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Optometrist


Summary
ActivitiesDiagnose, manage, and treat conditions and diseases of the human eye and visual system. Examine eyes and visual system, diagnose problems or impairments, prescribe corrective lenses, and provide treatment. May prescribe therapeutic drugs to treat specific eye conditions.

OutlookAverage job growth

Median Income$96,300 per year in 2008

Work Context & ConditionsOptometrists work in places—usually their own offices—which are clean, well-lighted, and comfortable. Most full-time optometrists work about 40 hours a week.

Minimum Education RequirementsO.D.

SkillsPersuasion, Social Perceptiveness, Critical Thinking, Instructing, Active Listening, Service Orientation, Mathematics, Active Learning, Complex Problem Solving, Judgment and Decision Making, Coordination, Reading Comprehension, Speaking, Science

AbilitiesOral Expression, Speech Recognition, Manual Dexterity, Arm-Hand Steadiness, Problem Sensitivity, Near Vision, Speech Clarity, Oral Comprehension




Job Description
Job CategoryHealthcare Practitioners & Technical

Job DescriptionOptometrists, also known as doctors of optometry, or ODs, provide most primary vision care. They examine people’s eyes to diagnose vision problems and eye diseases, and they test patients’ visual acuity, depth and color perception, and ability to focus and coordinate the eyes. Optometrists prescribe eyeglasses and contact lenses and provide vision therapy and low-vision rehabilitation. Optometrists analyze test results and develop a treatment plan. They administer drugs to patients to aid in the diagnosis of vision problems and prescribe drugs to treat some eye diseases. Optometrists often provide pre-operative and postoperative care to cataract patients, as well as to patients who have had laser vision correction or other eye surgery. They also diagnose conditions caused by systemic diseases such as diabetes and high blood pressure, referring patients to other health practitioners as needed.

Optometrists should not be confused with ophthalmologists or dispensing opticians. Ophthalmologists are physicians who perform eye surgery, as well as diagnose and treat eye diseases and injuries. Like optometrists, they also examine eyes and prescribe eyeglasses and contact lenses. Dispensing opticians fit and adjust eyeglasses and, in some States, may fit contact lenses according to prescriptions written by ophthalmologists or optometrists.

Most optometrists are in general practice. Some specialize in work with the elderly, children, or partially sighted persons who need specialized visual devices. Others develop and implement ways to protect workers’ eyes from on-the-job strain or injury. Some specialize in contact lenses, sports vision, or vision therapy. A few teach optometry, perform research, or consult.

Most optometrists are private practitioners who also handle the business aspects of running an office, such as developing a patient base, hiring employees, keeping paper and electronic records, and ordering equipment and supplies. Optometrists who operate franchise optical stores also may have some of these duties.

Working ConditionsOptometrists work in places—usually their own offices—that are clean, well lighted, and comfortable. Most full-time optometrists work about 40 hours a week. Many work weekends and evenings to suit the needs of patients. Emergency calls, once uncommon, have increased with the passage of therapeutic-drug laws expanding optometrists’ ability to prescribe medications.

Salary RangeMedian annual earnings of salaried optometrists were $96,300 in 2008. The middle 50 percent earned between $70,100 and $125,500. The lowest 10 percent earned less than $46,900, and the highest 10 percent earned more than $166,400+.



Education
Education RequiredThe Doctor of Optometry degree requires completion of a 4-year program at an accredited optometry school preceded by at least 3 years of pre-optometric study at an accredited college or university (most optometry students hold a bachelor's or higher degree). In 2008, 19 U.S. schools and colleges of optometry held an accredited status with the Accreditation Council on Optometric Education of the American Optometric Association.

Requirements for admission to schools of optometry include courses in English, mathematics, physics, chemistry, and biology. A few schools require or recommend courses in psychology, history, sociology, speech, or business. Applicants must take the Optometry Admissions Test, which measures academic ability and scientific comprehension. Most applicants take the test after their sophomore or junior year. Competition for admission is strong.

Optometry programs include classroom and laboratory study of health and visual sciences, as well as clinical training in the diagnosis and treatment of eye disorders. Courses in pharmacology, optics, vision science, biochemistry, and systemic disease are included.

ODs wishing to teach or do research may study for a master's or Ph.D. degree in visual science, physiological optics, neurophysiology, public health, health administration, health information and communication, or health education. One-year postgraduate clinical residency programs are available for ODs who wish to specialize in family practice optometry, pediatric optometry, geriatric optometry, vision therapy, contact lenses, hospital-based optometry, primary care optometry, or ocular disease.

