NextGenOD podcast

In this engaging Season 2 episode, hosts Dr. Amrit Bilkhu and Dr. Alexa Hecht chat with Dr. Alexandra Baillie about her journey from US optometry school to practicing in Canada. As a recent NECO graduate, Dr. Baillie shares insights on choosing a US program, navigating board exams, building a specialty in contact lenses, and transitioning back home. Ideal for Canadian students eyeing US schools or planning their post-grad path, this discussion covers challenges, opportunities, and tips for a smooth return.

Episode Highlights:

  • Happy New Year Vibes: Amrit and Alexa kick off 2026 with excitement for Season 2, congratulating fourth-year students and empathizing with first-years questioning their life choices.
  • East Coast Roots to Boston: Dr. Baillie recounts her Nova Scotia upbringing, undergrad in New Brunswick, and gap year at FYI Doctors during COVID—gaining admin skills and witnessing optometry’s adaptability.
  • Why US Over Canada?: Insights on opting for NECO in 2021—drawn by its large Canadian cohort, specialty lens potential, and a sense of belonging despite border challenges.
  • Leadership in CAOS: Dr. Baillie’s roles in the Canadian Association of Optometry Students, including co-president, fostering mentorship, networking, and post-grad discussions.
  • Specialty Lens Focus: How NECO’s concentration program built her expertise in specialty contacts, enabling her to offer advanced services in Halifax without residency.
  • Boards Breakdown: Candid advice on NBEO and OEBC—writing both for flexibility, the stress of changes, and trusting your training.
  • Transition Tips: Dr. Baillie’s smooth return to Halifax, emphasizing preparation, admin hurdles, and upcoming webinar insights.
  • Webinar Jan 27th: Preview of the January 27 “Cross-Border Guidance” event with visa experts, Dr. Baillie, and Dr. Allison Scott—geared for all students.

Listen now to uncover the realities of US schooling for Canadians, board exam strategies, and building a fulfilling practice back home—whether you’re a pre-optom student or eyeing your post-grad move!

Special Guest:

Alexandra Baillie, OD, practices in Halifax, Nova Scotia, specializing in specialty contact lenses after graduating from the New England College of Optometry (NECO) in 2025. A Mount Allison University alum with leadership experience in the Canadian Association of Optometry Students (CAOS), Dr. Baillie is passionate about mentorship and bridging US-Canadian optometry paths. To connect with Dr. Alexandra Baillie for questions or advice, email her at alexandra.baillie@fyidoctors.com.

Your Hosts:

  • Amrit Bilkhu, OD, FAAO, FOVDR
  • Dr. Amrit Bilkhu graduated from the Illinois College of Optometry in 2019 and completed a Vision Therapy & Rehabilitation residency program at UC Berkeley School of Optometry in 2020. She is a fellow of the American Academy of Optometry and the Optometrists in Vision Development and Rehabilitation. Dr. Bilkhu owns her private practice, Northern Sight Optometry, in Vaughan, Ontario. In her spare time, she serves as a board member for Vision Therapy Canada, writes articles for optometry blogs, and shares her knowledge on her professional social media page.
  • Alexa Hecht, OD
  • Dr. Alexa Hecht obtained her Doctor of Optometry from the University of Waterloo in 2021. She currently practices at Bayview Vision in Toronto, Canada, where she enjoys seeing patients of all ages and has a clinical interest in dry eye disease and ocular aesthetics. Dr. Hecht has a significant social media following on Instagram and TikTok, where she aims to educate the public about the importance of eye health and clean beauty habits. She is passionate about inspiring and mentoring the next generation of optometrists.

This episode sponsored by Eye Care Business Canada – Future Focus Event Series Sponsor

Future Focus Cross-border guidance event Jan 27, 2026

Registration for the Future Focus Cross-Border Guidance webinar January 27th is now open.  Dr. Baillie will share her insights with Dr. Allison Scott, President, Canadian Association of Optometrists.

Here from immigration legal expert Eric Lockwood, and from Dr. Amanda Olson, from the Optometry Examining Board of Canada.

