PDF Edition - Review of Optometry
Transcription
PDF Edition - Review of Optometry
JUNE 2016 DEDICATED TO THE INTERESTS OF WOMEN ODs Dr. Andrea P. Thau becomes the AOA’s 95th president SUPPLEMENT TO WO2Q16.indd 1 6/2/16 2:32 PM NOW AVAILABLE: MORE POWERS! DAILIES TOTAL1® contact lenses DAILIES® AquaComfort Plus® contact lenses NEW range of powers: NEW range of powers: -12.00D to +6.00D -15.00D to +8.00D NOW W YOUR HIGH Rx PATIENTTS CAN HAVE THE POW WERS THEY NEED, WHEN THEY NEED THEEM. PERFORMANCE DRIVEN BY SCIENCE® See product instructions for complete wear, care and safety information. © 2016 Novartis 3/16 US-DAL-16-E-1159 WO0616_Alcon Dailies Combo.indd 1 5/27/16 10:09 AM The Editorial Pages p3 Look at the New WO Website Change Is Good hen you’re in the middle of it, change can be intimidating. Any working mom whose kids are out of school for the summer knows that mix of anticipation and dread that comes with the changes in the daily schedule. Any OD who has stared at blueprints or stepped over construction lumber on the way to realizing a dream practice knows that same range of emotions. Any OD who brings a new process or new Marjolijn Bijlefeld equipment into the office understands that the hassles of moving through a learning curve will be worthwhile in the end. Change seems to be a theme in this issue of Women In Optometry, too. The optometry school 2016 graduates, some of them featured on pages 7 and 9, are about to undertake one of the biggest changes of their lives, wrapping up about 20 years of education and stepping into the workforce as newly minted doctors. Congratulations to all of you. Our cover story features Dr. Andrea Thau, who will become just the second woman OD to become president of the American Optometric Association. While this change in leadership happens every year, those who are dedicated to reaching it travel this journey for years, committed to changing the profession for the better. Elsewhere in this issue, the office design pages look at the changes that doctors envisioned and brought into being for their practices. There’s advice from women ODs throughout this issue on how to change an element of your practice, whether it’s improving customer service—as professional co-editors Dr. April Jasper and Dr. Katie Gilbert-Spear discuss—or how to identify what’s special about your practice or how to bring some new service or product into the practice. Others are talking about change on a global scale: how to impact the problems of dry eye or childhood myopia, for example, in this country and worldwide. W S peaking of change, Women In Optometry has redesigned its website. Originally launched just two years ago, the womeninoptometry.com website now includes more than 400 articles—for and about women ODs—with more being added each week. The new design is mobile-optimized and makes it easier to find and read related stories. WO Your stories excite us at WO. They show us how committed you are to your patients, your communities and your profession. You’re bringing change—large and small—every day. WO Marjolijn Bijlefeld, Director of Custom Publications Practice Advancement Associates Women In Optometry® is published quarterly by the Professional Publications Group of Jobson Medical Information, publisher of Review of Optometry, Review of Cornea & Contact Lenses and Review of Ophthalmology. JUNE 2016 Address advertising materials to Scott Tobin, advertising production manager, Jobson Professional Publications Group, 11 Campus Blvd., Suite 100, Newtown Square, PA 19073, at [email protected] or call 610-492-1011. Publisher: Al Greco Managing Editor: Marjolijn Bijlefeld [email protected] • 540-899-1761 Professional Co-editors: Katie Gilbert-Spear, OD, MPH, and April Jasper, OD, FAAO Associate Editor: Maggie Biunno Creative Director: Stephanie Kloos Donoghue Graphic Designer: Barbara W. Gallois Cover photo by Jesse Dittmar Supporting Sponsors: Lead Sponsor: Women In Optometry June 2016 WO2Q16.indd 3 6/2/16 2:32 PM Boost Your Practice Efficiency MANAGEMENT DEVELOPMENT PROGRAM Designed to help practice, office and optical managers gain the confidence and business expertise they need to positively impact their eye care practice. > Immersive 6-month experience combines live instruction with distance learning > Personalized coaching > Project-based learning initiatives to teach people skills and business strategies that managers can use to immediately improve practice performance Enroll today: Stop by booth LP11065 (866) 278-3187 ecpu.com/management-development-program ©2016 Essilor of America, Inc. All rights reserved. Unless indicated otherwise, all trademarks are the property of their respective owners. WO0616_Essilor.indd 1 5/31/16 11:31 AM The Editorial Pages p5 The 96 Percent Problem By April Jasper, OD, FAAO, and Katie Gilbert-Spear, OD, MPH, WO Professional Co-editors and Co-founders, Distinctive Strategies and Leadership nly one in every 25 complaints that trigger a twostar or lower rating in an online doctor’s review was the result of a perceived shortcoming in the actual delivery of care. The whopping majority—96 percent Dr. Jasper of complaints—were the result of lackluster service: poor communications, disorganization and excessive delays in seeing a physician. These were the findings of a study printed in the Journal of Medical Practice Management in April. This is a big issue, especially if you’re finding that your online ratings aren’t as high as you feel they should be, based on your level of clinical services, professional knowledge and quality of products. How do you fix it? Here are some strategies we’ve incorporated as part of our daily focus to make sure that the patient experience is a good one. ✦ Reinforce the positive. We read reviews out loud at our team meetings. Positive reviews encourage positive actions and allow us to hear, in the patients’ own words, what really stands out to them. If patients mention that they notice a little nicety, the staff is more inclined to keep extending those kinds of gestures. ✦ Look for the negative. If you don’t look for the negatives, you might never know about them. We definitely want the feedback available through patient surveys or Net Promoter Scores. Our Solutionreach patient surveys provide fast feedback. Ideally, however, we would rather hear the negative comments even before the patient leaves the office. So we make a point of asking all patients, before they leave, about their experience, and we listen carefully to what they say. It is very important to look outside our silos and adapt a team mentality. We want to know what’s going on in other parts of the practice, and we want to help each other improve because the patients’ overall experience reflects on all of us. O ✦ Details matter. The time we are most concerned with is the time from check-in to the optical. We track that measure and try to keep it below 30 minutes. We know our patients don’t want to be in our office all day. If we take too long in work-up and exam, patients have no more time available to shop. As doctors, we need to be aware of this time, too. We don’t want to cut our time with patients Dr. Gilbert-Spear short, but ultimately, the patient will appreciate being able to spend a little more time picking out eyewear than having to reschedule that part of the visit. ✦ Analyze first impressions. It is good to see your office through your patients’ eyes. Actually sit in the chairs in your reception area and listen, smell, see and even touch the things that patients do. Is the reception area or front desk cluttered or clean? Is the staff harried or welcoming and focused? Is a phone ringing constantly at the front desk? Can employees’ conversations be overheard? It matters not what we think of our practice. What matters is what our patients’ perception is. Create an atmosphere of distinction. ✦ Look in the mirror. Not all the blame for low reviews can be placed on staff. Doctors’ bedside manners got a knock in this study, too. Even more importantly, as doctors, you set the tone. The problem always comes back to the leader. We believe that bad staff stems from a bad leader. Maybe we didn’t train people correctly. Maybe we didn’t hire the right people or we have them in the wrong positions. If we want to create change in the practice, it has to start with us. A great read on this topic is Good to Great by Jim Collins. ✦ Recover. You can recover from a lapse in patient service—and it’s most impactful to do so right away. But that means your staff has to be honest about it happening, not just hope that patient won’t complain once he or she leaves. A great recovery can be the best marketing you ever have for your practice because that patient will talk about it. Don’t get discouraged when you make mistakes. Make it right, and then don’t make the same mistake again. WO WO Advisory Panel Elise Brisco, OD, FAAO, FCOVD, CCH Los Angeles, California Dori Carlson, OD, FAAO Park River, North Dakota Mario Gutierrez, OD, FAAO San Antonio, Texas Ann M. Hoscheit, OD Gastonia, North Carolina Lauretta Justin, OD Orlando, Florida Dawn Kaplan, OD Chicago, Illinois Bridgitte Shen Lee, OD Houston, Texas Jennifer Hidalgo Ong, OD Alameda, California Priti Patel, OD Upland, California Tamara Petrosyan, OD New York, New York Tonya Reynoldson, OD Waverly, Tennessee Louise Sclafani, OD, FAAO Chicago, Illinois Women In Optometry June 2016 WO2Q16.indd 5 6/2/16 2:32 PM FOCUS on OUTCOMES A Passion for Pediatric Optometry By Catherine McDaniel, OD, MS, FAAO Alcon-supported interactive e-book brings clarity to children’s eye exams W hen Alcon first asked me to work on an advocacy project to educate parents and children on comprehensive eye care, I was thrilled. I’ve been an enthusiastic educator and supporter of children’s vision my entire career, and I could envision the impact of partnering with Alcon—a company with a passion to help people see, look and feel their best—in positively impacting the youngest audiences. According to the American Optometric Association, children should have a comprehensive eye exam at the ages of 6 months, 3 years, 6 years and every two years thereafter to age 18.1 Unfortunately, only 14 percent of children in the U.S. have had an eye exam by the age of 6.2 As much as 80 percent of what a child learns in school is acquired through vision, and comprehensive eye exams are critical to revealing potential problems. Millions of children in the h U.S. U S have h undetected d d vision i i problems, bl which may interfere with their learning development. Finding solutions Pediatric optometrists must have a big heart and an analytical mind because, unlike adult patients, pediatric patients typically Catherine McDaniel, don’t come in with complaints. Children OD, MS, FAAO, Chief of often do not realize that they have a vision Pediatric Service, The problem because they assume that everyOhio State University College of Optometry one sees the way they do. With each young patient, we start with a blank slate and have to come up with the best solutions as we determine what vision problems the child has. I realize what a difference I can Download the e-book at theeyesolution.com. make k iin a young child’s life, from school and learning to sports to self-confidence. Eye exams can be fun Professional writer Michelle Weed visited me at the Pediatric Clinic at The Ohio State University (OSU) College of Optometry to see what a pediatric vision exam entails, including tests for binocularity, refractive error, color vision, acuity and eye health. We wanted to ensure that parents would understand that a pediatric vision exam is comprehensive and different than a vision screening in a pediatrician’s office. We also wanted to reassure children that eye exams were nothing to be afraid of and could, in fact, be fun. The result is an interactive e-book, Howard and the Amazing Eye Exam, which parents and children can read together. In the story, Howard, an adorable hedgehog, uses his time as star student to tell his classmates about his trip to the eye doctor. The interactive book provides animations in each part of the eye exam process that simulate the testing in the exam room. The interactivity makes it a fun experience for kids. The book is available to download at theeyesolution.com. We have posted a link to the e-book right on our OSU Pediatric Clinic’s website, and we encourage parents who are bringing in a young child to download and read the book prior to their exam. Millions of children in the U.S. have undetected vision problems, which may interfere with their learning development. Eye exams can uncover problems early I also recognize that children—and even their parents—can be anxious about an eye exam. That’s where Howard and the Amazing Eye Exam can play a big role for everyone involved. By letting parents know about the resource, you can help educate them. The foreword provides important information for parents that details the links between vision and learning. Our hope is that when parents read this book to their children, everyone can come in feeling a little more relaxed, anticipating the fun. Practitioners are likely to get better outcomes with a relaxed and actively engaged child, too, so a positive attitude is important. There’s no reason that children’s vision issues should be discovered only when they get to school. We have the clinical knowledge and expertise to identify vision issues early and intervene before the problems affect their learning. Let’s start even the youngest children seeing their best, looking their best and feeling the best. ● 1 http://www.aoa.org/patients-and-public/caring-for-your-vision/comprehensive-eye-and-vision-examination/recommended-examination-frequency-for-pediatric-patients-and-adults?sso=y. Accessed March 21, 2016. 2 Optometric Clinical Practice Guideline. Pediatric Eye and Vision Examination. American Optometric Association, Sept. 1997. Sponsored by Alcon WO2Q16.indd 6 US-PRA-16-E-1200 6/2/16 2:32 PM Heads of the Class p7 Congratulations to the class of 2016; here are the top graduates he two valedictorians for the Class of 2016 at Illinois College of Optometry were Nicole Crampton, OD, and Kelly Varney, OD. Dr. Crampton, of Jefferson, Maryland, will be an associate optometrist in a private practice located in South Barrington, Illinois. Dr. Varney, of Chicago, will complete a pediatrics and vision therapy residency at the Southern College of Optometry in Memphis, Dr. Crampton Dr. Varney Tennessee. Pacific University College of Optometry top graduate was Katie Dailey, OD, of Yuba City, California. Dr. Dailey will complete a residency in ocular disease and geriatric optometry at the American Lake VA in Tacoma, Washington. T The top graduate from Pennsylvania College of Optometry at Salus University was Paige Nicole Thompson, OD, of Binghamton, New York. Dr. Dailey Sandra M. Huenink, OD, of Waukesha, Wisconsin, was the top graduate at Indiana University School of Optometry. Dr. Huenink is joining Gerald Koskinen, OD, at the Koskinen Eye Clinic in East Troy, Wisconsin. The valedictorian at Michigan College of Optometry, Ferris State University was Jordan Pinozek, OD, of Escanaba, Michigan. Dr. Pinozek will start working at Ypsilanti Vision this summer, a full-scope primary care private practice in Ypsilanti, Michigan. Dr. Bohl Dr. Huenink Dr. Pinozek Kaylyn Marie Cummings, OD, and Mackenzie Anne Egan, OD, were co-valedictorians at New England College of Optometry. Dr. Cummings, of Ontario, New York, will join a private practice in Virginia Beach, Virginia. Dr. Dr. Cummings Dr. Egan Egan, of Ripon, Wisconsin, will practice in a LensCrafters-affiliated practice in southern Connecticut. The Nova Southeastern University College of Optometry valedictorian was Emily Korszen, OD, of Englewood, Florida. Dr. Korszen will complete a residency in cornea and contact lenses at the Pacific University College of Optometry following graduation. Dr. Korszen Whitney Territo, OD, was the top graduate at Ohio State University College of Optometry. Dr. Territo, of Bedford, Pennsylvania, will start her optometric career in private practice in Athens, Ohio, and plans to specialize in low vision rehabilitation for the visually impaired. Samantha Bohl, OD, of Martell, Dr. Thompson Nebraska, was the valedictorian at Rosenberg School of Optometry, University of the Incarnate Word. Dr. Bohl will pursue a residency in brain injury vision rehabilitation with State University of New York College of Optometry. The two valedictorians at Southern California College of Optometry (SCCO) at Marshall B. Ketchum University were Grace Liao, OD, of Covina, California, and Shelley Tasaka, OD, of Honolulu, Dr. Tasaka Dr. Liao Hawaii. Dr. Liao will complete a residency in cornea and contact lenses at SCCO and plans to focus on specialty contact lens fits in private practice. Dr. Tasaka will return to Hawaii to work in private practice. The Southern College of Optometry valedictorian was Monica Perry, OD, of Kingsport, Tennessee. She will be starting a residency at the James H. Quillen VA Medical Center in Mountain Home, Tennessee. The top graduate at State University of New York College of Optometry was Ellen McCrary, OD, of Newbury Park, California. Dr. McCrary will complete a residency at the West Los Angeles VA with a focus on geriatric optometry, ocular disease and low vision. Dr. Perry Dr. McCrary Marissa Snyder Locy, OD, of Montpelier, Ohio, was the top graduate at University of Alabama at Birmingham School of Optometry. She will be a resident at the Callahan Eye Hospital in Birmingham, Alabama. Dr. Territo Dr. Locy Continued on page 9 Congratulations WO would also like to recognize the men who graduated at the tops of their optometry school classes this year. • Shane Johnston, OD—Arizona College of Optometry, Midwestern University • Vladislav Koyfman, OD—Inter American University of Puerto Rico School of Optometry • Anthony Giovanni Luongo, OD—Northeastern State University Oklahoma College of Optometry • Phillip Andrew Whitehead, OD—University of Houston College of Optometry Women In Optometry June 2016 WO2Q16.indd 7 6/2/16 2:32 PM OPD-Scan III Wavefront TRS Total Refraction Automation EPIC Refraction Workstation ARK Autorefraction Systems SOLUTIONS Marco Refraction Systems — Advanced automated instrumentation includes the OPD-Scan III Wavefront Aberrometer, the TRS-3100/TRS-5100 and EPIC Digital Refraction Workstation, Autorefractors/Keratometers (with VA measurement, 6XEMHFWLYH6SKHUH5HÀQHPHQW7RQRPHWU\*ODUHWHVWLQJRQFHUWDLQPRGHOV and Lensmeters–all with EMR Integration. The Difference is Marco. AOA • 718 WO0616_Marco.indd 1 Designed and Manufactured by NIDEK - Represented by Marco 800-874-5274 • marco.com 5/24/16 10:44 AM p9 Heads of the Class— 2016 Continued from page 7 Angela Veomett Shahbazian, OD, was the recipient of the BSK Silver Medal and one of three students Dr. Shahbazian granted the Gold Retinoscope award at University of California, Berkeley, School of Optometry. Dr. Shahbazian, of Lincoln, Nebraska, will complete a residency in primary eye care/community health optometry at University of California, Berkeley. Jamie Weiser, OD, graduated at the top of her class at University of Missouri, St. Dr. Weiser Louis, College of Optometry. Dr. Weiser, of Champaign, Illinois, will specialize in pediatric optometry during her residency program at Children’s Mercy Hospital in Kansas City, Missouri. University of Montreal School of Optometry class president was Audrey Daoust, Dr. Daoust OD, of Salaberryde-Valleyfield, Quebec. Dr. Daoust will practice in Montreal in a private clinic. The top graduate at University of Waterloo School of Optometry was Andrea Glover, Dr. Glover OD, of Fernie, British Columbia. Dr. Glover looks forward to practicing in rural British Columbia. Jenny Tran, OD, was the top graduate at Western University of Health Sciences’ College Dr. Tran of Optometry. Dr. Tran, of Los Angeles, California, is moving to Santa Barbara to work as a full-time associate with Luxottica. WO WO Congratulates the Class of 2016 Current and past WO advisory board members share some advice Dr. Carlson “Be open to the opportunities you never even considered. Sometimes those are the best ‘finds.’”