Ralph Handly, OD, a partner in EYE-Q Vision Care Medical Group in Fresno, Calif., compares his present situation, working in a 10-MD, five-OD practice, to other work settings over a 40-year career. A large, co-managed practice provides the latest technology, electronic connectivity and support with EHR, as well as shoulder-rubbing opportunities to share knowledge with sub-specialists. Dr. Handly recommends that ODs of all ages and career stages–including those entering practice–consider the large, co-managed practice as the now-and-future model for the economical and practical delivery of the highest level of eyecare.