Who We Are
The OD/MD Consulting Group, LLC is a group of ophthalmologists devoted to helping optometrists develop their own Medical Optometry Practices. We believe that this is the first group of ophthalmologists committed to helping optometrists build their own Medical Optometry Practice in the United States. This ideology is in contrast to other ophthalmologists who have optometrists working for them in a co-management scenario. At The OD/MD Consulting Group, all of our ophthalmologists are board certified, and most, if not all, have earned both doctorate degrees: O.D. and M.D. with a residency in ophthalmology.
What We Do
Contracted with optometrists, we act as consultants on the medical care that the optometrist delivers tohis/her own patients. The optometrist owns all equipment, the practice and the patients’ medical charts. We are simply medical care consultants that will review the optometrist’s EMR charts through the internet to ensure that the optometrist is comfortable with the medical care he/she delivers.
Our Founder: Jeffrey H. Sedgewick, O.D., M.D.
Dr. Jeffrey H. Sedgewick is a Board Certified Ophthalmologist who has been practicing in the Dulles, Virginia area since December 2002. Highly educated and well trained, he completed his undergraduate studies with honors in biology at Oakland University in Rochester, Michigan. For four years, prior to attending medical school, Dr. Sedgewick worked as an optometrist, which gave him an appreciation of what it is like to practice as an optometrist in various commercial and private practices. Dr. Sedgewick received his Doctor of Medicine degree from Georgetown University in 1993, and he then completed an internship in internal medicine at Alton Oschner Clinic in New Orleans, Louisiana in 1994. He finished his ophthalmology residency at Louisiana State University Medical Center in Shreveport, Louisiana in 1999. Dr. Sedgewick performed two years of military service as a flight surgeon for the United States Air Force. He served as Chief of Occupational Medicine at Minot AFB, Chief of Ophthalmology at Fairchild AFB from 1999 to 2000, and Chief of Ophthalmology at Andrews AFB from 2000 to 2002. Click here to view Dr. Sedgewick's CV.
Dr. Sedgewick is one of the few ophthalmologists in the United States holding both doctorate degrees: the Medical Doctor degree (M.D.) and Doctor of Optometry (O.D.) degree.
Overview of starting your own Medical Optometry Practice:
- Joint Management of Cataract Surgery by Ophthalmologists (MD) and Optometrists (OD) in the U.S. 2012 and 1013. Can we do better?
An article was published recently examining cataract extraction (CE) co-management rates between Optometrists (ODs) and Ophthalmologists (MDs) for the 27 million medicare beneficiaries in the U.S., Puerto Rico and the District of Columbia. (It does not include the 28% of Americans > 65 years old in Medicare Advantage programs or the 19% of cataract extractions (CE) performed on Americans < 65 yo). This is a very large patient base. This article was published in the journal “Ophthalmology” (Erie JC, Hodge DO, et al. Joint Management of Cataract Surgery by Ophthalmologists and Optometrists. Ophthalmology 2016; 123: 505-513). I asked for copyright privileges to reprint the whole article here but they wanted a fee for it.
- Approximately 1 in 10 patients nationwide had their CE surgery co-managed in this study. Prior estimates were between 15% to 24%.
[1) Eye Care Workforce Study: Supply and Demand Projections. Prepared by the American Optometric Association and the Association of Schools and Colleges of Optometry. St. Louis, MO: The Lewin Group, Inc. April 25, 2014. 2) Bass EB, Sharkey PD, Luthra R, et al. Postoperative management of cataract surgery patients by ophthalmologists and Optometrists. Arch Ophthalmol 1996;114:1121–7].
20% of co-management ODs did 10 or more co-management patients per year with male ODs having a higher rate than female ODs (P < 0.001. I don’t know why this was singled out for analysis). 81% of ODs in a 2012 survey reported co-managing CE.