—Dori Carlson, OD, FAAO “Purchase and really read some simple general business books. Understanding the concepts of general business will help you not only understand the specialized field of optometric business but also will help you with your personal business. Although many of you are graduating with significant debt, I would encourage you to learn to invest early and consistently. Having a plan for longterm financial security will take some of the stress off immediate business or career decisions. Also, find your optometric mentor(s). A trusted mentor can help you get where you want to go faster and with less gray hair!”—Mario Gutierrez, OD, FAAO Dr. Gutierrez Dr. Brisco “Think outside the box to help your patients to the highest level and to advance the field of optometry.”—Elise Brisco, OD, FAAO, FCOVD, CCH “This is a profession where somebody always knows somebody, and networking is one of the most important things you can do to find that perfect job in the place where you want to live. And if you don’t know where you want to live... take the state boards in the states that are hard to get licensed in (like Hawaii) right after school. Don’t wait, it will only become harder.”—Dawn Kaplan, OD “Take some time to think about where you want to be 10, 15 or 20 years from now. Write it down. Once you’ve created that vision, set a course for it and do not deviate from that direction, no matter what. Don’t get a job just because.... You can always get a job, but you will never get more time. Don’t waste your precious time. Just remember that the choices you make today will create your future tomorrow.”—Lauretta Justin, OD “Live like a student for just a little bit longer. Avoid getting locked in to high monthly mortgages or car payments that force you to stay in a first job that you don’t love or that limit your ability to explore different career opportunities early in your career.”—Kimberly K. Friedman, OD, FAAO “Do your homework. When applying for a position, find out all you can about the practice style and philosophy. Then emphasize your skills and traits that are the best fit. New interview: new script.”—Charlotte Tlachac, OD, FAAO Dr. Kaplan Dr. Justin Dr. Friedman Dr. Tlachac “Always stay an active member of organized optometry; your American Optometric Association assures that your profession continues to exist and that you are able to continue to practice what you were taught.”—Jennifer Hidalgo Ong, OD Dr. Ong “Optometry is a very small, close-knit community. One of the best things you can do for yourself and your career is to build and maintain your connections. This can be done through many different methods, but one of the best is to be an active member of your local and state optometric organizations.”—Tamara Petrosyan, OD WO Dr. Petrosyan Women In Optometry June 2016 WO2Q16.indd 9 6/2/16 2:32 PM Ask Yourself This Question... “Why Prescribe?” OTC Savings Compared to Rx Costs Kills Bacteria on Contact -“0” Eye y Irritation Stable 18 Months Opened or Unopened www.whyprescribe.com For more information and to order, call (800) 233-5469 or visit www.ocusoft.com WO0316_Ocusoft.indd 1 © 2016 OCuSOFT, Inc., Rosenberg, TX 77471 2/24/16 11:31 AM p 11 Help Patients Fulfill n 2004, Norma Spittle, OD, and her husband Brian Spittle, OD, got married and opened The Eye Dr. Spittle Place Optometry in Midlothian, Virginia. It was a busy year, and they haven’t slowed down as they established their reputation in the community and built relationships with patients. Dr. Norma Spittle recalls that it was shortly before their 2011 office relocation to a new custom-designed office with 6,800 square feet when she came across CareCredit at a trade show offering a health care credit card as a payment option for patients. “I liked the option of giving our patients a financing option,” she says. “I didn’t want patients to max out the consumer credit cards with large purchases from our office, and with a special financing option, they can save their cash.” Patients who pay the promotional balance in full within the promotional period do not pay any interest. The couple decided to work with CareCredit to make purchases in the office more convenient, an extension of the great care experience they strive to provide. Dr. Norma Spittle says that it has proven to be a smart choice for both the practice and its patients. “We don’t want patients incurring extra expenses on our behalf, and we liked the option of getting paid right away,” she says, and CareCredit offered a solution for both. “We haven’t had any negative experiences. It’s been great, and I wish we had known about it sooner.” Patients learn about CareCredit shortly upon their arrival in the office. “All patients get a brochure when they check in at the front desk,” she says, and it’s introduced as a payment option for their convenience. Contact lens fitting or Medicare forms in the exam room are attached to a CareCredit clipboard for additional exposure. Signage is also posted in exam rooms and in the optical. Opticians can also bring up the option again at the dispensing table to help capture the sale. Most of their CareCredit users have been individuals looking to purchase multiple products—such as an annual supply of contact lenses, new eyeglasses and second pair—or families with multiple purchases to make. While they see fewer patients use it to cover deductibles or exam fees, it can also help with those expenses. I Eyewear Needs Additional payment option can bring larger purchases within patients’ reach Dr. Norma Spittle says that she appreciates the simplicity of applying for new CareCredit accounts. “CareCredit makes it easy for patients to apply right in the office,” she says. “It’s quick, and we know right away if they were approved and what their credit limit is.” Some patients found The Eye Place Optometry because of CareCredit, through the doctor locator on the CareCredit website. Dr. Norma Spittle says that she’s seen a number of new patients drawn in with CareCredit as a referral source, and she’s pleased that many of them choose to return each year and use their CareCredit card at every visit. Dr. Norma Spittle can manage and review transactions made via CareCredit and order new point-of-purchase materials through the practice’s Make it easier for patients to apply for the CareCredit card… w h the wit e NEW EW Patient Direct Tool Visit carecredit.com/ provider/patientdirect to learn more about this new tool. online account. “If we do need to call, the team at CareCredit is very friendly,” she adds. CareCredit also provides webinar training for any new staff members, which has been effective as their team has changed and grown. WO Uniforms? Clothing Allowances? Dr. Laurie Sorrenson says yes to both ecause Laurie Sorrenson, OD, FAAO, of Lakeline Vision Source® in Austin, Texas, dictates the way she wants her employees to dress, she contributes to their clothing allowance. “I really like black and dark charcoal gray for a clean look,” she says. So her techs wear black scrubs, embroidered with the logo and practice name. She has recently ordered new dark charcoal gray dress shirts, with the Dr. Sorrenson same embroidery, for opticians and front desk staff. There are black short- and long-sleeved polo shirts. Opticians and front desk staff also have an option of wearing a fashionable black or dark gray dress shirt. All staff members wear name tags. Dr. Sorrenson buys her staff two sets of scrubs per year. If the employee buys a third, she’ll match the purchase, so it makes it easy for employees to have enough scrubs. Each employee also receives a t-shirt and a sweatshirt with the B White coats for doctors and black and charcoal gray uniform elements for staff add a coordinated and professional look. word WOW! That’s the word to describe the practice culture. This process also makes seasonal gift-giving easy. “For Christmas, we give another article of clothing with our WOW! on it. We have made thermal shirts, hoodies and more.” What’s the uniform/dress policy in your office? Let us know: [email protected]. WO Women In Optometry June 2016 WO2Q16.indd 11 6/2/16 2:32 PM WO0616_Solution Reach.indd 1 5/24/16 12:32 PM Let Frame Vendor Reps Help You Deliver a p 13 Better Customer Experience From product-selection guidance, marketing tips and frame show support, tap into their experience, optician says olly Acebo, ABOC, owner of LensMasters in Jonesboro, Arkansas, says she looks forward to seeing what’s happening at the Marchon booth at Vision Expo events. “The company is always doing something unique. One year, the staff there was doing on-camera interviews for Flexon. My entire family went over, and my children ended up in some of the Flexon promotions that were created.” At the September 2015 Holly Acebo Vision Expo West, she was immediately intrigued when she learned that there would be a casting call for Marchon’s new corporate campaign, Marchon me. More than 200 people entered to win the opportunity to be featured in the 2016 campaign. Contestants completed questionnaires, interviewed on H Nike and Calvin Klein frames were on display for a recent fashion event. camera and had their photos taken during the duration of the show. Marchon carefully evaluated the participants and selected five winners to come to New York for an all-inclusive stay and experience a professional photo shoot. Acebo was one of them. Of course, it’s not just Marchon’s intriguing booths that capture her attention. “We are an active account and have done business with Marchon for years. We feel a tie to the brand because you wouldn’t participate in something like this is if you weren’t carrying the brand and didn’t believe in it,” she says. LensMasters is a family-owned, retail optical store with an on-site lab. The business opened in the historic downtown section of Jonesboro in 1977, initially as a wholesale lab. In 1990, her husband’s family purchased it and added retail sales, and today, the optical lab processes almost every order in an hour. Acebo left her career in health care marketing about five years ago to join the family business. “There was a lot to learn about eyewear, and Marchon sales representatives helped me so much. The company has a lot of reps who have been with Marchon for years, and they really know the brands,” she says. She makes time to visit with her Marchon representatives so that they can guide her in the frame-purchasing decision. “It’s obviously up to us, but these representatives can tell us what’s new, what’s changed and what’s doing well in the region or nationally. Those ideas and suggestions are very valuable.” Her reps’ knowledge also comes in very handy when she is trying to deliver a superior customer experience. For example, if she has a customer with a beloved but now broken or aged frame, she can call a rep, say what the old frame was and get a recommendation for a similar style. “When you’re a small business, you go above and beyond for the customer. Our Marchon reps help us deliver on that goal.” That’s where Marchon quality and style come into play. “We tend to focus on some of the higher-end brands in our store, and Marchon has the quality we’re looking for. It also stands behind its products, which allows us to provide warranties that make customers feel confident about their purchases,” Acebo says. A number of Marchon frame lines do very well at LensMasters: Flexon, Nike, Tres Jolie, Calvin Klein and the core Marchon NYC lines, for example. Marchon representatives have also supported and participated with trunk shows. LensMasters typically has about six to LensMasters hosts six to eight trunk shows per year; evenings work well. eight trunk shows per year. “We started out doing them monthly, but that schedule was difficult,” she says. She works with one rep at a time, but if that person represents two brands, the practice might feature both. The representative provides brand graphics and postcards, for example, and LensMasters features the event on its social media—Facebook, Instagram and Twitter—and in its radio and newspaper advertising. Acebo says that evenings have worked out well for trunk shows. The practice is open late on Thursdays, which coincides with the downtown’s Alive After 5 historic district evening events held from April to October. “We try to coordinate our trunk shows with those downtown events. When the weather cooperates, we have live music outside on the sidewalk in front. We’ll order specialty cookies or cupcakes that reflect the brand. Customers can pop balloons to find a discount coupon inside, or there are wrapped gifts that let them know their percentage savings.” She also tries to plan events around seasonal themes, such as Valentine’s Day. WO Women In Optometry June 2016 WO2Q16.indd 13 6/2/16 2:32 PM Allergy Desensitization Eye Drops Stop Itching, Burning and Watering Great with contacts Work fast and feel great Do not sting Preservative free Great for kids No adverse reactions, drug interactions or contraindications Allergies Natural Medicine Use Professional Quality Only Available Via Doctors “I have allergies and your drops are better than Patenol... I have no problem telling patients that these are the newest and best drops available, that they are not available in stores, and must be purchased through me.” – Dr. F. S., Nashville, TN Call 877-220-9710 today for a free trial pack! 42% of Your Patients Want Natural Medicines* * According to the National Health Interview Survey (NHIS) www.NaturalEyeDrops.com WO0316_Natural Ophthalmics.indd 1 3/2/16 11:26 AM p 15 Personal Touch Helps Practice Become Profitable Quickly ourtney Dryer, OD, had a vision for her independent practice in Charlotte, North Carolina: a boutique-style, higher-end optical offering patients a Dr. Dryer high level of personal attention. This desire only grew stronger after her graduation when she was working for another OD. “I saw that the only way I could practice the way I really wanted to would be by opening my own practice,” she says. She had clinical knowledge and practice management experience, as she had worked for an optometrist for a year prior to starting optometry school as a tech and in the optical and insurance billing areas. But one skill was missing. “My product knowledge was weak. I knew I had to learn more, so I went on the internet, reading message boards and seeing what people were saying on sites like ODs on Facebook.” A few months after her practice opened in February 2013, she joined Vision Source®. C Dr. Dryer knew she wanted her patients to have access to the most advanced vision care solutions available. By including Essilor lenses in her product lineup, she is partnering with the world leader in ophthalmic lenses. The company allocates approximately $200 million to research and innovation every year. She also has the support of company representatives, who quickly became one of her main sources of information. “I had to learn how one lens is distinct from another. I wanted to know about the manufacturing process for digital lenses so I could explain that the Dr. Dryer’s practice provides a boutique optical and personal experience. Assess Accommodation on Younger Patients D r. Courtney Dryer did not routinely test most of her young adult patients for accommodative issues, but when she began hearing so many of the same kind of complaints, she realized the need was growing. These patients, who spent hours a day on the computer or other digital devices, were saying that they were experiencing headaches and Visit eyezenusa.com to learn more. end-of-day fatigue. “I could tell this was an area that I needed to start addressing,” she says. For many, lenses with just a little bit of accommodative relief and some protection from harmful blue light such as Eyezen™ have done the trick. In conversations that she had with Essilor representatives and executives, she also began to see how powerful it would be to get this younger demographic, especially those who have little or no refractive error, to start coming in for routine eye exams to monitor accommodation and learn about things like blue light protection and eye health. WO A Family Affair D r. Courtney Dryer’s practice is a family affair. Her father built the frame boards, and her brother helped with the logo. Her mother manages her front desk, works with patients and helps in optical sales. “My mom was an x-ray technician, so she understands the patient experience and the health care field,” she says, and the two have learned a great deal from the manufacturers and vendors. “Our approach is a warm and appealing environment with a little Southern vibe to it. We want this to be a place where people like to come in, get a cup of coffee and stay a while,” she says. It’s becoming that kind of practice, drawing patients who want the highly personal experience and great products. WO antireflective treatment in an Essilor lens isn’t just a coating. I needed to be able to explain to patients how the higher-end products create value.” That’s important because, as Dr. Dryer explains, “I have a lot of patients who are in the 25- to 35-year-old range, and that’s a demographic where digital eye strain is becoming more apparent. So I spend a lot of time talking about the prescription in the exam room and the health and vision benefits of certain kinds of lenses, such as Eyezen™ lenses,” which selectively filter up to 20 percent of harmful blue light (blue-violet wavelengths between 415nm and 455nm on the light spectrum) while offering accommodative relief. Then, whether she escorts the patient to the optical for a handoff or begins the frame selection process herself, she reinforces the recommendations she made in the exam room and spends more time talking about the visual benefits of Transitions lenses or other lens treatments, as well as the importance of sunwear. That way, the prescription itself is the focus in the exam room, and those product recommendations are reiterated and explained in more detail in the optical area. WO Women In Optometry June 2016 WO2Q16.indd 15 6/2/16 2:32 PM Don’t let prescriptions walk out your door When she’s ready to step out in the latest frames and lenses, step forward with special financing options* available with the CareCredit healthcare credit card. CareCredit may help your patients get the products you recommend in the styles they want— while in your office. Make CareCredit a part of your daily routine. Call for more information and enroll at no cost today .