Abstract
To the Editor. —Your lead editorial in the October 1967 issue of theArchives(78:419) is well taken; however, I feel the shoe is on the other foot. Most ophthalmologists do not realize the need for assistance, and, in fact, do not know how to use them if they had them. Part of this may be economic. The necessary increase in personnel cost utilizing trained personnel creates a real increase in overhead. The overhead cost for ophthalmologists is already reasonably high and to many the added personnel only tend to tie them closer to their offices. Some ophthalmologists with multiple offices would then be required to move trained personnel from place to place, again at greater expense. Even so, there is a general need for education of the individual ophthalmologist to the overall gain from utilization of trained assistants. In larger population areas with a number of ophthalmologists, centers

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