As optometry continues to evolve, doctors have more opportunities than ever to specialize, adopt new technologies, and collaborate with industry, but lasting success is built on something far more important than equipment or titles: trust. During a conversation recorded at the British Columbia Doctors of Optometry (BCDO) conference, Dr. Harbir Sian, Dr. Julian Prosia, and Dr. Kulvir Singh discussed the importance of evidence-based decision-making, ethical industry partnerships, and the power of OD-to-OD collaboration. They emphasized that putting patients first, seeking unbiased advice before making major investments, and building strong relationships with colleagues ultimately lead to better outcomes for both patients and practices.

As technology and specialty care continue to evolve, optometrists are faced with more choices than ever. But regardless of reimbursement, equipment investments, or industry relationships, one principle should remain constant: do what is best for the patient.

The panel emphasized that clinical decisions should be driven by evidence and outcomes—not by the need to justify a purchase or maximize revenue. Patient-first care ultimately creates stronger practices and better long-term success.

One of the biggest themes of the discussion was the importance of OD-to-OD referrals. No doctor can do everything, and that is okay.

When practitioners collaborate and refer patients to trusted colleagues, everyone benefits. Patients receive the best care possible, trust grows, and the profession becomes stronger. Whether it’s dry eye, myopia management, specialty lenses, or surgical co-management, building relationships with colleagues creates better outcomes than trying to do everything alone.

As Dr. Kulvir Singh noted, “There’s not much competition at the top—it’s always at the bottom.”

New technologies can be exciting, but expensive equipment should never be purchased based solely on sales promises. Before investing, doctors should seek unbiased opinions from colleagues who have firsthand experience using the device.

Evidence matters. Independent studies, real-world outcomes, and conversations with trusted peers provide far more value than marketing materials alone. A machine that sits unused becomes an expensive piece of furniture.

Industry partnerships can be valuable when they focus on education and improving patient care. Companies that invest in doctors and provide meaningful support create lasting relationships rather than simple transactions.

Likewise, attending meetings and conferences allows practitioners to connect with colleagues, share ideas, and learn from one another. Those relationships often become some of the most valuable assets throughout a career.