Preparing for the Year End Rush in Optometry: How to Stay Organized and Effective

As we approach the end of 2025, optometrists across the country are gearing up for what I like to call our Super Bowl. The final weeks of the year always bring a surge of patient volume, packed schedules, and the pressure to help patients maximize their vision care benefits before they reset. It is exciting, meaningful, and undeniably stressful.

If your goal is to stay efficient, focused, and energized all the way through December thirty first, this guide is for you.

Optimize Your Schedule for the End of Year Rush

The last two weeks of December and the first two weeks of January are always some of the busiest days of the year in optometry. To handle that demand without overloading your team, you must be strategic with your schedule. Here is what we do at Reflect Vision Care.

Pull forward or push out non urgent medical visits

Dry eye follow ups, specialty lens evaluations, OCT and visual field progress checks, non urgent medical visits, all of these can be moved earlier or later when possible. This frees up space for comprehensive exams while helping ensure patients who need urgent care can still be worked in.

Reschedule routine prescription checks

If your practice offers RX checks within a set time window, consider encouraging early or later visits unless the patient has an urgent concern. This reduces clutter on the schedule and keeps slots open for those end of year comprehensive exams.

Communicate early and often

Send emails, texts, social posts, and in office notices reminding patients that these weeks fill fast every single year. Even with reminders, some patients will still wait until the last minute, but communication goes a long way in preventing avoidable frustration.

Expand access if possible

Opening early, staying a little later, or working through lunch is never ideal during the holiday season, but this is the nature of our profession. Patients rely on us most during this time of year. Even small adjustments can help you meet demand without turning people away.

Look at data from prior years and identify the biggest choke points and opportunities. End of year optimization is equal parts communication, preparation, and flexibility.

Prepare Your Team and Maximize Coverage

This is the time of year where you need every hand on deck.

Set clear scheduling expectations

In our practice, we do not approve paid time off during the last two weeks of the year. The exception is Christmas Eve and Christmas Day. Otherwise, this is our busy season and we need full coverage to serve our patients well. Encourage time off earlier in December or later into January.

Cross train your team

Someone will call out. Someone will get sick. It happens every year. Make sure every team member is prepared to jump in where needed. That includes pretesting, front desk support, checkout, frame selection assistance, and basic office flow.

Bring in extra seasonal help

College students home for break or local individuals looking for temporary hours can be incredibly valuable. Even simple tasks like greeting patients or assisting techs can free up valuable time for your core team.

Create an on call backup plan

Having a staff member or doctor on call each day gives your practice flexibility when unexpected situations arise. You can never be too prepared during the final stretch of the year.

Invest in Culture and Gratitude During the Rush

The end of the year is stressful. It is also a tremendous opportunity to elevate morale.

Show appreciation daily

Verbal praise, recognition, and simple “thank you” moments go a long way. Your team is giving their all during a time when most people are taking a break. Acknowledge that.

Make work fun

Theme days, coffee runs, lunches, and small surprises help lighten the mood. We have done professional sports team day, college day, and even “New Years Eve attire” day. These little gestures improve energy, teamwork, and patient experience.

Give year end bonuses when possible

It is one of the clearest ways to show appreciation. I believe in doing this before the end of the year so the team feels valued heading into the holiday stretch.

Plan a team dinner or celebration

We often host a holiday dinner in early December. Sometimes, based on team preference, we push it to January when life settles down. Either way, celebrating together matters.

Run Your Year End Checklist

This is the part no one sees, but it is essential for a smooth finish and a seamless transition into the new year.

Supplies and equipment

Double check everything. Lenses, frames, contacts, office supplies, diagnostic equipment, bulbs, cleaning solutions. Do not wait until something breaks in the middle of your busiest week.

Compliance and licensing

Make sure all state licenses are renewed on time. Confirm that OSHA and HIPAA trainings are complete. Review internal policies and required documentation.

Legal and financial review

I like to meet with my attorneys and accountants every year at this time. Together we review:

• Cash flow

• Tax projections and liabilities

• Opportunities for year end equipment purchases

• Retirement plan contributions

• Any legal updates or documents that need attention before 2026

This gives me peace of mind and ensures nothing is slipping through the cracks.

Final Thoughts

Thank you for supporting the Ryan Reflects Podcast and for your patience during a busy season that has temporarily pushed me to a bi weekly release schedule. I appreciate every listener and every colleague who invests in their growth and their practice.

Your goal is not just to survive the end of year rush. Your goal is to thrive in it. Schedule intentionally. Communicate clearly. Appreciate deeply. Prepare thoroughly. And step into 2026 with momentum, confidence, and gratitude.