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In the United States licensed optometrists must earn a Doctor of Optometry degree from an accredited optometry school and pass a written and a clinical State board examination. Admission to optometry school is competitive. Optometrists usually remain in practice until they retire, so relatively few job openings arise from the need to replace those who leave the occupation.
Other workers who apply scientific knowledge to prevent, diagnose, and treat disorders and injuries are chiropractors, dentists, physicians and surgeons, podiatrists, and veterinarians.
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Optometrists work in places—usually their own offices—that are clean, well lighted, and comfortable. Most full-time optometrists work about 40 hours a week. Many work weekends and evenings to suit the needs of patients. Emergency calls, once uncommon, have increased with the passage of therapeutic-drug laws expanding optometrists’ ability to prescribe medications.
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Median annual earnings of salaried optometrists were $86,090 in 2002. The middle 50 percent earned between $62,030 and $115,550. Median annual earnings of salaried optometrists in 2002 were $87,070 in offices of other health practitioners. Salaried optometrists tend to earn more initially than do optometrists who set up their own independent practice. In the long run, however, those in private practice usually earn more.
According to the American Optometric Association, median net annual income for all optometrists, including the self-employed, was $110,000 in 2002. The middle 50 percent earned between $82,500 and $156,500.
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Employment of optometrists is expected to grow about as fast as the average for all occupations through 2012, in response to the vision care needs of a growing and aging population. As baby boomers age, they will be more likely to visit optometrists and ophthalmologists because of the onset of vision problems in middle age, including those resulting from the extensive use of computers. The demand for optometric services also will increase because of growth in the oldest age group, with its increased likelihood of cataracts, glaucoma, diabetes, and hypertension. Greater recognition of the importance of vision care, rising personal incomes, and growth in employee vision care plans will spur employment growth, as well.
Employment of optometrists would grow more rapidly were it not for anticipated productivity gains that will allow each optometrist to see more patients. These expected gains stem from greater use of optometric assistants and other support personnel, who will reduce the amount of time optometrists need with each patient. Also, laser surgery that can correct some vision problems is available, but expensive. Optometrists will still be needed to perform preoperative and postoperative care for laser surgery; however, patients who successfully undergo this surgery may not require optometrists to prescribe glasses or contacts for several years.
In addition to growth, the need to replace optometrists who leave the occupation will create employment opportunities. Relatively few opportunities from this source are expected, however, because optometrists usually continue to practice until they retire; few transfer to other occupations.
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