^ 866.853.8432 | www.carecredit.com | [email protected] *Subject to credit approval. Minimum monthly payments apply. See carecredit.com for details. ^Subject to change. WO0616_Care Credit.indd 1 WO0616OA 5/27/16 10:01 AM Put Reliable p 17 Processes in Place efore Andrea Knouff, OD, of Atlanta, Georgia, started her two-month maternity leave earlier this year, she made sure she had people and processes in place that would allow her new associate, r. Andrea Knouff was seeing patients Minty Nguyen, OD, up until about a week before her baby to step into the role was due. If it hadn’t been for her Marco TRS confidently. There autorefraction system, she’s not sure how she was a lot of work to would have managed that. “Doing refractions do to prepare, but manually would have been very difficult. It’s at least she didn’t so much easier to sit, relax and push buttons have to worry about on the pad,” she says. There was no need to the refraction procedures. When Dr. stand up and sit down repeatedly or maneuver Knouff opened her herself around a manual phoropter in a tight Marco XFRACTIONSM system Dr. Knouff practice two years exam lane, either. includes an OPD-Scan III and the ago, she started out with the Marco TRS-5100 “One of my colleagues is already starting TRS-5100 autorefraction system autorefraction system. Within six months, she to complain about neck and shoulder pain. For added the OPD-Scan III, the components of the the long-term, this system will be so much betMarco XFRACTIONSM process. The faster refractions also ter for me.” WO “I’m in a high-tech area in the middle of allow her to see more patients. the city, and having that kind of technology “My revenue increases from two set me apart from other practices,” she says. factors. I’m able to see more She had worked in a private practice for six patients, and I’m able to talk more with my and the thoroughness of the eye exam. years before opening her own, and she had a patients about how the eyewear I’m prescrib“It has also helped our sales,” she says. chance to work with the TRS system there. “I ing will benefit them,” she says. The quicker refraction means that she has did look at others, but nothing else compared. “Because of the wavefront OPD system, more time to discuss her recommendations I knew the Marco sysI know that my refractions are right on,” she with patients. These tem was the first thing says. That ultimately results in fewer remakes, could focus on the that was going into my which saves her time and money and saves specifics of the prenew office,” she says. her patients the aggravation of having to have scription and the prod“My revenue increases She started out with their eyewear remade. ucts that will provide from two factors. I’m able one lane and added a The data that she has available right at the best results. Or second. “Everything in the start of her exam allows her to provide she can make sure she to see more patients, and the lane is from Marco: patients with the best quality exam she can addresses patients’ I’m able to talk more with chair, slit lamp and give, she says. The analysis will let her know, questions about any projector,” she says. for example, if there is pathology or some limocular disease. my patients about how the Dr. Knouff says iting factor that might prevent her from being Yet one of her that the autorefraction able to get the patient to 20/20. favorite features is eyewear I’m prescribing system has made a The system has proven itself easy to that she can show will benefit them.” difference in patient use, the importance of which became even patients—with the perception of her more apparent as she was preparing for touch of a button—how —Dr. Knouff practice. Nearly every her leave. “I’ve trained my staff to use the their new prescription patient goes through OPD-Scan III, and my optician technician compares to the prethe 60-second refraccan do the refractions and I can confirm her vious one. “I use that tion process, and many are impressed by findings quickly,” she says. Her continued feature on every patient. I know it’s effective the technology. “They say, ‘Wow. I’ve never success depends on her having top-notch because I can see the results in the optical. seen this.’ It’s a great way to show every staff in place who can keep the practice Our capture rate is increasing,” she says. Plus, patient—not only patients who see advanced running smoothly no matter whether she’s she’s not the one who has to try to gauge how medical equipment—how up-to-date our there or not. And when that staff has access much or how little a numerically small pretechnology is,” she says. She believes that to instrumentation that she knows will proscription change will impact the patient. Now it has contributed to the excellent customer vide reliable data and speed up the patient she can show it, and that has encouraged reviews the practice earns. Patients freexperience, she says then the investment many patients who might not otherwise have quently comment on the high-tech aspects becomes even more worthwhile. WO purchased new eyewear to do so. B Great Expectations D Women In Optometry June 2016 WO2Q16.indd 17 6/2/16 2:32 PM “Contact that begin to show early signs “Contactlens lenswearers wearers that begin to show early of dry tend eye disease tendcandidates to be idealfor of dry signs eye disease to be ideal ® candidates for occlusion therapy. The Comfortear occlusion therapy. The Comfortear Lacrisolve™ 180® Lacrisolve™Punctum 180 Absorbable Punctum Plug is Absorbable Plug is an ideal approach an ideal approach for these patients." (38;,'9'6!ࣅ'2;9&9U” WO0616_Paragon.indd 1 5/24/16 12:30 PM p 19 Keep up With Today’s Mobile Patient Population hen Dorothy gets to Oz, she says, the morning of their appointment,” she says. “People come and go so quickly The staff has liked it, too. Now, as a matter here.” Ellen Merkin, OD, of Las of course, new patients are asked for their Vegas, Nevada, says email or cell phone numbers, and that’s true with the mobile popstaff explains that the office uses ulation in her city, as well. That these for reminders and occasional can make it very difficult to stay in updates. Those patients who say contact with patients. That probthat they prefer receiving a phone lem was most noticeable as Dr. call are accommodated easily with Merkin’s staff sent out recall postNatural Voice technology, which cards each month. “Recall cards provides automated landline mesdidn’t seem effective,” she says. saging for the patients who want In fact, the challenge of this type of communication. Dr. Merkin keeping up with her patients Overall, Dr. Merkin says that became increasingly acute as the tourist-heavy she finds that some of the increase in exams economy in Las Vegas suffered after 9/11. is attributable to Solutionreach messaging. “People were not traveling, and unemployment The flow of recall reminders is steadier now. here skyrocketed,” she recalls. The city is on When the office staff used to mail postcards, the rebound, but it’s been a slow process, it became a team effort to pull the names of Dr. Merkin says, everyone who was noting that it’s due for an exam important that that month—and she retain her all the postcards existing patients. would get sent As multiple at once for the recall cards were month ahead. That being returned to meant a lot of the office each phone calls came month, she says in at once and a she didn’t know lot of returned mail if these patients came in at once. had left Las Solutionreach Vegas for good sends out autoor moved a few mated appointment blocks away. reminders daily— When Dr. to the patients Merkin heard of who are due for an Solutionreach simplifies the scheduling and confirmation Solutionreach, annual exam based process for staff. she thought that on the date of their the company’s offerings made sense for her previous exam. So the responses come in at patient population. “The younger generation is a manageable rate, and patients don’t have much more tuned in with email and text comto wait long to get an appointment. Patients munication. Many of the families in our area can call for an appointment or they can send have dropped their home phone lines, too, so a text or email to request a specific date or the old ways of calling and leaving a message time of day, and a staff member will call to on the home phone or sending a letter aren’t confirm. reaching people. People can change their In addition, patients who don’t respond address and their home phone number, but are contacted again more quickly. In the past, they tend to hold onto their cell phone numtracking who hadn’t responded and then trybers and emails. No-shows seem to be less ing to contact that patient took considerable these days,” she says. time. Patients would get a recall card at 12 The results have been great. “Younger months, and those who didn’t respond would patients love getting text reminders. They often get another at 18 months after their previtell me how glad they were to get a reminder ous exam. Solutionreach sends out another W Upgrade Your Systems D r. Ellen Merkin has been practicing since 1984. She says that there is sometimes a tendency among long-time business owners to think that it’s just not worth the trouble to update office systems when retirement is in the not-too-distant future. Dr. Merkin doesn’t agree with that idea. “There’s time and money required to make an investment in modernizing your practice, but it’s worth it. When we switched to Solutionreach, it meant that initially we had to collect emails and cell phone numbers for our patients, which took a moment with each patient. But we get all the benefits now. And it’s important to remember that sending out recall notices each month was a pain, too.” WO message the following month, which increases the likelihood that patients are seen on a more frequent basis. “Patients think that they’re getting the reminder contact directly from the office,” says Dr. Merkin. It’s not uncommon for her to ask patients who hadn’t been back to the office in a few years why they’ve come back. “Well, you called me” is often their response. So she knows that Solutionreach is getting to those patients and encouraging their return. In addition, the practice uses Solutionreach ASAP feature for broadcast messaging on occasion. “We recently had a power outage that shut down this part of the city, so we sent out a message to everyone that we’d be closed. It meant our staff could go home, and no one had to be left behind making phone calls to patients on the schedule,” Dr. Merkin says. The staff still makes personal phone calls to patients, but it’s less often—and less of an interruption to the daily routine. Solutionreach can also populate the practice’s Facebook page with user reviews. Dr. Merkin says that the feature was recently linked to the Facebook page, and immediately, the reviews and comments that had come in through surveys sent out by Solutionreach were added. WO Women In Optometry June 2016 WO2Q16.indd 19 6/2/16 2:32 PM COM ING SO OON WATER GRADIENT TECHNOLOGY MEETS PRECISION PROFILETM DESIGN Introducing DAILIES TOTAL1® Multifocal contact lenses >80% DISTANCE >80% 33% INTERMEDIATE WATER CONTENT (%) NEAR UNIQUE WATER GRADIENT NOLOGY Find out how these revolutionary lenses may be able to help your presbyopic patients see clearly. NEW PERFORMANCE DRIVEN BY SCIENCE ® See product instructions for complete wear, care and safety information. © 2016 Novartis 5/16 US-DTM-16-E-1887 WO0616_Alcon Dailies T1.indd 1 5/27/16 10:08 AM p 21 Purchasing an Established Practice Planned, slow transition becomes a whirlwind transfer as plans changed onica Brown, OD, CO, recalls hearing of the reception and waiting area. “It feels more early in 2013 through the grapevine like a home than an office,” she says. “We have at local and state meetings that her flowers in the office every day so it smells good, colleague, Brian Armitage, OD, was and patients have really responded to it.” Dr. thinking about his retirement options. Dr. Brown Brown says that she hears several patients each says that she saw day comment about the transformation. a great opportunity Dr. Brown, as a certified orthoptist, also in purchasing his brought a new specialty to the practice. And established practice in without doing any traditional advertising, the Jacksonville, Florida, well-established practice continued to grow Reception area with a large patient and draw in a new source of patients through or living room? base. “Dr. Armitage referrals from local dochad a great reputation, tors—including her former services we provide,” Dr. and his practice was employer—and patients. Brown says. “A patient with a well-oiled machine,” “Many ODs don’t like Dr. Brown double vision will need a she adds. seeing patients for double longer time slot.” Dr. Brown By May, they were discussing the plans vision or misaligned eyes, always includes a time for for a practice transition, likely to span over so I get a lot of colleague staff education during her three years as Dr. Armitage cut back his work. and MD referrals for double regular Wednesday morning Dr. Brown was working at an ophthalmology vision and specialty contact staff meetings. “When they office—a great experience, she says, but she lens fits,” she says. “I get to Testing learn about these conditions, was ready to take ownership of her own busilove my work.” area the staff members who take ness. The timeline that they considered worked There was a learning the phone calls can gauge for her, as well, as Dr. Brown and her husband, curve for the staff—those what patients are coming in for and if they need Jarad, were in the process of adopting their who stayed with the practice as well as the new shorter or longer visits.” son, Mason, from Haiti. members—who had never experienced this type With two full years of practice ownership Yet over the next few months, Dr. of therapy care before. “We’ve had to adjust the complete, it’s time for the team to grow. Armitage decided to leave the practice sooner, schedule a few times as the staff learns about “We’ve had a staff of four and by that New Year’s Eve, plus me and my husband for Dr. Brown was signing the the last two years, but we’re paperwork to complete the ready for a fifth,” she says. purchase. She says that The new employee will be she’s thankful to her husr. Monica Brown was on a pre-med track to become a pediatrician, cross-trained in all areas of band for his support, as he preparing to take the MCATs, when she met her future husband. Her the office, which is a goal helped her find a loan and priorities changed, she says, and looking ahead at the many years still left for all new staff members. negotiate the purchase. It “Having at least two people was a whirlwind but in the to complete a medical degree and residency was daunting. Her advisor who can fill in anywhere will end it all worked out, Dr. pointed her to an opportunity within the orthoptist graduate program at relieve the headaches for Brown says. “We were able the pediatric ophthalmology department at University of Iowa so she could vacation time and illnesses,” to get settled into this new remain in a medical field, and after conducting her own research, Dr. Dr. Brown says. She also practice before we adopted Brown says that it was the perfect match. “It was medically based and I hopes to add a scribe in the Mason from Haiti, and I had would get to work with kids, and it was only a two-year graduate program future to make busier days been practicing here for vs. six to eight more years of school.” even more efficient. 