Originally Posted by
wmcdonald
A medical assistant is ill-defined, just like an Optician. Some states requires Opticians to have some minimal background, while others a pulse. People are often offended here when I say this, but the ABO is very basic and a poor measure of anything. If that is a national standard, then we have no place to go but up. Nurses and Dental Hygienists long ago passed us up. There is no comparison to what a typical Optician does to the advanced things RNs, and even some LPNs do every day. The typical Optician takes a PD, measures a seg height and takes the money when the order is complete. They have little understanding of how the Rx affects the visual system and it is a shame. It is not their fault, however, but the fault of a continually declining system that has failed them. An example. I was recently asked for help from a couple of folks who has been unable to pass the boards in my state. Granted NC has a very rigorous board, but still they had multiple attempts and after their 3.5- 4 year "apprenticeship" and internship training program and completion of a 6-course certificate at Durham Tech could not understand basic optical principles. Their supervising Optician long ago forgot that kind of stuff since they rarely use it they indicated. You get the picture.
Now, they can go over to Alabama, and as long as sales are good (it makes little difference if they understand the affect of what they are selling/recommending) they are the top dogs! Alabama like 26 other states requires no license. Now, are there knowledge Opticians there? I am sure there are. I am sure most think they are. I have never met one who thought they were not, until they were asked a simple question and could not solve it.
So, until Opticians wake up, and there are several of us who have taken a lot of heat for trying to tell them this for years (and you will see some of that in the responses to this post very soon) and have mandated formal education that provides common ground across the nation, and licensure in every state we will continue to decline. We must also seek to expand what we do beyond that simple PD and seg height. We can do more, and should, but the vision has to be more than mine, or Roy, or Duffy, or any individual. It has to be all moving towards the same goal. Is licensure realistic? Probably not. It is probably too late for what used to be a valiant profession, but I continue to hope for the best.
You asked a question about the level of appreciation of the American Optician. I just may be equal to the amount of dues we pay to enter the field, don't you think? If you really look at income, the average Optician in this country makes about 40K, and managing Opticians much more, with high school diplomas being the major level of education. Similar, if not more, to teachers. We have to get real about ourselves to improve. But think about this. About a third have Associate Degree, and/or 2-years of college of some sort. 16% a 4-year degree and 5% a grad degree. Man, if we just start to establish some standards we could really improve the field as a whole and move us forward. Then if we found some common ground......just maybe, we could start to move forward slowly rather than decline for a change.
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