Optometrists face ethical dilemmas daily in the practice of their prof
ession. Students training to become optometrists also face ethical dil
emmas, some of which are unique in their role as students. The focus o
n ethical practice has been heightened by the increasing scope of opto
metric practice, the greater demand of society for professional accoun
tability, the greater diversity of membership and viewpoints, the decr
ease in available dollars for health care delivery, and the conflictin
g roles of ophthalmology and opticianry with optometry. These factors
have led to the addition or expansion of professional ethics courses i
n optometry programs. This paper examines the difficulties inherent in
defining professional ethics and designing ethics courses. Curricular
issues are examined, including course objectives, instructors, conten
t, evaluation, timetabling, teaching strategies, student assessment, a
nd resource implications. Much of the research in this area has been d
one in medical education. Although the content of ethical dilemmas enc
ountered by medical students and physicians may not be applicable to o
ptometry, the process by which they learn to approach the dilemmas is
the same.