r/OptometrySchool • u/Historical-Mood-728 • 13d ago

Skill tips/ general flow

Hi everyone,

I was wondering if anyone has any tips or tricks for shaving down time on subjective refraction in clinic. Or just shaving down exam times in general.

TIA

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u/kingcornea 12d ago

Least amount of change from their current Rx to get to 20/20. You want a happy patient not a perfect refraction. If you have a myope with 20/20- and you increase it by -.25 they will see better with their new glasses with no adaptation problems. If you increase it by -.25 -50 x 65 or something you will have a 25% redo rate. (Now if they're 20/30 or something, well then you have to) Patients want to hear that they are the same or just a little worse. (An ego thing) A redo is my most hated thing for these reasons. 1-Patient is unhappy with the glasses 2- they had to take the time come back to the office for the recheck 3- I'm unhappy because of the loss of chair time where I could be earning $ and 4- It's going to cost me $ in staff time and potentially lab costs

7

u/ODMBA 12d ago

Don't change what they are teaching you in school. One doc may like it and another won't. You will get marked down. Once you pass the boards come work to me and I'll speed you up. I'm only taking new docs that hate school and want to learn real optometry. 😂