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by Christopher Wolfe, OD, FAAO, Dipl. ABO
Digging Deep into Optometry
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- 1 weeks ago25 min
The Chris Wolfe Podcast: You Bought the Technology. Now What?
This episode focuses on why practice success should be measured by patient flow and care delivery, not just by how many procedures you perform. Christopher Wolfe, OD, FAAO explains how to spot breakdowns in the clinical process, from identifying patients to getting them scheduled, treated, and followed up.He also connects the same framework to dry eye, AMD, supplementation, and photobiomodulation, showing how a small set of meaningful metrics can reveal where your practice is actually losing opportunities. Key topics Christopher Wolfe, OD, FAAO explains why counting IPL or photobiomodulation procedures alone does not tell you whether a clinical program is working. He breaks the patient journey into stages: identification, recommendation, scheduling, evaluation, treatment initiation, and outcomes. A practice may be missing the real problem if it assumes low procedure volume means doctors need more sales training. He uses dry eye as an example: if 100 patients should have been flagged from 500 comprehensive exams but only 20 were identified, the issue starts in the exam room. If patients are identified but not returning for dedicated evaluations, the bottleneck may be communication, checkout, or scheduling. If patients complete evaluations and choose appropriate treatment, the program may be successful even if only a portion choose IPL specifically. Christopher emphasizes using a few consistent metrics rather than an overly complex dashboard that nobody reviews. He applies the same logic to AMD care, including OCTA-based identification, supplementation, annual supply tracking, and follow-up planning. He argues that capacity matters too: if more patients are identified than the schedule can absorb, the practice must redesign staffing and appointment structure. The goal is to build a process that does not depend on one motivated doctor or one piece of equipment, but on a repeatable team workflow. Timestamps 00:00 - Why procedure counts do not prove a program is working 01:21 - Looking beyond the procedure to the pre-procedure process 02:21 - Dry eye example: identifying patients during comprehensive exams 03:17 - Where patients drop off between exam and evaluation 04:11 - Success can still exist even when not everyone chooses the same treatment 05:33 - Turning the problem into a specific team metric 06:02 - Start with a few meaningful numbers, not a complicated dashboard 07:00 - Applying the same thinking to AMD implementation 07:56 - Tracking AMD care through OCTA, supplementation, and annual supply sales 10:48 - Building protocols for earlier identification and follow-up 11:42 - When improved detection exposes capacity problems 12:38 - Financial modeling as support for population-level care 13:33 - How doctor time, staff support, and diagnostic testing can be allocated 14:57 - Why technology without workflow still fails 15:53 - A process should not depend entirely on one doctor 16:48 - The roles of technician, scheduling team, and physician in the pathway 18:13 - The framework for launching or fixing a dry eye or AMD service 19:34 - Why measuring the process reveals unexpected problems 20:33 - Lessons from football about repeatability and consistency in practice 21:30 - Final takeaway: measure the process, improve the process, improve outcomes Want to take these concepts beyond the podcast and actually build an AMD system for your practice? Join Dr. Chris Wolfe for the AMD Implementation Workshop in Grapevine, Texas, on October 29, 2026. This all-day workshop will take a deeper dive into creating an AMD management protocol for your individual practice—from identifying the right patients and establishing KPIs to integrating testing, supplementation conversations, patient education, treatment options, and staff workflows. Learn more and register: https://www.practiceperformancepartners.com/amd-implementation-workshop/?utm_source=hs_email&utm_medium=email FREE Complete Clinical AMD Management Course for Podcast Listeners Want to dive deeper into the clinical side before the workshop? Podcast listeners can access the Complete Clinical AMD Management Course Bundle FREE through October 31, 2026. The course includes six educational modules designed to take a deeper dive into the clinical concepts discussed in this episode. Access the course: https://www.eyecodeeducation.com/bundles/the-complete-clinical-amd-management-course-bundle Podcast Listener Coupon Code: ece2026amdpromo Offer expires October 31, 2026.
