Author: ecadmin

What’s New in Specialty Contact Lenses from Dr. Rosa Yang

NextGenOD, Perspectives, Products | Services | Industry News

|

0
(0)

By Jaclyn Chang, OD

Residency trained optometrist Dr. Rosa Yang shares her knowledge on the ever-changing topic of specialty contact lenses in the following conversation with NewOptometrist.ca editor, Dr. Jaclyn Chang.

Dr. Rosa Yang

Jaclyn: What are the indications for scleral lens use?

Rosa: Scleral lens use has been growing and gaining more attention in recent years. The scleral lens vaults over the cornea and has increased comfort.

Previously, the primary indication for scleral lenses was corneal ectasia; the main one being keratoconus. Now we have learned about other benefits of scleral lenses, for example, patients with dry eye. Scleral lenses provide constant lubrication to the ocular surface. While dry eye is a multifactorial disease and scleral lenses aren’t for every patient with dry eye, there is a specific subgroup of patients who would benefit from them. These include patients with exposure, such as with a facial palsy.

Jaclyn: What equipment is necessary for fitting specialty contact lenses?

Rosa:  Topography is essential to the fitting of specialty contact lenses. When you think about managing glaucoma, you think about how important OCT is to glaucoma specialists. The analogy for a contact lens fitter is topography.

It is an effective method to assess ortho-K treatment, for example. While the patient may have optimal vision and the lens may appear well-fitted open-eye, this may not always correlate with optimal ortho-K treatment overnight. The treatment may be decentered but provides enough treatment through the optical center to give good vision. However, this does not equate to optimal treatment.

There is also value in topography with scleral lens fits. The amount of time needed to select the initial lens can be minimized. The topography can aid us in determining the initial sag of the lens. We have also learned that many scleras have toricity. Some topographers can map out scleral contour to help us decide if the patient would benefit from a toric peripheral design.

Jaclyn:  Can you talk a little bit about specialty soft contact lenses?

Rosa:   Sure, there are specialty or customized soft contact lenses for high prescriptions outside of range. For example, I had a patient whose prescription was -22D. We put this patient in a soft contact lens called Intelliwave. Keep in mind that this lens lasts for three months so the patient has to be diligent with cleaning.

Jaclyn: What is new in the world of fitting specialty contact lenses?

Rosa:  Profilometry is fairly new. With this, the topographer and the software are linked to the contact lens manufacturer. Normally, we would do a diagnostic fit, where you put a lens on the eye, check the fit, and then specify the change in parameters. Profilometry is a method in which the contact lens manufacturer can generate a lens with a specific parameter based on the topography itself.

Aberrometer is also a relatively new technology being implemented. Higher order aberrations (HOAs) can lower best corrected VA and quality of vision. HOAs can be measured and neutralized to improve vision in scleral lens wearers.

Jaclyn:  Great, thanks so much for that refresher and update!

 

Previous discussions with Dr. Rosa Yang: 

Perspectives on Myopia Control
Pursuing a Contact Lens Residency

JACLYN CHANG, OD

Editor NewOptometrist.ca

Dr. Jaclyn Chang graduated from the University of Waterloo (UW) with an Honours Bachelor of Science in Biomedical Sciences before continuing at Waterloo to complete her Doctor of Optometry degree. She is currently a practicing optometrist in Toronto.

Dr. Chang is committed to sharing information and bringing new resources to her colleagues. As a student, she sat on the Board of Trustees for the American Optometric Student Association, organizing events to connect students with industry. She was the Co-Founder/Co-President of the award-winning UW Advancement of Independent Optometry Club, the first club at UW dedicated to private practice optometry. Dr. Chang is also a passionate writer, who aims to make information accessible and easily digestible to her colleagues. She has published in Optometry & Vision Science and Foresight magazine and contributed to Optik magazine. She is excited to bring valuable resources to Canada’s next generation of optometrists with NewOptometrist.ca.

Share:
Rate:

0 / 5. 0

Zero to Five Pathfinder: Spotlight Dr. Dharani Devathasan

NextGenOD, PathFinders

|

0
(0)

NewOptometrist.ca puts the spotlight on Zero to Five Pathfinders

PathFinder Spotlight:

Dr. Dharani Devathasan

Dr. Devathasan received her B.Sc. (Biochemistry) and Doctor of Optometry degree from UW. She further trained at the Eye Foundation of Utah, where she focused on retinal diseases and glaucoma. In 2015, she served on the  Volunteer Optometric Services for Humanity (VOSH) mission team.

Dr. Devathasan has a special interest in contact lens fitting, myopia control and ocular disease.

When she is not busy working at the clinic  doing yoga,baking, working out or enjoying her time with her close friends and family. She loves the fast-paced environment that downtown Toronto embodies.

Why did you choose your field?

