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To the Editor.
—As a neurologist with credentials in neuroophthalmology, I recently left work at a medical faculty to enter private practice. An ophthalmologist invited me to work in his office when he was operating, affording me a debut without capital expense.My host suggested that I meet his practice consultant to learn basic principles of the private office. The consultant's efforts had already enabled the ophthalmologist to attend to up to 90 patients daily.The practice consultant was an affable individual with a background in sales and years of experience providing advice to ophthalmologists in "high-performance" practices. His method employs a script that guides the ophthalmologist through a "one-pass" system: the physician sees each patient once, not to return after leaving the room. To perfect the system, the consultant had monitored the doctor's performance—at his side and with a stopwatch.In a high-performance eye care encounter, the ophthalmologist enters
Ellenberger C. High-Performance Ophthalmology. Arch Ophthalmol. 1991;109(12):1638-1639. doi:10.1001/archopht.1991.01080120016011