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Advocacy and the Future of Ophthalmology: Insights from Roya Garakani, DO, OD – October 2, 2024

At a recent Future Leaders in Sight event, Dr. Roya Garakani, DO, OD, shared her unique perspective on the role of advocacy in ophthalmology and optometry, emphasizing the importance of early involvement and the impact it can have on both patient care and professional development. As someone deeply engaged in advocacy from her time in training, Dr. Garakani’s insights shed light on the evolving landscape of eye care and the urgent need to protect patient safety.

Addressing Various Advocacy Issues

Dr. Garakani was quick to point out that while scope of practice tends to dominate advocacy discussions in both ophthalmology and optometry, there are numerous other critical issues that require attention. Payment cuts, for example, continue to challenge providers, especially those performing advanced procedures like minimally invasive glaucoma surgeries (MIGS), which are affected by Medicare policies. Prior authorization also remains a major hurdle, disproportionately affecting ophthalmologists and their patients by delaying or denying necessary treatments.

Advocacy on these non-scope issues is also critical, Dr. Garakani noted, because they have a direct impact on the ability of physicians to deliver timely, effective care. “Advocacy gives us the opportunity to positively impact patient care first and foremost,” she explained, reiterating that protecting patient safety and ensuring access to care should always be at the forefront of advocacy efforts.

The Many Benefits of Advocacy

For those wondering whether advocacy is worth the time and effort, Dr. Garakani was clear about its benefits. Advocacy provides an opportunity to protect patient care and safety, but it also offers significant professional advantages. Involvement in state and national societies opens doors to leadership positions, networking opportunities, and a deeper understanding of the healthcare system.

Dr. Garakani encouraged students and residents to research the advocacy programs at the institutions they are interested in, noting that involvement in advocacy can set applicants apart in a competitive residency landscape. “Talk to residents about their program’s involvement in advocacy,” she advised, suggesting that this could help students find a program that aligns with their interests and values.

A Call to Action

Dr. Garakani’s talk was a powerful reminder of the role advocacy plays in shaping the future of eye care. Whether through financial contributions, legislative engagement, or active participation in state and national societies, advocacy allows physicians to protect their patients in a powerful way. For students and early-career physicians, getting involved in advocacy not only makes a difference in patient care but also provides opportunities for leadership and professional growth.

As the healthcare landscape continues to evolve, the need for strong advocates for patients is greater than ever. Dr. Garakani’s insights offered a roadmap for how to get involved and highlighted the importance of starting early. “Take pride in the skill it takes to do the work you do,” she concluded, emphasizing that advocacy is a way to honor those skills by ensuring that the highest standards of care are maintained for all patients.

Advocacy and Education in Ophthalmology: A Conversation with Dr. Daniel Knoch – September 24, 2024

Future Leaders in Sight recently hosted Dr. Daniel Knoch, an esteemed ophthalmologist and educator, for a discussion on advocacy, ophthalmic education, and the unique challenges of balancing multiple roles in an academic setting. Dr. Knoch, known for his leadership at the University of Wisconsin and his dedication to medical education, shared valuable insights on everything from advancing in ophthalmology as a student to managing the complexities of an academic career.

Balancing Multiple Roles

One of the key questions posed to Dr. Knoch was how he balances the different “hats” he wears in his academic and clinical life. As someone deeply involved in patient care and education, he acknowledged the challenge of juggling multiple responsibilities. “If you’re good and you care, people will ask you to do more,” he noted, emphasizing that the ability to say “no” is important. Dr. Knoch also encouraged creativity in completing all the things one would like to achieve, especially when dealing with multiple demands. He shared strategies for staying organized and prioritizing tasks, noting that while the demands of academia can be overwhelming, a clear plan and creative thinking can help maintain balance.

The Importance of Mentorship and Sponsorship

During the discussion, Dr. Knoch spoke about mentorship and sponsorship in one’s career. While these professional relationships often arise organically, they can also be more formal arrangements, often set up by institutions. These senior figures not only offer guidance and support, but also actively advocate for their mentees, helping to open doors for career advancement.

Dr. Knoch noted that mentorship and sponsorship are critical to career development, especially in a field like ophthalmology where relationships and reputation are key. He encouraged students to be prepared to demonstrate learning and growth, as mentors and sponsors are most effective when they can see a student’s potential and progress over time.

Lessons in Leadership

“Leadership is a skill that you learn as you go,” Dr. Knoch remarked, reflecting on his own journey. As he grew into leadership roles in the academic and clinical spheres, he emphasized that responsiveness to the needs of the academic community has been key. Whether it’s addressing gaps in resident education or advocating for the highest standards of patient care, leadership requires a willingness to listen, learn, and adapt to changing circumstances.

Dr. Knoch’s discussion left attendees with a deeper understanding of what it takes to succeed in academic ophthalmology and how advocacy can play a role in improving patient care and medical education. His advice was clear: focus on building strong relationships, develop a foundation of solid clinical skills, and be willing to adapt and learn throughout the journey.

FLIS Hosts a General Membership Meeting – September 18, 2024

The recent Future Leaders in Sight (FLIS) general membership meeting brought together a passionate group of medical students and advocates united in their mission to advance ophthalmology and safeguard patient care. With exciting updates on current initiatives, leadership, and upcoming events, the meeting highlighted how each member can contribute to the future of eye care. Here’s a recap of the key points discussed:

Overview of FLIS Activities

The meeting kicked off with an overview of FLIS’s recent activities, showcasing the incredible work the organization has done to raise awareness around critical ophthalmology issues. From educating legislators about patient safety to engaging with the professional community on the importance of vision research advocacy, FLIS has made strides in multiple advocacy fronts. FLIS has also seen increased participation from members, highlighting the growing enthusiasm to champion patient-centered care.

Action Groups: Working on Key Initiatives

Action groups are at the heart of FLIS’s efforts. Each group focuses on a specific issue related to vision care and advocacy, and members were encouraged to join any that align with their passions. Here are the updates from our four main action groups:

• Children’s Vision
  The Children’s Vision Action Group has been actively advocating for early childhood vision screenings and improving access to eye care for underserved children. Key initiatives including drafting Amblyopia Awareness Month resolutions and researching paths to introduce them in state legislatures around the country. Early detection and intervention are key in preventing long-term vision problems, and the group has been working on both legislative initiatives and community outreach programs to raise awareness about this issue.
• Vision Research
  This group has been busy advocating for increased funding for vision research at the state and national levels. Key initiatives include contacting and developing partnerships with vision research advocacy organizations, as well as hosting events on this less-well-known area of advocacy. With ongoing efforts to secure federal funding and promote new initiatives in ophthalmic research, this group is making a tangible impact.
• Sustainability
  The Sustainability Action Group has been focusing on environmental sustainability within ophthalmology. They’ve been raising awareness about the impact of medical waste in eye care and pushing for greener solutions, including legislation allowing patients to take home eye drops to reduce waste and cost. This group is working to promote sustainability initiatives within medical institutions and encourage ophthalmologists to adopt more environmentally friendly practices in their day-to-day operations.
• Scope of Practice
  Advocacy surrounding the scope of practice in eye care remains a central focus of this group. The ongoing legislative battle to preserve the high standards of ophthalmic care for the safety of patients is a top priority. While many state legislatures are in recess, the group is continuing to monitor the political climate and mobilize members to ensure that patients are protected.

Leadership Update

During the leadership update, the organization’s leaders shared their vision for the future of FLIS. They expressed appreciation for the growing membership and outlined a plan to expand the impact of FLIS in both the state and national advocacy arenas. A key message from leadership was the importance of engagement. Whether through attending events, joining an action group, or participating in advocacy days, every member plays a critical role in pushing the FLIS mission forward for the benefit of patients nationwide.

Advocating for Patients Every Day: Insights from Dr. Sruthi Arepalli – August 28, 2024

At a recent Future Leaders in Sight event, FLIS Members had the privilege of hearing from Dr. Sruthi Arepalli, a renowned retina and uveitis specialist who has made patient advocacy an integral part of her medical practice. Dr. Arepalli’s experiences and insights highlighted that advocacy for patients comes in many forms and is woven into the daily work of compassionate care.

