I don't have access to EVERY practice, but I have spoken with just about every recruiter/placement agency in the country and they have all conveyed that the majority of practices have seen a downturn in business in the past 6 months. 3 doctors that we visited/interviewed with have called to say they are no longer pursuing a partner due to slow business. The AAO site at the moment has nothing viable if you've done your research on the various practices listed. Some of the practices are running at 70% overhead...factor in a 21% medicare cut...boom, you're out of business. Even the ones that operate at 45-55% are going to be struggling big time in the next year...unemployment only pays $2000 a month...
Let me make an observation as a semi-interested observer:
I think far too many young people, whether they are graduating from college or a professional residency program like ophthalmology sort of have this sense of not really entitlement, but that once they are done with their intensive schooling, that they will be on easy street.
And on some level I can't quite blame them. Older people have always said "study hard, stay in school, go to college and you will get a good job."
In ophthalmology, that sense is magnified many fold I believe because to be an ophthalmologist, you usually have to excel in college, get into medical school and excel there, get into a residency and bust your ass there to get trained. As people pursue that goal, outsiders are always saying "wow! an eye surgeon! That's great! You'll make great money and everyone gets cataracts and/or needs glasses so you can pretty much work ANYWHERE YOU WANT and get paid big money! Yay!"
So people naturally have this sense of "ok, I lived up to my end of the bargain. I busted my butt for years. Now someone pay me."
Of course, it doesn't really work that way.
A "good" job or a high paying salary is something that you either create for yourself by starting/buying a practice or you work for someone else but you can't approach working for someone else with the idea of "someone pay me." You have to approach it with the idea of "ok, what can I do to make money for this person/practice/company."
I think that med students in general, are very bad at having that perspective because first of all, thinking about money is sort of taboo in medicine...it's supposed to be "all about the patient" and everyone just sort of gets it into their head that their medical skills should be enough and really it's not.
So try to think of it that way....what can I do to make this person money?