As owners and/or managers of small business, optometrists usually think of firing in terms of how and when to fire an employee or associate. However, there are times when it is necessary and prudent to fire a patient. This is one of the most difficult tasks we encounter, and it is actually very hard to do.
There is no question that our profession is undergoing rapid change as well as significant challenges. As a profession, we are faced with the dual responsibility of protecting our patient and maintaining our proficiency. Both of these also fall under the legal jurisdiction of the State Board of Optometry in the states in which we are licensed. Some state boards have already acted, but most have not. One that has not is California.
One of the first lessons doctors learn once they actually get into practice is that we are all in business. The business aspect of optometric practice is comprised of multiple layers and elements that are challenging at best.