Advocacy Takes Many Forms

Dr. Arepalli reminded FLIS members that advocacy isn’t limited to speaking with legislators or influencing healthcare policy. While those are essential components, advocacy also happens in the clinic—every day. “There are many ways you can advocate for your patients,” she said, emphasizing that physicians have the opportunity to make a difference in even the smallest interactions. Whether it’s ensuring patients have access to the care they need or helping them navigate complex insurance systems, advocacy starts with putting patients first.

Building a Practice Around Meaningful Patient Care

Dr. Arepalli also touched on how advocacy for patients extends beyond individual cases to how physicians shape their practices. As an attending physician, she has been able to craft the type of clinic she always envisioned—one that embraces a broad spectrum of retina and uveitis cases. She finds the complexity of these cases both intellectually stimulating and deeply meaningful, as they often require long-term care and foster strong patient relationships.

For Dr. Arepalli, advocating for patients means creating a space where they receive the specialized, high-quality care they need. This freedom to shape her practice has allowed her to provide more personalized, comprehensive care, while also building long-term connections with her patients. It’s a testament to the importance of following your passion in medicine and using that passion to advocate for patients in every aspect of their care.

Following Your Passion: The Power of Taking Risks

Dr. Arepalli’s journey into ophthalmology is a powerful reminder of the importance of following what you’re passionate about, even when the path isn’t straightforward. She shared that, during medical school, ophthalmology wasn’t originally on her radar. However, after discovering her love for the field, she knew it was the right fit—even if it meant taking a gap year.

“Back when I took a gap year, they weren’t very common,” Dr. Arepalli noted. But for her, it was the right choice. The time away from school allowed her to explore her interests, gain hands-on experience, and ultimately mature as both a student and a future physician. This period of reflection and growth was invaluable, and she encouraged current medical students not to shy away from taking a gap year if they feel it would help them in their personal and professional development.

With gap years becoming more common today, Dr. Arepalli’s experience is particularly relevant. She sees the growing acceptance of gap years as a positive shift, offering students time to find what truly inspires them and allowing them to become more well-rounded physicians. Her story serves as a reminder that every path in medicine is unique, and sometimes taking a detour is exactly what you need to find your true calling.

Advocacy in Medicine: A Lifelong Commitment

Dr. Arepalli’s talk highlighted that advocacy is a lifelong commitment that evolves throughout a physician’s career. Whether it’s helping individual patients navigate the healthcare system, shaping a practice to deliver the best care, or finding ways to stay passionate about your work, advocacy is woven into every aspect of being a physician.

FLIS members were inspired by Dr. Arepalli’s story of patient-centered advocacy and her unwavering commitment to following her passion. Her journey serves as an important reminder that advocacy doesn’t always look the same, but it is always vital. Whether you are still in medical school or well into your career, you can make an impact every day by standing up for your patients and following your heart.

Advocacy in Action: Insights from Dr. Louisa Di Lorenzo – August 14, 2024

At a recent Future Leaders in Sight (FLIS) event, FLIS members were privileged to host Louisa Di Lorenzo, MD, a distinguished ophthalmologist and a tireless advocate for patient safety and access to high-quality eye care. Throughout her career, Dr. Di Lorenzo has been on the frontlines of legislative battles that affect patient care, and her insights on advocacy left a lasting impact on all who attended.

Advocacy Strategies: Lessons in Success and Challenges

Dr. Di Lorenzo shared her wealth of experience in advocacy, painting a realistic picture of both the successes and the setbacks in this ongoing battle. She emphasized that while victories are possible, they require resilience and a willingness to adapt to challenges. Legislative advocacy, especially in fields like ophthalmology, is complex. It’s not only about presenting a strong case but also about navigating the barriers that come with changing laws and policies. These setbacks often stem from political and financial obstacles or from opposing voices within healthcare.

Her approach to overcoming these challenges? Teamwork. Successful advocacy hinges on strategic partnerships between state and national medical societies. Dr. Di Lorenzo stressed that collaboration is key: individual voices are powerful, but when physicians unite and speak with one voice, the impact is far greater.

The Scope of Practice Debate: A Long History

One of the most pressing issues Dr. Di Lorenzo discussed was scope of practice within eye care. For years, there has been an ongoing legislative push from non-physician providers to expand their roles in delivering eye care. This debate often centers around whether non-physician professionals should be allowed to perform certain procedures done by ophthalmologists. Dr. Di Lorenzo was clear that patient safety must always be the priority in these discussions. While expanding access to care is important, ensuring that patients receive the highest standard of care from trained professionals is critical.

Factors Leading to Success in Legislative Advocacy

Dr. Di Lorenzo offered a valuable roadmap for success in advocacy, emphasizing several key factors. First, she highlighted the importance of having an engaged and informed membership at the state level. Advocacy begins with grassroots efforts, and having physicians actively involved in their state societies gives these efforts a powerful foundation.

Fundraising was another crucial component of success. Advocacy campaigns require resources, and raising funds to support these initiatives enables physicians and other patient advocates to communicate effectively, whether through media campaigns, legislative visits, or organizing community events. Dr. Di Lorenzo also stressed that advocacy doesn’t just happen at the national level—it’s at the state level where a lot of the key battles are fought.

Lastly, Dr. Di Lorenzo emphasized the value of building strong relationships—whether with legislators, fellow healthcare professionals, or the general public. Personal connections help open doors to meaningful conversations and create allies in the fight for patient safety.

Furthering Vision Research Advocacy: FLIS Hosts Foundation Fighting Blindness Leaders – August 8, 2024

Leaders from Foundation Fighting Blindness (FFB) joined Future Leaders in Sight (FLIS) for an insightful look into their mission and lessons for vision research advocacy. Michelle Glaze, the FFB director of professional outreach, shared her story of being diagnosed with retinitis pigmentosa, after which she realized the importance of physicians as partners and educators for their patients, allowing them to feel empowered. This drove Glaze to get involved with FFB, the leading organization in funding retinal degenerative disease research and communication initiatives. Through grants, fundraising events, clinical trial pipelines, articles, podcasts, FFB keeps patients at the forefront of new discoveries in the field.

Dr. Ben Shaberman continued the talk by discussing some of FFB’s exciting initiatives: they are currently focused on supporting investigations into over 50 gene therapies for retinal degenerative diseases including wet age-related macular degeneration, Stargardt disease, and Usher syndrome. FFB balances these exciting innovations with patient prioritization, offering patients referrals to low vision rehabilitation services, support groups, and potential clinical trials. The organization also produces patient education material and resources for ophthalmologists to better understand patient perspectives and gaps in care (newsletters, brochures, genetic tracking and counseling programs, webinar series, etc.). FFB is working tirelessly to strengthen connection and communication between researchers, clinicians, and patients – and to ultimately improve quality of life for individuals with vision disorders.

In closing, Glaze and Shaberman shared practical advice for furthering vision research advocacy with stakeholders in professional circles, legislative arenas, and the general public. FLIS members were fortunate to learn from these esteemed leaders who make tangible impacts in the lives of patients and the future of ophthalmology every day.

Enabling Future Advocates: FLIS Hosts an Advocacy Boot Camp with The Success Group – July 24, 2024

Future Leaders in Sight (FLIS) recently hosted an advocacy bootcamp with advocates from The Success Group, who have years of experience working with the Ohio Ophthalmological Society and other groups for the benefit of Ohioans’ health and well-being. FLIS members enjoyed an insightful and interactive question-and-answer session with these experienced individuals, who shared their experience with boots-on-the-ground advocacy, including practical tips on how to make positive change. Some highlights are outlined below:

1. Advocacy can start anywhere. Many policy issues cycle throughout the country. If you are especially passionate about a particular issue, you can start where you are and demonstrate your interest in advocacy and policy early on. Often, legislators are more responsive to advocates from their constituency – they can sense when you are passionate about their state and district.
2. Approach legislators with general issues first. Before speaking directly about codes and intricacies, work with legislators to establish a policy baseline. Going in with this mindset will lead you to success and help you get connected with additional resources.
3. Observe reactions to proposed legislative changes. Engaging with legislators to amend bills can be difficult, so it’s best to start by assessing where they are in terms of willingness to listen. You can initiate this process in many ways: speaking to legislators directly in person, over email, or over the phone; writing op-eds about important issues; or communicating with affiliated organizations are just a few options.
4. Remain respectful, even when discussing contentious bills. When raising your concerns, be positive and professional. Be clear that your perspectives are not personal, but stemming from concerns for patient well-being. You may choose to wear your white coat to demonstrate your sincerity, although this is not required. Send thank you notes and updates.
5. Legislators know they are not experts in everything. You are a trusted stakeholder, and legislators appreciate your input as an advocate who sees first-hand the implications of policies. Therefore, when meeting them, it is key to emphasize your professional expertise and personal stories, which are much easier to remember than a statistic.
6. Develop and focus on key messages. Stick to overarching main points, and frame this message in a way that resonates with your audience. For instance, using examples is a great way to engage the audience while emphasizing your shared goal of getting the best outcomes for your patients, who are also legislators’ constituents. Be prepared with a one-page summary of your points to stay on track.
7. Understand the political landscape. When advocating, be sure to include legislative leaders including chairs, vice chairs, ranking members, and committee members on health and human services committees. Don’t be afraid to invite legislators to visit medical practices and community health events. Also, be aware of term limits and recognize the effects of elections, when party base issues usually become more prevalent.