11 months before my son Dr. Brown moved to the Tampa, Florida, area when she accepted her Dr. Brown says that she arrived.” first orthoptist job there, specializing in binocular vision. While she says continues to enjoy the benWith a sturdy foundathat she thoroughly enjoyed the work, her next move was clear after a efits of practice ownership, tion built for the practice, year and a half. “I really wanted to be the doctor and do more with conespecially the flexibility for Dr. Brown kept the practice balancing her professional name but updated the logo tact lenses,” Dr. Brown says. She was accepted at Nova Southeastern and personal lives as she to add her own personal University. “I still ended up in school for six years,” she says, laughing. and her husband prepare to style. The office was given a “But it was a different path,” and one that she says lead her to become adopt their son’s sister. WO facelift, including a remodel the first person in the U.S. to be an orthoptist and optometrist. WO M Change in Career Path D Women In Optometry June 2016 WO2Q16.indd 21 6/2/16 2:32 PM p 22 COVER STORY In Line for the Dr. Andrea P. Thau steps up to run her lap as AOA president Dr. Thau in her Manhattan office ndrea P. Thau, OD, FAAO, FCOVD, DPNAP, of New York City, begins her term now as president of the American Optometric Association (AOA), the organization’s 95th, and only the second woman to rise to that role. But she’s quick to say, “It’s not about me. I’m part of a team of 100 staff, more than 200 volunteers and 34,000 member optometrists. We’re working to ensure that our patients have access to the full scope of optometric care.” Getting to this point was no small task. Dr. Thau has served on the AOA board for nine years. “As a trustee, you’re on the road between 80 and 100 days a year. I spend an additional 25 hours a week on AOA business,” she says. The commitment becomes more A intense as a trustee ascends to the executive committee. As president-elect, she logged about 120 days on the road, and she anticipates that will rise to 150 to 180 days once she’s president. That doesn’t even reflect the commitment it took to get to the AOA board. Dr. Thau spent seven years on the board of the Optometric Society of the City of New York, 14 years on the board of the New York State Optometric Association and served as president of the New York Academy of Optometry. Dr. Thau was the first woman president of all three organizations. Although the AOA president plays the leading role in responding to unforeseen challenges and new threats, Dr. Thau is determined to Professional and Personal Support Are Paramount Baton: © Rmarmion | Dreamstime.com T he three associates—two women and one man—in Dr. Andrea Thau’s practice today are in different stages of their professional and personal lives, which affect their ability to commit to certain days and certain hours. They have family commitments with young children or are teaching. That makes Dr. Thau’s own juggling of the schedule to meet her American Optometric Association (AOA) commitments part of the routine. “I know in advance when I need to be on the road for the AOA, so we can move my patient schedule around,” she says. The fact that there are other ODs available to see her patients in an emergency also helps. Her most senior associate has been with her for 20 years and has a high level of familiarity and comfort with the practice and the patients. It wasn’t always that simple, though. Dr. Thau remembers that when she served on her local society board, she carried a pager, a bunch of quarters and phone calling cards. “I’d get off an airplane and run to a pay phone to check in to see if there had been any emergencies or anything I needed to take care of,” she says. Planning is obviously important, and Dr. Thau’s a planner. Her sons, Richard and Evan, were both born in July “because that’s when my practice was the slowest.” They’re grown now, but they came to meetings with her regularly. She also arranged for excellent child care so she wouldn’t have to worry about them while she was at work. And when she got home, her family was her focus: no phone calls, no work. Once they were in bed, she’d (l-r): Sons Richard and Evan and husband John Lieberman, accompanied Dr. Thau to Optometry’s Meeting in 2014. resume whatever work she needed to do. Her husband, John Lieberman, a CPA, has been supportive, even making adjustments to his schedule. She realizes that she is lucky, and that not all women are. Many volunteers have spouses at home who can either watch the kids or travel with the volunteer. “But when the volunteer is a woman in a dual-career home, it can be harder,” she says. Dr. Thau says it’s important to define exactly what you need and want and jettison the rest. For example, she dances ballet, so she carves out time for that. “I don’t watch TV. That’s just one of the things I can’t do. Learn to let go because you can’t do everything. And get as much help as you can.” WO Women In Optometry June 2016 WO2Q16.indd 22 6/2/16 2:32 PM XX pp 23 Words of Encouragement D Dr. Thau with the 2015-2016 AOA board of trustees ori M. Carlson, OD, FAAO, the American Optometric Association’s first woman president, shares these words with incoming president Dr. Andrea P. Thau. “Optometry has been blessed with many outstanding leaders, but few have put as much time into serving our profession and patients as you have over the past several years. As you know, leaders serve many capaciDr. Carlson ties in representing our profession, not the least of which is serving as spokesperson and chief advocate. As you lead our professional association this coming year, I know you will rise above the never-ending onslaught of challenges to our profession and instead find opportunities to better serve our patients and our profession.” WO system.” In addition, Dr. ensure that the organization Thau will work to advocate remains proactive in helping particularly for children’s state optometric associavision and vision therapy, tions achieve their legislative lifelong passions. and practice authority goals Dr. Thau is a secondand setting a Washington, generation OD. Her DC, agenda that will boost father, Edwin Thau, optometry practices from OD, FAAO, was a local coast to coast. “Although society president no one can predict how the of the New York national political environment State Optometric will change, especially this Association. “I year, we already know that grew up attendAOA doctors and students will ing annual state be working to educate U.S. Dr. Thau dances with her father at meetings, seeing Senators and House members her wedding. the camaraderie of about the bipartisan legislation optometrists and understanding that that we support and are pushing forward. That all the gains made were the result includes the Dental and Optometric Care Access of volunteer commitment. I inherited a wonderful profession that has advanced based on his efforts and those of the many prior volunteers “I inherited a wonderful who came before me. I saw that I profession that has advanced had an obligation to pay it forward.” That’s the key message that she based on [the efforts of wants to impart to every OD. “You my father] and those of have an obligation to give back.” Yet, she adds that the net result is comDr. Thau at the Kotel, Jerusalem’s Western Wall the many prior volunteers pletely positive. “You get back more who came before me.” profession.’ Their fears were that women than you give. I have friends in every state in wouldn’t get involved as active members the country. I’ve been able to see the trends in —Dr. Thau or leaders and wouldn’t work full time. My advance, and so I’ve been able to be proactive response to that was: watch and see.” in my practice.” However, it’s not that hearing those kinds of The idea that she becomes only the second comments sparked a drive to one day become woman to take the helm as AOA president is Act (HR 3323) to outlaw anti-patient policies AOA president. “I never had the goal or dream to not really surprising to her. She has seen major being imposed on us by insurers and plans; take this on. I just kept pursuing ways to use my shifts in the profession during her career. “The the Contact Lens Consumer Health Protection talents for the greater good,” she says. Someone profession was only about nine percent women Act (S. 2777) to crackdown on the illegal sales would ask her to do something: volunteer for a when I joined. I’d often be the only woman at tactics of unscrupulous, internet-based contact committee or run for an office, and she’d say yes. association meetings, and some of the men— lens sellers; and an array of bills to recognize “Each of those little steps sets the path,” she who knew me as my dad’s daughter—spoke fully and build awareness of our profession’s freely about how ‘girls are going to ruin the essential and expanding role in the health care Continued on page 24 Women In Optometry June 2016 WO2Q16.indd 23 6/2/16 2:32 PM p 24 COVER STORY Continued from page 23 says. She chuckles, saying, “It’s easier not to do this.” In fact, her election to the AOA board of trustees in a contested election was not an easy one. “All of us who have come to these levels of leadership will say that you have to have a lot of passion and be a little bit crazy. I guess I’m just crazy in love with the profession.” Dr. Thau is sworn in as the first woman president of the New York State Optometric Association in 2001. “The AOA has helped me be a better practitioner and run a better business.” —Dr. Thau That’s another characteristic she inherited from her father, who tried to create mandated comprehensive eye exams for New York City children in the early 1960s. “I’m continuing the work that my dad did through my participation with the New York Children’s Vision Coalition and AOA’s successful efforts to define a pediatric comprehensive eye examination as an essential benefit” in the Affordable Care Act. Although Dr. Thau has followed in her father’s footsteps, she never had the chance to practice optometry with him. She was only two years into her career when he passed away suddenly. At the time, she was a fulltime faculty member at the State University of New York College of Optometry (SUNY). She recalls the last time she saw him before he died. “He was going on vacation and he handed me his appointment book and asked me to cover for him. He died on that trip, so literally, that’s what happened. At first, I tried to bring his patients into my part-time practice in the clinical practice plan at SUNY, but after eight months, I moved my practice out of the college and rented space from another OD. Four years later, I opened my own practice.” As she built the practice, she became increasingly thankful for her involvement in the AOA, the organization that advocates for the profession. “Studies show that AOA members make $37,000 more a year than nonmembers. I would venture that our volunteers do better than the average member because they understand what’s going on. The AOA has helped me be a better practitioner and run a better business,” she says. She encourages every OD to be involved. “Not everyone can give back at the highest levels. But if you’re a member, you’re contributing to the team effort.” WO Jacqueline Davis, OD, MPH, Will Be Honored as AOA Optometric Educator of the Year acqueline Davis, OD, MPH, who will be honored as the American Optometric Association (AOA) Optometric Educator of the Year at Optometry’s Meeting, says that she loved her 22 years in private practice, but joining the Ohio State Board of Optometry gave her “a different viewpoint of the profession. I saw that I could have an impact on more than one patient at a time through policies and procedures.” This new perspective led Dr. Davis to expand her career and responsibilities in different ways, connecting with colleagues to make change in their state and also by starting an outreach clinic for The Ohio State University College of Optometry in 2002. Eventually, she sold her practice to a former student. Under the guidance of mentor Melvin Shipp, OD, who was dean, Dr. Davis went on to earn her master’s in public health in 2009. Dr. Davis says that she hopes her students’ involvement with federally qualified health centers will impact their careers the way it did for her. In fact, a survey she conducted during her graduate studies confirmed that “more than double the number of doctors who had experience and exposure to outreach activities through school participated in outreach while they were in practice,” she says, compared to doctors who were not involved during school. “That was resounding. We thought that if we J provided this kind of education that they would continue outreach, and this study proved that they actually do.” Dr. Davis also teaches two courses at the college; is co-advisor of the university’s National Optometric Student Association chapter; and is involved with Dr. Davis will be honored at Optometry’s Meeting. Improving Diversity in Optometric Careers, the annual three-day summer camp for under-represented minority undergraduate students. Extremely grateful for the accolades from AOA, Dr. Davis says, “I am so honored that they consider my work valuable. I hope other folks will consider doing some outreach, no matter where they are in their career.” WO Women In Optometry June 2016 WO2Q16.indd 24 6/2/16 2:32 PM For Prevention, Education Is Key p 25 OD launches Ocular Prime to educate those in her exam room and beyond ast fall, Maria Pribis, OD, had a conversation with her husband about the challenges of educating every patient consistently within the time constraints of a 15-minute exam slot. “It’s frustrating because if I’m running behind, I may not tell the patient to do X, Y and Z, and I wanted to reach all of my patients with the same advice,” Dr. Pribis says. Dr. Pribis Dr. Pribis was exposed to ocular disease early on in her studies at the Pennsylvania College of Optometry at Salus University and during her residency with the Veterans Administration Medical Center and rotations with the Wilmer Eye Clinic at Johns Hopkins Hospital. It left an impact on her, shaping the future of her career. “Unfortunately, a lot of those patients came to us when it was too late,” she says. “It was heartbreaking to see patients blind from glaucoma because they never had their eyes examined or with meibomian gland dysfunction that had scarred and I had no treatment option. It made me very passionate about having an understanding of disease and, ideally, how to prevent it.” In early April, after months of planning, Dr. Pribis launched Ocular Prime at ocularprime.com for her patients at Stamford Ophthalmology in Stamford, Connecticut, and anyone else who comes across her page. With five primary categories—computer vision, dry eye, nutrition, systemic health and fitness—Dr. Pribis says that there are plenty of stories to share and expand upon in her virtual space. “I wanted the website to set a trend in our industry by emphasizing the care in patient care. Everything about the site has to be scientifically proven,” Dr. Pribis says, adding that this credibility is important to maintaining her site as a trusted source for her readers. “It’s important to me as a doctor but also for patients to know the latest science behind their eyes.” Her target audience is young, healthy L professionals, but she welcomes readers of all ages. “Anyone who comes across Ocular Prime can get real information, and I make it clear that you have to see your optometrist for care,” she says. Her husband helps manage the technical side of the site and is also her editor. “He’s very helpful, and he can tell me when he doesn’t understand what I’m saying since he doesn’t have a medical background,” Dr. Pribis says. That’s important so that she can make sure her voice isn’t too clinical for her audience to understand. Dr. Pribis developed the Ocular Prime website as a resource to which she can send patients for reliable information about ocular health. Dr. Pribis stays on top of the latest research, using several email feeds of medical journals related to anything about the eyes, and she posts a new item a few times a week. Since she works in Connecticut but lives in Manhattan, Dr. Pribis uses her 40-minute train ride each way for research and writing posts. “I can make that time more productive,” she says. She adds that she looks forward to upcoming posts that will educate readers on how ophthalmic lenses, such as blue light-blocking or antiglare lenses for computer or technology users, can go beyond correcting vision and can protect the eyes and also adding to her nutrition channel. “I am very passionate about nutrition and being able to share real-life recipes that are quick and easy to do on the fly,” Dr. Pribis says. “I’m not a fancy cook, but I enjoy really good, inspired healthy foods that are easy to do.” Ocular Prime is still a new venture, but Dr. Pribis is already introducing it to her patient base, and it will soon be linked to the practice website. She hands patients her business card during their exam, making sure to point out that Ocular Prime organizes research that they can utilize at any time. Dr. Pribis is also making her network of referring physicians aware of Ocular Prime. “Pediatricians and endocrinologists can use this as a resource for their patients, as subspecialists across the health care spectrum come in together for a team approach to work together for the betterment of the patient.” Education has always been Dr. Pribis’ number one goal, and she hopes that Ocular Prime will make an impact spreading knowledge and awareness across her community and beyond. Patients or readers are encouraged to reach out with questions via the “Ask a Doctor” feature on the site. “I want to educate as many people as possible so that they can take control of their health through prevention and wellness,” Dr. Pribis says. “If patients with retinal detachments knew that flashing lights were a warning sign, maybe they wouldn’t have lost their vision. It’s helpful to show people what is or isn’t a big deal.” WO Women In Optometry June 2016 WO2Q16.indd 25 6/2/16 2:32 PM HOW TO BECOME THE CEO OF YOU p 26 A Mission Statement Is Imperative By Lauretta Justin, OD, Orlando, Florida [email protected] believe that all human beings are born with the power to determine their destiny. As long as you are breathing, that power is yours and is always at your disposal. That power Dr. Justin is nothing other than the power of choice. The choices you make today are creating your future tomorrow. It’s really that simple. If you want different results in your life and in your practice, you need to make different choices. Choosing your destiny starts with choosing your mission—your what. Your mission will serve as a filter to separate what is important from what is not. Create a mission statement; it may sound tedious, but doing so will save you a lot of time, frustration and I money. If you don’t know what you want to do, then you’ll try to do everything; that’s a recipe for disaster. When I started my practice, I didn’t have a mission statement beyond wanting to help people see better. I ended up taking every insurance plan in order to serve all. That was a bad choice that cost me money and time, which I’ll never get back. So chose exactly what it is you want to do, write it down, set a course for it and stick with it. State what market will be served and how. You cannot serve every market because trying to target them all will actually cause you to reach none. It helps if you could identify specific characteristics of your ideal market and create a fictitious person to represent it. For example, my ideal target market is Orlando Linda. She’s 42, married with two schoolaged children and works part-time so she can be involved with her kids and their interests. She’s been wearing contacts for many years and is now noticing issues with her near vision. She shops in department stores and wears designer clothes and shoes. She wants the best in life and is willing to pay for it. Because I know whom I want to serve, I’ve focused all my marketing effort, office