Great prizes for student participants.  Thank you to the following Visionary Sponsors: Eye Recommend, FYi doctors, OSI Group and Specsavers. Horizon Sponsors:  CRO (Clinical & Refractive Optometry) and CSI Dry Eye Innovations.

Save the date –  April 2nd – for the Future Focus Live in-person event at Federation Hall Univ. of Waterloo.  .


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The Human Equation in Optometry: OSI’s Vision for Independent Clinics

Clinical outcomes depend on more than accurate refractions or the latest diagnostic tools. The tenor of an exam often turns on how an optometrist handles stress, reads unspoken cues, and balances professional focus with human empathy. These quieter skills shape a career, yet they rarely appear in formal training.

That gap has become part of OSI Group’s agenda. While continuing education in optometry has traditionally centred on procedures and equipment, OSI has pushed the conversation further—spotlighting members who place mental health and emotional intelligence at the centre of professional practice.

Independent practice thrives when these skills are recognized as core strengths. The ability to steady a patient’s stress or carry the long haul of decision-making defines not only the quality of care but the sustainability of a clinic.

It’s here that OSI’s commitment to whole-practice development comes into focus, as members themselves take the conversation forward. In recent months, two OSI-linked projects have highlighted these themes: Uncover Your Eyes—Dr. Meenal Agarwal’s series on stress, empathy, and brain science—and a candid discussion on the Future Focus podcast featuring guest Dr. Hansel Huang. Together they show how the profession is beginning to define excellence in broader terms.

Dr. Meenal Agarwal on Mental Health

For OSI Member and podcast host Dr. Meenal Agarwal, the profession’s limited focus on stress management and high-pressure decision making has become a critical gap. Through her program Uncover Your Eyes, she argues that mental health is not a private concern to be managed outside the clinic, but a clinical strength that shapes daily interactions with patients and staff.

“I want ODs to embrace mental health as part of professional excellence,” she says. “That means self-advocacy, boundary-setting, and emotional literacy in clinic routines. Sensitivity isn’t a weakness; it’s a clinical strength.”

She points out that optometrists who overlook their own mental state risk burnout and poor communication. Research on stress and cognition supports the link—when an OD carries unacknowledged strain into an exam room, it can alter their ability to listen and weigh information. Patients sense this, and outcomes suffer.

Uncover Your Eyes insists these skills belong alongside technical training. In a profession where continuing education is dominated by lenses and procedures, Dr. Agarwal makes the case that emotional steadiness is just as central.

Her message has gained traction within the OSI community, where innovation is increasingly defined not only by equipment and technique but by the human side of practice. By framing mental health as part of professional excellence, Dr. Agarwal is pushing optometry to expand its definition of what it means to lead a sustainable practice.

Dr. Hansel Huang on Finding Confidence

If Dr. Agarwal’s work shows how mental health can be taught as a clinical strength, Dr. Hansel Huang’s story illustrates what support looks like at the start of a career. The OSI Member recently shared his journey on Future Focus, a podcast hosted by Dr. Amrit Bilkhu and Dr. Alexa Hecht.

In the episode, Huang speaks candidly about pressures that extend far beyond the exam room: the sting of imposter syndrome, the weight of patient responsibility, and the mental toll of unexpected exam changes such as the NBEO score revisions. Left unchecked, these stresses can compound into isolation and self-doubt.

What shifted his trajectory was connection. Early in practice, OSI Advisor Jas Ryat created space for open conversation and judgment-free problem solving. “Jas was so good, OSI was so good—it was like, yeah, let’s have meetings, let’s talk about it. The fact that there was no judging, just support and resources, was really cool,” Huang recalls. Having that sounding board helped him see that asking questions was not weakness but part of professional growth.

From there, he began to reframe stress as fuel rather than a flaw. On the podcast, Huang described moving from the mindset of doing what he was “supposed to” into a path of self-discovery—eventually becoming a mental health coach as well as an optometrist. He now helps peers turn fear into motivation, combat imposter syndrome, and foster healthier team cultures that value support over pressure.

