I agree with the VSEPS and NVAO and the AAO that patient safety should be of utmost importance.  No one should be able to do delicate laser procedures without being proctored by someone knowledgeable in the field to, not only limit complications and bad outcomes but also be aware of complication management.  It is a disservice to patients to be “certified” to perform delicate laser procedures after practicing on a model eye. Human tissue is very much different.