So.
Well today was, of course, my second “interview” since we’ve come back from Palestine. I should mention that I haven’t done any cold calling at all. I figured it would be hard to convince someone they needed to hire me if I was leaving shortly thereafter.
So I’ve simply been looking at the “help wanted” ads on various internet sites. As I’ve said before there hasn’t been much out there. What we have run across is a million miles away and difficult to accept when we have but one car.
Perhaps we should purchase a second car?
Like a Volkswagen EOS?
That’s it.
In order to make it easier for me to take a job we’ll buy a new car. Like a Volkswagen EOS.
So the “interview” was at 3:30 pm at a Wal-Mart about 20 miles from our home.
The morning started with me driving Swell to her work and then heading home to pass the time until 3:30 rolled around. I left home at about 2:10 pm as I had never been to this Wal-Mart – or for that matter any Wal-Mart in the Atlanta area – ever.
Pam-Pam gave me good directions and I didn’t get lost, although upon arriving at my destination I realized if left to my own devices I would have gone a more direct way. I was there nonetheless.
And I was early.
A mere 55 minutes early.
I lucked out and this Wal-Mart was part of a newish looking strip mall. It contained many stores and restaurants so I decided I would get a quick bite to eat to pass the time.
And eat I did.
Eventually it began to creep closer to my “interview” time so I left the restaurant headed back to the car to dump my sunglasses and get my CV. I had emailed my CV to this woman earlier but I figured I should bring a copy just in case.
I arrived at the Wal-Mart Optical at 3:20 pm. I figured it is better to be early than late. So early I was.
I spoke with the optician a bit. I indicated I had a meeting with the optometrist (I had no idea how to pronounce her last name so I referred to her as the optometrist). The kind optician informed me that I had, in fact, beat the optometrist to the store.
I was there. She was not.
The optician wanted to know if I was being interviewed for location X or location Y.
Me: Ummmm…. dunno?<
The optician than asked me if I had any experience in the optical field.
Me Ummmm… I’m an optometrist?
Optician: Ohhh! Well Dr. ABC isn’t here so if you want to walk around we can…ummm… page you!
Me: Ummmm… I’m ok just hanging out here. Unless I’m making you uncomfortable?
Why I would want to wander around Wal-Mart prior to an interview is beyond me. But the offer was made and I declined.
Eventually someone came into the store to be helped. So I was left on my own. I sat and played with my phone. It was so fun.
I was a little peeved that I arrived before the interviewer. Turns out that Mondays are her day off and she had to come in for me.
I don’t know about you but if I had someone I needed to interview I would plan to be there at least 30 minutes early to ensure I was there on time and that I was mentally and physically prepared for the interview.
I’m not sure at what time she arrived but I don’t think she was too late, perhaps on time. I didn’t really note the time though.
She takes me to her office. Why office and not office? Well because it was a gigantic desk “hidden” around a slight corner. It was visible to anyone who walked toward the exam rooms and was bigger than any desk I’ve ever seen in my life.
Wide? Check!
Tall? Check!
Long? Check!
It turns out that this Wal-Mart Optical is on the small side and the leasing Doctor needed an office. Rather than making a small office in one of the exam lanes she chose to instead make the waiting room her office and move the waiting room chairs into a decent sized hallway. I don’t know what she intends to do when she’s busy and she has confidential paper work strewn across her desk for the whole world to see but that’s not my concern I suppose.
Let me step back from this tale to tell you dark optometric secrets.
The first secret is that there is a vast over supply of optometrists in the United States. Too many optometrists produced each year. The rumoured creation of three new schools in the next three years will only make this oversupply worse.
The second secret is that the practice of optometry is not all that difficult. While it is true that there is a lot of theory and knowledge behind the practice of optometry for the vast majority of patients optometry is not all that difficult.
The third secret is that optometry has its roots in retail. That is, optometry’s past was one of sales. Many would argue that current optometry is also one of sales. In the past(?) optometric eye exams were very cheap or free and the optometrist made up for the low cost eye exam via a large markup on the frames and lenses. As optometry developed as a profession optometric education advanced and optometrists moved from solely determining eye glass/contact lens prescriptions to the detection of ocular disease to the treatment of ocular disease. As all of this occurred very little changed in the cost of an eye exam. Exam costs were low but profits from the sale of spectacles were still high.
MBA's around North America looked at optometry and saw the profit in selling glasses and decided that they wanted a piece. Wal-Mart, Costco, Target, Lenscrafters America<’s Best, Binyon’s, VisionWorks, etc. started to sell glasses. They also decided that it would be good to have an optometrist nearby to perform eye exams and “capture” the patients’ eyeglass sales. In most cases the optometrists do not work for the store, rather they rent the exam space near/in the store for a very low price and churn out prescriptions in the hope that a good number of patients buy glasses from the nearby store. It is cheaper for the optometrist than starting a private practice and requires very little business acumen to be “successful”.