His evolution from self-doubt to advocate shows how targeted intervention at the right moment can change a career arc, and how these changes ripple outward as the next generation takes on leadership roles.

Lessons Across the Profession

The stories of Dr. Agarwal and Dr. Huang underscore that clinical skill alone does not define success. Their experiences highlight how stress management and empathy shape outcomes just as much as diagnostic accuracy. When viewed through the lens of the profession as a whole, these themes carry meaning for every stage of practice.

For students and new graduates, the message is that true practice readiness extends beyond technical skill. The ability to manage stress and communicate with empathy can shorten the steep learning curve after graduation and build confidence in early patient encounters.For clinic owners, the challenge is balancing multiple roles at once—clinician, employer, business manager. Emotional steadiness becomes a leadership asset, shaping how owners support staff and navigate the financial and strategic decisions that define the long run of a practice. This is where OSI’s resources matter most, offering resilience tools that make the load more manageable—whether through advisor support or targeted education.

For teams and staff, the benefits reach beyond the optometrist. Through initiatives like Uncover Your Eyes and the Future Focus podcast, OSI helps foster a clinic culture that values openness and empathy. When staff feel supported, patient experience improves, and the business as a whole becomes more adaptable.

A Broader Definition of Innovation

Too often, innovation in optometry is equated with the latest technology. OSI takes a wider view: real progress comes from investing in people. Innovation here means shifting from transactional care to transformational care, where the focus extends beyond the exam room into the relationships that sustain independent practice.

Independent practice is a network of relationships—between doctor and patient, owner and staff, clinician and community. OSI positions its members to see these connections as opportunities for growth rather than sources of strain. Patient stress becomes a chance to deepen trust. Leadership load becomes a test of resilience. Decision fatigue signals the need to adopt new ways of working.

By treating these realities as part of clinical life rather than distractions from it, OSI positions its members to adapt early and thrive. The result is a model of support that helps independent optometry stay resilient in a crowded healthcare landscape, and a reminder that the future of the profession depends as much on people as on procedures.

Support as a Standard for Care

Independence has always defined optometry, but connection is what sustains it. The stories of Dr. Agarwal and Dr. Huang show how shared resources and collective insight can turn everyday pressures into opportunities to grow.

For OSI Members, that means putting the network to use—drawing on practice advisors, exploring programs like Uncover Your Eyes, and inviting staff to join the conversation. For non-members, these stories are a window into what OSI offers: a community where independence is supported by shared resources, not carried alone.

Listen to Dr. Agarwal’s Uncover Your Eyes, Dr. Huang on Future Focus, and explore OSI’s resources at opto.com.

At OSI, we help you see further.

 


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OSI Group sponsored post- woman in front of a pond

For optometry students and recent grads, the default path can seem overwhelmingly urban. Big cities promise visibility and fast access to technology, but they also draw the same patients—and the same competition.

It’s a topic explored in depth on Future Focus. Sponsored by OSI Group, the podcast introduces students and new grads to the real-world decisions that shape a career in optometry. Each episode features candid conversations with practicing optometrists and offers practical insights on ownership, clinical growth, and finding your place in the profession.

In Episode 09, hosts Dr. Amrit Bilkhu and Dr. Alexa Hecht chat with OSI Member Dr. Amal Ahmed, owner of Beaumont Eye Clinic, about her journey from associate to practice owner in a thriving rural community.

Speaking candidly with the hosts, she reflects, “I didn’t want to open in a big city. There’s too much competition. When I found a practice in a growing community, I didn’t have to worry about saturation.”

The conversation surfaces key takeaways for young ODs: rural settings can speed the move into ownership and widen clinical scope, while also grounding a practice in relationships that grow deeper over time.

From Saturation to Opportunity

After completing her optometry training in the United Kingdom, Dr. Ahmed returned to Edmonton with plans to launch her career. Instead of opportunity, she found saturation. The city’s optical landscape was crowded, and every possible location already seemed spoken for.

