IMHO, OD’s shackled themselves with some of their own rules and regs. You can delegate pre-tests but not refractions. In almost, (if not all states) OD’s have to perform that test themselves while OMD’s can delegate staff to perform that end of the test. Delegation of duties is the main reason OMD’s can see and book many, many more patients a day. If you, as an OD want to grow your practice and see more patients you have to hire or partner with another expensive doctor.

You guys are highly trained to perform complex medical exams. OD’s should be able to delegate and write-off on your trained personnel.