I chose optometry because I’ve always had a passion for healthcare and helping people. I enjoy working with others, so I would consider myself a people person.  I can’t imagine myself working a nine to five desk job. With optometry, I am able to help people better their day to day lives by improving their vision and give recommendations suited to their lifestyle. Furthermore, optometry is much more than vision; there have been numerous times I’ve diagnosed serious underlying systemic conditions in a routine eye exam. I believe in preventative healthcare and this field allows me to educate patients on measures they can take to lead a healthy lifestyle for their eyes as well as for their overall health.

What advice would you give a new grad today?

I was born and raised in Toronto and I couldn’t see myself working or living anywhere else. I knew deciding to practice in Toronto after graduating meant I would be working in a highly competitive region with some of the best optometrists in the province. I believe you should strive to practice the way you want and where you want. If you are driven and passionate, you can be successful anywhere. I am currently working at multiple practices which isn’t unheard of for a new grad working in Toronto. However, my long-term goal is to work at 1-2 practices and establish my patient base in predominantly one office. Patients will want to come back to see you if they had a memorable experience and received superior care. Figuring out where you want to work and in what setting can be tough, but being patient with the process while building your brand for the long term is key. It’s all about mindset and working towards your goal and not giving up!

What is something you have done in your practice to set you apart?

I try to take a few extra minutes to educate my patients. The most common feedback from my patients is that I am very thorough and I explain things well. I try to explain things in a way that is simple and easy to remember. I try to explain the significance of certain tests to help patients understand what I’m doing and for improved compliance of their treatment plan and management of their health conditions. For more complex cases, I write it down or email them a summary. This does take more time on my part but if it means the patient will remember and listen to the recommendations I’ve provided, it’s worth the extra effort.  I try to make the eye exam a memorable and positive experience for the patient, especially for those that are more anxious and worried about their eyes!

What’s your Favorite food? Favorite past-time/hobby?

It’s hard to pick one favourite food when I love food in general. I look forward to eating and I have a lot of guilty indulgences because of my sweet tooth. One of the perks of living in Toronto is accessibility to so much great food and its diversity. I love trying new restaurants and brunch spots. I have so many favourite restaurants in Toronto. Some of my favourite cuisines are Italian, Indian, Thai and Japanese. One silver lining of this pandemic for me was that I have discovered a new passion of mine, which is baking. I love baking sweets and sharing them with my family and friends. During the first lockdown when I was unable to work due to the shortage of PPE, I started baking one thing after another. I found it therapeutic and challenging to master complicated pastries and recipes. When I am not working, I am in the kitchen baking up a storm!

What would you do if you won 10 million dollars? What would you do with your practice?

If I won 10 million dollars, it would be truly life changing. The first thing I would do would be to help my family; I’m a first generation Canadian which comes with its challenges. My parents have sacrificed so much for my siblings and I so that we could have better opportunities. As a result, they spent most of their lives working tirelessly. I would want to give them the financial freedom they deserve. Furthermore, I would want to take it a step further and help some of my extended family in Sri Lanka and civilians who are less fortunate who were impacted by the civil war.

I would obviously reward myself as well by purchasing my dream house in Toronto with space for a home gym and huge kitchen to facilitate my passions outside of work, fitness and baking. I would start up a practice in the heart of Toronto where it’s deemed the riskiest and most saturated. I would work because I want to rather than because I need too. This practice would have the latest equipment and the most beautiful dispensary ranging from high end designer glasses to modestly priced glasses so that everyone is accounted for. My dream practice is one that is inclusive and offers the best service and care possible.

What is the best possible future discovery or invention in any field?

One of the greatest discoveries of all time would be the cure to cancer. Working in the healthcare field, I’ve had one too many patients that have been diagnosed with cancer or know of someone who has passed away from it. Being in good health is such a blessing and it is something we often take for granted. Sometimes I remind myself how lucky I am to be alive and healthy, which allows me to do the things I love and to be around the people I love. It’s easy to stress about the little things in life and focus on the negative aspects, but practicing gratitude on a regular basis is truly an art.

Share:
Rate:

0 / 5. 0

Sublease Opportunities with Bailey Nelson: available across Canada

NextGenOD, Sponsors

|

0
(0)

We make i t easy to run your practice by providing:
• A fully equipped exam room plus pretest equipment
• Online booking and recall systems
• EMR system
• Support staff for reception & pre-testing
• Onboarding, support and training
• Tools to optimize traffic and expand your clinic

Category:    Sponsor

 

At Bailey Nelson, it’s our mission to work with innovative and caring optometrists who ensure all patients enjoy a friendly, stress-free experience worth remembering. We’re looking for passionate individuals who are highly invested in making a difference for their patients. Is that you?

Founded in Bondi Beach in 2012, Bailey Nelson is a global brand led by an incredible team with boutiques in Australia, London, Canada and New Zealand. Buying glasses should be one of life’s pleasures. And we’ve created a formula to make it one. We start with a process that’s clever and honest. And we hire people who are passionate and genuine. It’s not rocket science. It’s just caring enough about what you’re doing to do it right.