Rather than force her way into a dense market, she began looking just beyond it—and discovered the Beaumont Eye Clinic. As an OSI Group member clinic, Beaumont offered not only a strong patient base but also access to the group’s shared resources, supplier programs, and professional network. Located 20 minutes outside Edmonton, the practice was well-established, with decades of patient records and a loyal base. It wasn’t flashy, but it offered a foundation she could build on.

Nurturing an Established Base

For more than three decades, the Beaumont Eye Clinic was guided by Dr. Bruce Mann, whose steady presence made the practice a fixture in the community. His reputation and long-standing relationships with patients meant that when Dr. Amal Ahmed stepped in, she inherited a history of trust. That foundation became the bedrock on which she could shape the next chapter.

The transition was handled with care. Dr. Mann remained on-site for a full year after the sale, a decision that reassured patients and allowed Dr. Ahmed to build familiarity without disrupting the rhythm of care. Patients could continue to see the doctor they had known while gradually getting to know the new one. For Dr. Ahmed, the overlap offered a rare chance to ease into ownership, observing the practice’s routines and listening to patients before deciding how to leave her mark.

Once those relationships felt secure, she began to introduce changes. The clinic’s layout was improved, new instrumentation added, and the office refreshed in stages. Each adjustment was paced to strengthen what patients already valued. The result was not a break from the past but a continuity—an evolution that honoured Dr. Mann’s legacy while positioning the clinic for the future.

Why Rural Practice Works

What Dr. Ahmed didn’t fully anticipate was how much rural practice would accelerate her professional growth.

In Beaumont, she took on more complex cases and became a trusted collaborator in the town’s healthcare network. With fewer specialists nearby, her scope expanded—sometimes out of necessity, sometimes out of trust.

She notes, “If you invest in rural communities, they invest back in you. My business has grown four to five times in three years, mostly through word of mouth.”

Financially, the advantages of owning property and operating with lower overhead gave her freedom to shape the business on her terms. Decisions could be made quickly, and new ideas tried without bureaucracy.

And on the human side, patients returned year after year, often bringing children or parents—creating long-term relationships that urban practices sometimes struggle to maintain.

Building a Specialty, Patient by Patient

Dr. Ahmed also saw opportunity in specialty care, especially for patients with dry eye disease. Instead of introducing high-tech solutions right away, she focused on creating demand before any major purchases. Educate first, invest second.

She began by offering test treatments and hosting information nights to give patients time to understand the service. By the time she introduced intense pulsed light (IPL) treatments, her patient base was ready.

“I didn’t just jump in with new technology,” she explains. “I took a year to build relationships, educate patients, and create a waitlist.”

Advice for Students and New Grads

For those still mapping out their next step, Dr. Ahmed recommends starting early—even if ownership feels far off.

She says, “Buying a practice could be a quick process or a slow one. Build the relationships right when you come out of school. Ask the right questions.”

That might mean reaching out to a clinic owner in a town you’ve never considered. It could mean shadowing someone over reading week or taking a short-term locum in a place that seems quiet on paper but turns out to be full of promise.

Indeed, not every clinic will be the right fit and not every small town will have a practice for sale immediately. Waiting in a big city, however, can mean standing in line for years. Simply put, the more open-minded you are about where and how you begin, the greater your chances of building momentum early.

“Get your foot in the door,” she advises. “Start the conversation early.”

For OSI Members and students ready to act on this advice, the Vision Entrepreneur program turns early conversations into a concrete plan. It connects future owners with mentorship, training, and tools to make the move to ownership less daunting and more deliberate.

Get the Full Story

Dr. Ahmed’s journey shows that career success in optometry doesn’t follow a fixed path. It can mean choosing what others overlook or moving slowly but with intention—especially when the long game leads to deeper roots, broader scope, and a business you can shape on your own terms.

Catch the full conversation and explore more OSI-sponsored stories like it here.

Curious about your own path? Talk to an OSI Practice Advisor or learn more about the Vision Entrepreneur program at www.opto.com or info@opto.com.


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