One of the big problems with optometrists who do this type of optometry is that the exam prices are still artificially low but they do not get any profit from the sale of glasses so they need to do volume to make any money. Lots of patients = quick exams = decent pay. Good/slower exams = few patients = low pay. The stores have no problem with quick exams. In fact they prefer them. Even though the optometrists are supposed to be independent the stores often dictate hours, number of patients to be seen (ALL WALK INS) and the type of exams that should be done. Prescriptions are far more important than medical care. So optometrists in these situations often use very little of their education and just crank out prescriptions and refer everything else out.
So here I was at my Wal-Mart interview – not really being interviewed by Wal-Mart but being interviewed by a Doctor working in Wal-Mart and leasing space from Wal-Mart.
Upon seeing the interviewing optometrist I knew I was in trouble.
She was young enough to be my daughter (graduated last year). She wasn’t terribly dressed up – I guess because it was her day off – and she was young (did I say that already?).
Anyhoo… she took me to her office and took my CV (good thing I brought it I guess.)
As she peruses my CV she basically says: “So, ummm…., tell me about… ummm… your experience?”
Ok. The last interview wasn’t really an interview but you want me to tell you about my experience? Five years of experience. Probably about 12-15 different jobs?
So I did. I started at the beginning and ended at the end. Not much to say. I graduated. I worked as an optometrist. I went to Emory. I went to Palestine. Now I’m looking for a job.
It bothered me just walking into Wal-Mart. It bothered me that I was there before her. It bothered me that she was so young. It bothered me that her “office” was out in the open. So when she asked why I got my MPH I told her. I told her that I thought that optometry was not a useful degree when it came to making a difference in the world (on a global community level) and that I thought the type of eye care missions that optometrists go on are stupid and a waste of time (not in those words).
I knew that a lot of optometrists – especially young ones – have been on these types of trips so it didn’t surprise me when she was slightly offended by that. She then proceeded to justify her Jamaica experiences as better than normal optometric missions although they were the same. I told her to keep her eyes out for the article that I helped write (she obviously didn’t read my CV) and that I had another one that should be coming out soon.
I’ll admit I was trying to show her up. I didn’t really want the job and I was being a smart-aleck. She then asked me if I had any questions for her.
Let’s review. The interview was:
1. Tell me about your experience.
2. Do you have any questions for me?
She asked so I asked.
Are you looking for an employee or an independent contractor?
“Ummmm… I’m open to both what were you thinking?”
Me “Well, legally I would be an employee so paying me as such is probably safer for both of us. How many days are you looking for? What are you paying? Etc. etc.”
The answer to the pay question was awesome! She said: “What were you thinking?”
Smart-Aleck “Do you know what the going rate in Atlanta is?”
Her “Sure, what do you think it is?”
Smart-Aleck “It is $XXX - $XYX”
Her with a look of shock: “$XXX sounds about right but if you are going to be an employee I have to pay your taxes (OK, obviously an exaggeration as she would pay employment taxes) so it’s not really $XXX I would pay you $XXX – XX = $YXX but really that is the same as $XXX.”
No it isn’t. I know the XXX is confusing so let me give you an example. If I said that the going rate in Atlanta is $50 per day she would say why yes it is but I have to pay your taxes so I’ll pay you $40 because the other $10 would be your taxes.
WHAT?
I just smiled.
She then showed me her exam equipment.
One last story because it will really show you how much I shot myself in the foot being a smart-aleck.
She showed me a machine that takes pictures of the back of people’s eyes and transmits that image to John’s Hopkins University where Ophthalmologists look at the pictures and then transmit a report back to the optometrists.
I was aghast! There is no need for such an instrument in an optometrist’s office (she is one of 11 test Wal-Mart offices in the US to have one) so I said: “Let me be cynical for a moment. Do you not think using this instrument is going to put you out of business?” “In Canada opticians (who attend technical school after high school) are being used to do computer based eye exams (determine prescriptions) which are then signed by an ophthalmologist who is in a remote location. With this instrument they can now conduct a complete eye exam. Find a prescription, send the health check to a remote ophthalmologist and there is no need for an optometrist.”
Her response is that patients always come back to find out what the report said. This is terrible. The optometrist can diagnose the problem and determine a plan of action. If the problem requires surgery they are sent to an ophthalmologist. If not, they can be treated/followed by the optometrist. So now she is working in Wal-Mart, thereby demeaning our profession. Seeing a million people a day and telling them that the remote ophthalmologist says everything is ok. She is a technician.
She will be replaced within the next 15 years by low level technicians who are paid next to nothing by the optical store.
Good bye optometry. Hopefully I can get out before it gets real bad. I doubt she’ll offer me the job but I was sure to tell her that I have more experience than anyone else she is interviewing (new grads.) We’ll see.
I really don’t care to be honest with you.
I should mention that she loves her “job” and has been given (is going to lease) two more Wal-Marts in the next few months. This is the new way to make money in Optometry. Take advantage of the over supply of Optometrists by paying employee optometrists very little. Sign multiple leases with a commercial overlord thereby creating volume over multiple locations. The leasing doctor becomes wealthy off the work of employee optometrists.
Good for her, I suppose.
Not the life for me.
But I’ll do anything for a year.


