Sublease Opportunities with Bailey Nelson: available across Canada

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.

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The Emotional Roller Coaster of Selling a Practice

Buying-Selling A Practice, Practice

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

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.

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Zero to Five Pathfinder: Spotlight Cindy Shan

NextGenOD, PathFinders

NewOptometrist.ca puts the spotlight on Zero to Five Pathfinders

PathFinder Spotlight:

Cindy Shan

Optometry:
University of Waterloo 4^th 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.

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Episode 20: New Look Vision Group Going Private (Again)

Eyes Wide Open, Podcasts

By store count, Canada’s largest optical and eye care organization, the NEW LOOK VISION GROUP announced plans to take the corporation private and and alleviate the onerous burden of public company reporting. Dr. Daryan Angle, IRIS VP Business Development introduces the new investors and talks about the rational for the move with Eyes Wide Open Podcast host, Dr. Glen Chiasson.

About the Guest

Dr. Daryan Angle graduated from the University of Waterloo School of Optometry in 2001. He joined IRIS in 2002 as a practicing optometrist in British Columbia, and shortly thereafter became a franchise partner with IRIS. In 2006 Dr. Angle relocated to Ontario. He currently holds the title of Vice President Business Development and in that role, primarily focuses on buying, partnering and integrating optical stores and optometry practices into the IRIS network.

Episode Notes

With over 400 locations and five banners including IRIS, New Look, Vogue, Greiche & Scaff and Edward Beiner (USA), the New Look Vision Group is the largest optical and eye care entity in Canada.

The New Look group recently announced the company will remove itself from the Toronto Stock Exchange and be taken private through a $50 cash per share purchase by an investor group headed by a US-based private equity firm and the Caisse de dépôt et placement du Québec (CDPQ).

Dr. Daryan Angle, representing New Look, provides insights to the pros and cons of being a public company and how New Look will benefit from the new structure.

Angle explains why the New Look President & CEO, Antoine Amiel, attributed being a publicly traded company to a “quarterly strip-tease”.

Angle introduces the new equity partners and outlines what they bring to the table. He also delves into what the buy out means for New Look brands, their Eye Care Professional partners and associates, and clients.

Angle, and Eyes Wide Open podcast host, Dr. Glen Chiasson, also discuss the ongoing consolidation of independents into corporate entities and the impact on independent optometry.

Details on the transaction and new equity partners are available from the resources links.

Resources

Dr. Glen Chiasson

Dr. Glen Chiasson is a 1995 graduate of the University of Waterloo School of Optometry. He owns and manages two practices in Toronto. In 2009, he co-hosted a podcast produced for colleagues in eye care, the “International Optometry Podcast”. He is a moderator of the Canadian Optometry Group, an email forum for Canadian optometrists. As a host of “Eyes Wide Open”, Glenn looks forward to exploring new new technologies and services for eye care professionals.

Dr. Chiasson enjoys tennis, hockey, and reading. He lives in Toronto with his wife and two sons.

Dr. Chiasson splits EWO podcast hosting duties with Roxanne Arnal.

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Zero to Five Pathfinder: Spotlight Alexa Hecht

NextGenOD, PathFinders

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 4^th 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!

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

NextGenOD, PathFinders

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.

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The Potential of Artificial Intelligence in Optometry

Practice, Technology, The Patient Journey

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.

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Finding a Job and Navigating Contracts

NextGenOD, Perspectives

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

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Perspectives on Myopia Control

NextGenOD, Perspectives, Products | Services | Industry News, Resources

By Jaclyn Chang, OD

I recently had the chance to discuss how myopic control can benefit our patients with contact lens residency trained optometrist, Dr. Rosa Yang.

Here is the conversation.

Dr. Rosa Yang

Dr. Yang pursued a post-graduate residency program in Cornea and Contact Lenses at the University of Waterloo.

She is the recipient of the Sheldon Wechsler Contact Lens Residency Award from the American Academy of Optometry and was awarded First Place in Clinical Poster from the Global Specialty Lens Symposium.

Dr. Yang has particular interests in myopia control (including ortho-K), dry eye and corneal disease management.