- 1 weeks ago24 min
The AWP: Win the Day: Turn Practice Goals Into Daily Wins
What does success look like for your team today? Aaron breaks down how to turn monthly percentages into clear, attainable daily goals. Learn how to use your schedule to set targets, celebrate progress, and build momentum without carrying yesterday’s misses into tomorrow. ____________ AMD Implementation Workshop — October 29, 2026 Want to take these concepts beyond the podcast and actually build an AMD system for your practice? Join Dr. Chris Wolfe for the AMD Implementation Workshop in Grapevine, Texas, on October 29, 2026. This all-day workshop will take a deeper dive into creating an AMD management protocol for your individual practice—from identifying the right patients and establishing KPIs to integrating testing, supplementation conversations, patient education, treatment options, and staff workflows. Learn more and register: https://www.practiceperformancepartners.com/amd-implementation-workshop/?utm_source=hs_email&utm_medium=email FREE Complete Clinical AMD Management Course for Podcast Listeners Want to dive deeper into the clinical side before the workshop? Podcast listeners can access the Complete Clinical AMD Management Course Bundle FREE through October 31, 2026. The course includes six educational modules designed to take a deeper dive into the clinical concepts discussed in this episode. Access the course: https://www.eyecodeeducation.com/bundles/the-complete-clinical-amd-management-course-bundle Podcast Listener Coupon Code: ece2026amdpromo Offer expires October 31, 2026.
- 2 weeks ago27 min
The Chris Wolfe Podcast: The Real Reason Your IPL Device Isn’t Paying Off
Process Before Outcome: Why IPL and Photobiomodulation Need a Better Clinical Pathway Christopher Wolfe, OD, FAAO, explores a common implementation mistake in eye care: pursuing an outcome before building the process that can produce it consistently. Using IPL and photobiomodulation as examples, he explains why the goal should be better identification, evaluation, and management of ocular surface disease and macular degeneration—not simply performing more procedures. He also discusses how clinical evidence, professional judgment, and patient preferences work together to support appropriate, sustainable care. Key topics Why practices may struggle to implement IPL even when they believe in the technology The hidden workflows behind successful clinical programs Why “more IPL treatments” is an incomplete measure of success How a structured dry eye pathway can move patients from identification to evaluation and appropriate treatment Why not every patient is a candidate for IPL—or wants a procedure How research, clinical judgment, and patient preferences inform evidence-based care How procedure-first goals can unintentionally influence conversations with patients What a broader macular degeneration management pathway can include Why photobiomodulation should be one possible treatment option, not the entire goal Which practice metrics can help identify where care pathways need improvement Timestamps Why outcome-first thinking can undermine implementation What workshop attendees reveal about IPL adoption When the problem is the process—not the technology The steps behind successful clinical programs Why “more IPLs” may be the wrong success metric Not every dry eye patient is an IPL candidate Research, clinical judgment, and patient preferences How a procedure-first goal can affect patient conversations Reframing success around ocular surface disease management Building a structured dry eye pathway Making IPL one option within a care plan Metrics that show where care can improve A football analogy for process and consistency Why repeatable progress beats relying on exceptional outcomes Applying the same lesson to macular degeneration What a broader AMD care process can include Building a management pathway beyond procedure training Closing thoughts on sustainable implementation Notable quotes “If I've decided that the outcome that I want for the patient is for them to accept IPL, then I've potentially created a conflict between what I want for my practice and what I want for their care.” “I want a process that consistently puts patients in a position to succeed.” AMD Implementation Workshop — October 29, 2026 Want to take these concepts beyond the podcast and actually build an AMD system for your practice? Join Dr. Chris Wolfe for the AMD Implementation Workshop in Grapevine, Texas, on October 29, 2026. This all-day workshop will take a deeper dive into creating an AMD management protocol for your individual practice—from identifying the right patients and establishing KPIs to integrating testing, supplementation conversations, patient education, treatment options, and staff workflows. Learn more and register: https://www.practiceperformancepartners.com/amd-implementation-workshop/?utm_source=hs_email&utm_medium=email FREE Complete Clinical AMD Management Course for Podcast Listeners Want to dive deeper into the clinical s
