M anaging an ophthalmology practice is full of challenges especially when it comes to staff policy and procedures. One of the best policies the physician owner and I put into practice was to require certification for all technical staff. OUR EXPERIENCE The use of well-trained certified Allied Ophthalmic Personnel (AOP) is a huge advantage for practices, physicians, and patients, impacting clinical practice, patient satisfaction, and practice revenue. Clinical knowledge and skills. Certified AOP have a better knowledge base along with elevated skills and can perform more than the basic functions of the eye exam. They better understand the reasoning behind the tests they perform, how to perform them correctly, and whether their outcomes are acceptable or if further testing or retesting is needed. Certified AOP know and understand "the why." Having certified technicians not only helps our clinic run more smoothly. The doctors also know they can rely on the technicians' skills. Our technicians show a greater understanding of the big picture when it comes to patient care. Their insight and understanding regarding test results and refraction outcomes help the doctors save time in clinic as they rarely have to re-do refractions or re-check an intraocular pressure for accuracy.