Ultimately, legislators and physicians are working towards the same goal: improving lives. It is our job to use our expertise to advocate for our communities and raise awareness of issues to legislators so this mutual goal can be achieved.

Learning from Experienced Advocates: FLIS Hosts a Panel Discussion with Vanderbilt Eye Institute Physician-Leaders – July 18, 2024

On July 18, 2024, Future Leaders in Sight (FLIS) hosted an advocacy panel with physicians from Vanderbilt Eye Institute. These esteemed leaders discussed their experience and practical advice regarding the importance of advocating in the face of adversity and injustice.

Dr. Jennifer Lindsey, the Director of Resident Education at Vanderbilt, discussed how she advocated for the prioritization of safety when the Department of Veterans’ Affairs launched its new national standards of practice. Dr. Lindsey’s passion for veteran health stems from personal experience – she has family members who served in the armed forces, and her love for them inspires her to fight for healthcare access. Dr. Lindsey explained that leadership and advocacy go hand-in-hand: both are about commitment, education, and actions. Anyone, regardless of title, can advocate for change when they see an important issue being overlooked, and advocacy can propel individuals into more formal leadership roles.

Dr. Behin Barahimi, former president of Tennessee Eye Surgeons and current oculoplastic surgeon at Vanderbilt, echoed Dr. Lindsey’s emphasis on education. The ultimate goal of training is developing the ability to educate others, whether that be day-to-day with patients or at the state or national level with legislators. In medical school, advocacy may even involve advocating for oneself and one’s colleagues. At different stages of one’s medical career, advocacy will take on different meanings, but the key is to have a seat at the table: this is the first step in achieving greater health equity and accessibility through advocacy.

Preparing for the Future: FLIS Hosts a Residency Match Panel for Members – July 8, 2024

Future Leaders in Sight (FLIS) was thrilled hosted a residency panel on July 8, 2024. Members spoke with Rushi Mankad (PGY-3, University of Wisconsin), Kayla White (PGY-4, Case Western Reserve University), and Param Bhatter (PGY-4, Cole Eye Institute), who each brought a unique and insightful perspective into the ophthalmology residency match process. They gave the following advice to FLIS members seeking to have a successful match and become leaders in the field:

In regards to the SF match, stay on top of deadlines and craft an application that tells a story. When writing the personal statement and activities, it is important to “show instead of tell” and to proofread! Have a few people look over your application before submitting, including your home program director if you can, but use discretion when weighing advice. For letters of recommendation, reach out to faculty well in advance and make note of where your letter writers have connections. There are no hard and fast rules about who should be writing these letters, but try to have at least 2 ophthalmology-specific (private or academic) recommendations that strongly support your application. Foster relationships with your ophthalmology faculty by helping out with research, volunteering, and doing a home ophthalmology rotation if you can before asking for a letter. Non-ophthalmology letters can also be helpful in showcasing your character as an applicant.

Away rotations are a rising trend for the ophthalmology match, as they allow candidates to audition for and get to know the residency program while exploring the local area. However, they are short, making it intimidating to make a good impression and stand out. Our resident panel recommended demonstrating interest and enthusiasm by doing your research the night before each day in clinic – chart review patients, watch videos on the surgeries for the next day, and prepare educated questions to ask attendings. Expectations for knowledge on away rotations are usually reasonable, but don’t take that as an invitation to slack off!

Signals are relatively new, so there are many questions about how to use them. Be as strategic as possible with all 7 signals, using them to gather the attention of programs that you may not have a direct connection to but are very interested in due to location, family, or other reasons. You can also send an individualized personal statement to emphasize this interest. They advise against signaling only top tier programs; this may not be useful due to many applicants signaling there.

Once you finish submitting applications and completing away rotations, you receive interview invites and rank all of the institutions on your short list. This can be overwhelming. How can you possibly decide which program you’ll want to call home for the next 5+ years? Take advantage of away rotations, interviews, current residents, and graduates of the program to get a better idea of the program’s culture. Take note of how close residents seem during interview day and how they speak about attendings, call schedule, and the work they do in the OR. During the interview, ask about resident-led improvements to the program in the last few years and the extent to which residents are involved in patient care and surgery. Don’t underestimate the importance of location – having family support or fun weekend events can really improve a residency experience. At the end of the day, a lot of this process comes down to personal feelings and individual priorities – be sure to trust yourself and have faith that it will all work out!

Advocating for Vision Research: FLIS Discusses Federal Policy with NAEVR/AEVR – June 26, 2024

On June 26, 2024, Future Leaders in Sight (FLIS) had the opportunity to host Dan Ignaszewski and Judy Hill from the National Alliance for Eye and Vision Research. NAEVR/AEVR works with many federal agencies, stakeholders, and coalitions to raise awareness of the value of vision research and advocate for federal investment in vision research. They hold congressional briefings to directly educate and update legislators about the power and progress of vision research. Yearly, NAEVR/AEVR hosts an Emerging Vision Scientists Program, where 30-40 postgraduate researchers and junior faculty receive training on how to effectively communicate the impact of their research. During this two-day program, participants also present their research to members of Congress and staff, giving them hands-on experience to apply the advocacy skills learned.

Receiving federal funding for research is incredibly competitive, so knowing how to make one’s case is fundamental. Ignaszewski and Hill emphasized that the key to communicating with policymakers is to tell a story, starting with the big picture and gradually incorporating the details. It’s important to start by explaining why the research is important. What is the incidence and burden of the disease? How will patients benefit from the research? How will specific studies develop understanding of and cures for the disease? This piques legislators’ interest. Then, outline how their funding will help achieve research goals and open doors for better patient outcomes and access to care. Focusing on these types of breakthroughs helps align research interests with those of legislators.

Legislators work to prioritize the conservation of federal funds for only the most important issues, so the job of research advocates is to emphasize the importance of vision research. Politicians are not scientists or physicians, so it is the responsibility of physicians and researchers to show up and advocate for the issues that are relevant to patients and vision care. For example, a recent budget proposal proposed consolidating the National Eye Institute (NEI) with neuroscience and brain initiatives. NAEVR/AEVR is advocating against this, explaining that this could pose serious threats to the future of vision research and vision care to the detriment of patients.

Finally, Ignaszewski and Hill took questions from the audience. They invited interested students to get involved by reaching out through social media and the NAEVR/AEVR website. Students are welcome to join certain congressional briefings, and the information from these briefings can be shared with colleagues so the whole field is aware of the state of research funding. While federal budgeting is a complex process, vision research funding is critical for our nation’s future.

Advocating In Committee: FLIS Testifies Against Ohio Senate Bill 129 – June 12, 2024

On June 12, 2024, Future Leaders in Sight (FLIS) accompanied Ohio Ophthalmological Society leaders before the Ohio State Senate Health Committee to advocate in opposition to Senate Bill 129 (SB-129). This bill, if enacted, would grant surgical privileges to optometrists without proper training—a dangerous expansion of scope of practice. These expansions would include laser and scalpel surgeries, including YAG capsulotomy; laser trabeculoplasty; peripheral iridotomy; and excision of eyelid lesions, cysts, or concretions.

