Optometry is an exciting field that merges science, healthcare, and patient interaction. Yet, the journey to becoming an optometrist is packed with significant challenges. From challenging coursework to hands-on clinical practice, students face numerous hurdles that can impact their academic performance and mental well-being. In this post, I will explore a couple of the "unseen" (pun intended) struggles within optometric education!
The Rigors of Optometry School
All medical education is known for its demanding coursework and optometry is no exception. Students must immerse themselves in subjects like optics, anatomy, physiology, pathology, and pharmacology. This extensive curriculum can be daunting, especially for those who excel more in practical settings than in traditional classrooms.
I was recently on a call with a group of undergraduate educators. i was explaining to them that optometry's applicant pool has been a challenge for many years. One of the participants on the call said, "Well that make sense because the best students will all apply to medical school, then the next tier of students will apply to dental school, so optometry just gets the leftovers." Ouch! That stung a bit. But, there is some truth to what he said. Not everyone has a passion for this profession from a young age. Some do choose it as a second-chance medical career. So, if we accept this premise and recognize that not all of our students have stellar academic backgrounds, then how do we get them to perform at the highest levels? It is clear that the NBEO and licensing agencies around the country do not lower their standards for the "leftovers". So, how do optometric educators take students that enter at a lower level and raise them to the same set standards as the past? Well, it's not easy and it creates lots of pressure!
Many students report feeling overwhelmed by the massive amount of information to digest. For instance, they must understand not only theoretical concepts but also how to apply them in clinical settings. The pressure to excel can be intense, leading to feelings of inadequacy and stress. About 50% of optometry students have reported experiencing high levels of anxiety during their studies. Doesn't this make sense?
As students transition from undergraduate programs to professional studies, they find the pace of learning increases significantly. For example, while an undergraduate semester might cover a single complex topic in-depth, an optometry course may cover multiple related subjects within a few weeks. This rapid change requires outstanding time management and study skills, and those who struggle to adapt may feel a step behind, further compounding their stress and anxiety. They also feel pressure from their faculty to succeed. After all, everyone measures the quality of optometry schools by their first-time takers board passage rates, right? See the issue?
Clinical Experiences
Clinical rotations are essential in optometric education, providing students with practical experience. However, these experiences can also present their own challenges. Completing clinical rotations allows students to put theoretical knowledge into practice, yet many feel anxious about interacting with real patients, particularly if they lack confidence in their skills. Students feel judged by faculty members on every detail of their patient interactions. This is not true in many cases, but this is what students believe. Instead of seeing their preceptor as a "coach", they see them as a "judge" scrutinizing every move. How do you think this impacts a student that enters optometry school without a high level of self-confidence?
Moreover, gaining access to quality clinical rotation opportunities can be another obstacle. Not all optometry programs offer equal access to diverse patient populations or specialized areas of practice. For instance, larger institutions may have a wider range of clinical placements compared to smaller schools. Students often find themselves competing for limited spots, which increases the pressure to perform well. This competition can lead to discouragement for those aspiring to become well-rounded practitioners.
Mental Health
One less-discussed aspect of optometric education is the emotional toll it can impose on students. The combination of academic pressure, performance expectations, and personal goals can lead to heightened levels of stress and mental health concerns. Research shows that up to 50% of healthcare students experience symptoms of anxiety or depression, highlighting how optometry students may be particularly vulnerable. In a previous blog post, I spoke about the right balance between support and challenges. But, in reality, most optometry schools have had to lean towards increasing support due to student needs.
Seeking help can be tough due to the stigma surrounding mental health issues, especially in competitive fields like optometry. The pressure to present oneself as competent can lead to isolation. Systems that effectively support mental health are crucial for helping students navigate these challenges, yet many report that available resources are not being accessed by the student that need them to most. During orientation each year, I would state and restate this line...."Seek help immediately!" I hoped that it would sink-in to students whenever they were in trouble. If they failed a test, seek help. If their significant other broke up with them, seek help. If they got COVID-19, seek help. If their cat died, seek help. It is only when students are proactive do all the resources that we have put in place begin to work.
Balance
Achieving balance between personal life and the demands of optometric education can be overwhelming. With intensive coursework and the commitment of clinical training hours, students often sacrifice social activities, hobbies, and even sleep. This unyielding pace of optometry school can leave little opportunity for relaxation or personal growth. You can almost see when someone is "out of balance" by looking at them. I would always ask, what do you do for fun? Do you go to the gym? Do you watch a favorite TV series? Do you cook a meal? I would remind students that in their 24-hour day, they should schedule time to take care of themselves. One hour to go to the gym is way more valuable than one hour of staring at page of notes when you are overtired. I would also tell them to schedule a call to their parents!
Finding Community
Building a solid support network is vital for optometry students facing these unique challenges. Peer support, mentorship from faculty, and involvement in student organizations can provide necessary camaraderie and resource sharing. Connecting with others who understand the journey allows students to express their struggles and gain different perspectives.
Recognizing the importance of community, some optometry schools have launched initiatives aimed at enhancing student well-being. These programs often include wellness workshops, mental health resources, and social events designed to foster strong connections among students. I believe that extracurricular activities add richness and depth to optometric education. I would encourage students to get involved. Annually, I'd see a transformation in students that went on vision screenings or mission trips. They grew, they developed a community, and they served humanity...a true win-win-win!
Navigating Optometric Education
If you're an optometry student or contemplating this career path, here are a few actionable tips to help you tackle the challenges of optometric education:
Develop a Study Routine: Create a tailored study schedule that includes breaks and review time so that you don't get behind. Regularity strengthens your learning. Use a 24-hour daily calendar to make sure you schedule sleep, exercise and proper eating!
Seek Help Immediately: Whether from faculty, peers, or mental wellness resources, don’t shy away from asking for support. It is crucial for handling academic pressures.
Network: Participate in clubs or groups related to optometry. These connections can lead to professional opportunities and friendships that lighten the academic burden.
Final Thoughts
Optometric education is undeniably rigorous and challenging, but it also provides an incredible chance to build a fulfilling career in healthcare. I honestly do not believe that our students are "leftovers", but they do come in with some challenges. By recognizing and addressing the unique struggles faced by students, we can cultivate a stronger support system that encourages not only academic success but also overall well-being.
Navigating this complex world is no easy task, but with the right tools, encouragement, and mindset, students can confront these challenges and evolve into skilled, caring optometrists ready to serve their communities. So, if you're embarking on this journey, remember: you are not alone in these struggles. Embrace the challenges, seek support, and keep your sights set on the rewarding path ahead.
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