[Report on the 2012 National Eye Care Workforce Survey of Optometrists. Prepared by the American Optometric Association and the Association of Schools and Colleges of Optometry. St. Louis, MO: The Lewin Group, Inc. March 24, 2014
But, in this study only 24% of co-managing ODs did 10 or more per year. I am not too surprised by this low rate of > 10 per year knowing how much the average Optometrist’s income is derived from routine eye exams and glasses sales. Can Optometry do better? Do they want to? Isn’t co-management of CE an easy foray into medical services by ODs? What about devoting your whole practice to performing medical services only? The responce from Optometrists wanting to build their own medical only practice has been slower than I had anticipated. I realize the “out of the box” thinking this requires from both the OD and MD, but I haven’t given up yet. I’ll have to rethink how to get more ODs involved in medical services. My book should be coming out soon from Lulu covering the medical knowledge an OD needs to master in order to build their own Medical Optometry Practice. Don’t forget, an Ophthalmology consultant will be sued for any medical services malpractice you, the OD, does which is why few, if any, Ophthalmologists consult medical patient care with Optometrists and why a baseline, Ophthalmology based medical knowledge book is necessary (IMHO).
Interesting facts in this study; of the 17,214 Ophthalmologists submitting Medicare claims in 2013, 55% submitted claims for > 10 CE per year. Of the 26,282 Medicare participating ODs, 20% co-managed CE for > 10 per year. (The vast majority of Ophthalmologists are participating in Medicare). Approximately 6,000 ODs work in Ophthalmology practices [United States Department of Labor, Bureau of Labor Statistics. Occupational Handbook, 2012 Edition Optometrists. Available at: http://www.bls.gov/ooh/healthcare/optometrists]. I’ve attached the excel spread sheet for this here with line #22 having the 6,100 figure:
Here are some projections on the supply and demand for Ophthalmology (their data, my graph) until 2020 by the Department of Health and Human Services (DHHS).
There are fewer full-time equivalent (FTE) Ophthalmologists than supply of Ophthalmologists since some Ophthalmologists don’t work full time. Here is the complete document.
Here is a graph of the projected US population growth as predicted by DHHS.
You can see that the aging population > 65 years old is growing increasingly faster than the general population and hence the demand for Ophthalmology services will not keep up with projected demand. This is where a Medical Optometry Practice can step in. An Ophthalmology consultant, which has to be licensed in your state and is open to malpractice lawsuits from what you do, can help you fill this void. I’ve included the need for support staff per full-time equivalent (FTE) Ophthalmology projections as well
Preferred Practice Patterns by the American Academy of Ophthalmology:
(All Articles are Copyrighted from the American Academy of Ophthalmology or Elsevier)
Most Recent Articles are on the Bottom
- Comprehensive Adult Medical Eye Evaluation (copyright Elsevier 2015)
- Idiopathic Epiretinal Membrane and Vitreomacular Traction (copyright Elsevier 2015)
- Primary Angle Closure (copyright Elsevier 2015)
- Primary Open-Angle Glaucoma Suspect (copyright Elsevier 2015)
- Primary Open-Angle Glaucoma Preferred Practice Pattern Guidelines (copyright Elsevier 2015)
- Retinal Vein Occlusions (copyright Elsevier 2015)
Here are some interesting articles covering the marketing of a practice:
- Marketing Your Medical Practice: 7 Entrepreneurial & Time Saving Techniques
- How to Build a Budget for Your Practice in 2014
- 6 Keys to a Successful Medical Practice Start-up
- Build Your Medical Practice Client Base
- Boost Referrals at Your Medical Practice
- Building Your Practice Versus Building Your Business
Here is an article that addresses billing:
Here are Some Articles Addressing Malpractice Issues:
- Malpractice and Optometry: Video (Not So) Grand Rounds
- Triggers for Malpractice Suits
- Malpractice Payments by Optometrists: An Analysis of the National Practitioner Databank Over 18 Years
- Navigating Optometric Litigation
- Malpractice: The Suit That Takes You to the Cleaners
- O.D. Flunks Optometry 101
- Washington DC Optometry Malpractice Lawyer
- 3 Ways for an Optometrist to Keep from Getting Sued for Malpractice
- Lawsuits Preventable with Quality Care, Documentation
Just for Fun:
It's been said, "Great minds discuss ideas; average minds discuss events; and small minds discuss people." -Eleanor Roosevelt
Here are some interesting clinical scenarios, click to view: