Onboarding plan

Optometrist Onboarding Plan (30-60-90 Days)

A practical, printable plan to take a new optometrist from first day to full productivity.

Updated By the Career Education Institute Curriculum Team
Optometrist onboarding at a glance

Week one covers orientation, safety and shadowing. Days 1–30 build vocabulary and supervised practice on core procedures; days 31–60 move to independent work with competency sign-offs; days 61–90 focus on full productivity, cross-training and a credential plan.

Before day one

  • Confirm start date, schedule, pay and supervisor in writing
  • Verify required credentials: NBEO exams, State optometry license (as applicable)
  • Prepare equipment and access: phoropter; slit lamp; tonometer; retinal camera
  • Assign a buddy or preceptor
  • Enroll the new hire in Optometrist training so foundations are covered before or during week one

Week one: orient and protect

  • Workplace tour, emergency procedures and incident reporting
  • Follow infection control with instruments
  • Teach contact lens hygiene
  • Refer urgent conditions immediately
  • Use dilating drops safely
  • Shadow an experienced optometrist through a full shift
  • Training modules 1–3: role foundations, a day on the job and essential vocabulary (15 terms)

Days 1–30: learn

Goal: perform core tasks safely under supervision.

  • Supervised practice: perform a refraction
  • Supervised practice: screen for glaucoma
  • Supervised practice: fit soft contact lenses
  • Training modules 4–7: duties, step-by-step tasks, tools and safety
  • 30-day check-in: confidence, questions and early wins

Days 31–60: contribute

Goal: handle a regular workload independently.

  • Perform eye exams: independently
  • Prescribe glasses and contacts: independently
  • Diagnose eye diseases: independently
  • Treat infections and dry eye: independently
  • Competency sign-offs completed (see checklist below)
  • Training final knowledge check and certificate of completion
  • 60-day check-in

Days 61–90: own

Goal: full productivity and a growth plan.

  • Meet productivity and quality targets for the role
  • Begin cross-training on a secondary task
  • Agree on a credential goal (for example, NBEO exams)
  • Discuss the career path: Associate Optometrist → Specialty Optometrist → Practice Owner
  • 90-day review

Competency checklist

Skill or taskTrainedObservedSigned off
Perform a Refraction
Screen for Glaucoma
Fit Soft Contact Lenses
Refraction
Eye disease diagnosis
Contact lens fitting
Diagnostic imaging

How to measure onboarding success

  • Days until the new hire works without a preceptor
  • Competency sign-offs completed on time
  • Documentation or charting error rate
  • 90-day retention

How Optometrist training maps to this plan

  1. Introduction to the Optometrist Role
  2. A Day on the Job
  3. Essential Optometrist Vocabulary
  4. Core Duties and Responsibilities
  5. Common Tasks, Step by Step
  6. Tools, Equipment and Technology
  7. Safety, Compliance and Professional Standards
  8. Skills Employers Look For
  9. Launching Your Optometrist Career
  10. Final Knowledge Check
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