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by pjc50 3388 days ago
Even further on the fringe of medicine: opticians.
4 comments

That's a bit different, as an opthalmogist is a real doctor who treats eyes. Dental equivalent would by a dental hygienist, I guess.
Ophthalmologists are specialists just like any other medical specialist, e.g. a dermatologist. Does the fact that general practitioners refer people on to dermatologists mean that family doctors are not 'real doctors'? Sorry if that sounds aggressive, I am unfairly taking the inference from what you said that opticians are somehow 'fake'.
> I am unfairly taking the inference from what you said that opticians are somehow 'fake'.

Opticians are equivalent to pharma techs (or dental hygienists as dogma1138 noted), could you be thinking about optometrists (sometimes called Ophthalmic Opticians in the UK)?

Probably, I wouldnt know which is which. I have been very impressed any time I've had my eyes checked.

    > Ophthalmologists
Doctor

    > dermatologist 
Doctor

    > general practitioner
Doctor

    > optician 
Not a doctor
You mean physician. An optometrist typically has a Doctor of Optometry degree. One can argue if that's really a Dr. (I'd say it more like an MS), but nonetheless they could be called Dr. They also write prescriptions for lenses.

An optician fits the glasses, which is more like the technician.

An optometry program lasts four years, so that is equivalent to the schooling needed for an MD. (After schooling there is a state and national examination in order to get the license.)
Opticians and ophthalmologists are different things.

And optician had some training but it's not a medical degree which is equivalent to say a dental hygienist in dentistry.

I don't want to be excessively glib here, but general practice in modern medicine is often very close to being "health theater" like the TSA is security theater.

We're not talking about the rural doctors of old, their job could be automated in the next five years or so.

I was thinking of pharmacists. They are sorta kinda doctorish (they even get Doctor of Pharmacy degrees), but not really. They are supposed to be consulted by doctors as the prime authority on medications, but this seems to rarely happen outside of hospitals. Doctors most likely think they know enough about the medications they prescribe to not need regular help.

Oh, and what about podiatrists? Health care seems sufficiently splintered that I would have never wondered why dentistry is separate.

> podiatrists

Podiatrists are doctors, they just have their own medical schools AKA podiatry school - https://en.wikipedia.org/wiki/Podiatric_medical_school

Podiatrists are sometimes ridiculed for not being real doctors like dermatologists. However, to diabetics they are life savers.

By the same token, you could argue that dentists are also real. They are licensed and they can prescribe drugs and perform procedures independently.

My point was more to show that dentistry is not unique in being separate from the medical profession. There are a variety of health professions that have responsibility and esteem that aren't MDs.

In the US the diagnostic role is optometrist.

An optician designs lenses and fits glasses.

in japan you can completely bypass them if you just need corrective glasses. result: glasses are dirty cheap.
In Greece too. As long as you have the older prescription (basically a small form with the required information filed in) you can get new spectacles without having to visit the ophthalmologist. The prescription is not taken away

In many cases, eyewear shops have ophthalmologists employed on site with all necessary equipment and they test you for free.

> As long as you have the older prescription (basically a small form with the required information filed in) you can get new spectacles without having to visit the ophthalmologist. The prescription is not taken away. In many cases, eyewear shops have ophthalmologists employed on site with all necessary equipment

This is true in the US too. (And the prescriptions must be transferable by law.)