Jaclyn: What myopia control options are available?

Rosa: There are several options including the MiYOSMART spectacle lenses by Hoya, MiSight soft contact lenses or off-label use of soft multifocals, Atropine, and ortho-K.

As a clinician, I think it is good to be aware of all the options so you can choose the most appropriate option for your patient.

Jaclyn: How do you choose one myopia control option over another for a patient? Is it very individual to that patient’s comfort level and particular case?

Rosa: I don’t want to oversimplify, but, yes, there are selection criteria where we weigh one option over another. These include prescription, the parents’ budget, and the underlying eye condition.

A big factor is also how comfortable the patient is with handling contact lenses. Do they want to handle the contacts themselves or is it something that the parents might want to be more involved with? For the latter, ortho-K might be the better option because it’s mainly done at home at night.

For a patient who doesn’t want to wear hard contact lenses or glasses, and if the parents are hesitant about putting their kids on a medication (Atropine), soft contact lenses are the option we would be considering.

The only FDA approved soft contact lens for myopia control is MiSight, but it is limited by the fact that it is not available with astigmatism. In patients who have astigmatism, multifocal soft contact lenses can be used to implement the peripheral defocus effects.

Jaclyn: Under what circumstances might you select specifically designed spectacle lenses (like MiYOSMART) for the patient?

Rosa: Some patients have been wearing spectacles and would like to continue wearing them. For them, it makes sense to keep them in myopia control lenses like MiYOSMART.

There are also patients who are uncomfortable pursuing contact lenses (i.e. they have trouble handling CLs, they are poor CL candidates) or the parents are uncomfortable having their kids on long-term atropine drops, then we would consider spectacles.

MiyoSmart lenses may also have larger prescription ranges than the contact lenses.

Jaclyn: When would you initiate myopia control treatment? Do you monitor until you see progression or initiate at the onset of myopia?

Rosa: Currently there is no consensus amongst clinicians, but when I see evidence of fast progression, then I initiate myopia control. Average progression is -0.50D per year, so anything above that might urge me to start myopia control; sometimes you may want to monitor a little bit more to see.

There are also clinicians that see myopia control as a preventative treatment that should be used more widely, especially considering the global myopia pandemic, so it’s a grey area.

Jaclyn: Are there certain things that we can say to our patients to help them better understand the importance and benefit of myopia control treatment? How can we help them understand the health implications associated with myopia?

Rosa: This is a very good question, because this is a topic that I discuss with every parent when we talk about myopia control. I tell them that the reason we pursue myopia control is not just the high prescription itself, it’s not just the inconvenience of having really thick glasses, it’s the ocular health implication.

“When you have a high prescription, the eyeball is usually more elongated, which means that the tissues in the eyeball get stretched out and are thinner; this predisposes them to certain ocular health complications, some of which are vision threatening. There is a higher risk of retinal detachment, maculopathy, and glaucoma.”

When I emphasize this, parents usually understand. With myopia control, it’s very important that parents understand what you’re doing, why you’re doing it, and how you’re doing it.

Jaclyn: Thanks for that – hearing the way that other doctors counsel always helps me with how I counsel my patients. Education makes such a big difference to patient care.

Rosa: Yes, exactly, with myopia control, sometimes parents wonder why their child’s prescription still increases. That’s why with myopia control, it’s very important to have a consultation.

The management we’re doing is not to stop myopia, it’s to slow down the progression of myopia; regardless, the child is still going to progress.

Another thing to realize, for example, with ortho-K, is that some parents may think that once you wear the ortho-K lenses, that the prescription is completely gone, so explaining the process and treatment is very important.

Jaclyn: Thank you so much Dr. Yang! This gives our audience some things to think about and implement into everyday practice.

Previous discussions with Dr. Rosa Yang:
Pursuing a Contact Lens Residency:

JACLYN CHANG, OD

Editor NewOptometrist.ca

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What’s your Greatest Asset?

Building Wealth, Finance|Wealth, Resources

Roxanne Arnal, Optometrist and Certified Financial Planner© has made her article available in audio format.

Click the play button below to listen.

