The distribution of subspecialties in ophthalmology group practices in an era of change group practices in an era of change

cohort expanded, but this trend is expected to continue for the next 30years.5 The cost of medical equipment is particularly high in the field of Ophthalmology and reimbursements for services are expected to decrease, putting tremendous pressure on practices to handle these challenges.4,5,16 It is difficult to determine how to staff a multi-subspecialty practice in this environment. The decision to hire a subspecialist involves weighing many factors including patient demand, reimbursement, the availability of physician applicants, competitive salaries, and the synergistic effects that the new physician may have on the group practice.