead tutoring sessions? Do people seek me out for help?
Have I demonstrated in the past a desire to teach even if it was in undergraduate school or another field?
Have I done anything similar to teaching in the past, such as tutoring other students or helping them in a lab, and how did I feel about it?
Do I have the patience to explain a subject or concept more than once?
Am I emotionally intelligent? (Do I even know what that is?)
Do I want to provide patient care only on my own, or would I like to see patients with student interns?
Set Yourself Up for Success
If your goal is to land a job in academia, Dr. Chun recommends that you “Start forming a circle of mentors who will support your personal and professional goals. Keep in touch with them. Pick their brains for advice and guidance. They have been through most of the same challenges you will face.” It’s also important, he notes, with regard to the many academic career options, to “Find the right fit based on how you want to practice, and find the institution where your values align well with the culture of the institution.”
Dr. Henry agrees about the importance of mentors, and suggests students in pursuit of an academic optometric career should ensure they have a good reputation with faculty members who are teaching them and any others they encounter, as they are ideal sources for letters of recommendation during the job search. Once you’re hired, she advocates being willing to put in additional effort to establish yourself. “Be active in optometric organizations such as the AAO and AOA as well as educational groups,” she says. “Take advantage of programs for new faculty development that may be offered through optometric organizations or your university, which allows you to learn new skills and network. Be eager to take on new roles that may be difficult at first, but that you can accomplish and will aid in making you a valued team member. Share your ideas with your new faculty colleagues, and ask them what you can do to have an active role.”
To continue to make an impact in her position, Dr. Cabello always keeps two things in mind. “One, be empathetic and respect your students. Never forget your own struggles, long nights, occasional frustrations and sweaty palms while you were studying,” she says. And, two, speaking like a true academic optometrist, she adds, “Never stop learning.”
Pre-Optometry Clubs are an excellent way for prospective optometry students to learn more about the optometry field and develop their interests. Pre-Optometry clubs can help undergraduate students in their application processes as well as help them gain mentors who share their same passions. Often, Pre-Optometry clubs can provide opportunities for students to make lasting impacts on their campus, in their local communities, or in communities around the globe. Senior Jackie Nguyen of University of California San Diego (UCSD) and sophomore Bibi Barase of San Diego State University (SDSU) shared with ASCO how their clubs are making a difference in their communities.
Jackie Nguyen is a senior at UCSD who plans on attending optometry school next year. She is the current president of UCSD Insight Pre-Optometry Club, a club that she describes as “a mix between informational, professional, and social for individuals interested in optometry.” Jackie’s club hosts general body meetings with themes, such as “Road to Optometry,” which focused on the steps to applying for optometry school. The club visits optometry schools in the area and they even have an alumni database for current members to reach out to alumni. Jackie describes the club as a “tool for anyone interested in optometry.” The club connects its members to local optometrists, which is how Jackie got her current job. Jackie also enjoys the “Families program,” which puts each student in a “family” with older and younger club members to establish close-knit friendships and mentorship.
When club members are not advancing themselves professionally or attending club social events, such as bowling or hiking, they are volunteering their time in the community. They volunteer at local vision screenings, and they partner with local service clubs like Lion’s Club or Rotaract. UCSD Insight Pre-Optometry Club has a Volunteer Coordinator who helps plan volunteer events. They also volunteer at Vision Walk as well as at a blind community center called Braille Institute San Diego. They have also fundraised money for Braille Institute San Diego by hosting profit-shares with California Pizza Kitchen. The club visits Tecate, Mexico a few times a year to help a clinic with vision screenings and triaging.
Jackie says her favorite thing about her club is its members. “We all came in as strangers but I have gotten so close to so many members and call some of them my best friends. I love how tight-knit we are as a club.” Jackie is happy she joined the club because the club is great at helping students make connections, and she found the club extremely helpful in guiding her in what she needed to do to get to optometry school. Jackie believes that older members have served as strong mentors and she has found her club’s ability to connect students with college admission representatives to be very helpful.