At the meeting, the Ohio Ophthalmological Society leaders provided oral testimony and answered legislators’ questions about the bill, emphasizing that the bill would not improve access or care efficiency as the bill’s proponents claimed. Instead, studies suggest that SB-129 would create excessive tests and services without offering a clear, evidence-based benefit to patients.

FLIS submitted written testimony to complement these efforts: the coalition of medical students stressed that ophthalmologists undergo an intensive and comprehensive education from undergraduate instruction to residency and fellowship training, and only then are their skills considered sufficient to perform these surgeries independently. Lowering these standards of training would harm patients. While optometrists are vital members of the care team—particularly regarding primary eye care—they to do not undergo the same level of training to decide if a surgery is necessary, safe, and beneficial, and would not be equipped to manage co-morbidities or complications arising from the surgery under SB-129.

Vision is a key element of the human experience, and the structures of the eye are incredibly delicate. Passing SB-129 would threaten the vision of millions of patients, thus doing harm to their quality of life. As future physicians, FLIS members have sworn to do no harm, and thus must oppose SB-129.

The Importance of Everyday Advocacy: FLIS Discusses Leadership with Dr. Sayoko Moroi – June 6, 2024

Future Leaders in Sight (FLIS) celebrated the start of summer with Dr. Sayoko Moroi, Chair and Director of Havener Eye Institute at Ohio State University College of Medicine. She is also an avid researcher focused on improving outcomes in patients with glaucoma through individualized treatment plans. A self-described “unintentional leader,” Dr. Moroi explained that unwavering focus was instrumental to her success at every stage of her career. She remained steadfast in her pursuit of her goals, creating meaningful relationships with her colleagues and never losing sight (pun intended) of her priorities.

Dr. Moroi learned about leadership as she moved through different phases of her professional life, and she realized that advocacy can take many forms. While she did not take on larger-scale political advocacy until later in life, she advocated for patients and herself every day throughout her training. These everyday moments make every day a little bit more positive, and they accumulate! She was impressed by the FLIS community’s interest in advocacy, and she suggested a fantastic way for medical students to advocate on a local level: meeting with school administration and improving ophthalmology education in medical curricula!

She also highlighted the importance of trusting your intuition and knowing when to politely decline things that may not align with your skills and interests. This is a skill she continues to use in her career, and it results in better outcomes for herself, for other professionals, and most importantly, for patients. Dr. Moroi took questions from the audience and explained that, in her experience, effective advocacy involves aligning your goals with institutional priorities. This way, your concerns are more likely to be addressed and institutional benefits will come with patient benefits, not at the expense of them.

Tips for Successful Advocacy: A Discussion with Dr. Keith Carter – May 23, 2024

Future Leaders in Sight (FLIS) recently had the opportunity to host Dr. Keith Carter, Chair and Head of the Department of Ophthalmology at University of Iowa. He has also held numerous leadership roles within the American Academy of Ophthalmology. Dr. Carter has spent his career as an oculoplastic surgeon not only as a great healthcare provider, but also as an avid advocate for improved healthcare access, technological advancement, and diversity in medicine.

His secret to successful advocacy? Interdisciplinary collaboration, proactivity, and putting patients first. Working with other providers in other fields allows advocates to paint a fuller picture of the issues they are tackling. His dynamic talk also emphasized the importance of understanding socioeconomic factors that impact patients and their medical concerns. If we keep these aspects in mind while practicing and advocating, we can identify potential issues before they become incredibly pressing.

Dr. Carter also noted that Congress likes hearing from medical students and trainees, which offered refreshing reassurance to the attendees of the talk: we are the future, and they do take us seriously! At the same time, we must do our part when talking with legislators – it’s important for advocates to understand the legislator and their priorities, and to ask for their perspectives during meetings. And above all, humility and helpfulness go a long way; physicians are educators for patients as well as legislators, and we are constantly learning too. Dr. Carter took questions from the audience, and he ended the session with some much-appreciated motivation: while we may not win every battle, it’s important to celebrate raising concerns and to not give up or become discouraged. Every discussion is fruitful and plays a part in greater systemic change!

Lessons from a Leader in Ophthalmology: FLIS Hosts Dr. Jane Edmond, AAO President – April 29, 2024

Future Leaders in Sight (FLIS) was fortunate to recently host a discussion event featuring Dr. Jane Edmond, the president of the American Academy of Ophthalmology (AAO). During this hour-long session, Dr. Edmond addressed several crucial topics in ophthalmology and advocacy, focusing on tackling workforce shortages in underrepresented specialties, ongoing advocacy initiatives by the AAO, effective advocacy strategies, and real-world examples showcasing advocacy’s significance. 

The event fostered an interactive dialogue, with FLIS members actively engaging Dr. Edmond through questions and discussions. Dr. Edmond’s wealth of experience and insights provided invaluable guidance to the aspiring ophthalmologists, emphasizing the importance of advocacy and offering practical advice on how to become effective advocates.

In particular, Dr. Edmond highlighted the significance of building professional networks, honing communication skills, and leveraging platforms like FLIS as essential tools for medical students to empower themselves in advocacy efforts. FLIS members expressed profound gratitude towards Dr. Edmond for her enlightening session, acknowledging the great impact it will have on their future endeavors as they deepen their involvement in our medical student advocacy initiatives.

Armed with newfound knowledge and inspiration, FLIS members are poised to advance their mission of advocating for the highest standards of vision care. Dr. Edmond’s guidance will undoubtedly shape their advocacy endeavors and contribute to their collective efforts in shaping the future of ophthalmology for the benefit of patients.

Advocating for Patients on a National Scale: FLIS at AAO Mid-Year Forum 2024 – April 24, 2024

Future Leaders in Sight (FLIS) members were thrilled to recently participate in the American Academy of Ophthalmology (AAO) Mid-Year Forum in Washington, DC. At this annual gathering on Capitol Hill, FLIS members seized the opportunity to advocate for patient care, enhance their advocacy skills, and connect with influential leaders in the field.

During the event, FLIS members engaged in impactful in-person advocacy sessions with legislators, providing oral testimony and highlighting the importance of policies that support advancements in ophthalmic care and address patients’ needs. FLIS underscored its commitment to driving positive change by directly interfacing with policymakers.

In addition to direct advocacy actions, FLIS members participated in advocacy ambassador sessions organized by the AAO, where they deepened their understanding of key issues shaping ophthalmology advocacy and honed their advocacy skills. These sessions equipped FLIS members with valuable insights and tools to effectively advocate for patient-centered policies and initiatives.

Furthermore, Mid-Year Forum was an excellent opportunity to strengthen connections between FLIS and national leaders in ophthalmology. By building alliances, FLIS strengthened its ability to engage medical students in advocacy efforts and foster a community dedicated to advancing patient care.

The participation of FLIS in the AAO Mid-Year Forum underscores the commitment of FLIS to advancing ophthalmic care through advocacy, education, and collaboration. By advocating for patient care, acquiring essential advocacy skills, and fostering connections with leaders in the field, FLIS continues to serve as a catalyst for positive change for the benefit of patients.

General Meeting Recap: Learning Lessons from Successful Initiatives – April 9, 2024

Advocacy plays a crucial role in shaping policies and practices that affect patient care and the healthcare landscape at large. The medical student members of Future Leaders in Sight (FLIS) recently gathered for a general meeting to discuss their ongoing efforts and strategize for the future.

Overview of FLIS Activities

The meeting kicked off with a comprehensive overview of current FLIS activities, highlighting the organization’s commitment to fostering leadership and advocacy skills among medical students interested in ophthalmology. Whether hosting a speaker series featuring leaders in the field, providing oral and written testimony to legislators, organizing advocacy trips, or collaborating with other professional organizations, FLIS provides a platform for students to engage with key issues facing ophthalmology today.

Tips on Effective Advocacy

Effective advocacy requires more than passion; it demands strategic thinking, collaboration, and hard work. FLIS members received valuable insights into effective advocacy techniques, including the importance of understanding policymakers’ backgrounds, forging genuine connections, and finding common ground. Armed with these tips, FLIS members are better equipped to engage with legislators and stakeholders on critical issues.