- 3 weeks ago25 min
The Chris Wolfe Podcast: Why Photobiomodulation Shouldn’t Be Judged Only by Visual Acuity
Christopher Wolfe, OD, FAAO, examines how clinicians should evaluate photobiomodulation for dry age-related macular degeneration (AMD). The key question: should treatment be judged only by visual acuity gains, or also by whether it may affect disease progression in patients whose vision is still good?He reviews evidence related to drusen volume, geographic atrophy (GA), conversion to wet AMD, and other measures of visual function. He also considers treatment frequency, patient burden, and what further research is needed before clinicians can confidently reduce the current treatment schedule. Key topics Why visual acuity improvement may not be the only meaningful measure of benefit in dry AMD How photobiomodulation compares with the preventive goals of AREDS 1 and AREDS 2 Findings on drusen volume from the Iovino and LightSite studies What the available evidence does—and doesn’t—show about conversion to wet AMD and development of GA Functional outcomes beyond standard high-contrast visual acuity, including contrast sensitivity and low-luminance visual acuity What may happen when treatment stops, and why ongoing management may be needed The current treatment schedule discussed in the episode: nine treatments over three weeks, repeated every four months Why evidence is still needed to determine whether fewer treatments or longer intervals can maintain benefit How clinicians can discuss potential benefits, uncertainty, treatment burden, and patient preferences Timestamps 00:13 — The central question: is visual acuity the only measure of benefit? 01:39 — The question for category 3 patients with good visual acuity 03:02 — The comparison with AREDS 1 and AREDS 2 05:00 — Evidence on drusen volume 06:25 — What the studies suggest about conversion to wet AMD 07:50 — Geographic atrophy findings 09:19 — Looking at photobiomodulation through a disease-progression lens 10:16 — Functional measures beyond the eye chart 11:14 — What happens to measured benefits after treatment stops 12:10 — Retreatment intervals and sustaining benefit 14:07 — The treatment burden of the current protocol 15:02 — The limits of anecdotal evidence when considering fewer treatments 15:57 — Wearable and at-home approaches: promising, but not yet a replacement 16:50 — The current best-supported schedule discussed in the episode 17:20 — The research question that could change clinical practice 18:17 — Explaining the evidence and options to patients 20:10 — Why visual acuity should not be the only definition of success AMD Implementation Workshop — October 29, 2026 Want to take these concepts beyond the podcast and actually build an AMD system for your practice? Join Dr. Chris Wolfe for the AMD Implementation Workshop in Grapevine, Texas, on October 29, 2026. This all-day workshop will take a deeper dive into creating an AMD management protocol for your individual practice—from identifying the right patients and establishing KPIs to integrating testing, supplementation conversations, patient education, treatment options, and staff workflows. Learn more and register: https://www.practiceperformancepartners.com/amd-implementation-workshop/?utm_source=hs_email&utm_medium=email FREE Complete Clinical AMD Management Course for Podcast Listeners Want to dive deeper into the clinical side before the workshop? Podcast listeners can access the Complete Clinical AMD Management Course Bundle FREE through October 31, 2026. The course includes six educational modules designed to take a deeper dive into the clinical concepts discussed in this episode. Access the course: https://www.eyecodeeducation.com/bundles/the-complete-clinical-amd-management-course-bundle Podcast Listener Coupon Code: ece2026amdpromo Offer expires October 31, 2026.
- Sep 29, 202627 min
The Chris Wolfe Podcast: Did AI Just Give Me A COPE Approved Live Lecture?