Bibi Barase is a sophomore majoring in biology and minoring in psychology at SDSU. She will be graduating early next spring and will be taking a gap year after she graduates to study for the OAT and gain experience in optometry. Bibi is the secretary of Focus, SDSU’s Pre-Optometry club, and she will be the co-president next year. Bibi’s club has bi-weekly meetings that guide students in the right direction towards optometry school by going over OAT questions, hosting optometrists as speakers, and discussing next steps and plans for students. Bibi’s club also visits Western University College of Optometry to attend their open house and explore the campus.
While Focus works hard to prepare students to be ready for optometry school, this club also aims to give back to its community. Once a year, at least one student goes to Tecate, Mexico, approximately 40 minutes from their campus. Just like UCSD Insight Pre-Optometry Club, Focus volunteers at a clinic located in Tecate for those cannot afford medical care. Students will volunteer their time at this clinic and perform activities such as giving out glasses, checking patients’ eyes, and performing vision therapy to those who need it. When asked what makes her club unique, Bibi said, “It’s definitely the fact that we are able to go Tijuana and Tecate and get hands-on experience.” Focus also hosted a blood drive last month with another student organization.
Bibi believes that Focus has influenced her pathway to optometry school. Bibi says, “Just being a part of Focus has helped me receive so much important information. It’s nice to have others encouraging you along the way, in addition to visiting schools, listening to speakers, and other things.” Bibi, just like Jackie, has really enjoyed her experiences in her Pre-Optometry Club, not only learning more about the field of optometry but also helping improve and influence eye care in her community.
Each July, ASCO swears in a new President to serve for the year. This year’s President, Dr. David Damari, sat down with ASCO’s Intern, Amanda Howarth, and Director of Communications, Kimberly O’Sullivan to talk about the next twelve months.
Dr. David A. Damari is the Dean at Ferris State University Michigan College of Optometry. Prior to his appointment as Dean, he was a professor at Southern College of Optometry (SCO) and the Chair of the Department of Assessment, responsible for institutional review, measures of academic outcomes, and regional and professional accreditation. He is a Fellow and past president of the College of Optometrists in Vision Development and a Fellow of the American Academy of Optometry.
ASCO:Â Dr. Damari, congratulations on being named ASCO President for fiscal year 2017-2018. What are you excited for most? Do you think you will face any challenges in the coming year?
Dr. Damari: I’m excited and honored to be ASCO’s president. I’ve been involved with ASCO since I was an optometry student at SUNY. I’ve always been aware of ASCO’s role in the profession and it’s a remarkable privilege for me to lead this great organization where I will get to work with the great Presidents and Deans at all the schools and colleges of optometry.
It’s a difficult time in all healthcare professional education right now. There are fewer students graduating from high school, which means fewer graduating from
college, and thus less students applying to healthcare professional schools overall. We have the challenge of getting the best and the brightest college students to recognize what a terrific profession optometry is – a profession that helps people improve their quality of life. In my opinion, there is no other healthcare profession that does more to improve people’s lives than optometry.
Optometry is a fun and exciting field that truly impacts lives. I believe we face the challenge of doing a better job to communicate this to potential students around the country. Some of the publications that ASCO has produced really do that well. The “True Stories” brochure eloquently captures how much our profession can do for patients. Those communications go a long way about informing people about our profession. We can and must keep doing more to attract the best and the brightest.
ASCO:Â What will be some of your top priorities this year?
DD: Dr. Zadnik got us started on the strategic planning process so my top priority is to finalize our Comprehensive Strategic Plan and to start its implementation. Specifically, the number one priority is to build our applicant pool. I want to increase our effectiveness in various operations, to give our staff better resources, and to better communicate with our volunteers. We need to continue to take advantage of our great, new Executive Director, Dawn Mancuso. We’re excited for the direction ASCO is going in.