Case Study: Ohio Senate Bill 129

One of the meeting’s focal points was a case study of advocacy initiatives by FLIS members against Ohio Senate Bill 129. This bill proposes significant expansions to optometrists’ scope of practice without adequate training, including the ability to perform laser surgeries and excisions of eyelid lesions. FLIS members analyzed the potential of the bill to threaten patient safety and increase healthcare costs without providing economic benefit or increasing access to care. Through strategic dialogues with legislators and dissemination of evidence-based information, FLIS is actively working to help policymakers make informed decisions that prioritize patient well-being. Members from around the country brainstormed how approaches that were effective in Ohio could be applied in other states.

Current and Upcoming Issues

FLIS members also discussed a range of current and upcoming issues in ophthalmology advocacy, including other scope of practice issues, sustainability initiatives, children’s vision advocacy, and efforts to increase funding for vision research. By staying abreast of these issues and actively participating in advocacy efforts, FLIS members are driving positive change within the field of ophthalmology.

Take Action with FLIS

As the meeting concluded, members were encouraged to take action by joining action groups focused on various advocacy initiatives. Whether it’s combating dangerous scope bills, promoting children’s vision health, or advocating for increased research funding, FLIS provides avenues for medical students to make a tangible impact on the future of ophthalmology.

In a world where healthcare policies are constantly evolving, advocacy organizations like FLIS serve as beacons of progress, empowering the next generation of ophthalmologists to advocate for positive change. Through education, collaboration, and strategic engagement, FLIS is paving the way for a brighter future in vision care.

Learning from a Leader in Advocacy: Discussion with Darby Miller, MD, MPH – March 26, 2024

In the ever-evolving landscape of healthcare, advocacy emerges as a critical pillar in ensuring the highest standards of care for patients. Recently, Future Leaders in Sight (FLIS) had the honor of hosting Darby Miller, MD, MPH, a distinguished clinician and advocate in ophthalmology, for a discussion about advocacy within the field. Dr. Miller’s wealth of experience, including his tenure as President of the Florida Society of Ophthalmology and his contributions to various national organizations, committees, and boards, provided invaluable insights into the intersection of medicine and policy.

Dr. Miller’s presentation began with a poignant assertion: “education is the antidote.” He emphasized the importance of knowledge to counteract legislative initiatives that may pose threats to patients. This sentiment underscores the proactive role that medical professionals must play in advocating for policies that prioritize patient safety and uphold the integrity of medical care.

Dr. Miller noted that central to advocacy is the establishment of robust relationships with legislators. By fostering open dialogue and leveraging clinical expertise, physicians can effectively help legislators align their decisions with the ethos of patient-centered care. Dr. Miller’s advocacy journey underscores the evolution of physicians’ attitudes towards politics. No longer can healthcare professionals afford to operate in silos, insulated from the impact of legislative actions. As Dr. Miller astutely observed that “politics takes an interest in everyone,” emphasizing the interconnectedness of policy and patient well-being.

Collaboration emerged as a recurring theme in Dr. Miller’s advocacy framework. He underscored the imperative of uniting physicians, patients, allied care professionals, advocacy groups, legal experts, and lobbyists to champion initiatives that prioritize patient welfare. Through collective action, stakeholders can navigate complex issues such as scope of practice and sustainability, ensuring that policies are informed by a diversity of perspectives and grounded in evidence-based practices.

In conclusion, Dr. Darby Miller’s discussion with FLIS served as a call to action for medical students and emerging leaders to embrace advocacy as an integral facet of their professional identity. Through education, collaboration, and proactive engagement, we can shape a legislative landscape that upholds the highest standards of care and places patients at the forefront of every decision. As we navigate the complexities of modern healthcare, let us listen to Dr. Miller’s wisdom and forge a path towards a brighter, more equitable future for all.

Empowering Tomorrow’s Advocates at the FLIS Medical Student Advocacy Boot Camp – March 20, 2024

As the medical landscape continues to evolve, it is crucial for future physicians to not only excel in their clinical skills but also understand the importance of advocacy to ensure the highest standards of care. This principle is at the core of the mission of Future Leaders in Sight (FLIS). Recently, FLIS hosted an Advocacy Boot Camp with leaders in the field of ophthalmology advocacy to equip its members with the knowledge and skills needed to become effective advocates for patients and the advancement of vision care.

The event began with an introduction from FLIS co-founders and third-year medical students, Scott Perkins and Matthew Schulgit. They welcomed attendees and reinforced the commitment of FLIS to providing opportunities for all medical students, regardless of previous experience, to engage in advocacy efforts.

Todd Baker, Executive Director of the Ohio Ophthalmological Society, next highlighted the significance of advocacy in ophthalmology. He emphasized that advocacy is not limited to seasoned professionals and provided an overview of the legislative process in various states, highlighting the incremental nature of legislative change.

Kim Williams, Executive Director of the Indiana Academy of Ophthalmology, shared insights into the unique aspects of the legislative process in Indiana. She noticed circumstances in which legislative sessions can become fast-paced, and stressed the importance of both making and maintaining relationships with state legislators.

Dr. Craig Kliger, Executive Vice President of the California Academy of Eye Physicians and Surgeons, shared information about California’s legislative process and lessons learned from recent advocacy battles. With his dual perspective as both an ophthalmologist and an advocate, Dr. Kliger provided invaluable insight into navigating the complexities of healthcare policy in a large and diverse state like California.

Throughout the boot camp, attendees were immersed in discussions designed to hone their advocacy skills and deepen their understanding of the legislative process. From understanding the nuances of state-specific policies to best practices for communicating with lawmakers, FLIS members left the event empowered and inspired to make a difference in the field of ophthalmology for the benefit of patients.

Building Leadership for Growth at the Future Leaders in Sight March General Meeting – March 3, 2024

During the March general meeting of Future Leaders in Sight (FLIS) members, the organization’s remarkable growth was highlighted, now boasting over 160 members spread across 29 states. This growth reaffirms the dedication of FLIS and the group’s potential to positively impact vision care. Reflecting on the three pillars of the FLIS mission—awareness, education, and advocacy—members delved into the progress made and the opportunities ahead. Here are some highlights from the meeting:

Organizational Growth

With membership expanding rapidly, it’s crucial to ensure the leadership structure remains robust and adaptable. Updates on leadership positions were shared, and appreciation was expressed for dedicated individuals already driving initiatives forward.

Key Issues and Ongoing Efforts

Members engaged in meaningful discussions surrounding critical issues such as scope of practice, sustainability, and children’s vision. Across the country, FLIS members are actively involved in advocating for policy changes and initiatives to address these challenges head-on.

Ways to Get Involved

Members were encouraged to take an active role in spreading awareness, engaging their peers, and collaborating with school and state leadership. Opportunities for networking, leadership development, and making a tangible impact on legislation were discussed. For members without an official FLIS branch at their school, the meeting served as a call to action. Establishing a branch ensures that medical students have a platform for advocacy and leadership development from the outset of their careers.

As FLIS grows and initiatives progress, it’s essential to keep patients at the forefront. By taking on leadership roles, assisting state societies, and supporting fellow medical students and physicians, FLIS members can collectively elevate the standard of vision care. Furthermore, by nurturing leadership experience at the grassroots level, FLIS prepares its members for future endeavors in residency and beyond. FLIS firmly believes that early exposure to advocacy not only shapes careers but also lays the groundwork for a more equitable and patient-centered healthcare system.

Empowering Future Ophthalmologists: Insights from Andrea Tooley, MD – February 26, 2024

In vision care, advocacy serves as a potent tool to enact tangible change, ensuring that patient needs are not only met but prioritized. On February 26, 2024, Future Leaders in Sight had the privilege of hosting a virtual discussion with Dr. Andrea Tooley, a distinguished figure in the field of ophthalmology. As the Program Director of the Mayo Clinic Ophthalmology Residency Program and chair of the American Academy of Ophthalmology (AAO) Young Ophthalmologists Committee, Dr. Tooley brings a wealth of knowledge and experience to the forefront of advocacy within her profession.

One of the key takeaways from the conversation with Dr. Tooley was the vital role that organizations like the AAO play in shaping the landscape of ophthalmology. With an impressive 93% of ophthalmologists as members, the AAO stands as a crucial force in championing the highest standards of patient care. Dr. Tooley expressed her enthusiasm for involving medical students in AAO initiatives, particularly emphasizing the importance of advocacy.