culture and systems to appeal only to the Lindas of my area. Again, doing this will save you a lot of money, frustration and time. Your mission should also define your “unique identifiable difference” or Unique ID, which is what’s going to help you develop raving fans. What makes you different is what patients are going to share with their friends and loved ones. Define this early on because everything else will revolve around that first choice. If you don’t have a mission statement, a clear idea about your market and a Unique ID, start crafting your mission statement today. If you want some examples of killer mission statements, email me. Next time, we’ll discuss the vision statement. Remember to dream big, take risks and become the CEO of You. WO Three Sources for Finding Dry Eye Patients By Cheryl Engels, OD, MBA, senior consultant of The Power Practice and director of Practice Made Perfect f course you can identify dry eye patients from your own patient base, but what about the rest of those dry eye sufferers out there who have never heard of your office? Where will these patients come from? There are three sources for patients just waiting to fill your schedule. Rheumatologists are probably your most concentrated source of referrals because of the nature of their patients’ Dr. Engels conditions. For years these doctors have been sitting with patients and hearing their complaints about dry eyes. Until now their response has been, “I know. Have you tried some over-the-counter drops? That is pretty much all you can do.” Let these doctors know you can provide a better solution. As we have been hearing how meibomian gland dysfunction is much more prevalent than we thought, many ODs are having success with meibomian gland expression in-office. Rheumatologists want to give their patients the best treatment available, so make it easy for them to refer patients to you. Design a brochure that talks about your expertise in this area and leave a stack of them with the rheumatologist to pass along to their patients. Also design a simple referral form, and be sure to fill out the rheumatology office information on it so the staff or doctor only needs to add the patient’s name, reason for referral and best way to contact this patient. As you are gaining referrals from several rheumatologists in your O area, be sure to double dip. You can get an even greater number of patients by contacting your local support groups for autoimmune patients. Depending on the population density in your area, you may find there are several condition-specific groups like a Sjogrens group, a rheumatoid arthritis group and others. In less-populated areas, there may be one group that meets for all autoimmune conditions. Look online to find a way to contact the group organizer and say you would like to speak to the group about the evolutions in inflammatory dry eye treatment and how you can treat these patients. As you prepare your brief talk, remember that these patients are fairly well educated about their conditions. Most have spent hours researching their conditions and possible methods of relief, so speak at a higher level about the research and treatments. Once you give relief to one dry eye patient in the group, the word will spread very quickly. With the increase in demand for surgical eye care services for baby boomers, increasingly pressed ophthalmologists, in my area of Florida, at least, are kicking dry eye back to optometry. The opportunity is just waiting for you to take it. Corneal specialists and general ophthalmologists in your area likely have a pool of patients for you. Many of them are not taking time to fit scleral lenses, so there is an opportunity to dive into that area, as well. Knock on the doors of rheumatologists, support groups and ophthalmologists. Open up your appointment schedules, and welcome in these patients. WO Women In Optometry June 2016 WO2Q16.indd 26 6/2/16 2:32 PM p 27 Comfort and Beauty Are Relevant Topics in MD Office fter Stephanie Frankel, OD, completed her internship and residency with the Bascom Palmer Eye Institute, she joined the team at Elgut Eyecare in 2014. “I’ve always wanted to stay with medical care and work with an ophthalmologist,” Dr. Frankel says. Alongside Noel L. Elgut, MD, in his Fort Lauderdale, Florida, practice, Dr. Frankel has been learning more about the products and treatments she Dr. Frankel prefers. OCuSOFT came onto her radar during her residency, and Dr. Frankel personally tested the product line for dry eye treatment shortly after joining the practice. “I have an interest in anterior segment disease, so I dove into looking at what is available to help my patients, and OCuSOFT met all my expectations,” she says. The practice already had an existing relationship with the company, but Dr. Frankel saw an opportunity to expand care in ocular surface disease with these products. Through her own research and working with patients who have visited multiple doctors before coming to Elgut Eye Care, she says that “the results have been fantastic.” Dr. Frankel says that she appreciates support from OCuSOFT as she got acquainted with its products, as well as the company’s commitment to keeping her stocked with products for the office, especially trials. “I will not use anything on my patients that I haven’t tried,” she says. “I can talk with patients about realistic expectations and any questions or concerns they may have.” Dr. Frankel started with Retaine MGD Lubricant Eye Drops for her patients with meibomian gland dysfunction (MGD). “Retaine eye drops have a nice mineral-oil base and are preservative free,” she says. “It’s worked better than any other drop I’ve tried for MGD.” She uses it alongside manual expression of the meibomian glands and doxycycline in severe cases, and she has had very successful outcomes. She reaches for the OCuSOFT Hypochlor Spray for patients with anterior blepharitis. The spray cleans and removes debris including microorganisms and provides care for minor irritations to the skin. Patients are instructed to use the product twice a day for two weeks until their follow-up visit. “If I do not notice improvement, our next step is Oust™ Demodex® Swabstix™,” Dr. Frankel says. After a manual debridement of the lashes, she applies the Oust formula in-office and has her patients continue with the Hypochlor spray for another two weeks. She says that she has been pleased with the “exceptional” results following this r. Stephanie Frankel regularly turns to her colroutine. For many patients, leagues for advice when she is looking for more her recommendations are information on an unfamiliar topic. Aesthetics, for exam“a significant change from ple, were outside of her scope initially. “So I started what they are used to, and looking into different procedures and options,” she says. it sets me apart from the She expanded her network to include an oculoplastic doctors they have seen surgeon to learn more about options such as blephain the past,” Dr. Frankel roplasty, Botox or fillers. “It started as a connection to says. “I take the time to learn more for my own knowledge to let my patients debride the lashes and know about them, but now that office refers to me for treat patients so that they dry eye or itchy eye problems,” Dr. Frankel says. WO look and feel better, and the word-of-mouth is better than I ever imagined.” A Tap Into Your Local Network D Most recently, Dr. Frankel has expanded into the ZORIA® Lash Boosting Serum and Mascara. “Aesthetics are becoming more prominent in the practice because patients want to know why their lashes are thinning or why they have bags under their eyes,” Dr. Frankel says. She keeps a flyer in the exam room that often garners interest. “The more I thought about it, the more I wanted to offer these products because losing lashes or developing wrinkles can be hard to deal with,” she says. “Leaving patients without options for treatment is inappropriate. Give patients options that others aren’t giving them.” Dr. Frankel explains that thinning lashes may be the result of age, medication or blepharitis, and she is confident in recommending the ZORIA line. “I like that the ZORIA Boost Serum is natural and not made with prostaglandins, which can cause discoloration of the skin and iris,” Dr. Frankel says. “My lighteyed patients don’t want products like that, so this is a great alternative.” Dr. Frankel advises patients to apply the serum to the lash line at night with the brush and use the mascara during the day. She tells them her story. “I noticed a significant change in about six weeks after wearing the serum and mascara, and this is what it looks like,” Dr. Frankel says to patients. “I’ve noticed a difference and it’s fantastic, and patients also seem very satisfied with it. I say, ‘If it doesn’t work, come back and we will refund your money.’ But I have never had anyone do that.” The practice sells the Hypochlor spray and ZORIA Lash Boosting Serum and Mascara products in the office, and Dr. Frankel lets patients know that it is conveniently available for purchase. She recommends that her colleagues expand their knowledge in these areas, realize the opportunity for helping patients and consider working with OCuSOFT to provide treatment and care. “It’s exceptional when patients ask you a question about anything ocular-related and you can talk about the alternative options,” Dr. Frankel says. WO Women In Optometry June 2016 WO2Q16.indd 27 6/2/16 2:32 PM p 28 Color Contact Lens Options Can Make Patient Visits More Memorable K iranjit Bedi, OD, says that she wants her patients at the Laurel, Maryland, America’s Best store to have fun trying color contact lenses. In fact, she was so enthusiastic about the release of AIR OPTIX® COLORS contact lenses two years ago that she started promoting them to her patients after she first heard the news at a local dinner hosted by Alcon. She told patients, “Stop back in six months to try Dr. Bedi out the new monthly replacement option for color contact lenses.” Dr. Bedi says that she’s encountered many patients with an interest in changing their eye color over the course of her eightyear career with America’s Best, the first five years of which she spent in the downtown Baltimore store. Familiar with both the FreshLook® 3-in-1 color technology and AIR OPTIX® AQUA contact lens material, Dr. Bedi has found that the AIR OPTIX COLORS contact lenses combine these features in a comfortable contact lens that her patients say that they enjoy. Dr. Bedi shares the strategies that she has found most successful in getting patients excited about color contact lenses. Mention AIR OPTIX COLORS contact lenses right away. One of the first questions Dr. Bedi asks her contact lens patients who are candidates is, “Are we doing clear or color contact lenses, or both?” Immediately, it can spark a conversation and generate interest, paving the way for the rest of the exam. Utilize patient and customer wait times. When contact lens-wearing customers are waiting for an optician, Dr. Bedi will approach them and ask, “Do you want to try on some color contact lenses while you are waiting?” It’s a great distraction from any wait time, too, she says. Recommend an upgrade. It’s an easy upgrade for patients wearing FreshLook contact lenses, says Dr. Bedi. “My patients have transitioned beautifully into the AIR OPTIX COLORS contact lenses.” She adds that when patients ask, “Is the blue going to look different?” she reassures them that AIR OPTIX COLORS contact lenses feature the same r. Kiranjit Bedi says that even though she offered 3-in-1 color technology as older generation color contact lenses because they FreshLook contact lenses. were so popular, she wished she had a more breathable* The color is now embedded option for her patients. Now with AIR OPTIX® COLORS in the lens, instead of on contact lenses, she does. The AIR OPTIX® AQUA material the outside, she tells them. means that she can offer patients the same great look Mix and match an in a breathable* lens. Patients whom she has upgraded annual supply. Dr. Bedi have had positive feedback. “Patients love the fact that and the store staff educate patients that they have their eyes can breathe; they can leave their contact lensmany options when picking es on comfortably. As a doctor, it’s good to hear that you out color contact lenses. made things better.” She says that the fitting process is “You aren’t committed simple, too. “It’s very true to the powers, and there have to wearing color contact been no issues in terms of over-refracting, which saves lenses every day,” Dr. Bedi chair time.” WO says, and they can add a few boxes of color lenses in with their clear lenses. Encourage multiple colors. Even if accessible, prompt and attentive to her office patients only mention one color, Dr. Bedi presents supply of samples and trials. them with a few options in the same color family. Wear the products personally. To “If they like the Pure Hazel, I ask them to try the demonstrate the advantages of wearing color Brown and Honey color lenses, too, because contact lenses on a part-time basis, many of they may like one better in the the store’s employees wear AIR OPTIX COLORS light.” She reminds patients contact lenses occasionally. “It gets patients that they don’t have to narrow asking questions.” WO it down to just one choice. To *Dk/t = 138 @ -3.00D. Other factors may her fashion-forward customers, impact eye health. she makes a comparison: Important Information for AIR OPTIX® AQUA “You have 50 pairs of shoes (lotrafi lcon B) contact lenses: For daily wear or up at home,” or “You don’t carry to 6 nights extended wear for near/far-sightedness. the same handbag every day.” They often sell Risk of serious eye problems (i.e., corneal ulcer) two or more colors to these patients. is greater for extended wear. In rare cases, loss of Recommend a compatible contact lens vision may result. Side effects like discomfort, mild care solution to optimize the lens-wearing burning or stinging may occur. experience and promote compliant wear. Important Information for AIR OPTIX® ® For example, CLEAR CARE PLUS Cleaning and COLORS (lotrafilcon B) contact lenses: For daily wear only for near/far-sightedness. Contact lenses, Disinfecting Solution brings together what Dr. Bedi even if worn for cosmetic reasons, are prescription likes about her two go-to products: the longmedical devices that must only be worn under the lasting moisture of HydraGlyde® in OPTI-FREE® prescription, direction and supervision of an eye PureMoist with the outstanding deep cleaning care professional. Serious eye health problems may and improved patient compliance of CLEAR occur as a result of sharing contact lenses. Although ® CARE into one product. CLEAR CARE PLUS rare, serious eye problems can develop while weargives her patients the best of both worlds. Dr. ing contact lenses. Side effects like discomfort, Bedi says that having a conversation about her mild burning or stinging may occur. To help avoid preferred contact lens care solutions with every these problems, patients must follow the wear and contact lens wearer “has saved us from doing a replacement schedule and the lens care instructions provided by their eye doctor. lot of refits and helps with comfort issues.” See product instructions for complete wear, Stay stocked with trials. Dr. Bedi says care and safety information. that she appreciates that her Alcon representative, who has become a personal friend, is Sponsored by Alcon US-PRA-16-E-1726 An Easy Upgrade D Women In Optometry June 2016 WO2Q16.indd 28 6/2/16 2:32 PM Doctor’s Reputation for p 29 Natural Eye Care Draws in Patients S usan Moss, OD, puts her holistic approach to eye care front and center at her practice in Bellaire, Texas. And she’s found plenty of patients who want that kind of therapy. At least 80 percent of her patients use homeopathic products, she says. She provides natural products to treat a wide Dr. Moss range of conditions, including dry eye, floaters, corneal erosion and allergies. Dr. Moss is a member of the American Academy of Orthokeratology and Myopia Control, the American Naturopathic Medical Association and the Ocular Nutrition Society. While there are other ODs who provide some homeopathic treatments, integrative medicine has been the focus of her practice for more than a decade. Natural Ophthalmics is a main supplier for her practice. The products “are wonderful and they’re reasonably priced,” she says. A patient recently came in complaining that the cheapest prescription drops she could find cost $150. Homeopathic products “are less than $25, and they work,” Dr. Moss says. She also says homeopathic products are generally easier on the patients. Using homeopathic drops is a total win-win. Patients get better, and the drops are a reasonable price. For dry eye patients, for example, over-the-counter artificial tears, with or without preservatives, provide a replacement and substitute for real tears. The relief might be immediate, but it’s typically short-term, says Dr. Moss. Natural Ophthalmics Tear Stimulation Drops work therapeutically to stimulate the eyes to moisturize with their own mechanisms. In others words, she tells patients, they support and stimulate the immune system rather than mask it or even suppress it. These drops are nonpreserved and do not sting, and they are great for pediatric patients. The Allergy Desensitization Drops similarly stimulate the body’s own ability to eliminate symptoms of ocular allergies. Unlike treatments that are aimed at blocking the histamine process and suppressing the symptoms, these drops stimulate the eyes and body to counteract the allergy process naturally. Dr. Moss also has a robust orthokeratology practice. Natural Ophthalmics offers two varieties of Ortho-K Drops, Thick and Thin. The Thick formula is often used just prior to inserting the lens at night and also after the lens has been inserted. The Thin formula is used upon waking to Natural Ophthalmics, Inc., President Brian Banks and Office facilitate lens removal and can be Manager Linda Axelrod at a show booth used during the day to alleviate dryness, redness or discomfort. Having to the National Institute of Health’s National these products available improves her Center for Complementary and Integrative Ortho-K patients’ satisfaction and overall Health, about 40 percent of adults in the experience, she says. U.S. use CAM therapies, with the percentage The Ortho-K Thin Drops are being greater among women and people with higher used successfully for patients experilevels of education and higher incomes. U.S. encing contact lens