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r e v u e C a n a d i e n n e d ’ o p t o m é t r i e Vol 70 No 6 November / novembre 2008 183 Optometrists today are fortunate to have various types of employment opportunities to choose from. Along with the traditional private practice there are corporate practices, laser clinics, research and teaching. The private setting is still the preferred mode of practice but as time goes on, more doctors are choosing the corporate option. Nearly half of new graduates from U.S. schools are going into corporate optometry to start their professional career. Several business arrangements are available in the corporate setting. As a franchise, the doctor owns the professional practice and runs it as a completely independent business. The doctor may sub-lease his space from the optical corporation and again operate as an independent business. An optometrist may work as an independent contractor for the corporate entity where they are paid for their time or by the number of patients they see, or the optometrist may simply be employed by the optical. The attraction for working in a corporate environment is the higher starting salary compared to that offered to an associate in private practice. New graduates finish their education with a high debt load, estimated at anywhere from $100,000 to $200,000 (US data). The ability to make a high salary with no risk and no capital start-up costs while allowing the doctor to pay down their debt is difficult to resist. The marketing power of the optical, which is typically located in a high traffic area, provides an immediate busy practice for the doctor. When asked, many doctors who enter the corporate practice say they see this as a stepping stone towards their ultimate goal of private practice. They want to reduce their debt load and be certain they like working in the area before moving to private practice. Doctors in private practice should keep this in mind when searching for new associates or partners. Many doctors find the general working environment in a corporate practice appealing as they can spend most of their time on patient care. Management issues, and headaches, Alphonse Carew BSc, OD, MBA Private Practice and Corporate Optometry Compared