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Charles F. Mullen

Challenges and Opportunities in Optometry and Optometric Education

Three Critical Components for Expanded Scope of Optometric Practice

Introduction

Medical Education leads the Medical Profession by developing the educational structure and clinical training programs in advance of new patient care initiatives. In contrast, State Optometric societies lead the Optometric Profession with Optometric Education reacting to the States’ expanded scope of practice initiatives with specific educational programs. Consequently, there is not a comprehensive educational structure nor a uniform indicator of an optometrist’s knowledge and clinical skills to support all of the States’ expanded scope of practice initiatives.

Requiring postgraduate clinical training in medical eye care for optometrists is not only essential preparation for Expanded Scope of Practice, but also positions optometry for inclusion in the $18 billion Graduate Medical Education Program (GME).

These are the three missing components that need to be developed:

1) Necessary Capacity for Advanced Clinical Training in Medical Eye Care

  • In 1931 Medicine acknowledged that clerkships contained within the four year medical school curriculum were inadequate preparation for rapidly changing medical practice, and instituted mandatory postgraduate clinical training.
  • Even though optometric practice has dramatically and rapidly expanded encompassing medical eye care, clerkships within the four year optometry curriculum remain the only required clinical training component.
  • The current four year curriculum does not provide optometry graduates with the types and quantity of clinical teaching encounters necessary to practice expanded scope of practice in all States.
  • Postgraduate clinical training in medical eye care is now essential preparation for advanced optometric practice.

2) Federal Funding to Support Advanced Clinical Training

  • Optometry is not included in the $18 Billion Graduate Medical Education Program (GME) because clinical education takes place primarily within the four year curriculum, and not in postgraduate residencies.
  • Inclusion in GME, the educational component of Medicare, would not only encourage the development of new residency positions in Medical Eye Care by providing funding to host facilities, but also by providing funding to directly support advanced clinical training.
  • Optometric Education needs to change from providing clinical education within the current four year curriculum to a Postgraduate Clinical Training Model to qualify for GME.
  • Like medicine, clinical clerkships or rotations would take place within the final years of the curriculum.

3) Nationally Recognized Certification Board to Provide a Uniform Indicator of an Optometrist’s Advanced Knowledge and Skills to Practice Expanded Scope of Practice Optometry

  • The American Board for Certification in Medical Optometry (ABCMO) is a well-established Board that meets GME expectations. However, ABCMO serves mostly Department of Veterans Affairs (VA) optometrists, and needs to be recognized by the entire Optometric Profession.

More Information

  • The State of Optometry Specialties and Subspecialties
  • Optometry Scope of Practice in the United States
  • Changes Necessary to Include Optometry in the Graduate Medical Education Program (GME)
  • The American Board of Certification in Medical Optometry (ABCMO)
  • Principles to Follow in Developing Specialties and Subspecialties
  • Required Postgraduate Clinical Training for Optometric License
  • American Board of Optometry Specialties (ABOS)

September 16, 2021 by Charles F. Mullen

Signature Papers

  • Optometry Specialty Certification Boards Provide a Uniform Indicator of Advanced Knowledge and Skills
  • A New Paradigm for Optometry
  • Optometric Education in Crisis
  • Opportunities Lost – Opportunities Regained
  • Mergers and Consolidations of Optometry Colleges and Schools
  • Transformation of Optometry – Blueprint for the Future
  • Required Postgraduate Clinical Training for Optometry License
  • Why Optometry Needs the American Board of Optometry Specialties (ABOS)
  • The Future of Optometric Education – Opportunities and Challenges
  • A Strategic Framework for Optometry and Optometric Education
  • Changes Necessary to Include Optometry in the Graduate Medical Education Program (GME)
  • Unresolved Matters of Importance to Optometric Education
  • Illinois College of Optometry Commencement Address (Video & Transcript)
  • Charles F. Mullen’s Speech at the Kennedy Library: Development of NECO’s Community Based Education Program
  • Illinois College of Optometry Presidential Farewell Address (Video & Transcript)
  • Commitment to Excellence: ICO’s Strategic Plan
  • Illinois College of Optometry and University of Chicago Affiliation Agreement
  • An Affiliated Educational System for Optometry with the Department of Veterans Affairs

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