DOWN TO EARTH

We give honest advice to our patients that correlate to their visual needs.

CONSTANTLY IMPROVE

We’re always finding new and innovative ways to improve the patient journey, including a focus on adding to our OD equipment.

TIGHT KNIT

Never feel like you’re practicing on an island by yourself. You’ve got a network of independent ODs to reach out to, an optometrist who serves as the eyecare director for the organization, and support from entire Bailey Nelson team in (and
out) of the store.

“I like the culture Bailey Nelson promotes, which reflects in the awesome store atmosphere and great people you get to work with. My best experiences so far have been meeting and working with various people in the company who come from different backgrounds and cultures. As an OD, you can practice as you choose and there is no pressure from sales.”

Syed Mohammed Moosavi
Optometrist at Bailey Nelson Scarborough town centre

“I enjoy working with Bailey Nelson because of the people both the BN team and the patients. I love having the time to get to know each patient and help improve their quality of life. I also enjoy the team of BN doctors who are always there to help each other through tough cases and and bounce ideas off each other.”

Leah Thorpe Kensington, Calgary
Waterloo, Class of 2012

“Bailey Nelson is a supportive, open, and trusting environment that has helped me grow as a creative leader in eye care. At Bailey Nelson, I get to mold my own clinical approach, implement creative ideas in pursuing specialized care with high efficiency, and deliver care that is not only high-quality but truly accessible and affordable.”

Song Kim, Square One, Mississauga
Waterloo Class of 2021

 

Frequently Asked Questions

What services does the Bailey Nelson team provide?

Along with marketing to drive the appointment books, our team also helps you on the ground by taking appointments for you, and pretesting your patients. You won’t need to hire your own staff to do this.

What equipment does Bailey Nelson provide?

We provide all the equipment you’ll need to see your patients and you get a fully-equipped state of the art exam room and pretest equipment

 

Let’s talk.

Share:
Rate:

0 / 5. 0

The Emotional Roller Coaster of Selling a Practice

Buying-Selling A Practice, Practice

|

0
(0)

When the decision to sell is made, one is thinking from the logical, left-brain side of the mind. There are numerous practicalities to take care of and the owner knows that selling will help achieve personal goals. However, deciding to sell can be difficult and many cannot imagine things could become any more difficult. But they can. Selling a practice is fraught with a myriad of emotions.

The Emotional Peaks
We know selling a practice is always emotional. We do remind our clients though, that there are two particularly challenging periods once the listing agreement is signed. The first is while we wait for offers to come in and the second is while we wait for conditions to be waived.

During the initial stage of waiting for an offer, one cannot help but feel exposed. After all, potential buyers are reviewing your information and deciding if this is a good opportunity for them.

A vendor cannot help but feel as if he/she is being judged. When an offer does not come quickly, the owner asks, “why is my clinic not good enough”. Of course, it is good enough. In fact, it is a good option, but it must be the right option for a particular buyer.

Any time in life when we are waiting on someone else to make a decision that affects us, it is very difficult, it makes us doubt ourselves and why our practice has not been chosen. As a vendor, it is critical you remember that you cannot appeal to everyone. And that is truly okay.

Offer Anxiety
There is always the right buyer for your office, and it is impossible to appeal to all. It may take time, but the key is not to second guess everything that is or is not happening. Your practice is unique, and the right buyer will have their own unique set of circumstances that make them the right fit.

For many owners, the first emotions experienced around the offer for the practice will be excitement, exhilaration, and pride.

The fact that there is a buyer for your office validates that you have created something of value and your clinic is wanted. As such, once an offer has been placed, many start to celebrate. We encourage owners to simply wait.

It’s Not Over Until It’s Over
Even with an offer being accepted, there are still hurdles that the purchaser must over come.

The toughest two are financing and assigning of the lease. Financing is certainly more difficult during this pandemic. Largely because bankers are scrutinizing the purchasers far more than pre-COVID days. They want to ensure when they grant a loan that they have confidence in the buyer.

The assignment of the lease can be challenging for many reasons – for example if an owner has had a difficult relationship with the landlord over the years, the landlord may not be willing to be so co-operative. Perhaps during the assignment of the lease, the purchaser may use this opportunity to ask for things that may not be granted.

Should any condition not be met, unfortunately, the offer becomes void, and deposit is returned. This is difficult for the vendor as now things start over.

This does happen but it does not mean your practice will not sell. You just need to be patient. The right buyer will be motivated and never stray from the motivation that drew them to your practice initially.

Transition Stress
Another stress a vendor may not be prepared for is the actual transition once all the conditions have been removed and the closing date is in sight.

It is normal to start to question the initial decision to sell. Is it right for your staff and patients? How will things run once it is in new hands? How will the owner really fill their time after the sale?

A sale brings up strong emotions particularly when an owner has been owning and operating for many years. If the vendor stays on, the realization that new management is now in place and that a say in the day-to-day decision making is no longer part of their responsibility.

Many do not realize how a large part of the vendor’s identity is tied to the clinic.