Recommended High School CoursesBiology, Mathematics, English, Chemistry, Physics

Postsecondary Instructional ProgramsMathematics, Biology, Customer and Personal Service, Medicine and Dentistry, English Language

Certification and LicensingAll states and the District of Columbia require that Ods be licensed. Applicants for a license must have a OD degree from an accredited optometry school and pass both a written and a clinical state board examination.

In many states, applicants can substitute the examinations of the National Board of Examiners in Optometry, usually taken during the student's academic career, for part or all of the written examination. Licenses are renewed every 1 to 3 years and in all states, continuing education credits are needed for renewal.



Skills, Abilities, & Interests
Interest Area
InvestigativeInvolves working with ideas and requires an extensive amount of thinking.

Work Values
Social StatusLooked up to by others in their company and their community.
AchievementGet a feeling of accomplishment.
Social ServiceDo things for other people.
SecurityHave steady employment.
Ability UtilizationMake use of individual abilities.
Working ConditionsGood working conditions.
ActivityBusy all the time.
AutonomyPlan work with little supervision.
RecognitionReceive recognition for the work you do.
CompensationGet paid well in comparison with other workers.
ResponsibilityMake decisions on your own.

Skills
PersuasionPersuade others to approach things differently.
Social PerceptivenessBe aware of others' reactions and understand why they react the way they do.
Critical ThinkingUse logic and analysis to identify the strengths and weaknesses of different approaches.
InstructingTeach others how to do something.
Active ListeningListen to what other people are saying and ask questions as appropriate.
Service OrientationActively look for ways to help people.
MathematicsUse math to solve problems.
Active LearningWork with new material or information to grasp its implications.
Complex Problem SolvingSolving novel, ill-defined problems in complex, real-world settings.
Judgment and Decision MakingBe able to weigh the relative costs and benefits of a potential action.
CoordinationAdjust actions in relation to others' actions.
Reading ComprehensionUnderstand written sentences and paragraphs in work-related documents.
SpeakingTalk to others to effectively convey information.
ScienceUse scientific methods to solve problems.

Abilities
Oral ExpressionAble to convey information and ideas through speech in ways that others will understand.
Speech RecognitionIdentify and understand the speech of another person
Manual DexterityAble to make quick, coordinated movements of one or two hands to grasp, manipulate, or assemble objects.
Arm-Hand SteadinessAble to keep the hand and arm steady while making an arm movement or while holding the arm and hand in one position.
Problem SensitivityAble to tell when something is wrong or likely to go wrong. This doesn't involve solving the problem, just recognizing that there is a problem.
Near VisionAble to see details of objects at a close range (within a few feet of the observer).
Speech ClarityAble to speak clearly so listeners understand.
Oral ComprehensionAble to listen to and understand information and ideas presented through spoken words and sentences.



More Information
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Job OutlookOptometrists held about 34,800 jobs in 2008. The number of jobs is greater than the number of practicing optometrists because some optometrists hold two or more jobs. For example, an optometrist may have a private practice but also work in another practice, in a clinic, or in a vision care center. According to a 2008 survey by the American Optometric Association, about 25 percent of practicing optometrists are in private practice. Although many practice alone, optometrists increasingly are in a partnership or group practice.

Salaried jobs for optometrists were primarily in offices of optometrists; offices of physicians, including ophthalmologists; and health and personal care stores, including optical goods stores. A few salaried jobs for optometrists were in hospitals, the Federal government, or outpatient care centers including health maintenance organizations. Almost one third of optometrists were self-employed and not incorporated.

Employment of optometrists is expected to grow as fast as average for all occupations through 2018, in response to the vision care needs of a growing and aging population. As baby boomers age, they will be more likely to visit optometrists and ophthalmologists because of the onset of vision problems in middle age, including those resulting from the extensive use of computers. The demand for optometric services also will increase because of growth in the oldest age group, with its increased likelihood of cataracts, glaucoma, diabetes, and hypertension. Greater recognition of the importance of vision care, along with rising personal incomes and growth in employee vision care plans, also will spur job growth.

Employment of optometrists would grow more rapidly were it not for anticipated productivity gains that will allow each optometrist to see more patients. These expected gains stem from greater use of optometric assistants and other support personnel, who will reduce the amount of time optometrists need with each patient. Also, laser surgery that can correct some vision problems is available, and although optometrists still will be needed to provide pre-operative and postoperative care for laser surgery patients, patients who successfully undergo this surgery may not require optometrists to prescribe glasses or contacts for several years.

In addition to growth, the need to replace optometrists who retire or leave the occupation for another reason will create employment opportunities.

More InformationAssociation of Schools and Colleges of Optometry, American Optometric Association, Educational Services

ReferencesBureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2010-11 Edition, Optometrists, on the Internet at http://www.bls.gov/oco/ocos073.htm

O*NET OnLine, on the Internet at
http://online.onetcenter.org/link/summary/29-1041.00