ASCO:Â What are your ideas to help the ASCO staff further the Strategic Plan?
DD: I hope to visit the ASCO office when we’re in D.C. this year and meet with the staff. I had been there when I became Dean four years ago and I look forward to seeing everyone. In my past work with the staff, I have found them to be great to work with and passionate about the profession. I want to make sure that we can capture that passion and give them what they need in terms of volunteers and resources to carry out the Strategic Plan.
ASCO: Â What drew you to optometry? What did you find most appealing about the field of optometry?
DD: I initially thought I would go into law. During my gap year between college and graduate school, I was talking to my Doctor of Optometry about going to law school and he said he didn’t picture me as a lawyer. He told me he thought I would be a great optometrist. He convinced me to spend a day at his office, where I saw many different aspects of optometry, including vision therapy, which I found eye-opening. He turned my whole perspective around and I went to optometry school for the next 4 years.
Two things have really continued my passion for optometry. The first is the patients I have seen over the years. One of the greatest things about optometry is that you impact people for the rest of their lives. I had a private practice in the mid-90’s in Rochester and had many patients. Twenty years after selling that practice, I am still receiving letters and calls from, and running into at professional conferences, former patients who thank me for turning their lives around.
The second thing that has continued my passion for optometry is that I had tremendous mentors in my career. Even before I was in school, my optometrist changed my life path. Those mentors really inspired me and moved me forward.
ASCO: What drew you to teaching? How did you become so passionate about optometric education?
DD: When I was in private practice, I loved the patients and the impact we were having on their lives, but what I hadn’t expected was the teaching bug had really bit me when I was a clinical assistant professor at SUNY. As a Doctor of Optometry you impact a lot of lives, but as an optometric educator, you impact all the lives of the students’ patients as well. It really is an exponential impact. I’m very passionate enlarging the future of our profession and what we can do for patients. I felt the most effective way to do that was to get into optometric education.
It was a privilege to work with Dr. Billy Cochran, who was president of Southern College of Optometry at the time, who made a big impact in what I saw in optometric education and who taught me strong leadership qualities. Working with people like him and others in optometric education has really shown me this is a great way to serve the profession as well as to enrich and enlarge the profession. This ASCO presidency term is just another step in my attempt to serve this profession that I love so much.
ASCO:Â If you were speaking with a student who is interested in becoming a Doctor of Optometry or with a student who has the aptitude but may not know about optometry, what advice would you give them?
DD: I would ask them, “How do you picture yourself living the rest of your life and in your career? Do you want to serve others and influence their ability to live better lives?” I think that optometry is a great way to do that, which is not readily apparent – making it even more important. We need our visual systems to serve us comfortably and tirelessly throughout the day, and there is no other profession that can address that need. I would say to a student that becoming an optometrist gives you the opportunity to impact the success of others throughout their whole life.
ASCO:Â On a more personal note, tell us a little about your life outside of the workplace. What was the last vacation you took? What are some of your hobbies?
DD: My son studied for a semester in Florence. He was studying architecture – couldn’t convince him to do optometry! He does make an impact on vision though, as architecture affects the buildings and infrastructure we look at every day. We visited him in Florence and then also went to London and Paris. That was a great trip. Our daughter had also spent a semester abroad in London so when we went to London on this trip, she showed us around that big city. I love traveling because I always try to keep my mind open to what other people experience. I find that it enriches my mind to know what other people’s experiences are like.
As for hobbies, I do a lot of reading and too much binge watching of Netflix and Hulu. I’m very excited for the new season of Kimmy Schmidt to come out. What I miss about my time in New York was I saw a lot of plays and watched a lot of baseball games. I don’t do a lot of that anymore, but I used to love doing that.
ASCO:Â You have served as the Dean of the Michigan College of Optometry at Ferris State University since 2013. Tell us a little about your school and your experience being a proud Bulldog. What have been some of your favorite things about living in Michigan?