Rest assured that these thoughts and feelings are normal. Preparing ahead of time is the best way to handle the emotions connected to selling your practice.

While some doubts and fears are normal, preparation and planning for what life will look like post sale, will help an owner navigate the transaction as smoothly as possible.

Jackie Joachim, COO ROI Corp

JACKIE JOACHIM

Jackie has 30 years of experience in the industry as a former banker and now the Chief Operating Officer of ROI Corporation. Please contact her at Jackie.joachim@roicorp.com or 1-844-764-2020.

Share:
Rate:

0 / 5. 0

Zero to Five Pathfinder: Spotlight Cindy Shan

NextGenOD, PathFinders

|

0
(0)

NewOptometrist.ca puts the spotlight on Zero to Five Pathfinders

PathFinder Spotlight:

Cindy Shan

Optometry:
University of Waterloo 4th year-Class of 2021

Cindy Shan is a student at the University of Waterloo, School of Optometry and Vision Science.

She is the Class President for the Class of 2021.

She has a special interest in practice management, specialty contact lenses, and myopia control.

When not engrossed in building a career in optometry, Cindy loves to travel and explore other parts of the world, test her skills at DIY projects, and hike the beautiful mountains in British Columbia.

 

Why did you choose Optometry?

There are many reasons that an individual chooses their profession. Optometry, to me, was always a perfect combination of being academically challenging, patient-focused, and entrepreneurial.

After reaching out to doctors in my hometown of Vancouver, I had the opportunity to shadow them and work alongside them. I fell in love with the work and was ecstatic when I got an acceptance email to the University of Waterloo.

Four years later, I am finishing up my last year of optometry school and getting ready for graduation in a couple of months.

During my time in Waterloo, I was the Class President for the Class of 2021 and helped out with many organizations within the school. The highlight was definitely planning the many social gatherings for my class, whether it was holiday parties, laser tag, or pub crawls.

Where do you see your practice / eye care in 10 years?

The answer to this question has changed drastically in the last couple of years. If you had asked me this question at the beginning of optometry, I may have said “return to Vancouver and work in an office there.”

I have learned a lot in optometry school, but one of the most important lessons was the amount of potential that this profession holds and the various regions in Canada that are underserved.

Having had the chance to complete a clerkship rotation in a rural setting, I appreciated the challenge and satisfaction of providing our services to these communities.

In the next 10 years, I hope to work on completing a residency in contact lenses and opening a practice in a rural city. I hope to share what optometrists are capable of beyond a simple glasses prescription.

What is currently the most exciting thing in your field to help patients?

I am most excited about the advancements in dry eye disease treatment and management. At the Global Specialty Lens Symposium in 2020, the last conference I was able to attend pre-lockdown, I witnessed the many advancements in technology and treatment options available.

Optometry is a profession that is ever changing and developing new ways to best help our patients. Having seen many patients that suffer from discomfort due to dry eyes, I am excited to see the new pharmaceutical and technological advancements that will soon become another treatment option.

It was exciting to see certain devices that were advertised at conferences early in my first year of school come into the market and be implemented into private practice during my fourth year.

Which ECP speakers/leaders do you admire?

Dr. Andrea Lasby has been an amazing speaker and leader that I have had the pleasure of interacting with multiple times. As an optometrist with a residency under her belt, multiple leadership positions within the optometry community, and a mother, I strive to be as accomplished as her.

I had the chance to shadow Dr. Lasby for one day at her practice, Mission Eye Care, and loved the way she interacted with her patients. The connection that she makes with her patients builds a trusting patient-doctor bond.

Her accomplishments in the world of specialty contact lenses is also very admirable, as I hope to become a fellow of the Scleral Lens Education Society and the American Academy of Optometry.

Favorite past-time/hobby?

I am a big fan of crafting and have always had a knack for completing hands-on projects. Recently, I took up crocheting and have been creating many gifts for friends and family. A night in with some movies and my yarn sounds like a perfect evening.

Eventually, I hope to be able to work up to bigger projects, maybe dipping my toes into woodworking and creating my own furniture.

My favourite social aspect of optometry?
Going to conferences! I went to my first conference in my first year of optometry school and absolutely fell in love with the community. I will always remember seeing the doctors greet each other and reconnect, even though they practice in distant clinics.

My friends and I always discuss our future plans of meeting up at conferences, attending lectures together, and taking advantage of the many sponsored events.

I love the ability to build a network of colleagues that I feel comfortable going to for advice and assistance if I have a difficult case. Attending the University of Waterloo was amazing for this reason, as I am surrounded by intellectual and lifelong friends.

Share:
Rate:

0 / 5. 0

Your Guide to Multifocal Contact Lens Fitting with Jocelyn Leung, OD

NextGenOD, PathFinders

|

0
(0)

Dr. Jocelyn Leung is passionate about contact lenses. Here she discusses how she implements multifocal contact lenses into her everyday practice to provide patients with vision that fits their lifestyle.