Dr. Roxanne Arnal, CFP^®Have you ever thought of it?

You’ve spent 6 or more years in post-secondary education. You may be riddled with student debt, you may have a mortgage, kids to feed, a business to run. But what truly is your greatest asset? Let’s take a look at some of the most likely contenders.

Your vehicle
Your home
Your income
Your business
Your investments

This seems rather timely to me as spring is when both our auto and home insurance renewals arrive. And like most of you, I complain about the steady increase in premiums and then….pay them. It got me to thinking “Am I spending my premium dollars appropriately?”

Consumer Product Extended Warranty
First off, let’s hope you didn’t select the product coverage that the sales clerk at your local electronics store tried to sell you at check out. This type of consumer insurance is a great profit builder for the corporate entity. Why? Because in most cases, you will never claim on the insurance. You will lose the receipt, forget you have it, or quite frankly never need it. In addition, as a proportion of the cost of the actual product, it’s crazy expensive. And last, but not least, would the loss of the device cause dire, or even serious, financial ruin?

Auto Insurance
Auto policies typically include liability protection. And I would never advise you to drop that critically important piece of your asset protection portfolio. But if I look at that portion alone on my current renewal, the cost runs just over 50% for $2,000,000 of coverage. The balance of my premiums provide coverage to replace my vehicle in some form or another. So I’m paying just over $500 a year to replace a vehicle valued at $38,000. Hmmm. Needless to say, this isn’t my greatest asset. (Note: my rates reflect years of clean driving, multi-policy and age discounts. We won’t discuss what my 18-year old son pays for liability alone!)

Home Insurance
Then there’s our home. Here, a very small portion of the premium goes towards liability coverage. The remaining premium, just under $3,000 covers my “stuff”. So for $3,000 a year (and growing), I have potential coverage of up $2,000,000. Again, not the best value for my money, but the loss of our home and the stuff inside it would definitely have a serious financial consequence for us.

Your Income, Your Business, Your Investments
That leaves us with your income and your investments. For ease of illustration, I’m grouping your business in your investments and trust that in all cases you have sufficient liability coverage.

Whether your greatest asset is your income or your investments is really dependent on where you are in your career. For simplicity sake, this chart shows a rough estimate of your lifetime earning potential, based on your current age, and cross referenced with your growing investment portfolio. As you inch closer to retirement, your investments grow while your anticipated lifetime active earnings taper down.

* See assumptions below.

You Are Your Greatest Asset
Without the ability to earn an income, you wouldn’t have any of the material things we’ve spoken of here. It could become impossible to keep your business, and build your investment portfolio. Considering this, how many of your premium dollars are going toward managing the risks placed on your greatest asset – you? Without protecting what you have worked so hard to achieve – your education, your business, your wealth portfolio – what exactly are you protecting?

Asset Protection Portfolio
An asset protection portfolio involves so much more that liability protection. It is critical to ensure that you have reviewed and aligned your premium dollars and behaviour to protect what really matters. Not sure? That’s just one piece of being your personal CFO that I review with you.

Call or email today to start your review.

* Graph assumptions:
Work from age 26 to 65, starting at $120,000 per year, remove 2020 Ontario taxation and self-employed CPP amounts. Maintain these rates into the future. In year two, contribute 18% of previous years pre-tax income to an RRSP. Apply tax credits for RRSP contributions, basic personal amount & Canada Employment amount only. Increase pre-tax salary by 3% per year. Invest 30% of annual after-tax income in monthly installments, earning 5% compounding annual rate of return.

ROXANNE ARNAL,

Optometrist and Certified Financial Planner

Roxanne Arnal graduated from UW School of Optometry in 1995 and is a past-president of the Alberta Association of Optometrists (AAO) and the Canadian Association of Optometry Students (CAOS). She subsequently built a thriving optometric practice in rural Alberta.

Roxanne took the decision in 2012 to leave optometry and become a financial planning professional. She now focuses on providing services to Optometrists with a plan to parlay her unique expertise to help optometric practices and their families across the country meet their goals through astute financial planning and decision making.

Roxanne splits EWO podcast hosting duties with Dr. Glen Chiasson.

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