During the discussion, Dr. Tooley shed light on various programs initiated by the Young Ophthalmologists Committee, designed to engage trainees and students at different stages of their careers. She highlighted the significance of attending events such as the AAO annual meeting and the Mid-Year Forum in Washington DC, offering opportunities for networking, education, and advocacy.

Delving into the nuts and bolts of advocacy, Dr. Tooley shared her own advocacy journey, emphasizing the pivotal role it played in her career trajectory. She stressed the importance of residents and young ophthalmologists becoming familiar with advocacy early on, citing her own involvement with the board of her state society during residency as a formative experience.

When discussing pressing issues in ophthalmology advocacy, Dr. Tooley highlighted environmental sustainability as a critical issue currently gaining momentum. Additionally, she touched upon the issue of reimbursement rates, particularly in pediatric ophthalmology, where low reimbursements threaten to deter individuals from pursuing this vital specialty. Addressing access to care, Dr. Tooley illuminated bureaucratic hurdles that impede patient treatment, citing prior authorization requirements as a significant barrier. She emphasized the importance of sharing personal stories and patient anecdotes when engaging with legislators, as these narratives humanize advocacy efforts and underscore the real-world impact of policy decisions.

For medical students aspiring to incorporate advocacy into their careers, Dr. Tooley offered invaluable advice. She encouraged students to consider advocacy as a distinguishing factor in their applications, highlighting its ability to set individuals apart and demonstrate a commitment to driving positive change within the field of ophthalmology.

In conclusion, Future Leaders in Sight’s discussion with Dr. Andrea Tooley served to inspire future ophthalmologists, underscoring the transformative potential of advocacy in shaping the future of eye care. As we continue our journey in medicine, let us follow Dr. Tooley’s words and embrace advocacy as a cornerstone of our professional ethos, empowering ourselves to become agents of change in the pursuit of excellence in patient care.

Nurturing Advocacy and Collaboration: Future Leaders in Sight at the 2024 Ohio Ophthalmological Society Annual Meeting – February 24, 2024

As the landscape of vision care continues to evolve, advocacy and collaboration are increasingly vital components to safeguard the future of high-quality medicine. This sentiment was at the forefront during the 2024 Ohio Ophthalmological Society annual meeting on Saturday, February 24, which Future Leaders in Sight (FLIS) members attended.

FLIS members seized the opportunity to engage in discussions surrounding critical topics in ophthalmological advocacy. From dissecting the intricacies of Ohio Senate Bill 129 to exploring the impact of new technology on clinical practice, attendees were immersed in knowledge and dialogue. Moreover, the meeting served as a platform for FLIS members to forge connections with esteemed leaders in the field, amplifying their understanding of the profession’s broader landscape.

One of the highlights of the event was the Young Ophthalmologists’ luncheon, where members had the privilege of learning from mentors and role models. This nurturing environment fostered an exchange of ideas and experiences, empowering aspiring ophthalmologists to navigate the complexities of their burgeoning careers with confidence.

The presence of ophthalmologists affiliated with the American Academy of Ophthalmology further enriched the discourse, offering invaluable insights on expanding the impact of FLIS on a national scale. Emphasizing the importance of inter-state collaboration, these leaders underscored the significance of collective action in advocating for policies that prioritize patient care.

Crucially, the meeting facilitated conversations on the evolving scope of practice across different states, providing FLIS members with a comprehensive understanding of the legislative landscape. By engaging with physicians involved in these initiatives, attendees gained valuable perspectives on navigating regulatory challenges and driving effective legislative solutions.

As FLIS continues to chart its course as a national organization, the significance of fostering advocacy and collaboration cannot be overstated. By leveraging their collective expertise and passion for ophthalmology, FLIS members are poised to effect meaningful change within the profession and beyond. The 2024 Ohio Ophthalmological Society annual meeting served as a testament to the transformative power of unity and shared purpose. Now, FLIS members stand ready to champion the principles of advocacy and collaboration, ensuring a brighter future for vision care.

Future Leaders in Sight Hosts Senator Nickie Antonio to Discuss SB 129 and Ophthalmology Legislative Advocacy – February 1, 2024

On February 1, 2024, Future Leaders in Sight (FLIS) had the honor of welcoming Senator Nickie Antonio–District 23 Senator, Ohio Senate Minority Leader, and Ranking Member of the Senate Health Committee–for an insightful discussion on legislative advocacy in ophthalmology. Senator Antonio’s distinguished career includes spearheading initiatives ranging from outpatient treatment programs for substance abuse recovery to resource mobilization for special needs children.

Initially aiming to influence education policy, Senator Antonio found herself thrust into a leadership role where healthcare policy became a key focus. This shift in perspective laid the groundwork for her valuable insights into navigating legislative landscapes, particularly concerning healthcare issues.

The highlight of the event was the examination of Senate Bill 129, introduced during the 2023 session. This proposal seeks to extend the scope of practice for optometrists, potentially enabling them to perform laser surgeries and other advanced procedures on patients without clearly-defined training standards—an alarming prospect for the ocular health of Ohio residents. Senator Antonio emphasized the importance of solution-based advocacy, urging FLIS members to engage proactively in the legislative process. She outlined actionable steps, including engaging with other health professional organizations to collaborate on advocacy initiatives. Additionally, she encouraged members to draft letters to the bill’s sponsor articulating specific points and to consider testifying in person.

The dialogue with Senator Antonio not only shed light on the nuances of legislative advocacy but also provided a roadmap for FLIS to effectively engage in shaping policy for the betterment of ocular health in Ohio.

In conclusion, FLIS extends its gratitude to Senator Nickie Antonio for her invaluable perspectives and looks forward to actively pursuing its mission to safeguard the vision of Ohioans.

Future Leaders in Sight: A Promising Expansion Across the Nation – January 20, 2024

In just a short span since its inception in July 2023, Future Leaders in Sight has rapidly evolved from a grassroots movement in Ohio to a national force in the landscape of ophthalmology advocacy. What began as a local initiative has now burgeoned into a dynamic organization with a presence in over 50 medical schools across 22 states, marking the exciting beginning of a remarkable journey of growth and impact.

Founding Roots in Ohio: A Vision Ignited

Founded with a passion for advancing eye care advocacy, Future Leaders in Sight planted its roots in Cleveland, Ohio in July 2023. The organization swiftly gained traction, driven by a shared commitment among medical students to elevate the standards of eye care and address critical issues within the field.

Chapters Across Ohio: Building a Foundation for Growth

With a firm foundation laid in Ohio, Future Leaders in Sight wasted no time in establishing chapters at all medical schools in the state. This strategic move not only solidified the organization’s presence but also laid the groundwork for an effective structure of local, state, and national leaders. This structure would become instrumental in fostering collaboration, communication, and the effective pursuit of the organization’s mission.

National Expansion: Unleashing Enthusiasm for Advocacy

As of January 2023, Future Leaders in Sight has crossed state boundaries, expanding to over 50 schools in 22 U.S. states. This rapid growth is a testament to the passion for advocacy among medical students interested in ophthalmology. The organization’s ability to harness this enthusiasm speaks volumes about its appeal and the resonance of its mission with the future leaders of the eye care community. As Future Leaders in Sight continues to grow, the future of ophthalmology advocacy shines ever brighter.

Unveiling the Research-backed Risks: Analyzing the Impact of Senate Bill 129 on Eye Care Access and Patient Safety – January 13, 2024

In the realm of vision care, Future Leaders in Sight stands as a staunch advocate for patient well-being and safety. Recent studies have found alarming evidence regarding Senate Bill 129, a legislative proposal in Ohio that seeks to expand the scope of practice for optometrists. Contrary to its purported aim of enhancing patient care access, analysis of the bill reveals an unsettling reality: Senate Bill 129 is poised to escalate the burden on patients without delivering the promised benefits. This blog post reports the key findings of these studies, underscoring the potential pitfalls that could emerge if the bill becomes law. The proposed legislation, if passed, would grant optometrists the authority to perform intricate surgical procedures without establishing clear qualification standards, posing a significant threat to the well-being of those seeking eye care.

