The increasing emphasis on accountability and continuing competency in the health professions, particularly optometry, is examined. The focus of various competency programs and the role of continuing education as a means of maintaining competency are discussed. (Author/JMD)

Changes in the current health care system impacting upon optometry and optometric care are highlighted including changes in health care organizations and delivery, emerging concepts in health care, and changes in optometry and optometric care. (JMF)

The critical issue of manpower in optometry is discussed in terms of widespread shortages and the decline in the number of applicants for admission to schools of optometry. (JMF)

A national center for health professions education research is proposed to facilitate well-funded, peer-reviewed, academically credible research. Its goals would allow for testing of models to provide health professionals with education grounded in sound methodology and content. (Author/MSE)

Entry-level skills needed of optometrists, as of allied health occupations practitioners, include thinking skills, communication skills, sensitivity to personal and professional values and ethics, awareness of self and individual social responsibility, lifelong learning skills and habits, interpersonal and group competence, and management…