Jaclyn:  How do you identify successful candidates for multifocal contacts?

Jocelyn: Once patients reach presbyopia, possibly getting eyestrain and headaches, you can have the conversation about multifocals.

If the patient is already a contact lens wearer, fantastic. Patients who wear contact lenses are used to not wearing glasses and want to maintain this lifestyle. Glasses are inconvenient for any athletic activity, traveling, especially nowadays with the masks causing constant fogging!

I discuss the options with the patient: glasses over contacts, monovision, or multifocal contact lenses.
Before a multifocal fitting, I set expectations and let the patients know that they won’t necessarily have 100% clarity of vision but will get convenience. I usually say that they can achieve about 80-90% of what they would be able to see with glasses and gauge the patient’s response.

Patients who prioritize convenience over perfect vision are ideal candidates. It is important to make sure that the patient understands the way multifocal lenses work and what is optically possible.

Jaclyn: How is the conversation different if the patient is not a previous contact lens wearer?

Jocelyn:  Multifocal contact lenses are a good option for presbyopic patients whose end goal is to be glasses free, even if they have not previously worn contact lenses. The process does take a little bit more time, with teaching insertion and removal and educating on contact lens hygiene.

It really depends on the patient’s personality and visual demands. Last week, I fit a patient who has never worn contact lenses but did not want to wear glasses anymore due to the mask and fogging. She was very, very happy with her lenses right off the bat and I finalized her prescription with only one more visit.

Jaclyn: Can you walk us through your process of fitting multifocal lenses?

Jocelyn: I first discuss the process and fitting fees with the patient. On average it is going to take three visits and some time to find the right prescription. I let the patient know that it’s very likely they won’t be fit on the first try, and then if they are fit earlier, they’re even happier.

I look at the prescription and what lenses the patient has worn in the past. Using a brand or modality similar to what they’re currently wearing can help ease the transition. I usually stick with DAILIES TOTAL1 as my number one go-to option for multifocal lenses.

The fitting guide, which is individual to every brand and contact lens, is very important. My tip is to find two or three multifocal lenses that you like and memorize those fitting guides. Then if you need to pivot, you can look up the fitting guide for the other tertiary lenses.

Grab your first trial lens and have the patient try the lenses on in the office. It does take some time for the lens to settle and for the patient’s brain to adjust, so let the patient know that you do not expect perfect vision right now.

Make sure that the patient is functional before they leave the office: meeting the driving standards, comfortable seeing far away, and can read their phone. Then you can send them home with some lenses.

I do a one week follow up, but the patient can take two to four weeks to adapt. I like to see the patient at least every week, maximum two weeks, for a follow up to get their feedback. Otherwise, the patient may try the lens, forget about their vision, and not be able to provide you with comments. If there’s something the patient isn’t happy with, they need to vocalize that to you. You need to ask the right questions and be able to adjust from there.

At the first follow-up appointment, I get feedback on the comfort and vision at distance, intermediate, and near. I do use a reading card for a metric number at near, but I do not base my success on a number. I am not aiming for a certain visual acuity. I am aiming for what the patient is happy with because everyone has different visual demands.

We see if the patient wants to improve their distance or near vision and make sure that the comfort of the lens is good. We can then do an over-refraction to see what adjustments need to be made.

After a few appointments, if we find a lens that the patient is happy with, we can finalize the prescription. If the patient still is not getting comfortable vision, we can give it another shot for a few more weeks before switching to monovision or back to glasses if necessary.

Jaclyn: Can you give us some insight into your discussion on fitting fees with the patient?

Jocelyn: I always discuss fees first so there are no surprises. If financials are a deciding factor, then we only discuss options within their absolute cutoff budget.

We can always educate and bring awareness to our patients on the options available. However, if the patient is very happy with over-the-counter readers or taking their glasses off to read, they likely won’t be convinced to try multifocals. It’s what they’re used to and that’s what they’re happy with. To try multifocal lenses, you have to be enthusiastic and engaged in the process.

If the patient is willing to give multifocals a try, that’s when we can add the most value. I’ll explain that a contact lens fitting is a process, and the fitting fee is a one-time fee that covers trial lenses and multiple appointments.

As long as the patient understands that we are putting in the effort to try to get them the best vision possible, they will be more open to that fitting fee. Depending on the clinic, fitting fees may also cover appointments for any sort of infections or emergencies related to contact lenses. This gives the patient reassurance that we’re going to be there every step of the way.

Jaclyn: Great, thank you so much for all your tips on being more successful with our multifocal fits!

JACLYN CHANG, OD

Editor NewOptometrist.ca

Dr. Jaclyn Chang graduated from the University of Waterloo (UW) with an Honours Bachelor of Science in Biomedical Sciences before continuing at Waterloo to complete her Doctor of Optometry degree. She is currently a practicing optometrist in Toronto.