Did AI Just Give My Continuing Education Lecture? What happens when artificial intelligence stops helping the educator and starts becoming the educator? In this episode, Dr. Chris Wolfe shares an experience from a recent COPE approved continuing education lecture that left him asking a bigger question: Who actually created the education he was receiving? The lecture was delivered by a highly trained retinal surgeon, but much of the presentation sounded heavily AI scripted and appeared to be read nearly verbatim. At the same time, portions of the course focused specifically on one manufacturer's OCT technology and terminology. That combination raised questions that go far beyond whether someone used ChatGPT to make a PowerPoint. Chris discusses the difference between using AI to improve your expertise and using AI to substitute for the intellectual work of creating education. AI can help organize ideas, research evidence, improve explanations, refine slides, and make educators better. But if AI builds the presentation, writes the script, and the expert simply reads it, what exactly is the expert contributing? The conversation then turns to the relationship between key opinion leaders, industry, and continuing education. Chris shares a real example of a vendor proactively offering KOLs ready made slides, studies, references, sample reports, and other resources for upcoming conference presentations. None of those things are inherently inappropriate, but AI makes it incredibly easy to turn vendor supplied material into a polished educational presentation with very little additional work from the lecturer. That raises a much larger question about the effectiveness of our current continuing education safeguards. COPE has developed standards intended to preserve educational independence and address commercial influence, yet financial disclosures often amount to little more than a list of company names. They may tell an audience that a relationship exists without providing much context about the nature or magnitude of that relationship. Chris explains why he believes clinicians should become familiar with the CMS Open Payments database and why receiving industry compensation should not automatically be viewed as evidence of bias. He works with industry himself. The issue is not simply whether money changed hands. The issue is transparency and giving the audience enough information to evaluate potential influences for themselves. Ultimately, this episode isn't an argument against AI, industry relationships, KOLs, or even vendor supplied educational resources. It is a challenge to educators and the organizations responsible for continuing education. AI should allow us to get more from an expert, not less. If you have spent twenty years looking at retinas, tell us what those twenty years taught you. Show us your cases. Tell us where you were wrong. Tell us where experience changed your mind. Challenge the literature. Give us the judgment and pattern recognition that cannot be reproduced simply by asking an AI model to explain the topic. Because if a vendor supplies the material, AI builds the presentation, AI writes the script, and the expert's primary contribution is reading it from the stage, another disclosure form probably isn't going to solve the problem. The question educators may increasingly need to answer is much simpler: What did the expert actually add? In This Episode Chris discusses AI generated presentations and scripts, the difference between AI assistance and AI substitution, KOL relationships with industry, vendor influence on educational content, the limitations of traditional financial disclosures, CMS Open Payments, COPE and commercial independence, and what audiences should expect from experts in the age of artificial intelligence. Resources Mentioned CMS Open Payments Search financial relationships reported between applicable manufacturers and physicians and other covered recipients: https://openpaymentsdata.cms.gov/ COPE / Association of Regulatory Boards of Optometry Information about COPE accreditation and continuing education standards: https://www.arbo.org/cope The Bigger Question AI can write the slides. AI can summarize the research. AI can create the speaker notes. AI can even make the transitions sound polished. But it hasn't treated your patients. The value of an expert isn't the ability to deliver information. It is the experience, judgment, mistakes, disagreements, cases, and perspective they bring to that information. AI should amplify that expertise, not replace it. AMD Implementation Workshop — October 29, 2026 Want to take these concepts beyond the podcast and actually build an AMD system for your practice? Join Dr. Chris Wolfe for the AM
- Sep 25, 202640 min
Compliance Corner: Audit Defense: Building Your Internal Shield
https://www.practiceperformancepartners.com/amd-implementation-workshop/?utm_source=hs_email&utm_medium=email https://www.eyecodeeducation.com/bundles/the-complete-clinical-amd-management-course-bundle
- Sep 24, 202657 min
The AWP: HR Without the Drama: Handbooks, Hard Conversations & Documentation
Aaron sits down with Sarah McCormick of HR for Health to make HR feel less intimidating. They discuss why every practice needs a current handbook, how to handle difficult employee conversations, the importance of clear expectations and documentation, and why addressing problems early can prevent much bigger issues later. To learn more about the common mistakes Sarah and her team sees in optometry practices, download this free guide: 8 Common Optometry HR Mistakes & How to Respond to Them (https://hrfh.hrforhealth.com/preventative-hr-care-dwld-optometry-optometry?utm_source=partner&utm_medium=podcast&utm_campaign=common-mistakes-guide&partner_source=Vision%20Source) Connect with HR for Health: hrforhealth.com
- Sep 21, 202620 min
The Chris Wolfe Podcast:Your AMD Technology Isn’t the Problem—Your System Is
https://www.practiceperformancepartners.com/amd-implementation-workshop/?utm_source=hs_email&utm_medium=email https://www.eyecodeeducation.com/bundles/the-complete-clinical-amd-management-course-bundle
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