DD:Â I never saw myself as a Dean but someone who knew my passion for the profession convinced me to apply for the job at Ferris State University. I interviewed and I loved it. The people up here are wonderful. One of the best things about being a Bulldog is that the people at Ferris State University are passionate about the students. The population is incredibly diverse. A lot of students are first generation college students. I was the first in my family to attend college, so for me, I feel a real personal connection there.
Michigan is similar to where I grew up in upstate New York so it was like coming home when I came to this job. After 16 years in Memphis, which is very different than New York, it really felt like coming home. It’s great to have four seasons again. After you make it through the cold winter, you are rewarded with the beautiful spring, summer, and fall. Big Rapids is a cute, small town and because it’s a college town there are many activities to do. It’s just been a really great move for us.
ASCO:Â And lastly, our intern, Amanda, is graduating this May and plans to pursue a career in public health in the future. Amanda asks, what common behaviors do you believe are strongly affecting the vision of the public? What advice do you have for someone who is passionate about improving vision at the broader level of public health?
DD: Vision is one of those aspects of daily life that people do not recognize impacts them. I hear people all the time say, “I have trouble looking at a map for directions,” and “I fall asleep when I read.” All of those are symptoms of different visual problems. I think that’s a big public health need – to educate the public on why their vision is so important. Itching eyes, fatigue, and headaches are all often caused by visual problems. We also have a public health crisis in this country with diabetes. Everyday Doctors of Optometry are making the first diagnosis of diabetes through the detection of the ocular signs of diabetes.
I think the biggest impact on public health our profession could make is to convince more people to come into an optometrist’s office for a comprehensive eye exam. I can’t tell you how many people have never had an eye exam because they believe they can see 20/20. At the same time, though, a lot of those people hate reading and always skip around on pages and they often feel really fatigued when working on the computer. It’s a shame that 20/20 is assumed to be perfect vision when 20/20 vision is only one aspect of visual health.
People struggle with settling with their vision every day because they don’t realize they’re struggling. Many people are losing their vision to diabetes and glaucoma. This is a real public health problem and optometrists must work with public health officials and other healthcare practitioners to improve everyone’s visual welfare.
Thank you for your time Dr. Damari! We wish you the best of luck as president!
Four months ago I joined the Association of Schools and Colleges of Optometry as an intern, and I could not be happier with my decision. In my short time here, I cannot believe how many new skills I’ve gained and how much I’ve learned about the field of optometry. Knowing virtually nothing about optometry before I started working here, I am leaving with a greater knowledge and appreciation of just how important the work of an optometrist is. I was surprised to learn how many daily activities and habits can influence eye health and that so many of us, including myself, are unaware of common, eye-damaging behaviors. Even though I am not planning on becoming a medical professional, I feel optometry is an exciting field to enter, with the opportunity to truly make impactful changes on patients’ lives.
In addition to learning about optometry and vision health at my ASCO internship, I believed I have gained new skills and worked on tasks that I genuinely enjoyed. I especially loved interviewing Dr. Damari, ASCO’s incoming president, whose love and excitement for optometry are evident.  (That interview will be published in the Summer edition of Eye on Education). I was excited every time Kim O’Sullivan, Director of Communications, asked me to write a new blog post for Eye on Optometry or to write an article for ASCO’s newsletter, Eye on Education. I was also given the opportunity to interview students from Pre-Optometry clubs in the United States and it was interesting to learn what sparked their interest in optometry. (That blog post should be posted soon). I enjoyed learning the behind-the-scenes work behind ASCO Connect, the virtual community designed and built for ASCO faculty, committee members and others to help them network, add their voice to optometry discussions, and stay updated with ASCO events. Finally, I also enjoyed working with Joanne Zuckerman, Manager of Data Services and Special Projects, as she helped me learn how to turn optometry school applicant data into visuals such as graphs and charts for the public to better understand.