Dr. Chang is committed to sharing information and bringing new resources to her colleagues. As a student, she sat on the Board of Trustees for the American Optometric Student Association, organizing events to connect students with industry. She was the Co-Founder/Co-President of the award-winning UW Advancement of Independent Optometry Club, the first club at UW dedicated to private practice optometry. Dr. Chang is also a passionate writer, who aims to make information accessible and easily digestible to her colleagues. She has published in Optometry & Vision Science and Foresight magazine and contributed to Optik magazine. She is excited to bring valuable resources to Canada’s next generation of optometrists with NewOptometrist.ca.

Share:
Rate:

0 / 5. 0

Zero to Five Pathfinder: Spotlight Alexa Hecht

NextGenOD, PathFinders

|

0
(0)

NewOptometrist.ca puts the spotlight on Zero to Five Pathfinders

PathFinder Spotlight:

Alexa Hecht

Undergraduate Studies:
University of Manitoba in Psychology/Biology

Optometry:
University of Waterloo 4th year-Class of 2021

Why did you choose Optometry?

Optometry offers various aspects that I was looking for when I was choosing my career path. Every optometrist I had ever spoken to loved what they did and always stressed the work-life balance optometry provided. I wanted to have a career where I would look forward to going to work, and every day seemed somewhat different. Optometry provided me with the opportunity to own my own business one day, which always intrigued me. I know the profession will constantly evolve, and I am excited to see which path my career takes me on. Also, vision is one of the most important senses we have; helping people see every day is incredibly gratifying.

Where do you see yourself/eyecare in 10 years?

I think it’s hard to predict where I will be in 10 years, but at this point, I see myself opening up a private practice. I have always wanted to create a very unique, relaxed environment for my patients to come. I want my future practice to provide excellent patient care and showcase the hippest frames. I have always said I would love to live near a beach, so who knows, maybe I will be opening up a practice in a beach town. For now, I take one day at a time and try to focus on my present goals.

What advice would you give a first-year optometry student today?

The first year of optometry school was a very overwhelming experience. You are trying to juggle school and growing friendships while still taking care of yourself. I would tell students not to stress the small things, and their mental health should always come first. Everything will eventually fall into place, and you will find your groove. I would also tell first-year students to get involved in some way or another. I was very involved with the American Optometric Student Association (AOSA) and got to attend numerous conferences and meet so many leaders in optometry!

How have you changed since high school?

I believe my mindset has shifted significantly since high school. I think one of the significant shifts I have noticed was I have stopped doing things for the sake of pleasing other people. I think this is something many young people struggle with, especially when you are still trying to figure out your place in the world. Whenever I make plans, I question whether it will bring meaning to my day; I ask myself will this cause me more happiness than stress? I’ve learned that it’s ok to say no to people, and I have learned to put myself first before committing to something.

Describe your perfect day?

My perfect day would start with a nice cup of coffee and a killer spin class. It would also involve exploring a new neighbourhood and maybe trying a new restaurant for brunch. I love to cook new gourmet recipes, so I would for sure finish off my day by trying something new in the kitchen. In a non-COVID era, my perfect day would end with grabbing a drink with a couple of friends.

What is your favourite food?

I love Thai food! There is nothing more comforting than a good pad Thai or a warming coconut curry. I’ve tried to make a few Thai dishes and they are good, but nothing beats authentic takeout!

Share:
Rate:

0 / 5. 0

The Potential of Artificial Intelligence in Optometry

Practice, Technology, The Patient Journey

|

0
(0)

Artificial intelligence is a branch of computer science that uses various techniques that aim to mirror human intelligence. One AI technique is machine learning, which relies on vast data sets to learn and predict results without human intervention.

Artificial intelligence has slowly made its way to optometry as well. It is unlikely that AI will ever replace an optometrist but it does have the potential to ease many aspects of their jobs.

This doesn’t mean that robots will be running around in our healthcare facilities; rather, AI focuses on a large amount of patient data to give insight into diagnosis and treatment methods.

Let’s look at how it has the potential to change an optometrist’s practice.

Streamline Management
Software is coming to the market that provides autonomous management of tasks related to patients. Repetitive tasks like scheduling, billing, and follow-ups can be done on the fly and updated in patient records as new information is received.

This improves organizational productivity for many optometry practices, making them more efficient leaving more time to focus on patient care.

Early Detection
One of AI’s advantages is that it can process vast amounts of data more quickly as a computer is doing most of the legwork.

This especially comes in handy when processing optical coherence tomography (OCT) images, retinal images and dry eye. It can look for patterns within these images that optometrists might miss because of the subjective nature by which these images are analyzed.

Diabetic Retinopathy
Machine learning can monitor these images over time and see if any changes are occurring that lead to eye diseases that manifest progressively.

FDA-approved AI systems are already appearing on the market that analyze fundus photography to detect elements of diabetic retinopathy such as hemorrhages, aneurysms, and other lesions.

It can detect these changes early on, leading optometrists to formulate a health plan with the patient. Additionally, this system requires minimal training and can outperform humans.