Background on the Ohio Optometry Scope of Practice Bill

Senate Bill 129 would allow Ohio optometrists to do the following:

• laser surgery consisting of capsulotomy, trabeculoplasty, or peripheral iridotomy;
• the incision and curettage of a chalazion;
• the removal and biopsy of a skin lesion;
• the excision or drainage of a conjunctival cyst or concretion;
• any suturing other than corneal and scleral suturing;
• any injection, other than an intravenous or intraocular injection, of a drug; and
• administer, prescribe or dispense punctal plugs and ocular inserts.

SB 129: Increasing Patient Burden, Not Access to Care

• Increased patient burden: A JAMA study found that patients receiving laser trabeculoplasty by an optometrist required over double the rate of additional treatment and follow-up as compared to those who received the same procedure by an ophthalmologist. 
• Bill will likely not achieve stated purpose of increased access to care: 
  • Optometrists claim that expanding laser eye surgery privileges to optometrists is associated with improved patient access to laser procedures. A study on Medicare data and geographical mapping shows that this is not the case. 
  • In states where optometrists have expanded their scope of practice (with the argument that they would be more geographically accessible than ophthalmologists and would increase access to an aging population), most Medicare patients receiving eye surgery from optometrists lived less than 30 minute travel time to an ophthalmologist. Similar 2012 and 2020 studies echo this finding.
  • In Oklahoma, there was no difference in driving distance between beneficiaries who received a laser capsulotomy from an ophthalmologist compared with an optometrist.

Ophthalmologists: Increased Training for Complex and Surgical Care

• Difference in training: Due to their training in systemic disease, ophthalmologists tend to treat older and more medically complex patients than optometrists and perform more invasive procedures.
  • Ophthalmology certification by the American Board of Ophthalmology requires: schooling in accredited medical school and a 3- or 4-year residency program AND serving as primary surgeon or first assistant to the primary surgeon on a minimum of 364 eye surgeries and performing well on the state licensing examinations, both written and oral.
  • Optometrists are licensed by their states to provide primary vision care and nonsurgical management of certain eye diseases and must pass the licensing exam of the National Board of Examiners in Optometry.

In light of this analysis, it becomes clear that Senate Bill 129, if enacted, would usher in a perilous era for eye care in Ohio. The research-backed risks associated with expanding surgical privileges without adequate training, as outlined in our investigation, underscore the profound consequences such legislation could have on patient safety and access to quality care. The proposed bill, aiming to bridge gaps in accessibility, ironically heightens the burden on patients without fulfilling its promised benefits. The contrast in the training between optometrists and ophthalmologists, particularly in complex and surgical care, highlights the potential jeopardy to patient well-being. Future Leaders in Sight remains steadfast in its commitment to advocating for policies that prioritize patient safety and access to the highest standard of eye care. As the conversation around Senate Bill 129 unfolds, it is imperative that policymakers consider the compelling evidence presented in this analysis to make informed decisions that safeguard the ocular health of Ohio’s residents.

Embracing 2024: Future Leaders in Sight Unveils Strategic Priorities and Three-Part Approach – January 2, 2024

As we usher in the new year, Future Leaders in Sight stands at the forefront of transformative change in the field of ophthalmology. Our commitment to advancing eye care extends beyond the clinical realm, encapsulating a broader vision for a healthier and more sustainable future. After thoughtful discussions with stakeholders in ophthalmology, we are thrilled to unveil our strategic priorities for 2024: environmental sustainability, medication affordability, and scope of practice.

Three-Part Strategy: Awareness, Education, and Advocacy

Our three-part strategy, encapsulated in the pillars of awareness, education, and advocacy, will be the driving force behind our initiatives in 2024.

1. Awareness: Through regular newsletters, blog posts, and active presence on social media channels, we will raise awareness about environmental sustainability, medication affordability, and scope of practice among medical students.

2. Education: We are committed to educating the future leaders in ophthalmology. Workshops, webinars, and curated resources will equip students with the knowledge and understanding needed to navigate and contribute to discussions on our strategic priorities.

3. Advocacy: Future Leaders in Sight will actively engage in advocacy initiatives, providing written and in-person testimonies to legislators. We will engage medical students in the legislative and advocacy process, amplifying their voices to shape the policies that govern vision care.

As we embark on this journey in 2024, Future Leaders in Sight invites all stakeholders in ophthalmology to join hands in shaping a future where eye care is not only advanced but also aligned with principles of sustainability, affordability, and professional empowerment. Together, let’s pave the way for a clearer, brighter vision. Happy New Year!

Protecting Patient Safety: Future Leaders in Sight Stands Against Ohio SB 129 – November 8, 2023

As advocates for the highest standards of medical and surgical vision care, Future Leaders in Sight is deeply concerned about the potential consequences of Senate Bill 129 (SB 129) currently under consideration in the Ohio Legislature. This proposed legislation seeks to grant optometrists the authority to perform laser and scalpel surgeries without clearly-defined training requirements, a move that could jeopardize patient safety.

The Threat to Patient Safety

SB 129, if enacted, would empower optometrists to undertake procedures such as YAG capsulotomy, laser trabeculoplasty, peripheral iridotomy, and the excision of eyelid lesions, cysts, or concretions. The inclusion of these surgical procedures without rigorous training requirements raises serious concerns about patient safety, as optometrists lack the extensive medical and surgical education that ophthalmologists undergo to perform these delicate surgeries.

Ambiguous Language and Further Risks

Additionally, the ambiguous language in SB 129 presents a significant risk, as it could allow the Ohio Vision Professionals Board to further dilute the requirements for performing surgery as it sees fit. This lack of clarity poses a threat to patient safety and opens the door to potential misinterpretations of surgical standards, putting the eyesight of Ohioans at risk.

Challenging Proponent Claims

Proponents of SB 129 claim that it would improve access to care, enhance efficiency, and maintain a well-trained workforce. However, the reality is that no patients in Ohio are more than a 30-45 minute drive from an ophthalmologist, making the argument for increased access questionable. Furthermore, the introduction of surgical privileges for optometrists may lead to duplicative and unnecessary tests and services, ultimately hindering, rather than improving, the efficiency of eye care. Moreover, there is no credible data suggesting that optometrists are leaving or avoiding Ohio due to the inability to perform these surgical procedures. In fact, the number of optometrists per capita in Ohio has increased over the past decade, indicating a thriving and well-served community.

Conclusion

Future Leaders in Sight firmly stands against the passage of SB 129. We believe that the eye care of Ohio residents should be entrusted to highly trained professionals with the expertise required to perform surgical procedures safely and effectively.

As the guardians of eye health, it is our duty to ensure that patients receive the highest standard of care. Future Leaders in Sight urges all stakeholders to consider the potential consequences of SB 129 and join us in advocating for the protection of patient safety and the preservation of rigorous medical standards in eye care. Together, we can safeguard the vision of Ohio’s residents for generations to come.

Meeting Recap: Charting a Clear Path Forward – October 23, 2023

In a recent meeting of Future Leaders in Sight members, the organization unveiled its new leadership team for the 2023-24 academic year and outlined a roadmap for upcoming events. The meeting was a dynamic exchange of ideas, plans, and a celebration of the group’s commitment to advancing eye care and awareness.

Upcoming Engagements

One of the focal points of the meeting was the discussion on upcoming legislator meetings. Co-founders Matthew Schulgit and Scott Perkins shed light on the crucial role the organization plays in engaging with lawmakers. The group is scheduled to meet with two influential senators: Mark Romanchuk (R – Medina) and Nickie Antonio (D – Lakewood). These interactions are pivotal in advocating for policies that support advancements in eye care and ensure a healthier vision for all.

Welcome, New Leaders!

A moment of applause echoed through the virtual meeting room as Scott and Matthew announced the newly elected leaders who will steer Future Leaders in Sight towards its goals. The organization boasts a diverse and talented leadership team, ready to make a positive impact:

• Legislative Lead: Yulia Haraguchi (Case Western Reserve University)

• School Liaisons: Cindy Chen (Ohio State University), Megan McDonald (Ohio University), Tahir Kuraan (Northeast Ohio Medical University), and Isabella Yazji (Case Western Reserve University)

• Communications Leads: Emily Albrecht (Case Western Reserve University) and Noor Ghali (Case Western Reserve University)

These dedicated individuals will play a crucial role in fostering collaboration, promoting advocacy, and ensuring the organization’s message resonates far and wide.