As a senior at The George Washington University, graduating this month with majors in public health and biology, I am leaving ASCO with new skills to take into my future job and a greater understanding of the workings behind a non-profit organization. I believe that what I have learned about the importance of good eye health is something that I will always take with me into the public health field. I am grateful for my time here at ASCO and thankful I have had the opportunity to meet many people who are so passionate for their work. Every ASCO employee has been so kind, genuine, and helpful. I am sad to be leaving ASCO so soon, but so grateful for the experiences I have had and the amazing people I have met.
Dr. Jack L. Schaeffer, OD, FAAO, has such a remarkable passion for optometry as a career that his enthusiasm has proven to be contagious. The success of the 18-location (and still growing!) full-scope eye care practice he founded in Alabama is built upon his love for the profession, an unwavering commitment to his patients, and the core values of “science, style and service.” All along the way, Dr. Schaeffer has lectured, written articles, participated in clinical trials, and shared his insights as a member of industry advisory boards. He has inspired many others to become optometrists, and all three of his children ultimately decided to attend optometry school. Dr. Brooke Schaeffer Kaplan, a graduate of the University of Alabama at Birmingham School of Optometry, and Dr. Mark Schaeffer, a Southern College of Optometry graduate, are both working in this practice, and David Schaeffer is currently at Illinois College of Optometry and will join it upon completion of a residency.
An Optometric Career has Something for Everyone
The opportunity to use both his science degree and his business degree attracted Dr. Jack Schaeffer to a career in optometry. “Optometry allows me to be a doctor, which I love, but also allows me to be a business person and utilize those skills as well,” he says. Furthermore, “Optometrists are doctors who are also able to have personal lives. There’s very little on-call, and most of the work is done during the day. Yet you’re able to serve your patients and serve humanity by helping people to see their best throughout their entire lifetimes.”
Developing his practice as a meaningful entity that’s established in the community, grows with the community and gives back to the community is what has been fulfilling for Dr. Schaeffer, but, he adds, “The good thing about optometry is you can tailor your career to what you want to do. You can open your own practice or own an optometry or ophthalmology group, you can teach, or you can work in a national chain, a private OD or MD practice, a surgery center or a VA hospital. The opportunities are endless.”
Optometry’s Future is Among the Brightest
The opportunities available through a career in optometry will only increase. As Dr. Schaeffer points out, “Doctors of optometry are the primary healthcare professionals for the eye. Working in a variety of settings, they’re diagnosing and treating ocular diseases and conditions, co-managing ocular surgery patients and optimizing sight by prescribing glasses and contact lenses. With the aging of the population that’s taking place and a growing focus on wellness, the demand for medical care will continue to rise and optometry’s role will broaden. Every chronic disease process has eye manifestations, which means optometrists will be a necessary component of an integrated healthcare model. They’ll be tied into the diagnosis and monitoring of the whole spectrum of patients, from those with cataracts or diabetes to those with Sjogren’s syndrome, hypertension or multiple sclerosis.”
At the same time, optometry, like any profession, has its share of challenges and market changes that impact its institutions and individual practitioners. Not to worry, says Dr. Schaeffer. “The demand for care will be there. As long as you focus on delivering it at the highest possible level, there will always be a place for you. When you take good care of patients, word of mouth takes over. Over time this allows you to meet any challenge that’s out there in the market.”
As much as he enjoys his own career, Dr. Schaeffer is enjoying watching his children forge optometry careers of their own. “They’re doing well building their own futures and choosing their own paths inside and outside of Schaeffer Eye Center,” he says. “I know they’ll stay on top of new technologies, treatment strategies and opportunities to expand the services our practice provides, and our patients will be in good hands.” And what does it say about optometry as a career choice that three of his children wanted to follow in his footsteps? Dr. Schaeffer answers with a chuckle, “I think that says it all.”