Glaucoma
Technology to detect other ocular diseases such as glaucoma by fundus photographs, optical coherence tomography (OCT), and visual fields is currently in its early stages.

AI is beneficial for open-angle glaucoma cases where symptoms don’t typically exhibit themselves. Since glaucoma can’t be cured, early detection may help manage the disease to prevent it from getting worse to the point of severe vision loss or blindness.

Dry Eye
There is also new AI technology emerging  in the dry eye arena.

When it comes to talking to patients about their dry eye disease, a picture is worth a thousand words. Conversations become easier when you can show a patient an image of their ocular surface. Suddenly it all clicks (pun intended).

AOS is one company that takes it a step further with innovative technology. The platform automatically grades an image for Bulbar Redness, Injection and Lid Redness. In Staining mode the software counts punctate of a fluorescein image. It can also convert a fluorescein image into 2D and 3D which brings a real wow factor.

The images show patients proof of their condition and the analysis provides context. It’s much like the difference between stating a fact and telling a story.

We can now give meaning to symptoms felt and seen in the eye. And it’s especially useful for assessing progress during follow up appointments. Lower redness numbers or lower punctate counts tell me and the patient we are on the right track.

AOS analysis improves patient education which helps boost compliance. Better compliance leads to better outcomes and that leads to happy, loyal patients.

Reduce False Positives
False positives occur when a test result shows that a disease is present when it is not in reality. Here AI can help as well.

By looking at vast amounts of medical data regarding symptoms that a patient presents, AI can predict the likelihood of a disease or condition being present.

As a result, patients can save time by avoiding unnecessary consultations with their optometrist or an ophthalmologist and save money on unnecessary medications.

In Optometry and Beyond
Artificial intelligence is showing its potential in many medical fields other than optometry, including oncology, dermatology, pharmacology, and genetics.

Though still in its infancy, improvements in this technology will help doctors verify their diagnoses and interpret data faster independently.

This does not mean that a doctor’s work will become redundant, as AI algorithms are not yet 100% accurate. There will cases when a doctor’s insight will be invaluable in diagnosing diseases.

Consider AI a tool to benefit the health care provider and the patient.

MARIA SAMPALIS

is the founder of Corporate Optometry, a peer-to-peer web resource for ODs interested to learn more about opportunities in corporate optometry. Canadian ODs and optometry students can visit www.corporateoptometry.com to learn more.

Share:
Rate:

0 / 5. 0

Finding a Job and Navigating Contracts

NextGenOD, Perspectives

|

0
(0)

Finding your first (or even second or third) job within the optometric profession can be a challenge for new optometrists. Dr. Jocelyn Leung walks us through the process from interviewing to contracts.

Jaclyn:  When you graduated, how did you go about finding a job? Can you touch on your interviewing experience?

Jocelyn: When I graduated, I found the Ontario Association of Optometrists to be a good resource. At the University of Waterloo, there is the student association that had job listings and an interview day. Word of mouth can also be a strong connection.

Most clinics start off with a phone interview. That’s when you can ask your questions to learn more about the office: How many doctors are there? How many exam lanes? What type of equipment does the clinic have? What are the hours? Does the clinic dispense? What are they looking for in an associate?

Before this phone interview, I would suggest checking the clinic’s website or social media. As much as they are interviewing you, you are also interviewing them to make sure that it’s a good match.

For an in-person interview, it’s helpful to go in on a working day. I always like to shadow so I would ask the hiring doctor if I could come in 30 minutes to an hour before the interview. Every practice runs differently; with a different number of staff and different procedures.. It is important to see how the staff interact with each other and with the patients.

The one-on-one interview with the hiring owner is when you get to know each other on a more personal level and see if your personalities and interests match long term.

Jaclyn: Looking for a job all starts with location. Did you mostly look at job postings in Toronto?

Jocelyn:  Yes, my family and friends are in Toronto and my partner also secured a job in Toronto. I value my personal life and that was something that I was not willing to compromise; my support system is very important to me.

Some people think Toronto is very competitive and you won’t get the same salary as you would in a different province or even in the suburbs. Generally speaking, that is true. However, I believe that if you find the right place for you, and you hustle and work hard, then it will all pay off in the end.

Jaclyn: What advice can you offer to new graduates on contracts and negotiation?

Jocelyn: Contracts are a bit scary at first. Before signing a contract, you want to get an idea of other contracts in the area. Contracts definitely vary from one area to the next.

In general, there are two compensation models: the dispensing model and the retail model. Depending on the model, compensation is based on a percentage of exam fees, a percentage of the gross revenue, or a percentage of the profits.

Within the contract there is always fine print, such as non-competes or non-solicits. Double check these and make sure it’s something you’re okay with. Bring up any questions or concerns in a very respectful way. If you feel like you are not fairly compensated, or you want a specific term modified, always bring it up, because you should know what your worth is and then do the best you can to meet in the middle.