Looking Ahead

As Future Leaders in Sight members continue to expand their influence and impact, the announced legislative engagements and newly appointed leaders mark a significant step forward. The group’s commitment to advancing eye care and advocating for policies that prioritize vision health is unwavering.

Navigating the Advocacy Landscape: Insights from Todd Baker’s Discussion with Future Leaders in Sight Members – October 18, 2023

On October 18, 2023, Future Leaders in Sight had the privilege of hosting Todd Baker, the Executive Director of the Ohio Ophthalmological Society.

Todd kicked off the session by sharing his personal journey into the world of advocacy. His story revealed that advocacy often begins with a passion for one’s field and a desire to make a positive impact on patient care. Baker emphasized the importance of being proactive and seeking opportunities to get involved early in one’s career. Baker shed light on the mission of the Ohio Ophthalmological Society (OOS) and its pivotal role in advocating for both patients and practitioners. The OOS, he explained, is committed to promoting the highest quality eye care and fostering an environment where ophthalmologists can thrive professionally.

A crucial part of the discussion revolved around the legislative threats currently facing vision care for patients in Ohio. Baker highlighted issues such as reimbursement challenges, scope of practice concerns, and the evolving landscape of healthcare policies. Understanding and addressing these threats, he argued, is essential for safeguarding the future of eye care. Baker also stressed that ophthalmologists have a responsibility to be advocates for their patients, ensuring access to quality care and protecting the integrity of their practice.

The conversation then turned towards medical students, with a focus on ways they can actively engage in advocacy. Baker suggested that students should seek mentorship, join professional societies, and leverage their unique perspectives to contribute to advocacy efforts. Drawing on his extensive experience, Baker pointed to collaboration, data-driven arguments, and strategic communication as key factors for successful advocacy.

When asked for one take-home message for future ophthalmologists, Baker emphasized the power of persistence. Advocacy, he argued, is a marathon, not a sprint. Ophthalmologists must be unwavering in their commitment to advocating for their patients and their profession, even in the face of challenges.

The talk concluded with engaging questions from the audience, ranging from practical tips for effective advocacy to inquiries about ongoing legislative issues. Baker’s responses further enriched the discussion and underscored the dynamic nature of advocacy work.

In closing, Todd Baker’s talk left the Future Leaders in Sight inspired and equipped with valuable insights into the world of ophthalmological advocacy. As these future ophthalmologists embark on their careers, they carry with them a heightened awareness of the importance of advocacy in shaping the future of eye care.

Advocacy Boot Camp: Empowering Ophthalmology Advocates in Ohio – October 2, 2023

Future Leaders in Sight (FLIS) recently participated in a collaborative Advocacy Boot Camp with the Ohio State Medical Association (OSMA). This enlightening experience provided our members with valuable insights into the intricacies of healthcare policy and advocacy in Ohio.

Understanding the Ohio Legislative Landscape

FLIS members delved into the heart of Ohio’s legislative process, gaining a nuanced understanding of the state’s unique political dynamics. Our student advocates discovered the significance of engaging with state representatives, recognizing the vital role they play in shaping both healthcare legislation and regulation.

Advocacy in Action: What Goes on Behind the Scenes

The Advocacy Boot Camp shed light on the day-to-day challenges faced by medical advocates, who navigate the complex landscape of political networks, coalition meetings, and legislative sessions. FLIS members gained a deeper appreciation for the multifaceted nature of advocacy.

Tips for Effective Advocacy

Armed with practical advice, FLIS members learned the art of effective communication with elected officials. The importance of delivering concise, relatable messages became evident, along with the crucial need to maintain a focus on an overarching perspective. Seasoned advocates Joe Rosato, OSMA Director of Government Affairs, and Monica Hueckel, OSMA Senior Director of Government Relations, emphasized the power of relationship-building with elected officials.

The Legislative and Public Health Process

Insights from Sean McCullough, OSMA Director of Policy and Legal Counsel, demystified the regulatory and public health processes. FLIS members discovered the influential role of boards in rule creation and the numerous opportunities for advocacy throughout the rule-making timeline. Key issues for 2023-2024, including scope of practice and health equity, took center stage, highlighting the avenues where our advocacy efforts can make a difference.

Crafting Your Advocacy Action Plan

FLIS members left the Advocacy Boot Camp empowered and ready to craft their personal advocacy action plans. Monthly advocacy calls, committee participation, and written and in-person advocacy emerged as tangible ways to stay actively involved. The focus shifted from theoretical knowledge to practical steps each member could take to contribute to the evolving healthcare landscape.

Elevating Ophthalmology Advocacy in Ohio

The Advocacy Boot Camp allowed FLIS members to gain not only knowledge but also a sense of purpose and direction in advocating for ophthalmology in Ohio. Armed with the tools and insights shared during the session, we look forward to actively shaping the future of healthcare in our state.

Advocacy is not just about politics; it’s about leveraging credibility, knowledge, and practicality. FLIS members are now equipped with the understanding that our contributions can extend beyond traditional political spheres, influencing healthcare policy in Ohio for the better. Together, let’s build a future where the vision of healthcare is clear.

Empowering Tomorrow’s Ophthalmology Advocates: Meeting Recap – September 21, 2023

In the ever-evolving landscape of healthcare, advocacy becomes a crucial force shaping the future of vision care. Future Leaders in Sight (FLIS), a medical student ophthalmology advocacy group, stands at the forefront of this movement. As the only organization dedicated exclusively to advocacy by medical students interested in ophthalmology, FLIS is paving the way for future leaders in the field. The group met for its first meeting of the 2023-24 academic year on September 21, 2023.

Focused Advocacy for Medical Students

FLIS is not just an acronym; it represents a vision for the future of ophthalmology. As the only medical student-focused advocacy organization for ophthalmology, FLIS has set its sights on creating a vibrant community that bridges the gap between current ophthalmologists and the leaders of tomorrow.

Facilitating Connections and Fostering Growth

One of the primary goals of FLIS is to facilitate connections between current and future ophthalmologists. By creating a network that spans both experienced physicians and eager students, FLIS aims to provide a platform for mentorship, knowledge exchange, and collaborative growth.

Tackling Legislative Challenges Head-On

Keeping an eye on the legislative landscape, FLIS is committed to informing students about crucial legislative challenges affecting the field of ophthalmology. The organization provides educational materials about upcoming legislation, ensuring that future ophthalmologists are not only skilled clinicians but also informed advocates for their profession.

Speaker Series: Learning from Leaders in the Field

To broaden the horizons of its members, FLIS organizes a speaker series featuring leaders in the field of ophthalmology. These sessions serve as an invaluable resource for students, offering insights into the field’s trends, challenges, and opportunities.

Maximizing Opportunities for Students

FLIS goes beyond advocacy by providing leadership, educational, and mentoring opportunities for students. The organization recognizes the importance of preparing students for residency and beyond, ensuring that they are well-equipped to thrive in their chosen field.

Advocacy Beyond the Digital Realm

In-person advocacy and networking events are integral to FLIS’s approach. By working collaboratively with other professional organizations, FLIS creates opportunities for students to engage with the ophthalmology community in real-world settings.

Stepping Up: Leadership Roles and Opportunities

FLIS invites motivated students to take on leadership roles, dedicating time each week to contribute to the organization’s mission. These roles include School Liaisons, Legislative Leads, and Communications Leads, each playing a crucial part in advancing the objectives of FLIS.

Legislative Focus: SB 129

During the meeting, FLIS brought attention to SB 129, introduced by State Senator Jerry Cirino (R-Mentor). This legislation seeks to decrease training requirements for certain types of eye surgery, threatening patient safety. FLIS urges members to connect with their area State Representatives/Senators and stay informed about this legislative development through FLIS initiatives.

Looking Forward: OOS Executive Director Todd Baker’s Presentation

An upcoming highlight for FLIS members is an exclusive presentation by OOS Executive Director Todd Baker. This promises to be an enriching experience, providing insights and perspectives from a key figure in the ophthalmology community.

In conclusion, by empowering medical students to become advocates for their profession, FLIS is shaping the future of ophthalmology. The organization’s multifaceted approach, from legislative awareness to leadership opportunities, ensures that its members are well-prepared to navigate the challenges and opportunities that lie ahead. As FLIS continues to grow, so does the collective strength of tomorrow’s ophthalmologists.