Why Four Years of Med School?

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girlscallmepogi

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I searched and couldn't find too much info, but what do ophthalmologists do, besides surgery, that optometrists can't?

I hear the residency for basic ophthalmologist(no two year specialty) is only three years, and optometry school is four years, yet the ophthalmologist can do more.

Thanks.

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girlscallmepogi said:
I searched and couldn't find too much info, but what do ophthalmologists do, besides surgery, that optometrists can't?

I hear the residency for basic ophthalmologist(no two year specialty) is only three years, and optometry school is four years, yet the ophthalmologist can do more.

Thanks.

I'm sure that others will have comments, but here are a few key points:

1) Ophthalmologists are medical doctors (M.D.'s), who like other physicians, may prescribe all drugs via all routes and perform procedures and surgery. Ophthalmology is a surgical specialty (much like Otolaryngology, Orthopedic Surgery, Urology, etc). The ability to perform surgery is NOT a minor distinction. Ophthalmologists spend much of their time in the operating room and seeing pre-op and post-op patients, and much of the Ophthalmology Residency is focused on surgical training.

2) An Ophthalmologist specializes in all aspects of eye care, including diagnosis, management, and surgery of ocular diseases and disorders. Optometry traditionally involves examining the eye for the purpose of prescribing and dispensing corrective lenses and screening vision to detect certain eye abnormalities.

3) Ophthalmologists have attended 4 years of college, 4 years of medical school, completed a full-year medical or surgical internship, and complete a 3-year ophthalmology residency. Approximately half of ophthalmologists pursue additional sub-specialty training of 1 or 2 years in areas such as cornea, glaucoma, retina, oculoplastics, pediatric ophthalmology, neuro-ophthalmology, etc. Thus, ophthalmologists have completed 8-10 years of graduate training after college (versus 4 years for optometrists).

4) Optometry school and Ophthalmology residency are very different. Opthalmology residents are physicians, and an Ophthalmology Residency consists almost entirely of clinical training. In contrast, much of the time in Optometry School is spent in the classroom. Optometry school students are just that, students, usually just out of college. Much of the optometry school curriculum covers topics that Ophthalmology Residents already learned in medical school -- Neuroanatomy, Human Anatomy and Physiology, Biochemistry, Pharmacology, etc.

5) When physicians begin their Opthalmology residencies, they have already completed 3 full years of clinical training (2 clinical years in medical school and a 1-year internship). Optometrists generally have no clinical training prior to Optometry School.

Hope thats helpful.
 
I have been quite surprised at the lack of knowledge of 4th year optometry students. Their clinical knowledge is much worse than a PGY-2 ophthalmology resident even though the original post seems to hint that each year of optometry school is equivalent to each year of residency.

One problem that I see is that optometry classes are much larger than ophthalmology residencies. Residencies are typically 3 per year (1 per year is not permitted, a few are 2, there are some 4-6). On the other hand, optometry schools may have a class of larger than 100. Related to these numbers is the fact that an optometry school graduate finishes school after seeing only 1,500 patients (source: Univ. of Houston College of Optometry). This is less than a first year ophthalmology resident sees.

If optometry schools wanted their graduates to be equivalent to ophthalmologists, they should expand their length from 4 years to at least 7-8 years (which would still be shorter than the medical school route) and cut their class size by at least 2/3's. If optometrists want to make more money, reduction in their numbers would help.

In Oklahoma, OD's can do certain surgeries (PRK and some others, all laser related). If the optometry board approves (with no other group having the power to veto or question them), OD's will also be able to do everything from retinal surgery to facelifts and even heart/lung transplantation.
 
girlscallmepogi said:
I searched and couldn't find too much info, but what do ophthalmologists do, besides surgery, that optometrists can't?

I hear the residency for basic ophthalmologist(no two year specialty) is only three years, and optometry school is four years, yet the ophthalmologist can do more.

Thanks.


WHAT??????? Are you for real??

:eek:

Ask an optometrist how to treat diabetes then...
 
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