Jaclyn: Yes, it is also important to know that just because an opportunity has come up, it doesn’t necessarily mean that you need to take it or it’s the only one out there.

Jocelyn: Exactly! When I graduated, everybody was looking for a job at the same time. Depending on when your board exams were, you would want to start practicing in August or September. Practice owners don’t work on our school schedule – they hire when they want to hire, and that can be all 12 months of the year.

You have student loans, you have the pressure of securing a job, and you are eager to enter the workforce, but I think it’s worth waiting and finding the right spot. Don’t sell yourself short just to secure a job.

Jaclyn: Great advice! Thanks for all your insight into the job hunting process!

JACLYN CHANG, OD

Editor NewOptometrist.ca

Dr. Jaclyn Chang graduated from the University of Waterloo (UW) with an Honours Bachelor of Science in Biomedical Sciences before continuing at Waterloo to complete her Doctor of Optometry degree. She is currently a practicing optometrist in Toronto.

Dr. Chang is committed to sharing information and bringing new resources to her colleagues. As a student, she sat on the Board of Trustees for the American Optometric Student Association, organizing events to connect students with industry. She was the Co-Founder/Co-President of the award-winning UW Advancement of Independent Optometry Club, the first club at UW dedicated to private practice optometry. Dr. Chang is also a passionate writer, who aims to make information accessible and easily digestible to her colleagues. She has published in Optometry & Vision Science and Foresight magazine and contributed to Optik magazine. She is excited to bring valuable resources to Canada’s next generation of optometrists with NewOptometrist.ca.

Share:
Rate:

0 / 5. 0

One Year Later

Human Resources

|

0
(0)

There is no doubt the world changed a year ago. The life we took for granted came to a screeching halt while we waited in helpless disbelief to hear how this pandemic and its incredible impact created stress and anxiety literally by the hour.

The pandemic forced the closure of schools, places of worship, community centres and businesses. Isolation was thrust upon us as we were prevented from seeing those we love and forced into mandated social-distancing and or self-isolation for our collective protection.

Take the positive from COVID
Despite the negative impact of COVID-19, we must however, recognize the positive that has also risen out of this crisis. If we look closely, there have also been many opportunities to reflect upon and be grateful. We have been forced to slow down which has allowed us to take a step back and appreciate so many things we took for granted.

Prior to March 2020, how many of us were close to burning out thanks to the pace we were running at? Being forced to spend more time together particularly from March to June, enabled us to focus on and breathe new life into the key relationships that we may have taken for granted. While we may not have been able to visit those we love, we were given the gift of time with the people in our home or bubble.

Viewing Trust Through Your Patient’s Eyes
As a practice owner, perhaps you view patients through new eyes. Upon reopening offices and during these past two months, the response of patients returning to your office should make doctors and their teams feel grateful. People are entrusting you with their health despite the fears swirling of additional strains and the stress of waiting for a vaccine.

Hopefully now, patients are truly appreciated as they place trust in the hands of those who rely on their office to continue supporting themselves and the team that works in it. Many practice owners may have also seen certain suppliers acknowledge the hardship experienced, extending flexible terms or payment plans.

For many, COVID-19 has given tremendous courage. The courage can be seen in the simplest of forms such as taking on a new activity, or reflecting on one’s self. It can be seen in the parents and teachers who are working so hard to preserve the mental health of our children. It has even caused those who are working as associates to take the plunge and pursue ownership.

It either accelerated the desire to be the owner or was the final push to pursue this. Either way, people are buying or starting practices. Again, with the gift of time, many of us have been blessed with the need to slowdown and re-evaluate our choices and the way we approach things.

Our thoughts are hopefully more purposeful and with intent as opposed to simply reactionary. My new favourite quote is from Nelson Mandela – “may your choices reflect your hopes, not your fears”. I recite this everyday multiple times.

COVID-19 despite the tragedy and hardship many have experienced, has also brought out the best in humanity. It has made those of us who are fortunate to look around to those in need and extend a helping hand. More businesses are publicizing donations to charities in exchange for virtual registrations, while others are quietly donating food to help feed the hungry. It has also encouraged many of us to listen more and talk less.

Grateful for the Simple Joys
Perhaps one of the best things of COVID-19 is that it has hopefully made us all more grateful. Remember the simple joy of meeting a friend for coffee in a café, lunch in a restaurant, attending your place of worship and so much more. I for one have so much to be grateful for. I am truly blessed with the most supportive husband and daughter, the ability to do what I love on an even greater level and the new people I have met because of this pandemic.

As one who appraises and sells practices, I have the privilege of listening to people as they share their hopes and dreams. COVID-19 has made us more vulnerable and human and for that I am truly grateful.

Jackie Joachim, COO ROI Corp

JACKIE JOACHIM

Jackie has 30 years of experience in the industry as a former banker and now the Chief Operating Officer of ROI Corporation. Please contact her at Jackie.joachim@roicorp.com or 1-844-764-2020.

Share:
Rate:

0 / 5. 0