discomfort. It can be consumer spending on CAM therapies is about used with soft and scleral lenses in place. $34 billion annually. Homeopathy fits in with the moveDr. Moss would like to see the use of ment toward more natural options, such as homeopathic treatments increase. She’d like to farm-to-table foods, organic produce and comsee the profession add a certification process plementary and alternative medicines (CAM), so other ODs can adopt holistic therapies. Until which include treatments such as acupuncture then, Natural Ophthalmics offers doctors an and massage to alleviate pain. According easy way to dispense natural eye care. WO The Glass Cliff n a study, “Hard Won and Easily Lost: The Fragile Status of Leaders in GenderStereotype-Incongruent Occupations,” authors Victoria L Brescoll, Erica Dawson, and Eric Luis Uhlmann found that women leaders are judged more harshly on small mistakes than men are—at least in genderincongruent roles. The researchers created randomized control trials with gender-congruent characters, such as a male police chief and a female president of a women’s college, as well as gender-incongruent characters—a female police chief and a male president of a woman’s college. When things went well in the scenario, I such as a protest was stopped successfully and peacefully, the perception of the leaders was uniformly high. But when things went poorly, such as an insufficient number of police officers being dispatched, female leaders were judged more harshly. The male in the gender-incongruent role—the male president of the women’s college—was also judged harshly, confirming that people are penalized more harshly for making mistakes if they are in an occupation strongly associated with the other gender. The authors call this the “glass cliff,” noting that women who achieve leadership positions in gender-incongruent roles are at risk of a greater backslide from their advancement. WO Women In Optometry June 2016 WO2Q16.indd 29 6/2/16 2:32 PM THE POWER OF VISION Since our inception a quarter of a century ago, Vision Source® has remained focused on unlocking the full power of vision — for network members and patients alike. And it all began with this insight — by forming a collaborative network, independent ODs will enjoy the economies and buying power of national chains, while still preserving their independence and relationships with their patients. Vision Meets Potential — for 25 Years and Counting 2015 – 100+ relationships with managed care organizations 3,260 offices 2014 – 3,000 offices 2013 – Recognized as 2nd largest optical retailer in US 2009 – 2,000 offices 2007 – Exclusive, proprietary spectacle lenses created for members 2004 – 1,000 offices 2001 – 500 offices 2002 – Exclusive, proprietary contact lenses created for members 1991 – Founded in Humble, TX 3 offices For more information on joining Vision Source®, go to www.VisionSourcePlan.com © Vision Source L.P. 2016. All Rights Reserved. VS-00145.0416 TRUSTED COLLEAGUE Paula Mintchell, OD [email protected] Starting Cold in a New Location Paula Mintchell, OD, had a goal of launching a solo practice before she turned 40, and she beat that deadline by a couple of years when she opened Vision Art Eye Care in Naperville, Illinois, in December 2012. Meeting that goal was only half the fight, though. She also faced the extra challenge of launching in a place where she had no connections. “I opened cold,” she says. “Our family didn’t know anyone in Naperville.” Now three years later she has made a home for her practice in the community, with an emphasis on pediatric eye care and vision therapy and a willingness to accept all patients. “If you want to have a good private practice, you have to adapt and do what you can.” Dr. Mintchell didn’t land in Naperville by accident. Her husband, Derek, is a commercial airline pilot, and the couple previously lived in Melbourne, Florida, where Dr. Mintchell worked for eight years at a multi-office practice. When her husband’s career offered them a chance to resettle, they scanned the country for places where commercial aviation and optometry thrived: Houston was too crowded with ODs, she says, but the Chicago suburb of Naperville felt right. The couple both grew up in Ohio, so a Midwest home was familiar. Still, the first year or so for her practice was tough. She had trouble finding staff and patients. “People told me starting a practice was hard, but the hardest part was waiting and trusting your instincts and being patient for people to find you,” she says. She sought advice from the Williams Group, a leading eye care practice management consultant, a move she says “helped me tremendously. It was worth the investment.” They helped her through the financial decisions she had to make, including marketing and staffing. “I was very careful with working capital,” she says. “I was careful with how I allocated my funds,” from staffing needs to advertising to cost of goods. Plus, she stuck with her confidence in her skills and her personal approach to patient care. “I trusted my personality and how I generally care about people, and I knew it would translate to good internal marketing,” she says. She got involved with the local Chamber of Commerce and reached out to local primary care physicians. With her emphasis on pediatric care, she relied on word-of-mouth reviews to help build a patient following. “When you see the little ones and treat them well, the families come, too,” she says. The couple has two children, Wyatt, who is 8, and Arianna, age 6, and they live in Naperville just a few miles from her practice location. “It was really important to me to live in Naperville, and I love seeing children and families from my kids’ school,” she says. “If you live too far away from your practice, you miss out on the opportunity.” Her affiliation with Vision Source® is “a critical part of my practice,” she says. “I now have a team of partners helping me navigate private practice.” She also likes the savings on product and even services, such as credit card processing that she gets through Vision Source®. “I without hesitation would recommend Vision Source® to my colleagues.” Today her practice is growing the way she hoped it would. Vision therapy was part of her residency training, and today, these services are provided in her practice. She has two full-time employees and is adding a part-time person. “I’m happier than I’ve ever been,” she says. For more information go to VisionSourcePlan.com Vision Source® is a registered trademark of Vision Source LP. ©Vision Source LP 2016 WO0616_Vision Source Adv.indd 1 5/31/16 11:44 AM p 32 OD Brings Dry Eye Center to Existing Practice eslie O’Dell, OD, FAAO, joined Wheatlyn EyeCare in Manchester, Pennsylvania, a year ago and established the Dry Eye Center of Pennsylvania under the same roof with a unique name and website. The partnership with Wheatlyn EyeCare has proved mutually beneficial to physicians and patients alike. “The distinction of having a dry eye center within a practice seems to be working well with Dr. O’Dell how patients perceive what I’m doing here,” Dr. O’Dell says. It has also helped with referrals from other eye care providers, notably six ODs and a cornea specialist MD/OD group in the same town. Dr. O’Dell says patients seem grateful. “They love their doctors. They tell me, ‘I’m so glad he or she told me you were here.’” Dr. O’Dell addresses any dry eye symptoms and develops a treatment plan that she and the referring doctor can both follow. With a growing body of research on dry eye, diagnostic and treatment strategies for the disease are becoming increasingly complex. Dr. O’Dell says, “Many doctors don’t have the technology in their practices to assess the patient’s condition or to determine whether the cause is aqueous deficiency, evaporative dry eye, a combination or an unrelated factor, like demodex, anterior blepharitis L or basement membrane dystrophies that can cause recurrent erosions.” That’s why referrals to a dry eye specialist are worthwhile. “The underlying factors determine the treatment.” For example, a patient with aqueousdeficient dry eye but no active inflammation would be a good candidate for Dr. O’Dell hosted an education evening recently to talk cyclosporine and/or tear supplements and about facial products and their effect on the eyes. punctal plugs, such as the Comfortear® plugs from Paragon BioTeck, Inc. people what they’re using. For those who use For evaporative dry eye patients, Dr. a retinol product, I explain that they should use O’Dell’s goal is to restore proper functioning of something better,” Dr. O’Dell says. the meibomian glands. Dr. O’Dell’s center sells Dr. O’Dell also sells the ilast products in Bruder® masks and fish oil, and it invested in her practice. “They retail for $44 to $49, so for anyone who has purchased higher-end prodthe LipiFlow® Thermal Pulsation System shortly ucts, this is quite affordable,” after opening. she says. As her dry eye Dr. O’Dell practice continues to grow, tries to target Dr. O’Dell continually discovdry eye before it ers more reasons to recombecomes probmend ilast. “It’s great during lematic. “Anterior allergy season to cleanse the blepharitis is a big area around the eyes,” and, issue. I’m trying to she says, “it’s wonderful for be more proactive anyone with dermatitis. I recthan reactive by ommend it for patients after looking at every Paragon BioTeck, Inc., has introduced ilast® treatments such as LipiFlow®, patient’s lid and for Lid Hygiene, which contains hyaluronic margin. I also BlephEx® and tea tree oil acid, to hydrate and soothe dry, irritated skin explain the imporfor demodex. It soothes and around the eyes. tance of cleaning calms the skin so nicely.” the lid every day,” Selling products other Dr. O’Dell says. Her outreach even extends to than contact lenses or eyewear is still a children. Nobody wants to get soap in their relatively new concept, but employees have eyes—especially not kids, and many people found the additional tools useful. “Everyone’s also want to avoid cleansers with preexcited at this stage,” Dr. O’Dell says, and once servatives, so Dr. O’Dell recommends technicians understand the benefits of these ilast Clean® by Paragon BioTeck, Inc., products, they’re eager to recommend them. To expand her staff’s knowledge, Dr. O’Dell holds as part of a daily treatment regimen. occasional seminars where she discusses new “You don’t have to wash it off, and facial products and their effects on the eyes and you can rub it in. It gently cleans lids eyelid area. and lashes.” r. Leslie O’Dell and some colleagues Dr. O’Dell feels the Dry Eye Center of She also recommends ilast recently turned to social media to elicit Pennsylvania serves as an important resource Care®, a hydrating lotion to use answers to a short survey about conversafor dry eye patients across the nation. For those around the eyes. Both ilast® products tions between patients and eye doctors conwho call from outside of Pennsylvania, Dr. O’Dell contain hyaluronic acid, a hydrating cerning cosmetics. Two relevant findings: 75 searches the Tear Film and Ocular Surface component that soothes the delicate Society directory. “I’ve received calls from peoskin around the eye. “Patients are percent of respondents say their doctor has ple all around the country asking me where they interested in looking younger, and never asked them about eye makeup removcan find a doctor to help them with their dry hyaluronic acid is so hydrating. Many ers, and 86 percent said they would consider eyes,” she reports. For those in Pennsylvania, people don’t know that retinol can buying anti-aging products and makeup dry eye relief can be found under the same roof destroy the meibomian glands. Even if removers from their eye doctors’ offices. WO as Wheatlyn EyeCare, making comprehensive you use it only on your cheeks, it can eye care more accessible than ever. WO migrate to the eyes. So I always ask Doctors Aren’t Talking About Cosmetics D Women In Optometry June 2016 WO2Q16.indd 32 6/2/16 2:32 PM Recession Forces a Four-year Hold p 33 on Starting New Practice In retrospect, the delay was fortuitous as town grew around planned site athy Wittman, OD, recalls that a conversaand the two homeDr. Wittman bought the tion with a friend changed her perspective school two of their chilland in 2008 but didn’t on naming her practice after its location dren on the premises, start building until 2013. in Lubbock, Texas. “She told me to name using a small living it after myself so my patients could find me,” area in the office and a r. Cathy Dr. Wittman explains. classroom they created Wittman had When she chose the in part of their in-house an architect from a name Wittman Vision lab. Dr. Wittman exlarge firm draft her and opened its doors plains that since one dream office space: in 2014, Dr. Wittman of her sons is on the a 3,200-square-foot hoped that patients autism spectrum, she design that was not who knew her from prefers to customize his financially feasible a corporate practice learning plan, and her as well as a private youngest son asked to when the time came practice where she be home-schooled after to build. While she Dr. Wittman had worked for much seeing his brother’s emphasized that she of the previous decade would join her in this experience. “I love was on a budget, this firm’s expertise was multidoctor medical cennewest chapter of her career. “I still have people having my family here,” ters and the total project would have cost $900,000. Looking back, finding me every other week,” she says. Dr. Wittman says. “It’s she says that she wishes that she had followed the advice she had In 2008, while she was still working as an really unique from a received to work with a construction company with an architect on associate, Dr. Wittman bought the land for her practice perspective.” staff who could do a design-build or hire a company that specializes own practice. During the recession that year, “we Dr. Wittman also in optometry offices. “Don’t ignore good advice,” she says. WO were dropped by our lender that was suspending envisioned fulfilling all of its loans at the time,” she says. She held needs in the community off until 2012 and had secured a small business with many specialty loan the following year. Dr. Wittman says that services. For example, her vision therapy (VT) “It was a great experience where I was exposed there were some segment is growing by referrals of those whose to so much pathology, and I had the opportunity bumps along the own or children’s lives have to work with residents and lecture,” she says. way, but finally her been changed. One patient She transitioned to the department of educaspace was ready was able to stop taking tional psychology and leadership, and now she to move into by the medication for attentionteaches anatomy and functions of the visual end of April 2014. deficit/hyperactivity dissystem, a web-based course designed to train “The timing is order. “She blossomed in teachers of visually impaired, mobility specialists very fortuitous,” Dr. our program, and her visual and also teachers of the deaf and blind. Wittman says. In issues were remediated,” Now in her second year of practice, Dr. 2008, there were she says. Other students Wittman says that she has met her projected only a handful of have improved their sports growth expectations. “There’s a certain amount houses in the area and performance through speof growth we want to see, but my priority is no other commercial cialized vision therapy. Dr. my family and keeping my employees happy.” or medical businesses. Dr. Wittman says her vision therapy practice is Wittman hopes that growth The schedule is light by design to focus on the growing faster than expected, so she’s dedicatThe community has in this area will allow her patient experience, and she’s carefully moniing more space to it. grown to include to expand her building to toring growth and staffing to keep payroll and several full residential developments with many create a designated space for VT. equipment expenses under control. potential patients and several other medical “The practice evolves and grows in a way Dr. Wittman says that she enjoys sharpractitioners in her area. Her office exterior comthat you don’t expect,” she says. So she has ing experiences and exchanging ideas with plements the local architecture with a traditional made adjustments, liquidating some of the colleagues who are passionate about practice feel incorporating whole stones and bricks. “Our equipment from underperforming sectors of ownership and making their dreams a reality. Her office fits right into the neighborhood.” the practice to invest in more VT equipment best advice: “Have the perseverance of a bulldog. Dr. Wittman designed her practice to spend and explore other areas. “The disease part When you take on a project like this, you will have time with her family as well as provide thorough of the practice is very strong,” she says. Dr. lots of hurdles to overcome. There will be times eye care for the community. Her husband, Greg Wittman spent four years working in the ophwhen it’s hard, but keep putting one foot in front Wittman, handles administrative responsibilities, thalmology department at Texas Tech University. of the other. If you really want it, don’t quit.” WO C Avoid Costly Redesigns D Women In Optometry June 2016 WO2Q16.indd 33 6/2/16 2:32 PM p 34 Program Trains Pakistani Teachers to Help Identify Children at Risk the U.S. Agency with vision and ocular health akistan faces for International problems early. Zehra explains, significant chalDevelopment’s “The school screening project is lenges to vision Childhood Blindness working to train 2,300 teachers, health. Nearly Program. The organi930 community health workers one in 10 people in zation is working the and 70 technicians and paramedPakistan are visually project in stages; it ics in vision testing and primary impaired, including has met the first mileeye care knowledge. They will more than 2.6 million stone of establishing screen the children in the schools children, often from an optical lab at the and in the communities,” she preventable causes. Dr. Zehra says. Optometrists Four-year-old girl from Afghanistan leaves public hospital and About Khyber Teaching Hospital in Peshawar, beginning the training will see those who 40 percent of the 1 million people Pakistan with her father, after six months of of screeners. have been identified retinoblastoma treatment. living in the Quetta district alone Sightsavers has with refractive errors of Pakistan are children. Not only been