What do you want out of your job? I find myself asking that every day that I come to work. Some days are good, yet others, I find myself questioning the goal of the company. We continually emphasize and pride ourselves on a patient-centered care, yet often we fail to deliver it. There is no fault by the individuals that work within this company. Everyone works hard and is truly passionate about what they do. However, if out of every 8 sessions done by a vision therapist is not met by a doctor's evaluation, we fail to evolve patient care. Their progress often stagnates because there are not updated recommendations, which is by no means the doctors' fault. They are absolutely swamped. Therefore, we should reduce the number of patients we see in order to provide responsible care. Some patients are easy to work with and have simple diagnoses, however, many patients are very complex and require constant monitoring. Thus, it is irresponsible to take on patients, charge 185 (though now 195), and not be able to provide the doctor evaluations alongside these VT sessions. That brings me to another point. Compensation. Everyone gets paid 15-16 an hour for the most part, which at first seems fair. However, in real life, different skill sets should mean different pay. Not here. If you are trained further in different things, it becomes expectation for you to continue that training, get more skills under your belt, yet you will not receive a pay raise. Of course money isn't everything. However, if the company is raising the prices of VT sessions and not even telling the VTs, again, irresponsible. When the prices of my services are being increased, that is incredibly important to convey that to all individuals that it affects. I found out through other co-workers rather than management, who heard through others. So of my 195 session, I get paid 15-16, less than 10%. Of the 44 sessions in a typical program, often times 3-5 evals are done, which are probably 200-300. So if you do the math, VTs get paid absolutely nothing for their work in the grand scheme of things. Moral of the story: do not come here if you want to get paid fairly. The more you do, the more they will expect and take advantage of your abilities and you will not be met with compensation. Patients are not put first, business efficiency and optimizing monetary gain is put first. Though patients are the focal point, and their satisfaction DOES get emphasized, it is often done in order to retain the customer. Come here to learn, come here to develop into a responsible provider, come here to learn how to work as a team. Do not come here if you expect fair pay, a truthfully patient first experience, or if you want to be invested in as an individual.