The Ultimate Guide to Continuing Education For Optometrists

Review continuing education (CE) for optometrists with tips for where to get CE credits, updates to course formats, a state-specific list of requirements, and more.

The Ultimate Guide to Continuing Education For Optometrists

When it comes to continuing education (CE) for optometrists, there are many available resources to meet your state's requirements.

This guide was designed to help simplify the process for optometrists by outlining where to obtain CE credits, changes to course formats, and recent updates to state CE requirements.

What is continuing education?

Continuing education is defined by the Association of Regulatory Boards of Optometry (ARBO) as the primary method used by optometric regulatory boards to promote the continuing competence of licensed optometrists. ARBO created the Council on Optometric Practitioner Education (COPE) to accredit continuing education on behalf of optometric licensing boards.

There are 52 licensing boards in the US, including protectorates and territories, that accept COPE-accredited courses toward maintenance of licensure. Outside of the United States, COPE credits may be accepted in Canadian provinces, Australia, and New Zealand.

How has the pandemic changed CE?

While CE credit used to be relatively simple and divided into categories of “live” and “online,” the pandemic revolutionized this approach. In 2020, ARBO modified the rules for obtaining COPE-approved CE after live events were canceled due to the COVID-19 pandemic.

As a result, COPE administrators and providers were allowed to authorize “live” COPE CE credit for events held in an “online interactive” format. Due to continued state restrictions and Centers for Disease Control and Prevention (CDC) guidelines, COPE extended the rule modification until December 31, 2021—validating COPE’s stance that the quality of education is more important than the location of the course.

COPE accreditation is based on the development of CE activities pertaining to optometrists’ educational needs and professional practice gaps in conjunction with assessing outcomes and applying quality improvement measures. On October 29, 2021, COPE announced a transition period to determine the next steps for what was referred to as “online interactive distance learning” that would last until June 30, 2022.

This transition period was extended to December 31, 2022. During this time, the COPE Governing Committee conducted extensive research, factoring in the improvements in learning technology, and compiled feedback from stakeholders to determine what permanent changes would exist in future learning activities.

In Fall 2022, the COPE Governing Committee announced a new classification system for CE with synchronous and asynchronous courses—ushering in a new era where in-person and virtual education would coexist. Read on for more information.

What is a synchronous activity?

With the new course format from COPE in place, “live” education is now called synchronous in-person learning, which is defined as a session where lecturers and attendees are in the same place face-to-face. The courses may include hands-on workshops or poster sessions taking place at national, regional, or state conferences.

Formerly referred to as “interactive distance learning,” synchronous virtual activity is defined by COPE as a course where learners and instructors attend simultaneously so that students have immediate interaction with the instructor, such as in a live webinar.

Further, the learning must occur in real time. Once the session is finished, the learners are no longer allowed to participate. Although a post-course test is not required (unless the course is for CEE credit), COPE administrators/providers are mandated to gather information on changes in the participants for outcome measurements.

For attendance monitoring during a synchronous course, you may receive any one of the following (but not limited to):

How about asynchronous learning?

With the recent format changes by COPE in October 2022, “enduring distance learning” transitioned to what is referred to as asynchronous activity, such as journal articles, pre-recorded webinars, or webcasts without instructor interaction. Of note, learners must submit a post-course test pre-approved by a school of optometry, medicine, pharmacy, or osteopathy.

There are many opportunities out there to embrace continuous learning, and it makes all of us better at what we do. It’s also a perfect time to meet colleagues, discover new mentors, and explore future career opportunities.

Examples of asynchronous CE for optometrists