working in Pakistan since 1998, working or other conditions, and those who are there not enough optometrists closely with government departments and local need even more help will be sent to to see these children, there’s little organizations to create a quality, accessible and one of two hospitals involved. Children awareness about children’s eye sustainable eye health infrastructure. Since then, will be provided with eyeglasses, surhealth issues. blindness rates have decreased by more than 50 gery or low vision devices, as needed. That’s why Fatima Zehra, a percent, but Zehra and her colleagues still have The project is managed by Pakistani optometrist, is monitoring, Young patient being fitted plenty of work ahead. WO providing technical assistance for and for eyeglasses, thanks to Sightsavers International, the nonprofit organization for which supervising a project to reduce child- a special pediatric unit Zehra works, and is funded by hood blindness by identifying children supported by Sightsavers For more information, visit sightsaversusa.org. Photos: ©Jamshyd Masud/Sightsavers P or the 12 years that Susan Dreyer, OD, was working for a Pearle franchise owner in St. Louis, Missouri, she was very happy. She had professional satisfaction and time to spend with her artist-husband and three children, now 20, 18 and 15. But when the owner sold the practice, she decided she didn’t have an interest in buying it. So she thought she’d have to start another search. Instead, Dirk Massie, OD, bought the practice, converted it to an independent practice and asked her to work at the new Performance Eyecare location. So she’s in the same building, treating many of the same patients, but just about everything else is different, she says. “It’s been a fundamental shift and a huge learning curve in terms of learning how to enter patient data into an electronic medical records system and managing more of the medical procedures and billing,” Dr. Dreyer says. She had worked in multidisciplinary locations earlier in her career, so the procedures and testing weren’t new to her, but the coding was. Her previous employer didn’t accept medical insurance. “I love providing medical F eye care. I didn’t realize how much I missed it when I wasn’t doing it. Dr. Massie was invaluable in teaching me the ropes, and now it feels like second nature.” The emphasis on customer service is also different. “The new practice is completely in line with what I have always believed are the fundamentals of excellence in optometry: listening, Dr. Dreyer has decorated the office with thoroughness and solving the patient’s artwork from her husband, Rob Dreyer. problems.” As the only doctor in the This work,”Patterns in Motion,” was part office, she helps set the example that of a juried exhibit through Artists for the practice puts the patient first. “I’ve Conservation, of which he is a member. regularly dropped off contact lenses at patients’ houses if they live near me. I staff members put on the spare. “Patient care know it’s more convenient for them,” she says. means caring for the patients as people, which When she found an area of concern during a includes more than just their eyes,” she says. patient’s dilated exam that she thought required Dr. Dreyer says that she’s thrilled with the an immediate consult, the patient felt uncomopportunity to keep working in the community in fortable driving to the ophthalmologist’s office. a career she loves. She is married to an inter“Someone from the staff drove her. When we nationally recognized wildlife artist and displays call and ask patients how they’re doing with some of his works in her practice to make the their new eyeglasses, they appreciate that concern,” she says. And when another patient’s car experience of her patients just a little bit different than the norm. WO got a flat tire in the parking lot, one of the office Women In Optometry June 2016 WO2Q16.indd 34 6/2/16 2:32 PM Weidmann photo U S Air Force photo b Bo Jo ner D an photo co rtes of Dr Dominick Maino A New Career Phase Requires New Mastery Women in the ✦ Denise Burns-LeGros, OD, of Melbourne, Florida, was named the 2016 Young Optometrist of the South by the Southeastern Conference of Optometry. ✦ Ashley Dr. Reddell Dr. Burns-LeGros S. Reddell, OD, FCOVD, of Leavenworth and Bonner Springs, was honored as Young Optometrist of the Year by the Kansas Optometric Association. ✦ Karon Nowakowski, OD, of Muncie, has been inducted as president-elect of the Board of the Indiana Optometric Association (IOA). Polly Hendricks, OD, of Borden, was Dr. Nowakowski Dr. Hendricks Dr. Lowdermilk Weidmann photo: U.S. Air Force photo by Bo Joyner; Duan photo courtesy of Dr. Dominick Maino honored as Optometrist of the Year. Stacy Lowdermilk, OD, of Terre Haute, has been named the 2016 Young Optometrist of the Year. Shannan Brown, OD, of Michiana, was awarded the Dr. Brown Meritorious Service Award at the IOA’s annual spring convention. Dr. Duan ✦ Changmin Duan, OD, MD, MS, FOAA, of Bridgewater, New Jersey, was one of the recipients at the College of Optometrists in Vision Development of the Making VT Visible awards. ✦ Lt. Col. Joni ScottWeideman, OD, is one of more than 100 service members from across the U.S. supporting Operation Arctic Care, an Innovative Readiness Training project. This project provides training Dr. ScottWeideman to military members and also much-needed medical care to those living in Kodiak, Alaska. ✦ International Vision Expo & Conference announced its inaugural class of Visionaries, NEWS These ODs have recently been awarded, acknowledged or recognized in their communities or by organizations featuring changemakers in the industry. Kristin O’Brien, OD, of Denver, Dr. Shechtman Dr. O’Brien Colorado, was named a Next Generation Innovator. Diana Shechtman, OD, a professor at Nova Southeastern University, was recognized as an Inspirational Professor. ✦ Susan DeBlack, OD, of Conway, received the 2016 OD of the Year honors from the Dr. DeBlack Dr. Robertson Dr. Schwab Arkansas Optometric Association. Melia Robertson, OD, of Russellville, was honored as the Young OD of the Year. Airiell Schwab, OD, of Searcy, was the recipient of the association’s Special Service Award for her dedication to vision screenings for Special Olympic athletes. ✦ Maura Massucci, OD, FCOVD, of Wexford, was honored as Young Optometrist of the Year by the Pennsylvania Optometric Association. Dr. Massucci p 35 ✦ The National Association of Professional Women recently inducted several female ODs into its VIP Woman of the Year Circle. Among Dr. Slusky Dr. Truong Dr. Winters them were Joanna Slusky, OD, of Chicago; Susan Truong, OD, of Brandon, Florida; and Patricia Winters, OD, FAAO, of Stillwater, Minnesota. ✦ Elizabeth McMunn, OD, of Lyme, was named Connecticut Association of Optometrists’ OD of the Year. Shown (l-r): Dr. J. James Thimons, the 2015 Connecticut Association of Optometrists (CAO) OD of the Year; Dr. McMunn; Laura Dake-Roche, OD, of West Hartford; and American Optometric Association Trustee Robert Layman, OD, of Lambertville, Michigan. ✦ Dawn Miller, OD, FAAO, of Garden Grove, was honored as the California Optometric Association Optometrist of the Year. Catherine Heyman, OD, FAAO, of Southern California College of Optometry, was honored with an Excellence in Optometric Dr. Miller Education award. Andrea Dr. De Souza De Souza, OD, an instructor at University of California, Dr. Heyman Berkeley, School of Optometry, and Mary Demirjian, OD, of Dr. Demirjian Reseda, were honored as Young ODs of the Year. Continued on page 36 Women In Optometry June 2016 WO2Q16.indd 35 6/2/16 2:32 PM Women in the p 36 Continued from page 35 ✦ Susan Quinn, OD, with her husband and practice partner, Thomas Quinn, OD, of Athens, Ohio, received the World Sight Day Challenge Achievement Award from Optometry Giving Sight. NEWS Dr. Susan Quinn and Dr. Thomas Quinn Dr. Giedd Dr. Dexter Dr. Cooper San Diego; and Jan Cooper, OD, FAAO, of Highland. ✦ Several women were among the practice owners of the CooperVision Best Practices honorees announced in late February. They include Advanced Eye Dr. Hogan Care Professionals in Oak Lawn, Illinois (Casey Hogan, OD); Coan Eye Care, Ocoee, Florida (Mark Coan, OD, and Roxanne Achong-Coan, OD); Eola Eyes in Orlando, Florida (Kerry Giedd, OD, and ✦ Lindsay Elkins, OD, was appointed as Southern College of Optometry’s new director of academic programs. Dr. Elkins Dr. McElvaine ✦ The ✦ Three women ODs became trustees of the California Optometric Association: Ida Chung, OD, of Pomona; Amanda Dexter, OD, of Dr. Chung Business Journal. She and her husband, Scot McElvaine, opened Springfield Family Vision in November. Dr. Mark Coan and Dr. Roxanne Achong-Coan Brighid Williams, OD); San Ramon Family Optometry (Beverly Jue-Smith, Dr. Williams Dr. Mark Perry Dr. Karen Perry Dr. Jue-Smith OD); and Vision Health Institute (Mark Perry, OD, and Karen Perry, OD, FAAO). ✦ Katie Robertson McElvaine, OD, of Springfield, Missouri, was named as one of the “2016 40 Under 40” honorees by the Springfield Armed Forces Optometric Society (AFOS) announced Maj. Kerry Phelan Dr. Johns its AFOS Servicespecific Junior OD and OD of the Year awards. Junior Optometrist Dr. Elkins Dr. Su of the Year 2016 recipients were Air Force—Major Kerry Phelan, OD; Public Health Service/ Indian Health Service—Paula Johns, OD; and Veterans Administration—Meghan Dr. Heller Elkins, OD. Optometrist of the Year service-specific honors were awarded to Navy LCDR Sandra Su, OD, and Carrie Heller, OD, for the Veterans Administration. WO Five Strategies for Avoiding a Mid-career Crisis By Laura Chonko, OD, HHC, FONS, of Lorain, Ohio f you’re thinking about the next step you should take, here are some ideas that I have found to be helpful. I 1. Show gratitude. Even if you’re not in the practice setting Dr. Chonko you desire or your business isn’t where you’d like it to be, be grateful. What we focus on expands. If you’re in a rut, start by writing down three things that you appreciate about the profession or your day. 2. Add a new element. This could be a piece of equipment or a new specialty like vision therapy or nutrition. For example, I expanded my business into nutrition and health coaching following my training from the Institute for Integrative Nutrition. 3. Focus more on the patient relationship and less on the exam. Maybe this person just needed someone to listen to him or her today, and you were that person. 4. Make sure your cup is full so it overflows to others; you can’t serve from an empty cup. Practice good self-care. Eat well. Sleep. Play often. Take a vacation when you need it. Doing what you love outside the practice will make you a better practitioner. A happy doctor gives off a happy vibration, and patients can sense the vibe you’re giving off. 5. Give back. Take a day to volunteer to serve those less fortunate. Or spend a half day in a classroom educating kids about eye health and safety via the S.O.S. Realeyes program. WO Women In Optometry June 2016 WO2Q16.indd 36 6/2/16 2:32 PM OFFICE DESIGN Feels Like p 37 Home Creating the ideal atmosphere for targeted patients By Crystal M. Brimer, OD, FAAO on the cake, being just a mile from the beach means that we can attract n 2015, I scouted out the perfect practice tourists as well. The practice is designed location for Focus Eye Care in Wilmington, After signing the lease in April for comfort. North Carolina. While Wilmington is a young, 2015, I had the entire space gutted vibrant town full of beach tourists, it is also stools. This setup and spent four months carrying out the vision I home to a lot of retirees, so there is great diveremphasizes the had created in my mind. I designed every inch sity. Years ago, I opened my first practice cold, technical skill of the of the office and did so with a single theme in and though that location still had a Wilmington optical staff while mind: the patient experience. I focused on every address and is not far encouraging engagement as the patient bellies detail of the plan, from the away in miles, it felt like a up to the service bar. These intentional design unique character of each different world compared choices make the experience so much more pervessel sink to the recessed to my current location. sonable and unique that patients quickly become sample cabinets, floating Ultimately, I sold my first like family. And because we have the most granite, surround sound, practice and made a slight innovative equipment in the industry, patients and the inspirational words detour in my career path don’t have to compromise in order to indulge on the wall of each room. toward optometric lecturthemselves in the atmosphere. I thought through what the ing and consulting, but I Our boutique-style optical is already filled patient sees, hears, smells, couldn’t stay away from with designer frames, but as the business grows, feels and even tastes private practice for long. we will incorporate more exclusive styles. We throughout the space. It is There was a lot of have something for everyone, but what truly such a comforting and welDr. Brimer and Dr. Bryant give-and-take in my search differentiates us is the experience we offer. coming space that patients for the perfect space. Real estate prices made The lower-volume, high-impact style has the and reps alike compliment it every day. They say, finding a spot in my ideal location challenging, practice’s multiple pair sales approaching 90 “It just feels good here. It feels like home.” The and it was a constant tug and pull between percent. office was designed around a business model customer exposure and patient convenience. I included office elements that would creand a mission. Originally, I considered being within Wilmington’s ate a better work environment. For example, The front desk is made from the most only premier outdoor shopping center. While it the staff has a full break room with a kitchen beautiful piece of granite I’ve ever seen, and with offered significantly more visibility and walk-by and a private bathroom, and for traffic, its parking lot is often jammed and it a breath of fresh air, they can didn’t quite mirror the relaxed atmosphere I had step outside to soak up the sun envisioned. Ultimately, I chose a slightly less behind the office. There are also visible shopping center that backs up to the many little touches, such as a only gated community in the area, with more tinted palladium window between than 1,700 homes. The residents there don’t the optical and the pretest/admin even have to enter the main road to access the room. This way the clinical staff practice, and the local businesses still attract can see out and come to the significant foot traffic. This is the population we rescue if the front office gets too wanted to target from the beginning—we’re not busy. trying to get people in and out on their lunch In less than a year, our The front desk creates hour. We want to deliver a unique and tailored reputation has grown in the coma welcoming atmosphere. eye care experience that far exceeds any of their munity. I have patients who stop past experiences, as well as their expectations. by to share a cup of coffee or interrupt their the accompanying bar stools, patients feel like This space was perfect for the business dog-walking just to come in and introduce their they’re sitting at their kitchen table chatting with model I wanted to create. These local patients pups. Currently, the practice receives widefriends. This is not just a touch of home, but a want the type of care I’ve always wanted to delivspread referrals for our focused dry eye treattouch of personality and warmth incorporated er…they want the whole hour! So finally, after ments, and we offer cosmetic care as an added into an office environment. We didn’t feel comover 15 years in practice, I’ve found my home convenience and luxury to our unique patient fortable with a “fitting table” separating us from with them. Though it’s a little less exposure, the base. A new partner, Eric Bryant, OD, was the patient, so instead, we have comfy statement location offers a perfect mix. It’s convenient for welcomed to the team at Focus Eye Care six chairs and a side table. For eyeglass repairs and stopping in quickly or frequently, and people feel months after opening. Dr. Bryant plans to add adjustments, we have a large stainless tool chest a sense of local community here. And as icing sports vision to our list of specialty care. WO with a custom butcher-block top and two bar Photos courtesy of Jennifer Byrd, Byrds Eye View, LLC I WO sends out Makeover Mondays via email. Visit womeninoptometry.com to see these and other great ideas. If you have a makeover idea to share, email [email protected]. Women In Optometry June 2016 WO2Q16.indd 37 6/2/16 2:32 PM OFFICE DESIGN p 38 Ideal Office Location Found by Chance hen Nytarsha Thomas, OD, couldn’t That delay turned out to be forfind the right practice to purchase, tuitous. The potential landlord was she decided to move forward and proving to be difficult, and on one open her visit to the site, they practice from scratch. noticed a new strip From years of making center under cona full-time schedule struction across the out of part-time work, street. Near the local Dr. Thomas says that grocery store, there she was ready to be was excellent visibility. her own boss and in “You can’t miss it control. when you are passing Dr. Thomas says by on the freeway,” that her husband and Dr. Thomas and husband Tobe Thomas Dr. Thomas says. practice CFO, Tobe Thomas, encouraged her, They quickly changed gears, contacting the and they worked closely with their consultants builders of the new center. from The Power Practice™ to identify potential Dr. Thomas envisioned her office as a place patients come for a unique experience, locations that showed a great deal of growth. rather than just a typical visit to the doctor. “I think I’m a great doctor, but I’m not a busi“We wanted to spoil them from going other ness person, and I hired consultants because places,” she says. Once the office was ready, they worked on the interior themselves to create a modern, spa-like atmosphere, with the help of Eye Designs. The front is open and bright with lots of light. “I didn’t realize how many lights I was buying,” Dr. Thomas says, laughing, but she wanted a bright space where patients could see the colors of the frames more clearly. “You can see all of the cool details on the eyeglasses.” She also wanted to engage her patients’ senses fully. So not only is it visually Great lighting and pops of color help showcase the