Medical Optometry: Finding Full-Scope Practice Opportunities

Jul 22, 2020
5 min read
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Want to practice to the full scope of your optometry license? Here's how to get started in medical optometry.

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Maybe you have just graduated as a Doctor of Optometry and you want to practice to the full scope of your license, or perhaps you are in a temporary position and keeping your options open. Let’s talk about a growing niche of optometry that might be the perfect fit for you: medical optometry.

Practicing medical optometry means you are practicing to the full scope of your license. In some cases, this means you are performing comprehensive eye examinations and medical examinations; in some cases, you may be performing medical examinations only. The scope of medical optometry includes co-managing refractive surgery patients, performing frequent diabetic eye exams, addressing urgent red eyes, treating medical glaucoma and performing complex contact lens fittings. As a medical optometrist, you may obtain your DEA and therapeutic prescribing rights in your state to maximize your ability to prescribe topical and oral medications.

Due to the nature of managing many ocular disease cases, this also means communicating regularly with co-managing health care professionals such as nurse practitioners, internists, neurologists, cardiologists and many others. You can establish a full scope optometric practice by incorporating medical optometry into your practice, or join an ophthalmology group.

How do you go about finding a medical optometrist position?

  1. Consider doing a residency in your particular area of interest (ocular disease, specialty contact lenses, pediatrics/vision therapy). You will build exemplary skills and gain exposure to complex cases under supervision. A residency is also very attractive to an ophthalmology group looking to have you dive right into patient care. This is not required and there are many opportunities where you can learn on-the-job.
  2. Talk to your preceptors in medical settings that you enjoyed during your clinical rotations or your residency. Ask them for recommendations in the area, i.e. practices you might reach out to and enquire if they are looking for a medical optometrist. Your preceptors may even introduce you to some community doctors who are looking for your skill set.
  3. Search your schools’ and nearby schools’ classifieds for job postings. When you apply for a position, always send a cover letter outlining your goals for practicing medical optometry and follow up with a phone call.
  4. Get involved in your local optometric society and start networking.
  5. Attend annual conferences to boost your knowledge in areas of optometry that interest you and network, network, network.
  6. If you are unsure that a medical model is right for you, there is no rush to decide! You might accept some “fill-in” positions at medical model practices before you sign a contract.

Once you have decided that a medical model is right for you, go for it! You will learn so much and the daily challenges will push you to your maximum intellectual potential.

Looking for a medical optometry position? Check out our optometry job board!

If you are starting in an existing practice, use your resources

  1. Enquire which advanced diagnostic technology the practice is already using. This will give you information on the level of care provided. If there is technology you do not know how to use, stay calm! You can always learn.
  2. Ask questions of your optometry and ophthalmology colleagues. Ask to sit in on their interesting cases. Observe ophthalmology in surgery if possible. Discuss their management strategies for certain conditions like corneal ulcers or filamentary keratitis. Do not be afraid to ask questions in any capacity, whether it is concerning patient management or billing a medical exam.
  3. How many times have you heard a preceptor say, “look it up!” If you are searching for answers, motivate yourself to do research. Look for journal articles to keep up with current practice trends.
  4. Network with community optometrists. Get to know who is in your area and which mode of practice they are in. There are many opportunities to co-manage with your optometric colleagues and learn from each other.

How to implement medical optometry into your existing practice

  1. Medical optometry is often best implemented with advanced technology. For example, glaucoma is managed using Standard Automated Perimetry and OCT. If you do not have access to advanced diagnostic testing, don’t panic. Use your existing resources optimally by informing your patients that you are available for medical eye care such as red eyes and diabetic examinations. Identify the need for medical management based on your patient population and evaluate which diagnostics would be most beneficial. Start small and add more technology as your medical practice grows.
  2. Insurance reimbursement will undoubtedly be factored into your decision to introduce medical management. Evaluate which insurance plans are most prevalent in your area and contact them for reimbursement rates.

Practicing medical optometry is extremely rewarding. There are many different practice settings in which a medical model can be incorporated successfully. Given that reimbursements for vision examinations are reducing with time, there is definitely a growing niche for medical optometry. Go for it!

View optometrist job openings:

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About Hardeep Kataria, OD, FAAO

Dr. Hardeep Kataria is originally from the United Kingdom. She completed her undergraduate studies at the University of Florida and is a 2012 graduate from the New England College of Optometry. After completing her residency in Primary Care and Ocular Disease, she relocated to the sunny west coast of Los Angeles, California. She practices in a medical office primarily managing dry eye disease and medical glaucoma. She is passionate about using advanced diagnostic techniques to treat dry eye disease and glaucoma, and enjoys the challenge of complex cases. Outside of optometry, Dr Kataria enjoys weightlifting and enjoying the coastal weather of Southern California.


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