frame pleasing, the seating is comfortable, selections. there’s music playing and a commercial air freshener dispenses controlled scents. they know step by step what I need to do,” A high-tech space was also important. Dr. Thomas says. That’s when they discovered “I worked in so many offices where we were Zionsville, Indiana. “It started out with nothing always scanning and papers were lost, so here—not even a grocery store—but in the we wanted to avoid that,” Dr. Thomas says. past two years, there have been many stores Patients can complete paperwork at home popping up,” Dr. Thomas recalls. “I said that through RevolutionEHR, and the goal is to be we had to move out there.” completely paperless. The Thomases had moved to the state a Right now, she has equipped one exam few years before from California when Tobe lane and a pretesting room, with extra rooms Thomas, a pilot, took a new job there. She had available as volume grows. The lab space found a location for a potential office space, currently is being used for adjustments, but tucked behind a CVS and hard to see unless Dr. Thomas says that eventually they will offer you were in the parking lot. Dr. Thomas was in-office finishing. She also plans to add a not fully satisfied but thought it was the best retinal camera, pachymeter and visual field option available. “We worried the space was instrumentation. going to be gone,” she says. As it turns out, Dr. Thomas schedules patients every 30 their ongoing house-buying negotiations forced minutes so she has time to answer their questhem to wait before entering a lease. W New construction near a great anchor grocery proved to be perfect. Practice Brand and Logo Catch Attention D r. Nytarsha Thomas worked with a branding company to create her logo, and she says that they did such a great job that she frequently has people asking her if her practice is a part of a franchise. She is proud to tell them she’s independent with just one office—although her goal is to open a pediatric center for vision therapy down the road. WO tions about their eye health or ocular conditions. “When you address the issues of chronic dry eye patients who are so uncomfortable, for example, patients go out and spread the word about you.” The practice had a soft opening on Dec. 31, 2015, and saw just a few patients per day until the official ribbon cutting on Feb. 1, 2016. That provided her and the staff with time to put processes in place and develop a routine with her team: her husband, as well as Savannah Zwicker at the front desk and Elenita Blackwell, a self-motivated optician. She kept employees in mind during her planning. “If staff is happy, the patients are happy. We wanted an area for them to relax.” There’s a kitchen area with a full-size refrigerator and dishwasher and a private staff bathroom. During the time between her graduation from Pennsylvania College of Optometry and her practice opening, Dr. Thomas says that she worked in nearly 20 different office locations including MD/OD practices, independent optometrist offices and corporate-affiliated locations in California and Indiana. “Many places didn’t have a need for a full-time OD,” she explains, so she filled in and covered hours, gaining valuable experiences along the way. She originally began investigating practice ownership while living in California—and had a practice partner lined up—before their move to Indiana. She continues to cover hours in a local Target store as she builds up business at her new office. WO Women In Optometry June 2016 WO2Q16.indd 38 6/2/16 2:32 PM OFFICE DESIGN His and Her p 39 Influences Office remodel reflects personal styles of OD, her COO husband t’s been 16 years since Avani Patel, OD, FAAO, completed a successful buyout. She moved the business across town in 2008 to its current location in a stand-alone, owner-occupied building and developed her brand by incorporating Alamitos Eye Care as an optometric corporation. The space recently underwent a renovation with the help of her husband and Dr. Patel practice COO, John W. Osborn II, and contractor friends. “We’ve been in this location for about eight years, and most of the décor was from the previous location and was getting tired,” Dr. Patel explains. Osborn says that the remodel displays I The downstairs area has a shabby-chic feel. two distinct characteristics for the first and second floors. “The first floor, where all the regular, daily activities of her practice are carried out, is a shabby-chic style,” he explains. They drew inspiration for this floor from local retail stores in the Long Beach, California, community. “There is a lot of very creative work going on around here, as we are close to Los Angeles and Hollywood,” Dr. Patel says, adding that this part of the office is a representation of her own personal style. The second floor caters to a value-line sector of the optical business executed in a rock n’ roll theme, as well as the in-house lab, archive and storage areas and his administrative office, Osborn says. Osborn, a musician for more than 40 years, says this area reflects The rock-and-roll theme of the upstairs features more value frames. his own passion for music. “We pulled together my collection of guitars and music memorabilia, and voila, ‘The Studio at Alamitos Eye Care,’” Osborn explains of the chosen name for the upstairs space. They also created a custom space for Dr. Patel to hold presentations in the office with a drop-down screen and ceiling-mounted projector. Dr. Patel works closely with cabinetry, and corner cabinets were custom institutions in the area for her work as a made to match by a friend who is a carpenter. Fellow of the “A few antique American pieces, like the Academy of piano stool optiOptometry in cian seating, were low vision. borrowed from During the our home collecday, the tions,” Dr. Patel screen is says. Osborn adds r. Avani Patel and John Osborn II often used for that the remodel created new “business cards” on guitar playing music has been wellpicks to mirror the rock-and-roll theme of videos, and received in the the second floor of their office space. This regularly music community. “We clever extension of their office atmosphere plays throughout support many leaves a memorable impression. WO the office during arts, sports and Marketing Plan in Tune With Office Design D the day and after business hours end at 6 p.m. The total renovation project took approximately eight weeks as they completed parts piece by piece. Dr. Patel picked out furniture and Dr. Patel’s creative business card academic programs, partnering with our local school district through advertising and sponsorships, and the response to our updated look has been unbelievable,” he says. WO Women In Optometry June 2016 WO2Q16.indd 39 6/2/16 2:32 PM Voices Voices p 40 Voices Voices Voices Voices Empathetic Communication Is Key to VT Success invite the parent to make an appropriate commitment, such as booking an evaluation or enrolling in therapy. Two-thirds of this interaction is listening. Most parents have talked to teachers, tutors, school administrators, MDs, psychologists and learning fourth-generation optometrist, I started disability specialists, all of whom may not ask many questions or deal out as a vision therapist in my mother’s with the emotions. We are often the first people to listen carefully to practice. Years later, as an OD, it was what they have to say. Each conversation is unique and digs deep into natural to add vision therapy (VT) to my the emotion of the situation and helps parents and patients understand Dr. Philbrook own primary care practice. Today, I’m still in how VT will enhance their lives. We have found that to be more sucthe same two-story office and home as my late cessful than explaining the technicalities of how VT works. mother, but I’ve made many upgrades. VT is a specialty that has provided me great professional satisfacIf you are charging appropriate fees with a practice system in place tion, financial reward and personal freedom. For me, that includes many and trained staff, you can have a seven-figure practice with fewer than years of leading the annual Heart of America Congress of Optometry; an 150 VT patients per year. That will require between 500 and 800 hours active social life; and, more recently, being elected a Wyandotte County in the office per year. Staff handles intake and most of the testing and Commissioner as a consultations. I focus on evaluation of patients and working with parkey player in social ents to reveal that vision is the problem and VT is the solution. I also programs and jobs spend time on community outreach and staff training, education and projects. encouragement. I’m passionate We follow a system called RTEC: recognition; talk; three Es, about helping new explain, experience and emotions; and commitment. This formatted ODs get started to sequence of questions and interactions with parents and adult patients help the estimated 60 starts with triggering recogmillion to 80 million nition of the problem. Then, r. Philbrook has created the Quick people who have a we talk through a series of binocular vision probStart VT Course, a clinical program questions so that I have an lem that could benefit idea what the problem is. to help doctors get started in this from VT. Currently, In the three Es, the staff specialty. For more information, visit only an estimated explains the link between idealvt.com/institute.htm or email her 200,000 people vision and the problems the at [email protected]. Tuitions receive VT each year, patient is experiencing and go toward outreach to other ODs. so the opportunity is the emotions surrounding huge. WO those. The final step is to By Jane Philbrook, OD, of Kansas City, Kansas, with Tom Lecoq A D Advice From an Ocularist ✦ The eye should look good. The goal is that the prosthetic eye is not apparent cosmetically to another person. ✦ Patients should not be removing the eye daily or even inherited Carolina Eye Prosthetics, started in 1987, from frequently to flush it. In general, a prosthetic eye should be my father when he was diagnosed with ALS in 2012. removed about twice a year. If it’s uncomfortable, something Referrals come to us from all around North Carolina, South might be wrong. Carolina and Virginia, but some people even travel from ✦ A patient who has been told that he or she “has an Tennessee and Maryland. Most of our referrals come from allergy to the plastic” is repeating a catch-all excuse for a surgeons and institutions, such as Duke, although the internet poorly fitting eye. It’s rare that someone has an actual allergy has allowed me to go directly to the patient. to his or her prosthetic eye. Punctal plug problems or dryness Anna Boyd Jefferson What I’ve found in my conversations in communities might be the contributing factors. is that many optometrists aren’t very familiar with prosthetic eyes. So An initial visit with an ocularist—at our location, at least—can take I’d like you to know that, first and foremost, prosthetic eyes should about five hours. We spend a lot of time not only looking at the shape not be uncomfortable or cause infections. I’d encourage you to have a of the conjunctiva and other anatomical features, but we also talk about patient consult an ocularist if a prosthetic eye is older than five years. cosmetic appeal and get to know the patient. Once the prosthetic eye Remember these general guidelines, too. has been fitted, subsequent visits last only about 15 minutes. WO Anna Boyd Jefferson, board certified ocularist in Burlington, North Carolina I Women W omen In Optometry Junee 2016 WO2Q16.indd 40 6/2/16 2:32 PM Voices Voices Voices Voices p 41 Voices Voices Identifying Patients Who Need Vision Rehabilitation and Therapy By Tamara Petrosyan, OD, assistant clinical professor at State University of New York, College of Optometry f you see children and young adults in your practice, a significant percentage of them will have issues with accommodative, binocular and oculomotor function. An estimated 10 percent to 20 percent of the U.S. population has symptoms due to binocular or accommodative dysfunction. Unfortunately, only a small percentage of these individuals are identified, yet alone treated. Adding a few key questions to your history may be all it takes to help identify at-risk patients. A problem-focused and extensive case history can be one of your most useful tools when trying to identify accommodative, binocular or oculomotor dysfunctions. A visual function questionnaire, such as the one below, can be mailed to the patient or parent, placed on your website or handed to the patient upon arrival. If the patient answers positively for five or more of the below 25 questions, a more in-depth I Continued on page 42 Dr. Petrosyan Visual Function Questionnaire Never Infrequently Frequently blurry vision with reading or doing near work words go in and out of focus when reading headaches with reading or doing near work things far away look blurry after reading vision is worse at the end of the day avoid reading or doing homework hold reading material close to face eyes feel tired, sore or uncomfortable after reading words run together, move, jump or swim you see two of something when there should be one close or cover one eye when reading difficulty copying from the board lose your place when reading perform poorly in math, misalign digits or columns skip words, skip lines or reread material omit small words when reading reverse letters or numbers write up or down hill feel sleepy or lose concentration when reading trouble understanding or remembering what you read dizziness or nausea with reading homework takes a long time to complete perform below your potential at school understand things better when they are verbally explained versus when you read them yourself attend extra help in school or get therapy (occupational, physical, speech or reading) Women W omen In Optometry June 20 2016 016 WO2Q16.indd 41 6/2/16 2:32 PM Voices Voices p 42 Voices Voices Voices Voices This Is Not My Gig: Discovering Your Purpose Amanda Tompkins, OD, instructor and OD at The Eye Center at Southern College of Optometry each one by one. I paused when I realized there was one that I had left out: optometry. In that moment I thought about my personal experience with “one or two” and how it felt to be a patient y fingers were losing their grip as they turned into at the optometrist’s office. I thought about the big eye model and icicles. My scooping arm was growing numb. As I room full of frames. I thought about the clean air and the friendly placed the 1 millionth scoop of ice cream on top of the faces and the not-so-scary atmosphere; it almost felt fun. Then 1,000th sugar cone, I scanned the room. I saw a sea of I said, “I can’t think of anything wrong with optometry.” dirty little baseball caps, the remainder of the Little League team I knew from my pharmacy experience that I needed to get still to order their sweet dairy treats from the fountain, and the my feet onto the soil, feel it out. There had never been a fullguy behind the other counter. He was sorting pills and filling bottime optometrist in my town, but as serendipity would have it, Dr. Tompkins tles, bottle after bottle after bottle, countless prescriptions. It was I had overheard at the pharmacy that there was an optometrist then that I knew pharmacy was not my gig. commuting to our town a couple times per month Driving home later that evening after refilling to serve our community. I contacted him, met him the chocolate sauce, mixing up the sugar water on a day he was in town, and began commuting and cleaning off the milkshake machine, I realized to his practice 30 miles away. Working in a pharmacy’s I was back at the drawing board. What was I Day after day, I still couldn’t think of anysoda fountain made a going to be when I grew up? I had been in pursuit thing wrong with optometry. In fact, I forgot of a career in pharmacy because it was something I was putting it on trial. I was falling in love. young woman realize I could do in my rural Kentucky town that was As with romantic love, I was swept away, she needed a change medically related. I was honored to say that for my challenged and fulfilled. I was growing and first job, I was a soda jerk at the oldest pharmacy learning, and I was committed. Love takes us of direction. in Kentucky, but my heart wasn’t stirred. to unexpected places, and this has never been Weeks later, I was sitting on my bed, running more true than what I have seen happen with through all of the career options in my head, eliminating my career. WO M Identifying Patients continued from page 41 evaluation of visual function should be performed. Make sure that a parent understands that, if possible, he or she should be asking the child to answer these questions instead of filling it out for the child. Young children may not express symptoms because they presume everyone else sees and feels the same way they do, not realizing that not everyone sees words moving on the page or gets a headache after reading. There are many highly trained and qualified doctors of optometry who perform vision therapy and rehabilitation in each state. We should be making use of these practitioners and their services for intraoptometric referral. They will work with the patient and parent to develop a treatment plan that works for them, whether that may be monitoring, eyeglasses, prisms, in-office therapy or home-prescribed therapy. When referring a patient for an evaluation, be sure to note what specifically the patient is being referred for, when you want the patient to return to you, whether you have an optical in your office and in what form you would like a report to be sent to you. WO Resources on Vision Therapy Available from the AOA Y ou can access the full American Optometric Association (AOA) Clinical Practice Guideline (CPG1) on Accommodative and Vergence Dysfunction here: http://www.aoa.org/optometrists/tools-and-resources/ clinical-practice-guidelines and the Quick Reference Guide (QRG-18) here: http://www.aoa.org/optometrists/ tools-and-resources/quick-reference-guides. Visit womeninoptometry.com for web-extra content of this story, including additional tests and diagnostic findings for various accommodative and nonstrabismic vergence dysfunctions. WO Let Your Voice Be Heard Are you interested in sharing your views or experience in this space? Women In Optometry invites submissions to Voices for each issue. Contact Editor Marjolijn Bijlefeld at [email protected] for more information. 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